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P �bl / •• P1.7�If LOC�IIUN •• � .. � •• •� � •• 41N 11N 4�M ��il lul - U.1� 1'lUil1 ��' IIAVf �IU +�MMEIKI�AL MATCN lJtNfS nfKKEO ••! fMU55 IS SI�MEINICAL �UOUf I��1 Cl'�TCHl11�F •+� � e�i.l LE!�6TN CIIOND �D6lf � utN iORCf J�IN1 LOAP � 1- ti! �-14/101N [ 1= -'�,!:1 � 1 -555 J t- 3%� • t• :►( T- 2/161N C 1• -iG16 . r.. 7na � j_ SDS t= /fT S' R/1GIN � 6= 1745 � �= 757 •. r �:►1 3'•4J161N C 7s �i.47 •� Si•LI[cl nASED 4N 16 FOUt MAKIMUN LtNGTN LUMpCR •• C 6 F� S t/t t 6. C D="t0 t;�, l 779 PSI USlNf, NET VLATE CONTACf AAEA) • F.ICt . . -1!?0 �1N5 ARt f0 NE 2lf � SIAI.UAND DGy OOUi ftR •�•• kt�LililVf STRESS V�Wt� HRVF UtEa AvPIIED ln T��IS oE51G'� •••+• o� (�fOKD IS "[X4 NO 1 S DR7 DUU(+ f1N (=1750 T=10Sf1 C=1"[SC ' �S1MF55 FFCTOR= 1.1�:7 .�1 Cl�OhO 15 !k4 f10 1� S UMr UU11L �IR ►=17511 1-1�iS0 C'1(`C siw►s� lAC10N= t'.744 tz 4 MINIYUM bFAp1M4 NkGU11tED �f J 1 AND J S 1�R�/sS Dt�l G/9�fi�l t=o�t /�6 ecY s1; " Z �Cf�iHAN S tYO�r.S :ac. ' �� Th�� Uty ihat iM undet. sl4^� �f e�m�ed the iam lo iWll �(lCR. �� Il � � �,�,�f iM dvu�u u�ta�� and �we. I h�;��y c�rttty tlut thi• y1an.• ' �y,:,-;SScatioi, or raport aaa preyaP�Q Ty .:o ur undcr W dlreot tuparvlsloA `.;1 l),t 1 aa a duly IIaBiat�rad Ysoh • fn.u;onnl T.'�gtnoor undit t!� l��s Oi tha �caa cr Yton..oa. ��(/�///� � � � ` `��i�+-�"'�t Y• ��i �. !f�/J� �� n a�t. �n - �r,de.,s. r�.. AEACi. .. Rcnu . • ., • �� 0 n•1 Iti AU •fl Vt_N415 SIUF FOII �1 � tfh1Al INF(4�NA110N, �qCA��. •� �V-.ili�M:(IONS, � L�)1::'1 ': oq�. r/ O O HYDRO•AIH ClA1MS PNOPfUE IANY I7IGIITS TpTMF MOTEf: MATCf11�L UISC�O51 D NI IU ON. TIUS UnAwiNO 1, CU� qLl MCMOFNY TO BEAN. � �- ANU.�(]II if CIINICAI INF�11iMAT1�>N IS IJWCL III 7, CCNTCN A1 L RI AffS WI.►OINTS UNI.tSSOTHENMIf! YOTI •.'.�. C4N:YDI A�•1 l ull f!ICltd 1 RIN�: IN+ UILLMIIWI � %ID�Ti:1L»F7�:%� UNl Y A�i�� VAY NOf OE 11(1'I�nUUI 1 U.�t111JUf � �. INUIIAIIU CNUUn:.PUCES SIIALI FiC IACAIkOIHOF T) LA[JllYl.Lillilil,llN(:. [APIitSS PL'l1Aq�SiUN CF IIYURl�1�N t H�:I4: M H�Nu. IM�', PAYLI LI N�:fll �•E••) 4GSUqED ►NOY A JO1NT.. -.�..w..�..M-.....+w..+.-�.�+4v...►- • -•_�........�.�..�......,.. ' �' .wi.�,ac.�w� _ _ '_ _ __' . .. . - � . . Hydro-Air.-Engineering, Incorpozated is responsible for structural accuracy only, based on the design criteria shown on this drawing. Connector plate calculations are based on Hydro-Nail connector plate values and ratings. No responsibility is ass�vned for dimen- � sional accuracy c= aesthetic appearance. Plates shall be placed • oa both sides of truss joints, located as shown on the� drawing and pressed in securely. Minim� lumber grades and plate sizes are specified. All tzusses shall have wood members accurately cut, assembled in design configuration and fabricated in rigid fixtures with positive clamps so that all members have good bearing and atl completed truss units are uniform. For other advice concerning the fabrication, quality control, stozage. delivery, erection and ' bracing of trusses, it is recommended that the fabricator consult thc ualit Control Manual For Li ht Metal Plate Connected Wood Tzusses, Truss_Plate Inszitute, Inc., Suite 200� 7100 Balt more !,venue, College Park, 1�iaryland 2074�_ 147�_ SUBJECT P City of Fridley ° 14 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � � � • � ; L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. q��3 I i � �` � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED�BY `""� � ,�� 612-560-3450 910-F15 10/12/78 � � JOB ADDRESS 186 Ely Street N. E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 43, 44 12 Spring, H.�ook Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ms. Diana Bradway 6813 Humbolt Avenue North, Mpls. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Zachman Homes Inc. 7760 Mitchell i�ad, Eden Prairie, MN 944-2503 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. 6 USE OF BUILDING ' xesidentia� HEATING, PLUMBING AND SIGN�� 7 CLASS OF WORK �] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 36' Draelling and NO GARAGE 9 CHANGEQFUSEFROM TO STIPU�ATIONS provide sod in th_e front and si.de yards. Provide a verifying survey before capping. Provide a hard surface driveway. Provide combustion air to furnace. SEW�R LOCATION: (Approx. 8' Deep) 109` E. of Manhole (Inv. 850.81) WYE ELEV: 851.36 TOP OF FOOTIl�iG: 854.36 Minimum WATER LOCATION: 10.5' E. of Sewer Service DRIVEWAY DEPRFSSION COST: 12' + 6' x$14.50 =$261.00 i'HE CIFY OF fRlDLEY DO�S NOT GUARAM'E@ 1y►E �� AC�URACY OF UT1LIlY LOCATtONS ANb ELfVAflONS. B@fOl@ (Il�rgj�g Ca�i IOCBI Utl(ItieS i: !S DATA (S fpR INFORAAAi�pN pURpp$ES ONLY AND TELEPHpME -��rR�� - P��so�s usu� rt si+cw�c v�r n�� owranor, REC��,ti�g�� , �AS �tc, C�N THE SITE. =� �! �.�: �,� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. WOOC� FYdICl2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT R 1 864 �.%�ZHO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $26 � 47S $�'3 .24 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R THE PERFORMANCE F CONSTRUCTION. $69.12 $�iOO.00 ` PLAN CHECK FEE TOTAL FEE ;� Ov-c..t.,��-V ... _.._ � . 28 $497.64 UREOFCON� TORORAUTHORIZEDAGENT IDATEI W EN PROPER VALIDATED THIS IS YOUR PERMIT �� ,,� , SIGNATUREOFOWNERUFOWNERBUIIDERI IDATEI BLDG MSP DAL czr� a�= r-�ir»�r�Y APPI.iCE�'('IOi� 1'OR f�ESIllf:NTI/1L BUII_DING F'ERt�1ITS �1'�Ct�1, �L7L=R�T10t�d5, ��DDITIOPd�, pfZ �EP/1IRS) 0 OWi7�R: Ms. Diana Bradwa,� }3UILDL•'R: Zachman Homes Inc. ' �/ � , �`�i � ,�� ,Z`� Address: 6813 Humbolt Ave. No, Mgls nddress: 7760 Mitchell yd. Eden Prairie, Minn Tel, tvo.: 944 - 2 05 3 .' Ho. : 186 LoT: 43 & 44 SL-reet: Ely st, Fridley,Minn. BTACY.: 12 ADUITION: Spring Brook Park CORtd�R LOT: No• INSIDE LOT: YES SETBnCK: 35.00� SIUFYI�RDS: 14.00" & 10.00� A�pl.�_�a'r�i: utta�h �c i�his ioYZn Ttaa Certiiicates of 5urvey of Loi� anci proposcd building location drawn on these Certificates. DESCRI PTIOPd OF BUI LDI NG To Be Used As: ' � Single familey Front: 36.00' Depth� 24.00' Height• lg_pp� � Square Feet: 864 sc�_ftCubic Feet: ��;T��(,� �•� • . rron t: llepL-h : He ig ht : � � Square I'eet: Cubic Feet: .�`� Type oi Construction: Wood framed Estimated Cost: $�/�'"'� A rox 10 30 78 � �'G '`� �� ` 7.b Be Completed: P � Z� Alt. A Alt. B Proposed Driveway Width If Ne�a Opening Is Desired ��AA� ,SD� • (SEL Ft�VERSE I �O -�SHEET) Ttxe undersigned l:erek�y maI�es applica�ipn for a pe: mit for the k.or}� l�erein ecif�_ed, agreeir.g to do all �aor3: in strict accordance �,�ith tlie City of ridtey Ordinances and rulings of the DeparL-ment oi �=iiildings, and hereby declares i:hat all the facts and representatioi�s stated in i�his application are true �.czd correct. See reverse side far ac3ditional infozmation. DATi: � 7 17 78 _ SIGNIITUI'.E: �•� G� ��7��%'�v Fred W. Pagenkopf� Arc� Zachman homes Stipula�io�ls: � � � �� a �� ~ � � �� '�`� � �` �� . � %u.�.. � �� , � �� .s . O / � � � .� � l/ ,��"` ��. *�'J � � � �' �'- � ��, � ��a� � �� n� � �f �'. � '� . 0 .�''e�� = � 3. �G x /5�� ,y� = � e� G / , �' a �� s . ��t �.r--�s .�� ,.��/ f _! � ► � � i j' ,' J� i L/ �i' � �� J' BUILDING PERt�1IT FEt SCHEDULE ..F«,.�,. SF,CTION 2. The Inspector of Buildings shall, before issuing permits fc�r the erection of any building or structure, or for any addition to any existing buildinq or structure, or for any alteration or repairs to any existing building or_ structure, upon application therefore, require the payment by th e applicant for sucYi permit of fees to the amaunt herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacernent ef concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: P,emoval and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$17.20 _ RDDITIOi�;AL. INFQRMATIn(V For the purpose of computing fees for building permits, the cubical contents of any bailding or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the base.-nent or the cellar to the average heights of the upper surface or to the average 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 �er each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. Tn no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. �. ' � _ � � � ► 1 � I30TE: Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lo" showing the location of the foundation once it has been constructed wili be required before pr.oceedir.g wi�.ii the traming. CtRTIFICATE OF OCCUPANCY �pplication for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a buildi.ng permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � � � ��. ��/�r 3� =. .1't'o'�� v�,a.a" a�- � 4�x � � - /7� Q2� o � i % a�,�,� �6 y ,� �''� Y•t� ��/� � 'j��`�-�3, 6t3 �'� �c'� c S", � � :. ��'Y %,,� 8 .2 �, y'?'2, 9� � �, �,�.s=� �C "it'� !_ � � � �J � �2 �Oi3GS' /7 a8p ;� ,�"/.��- � �9, ,r �. /7• �� - ,�, ��, �/oJ,po � �� _,�,,.�...:. . .:. . _.� ay...,.,_...� .w.,�._,�..r - ��,��l�►� •�. NEDLIJND Land Surv�yor � C�vd Erp�nw � ^ rp M1� Ow�look l�k� Ciro1� I Sloomi��to�. Min�rot� 66437 8{d-20�0 �� =�� urve or�s G'ert� �c�te � � � l !�� - StlRVEY fOR: DESCRIiED AS �.. . �E�.� �__.._— �!• . � ..{� ��TY E� �;o��c �,v� 3� �� a�QU�R�a ' E °�.�E�,r� ��, . �oy�,� ;ANA R oQE,a�N �� x�� 1 ��i- � ----- _ --- �O' � � �� NO i �_� �_ _�� _� . �, � __ c �.::, _ ,� d�• � � I I ✓� . �'g� � j 1�=30 � � ARHING utilit�es gefoce d�8�� 11 tocal E�c. T��,E�10NE - EIECTRIC - � I �; � n� n n �t r � 1R+-�-,�� I i L Lr.�i Ll�F <f-'QEQ�i �� 'rL — I (�! -� I � i �n i �n�.0 � �'�� I � -Tt-:P E3►.K. � ` �,4- � Sra - �d�;2.50 N 1�' � s-�� Q,ii �) ?' !' i.1Q. � A �' $� ��0 10 v.�. a� �..a � , -_ a�� . �� I I ,� ;� pf PRIOLEY DOES NN5 AN� ��ATI�T�+� � �', ACC1�� `� �R � RMATlON PURPOSES �NLY �� I �� ` TN1S PA �HO�Lp VERIfY THE lNFORMASfCN � �`/' AERS�S SING R � I �`� � C,� T,yf TE. I _' --• —_ _ � b :. . Z ---�� o �6 0. � —�-- M :� 9. �� E �`� �� r a 5�. � \� M RN HO l.� M � � M�R�' 7?Or� o� ELY _ S-r. Nt�iD RSHI�N AVE. � �v.=10:`37 �ERTIlICATZ Oi SUR�L►Y I her�by certify [hat on 8��1 78 I iurvey�d the property dc�cribed above and [hat thQ above plat i� a corr�c[ repre�entation of •aid •urvey. �� - � T: G , ) v��u � C�lvl� N. Hedlund� Minn. Reg. No. 5942 _�{� � �� C � ^ ��'X- � `��/ � � /�' 9 �_ �; � j-- ,� f�, �� r� �Jc�. �3 � �`��;�� << �1 -- �'.�/, ��, � �- �%� ��,-, �.� � - �..�y 5 � ��,� �, G� �� , - �� ' �� A ,�, ,� �� - ,, � � �� '� 1►..'�- �C ��s-Si�? n� � �%� �_ � �� µ r `7 �'�ic �. . ____�_ _ 0 l�9 7� � � �__.......�__ � >Y ��. J�,._. � --- _ ___ .__ ��5�- 3� �� /G� �� —`� — .�� /._ P.'- � _ � - � H �, z F-� � o ro t9 O � o y `. 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O Z � m T � � m � D F1 O Z � 2 C7 n � -�G O T T � d r rn � sue�ECr PERM City of Fridley �_ 15 r0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � RECEIPT NO. � � � • COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. �/ i 1 � �� /"'1 � CITY HALL FRIDLEY BS432 NUMBER REV. DATE PAGE OF APPROVED BV i.��i �.J 612-571-3450 910-F15 5/7/80 � � JOB ADDRESS 186 Ely 5treet N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED �ESCa. 43, 44 12 Spring Brook Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Diana Bradway 186 Ely Street N.E. 786-6956 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 24' Detachsd Garage 9 CHANGE QF USE FROM TO STIPULATIONS provide. a hard surface drive�ay. S EPERATE PERMITS REQUlR�D �OR ��RiN(� NEAT1t�G, QL�MBiNG AND St�N�• TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PEFMtTS ARE REQUIRED FOR ELECTRICAL, P�UMBING, 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUAT�ON SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 4 651.F)S 52.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 21.12 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE $23.45 SIGNATUFlEOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLV IDATED THIS IS YpUR PERMIT �.�k.i.1 \ ..�i�""a. "^� �s'� /� .�, l �CC�,�� C'� �Si ATUREOFOWNEfiiIFOWNERBUILDER� IOATEI BLDG �NSP DATE CITY OF FRIDLEY • A('PLICIITIQN FOR RESIDEf�aTIAL 43UIL�I��G PERMITS ' (PJew, Alterations, AddiLions, o�° Repairs) OWNER: �,�� '�Z--�-=��r�.a�� BUI LqER : - ��'�'�`,�'�,, ADDRESS: �'�� \�,.-� - � - `�C--F ADDRESS: - TF:L n(0: �[ $�- — � �°t'S �n 7EL N0: ' Construction Location � STi2�T NO : �� l � STREET: � � �� 2-�';�,�' `U • �Z.� L07': �C �� 'T'�" BLOQC: i�..�. ADDITION : S�%, �` �2 �� 1 �fa t2 \�. � D'59�� , �,,, .. Corner Lot: Insic�e 7�ot: �� Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on cer.tif icates to scale. DESCRIPTIOId OF CONSTRUCTION ~ � � � - � �(Z��,, Front: 2 �__- � Depth: 2 Height: < <� Squa�e �eet: _ � � � t�bic Feet: � �--� L Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction : �--'a °� ��s�--v�� Estimated Cost� $ ��p� � � �v � Zb Be 0ompleted: \ �� Alt. A Alt. B Pxoposed Driveway Width If New Opening Is Desired: $� $ . SEE REVERSE SIDE OF SHEET . 7:9Ze undersigned hereby makes application for a permit for the w�rk tierein specified, agreeing to do all work in strict accordance with the City of k'ridley Orditiances and rulings of the Department of Buildings, and heseby decl�ares that al.l the facts and representations stated in this application are true and correct. DATE : � - �i —� U S i GNATU RE : � �GL�-� � -� "`c�"�"`-� �_.�',� Stipuiations: =� l .1 �-- . � _ � ��-� ____.��, � ,3 . `� � � � - �-- � ' �. -. . BUILDI(JG PCRI�IIT (=Cr SCfiEDULE' . S):C'PION 2. �7ie 7nsL�ecL-or o� l3ui].clincJ� :,hal�, br_torc a.;suing penniL•s tor the erecLion oL ar�y buitding or :�tLUCt.urc, or. for. �ny aaa�.L�.�n to ar�y exisLi�ig buildiny or strucL-ure, . cir for any �zlteration or xepair.'s L-o •a�iy cr,i,L-ing }auilclit�q ar :>tructur.c, Uj�G11 ap��lication L-hezeforc, require the payment: by t.lic� appli_cant• Lar. sucl� per.ma.L- of fees to. Lhe a�nount herein bc.low seL fort}i a11d in L•1.c� �naniier hereS.a� nrovz�lccl to-wiL-: � I1L'4J CONSTRUCTION: Single I'a�r.ily IIomes anci Gaiages : $4 . 00/1, 000 cubic Leet. �'I.nH CfiI:CY,: 2.5 ��ercenL- of bu�.lding perni�.t fee, . D2tIVrt�JAY D�PRESSIOt�: (Concr.et_e, C�Zr.b Sti�eets Only) . � • Altera��-�t:e A: Itc;mova]. and replacemenL- of conr.rei:e curb and guti�er only; Driveway width plus 6 ieeL- x Y15�.75 A1L-ernate i3: �temoval and replac:emc,nt of concrete curb and . ' gutter and �.iistaZl a 3 foot wide approach ivith �' " _ 6 inch dep�.h; Drive4;ay w�_dth plus G feet x$17.85 . . �D�I -IOn � Zr��oR�InT10� I'or the purpose of computing fees for_ l�uilding permits, the cubi.cal contenL-s of any blii.ldinq or addition, is dctermined by multip�.ying the ground area covered from a point six (6) inches below the floor lina of f:he basement or th� cellar to the . average heights of the upper surface oz to L-he average height of the roof surface of �.tie ;�ain gable of a pitched roof . For xepairs or alterations to an existing structure, the fee shall be at the rate of $3.00 �er eacti five hundred dollars-{$500.00) or fraction thereof in the cost of all proposed work. . In�no r.ase sha7.1 the fee charged for any permit as set forth in Section 2 be less tYran $7.50 plus $.50 state surcharge. ' VERIFICATIOV OF FOU�DATIOfV 0 ' NOTE: Permits �or construc �ion �oill be issu�d a minimtun of_ 24 hours f.�'om the time of application to allow for proper review of the pr.oposed structure and oi the construction site. � 13. Certificate of. Survey of the lot, showing the location of the foundation once it �ias been construct:ed �ai11 be re��uired before pr.oceeding with the framing. ��RTIFICAT�OF OC�UpA�yC� ' Application £or a Certificate o� Oceupancy shall be made ten (10) d�ys prior to the use or occupancy oi any structuLe for which a building perniit has been issued; and said structure shall not be used or occupied uiitil a Certifi_cate of Occuj�ancy has been i.ssued. . ' c a 0 � c _ _ � _ _ _ ._ _ � .�1��J��! •�. ��D�li11iD lc�d Surv'yar � Civil Enp+n� ,� ,� . r � . j� ��I. � ` � � . �-- � ar s G��rtt `�r�� e� ' ��~ � ; f ; �li 1 I f '� vrs o».+«� �.k. ci.a. I 9�ocn.N,�tw,. #A,ne►.wt. s6Ia7 8iai8•ZOi{0 10 S NO. wrtv�Y ro�: , _ . _ _ . , . DESCOttliO AS , . ,. i , ' ': -� .�. ',: : t . .'_ ".' , ' _ `_• '� y r� ; � = Z , , _ ._ � :1�� . � :_ � -- , :,: -_ . .; -_ ;� _�.�. _ _-;ia:�_ :��z.---r ea3.�:�c:nts , . , ._ _�� _ . � _ �- . . _ _ ._ � _ . :_ °"� . . � � � � " �6C,� `��O.q --- -I --- - - I �o; � I i `- i . , � , . y�, . . G� �� CISY E� �� 3o A�� Q�� Fo� �� ; ' :� � i'=3o e ��,pU1R'�� REP�CEM�� I � r � � `, N'►?" � �� : � ��'�V�L �A AY� OpEN1N � I i . �� `'� . yy �►�� ' - in qll loc.a� u�litie5 _ --�� gefote dig� � Eb�. � � � _ , � ( — TEIEPNONE - EIECTR1C • � � � �-_.:.. j t�'_ �r-� o �; � ��E(��S1R�.P�4$Y lA �� i. ► �i.$ - , , � i� -�-pp #3, tYC, , . �. • . �362.5C5 �' l0 s-;-�=. . ' , ,- r : �p � �4- �, S, N _ �^ Ci�9r •�Y. � L �.. � .. '\ J " ' 836%J° �o' , ' ,� 14 ` g� �� a�� . � � ;,_ �(�� D W. ! +� Of Fit101.EY DOES NOi GUARAAt7EF s��'!� . ' X!'!E � 4ACAT10N5 AND EL�VAi4�t�5. �`� �� ' ACCI�RACY OF Ui1LlTY � V�! ; pY tS EOR tNEO�►TION PURPOSES ONLY �AN� �� iHtS p �SiOvLt7 V�1fY TNE tNFO�ATfCN � � ' PERS�S 'S1NG R ` � r .. TE. � ' ,�0� C'� T�: : ___ � .� �__ — —� .. �b'=.2 �6J.�- �— ` M '> � 9. �� E�-`� S-T-��-r g 5q. � f . � � . MRNHOl.E M � tN�t�R� �a�� - ELY ?T � ASE{tOri AVE. � -. �v_=10:3? S��T IF 3C�1Tt Ot S UR i�EY I hgrxby csrtify �hat on 8��78 I�urveyed ttu property dc�crib�d •bove and chgt th� wbov� plst le a corr�ct repreaentation of uaid survty. � �� A �'� ( ? � ,, ^ � T � � � C a l v i`�t��t u_. � � 1 — , , --� � r. — �- - �^� � � � .. _ � �� ti� 4 SUBJECT P � "- -- City of Fridley o 20136 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � CEIPT . � • COMMUNITY DEVELOPMENT DIV. ' j L � r � � PROTECTIVE INSPECTION SEC. ��J SS 1 � 1 �' � /��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPqOVED BV •---�: `.� 612-571-3450 g10-F15 9/29/89 / / JOB ADDRESS 186 Ely Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 43, 44 12 Spring B�f� Brook Park SHEET 2 PROPEATY OWNER MAIL ADDRESS ZIP PHONE Diana Bradway 186 Ely Street N.E. 786-6956 3 CONTRACTOF MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14� x 22' Addition to Detached Gara,ge 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard sur�ace driveway. Tie new slab to existing; use treated bottom plates; use 1/2° anchor bolts, 6 feet on center. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GAqAGES 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 tiSC� � SOZ $Z , ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $72 , OO STRUCTION OR THE PEFiFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA� FEE $74.25 IGNATUREOFCONTRAC RORAUTNOAIZEDAGENT 1 ATEI WHEN PROPERI.Y VALI ATED THIS IS VOUR PERMIT L..� �,�� ,.L��, � �� - - � � �.` iGNATURE OF OWNERIIF OWNER BUILDEAI ID� EI � BIOG �NSP � �ATE � ( ] �� ] �� [ ] I�l AND R-2 Buildi� Piermit Application Effective 5/1/88 Dor�structi�n Address : � � l0 � � �` r '� � I,egal Descri.pkia�: � % ,S '�% � � �J -v� �'.,� /.� ,��>� �,� � /'�i�? r ) �,C� /�� 2a Owr�x Name & lsiddr+es.s : 1.�� i�a-� �- �fZ.a�-tJ c.�J�..� T�el.. � 7`� lv �� 04 \(e OorYtractor: ��-� Tel. #, • .,. - Attach to thi.s applicatioaz, a Oertificate of S�vey of the lat, with the prq�osed voa�strwc.�tiaaz drawn on it t;o scale. I�_s _w: ��M �, �� Yii•� � s i� �� l�R�: Iet�gth W'ldth Height Sq. Ft. 14� AREA: Ie.ngth �_ Width 2`Z— Heic�t Sq. Ft. � D�CR ARF.�,: L�x3th Wldth iigt/GL�olu'xi Sq. F't. OZ'i�R: C� ra.cLa� � � ��: ��c c � � C�orner Lot [� Inside Iat [] Ft. Yd Setback Side Yard Setbacks Zj�pe of O�nstruc�tion: LLt �D i� �a�11��_ Estimated Qost: $ ��.��. ��. a Approx . C:ce�letian Date : Proposed Driveway Width If New O�niryg Is Desired: Ft. $ $ Width + 6' See Back Page n�: �(�41��1 �c�rrr: �� i��..�.�.��._.-,. �. # z�t�-��s� Pezmit Fee $ �. C) C� state Surcharge S � - �;Z �� SAC Ct�arge $ Driveway E,scrvw $ Park Fee $ sewer r�lain c�a�e S ,.�� ..._, To►r� s � S CI'I'Y tJBE �II,Y F'ee Sc3�edule ari Reverse Side $.50/$1,000 Valuatiaci $575 per SAC Unit Alt. nA" ar' Alt. MBn AL�OVe Fee D�etetmined bY �4��4 Ag�Yt Neoes.sazY [ ] � ��' [ ] s�rix�,�zass : /��' � `l�- �- �� f i :�� a`�-- : � .'� � � � � .1��. � .1. � ��.1�� Zhe Chief Buildirg Official shall, before issuir�q p�,rmits for the builciing or �, o,� for any additioci to erection of any anY existir�g buildir�g or �� or for any alteratian or repair to any exis�,�q �� or structure, � aPPlication ther�efore, requii,e the p,ay�t �, ��licant for sudi permit of fees to the amau�t herein belaw set forth ar�d in the manner herei� p�ided to-wit: TU�rAL VALIIE S1 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 � a. $15 (Miniaum F�ae is $15 plus �) S15 for first $500 plus $2 for each additionai $100 or �� theraof, to ard inGluding $2, 000 $45 for first $2,OOp plus $9 for each additional $1,000 or fracticn ther,eof, to arri includir� 525, 000 $252 for first $25,000 plus $6.50 for each additional $1,000 °r' ��aa'� th�ereof. to and inCluding $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fractioa� thereof � to ar�d �1�� $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $l, 000 or fraction ther+eof, to ar�d ir�cluding $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1, 000 or fractioa� thereof � to ar�d �1�� $1, 000, 000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1, 000 or fractioai �er+eOg �IV�Y �Ptt'F�SIQ1 ffiQmW (Qoncrete C1irb Stre�ts On1Y) Alternate ��A�� ; Re�roval and replaoanent of curb ar�d gutter only - Driveway width plus 6 feet tjmes $13.50. Alternate ��B�� ; R�nvval and reg�laoe�e.nt of c� ar�d gutter arid install a 3 foot wide �PP�� with 6 inc3� depth - Driveway width plus 6 feet times $15.75. � �• •- •• . .,- �. �� .�. .. P�ezmits for oo�LSttu�ckion will be is�stied a m; r►;,�.,m of 24 hours frnn the time of applicati� to allaw f� p�aQer review of the Prq�ose�d stn�re arid of the oonstrvction site. A Oertificate of S�nvey of the lot, showing the locatio� of the fa�r]aticci �oe it has it has been will be requir�ad before prooeedi.ng with the fYaming. ��LVIN .H. NEDLUND L�.nd Sw��yo. GvU Enrww � �� 1 �;i �urve or`s G'ertl �ca � te Y1� Owrleoh ldt� Grd� S►eoww►Mw. IN.ww.�ou 664�7 •M •20�0 �o. ,�- suRv�, roR � .- _ . . _ . . � . oESCt�si� �S , , , -. . i , " ': _ � ,. , � : � _ - � �' � = ` � � :. t� � i � i - . . _Ln ' - . ._. � __ . . , .. a . _'. _.. _ - _ ��.t':� , .. . :`1i' _.: • :1t5 ea�.�. ,� . . .c; ; _ _. - '" � - -- .. . . _ � . . -- — - 8�: , 6� S 60. 4 --.l- - I 60• � � i � � � . Cl'[Y Ei�G• ��- - --- � y C �� ; �- ; ' . 3Q Q�`Y �0� � D , FOR �N � . �.; I ��' ; g � � �' . I, = 30 � 9j�' R�a A��. REPU�►CE � ; � � �. � ��QVA . �Y ppEt`titt�1 , �.� ��'� ,, . � RH,N� . . WA y-, , �.. I, I � �- 1 � �� t4- �, S` � � . �.� /�V � . 1' � . �! � � � i� qil lota� ubl�t�es d' 6e�ore di8s i � A � � I � iEI��ONE - EIECTRIC - � w - �r� � � � � �t�EQ�1RE.P� _$Y tA P� D�o�. � Vo�, p , . -raP f3�K � � . ' d62.50 N�- Io' p s��=� . Cis�n�. �iR_ - ` y¢ Fl36J0 ,�' � - � D lJ, g61.$ � 8GI .� ' �iME � IHf� �GiY Of RtlOtEY D0�5 NOt GUA �A bNw a f,pCATtONS AN� � qC�1tpC7 OF UT1LltY r` I� THtS pAi lS EOR WEO�TFO�� THE�1N ONRMAT CN � � PERS�NS 'S1NG R �HOLLD --- ll---; � C0� CN T,y= TE. ; Jb=.Z Y��_� T �� 5 9. 6� E ��r s-��r g 5q. 6 � O M i - M RN 1-�0 LE f'�' tN►ECc�C' �a�� O�' E�'� ?T lu�p a5ti[aN AVE � �v_=Ip.3? �bltTQ IGTZ Ot S[lt�LY � I Mreby ctr[ify [hat on 8��178 I•urvey�d [!u ro and tha[ the aDov� plat i� a corr�ct repreaentation of •aid ��ry�y.dcscribed abov� .a .`�� ? ' __ � , "� � r � „ , � J°�-- / r � � °-�-�....___ �., C+t 1 v i., u �- -- - • . � -�.�._„_:. � , . �-- __ • - ._ --_-_... � SUBJECT City of Fridley AT THE TOP Of THE TWINS g � I L D I N G P E R M I T r � �` COMMUNITY DEVELOPMENT DIV. � � �' � � PROTECTIVE INSPECTION SEC. r , . � REv � � i-�'1 � CI1V HALL FRIDLE� 55�32 NUMBER �----�' ,'� 612-571-3450 910-F15 J08 ADDRESS 186 Ely Street NE t IEGAL ��T NO. BLOCK TRACT OH AODITION DESCR. �F3, 44 12 Spring Brook Park 2 PROPERTY OWNER MAII ADDRESS Diana Bradway 186 Ely Street NE 3 CONTRACTOR MAILADORESS Twin Citv Exteriors Co Inc 9060 Zacharv Ln 4 ARCHITECT OR �ESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM DATE 8/20/9 ZIP � ZIP ZIP / � .-i+ AINIT NO' � �\ 25402 .�: � ___ _ - RECEIPT NO. �y� � pF AVPROVED BY . / SEE ATTACMED SHEET PHONE 786-6956 PHONE UCENSENO. �T 55369 2535 PHONE IICENSE NO. 425-4737 PHONE IICENSE NO. ❑ ADDITION O ALTERATION �l REPAIR ❑ MOVE ❑ REMOVE TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. TYPE OF CONST. SEPARATE PERMITS ARE REOU�RED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTfiUCT10N ZONING AUTMORIZED IS NOT COMMENCED WITHIPI 60 DAYS, OR IF CONSTRUCTION OR WORK �S SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �S � SOO WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANT�NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- � 112. 2S STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�GNATUFIE OF CON'RACTOA OR AUTNOR�ZED AGENT EAU� OWNEP IDATE� �DATEi � s�_ OCCUPANCVGROUP IOCCUPANCVLOAO STALLS License SC $5.00 CU. FT. �FFSTREET PARKING IGARAGES SURTAX $2.75 SAC CHARGE Fire SC $5.50 TOTALFEE $125.50 D THIS IS YOUR PERMIT �� W � qaiE NLW ADDN ALTER ll �� ConstructionAddress: Legal Description: Owner Name & Address: Contract� Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 - BUILDING PERMIT APPLICATION LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1 / 1 /97 � ��5�f'0 a- - Tel. # �J��-�, 9S� MN LICENSE #�� " Tel. # �a�= �%.3% �� of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlViPROVEMENT Width Height Width Height Width HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ � j�'"�'`) (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �'" / %-��'� APPLICANT: � Tel. # ��? S- �7� � CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: s ��p $ a Fee Schedule on Reverse Side �. $ � -� .001 of Permit Valuation (1/lOth%) $ p� ��' $.50/$1,000 Valuation • > �5"" �/l, � $ $950 per SAC Unit V.` �" $ �� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or A�t. "B" Above $ � $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] S� $ �. .. _ � [3UILDING PEI21V[IT FEE SCHEDCJLF. "['hc Chicf Building Official sha(l, before issuing pennits for the erection o(� any building or structure, or for any addition to any existing building �r 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 lierein 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,OOU,001 and up FEES $21 {Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1p0,000 $887.25 for first $100, 000 plus $5.00 for each additional $1,OOO�or fraction thereof,.to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 far each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROVV _ {Conerete-eurb Stree� OniY7 - Aiternate "A": Removal and replacement of curb and gutter only - Drive«ay width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pcrmits for construction will be issued a minimum of 24 hours from the time of application to allow �or prop�r revie��- of the proposed structure and of the construction site. A Cc►-tif-icatc of� Survey of the lot, showing the location of the foundation c>nce it has it has bcen construc:;�•:.'. ��'i°? i�� rcquired hefore T�roceedinR �vith the framin��. � � ,. -_ ..� sue�etr P City of Fridley 25 $� AT THE TOP OF THE TWINS g �� L D I N G P E R M i T ; � RECEIPT NO. � �` _�� COMMUNITY OEVEIOP�ENT DIV. �� r � �' � PROTECTIVE INSPECTION SEC. � � � � /"'1 � CITY MALL FRIOLEY SS132 NUMBER pEV DATE PAGf O� A7PROVEO B� �-"'�' �'' 612-571-3450 9�0-F�5 5/13/02 / / JOB ADDRESS 186 Ely Street NE t LEGAL �OT NO. BLOCK TfiACT OR AODITION SEE ATTACMED DESCR. �i3,44 12 Spring Brook Park SHEET 2 PiiOPERTY OWNER MAI� ADORESS ZIP PHONE Diane Bradway 186 Ely Street NE 786-6956 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO A-Line Construction Inc 6171 189 Lane NW, Anoka, MN 55303 763-422-9944 20032753 d AiiCNITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO 5 ENG�NEER MAII AODRESS ZIP PHONE UCENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �7 REPAIR p MOVE O REMOVE 8 OESCRIBE WORK Reroof House & Garage (23 Sq) Tear-off 9 CHANGE OF USE FROM T� STIPULATIONS Underlayment must comply with the State Building Code. TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION ZONING SO. fT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR If CONSTpUCTION OA WORK IS SUSPENDEO OR ABANOOMEO FOR A PERIOD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED ' NO DWIG. UNITS OfFSTREET PARKING I HEREBY CEi;TIfV THAT I MAVE READ ANO EXAMINED TNIS APPLICA710N 1 STAILS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND OROINANCES GOVERNING TMIS TVPE OF WORK WILI BE COMP41E0 WiTH WHETMER SPECIFIED MEREIN OR NOT THE GRANTING OF A PERMIT �2�465 $1.23 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMAFGE PROVISIONS OF ANV OTHEA STATE OR LOCAL LAW REGUTATING CON- TRUCTION OF7 THE PERFOAMANCE OF CONSTFUCTION �8.3 . ZS Fire SC �Z .�F7 PIAN CMECK f TOTAL FEE �—��`-G� Lic e C $5.00 91.95 S�GNATUAE � CON'AACTOp OQ AUTMOA�ZEO AGENT iD�iE� � MEN R PE AUO THIS i5 �OUR PEQMiT L, �—��-D3` $�GNATUAEO�O�NNEAi�FON�NEABU�LDEF1i ��TE� ' B G iNSo' �� f�6tE � �'. NEW [� ADDN ( ] ALTER [ j Construction Address: CITY OF FRIDLEY Effec6ve 1/1/2002 6431 Univers'rty Ave NE, Fridiey, MN 55432 (763) 572�3604 Bldg insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Legal Description: Owner Name 8 Address: ' �=-. � � r �� -� � Tel. # � �� -� � 5 Cc Contractor. .� � � t'�-. � � : N� 3 � �� , MN IICENSE # �- C� U � � � $ 3 Address � � 1 l � '� Q �L L � 1�. � sf�- �..� �c�, i�,,.�. Tei. # �7 �3 - �-� ��- 9`� � � LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Ce�tificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Construction Type: �-� ✓cc�2� � Estimated Cost: $, Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ r - � -_ %, :,� DATE: ��-1 ��- 4 �APPLICANT: .�� _.--�% �2�— �'� Tel. # � Cp � � `�t � �' � � � � - - , Call (763) 572-3604 for Pertnit Fees if mailing in application o� Fax to 763-571-1287 if using credit card and we will call you for card numbe�. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � . $ ��`�� -:�:�`,�-- $ �l> �'% $ 1- :�.� $ $ .`�.�'1t;, $ $ $ $ $ �'e �;.� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ..,,., BLTLD�iG PERI�tIT FEE SCHEDULE The Chief Building Off'icial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 ptus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for ea.ch 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 $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 -_ ..._