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AF - 41938�. � � City of Fridley, Minn. BUILDING PERMIT nate: �u1� ]L., 1.9bs � C��,� � N� 8197 Owner: '�ED COMP�Y, ID1C. �� T13E TR�D C(iMP�11Y Addr� 1l�27 I�owrY avenue Narth Ad� _ 7�t27' �wrg 1�venue North Minneapolis 11� M3.�esota Minneapolis 11, MS.naesota LOCATION OF BUILDING No. 573 Stseet F�ONT ST. Part of Lot � 29 & 30 Bl� I A��ton or sub-niv�sion �Qerview Hei�hts coraer r�ot In�tae Lot g seti�a�k 35' s�ae,�ara lo � geWer ge�atqan Fotmda.tion IIevation DESCRIPTION OP BUILDING To be Used as: Oae F a�1.1� Res. �t 26.0 � nenth 38•67' ��,t �, �.1, �8 •� c;u. � 13a �� Front Depth � I�eight Sq• F't. Ct1. FL Type of Construction Dwelling F�t. Cost �10� 000•00 To be Completed �e� �ouge .t;�._ . r� ,�_�.�, r.:. ,- ri�E: �ot��:<<: s�vT eraF E,�°'P,,;,VL� V�a��I�fvCE ��VTri Ul l��o� i3i;ILt�Ii�G;� Ii�l l�r-aIS �LOC`ti In canaideration of the fssuance to me of a perniit to construct the building described a�ve I agree to do the proposed work in acc�rdance with the d�acription sbove set f� and ��c� wi'th e�l _P�� °f ordlnances of the dty oP Fridley. �"� In caa�dderation oi the payment oP a fee of � 21.00 , permit is herel�Y granted to iRID CO.. �19C . to construct the buflding or addition as d�cribed above. This Pe�'� �� '�d uPon the euPress cronditiam that the P�fln to whom it fs grented and hia agents, emPloyees and worlcmen. fn all work dame in, around and upon eaid huildi�►g, or anY art thereo� shall conform in all reapects to the orainance� of F'rtdtey, Minn�ota r�:gardi�g l�o�n'� �� t�� vf�o s�of�ssid wltlnin the dty ]imiffi and this ordiaaao�. , �I�EN G. JENSEN 8uildin� Inspector NOTIC& 7�S peemb dea net eersr t6s eo�lrneNoe, h�m foe wGte9. P��"6. 6� 6utie�, smr� er walar. B� sane is se� tha BQildine I�tor for apnat� � hr thw �s. 4 -/ .r � R . eno ��N�n� L�1�� i ' � ,�� e �� d � �on�� e. •824� � \ / � e� Book Page � �.� Associates Inc. ` REt31STERED L`AND SURVEYQRS Mi��sota Registration No. 5522 �for TRrD C0. ___ � , r .o� ��, � . � � � ,�� _ --� � i _ � � � �; '► �J i ' ' ` I , o-,,' fibr� �b c M ��Y 6 � � � � } t f � - e � '� � �Yri� � , F, � '`, . ` ; 1 4 a� �� i. I �� aa �� 1 ,'j � � � " ry t � ; _,�; , � � � �.��,�� a e l � J A � A p —, � I ; , . �� -� S �0 � q � `� \ `�'� `�' � � ,' �.. � ��i�G �i a..p f s � .+. � +�ti , 4 �_..._ �--- - � ---�« � ., { a � � . �� % `� s�- , _ .t .� -s: � �I � ,� �. Office 7312- 42 nd Ave. No. Minneopolis 27, Minn. Phone� Ke.7-6047 T 1z�reby certify th�t this is a true and correct, re�resent�tion of a survey of the boundaries �f Lots 29 & 30,.B1o�k I, I�IEr��uVIE�-r H�.;IGHTS and of the location af all buildin�s, if any�, �hereon, and �11 visible eizcroachments, ii �riy, fro� or an said lar��;. It also shows the lo�ation of the stdkes as set for a prnposed buildin�,. As surveyed by rne t��is 9th. �ay of Jurve, 1965. -�-ile- _ - �-.� �. - - — - �i.� �� wb � .► . r �.._ :�; ..�� _ . , ?:��n. uL. ti'oi�t - Survpyor __ -- _- _ - _ - — ,--- _ __— --- ----- -- �,", _ � �� City of Fridley, Minn. BUILDING PERMIT Date: April 8, 1969 pwner; Roger �aus g�� Sussel Co. Ad�ress 573 Fairmont St. ,�d� 1850 Como Av . N° 10173 G LOCATION OF BUILDING No. 573 Staeet Fairmont St. part of Lot � 29 & 30 Bl� I Addition or Sub-Divisian .__._ Riverview Heights Coraer Lot Sewer IIevat3on Inside Lot � Setback � Sideyard Foundation IIevation DESCRIPTION OF BUILDING To be Used as: (�a.ra.ge Front �6' Depth 22' xeight 10' Sq. �'t 352 �� 3520 Front Depth I�eight Sq. Ft Cu. F� Type of Conatruction Fr�e �, ��$1335 .00 To be Cflmpleted In consideration of the issusnce to me of a permit to construct the ' described above I agree to clo the proposed work ffi acc;ordance with the description abov�se t fo �, P��►ce �� Proviaions oP or8inanc�a oP the dty oE Frt�IIey. �, � In camsideration of fhe payment oP a fee of $�� , permit is hereby gran�d to Sussel Co . to construct the building or addition as descrit�d abave. This �ermit is granted u�n the expresa condition that the person to whom it is granted and his agents, employees and worl�en, in all work done in, around and u�n said buflding, or any part thereof, shall con4orm in all reapect� to the ordinancee of Fridley, Min�nesota regarding location, construction, alteration, maintenance, repair and. moving of bufldiuga within the dty ]irnit� and thia permit may be revoked at any time upon violation of aay of the proviaiona of seid or3inancea. ��'�' Official genrq . Muhich NOTICE: Thb permit doss eef eors� t6e coaafrueHon, fmtalldion fer rririeg, plumbing, eas 6a�tieg, mv�r or watsr. B� arrs fs � tiw &rildine lesp�tar for s�paraN parmhs Por fh� t�ms. .� ,<=�, 'R s � � � � � �, � f- �-i � ._ APPLICATION FOR BtTII,DING PF�tMIT CITY OF F'SIDLEY, MINNESOTA LCCATION QF BIIILDII�TG NO.� °� � STREEli' ��s� �o � � � � LO'i' BLOCK A�DITION OR SIIBDI�iISION ' F . %� � j � �. COR'1'E�. LOT IIYSIDE LOT � SETBAC� SIDEX = SEWE� ELEY9TION TOP OF FOCTING Applic8�t a�ctach to thie for� Two �ertificates of Survcy of Lot and proposed building locatio� drawn on th�s� Certificates. DESCRIFTION OF BIIII.�ING To Bp IIaed As: - � - �`ront,�_�� Depth � � Height � �� Square £eet "� _ � '��- Cubic FeAt ��',-,�,��- � Front Depth Height Square feet Cubic Feet Type of Construction Eetimated Coat To Be Completed The undersigned hereby makes application fo� a permit.for th� work herein epecified, agreeing to do all work in�atrict accordance �ith the City of Fridley Ordinancaa and rulings of th� Department of Buildings, and hereby declares tha.t all the facts and �,eoer.tations ata Ed in thie app ic tion are true �.na correcte � DATE � � SiGNA'�[TRE � ' � (Sehedule of Fee,Coets can be fourid on the Reveree Side.) � �� , .._- .�� / � , ,/ � �, , .� a . --, . � � �� Y� � ` t • .' ' t� � � , BIIILDING P�tNlIT FEE SCHEDULE SE�CTION' 2, The Inspector of Buildi.ngs ehall, before iasuing peraita for the erection of auy building or Btructure, or for �.ny addition to any ezieting structure or buildi.xig9 or for any s.lteration or repaire to emy eaieting building or etructure, upon applicetion therefore, require the payment by the appli.aant for such permit of feea to the amount hereia belaw set forth and in the ma.�,ner herein provided to-wit: � IIniform Building Codea Type 1� 2, 8c 4-�1,75 for each one thoueand aubie feet, or fract�,on thereof, in such cubical ccntenta. Type 3& 5- �1.50 for each one thoueand cubia feet. For the purpoee of computing fees for building permite, the cubical coutente of any building or addition to a uniform height throughout by multiplying the ground area covered from a point aiu (6) inches below the floor line of the basement or the cellar to the average height of the upper eurface or to the average hei�ht of the roof surface of the main gable of a pitched roof. For repa,irs or e.lteratioae to an existing atructure, the fee ehall be at the rate of $3.Op per es,ch five hundred dollaxe (=500.00) or fraction thereof in the coat of all proposed wo�k. In no case shall the fee charged for any permit ae aet forth in Section 2 be less tt�e� SS�oo� • NSSSD Connectio.n Char�es based on location - Area 1 or 2. � � � r � �° .. . � �. r _ � _e__. . � E �� LOT BLOCK �ri�� - � � NAME � ADDRESS �� AREA ��..L��Z ��"'LOt�'�..►Zi� ��. 4�1�..�5-� ��. -�� 1� �'�� .r � ��- —� 4�r•cz�,,. ��-�-�.� -11c��.�. �'�-�� e��_ �,,.�,1i�.t�� .esc�-r �' �°'�NI �t��. �1�!c�P�c�.'f'� 1� �n 1�.. .,�,5 '�ad�vd�l• �3 �°i��ir _��- e�� , �'l� L�.�� 4 a t°.Let'Z'T 1 O' .� r=� �'ZO AII �, �t2 C t- -��.. -1�►5 S�I��•f� c�.tel��.,. cc�.!��. �.�.��.r��..�...� �' � �---- �� , �►�+.� ��.� Please advise the customer before starting tMe Job o4 the approximate amount of extra fill and extra concrete I th b Is com leted M�.S� and get the OK to go ahead. W�en e jo p , ,s` � notify the owner and also Marilae oP the axact emount oi a+F�N,N t� eztres usad. �� 1 s� C�Oe�-1 �a �'�' . �� , '9 �c _ , '�` .L► t��Zo, ., � �� "" j _ ,, 8o�-�s � �"`•, r -;� � �-�C+c�� _ � s ��c+��-- �� SIZE , CO X Z ��.. VALUE �� rr ae F • • 1 � 1 . iv � � SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � • COMMUNITY OEVEIOPMENT OIY. r � v � PROTECTIVE INSPECTION SEC. � ,� �"'1 � CITY HALL FRIDLE� 55432 NuMBER REv �""� � �'' 612-571-3450 9�0-F15 J08 ADDRESS 573 Fairmont Street NE t LEGAL LOT NO. BIOCK TRACT OR ADDITION DESCR. 29, 30 I Riverview Hei� 2 PROPERTY OWNER MAIL ADDRESS William Cram 573 Fairmont Street NE 3 CONTRACTOR MAILADDRESS Panelcraft of MN 3118 Snelling Ave S, Mpls. 4 ARCHITECT OR DESIGNER MAtL ADDRESS 5 ENGINEER MA�L 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM � ADDITION ❑ ALTERATION TO DATE 6/11/97 ts ZIP ZIP MN 55406 ZIP ZIP PAGE OF � / PE . �� RECEIPT NO- � / � APPROVEO B� SEE ATTACHED SHEET PHONE 6-9428 PMONE LICENSE NO 1-6628 _ 2179 PHONE LICENSE NO. PHONE UCENSENO REPAIR ❑ MOVE ❑ REMOVE STIPULATIONS Replacement bedroom windows must meet the State Building Code. Install smoke detectors to meet the State Building Code. TYPE OF CONST. OCCUPANCY SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT W2�2OO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 STRUCTION OF THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE License SC $5.00 S�GNATURE OF CON'AACTOA OA AUTHOAIZED AGENT IDATEi � WHEN PAOPER VALIDA i �DATEi OCCUPANCYLOAD CU. FT. STREET PARKINC IGARAGES �1.10 AC CHARGE Fire SC $2.20 DTAL FEE $83.05 THIS IS VOUR PERMIT i � iFTE NEW ADDN ALTER [l Ll �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5 �� Legal Description: Owner Name & dress: � Contractor: �l /7 tilGi'Z? LIVING AREA: GARAGE AREA: D�ECK AREA: OTHER: /j ��/i��s� � (��`ee f �� . ,,. Effective 1/1/97 �i�"� � . �l�C m � D��S� Tel. # �� - 95La�' iv lvnv r�c�vsE � /�9 � /��< < �S'S� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il�ZPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �(..L�O�a G' �� d[/G�S. Estimated Cost: $ ��DD• l�%0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: Permit Fee Fire Surcharge Staxe Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: . APPLICANT: CITY USE ONLY Tel. # $ %� �%J� Fee Schedule on Reverse Side $ oT a 0 .001 of Permit Valua.tion (1 / l Oth %) $ / /� $.50/$1,000 Valuation $ $950 per SAC Unit $ SDO $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 [ ] � 8,� Dy BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon 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 $5�,�1 [O �l�fl,�� $100, 001 to $500, 000 $500,001 ta $1,000,000 $1, 000, 001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1Q0 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fractian thereof, to and including $25,Oa0 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fracrion thereof, to and including $50,000 0 $574.75 for first $50,000 plus $6.25 for each additional $1, �0 or fraction thereof, to and including $1 Q0, OUO $887.25 for first $100,000 pius $5.00 for each additional $1,000 or fraction thereof,.to and including $500,000 $2887.25 for the first $SUO,OQO plus $4.25 for each additional $1,0� or fraction thereof, to and including $1,000,0(}0 $5012.25 for the first $1,000,000 plus $2.75 for each additional. $1,000 or fraction thereof DRNEWAY DEPRESSION ESCROW (Concrete �ur� Str�ets OnIY) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 5 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and instali 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 construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been construc�ed �.vi11 he required before �roceeding with the framing. z _ . � � � i � Building Inspections 763-572-3604 763-502-4977 FAX DATE (r� � S SITE ADDRESS S 7� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING IN BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-09 YOUR E-MAIL ADDRESS �` f��lr� `t S 1'- ❑ OWNER ❑CONTRACTOR Permit No ° — C� Received By: Date Rec'd• ADDRESS: S Gd o.. 'C. CITY STATE ZIP_ PHONE: "' Z � Z �I Na,�vtE: � ' � G� ^ STATE LICENSE # Z�S Z I (6" Q� EXP DATE O /� ADDRESS: ��2S Z.5 NG,� �'�/ Y' CTTY�C?�,� Cc��% STATE/��/�IP. ROOFING NUMBER OF SQUARES z � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ��Y� ❑ Aluminum O Other PHONE SWGLE FAMILYMEW CONSTRUCTION 0 TWO FAMILY/I�TEW CONSTRUCTION ❑ BASEMENT FINISH ❑ DECK ❑ NEW HOME CONSTRUCTION WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WIl�IIDUW TO BE IlVSTALLED OOF SIDING SWIMMING PQOL ❑ ADDITION ❑ REMODEL � FAX SIZE STOR[ES� ❑ WiNDOWS ❑ DRAIN TILE ❑ OTHER IG ��ezs� �vrc a^�9' e 'H HEIGHT ❑ HOUSE ONLY �'HOUSE 8c GARAGE ❑ ATfACHED GARAGE �DETAC D GARAGE i � . � c�� 3�� offit S Qe �'rim a �Fascia L�ATION OF WINDOWS NUMBER OF BASEMEAIT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural merr►bers to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing strucwres and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �L`!��' o�CO OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ , o ��' $ $ , 5� $ a-r�G= $ � r�� $ $ $ $ � $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT 1� PRINT NAME�I-� G✓G,i ��'L�DATE b� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for any a.ddition to any existing building or structure, or for any altera.tion 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: 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Faa�: 763-502-4977