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AF - 415740 City of Fridley, Minn_ BUIL�ING PERMIT , N� 5 4 Date: __a�� � """'"' �'�' .AT . � � :� �� Owaer: �� �.�'°. �'��... ,..�- Builder Adciress Addres$ � ��, � �OCI� O U�NG Na � S t �"�,�`'' ° +�' Part Lot �t � � �� � Addition or Sub- vision �. �' �w .�.. ,�'} Coraea.' Lot �Inside Lot� Setback ____ Sidey�s, _��L�! � Sewer IIeva.tian � Founda.t3on IIevation DESCRIPTION OF BUILDING � To v�a � �, `� - ;f--�-- �,�,, �ont '"� ne� x��nt .-�i�- sq• �� cu. � �.. Depth Height Sq. F't Cu. Ft ' �� Type o Construction _,�` �"' ' Fst, Cost�,•.�• "� �� .r..__.. To be Completed � , ,' , , , , In consideration of the issuance to me of a pernut to construct the building descrlbed above, I agree io do the proposed work in accoxdance with the description above set forth and in compliance with alI provisions oP ordinances of the dty of Fridley. r.� a,; : In consideral3on of the payment of a�ee oP "' ��� , permit is hereby granted to to construct the building or additibn as described aboye. Thispe rmit 3s graated upon the express condition that the person to whom it is granted and his agents, amployees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinathcea oY Fridley, Minnesota regarding location, construction, alteration, maintenaace, repafr and moving of buildings within ttie dty limits and thia permit may be revoked at any time upon viola �'p�p of sny of the provisions of said OTC�3II8II�& �� , fr.� / � .y��_ Bi��g +.u�t�c��Or .- NOTICE: Thts psrmit doa �wt eove� the �oesfrndioe, imtalWion ior wiring, plumbinp, gas 6eating, sswer or wate�. Be aura fo see ths Bnildies Inspeetor for ssparate permlts Por thwa �ema. /�`\ �s � �--� -. 4 �`'� �: , - � .... Owner�s Name �ldresa No. APPLICLTION FOR BUILDING PF�RNIIT LOCATIQN OF BUILDING � St.reet �� � , r Part of Lot __ - - �- --- Lot� w� Block � Addition or Subdiv3sio �- r Corner Lat � Ineide Lot Set�.c:k Side- ard� SEE�'ER. ELEVATTON FOIINDITION ELEVATION �pplicant attach ta this form Certificate of Sux�vey of I�ot and praposed building loc�.tion. To be u�be�l as s T�pe of To be Completed DESCRIPTION OF BUILDING Sq. Ft. ,,�/_� ��� Cu. Ft. ��� � , 'rnnt ,�L � Det�th � A' Height j � Sq. F't. GU. Ft. 1'��°� � �=��� Estimated Cost � .� � The undersigaed hereby makes application for a perm3.t for the work hereia apecified� agreeing to do all �aork in strict accordance with the Cit�r ardiaances a.nd rul.ing of the Departmeat of Bu3ldings, and hereby declares that all the facts and representat3ons atated in this applicat3on are fi,rue and correct. DATE �' °°� SIGNA� �---- (A Schedule of Fee Costa can l�e found on the Reverse Side.) � r � s` �" � 1 w - � � BUILDING PERMIT F`EE SCI�UIE �ection 2. The Ins�ctor of Build3nga shall, before issuiug any perm,it for the ereoti.on of e,riy building or atructure, or for any addition to any existing build- ing or structure, or for any a].tsrations or repairs to any existing bu3ldin� or structure, upon application tharefor, require the pe�ment by the applicant for such permit of fees to the amount herein bel.ow set forth and in the m�rtner herein prov3ded to-wit: 2.1. For e,r�y such pera�.i.t for the erection of any fire-proof building,, other than a�ara,ge, warehouse, factory or �a3n elevator, or for the erection of an�r fire- proof addition, for eimilar occup�nc3r, to any existin� building shall be at the rate of $]..40 for ea,ch one thousand cubic fe�t, or fraction_thereof, in such culiical contents. 2.2. FQr an,y such permit for tlie erection of any fireproof garage, warehouae, f�etory or gra3.n elevator, or for the erection of ar� firep�oof addition, for similar occupanc�, to any e�.sting building shall be at the rate of �1.25 for each one thousand cubic feet, classif3ed as "fireproof�t by Section 5p2 of ihe Minneapolis Building Code. �� � 2.3. For e.r� such per�nit for the tha.n a garage, warehouse, factor� addition, £or similar occupancy, each one thousand cubic £eet. G1�ftAGES ___.�... erection of ar�► non-fireproof building other or grain eleeator, or aay no�-fireproof to any exiat�.ng build3.ng. Permit $]..00 Por 2.4. For an�► such permit for the erection of a.n� nor�fireproof gara�e, we.rehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for sim�.lar occupancy, to any exist3.ng building or for each such building or addition. Ninety Cents for each one thousand cui�ic feet or fraction thereof, in the cubical con�ents thereof with a minimum of $1,..00. For the purpose of computing fees for building permits the cubicel cantents of any builcling or addition to a uniform height throughout by multiply3ng the ground axea covered fxom a point aix (b) 3nches below the floor line of the basement or cellar to the average hei,ght of the upper surface or to the average height of the roof svrface of the ma.in gable of a pitched roof. 2.5ti For repairs or alterations to an existin� structure, the fee shall be a:t the rate of �3.0� for each Five Hundred Dollars (��00.00}, or fraction thereof iri the c�st of a1.1 proposed wvrk. 2.6� In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. 'Z; '' ` _ _ ( � / � ` 3. , . . � � i `�;� N E Phone: G}.4eenwood 3-8352 F� �'.� ?� � � +�n 1� a � ± �� � P ^ �'� °` �"'" �Y � ARLEIGH C. SMIT�-I Regisiered Professional Engineer and Laad Survepor 16215 Wapaata Boulevard ' W�paa2a, Minnesota �LAT OF Sl�i�tVEY �z I OF PROPEftTY OF �� �i I��� �a � � ��� k� � � � � 1 • � ��� _ � `�� �`', �, � �c ha.g �, � 1+T.y � , described a� follows:--- � B �� �� �_ � . t� � "� �! � � _ .� �° � - � -,.,r ---- — --- --- -- �� �` � _"� -�*`c" _� ,� ,.�..,, t —�--�° -� ° �-`--`� - �a 6��. �' �� �� `�`� � w,°�� - Scale: 1 inch � �� feet. ► o � � s� � �. �'' � y `T�` �'3 � � �� � � _ � �r,9 � .�., _ � _F° � � �;, --�� '` �� ,..._�.► � -�-�--�� �j„�� ,` i' � , �' a � :� i � E' i '� � i i � CEATIFICATE OF LOCATION OF BUILDIPIG I hereby certify th,at orL „ 19— I made a survey of 1�e proposed location of the building �n the ahove described property and that the location of said building is correctly shown on the above plat. ., ..� �, a° - �► �.��,� � � � .� ��-- � �p,� � �, ra +.�e� 14-Z..� � � � ,. CERTIFICATE OF SURVEY I hereby certify that on �0 ��� �, 19�! T surveyed the property describe�l above and t�at the above plat is a correct representatioln of said survey. 0 � � � a � � I 0 � :4 � ��� N � � � � w � p to � � x � a w 0 � �. s � b � rn �o � � � r��� H x � � � � � � H x x x � �A � 4� G � � � x � � � � � `��i � � � � o � � � � {s �A �--� � O ,�; � ;; s...,4,.,.. ; `°� � N � y y H mR' `r� nyy �¢ � � :: 09 � yE � `° ~�� � o '��, � v� N�� Q �i . o ' O � • O � bd : � : : i i i Z �e �e „ o � � °o 0 0 � tn �n tsa `� F' y ' o � r bi � ero � a m � 0 0 n C� A � � N � �. � � N b0 � '� � �d � 0 � 0 0 0 0 O � � 0 0 tn 0 t" bd C '�d � °c � H I W ua G' � � �� � H � "� y O ky+ � o � � � . � � • �: �� �: � 0 0 H9 � � � �� � ro � � m � �° � � � �. :� 0 � � � � z o � � o � 01� 0 � Cd � � x O M O � -i�t "'C a�..n^ Y . � . y H—__ - r� w w � � � t� x � � � � � � ro o �' � w a a o a ~ � � a a� v� �n p R° R� ��'tn � 0 0° ,.��. G y F. F. p � G� �n �? 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O : : : � w � � � en o 0 0 a o 0 0 {fs fA O E" a.a� � f] ���� � y � ���m ���� � � �r�� � G0° �� ��; � ��°� p p, ��4 ��y �, �,�. w bd ���� o��w p��Fx ��Op �' � �� � ���� ro � ¢�� � � ��f�Dy ���� ��8 �� �� �� �� ��� D � P'D' � � m � _ m C m d 'd M � � o�r � b a a 0 � � T �• � � �� � � �w7 = � � .:�i. _ ��t0 � H �, w vt `• �. �� � � .�� . 3 ii. � x ..! • t.� � ''` ; e� - � — e.�� � �--, s - � _ � ... .. . , ,.:" _ . . ._ . ... . °��I = � �� C-��' ��� .� ��� R��' (�� f3L'lL�IP� ' /� y� �.= �,� �_ _ _ G L�,�`� // ��LIS, -- MINN, @�/�aC���c�a R�.�.�.9�. - ., :___ -----__=_= ���.__..__ —___- --. � ��p�� Conseru�teara Na � lnsulation �indo4as �r� �efegQnce Out. �all pnt. �al! Ceilin� Roof �=1o�p Kind �'xs—P�� I°�(�a—F�I� p y,— —___.-- I-dow Applied 1�-�� �� ��m i L�m�eh i$/ideh S�'" E-Ieight �;I % FI. ,-- � g��� �ngth �lidth Height �et�dows �nd �oors--Crazkage and Area � �q� . «��dth Helght Na o[ I,Ineal YY. Atea i °n�n��$ ��ed Doors--Crackage and Area No. 06 pane o( pane ligh�a ot cra�k .{�. I W�dth F;elght No. o[ Llneal ft. Aren � /� I No. ot ptne oP pane Ilghta of crack eq. t[. � '" G + � f � � °� � 3� �'� ' � ` � �t> � I — ° 1 � .3 s3 /�° Coe�. In6otca�ioa� Glass F.x�. �aall o IVet eap. w�ll Int. �al! Ceiling �` e�loor r„ Total �c�e, F�equired sq. �i. E.D.R. OP 30J. 9➢➢8. �/.A. fl.��der are� Fi.� �:� ��m � l.e�¢h 'Widch �/indaova �tod �r�..._�Pmc� a�nd Ana ��dtA &Ie1�At Na. o� LIne�1 Pt. Arefl A1a� ot Bane ot pano llghte ut r�ek aq, {`, � � � � _� � �° �� 9s A � • fl�6ltr��� �Gia� �. ���t,�,� , S�1et Eap. w�ll �at. �e}I Ceatin� Floor Total &e. �� � : &-Ieight ��. � �QM �A �ieqo�iaed iq. $t. E.D.Ed. or �q. ie+e. �.l�. �der ae�e F7. . �a � i..�a►�t@► ��t�3ie c �' s az�d �a�--Crac�� �md Are� fdlh 11e1�At ABo. o( B.1nea1 ft. Area Plo. ol pawe oQ pano IlgAte ot cnclx eq. tt. 1+9�IQY�Q6OEi �I�e� 6 � �p. �a61 � 1�eB e:p. w�u �n¢. wall ` ":eilin� � loor — G � g' � �'otal �ie�. Rc�eaired aq. fe. 6.�.F8. or a�. iraa. �.�4. ➢.�adee ere� �Q18 � �.� � � � In6ltration (;lass t �ap. vva19��– • f�]et egp. w�11 inc. w�ll Ceiling yo c Floar � Total ���. F�equirecB �q. f¢. E.D.Et. or sq. ins. i1J.A. l.m�der ara:a / F1.1 �Ba�oIIn I L.ength � l�lidth �iard��s an� �ra--Crackage and �4rea Wldth Helght No. ot Line�l !t Area FYO. oP p�ne ot pa,ne ISghte o[ crack eq. (t, I In61¢rae�.►� � ��a� A ' �c.ap. �a1 a A1ee �s�s. a�a➢9 �nc. �a91 Ceilin� �. Floor 7'�c�l �eea�. R�aeired aq. G�. �.�.E$. oe �q. ins. �I.A. L.Bb�@i aPtA �•� �� I i.�n�cch W�h h �i��� a�ad �Pa--�rac�� and .��a Wldfh kielght R9o. 06 B,In�I [t Area No. of B.ano oP pene li�ghlo ot ereels �. tt �;oef �n61&c�eao�s G9e8s ��. w�ll , a.i i��� �$�. w�➢6 � Int. o�a,6� Ceilirs� �cu � Hei�ht �''° Hei�ht 0 Btu J ,. –� � �' ° ' � :� m�°'�- i. , �ioor `Z'�ea9 �te�. � �� � �¢mJuai�cd ssg. 6�¢. �.Q�.�. or aq. in�. �lA. L.ea�r ae�a � r�i m G y � � � p � . N : x . � ' M : N : o • b : m � : � ; � • � � � � d N � 0 � F�i r "j � �' `� y OW W � � �, �y � � � � w � � • o � °o � : O . 4 �: : °x 0 >0 �4 i4 tis �� r O 4 O `.] t�� 83 tfl , � •°a �� � V�5 V c C'' � z�� � z� z x � y � � �- � 4� t� � � � � � cxo m ►� m � ¢ � � � � � � � � � � H � � � � � • � a � � . a � �: °R � : qa o . . • � o . . . . • � : : : : ; � . . . . � O � � � � � � w n� w r� � � � � p c.�ii o O P � {-R {� {fl {fl {� {fl H �Q N � � C3 4 � O E� � � a W e � � � w � � � D � r � m N n 2 m C r m O � Z � � � �� �• tf3 � � f o � � � � � f � i � � t �_ � � � • � � p "-' b�d -�x a R• � � 5tories 8 � WATER ctos�s �@ � (] URiNALS � enrH m� Tues ap' � e�siNs !D � � SINKS � � � w,�sH � renrs � ORINK. b � Q �h o � m � � � � � � � � � � � � I� � I� � � � � S°r � o 6, ne �� � � � � � � � � � � n � ` ° � � � \ i � � � � FOUNT. sr+wRS. FLOOR � DRAINS CATCH ���s nvro WASHER GAS APPL GAS RANGE GAS OPENINGS +� • Z � � � A n � R• a.'� � � � � �. � ��� ►�{ yQQ � 1�• �o�� � ��� � � � �. �. :� v, "' o p' '�y ��O �y � � � � � p � �a a+ � � � O � fA � � � � � � � � �� aw �� ����o ���,o� � ��° H � �, � A7 � � � � � �.� �� = o � 5'� ���y � �n� ��� � �yO`O9 � � C�O r.p W (�p I ' � y �,��� � �' � � � �ro w� � x � � p � M � � � � �� � .�. �. � � � ('' � � � � � � ' � a � . � � � � � �� �. e 0 � � � � fA \� A � �� V � O � �` � �. c�ty of Fridley AT THE TOP OF TME TWINS ;, � � ' ' COMMUNITY OEVELOPMENT OIY. � �ti: ------� r � � PROTEC7IVE INSPECTION SEC i----� ��"' �'� CITY NALL FRIDLE`1 BS�32 L 612-571-3450 JOB ADORESS 490 Ely 5treet NE 1 LEGAI �OT NO. BLOCK TRACT OR ADDITION oescR. 22, 23, 24 8 Spring Brook Park 2 PROPERTY OWNER MAIL AODR�$$ Greg Salo 3 CONTRACTOR MAIL ADDRESS Owner 4 AiiCHITECT OR DESiGNER MAIL AODRESS 5 ENGINEER MAIL ADORESS 8 USE OF BUILDING Residential 7 CLASS OF WORK , a�eer E - . �U fLD1NG PER IT 3 0 2 0 6 M T NO. ���� �9EA pEV D�TE P�GE OP APPqOVED Br s�aF�s 9/13/99 / / ZIP SEE ATTACHED ShiEET PHONE 786-3696 PHONE LICENSE NO PHONE LICENSE NO. PHONE LICENSE NO 0 NEW O ADDITION ❑ ALTERATIpN �X REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK _ Reroof house and garage (27 Sal 2nd t.aver 9 CHANOE OF USE FROM STIPULATIONS Roofing can be Znd but not 3rd layer TO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, FIEATING, �7PC OF GO VENTILATING Op AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO If WORK OR CpNSTFUCTION 20NING AUTMORIIEO IS NOT COMMENCED V�IITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 1� DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DW4G. I HEREBY CEHTIfV THAT I HAVE READ AND �XAMIN�O THIS APP�ICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIQNS OF LAWS VALUATION AND ORDINANCES GOYERNING TMIS TVPE OF WORK WI�L �E COMPt,lEO WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT .�1.%%Z DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY 07MER STA7E OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUCTION $63. �:S TUAE OF R iiF D AGENT ^ �OATE� � `�, ���� � iD�iEi SO. f T OFFSTFi STALLS SURTAa $ . 89 OCCUPANCVLOAO CU FT. ET PARKING IGARAGES 'E E 81 I�...� 1 � �[ l� ADDN AL1'ER Effective 5/10/99 I l CITY OF FRIDLEY [] SINGLE FAIVIILY AND DUPLEXES R-1 ANll R-2 BUII,DING PERMIT APPLICATION �� .,p� �� Construcdon Address. �q� ��� ��� (� . � . -�'� � ��� Legal Description: Owner Name & Address: �Rt=G 5��,�p Tel. #_ '1 ����f�g Contractor: _� `�_ �(`F _�, MN LICENSE # Address: LIVING A1tEA: �ARAGE AItEA: DECK AREA: o�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESC1tIPTION QF IlVIPIZOVEMEN'� � Width Height Width Height Width HgtJGround 1�u� ���. � Tel. # Sq. Ft. _ Sq. Ft. _ Sq. Ft. . ��1 s �—�a� �� Construction Type: ��1�•S SH��1�-L�S Estimated Cost: $ v� 1��� -� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ _$ . DATE: ! ' I � ' i APPLICANT: Tel. # �Z � C� �3 �e�L `o � �• �'�� Pemut Fee $ � 1` � - Fire Surcharge �- �% $ ,� � � State Surcharge � �U� $ / , / � �> SAC Charge $ License Sureharge $ Driveway Escrow �� Erosion Control $ Park Fee $ Sewer Main Charge $_ CITY USE ONLY Fee Schedule on Reverse Side . .001 of Permit Valuation (1/lOth%) $.50/$1,0� Valuation $1050 per SAC Unit $S.�DO (State I,icensed. Residential Contractors) � � Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined. by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ��P-� .�_,°G-,,,� " �...5 ���L�� -�.. STIPULATIONS: � � ,� . .. BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernaits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repa.ir to any existing building or structure, upon application therefore, require the payment by_ ti�e 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 t� $25,000 $25,001 to $50,000 $50,001 to $100,0U0 $100,001 to $500,000 $500,001 to $1,0OO,Ot� $1,000,001 and up ��I��.� $23.50 $23 .50 for first $500 plus $3 :OS for each additional $100 or fraction thereof, to and� including $2,000 $69.25 for first $2,000 plus $14.00 fo� each additional $I,Q00 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 $1GU,Ot)0 plus $5.60 for each additionai $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,OOQ,000 $5,608.75 for the. first $1,000,000 plus $3.15 for each additional $1, 0� or fraction there�f 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": Itemoval and replacement of curb aud 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 appli�ation 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 i� at lzas been conste°uct�d v✓� be required. before proceeding with the framing.