AF - 41761City of Fridley, Minn.
BIJILDING PERMIT No �; �� J� 4 7 s 5
Q�. ,�A �
nate: .__�!! ""'~ _"'� .� _..._._..... _._._...__._
' ` � _ __.. �
__ '�
-•--- '-+,�?'•`•�..,�--��';�r '.�' �� . Builder �
Owner: _ -- -. �
....._ ....._....----•--------••---_.
. _ .._._ ..___
Address ._ _ . , �'� � � " y ¢ �
�,j� "` .�_ �:.��r.�-�_,._�---,�:, ^ Address .�:'_.....
. ____._ _.:�`�.----��:�.-s'".::
_ ........_._._... _. s
�, LO.CATIO O� UILDING
� � .`z�..... , .�
No. . __.. . _ . .. Street _.�_:. e�-l`-�.:_�� x- ��.:'.�:r. ... ...�'� �::r..... Part Lot ---�-----_._......... _. __.-- - �- •. �-t- - —
•_ �:..._� • - ---
Lot ��,+�,�,,/� f ,r � . ... .
'�-Z�.'. .r+�`+�."�ock �....-•---�J._.------......_. _........ Addition or Sub-Division ...y,�.�=r:�-`=�'rr:,�:s��e'_'..�_�`�.=.%,yt._.e----
.... "'� .� , ,;, ..�, ,r . � �"
Corner Lot .---..........._:..._........ Inside Lot _._�"...--.........._.... Setback ...--�:;,x-....�....._---........ Sideyard .....---�=..._�.---�------�--•--------..--..____
Sewer IIevation
Foundation Elevation
° DESCRIPTION O� BUILDING
To � Used as �, ,r
f", /� .
'" � _ �
` ,�-'�f�i:c!-� ''- Front � �._.: Depth .. �..._.. Hei t � �� Ft, �/%:. �
.,iE' � --r7tc+e.a:,c� ►�1• --�^ �f'.�---
--�-- -........---.:.___:_....._.....�. Fr�ont -�--��--��---.._., Depth ................. : Heigh�t ....._....._l.�...�:> ,
� Sq. Ft .....---------....__
� '��± ��.,.�,.�^
Type of Construction _.�,�..,��,�r,;.,.��,�,�`.__ Est. Cost..��>....,#��f�'..._....---- To be Completed .
Cu. F� � f _: "- � �
Cu. F'� ...__.....----..._._
�i����� Y�
TNIS PERti��T Q�'��_ �yQ� �`}T��R{7_E VlOLAT-
Inl`d O� A; ;`( �;l :�,'� � LA�'•'D CG`JEN,�,f��TS AND
;,_�,� r:; r;:��,�r���a����5.
�' . -� '
In consideration of the iasuance to me of a permit to construct the building described above, I agree to do
the prnposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
-, f , �,._�
In consideration of the payment of a fee of $:s::,,a...._.�:.::. _._.._.., permit is hereby granted
.__...__�. to construct the building or addition as described above. This �rmit is granied upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation ofw any of the provisions of said
ordinances. _ " r,
`f' f . ��
-•���,_ �' �� �_ �� ��.
:r:�-.-��",�' �: * _.:�•-�..,s..R...,�.,�,..�. Building Inspector
NOTICE:
Thia permh does not cover the eonstruetion, insfallation fo� wiring, plambing, gas heatfne, aewer or water. Be sure to aee
the Building Inspeeto� for seperete permits for fhese items.
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APPLICATION FOR BUILDING�PERMIT
CI7.`Y OF FRIDLEY, MINNESOTA
Owners Name '� Builder � °� g . ---=�-
�::
l�ddress ` � �� : ;�- � "'°Q��r�%T L . �ddre.ss �� r> . . . . � � 'z,�,�� r�� . ;
�° � , , ' ' , . ,'t'
� LOCATION OF BIIILDIlVG
;�
No.� �. S,�treet 7— ;�' � Part of Lot
� � �� ��� . , . . a
Lot� A�ock ��i _'Ad.dit3on or Sub.D3v. ��^�� � v��.�
�
Corner Lot •Inside Lot f/ 5et Back �-� Side-Yard
SEWER ELEVATION,� FOUNDATION�ELEVATION �
�pplica.n� attach.to this form Certifira;te of Survey of Lot �nd proposed bu�.lding..� .�
location. � ' � � • - :
DESCRIPTIOIV 0� BIIILDING
To be used ase ' - � .
� � `_ �'ro�t �� � D�pth�__-_,;_-He38ht "�' '�' .
e_� . .,
":sqa Ft. �� � Cu. Ft. C� � � . .
Front Depth Iieight --
��o Ft. � Cu. Ft. . . , '
Type of Construction = ' � �' � �d � . { � Estima.tsd, Gost�,L a � �
;�
To be completed
Tne underaigned hereby�makes applica.tion for a permit for the work herein.apecifieti,
agreeing to`-do all woris in strict accordance with the C3ty ardinances and ruling of
ihe Depart.ment of Bu3ldings, and h�ereby aeclares:that all the facts and representa-
tions st�.ted iri this application are �true and correct.. �
�" � v
D9TE (�� Q�SIGNATURE
(A ScHedti].e of �Fe� costs' �can be found o the Reuerse Side. ) . '
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Section 2. The Inspector of Buildings sha.]..1, before issui.ng any permit.
for the erection of any bui�ding or $tructure, or .�or any addition to
any existing building or strueture, Ar for a�y�al�erati�ons or repairs
to any existing building or structure, upQn application therefor, require
tk��..ga�ment by the appTicant for such permit of fees to the amount herein
below set fortK arni�-�in tY}e-•manner here�.n provided to-wit:
2.1. For an� s`'ii �h -pBr�t .for the erection of any fire-proof build'iti��,� � other `
than a garage, warehouse, factory or grain elevator.�,..o�..for the erection of
any fireproof addition, for similax.occupa.ncy, to any existing�builcling, �
shall be at.the�rate of �1.40 for each one �hou.sand-cubic feet� or fxaction
��e�oi;•• �n .such.. cubi�al aontents.
-2:2: -��o-r an� . such �ermit for the erection of any fireproof � garage,,.. ware-
house, factory or grairi elevator, or for tne.erection of any fireproaf "" �'-°
ii�.d�tion� �£ar. .�im3.lar �occupancy, to any existing�� Buiitiirig sh�.17: be at the
.
rate of �1.25 for each one thousand cubi,c feet, classified as. "fireproof�' �""" •'��
"'�y�-Sec��.on .�02 of the A�,nnea�OOlis Building Code. ° � - ._ . _
HOUSES'�� . :.. . . . . .. . . _ . - . . , :' . .
2.3. For an�r such permit for the erection of any non-fireproof bui.lding
other than a garage, wa.reho�se, �factory or..grain elevator, or any non-
fireproof addition, for similar occupancy; to any existing building.
Permit �1.Q0 for each one thousand cubic feet.
- _ . .. _., . . .
GARAGES . ._ _. . _ _ ... . .... � .
2./�. For any such permit for the erection of any non-fireproof gerage;
.� _warehouse, factory or .grain elevator�, or for �t,�e -.erection of any non-
fixeproof�addition,�for si.ma�lar occupancy, to any existing buildit�g or� .
for each such building or addition. 'Ninety Gents for each one thousand
cubic feet or fraction thereof, in the cubical contents thereof with�a �..
...__. mi.nimum of �L�.00. . � .. _
... �,.._ For the p'urpose of computing fees -for building perm3ts the cubical contents
of �,ny buildiag or addition to a uniform height throughout by multiplying
���;the::ground.area conered from a�poirit six (6}�inches below the floor line of
�$h�._ basement� or cellar to the average height of the upper sur�ace or �to 'tkie
�= a��rage height4 of tlie 'roof swrface of the main g�.ble of a pitched , roof .
2.5. For repairs or a].terations tn.an existing stru.ctur�, the fee sha3l��be -
at the rate of �3.00 for each Five Hundred Dollaxs (�500.00), or fractYon
thereof� i�--the �cost af. all proposed work. .
2.6. In no case'•aha1T the. #'ee charged for any permit as set Forth in -�-- ....
Section 2 be less than $4.00. ..
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_ ' HEAt' LOSS CALC p � �
A.S. .�.E. -- A9INN.
Weat6erstrips �onstruceion No�
Gu'sd� Insulation
Windows I Dooes F�efe�enee OsaR. ���Q �r�e. �all %eiling Roof Floor @Cind
Yes—No Yes—No 1 Q_ – ���' �PP���d
FI.� , t� Room � L�ngt1;/� . 1�,'��deh / 6�cight � ;-' Fl.� �;�.-� f Room � Lea�gth ��?
_ Windows and Doors—Crac�a�e a�sd P�e�� VVidth
W�ndoavs and Doors—Crac9cage and Area
tYld+h HetBht No. oP Llnmal Pt Arr�� I
10. ot pane ot Dane lightn ot racEc c�. (p, K'Idth Helght No. ot Llneat tt. Area
T �� S � �� � No. ot pane of Dane Ilrhta ot cr�ck ea, ft,
� � tn �
�
�
lnhltration
Gl�sm
Eap. wall ,� �
Net exp. wall
Inc. wall
Ceiling
Floor
Total Btu.
Required sq. h. E.D.R. or e�, ina, Q/.,4, ���e a�ea
Fl.� �' • Roota� � I.��B�h Width �
Winda�s aad Doars—Ceae�age ar� ���
No. o� � s of Oaae 11�Atm ot Q� k � 4t.
- � � 1. .� �'
In6ltratiotv
Glase
�P. W8u , �
Nee eap, wall
Int. wall
Ceiling ls
Floor � ,
Total Btu.
Required aq. k. E.DR. or eq. ins. V�/.A. L,eadee area
Fl. Room I ��B�h �Icdth �.
Windows at� �oora--Craekage ar►d A��
Wldth Helsbt IVa. of Llnoal tt. Area
mPo. at Oan• ot paee 11`A2e ot crack eQ. lS.
!�' .�G / �i �
Ge�kration
Glaa
0 �� °
3�d �
�o�f. �cu
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r,r�
Coef.� Btu
.a
Infiltration
Glaaa
Fsp. wall r2 / .
Nec ezp. wall
Int. wall
Ceiling
F�aor
T'otal Beu.
sG �
<� �'
ouired sq. ft. E.D.R. or aq. ina. W.A. Leader area
� �.�
Windowa and 1
VYIdt6 H
A1o. ot p�4e o[
� ' Ia�6ltration
�° Glase
�. wau � .
� Rlet ezp. wal)
Int. wall
� Ceiling �s
�loor
7°atal Btu.
R�m I L.ength ..-� Width
wre—Crac�age and Aeea
�ht No. ot Ltneal tt. Area
.ne IILht� ot erack se. [t.
'd sq. ft. ED.R. or sq. ens. W.A. L,eader area
'�•� ' . Room I L.eng¢h�d Wideh
�/�ndowa and Door�--Crackage and Area
ldlA Hetsht No. of Llneal tt. Aroa
o[ paee of pane It�ht� at cr�ek sp tt
' �'� � 0� �/ � R��
Infiltration
�',lamme
He;ght ,�
Coef.� Btu
0
Height
Hei�ht
����
�� �
►ef. �tu
I� � `�°� Nec exp. eaall � �
Iat. wall 6,
Ceiling � . � �
�'�r Ceiling
rottas Biu. Floor v �
1°�eal Btu.
L�squired a�. it. E.D.R. or aq. in�. �/,p, (,�a�e area / Required aq. fe. E.D.R. or sq. ina. W.A. Lxader arra
City of Fridley, Minn.
BUILDING PERMIT N� s 14 s
Date: .�"" '� � -
� � � � ;,�' q
Owner: Builder '����"+��' �'
Address Address
LOCATI IV P BUILDING
No. � �� � ^..� Street �� � � .��t� art Lot .
Lot �`' `�� `�Block Addition or Sub-Di on `°"8� � ���
Corner Lot _ .— Inside t.— �"" �slsback d._.�
Sewer IIevation .—._ — Foundatlon IIevatian
DESCRIPTION OF BUILDING
To U ea� . -
i �� .,� Front _,�L��. Depth �� Hefght _.�'� �'" Scl• Fk s� < C:�, Ft l����
Fr�t Depth Height —.� Sq. Ft. Cu. F't.
,.�_ .. . �c
7.j►p� of Construciaton��rL`c�'��`..:.�',�._''�_.._ Fgt ��� �`"�To be Completed
In consideration of the issuance to me of a permft to construct the building described above, I agree to do
the proposed work fn accordance with the descript3on above set forth and ffi compliance with all provlsions oP
ordinaaces oE the dty oP Fridley.
� -
In coasfderation of the payment of a fee of $�'" '"""'r , permit is hereby granted to—
to construct the buflaing or addition as described above. Thia permit is granted upon
tt►e express condition that the pereon to whom it is granted and his agents, einployees and workmen, in all work
done in, azound and upon said buildiug, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regar�iing lacation, construction, alteration, maiatenance, repair and moving oE bufldings
within the dty ]im�tts and this permit may be revoked at aqv ti�up,gp�violat3ton,,of aay of the provisiona of said
ordinaacea r'� � �Yf 1
Building Inspector
NOTICE:
ilds peneH doa eo1 eovee ths eonstrueHoe, leshllafloe fer wirlay, 'lumbtna �a 6..�te�, avwr or wabr. B� sura to a�
tin Buildia8 Inspsela� far apant� p�rmhs fe� t6a� thmi.
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AI'PLTCAT�ON Y�'OR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
;
Owner' a Natael!��/�: �,� : � �G /j Builder D � !� ' e ,S' p
Addreea .] o�i5%' /�d« ' w�� � , C„ Addreas���9� )T ���Q�� � �'� ,�
LOCATION OF BiTILDING
No. Street Fart of Lot
Lot Block Addition or Subdiviafon
Corner Lot Tnside Lot Setback Side-Yard
�
&EWSR �EVATiON ' ' FOUNDATION B�L,EVATION
Applicant attach to Chis form 'It�o Certificates of Survey of Lot and proposed
buildiag loca�ion drawn on �hese Certificates.
;�
To be us,ecl as:
DE�CRIPTION OF BUTLDING �
Front_. �d � Depth-�—Height �� o
Sq. Ft. ��Q Cu. Ft. ��l��
Front Depth Aeight
, Sq. Ft. Cu. Ft.
Type of ConstrucL�ion�Dl�C� Estimated Cost /,��fi
To ,be . Completed,�i� r{�° y� ,
'1'he underaigned hereby makes applicat'ion for n permit for the work herein
specified.;;`"agreeing tq„do�.all�.work. i�► strict accordance with the City of
Fridley. Ordinanc,es'.'ai�d',�ul�,n�s of the Departm�nt� of Buildinge, and hereby
declares�that all.:�fie`facts and repreaentations atated in this application
�re frue �nd cpx,r.ec�:.` ' �
•� <
DATE -� � SIGNATURE �
(Schedule of F,ee Costs can be found on the Reverse 3ide).
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BU$,D,r.1�G PERI�; r F8E SC�IEDULE
SectYon
2.
the erectionTof $ttspector of Buildin � S a
iag bu�ld3a Y bu3lding or structure ll° uefore
buildin g or atr�cture, or for ' or for $A issuing ,� rmit
$PPl�tcant for�ructure, upoa g gn;, alterations Y 8ddi�ion t�, 8n for
fa the 8uch p��t PPlic$t.fon therefor �r repa�rs to �� 3' e�3st-
manne: hereia proi, °f ¢es� `� the amount herein be1 we F8' Y e�is�ing
���d to-w��.; .�►eat bY the
h Fgar �e euch petaw �he 8e� forth aad.
$ t for erection
�Y f3re_ i warehouae, ,� 3C�o °'� sn
shall �e proof addit3o� x'Y or gr$i� Y�i�e-Proof bu
8t ti�e , for � elevator, or for t�e�ldin�� other
thereof rate of $1.40$+milar occu;�� erect�on of
, in such cubical for e$ch Y, to any exiat3
contenta, one thouea�d cu�ic � build�ag
2---�• For any se�ct� feet. or fxaction
factory or p��it for the e
for s�milargraia eleya�or r��tioa of $
for each ��OUpga� '°r for the nY fire-Proof
oae y, �o �Y exi8t�ag buildi� of �Y fire-Aroof$ge, wareh�se,
th� ��e$ thousand cubic feet ag sha add�tt�on
Aolis Buildiag Code� ° clesaified $S o� 11 be 8t the rate '
HO` U�ES fireproof" bY 3ectioa �$1•25
_ 502 a f
� BFor any eucb pe �
addir�oa $r8�e' �'$rehou�t ��� tbe er�etion of �
eac& ' for s graia
3milar occu gctory or �Y no�t-fire
one thous Paacy, to eley8�o proof butidia
8nd cubfc feet. �Y euistin r' or any noa-fire � other
-S � buatlding Aroof
pg�t 5i • � for
2- •-_4�, For a�y such
warehouse, fectorY ore�it for t�e e
add3eion, for 8 �ra�ta elevaeor�ection of a
build�in imilar o�cuPanc , or for theny �-f�repraof .".
g or add3tion Y, to �ny existi er�'�'�on o� g� g8r���
or fr8ct3on thereof niaet •
e in the Cub ents i$0.90) for ebu3la�n� or for e� f��QwE
ical conten't� th�reph °a� such
For the purpose o f w3th �ueand cubic feet
of e,nY bui7.dia� or a�aPutin� fees � $ minia� of ,'y�+ DO,.
ground are$ 3tion to for b��ldin� pe •
basemeat �overed fr a �niform he3 �t�, �he cub
�r ce °m a poiat �ht throu ic81 contents
avereg� he� llar to the avera 8ix (�) �athee below�hout bY tl�ultip�y.in� the
ght of the roo$ ge heighC of the the flocr ��ne
s�rface uPper surf�ce of tt,�
2--.:5 For r� di the niain gab�� ar to the
at the Pairs or alteration� o� � p�tc�ied"
thereofrate of $3,00 �rc�of, ._
�a the Pe�' each Fitr�� � exiatiag st
2 cOBt of a��' pCsed �undred Dollers �ture: �he �tll be
Pres work. �$SOO;.Oa fee �
-�_ In no ca$e � �' frart�,�n
Sectioa 2 be 8�a�'� the �Qe
lesa athatt $y.�p0� cl'ar�ed for anY per�t � ee� for
th �n
�
,�.,.., � s u'�'1 � � �. �
sue�ecr RMIT NO.
City of Fridley 213 � 4
' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T RECE
r
� �
� ' COMMUNITY DEVELOPMENT DIV.
� ; �: ------� �� 5�
r � � PROTECTIVE INSPECTION SEC.
' i '
� /'�'1 � CITY HALL FRIDLEr 55432 NUMBER REV. OATE PAGE OF A CROVED BY
�"'"� � �'� 612-571-3450 910-F15 6/8/92 / /
JOB ADDRESS 524 Fairmont Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 40-43 J Riverviev�r Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Dennis Swanson 524 Fairatont Street NE 786-6977
3 CONTRACT08 MAIL ADDRESS Z�P PHONE UCENSE NO.
Sussel Corp. 1852 Como Avenue, St �aul N!N 45- 1934
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDINC3
Residential
7 CLASS OF WORK
C� NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WOHK
Construct a 25�6't x 30� Garage & Remove Existing 20F x 22' Garage
8 CHAN�E OF USE FROM TO
STIPULATIONS �e notations on plan, �xoya,de a hard surface driveway.
� �kSS�ty°���'��
Beiore diggirg caE! for
all utility locations
' 454-0002
REQUIREd� �Y LAi�V
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTFICAL, PLUMBING, HEATINQ,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPEN�ED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $]_2�O[�]_ $Fj.O2
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE ORANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATINO coN- $144.00 Fire SC $�.Z.O4
STRUCTION OR THE PERFORMANCE OP CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
�-� � (fln�'n%� License SC $5,00 $167.06
SIGNATUREOFCONiRACTOR RAUTHOR12EDAGENT IOATEI ME R V I ED THIS IS YOUR PERMIT
. l 8-%
SiGNATURE OF OWNEii �iF OWNER BUILDER� IDAT i � BLDG �NS� riFTE
NEW [ ]
ADDN [ ]
AL1'ER [ ]
Constcuction Addr�
Legal Description:
Effective 3/1/92
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R 2
Building Permit Application
Tel. # �-��--� e � � 7 '7
Uwner Name & Addres.s: �.�,�,� p s :Sr,�A cc,a�s r�i� �
Contractor: � � s s � I � � � � .. MN LICENSE # � �/ 3 y
Address: J �'.�� � a' �� � /a v .� .� 7`� �cc ���, Tel. # �yS'a�� I
Attach to tt►is application, a C,e�ifica�e of Survey of the
lot, with the proposed cot�uction drawn on it to scale.
DESCRIPTiON OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: I.ength �25��� Wi�h �_ Height � Sq. Ft. �
DECK AREA: Leagth Wiclth Hgt/Ground Sq. Ft
OTHER: �" Jc I 5 > i� � � ca ` ,r � �,? ' �- �`� ac i� � � �' � � /`� F' !� �► �-� �', �
Corner Lot [] Inside �a� ] Ft. Yd Setback Side Yard S�tbacks �
Type of Constivction: � 3 � �7 � fi � �.,� � � � Estimated Cost: $ � D � �' �
Approx. Completion Date: �� / 7/�g�� e
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��z � ^ `l� APPLICANT: �� ��� . Tei. # � �.Sr �.3.� %
CITY USE ONLY
Permit F� $ ���s Q� Fee Schedule on Reverse Side
Fire Surcharge $ � z m�i �.001 of Permit Valuation (1 / lOth%)
State Surcharge $ � , D � $.50I$1,000 Valuation
SAC Charge $ -- - $700 per SAC Unit
License Surcharge $ ��� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ `--°�°° Alt. "A" or Al� °B" Above
Park Fee $ � Fee Determined by Engiueering
Sewer Main Charge $ � Agreen�, Necessary [] Not Necessary []
�
� �`� ' / "
TOTAL $ • ��o l i� C� � , (� �� f� `�f ��� l� � - � o� �C� �
STIPULATIONS:
�,
�� 11�—� e
BUII,DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the ere�tion 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, u�n application therefore, require the payment by the �plicant for such permit
of fes.s to the amouat herein below set forth and in the manner herein provid� to-wit:
$1
TOTAL VALUE
to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,�
$100,001 to $5�,000
$500,�1 to $1,OQO,�U
$1,UOQ,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 pins $2 for each additional $100 or
fraction thereof, to and including $2,000
. -.$45 for first $2,000 plus $9 for e�ch additionat $1,000
or fraction ther�f, to and including $25,000
$252 for first $25,�0 plus `$CC.50 for each additional $1,000
or fraction tbereof, to and including $50,000
$414.50 for first $50,0� plus $4.50 for e�ach additional
$1,000 or fraction ther�f, to and including $100,000
W' f ^
$639.50 for first $1�,000 plus $3.50 for �ach additional
$1,000 or fra.ction thereof, to and including $500,000
$2039.50 for the �irst $500,000 plus $3 for each additional
$1,000 or fraction ther�f, to and including $1,(J00,�0
$3539.50 for the first $1,�0,000 plus $2 for e�ach additional
$1,�0 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
$13.50. `
Alternate °B": Removal and replacement of curb and gutxer and inst�ll a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Peradits for constiuction will be issu� a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the constivction site. '
A Certificate of Survey of the lot, showing the l�ation of the foundation once it has it has been
constructed will be required before proceeding with the framing.
� ,
WORK ORDER
� � V SS�����L���1�5 � HOME PHONE: 7�� r�' � 7 �
1852 COMO AVENUE • NAME �✓ �N N�, S �Uli� cy- lV S(� �
BUS. PHONE:
ST. PAUL, MN 55108 J
Permit bY �js1,,tJ�- � JOB ADDRESS S '2' � r`�7� �1 !� �T `sf � G
Legal Description_ � �e �Lpy
Lot. BLDG CODE AREA
Add'r�- - SALESMAN CONTRACT DATE `s/� �~ ytS12E 3U �Z (p
Value �°-
'Ly�e Const. �'" �'' , r � � -
FOR OFFICE USB ONLY
SLAB:
/�SUSSE L Slab Blocks D.W.
❑ By Owner Approx.
❑ In ABU Blke. Delivery S.W.
2-STARTING POINTS ONLY ad Removal Weterproof Ftg.
S.P.L.
S.S.P.L. �nd Fi I Back Fill He-ber
R.P.L. � Other
Ai ley TOTAL
House J�. GubS.Y' � � 1 ,... , _ }
F. Street ' ' - �
Other ° �i , 3:Ay � W
-;- `
❑ Square With ' ` , ,
� � �
O Sod Rem. • B , _ � /J � ' • � ' '� .
❑A.B.U. ; ;f�.� � � ��'C�'CC � 3 •S°1��,9 �
O �f Grade Point f� �J
.. . ,. . . -. . . _, _ _ f. ... .-,.<.:. / �...t..-rv , .
i'
<,�. , 5
/ �' /o'�jY1�7v DLC� L y
❑�Qfl(�,Ult.,���_____ —_�_�___ . �,� . . ',. .. 1_ � ' r.. �.��� ��t,i!4�Z(,.,
�l-BAocks: �By Owner B Sussel ; ' ' � ' ` . LL �
. � �.,. 1 .. . ._. A . . ; � l
Wtr.proof: OBy Own.�y Sus. : ; � , . , , �_ J ;, , , ., :_ v �
kfill: ❑By Own.'�8y Sussel ' � �� � � ��' � � � ' ' nr
aintain 8' Total Wall Height _ r � ' � � j ' v
. , ' � _.,. , . Y _. __
Including Blocks OR � � . � f � _` i.��! . . . .
❑ Maintain 8' Wall Height on ? � ��� +
,
Top of Blocks _ ,� , .t '._ . _� , ._ x _s. �.A,. �<<F��s .,_� r. ! ,� . �_
Block Size (Top course) •�- ! � * " + ' + � '� ,
e
,. ` �.l' � � y .
-- � s ---- � � �
.1
-- �- -----: , C, ' i
Wall Height other thry../ , : , ; i„ , ✓ , � ' � ti : � ' � '
� � �� � ��� � ;.., .��� , � � �__, � _� . �,.�_ � ..!�•,�
,
�" b �_ , i , � � ;�
❑ � �� ��. �� � �-� � � . ? _ ,
\, . , �' . `
�. j1� , ��� , .>_ .;�;��a •�..�....�..i �.�,:�� ..
_._. , ,. .
� �
. ��
�
� ❑ ; �� . . i . ( ���' _ . � . ..� + -__ . 1 1 i -. ! _ 1 . . � .
❑ ; � �1jb t'� ry�:t,� .E1' r�z•;� � .� �. � ;. �. . i��y, , ! ' '
� � �� V��• ' _ ,
� � � :
3 . � �.._ , z , f �._.i-. . . ' '
o � � � g�l� c�;� � _ ,�' ,�, �;._
��� ,. . :
,_� , , ,
. � 'j ,
:
.
, � l,, , . ._
.. . . � ` � :
� l � -�' � �};R1 i�l ,� F�/ �Yl ,� :. ;
.? i � � Cq L
Existing garage: No ❑ . .' - -
,�,9 . �.
❑ Detached ❑ Attached Yes� � � --
Siae of existing: � x� ' � J� . ,� ' 1 �
Existing garage will be: � �U.� � '��% ��' �.5��'� '� �'�"e'
❑ Left as is A � ;,; 1' �
� Converted to L.S. - By owner �� , � �
�emoved By: Own � .�, � / ` � �
Sussel O � � q �F � � � �, , t .., .._ , � �
' . �. _ . .
5 � �,
Junk Musi Be Removed By Owner � � ���� � ��
� � ���' R .
o I � < �i�' � �/1, K' `- � �
0 3 �� C� '� s .(J .
a � o � � � �.
. � �..� . : . . .. . .
Stakes visible - ❑ Yes ❑ No � Cood v I , / . � , .
Survey available - ❑ Yes ❑ No �"'� � � `
❑ Special instructions from ❑ Fair '
owner: / . �-. -a � ( ` 1
%� ) ,r � �
— i � � � �a ��Z�!e�?'�� �"�+- � ' /� `
S G- � � 3 �� __ _ r —
/ � _ "'� ,,
/ PURCHASER'S INITIALS: DIRECTION
SuSS�I.�ARAC�S
ROOF: GABLE REVERSE QABLE HIP
EAVE OVERHANG: �N
RAKE OVERHANG: �
SEAL DOWN SHINGLES WITH PLYWOOD OR
WAFERBOARD ROOF SHEATHING AND 15 LB. FELT
Roof Sheathing
Seal Down Shingles
Manufactured Trusses —� 2" x 4" Double Top Plate
NOTE:
1) Roof approved by Minn. State Building Dept. as meeting Minn. State
Code Requirements of 30# snow load.
2) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8"
hip rafters and no plywood gussets are used.
RAFTERS: Trusses � 24" O.C.
STUDS: 2" x 4" 16" O.C. 24" O.C. -
WALL SHEATHI � Z� i �- � ��'
SIDING: 12- � S ,
OVERHEAD DOOR HEADER: 2" x
2- Mtcro Lams ¢ x �Z .
Slab on grade construction approved per Minnesota State Code. Refer to State
Building Code Letter Number 11.
SLAB: 4" WITH MESH 6" x 6" #10 Gauge
Trim
1"x4'
Sub Fascia
Fascia
�— Soffit
3i4" Cove
2" x 4" Studs
Siding
' i
.� ?
��( ?���,� ��' y� ' �� �
, � �
�� �
��;,�,�� �
��
'� �-:� "v
45 ` v
. . � �—
1 i2" x 7" Anchor Bolt
2" x 4" Treated Bottom Plate -�'f
�` 1�1. �'� � �
� // / ti ,* � , -�,�i; �'�`,��� 4: � � ' � �'' 4�
Grad �� � ���;.� -° I�t����l-
`�`a TT , ,t
� ��///�/���/ � ����
PLOT PLAN
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SUBJECT PER -
City of Fridley 216 5 8 �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; ` R 1 TNO.
� `y _ COMMUtJITY DEVELOPMENT DIV. �� � �
r � � PROTECTIVE INSPECTION SEC.
i� _ �
--__ A �/'��,,, CITY HALL FRIDLE� 65432 NUMBER REV. DATE PAGE OF APPROVED BY
i �� 612-571-34b0 910-F15 11/17/92 � �
JOB ADDRESS 524 Fai�tont Street NE '
t LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. t�O-43 J Ri.verview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dennis/Judy Swanson 524 Fairmont Street NE
3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO.
Gold 5tax Builders Inc. 12634 Hasting St, Blaine, MN 55434 759-2970 2113
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 14� x 16' Addition to Dsaelling
9 CHANOE OP USE FROM TO
STIPULATIONS
See notati � s on plan .
�������
Befor� di�gir�g �c�l� fi8F
�II t�tili�� toc�tioil�
SEPARATE P�RI�ITS REQU�RED� FpR �5a-o�a�
�.wiRen��, ���r��G, P�.ur�B'�� a�v� st R�QIlI��D BY 1��1�
�NS.
TYPE OF CONSY. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTfiICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1' STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AL� PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2Q �OQO yfiI.O.00
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- �`207.00 Fire SC $ZO.00
T UCTION OR THE PEHFORM CE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $242.00
SIGNATUREOFCONiRAC ORORAUTHORIZEDAGENT IDATE� H P � E lY VAL TED THIS IS YOUR PERMIT
r / /-� � -�
SiGNATUREOFOWNERiIFOWNERBUIlOERi �DAT6 BLDG SP �FTE
` N��1 [ l
ADDN �j
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: J� a� l� l91 �►r'� o�9� �`�
Legal Description:
Eliective 3/ 1/92
Owner Name & Address: �� �N � s 9- � v �UU� 5 w�� s o rv Tel. #
Contractor: � o�D ST'�4 iz- � u � L�� r� .s �� C, MN LI.CENSE # o C� C� � I 7�
Address: � � � 3 �f /�� s Ti � a � ��-� � vu r-._ � Tel. # %� �- �`�71�
Attach to this application, a Certificate of Survey of the �°�' L�
lot, with the proposed consh�uction drawn on it to scale.
LIVING AREA:
GARAGS AREA:
DECK AREA:
OTHER:
DESCRIPTIQN OF IIViPROVEMENT
Length � Width � Height
Length Width Height
Length Width HgtlGround
Sq. Ft.
�. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [� Ft. Yd Setback Side Yard Setbacks
Type of Conslruction: 1.� � N> r+.� �i /C'c�e r� Estimated Cost:. $�� O�� 0
Approx. Completion Date:
(Cost on Back)
Driveway Curb (;ut Widtln Needed: Ft. + b Ft = Ft x$ _$
, . �.,� i
�
APPLICANT: TeI. #
('ITY USE ONLY
Permit Fee S�� 7• �O F� Sch�ule on Reverse Side
Fire Surcharge $_�,, � � O�•� 1 of Permit Valuation (1 / lOth %)
State Surcharge $ f O.�(� $.50/$1,000 Valuation
SAC Charge $ `�� $700 per SAC Unit
License Surcharge $ ��� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ '°—� Alt. "A" or Alt. "B" Above
Park Fee $ —� Fe� Detertnined by Engineering
Sewer Main Charge $ —�' Agreement N�essary j] Not Necessary []
TOTAL
STIPULATIONS:
� 2�4 2 .0�
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the er�tion of any building or structure,
or for atry addition to any existing bailding or structare, or for azry alteration or repa.ir to any existing
building or structure, u�n applic.ation therefore, require the payment by the applica.nt for such permit
of fces to the amount herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5{m
$501 to $2,OIX?
$2,001 to $25,0�
$25,001 to $50,Q00
$50,001 to $100,0�
$l0i},�1 to $5�,000
$500,�1 to $1,0OO,ODO
$1,OIX1,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction ther�f, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1,�0
or fraction thereof, to and including $25,(m0
$252 for first $25,0(� plus $6.50 for each additional $1,000
or fraction thereflf, to and including $50,�
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $1�,� plus $3.50 for each additional
$1,()00 or fraction ther�f, to aad including $5t�,(�0
$2039.50 for the first $5�,�0 plus $3 for each additi.onal
$1,(�0 or fraction thereof, to and including $1,�0,000
$3539.50 for the first $1,(300,000 plus $2 for each additional
$1,�0 or fr�ction �thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway 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
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 constiuction 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.
�
PLOT PLAN
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CBIMNEY AND STACR VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported Yes () No ()
5. Meets all current Code requirements for
size and total BTU's connected Yes () No ()
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
.
_ -Li�t Alterations Beinq Done:
HEATING COMPANY
Signed By
Date
i�
1
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�3u�lding
�spections
763-572-�6Q4
�CxJILi)ING
R��IDEl�"T�.�L AFPI,I�A►TI��
ICITX �F �.II�IJEY
DATF. �° � � Y'UUN E-MA]I. ACfD1t�95 ���K-�� �
s��n: nnnarss __.. ..._..�i4r N! v�T ,. S�r �L
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FROPERTY C�WNIERI� NAN11?: a�{N,g� iu EN�•.• �S
TENAI�PT .wuttES� --- - Sf�'� . �crrv
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CUNTRACT�R t�aMl•; �5��✓A'iY'... kT��cU/�-�
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WFTfi APPLIt�ATIaN rHp� (�T� –25 –� l � r�+x � ' Z-S/ " L
PRO1�LrRTY TYP� d ��k� NA�{L•Y/AIEW COV31TcUC1i6N SIZE
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� •Y� A � . .� _ . �. _ • GORN�W CONSTkU�77UN INGLUDINU DECKS,
, Q:,y�,�,�, - , , . , ;'. . . t�iot'RS . , , .: �LTJgiY�...&�'aRCr1L3 SUk{MI1':
;� P►3wmnwn . � C7 'frin� k. SiRa I'I�ISurvay shawuig �he exis�i�g ssruciwa�
' p Otlax � O rsscia mti! p�c+�ws�d pr�ij�ct,
r� P,�XI,�ro"1'`IN�fi [.)PA,.1VINtj� rJYoe axo
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OR FQR lYCY1+ OP�fG.S-UF�CRUiE SIZE or
OPENIIVV t:NANGES &
?Yl'N t)N WINOt)W TU BE 1NSTr�t1.ED���
�. 'Avwa eets ofsonsVUCCwn pkan�
WGATIt.)N dF WSNDOW5 3. Canrgy c:nlculaHons
, ,�i.x, �+'EF9 � HA9LTi UN YA4,[iA°fi0�1
(U5lNC '�HE
'COTAL JCDB YAI.UA77QN !6 '�;'
P�renit Fee
Plan Tteview
rire surchargo
Surch�a�e
Licanse 5ltarclaarga
sAC �har�a:
Curb Cut �sCCUw
Erasie►n Control
T'flrk F�
'; Sew�i' Maln Ch�rgc:
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IlOT�G'LUDING �'H E C:C)�T f)F I.A�t?R AND 1V.lA,TERd�iLS:
997 �,1�B.t� F�f �CIiEpL��
�i.� .� fiCCUP�iNCY 7°�'P�
�.�„ �
_ Ses; �ac� PAg,e for ree 5ch�.4ule
� 65%of$uilduig Pnnni� Fee
_�, .00I times the cotaf jab valuatiem
.0005 x F�rmit daluation Minimum 5,9�0
$�.tKl (5tate Licensed Residafitdal Con4ractors)
�$155Q per SAC Unit (Pl�ns to MWCC I'or determinatton)
—' ft+�iR- ftx$2l�$
' $4S0 Cai�yervatfo�i Y�au Review �µ
F�x: Get�rn�ined by 1;�1gir�ering _ ,.,,; � _ ,
` A�ce�m ner,�ssarY ( ) No$ I�ecessA►y ��.� � . ' :'
lYl�kk� ch�cke � ablc to: Gi of F lc . .� St u
� �+�.°,
-' "' Tk[IS f5 AN AkYti>iC A ifUN F�? , F�, -iVt)'1' VALt�s UN?IL �Rt�:�.�;if;ri '°'
t, _ ��~ _ , �
�'-�ierelry 'appty 1'�r a Uuilt�in� Peernit and 1 a�ck rx�!�i - a� f nFarmat��n above is cats�p�,c�ti�,��nd`�ccu��, 't�i�t':iKc���:�ior�c will be in
cofi4'omnrance� with the ordirienc�e em e � ` s+ and with th� Minnevota Cpnstrt�clon �odes; that 1 underst�nd-thi� i� �ita
pec�nit (iut orily,�n,ap�Hcatior�e . it o'k"Ls o st�rt without �i per ', th�at th� wark w1U bc� t���ccordance w'th tha approv�i
plan in t}� ca�e aiafl wcrk whic _ rev w a ravat of plans.
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SKi1dATiJRF. l�F AYF'LIt:ANT , , _„ „ Pk;IdT NAMG,,, _ ,.___ Iji1fE ,,,., � _
i�,�:-i � � ti� •�r z���i���z: -o�� ha� h��p�a� �,� �,a.��: ��o�
.a�a
/ BUILDINO PLANS EBTAHLISHED 1928
AND SPECIFICATIONS
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M. .1. BERSCHEID
�4nois�ect a�d b'n}i��eh
PHONE PARKWAY 4-4593
5644 TYVENTY-SECOND AYENUE $OUTN
MINNEAPOLIB 7. MINN.
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CITY LOT SURYEYING
PLATt'ING
taARM BURV61f11VCi
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AND 9PECIFICATIONB
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ESTABLIBNED f928
+l� 4�9�a1'�� V ��f
CiTY LOT SURVEYING `�
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M. .1. BERSCHEID
r4salr�teci a�sd b'.sglsse� _
_ - PHONE PARKWAY 4-4b93
3644 TWBNTY-SECOND AYENUE SOUTH
MINNEAPOLI9 7. MINN.
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