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AF - 42044BUILDING PERMIT Village of F�id.ley, Min.n. N° 2 4 4 8 Date � ,�.��,.....,�. � ............................ � 3 Owner��i'� .r,,.�T. .. . ��;.,�:iv. ,.,. . . . . . . . . . Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. � ��«��. P Address� �Y) � ...,,.. . � �� .I�,. .A„r,.v. ;,,,�,,�. . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . j��� LOCATION OF BUILDING No. .. 3�-......... Street �,'r C s'i-`�fC� ..... .................. Part of �.ot ....................... � �� Loi . . .� . . . . . . . . . . . Block /�Z��.�°�4-� .�p Addition or Sub-Division .��. .�+F3K'l,i�' '.� • � � Corner Lot . .. . . . . . . . . . Inside Lot . � . . . . . . . 5etback ��-�:��. . Sideyard .,t� �. . r . .. . . . . . . . . . . . �/ r.,.' DES�CRIPT[ON OF BUILDING To be Used as: .�l'.,���, . . Front �c �... . Depth ��,. .. . Height �,e.� �^. � .. Sq. F't. ���� Cu. Ft. . . . .. . . . ............�... ........ ...... ......... ........ ........ •�" �7 Front Depth . . Height Sq. Ft. Cu. Ft. Type of Construction ;�-� �,,,� . . Est CosfP: �� (r ji ,�. . . . .�. .''. . . . . To be Completed .�'�. .��,r,�� . . �r� 0 In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. �! . . . . . . ..�, � �. . �i . : � :'�� •,•s. .��:.. . _ . . . . . . . . . . Tn consideration of the payment of a fee of $. r� .., pe�nit is hereby granted to '.. ,.. ... �� .. to canstruct the buildin� o�F ad dition as described above. �•is��ed upon �the ex� s condition that the person to whom it is granted and his agents, employee and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of �'ridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limiYs and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,�% !' • � / � � A fF ;",��,,�: �'; �� `� ��, Building Inspector .:.:y ' NOTICE: - This permit does nof cove� the construction, installation or alteration for wiring, plumbing, gas heatPng� sewer or water. Be sure to see the Building Inspector for separate permlts for these items. � � SUBJECT P, R 12430 City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R EIPT NO � • COMMUNITY DEVELOPMENT DIV. � by ��'���� r � � PROTECTIVE INSPECTION SEC. ej �°f 7''7� � 1 ` � �` /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY `•'°� � ,�� 612-580-3450 910-F15 2 8 74 � � !OB ADDRESS 1511 Ferndale Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � Aud. Su'(�. �92 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Elaine Brown 1511 Ferndale Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Ron Scholl Builder 1508 Ferndale Ave�e N.E. 4 ARCHITECTOR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USEOF BUILDING Residentisl 7 CLASSOFWORK � N� ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel present garage into a bedroom. 9 CHANGE OF USE FROM TO STIPULATIONS SEPERA°TE PERi�ITS REQUI�ED �-aR �"�e����'��� o-4�ATIIVGP PLUr��i�� A�� S���Se TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION 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 COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2�000 $�..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHAFlGE PRO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $12.00 NA ST CTION OR THE PE�RFQ RMANCE OF CONSTRUCTION. <��, �"� PLAN CHECK FEE TOTAL FEE ' $13.00 �� ; - �IGNATUREOFCONTRACTOHORAUTHORIZEDAGENT IDATEI W EN P P R A I ATED THIS IS YOUR PERMIT _ ru /�� ? SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI DG INSP �ATE t1PPI,1i:ATION FOR KL:SIllENTI�L, ALTEItr�1'I�IN, OR �1i)lll"I'ION 1i(1II�DING PERMIT C I'1'�' OF 1-1:1 ULL:`i , ti1lIVNESOTEI ,, /� � �� �,� C1WN� � S NAME : ''' �U+-�� BUILDER : �°^ �����'u" ° ADARESS : ��,�� ����c� ���'Z-ADDRESS : �� � ��C�� (�2���-� NO s . .��� STREET : �..e C�(,Ai.� �/ � � , T�O� : BLOCK • . � �+ ;. � ��iDDTTION • CORNER LOT: INSIDE I.OT: ✓� SETBACK: SIDEYAFD; Applicant attach to this foxm �tao Certificatea of Survey of Lot and proposed bu,ildixig l�vcatian drawn on these Certificates. � UESGRIPTIUN OF BUILDING To Bs U��d As : JWV '� ��- �� a�' �''�� �S.e1�%1°���— Front : /,`° Depth : .�- � Height� : � Square Feet:��+Cubic Feet; � �-- Z � Front: Depth: Height: Square Feet; Cubic Feet: �►pe o� Cvnstxuction: ( �,��� .�" $ � `'� � � ,� �,� � Estimated Cost: �o Be Compl.e�ed: ���G� c�� The unde7csigned hereby makes applicativn for a permit for the work h�rein speci.f�ed, agxeeing to do all work in st�ic� accordance with t'he City of Fxidle3� Ordinances and xulings of thc� llepartment of Buildings, and her�by deelares that �11 th� facts and representations stated in this application axe true and �urr.�ct. f� AATE: � ��� 7 � S IC;�ATURE: Z�� � ��� v (S�� Revexse Side For Additional Tnforma.tioa.) ��_v � I, ..a,�, C� � lr � /�° �� A BUILDIN� l'�:Jti�1]'I' l�t,'� 5Cl-I1:UULk: S�GT�pN 2. The Tr�spect��r �sf Bt�i.ldin,�s shall, before issuing permits fox the exeCt3.on of any bui;ding or strur���rc•, or Fo� an.• addition to any exisC�ng building ox structure, or for ..�riy .�lter�lt�i.on or rc:pairs to any existing buildin� or sL-ruckur�, upon applicati�n therei��rc:, r��qt,irc the payment by the �ppliaant for such permit of fees tc r.h� amount hexein below set forth and in the manner here.i.n provided to-a�it: UNI�QRM BUILDING COAE; Type 1, 2&�e -� $2.15 far each onc: thousand cubie feet, a7r �raction tt�erc:of, in such cubical contents. T,y�pe 3& 5- $1.85 for �ach ane thousancl cubic feet. :1lii)ITIONAL IvPURr1ATIUN �'ox the purpose of computing fees f�r building permits, the cubical contents of any building or addition, is determined by multiplying the ground area aAV��Ced fxom a point six (6) inches below khe floox line of the basement o� th� �el.lar to tl��� average lieiKhts .�f the upper surface or to the average hei��t o� the roof surface of tlie main gable of a pitched roo�. �ox xepairs ox a].Cerations to an existing structure, the fee shal]. be at �he 7CaCe o� $�.00 pex eac}� five hundxed dollara ($500.00) ar fraction thereof in �he Cos� of all pxopoeed work. Ta ma aase shall the fee charged for any permit as set forth in Section Z be 1�i:�� than �.! s OQ • VERIFICATION OI' FOUNDATION NqT�� Permits ior construction will be issued a minimum of 24 hours from th� time o� application, to allow for proper review of the proposed structure atid ot �hs cox�stxuction site. " A Certified Suxvey of the lot, showing the location of the foundation, once it has9 been eonstxvcted, will be required before proceedin� with the framing. 0 � � i'LRTIFICATE UF OC('UPANCY Appli.GaCion fc�r a Certiiicate o� Uccupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a huilding permit has been is8u�d; �,nd s:iid structure shall not be used or occupi.ed until a Certi�icate of pcCupe,ncy has been isaued. �� . � . .• . M . • � , w a y . � � m ��'0 n a� H�„ � � � c� x x 1! �' � w:4 � E ,-�� s E ry � n y � M �.� �� M��� ..� � �'1 � � �I d K M � p A . � x � .�, �' � � p � � ca °• � °: � � � . O � N tA � 0. y . e4 ^' K � c M . x x x ; 0 f° � 70 � •� � �'' C C: . . O � � � a ti� • Q�' ? N � � ' • :� � �i � � � 0 0 • t� a M � .c1' . . . �j • ro � • tp ^� � � � • • • �p • � • � • • Q: l� �� • ��°"� N • • • 'Gy p • PQ • • (� ��a . . . py � . . . " . . . ., . . . . �N a � � . . . � . 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O Q � � � I � •� � � � � 7 � C z C o c i� � : U x 0 �_^ \ ► , � � � � �� � ��', `: � �i � � � R' Y � � ,��r � � �.o a �i' Q1 M ���yy Qty, � � � � � h n � � G 3 � ti � � �, s s a� �� � � ' � � ' � � 4+ �f 61 4: O ����� � !A bm M 4'� : � O � � g � e � N � � ^ � � � a A O 'y tt9 � � a � �� � •o � ���� �y w tl �` e`�+ ►9 � �� � � s� Y •> ` � � � ��7 n M ~ [J � � � � '� tj � u�,�n � ? C ti 7 � �_ et o N' a�f.7. (n � a ° o ° . . 8 ' � � € � � S � d► SOA � � � � � b W a a ;; � A.� �� o � .,,, P iD W 9�i� � - Qa d � ~ � �2 c � �' �' � �w� roo�. �ti �a- .'�i i1r � �.�w~ n ���k p �pQ a. Q1 � x iv .oc_.� .� G: �; y �ii 7 6 'rb C03 .-. ••• =n.�+�p :� � L�: ���' ��o � w`�� o, �'.°''E �. ��.: � � H � A ,f'.r �� A � � � Ci' W � � � �� � � � � � �,FB � � � � ,!Y t� �� pw. � �� � rn � � 0 j s`�� �4 �t r'3 f; , �. H .� r':.g l..�J � .± . ? d 6:i ��� L �+:; a'''� .�.,•,, , � t i �. {P..j9 � 1 Cwl ; � r� �."� ;,•_ C 9 �_ � C'A9 " a e, k:� . �>. e :� i. �m : ) � �� 9 t- �:� i tl • J b_( C p � �-W Rx� i. G/�` 9 g i'� C;• � b� Q� �i� � w > y „ F`� : ; �.7 �, Puu a �/�'\� C�w q1.1 ( . F � � � i 6/�'S1 �. � Y1� e' t .i �,? �t 4.0 .•,. .a E: F:. & F �3 � � f A h:..� �a �:s �.i .. o �) � �' �. :, � _� � C-~� �- �� � sue�ecT MIT NO. City of Fridley o-- 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT . � • COMMUNITY DEVELOPMENT DIV. i ; L ������� � �� r � � PROTECTIVE INSPECTION SEC. � i � � ����1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BV �"'"'� � ��� 612-571-3450 910-F15 6/11/79 / / JOB ADDRESS 1511 F'erndale Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]. A11C1. S17I7. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Irv Olson 1511 Ferndale Avenue NE. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO Vinewood Builders Inc. 1508 Ferndale Avenue N.E. 571-0311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING RESlC�.@Tl't121�. 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Detached Garage 9 CHANGE qF USE FROM TO S1�IPULATIONS provide a hard surface driveway. WAlil�l�NG �afar� digging call fc�ai utqiHea TELEPHONE - Et�CTRIC - GAS Etc. S�i'ERATE PERM�TS RE�UI�ED F�R �y� �EQCIIRED BY LAW HEaT1NG, PLUMg(1V� qNp SIGNS, . Rt�', TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDfTIONING. UIOOC� El^�IRe 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 576 5760 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER VI�ORK IS COMMENCED. NO. DWLG. UNITS OFFSTAEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4� H21' $2.41 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �23.04 NONE PLAN CHECKFEE TOTALFEE fv �-/!' % / N�iE �$25.45 SiGt TUFiEOFCONTRACTO R THOR12EDAG 7 iDn7El WHE(� PROPERLY VALIDATED THIS IS YOUR PERMIT G �-� C����./ i� � L�z��_� .t S�GNATUREOFOWNERIIFOWNERBUILDERI IDATEI�T BLDG INSP f1ATE � CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL QUILDING PERMITS (New, Altera tions, Additions, or Repairs) q O�NER: C�='�• ���.-�--` BUI LDER : ` � � ADDRESS: ,�S_/�� ��,��,��1�'�-�� � ✓�I� � // �., ADDRESS: ��� ��i�lo�-c- /% ` TEL �VO: TEL N0: �%� O-��` � Construction Location STR�T NO : S �/ STREET: � (�- � �v LOT: �• (�a J BLOQC: ADDITION: ��� . �� . �C/� Corner Lot: Inside Lot: � Sei:back: Sideyards: �� Applicant attach to this form two Certificates of Survey of lot and proposed building location dxawn on certificates to scale. t J�� �� QESCRIPTIO�J OF CONSTRUCTION o � � Front: `� Depth: �� Height: 1� Squa�e. Feet: �`� (p Cubic Feet: �� (o ("j Front: Depth: Height: Square Feet: Cubic Feet: . � �C�; Type of Construction: .�1°���-+��'� Estimated Cost: $ 7.b Be Oompleted: � � � Alt. A Alt. B Proposed Driveway Width If New O,pening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the w�ork herein specified, agreeing to cb all work in strict accordance with the City of Frid],ey Ordinances and rulings of the Department of Buildings, an hereby declares that all the facts and representations stated in this applicati n re true and correct. DATE: �� �- IQ ° � ( 5IGNATURE : Cs����'�"" 5�ipulations: �� �� a- �f � � ����� �- � � _� . BUILDIfJG PER��M1IT FEE SCHEDULE � SECTION 2. The Inspector of }3uildings shall, before S.JJU111g �CL�IIIS.�S for the erection ot any building or siructure, or for any addition to any existing building or stzucture, or for any alteration or repairs to any existing builr3ing or structure, upon applicatian therefore, require the payment by the a�plicant tor such permit of fees to the amount herein below set torth and in the manner Yierein provided to-wit: NEW CONSTRUCTION: Single I'amily iiomes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. . DRIVEWAY D�PRESSION: (Concrete C�zrb Streets Only) • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x��5e75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with � 6 inch depth; Driveway width plus 6 feet x$17.85 ; 1 1 1 : . � ► � ' ' � l� For the purpose of computing fees for building permits, the cubical contenL-s o� any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the avar.age heights of the upper surface or to the average height of the roof sur�ace 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 Per each five hundred dollars-($500.00) or fraction thereof in fihe cost of all proposed work. . ' In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. " VERIFICATIO� OF FOUNDATION NOTE: Permits for cons:truction will be issued a minimiun of 24 hours from the time of application t,o allow for proper review of the proposed structure and of the construction site. A Certificate of Survey o£ the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. t ' � ''► - . Applica�.ion for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of-Oceupancy has been issued. ��� '? r _ � C�RTIF'1CAiE OF' SU�VIEY JAMES L. KURTH LAND SUFtVEYOR 4201 N.E. 5TH STREET t��' COLUMHIA HEIGHTS 55421 �BB-�4 1 ML�l16�Y CERTIPY TMAT THIS SURVEY, PLAN, OR AEPORT WAS PRHPAREO BV ME OR UNDER MY OI►it_CT SUYERVIStOw ANO TMAT 1 AM A OULY RECi1pTEREO I.AND SURVBYOR UNDER THE LAWS OF THE STATE OF MINNESOTA DATE_�v-��-'li �i', �-- ��...-\ ��,;.;� SCALE 1 = 3c�' MINNESOTA �ZEGISTRATION NO. 5332 �- IFON MONUMENT J � i" � � 1 0 r � � 1 S�4-� {�'D • �.t�' 1(0 .�i� N �ti�i�1 O' IS.S . . {. #� I I �, f� 2 y� i � .� X � � ;� ��.a I tZ.B i �• � ItoA_ i2.3 v P i- St.9� i -- — I � �� t I� � - � I --- ---- ' _�_I►_ l �� t�..t�•a"ts At..l�..�'' ----- � � � -- `-�_.- �- 50. L��-►`: l_n : \ �.5• sl �i � `�l;i�.VCY OF The Sout i� t:��l f of tl�e E',�� t i!a l f of tt;r.� :�;Ers t}fa 1 t uf ! i:' I,%:�:� '; t. �- �ul,divi���, 'i��i.�b�r �)2. ;���c4a Cout�ty, '�i�,i�E�sota . q _ . ... r_._ - � � � __1 i 1 � � I . ! i t � � , � � ' . �- -__ ;- _ . � - -'' _ __--.. _,__.--� SUB�ECT N . City of Fridley o 1800 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � RECEIPT N . � • COMMUNITY DEVELOPMENT DIV. � i a.- - r � � PROTECTIVE INSPECTION SEC. � 1 . i � � /"'1 � CITY HALL FRIDLEY BS432 NUMBER REV DATE PAGE OF APPROVED BY �"'"� � ��� 612-571-3450 910-Ft5 5/23/85 / / JOB ADDRESS 1511 Ferndale Avenue N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt• �- AL1CI. S'll�. #92 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Irv Olsen 1511 Ferndale �lvenue N.E, 574-9335 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Vinewood.Builders Inc. 1508 Ferndale Avenue N.E. 571-0311 d ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING ' Residential 7 CLASS OF WORK ❑ NEW C� ADDITION O ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 30' Deck T�ddition & Install aluminuin aiding 9 CHANGE OF USE FROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTIIATING 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 COMMENCED. • NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2(700 $j..3S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT P SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAHGE OVISIO OF NY OTHER STATE OR LOCAL LAW REGULATING CON- $38. SO S CTI N OR T E PERFORM NC STRUCTION. p� LAN CHECKFEE TOTALFEE � ? -� $�,63 $49.48 SI NATUREOFCONTRA OR RAUTHOR12EDAGE T 1 ATEI WHEN PROPERLY V DATED TH S IS YOUR P�,R 1T � �- � ��. SiGNATUREOFOWNERiIFOWNEABU�LDERI IDATEI BLDG INSP n TE Nhi�l I� City ot Fridley Effective 0/1/84 ADDN. [ ] R-1 �/D R-2 AI,TER. I J Building Permit AppliaaLioa ConstrucLion Addresa: ���� ����-�`o""' Q"' �� Legal Deacription• ownez [�ame z A ess : ��� =el, + s� S/- 933� Contraotot�: c � , Tel. # �'��-3 �/ Addreaa LIVIl�1C AAEA: GARAGE AREA: DECL AAEA: �i` Attach to this application, a Certificate of Survey of the lot� With the proposed construction drawn on it to acale. DESCRIPTIOA OF D�PHOYE�IT Length Yidth HeighL Sq. Ft. Length _______ liidth Height Sq. Ft. Length �_ Width -3� Hgt/Ground Sq. Ft. OTHER: � �' , a ` ��, . Corner Lot [] Inside Lot [� Ft. Yd. Setbac�k Side Yard Setback Type of Construction: �� �L�- -F �� �� Estimated Cost: � � �� � Approx. Completion Date: Alt. A Alt B Proposed DriveWay Width If NeW Openiag Is Desired: � � See Back Page for Explanation DATE: S LB �� Permit Fee Plan Check State Surcharge SAC Charge Psrk Fee Se�rer Main Charge !O?�I. STIPULlITIONS: APPLICANT: �-0"^" Tel . � � ! `� �f/ CITY DSE OI�ILY � �0�� Fee Schedule on Reverse Side _ . 25i of Building Permit.Fee _ �r�� =.50/=1.000 Valuation _ =425 per SAC Unit ; Fee Determined by Engineeriag _ _ �p � llgreement Necessary [ ] �ot Beceasary [ ] . , _� BOILDII�G PBRHIT FEE SCHBDIILE The Chief Building Official ahall. Defore ia�uing permita for the erection of any building or structure. or for any addition to any existing building or aLructure� or for aay altE:ration or repair to any existing Duilding or atructure� upon application Lheretore, r�equire Lhe payment by the applicant for auch permit ot few to the amount berein Delow aet forth and in the manner berein provided to-xit: ?otal Oaluatioa =1.00 to ;500.00 �501.00 to =2�000.00 Feea =10.00 (Minimum�Fee ia ;15.00) =10.00 for the t'irat =500 plus �1.50 for each additional =100 or fraction thereof, Lo and including a2,000. 52.001.00 to �25,000.00 =32.50 for the first =2�000 plus �6.00 for each additional =1.000 or Praction thereof, to and including �25�000. �25,OOt.00 to =50�000.00 =170.50 for the first additional =1�000 or including �5�,000. a25�000 plus �4.50 for each fraction thereof, to and =50,001.00 to �100�000.00 =283.00 for the firat �50,000 plus E3.0'Q for each additional =1�000 or fraction thereof, to and including �1�0�000. E100�001.00 and up ,, �433•b0 for the first �100,000 plus �2.50 for each additional �1�000 or fraction thereof. DRIOEiiAY DEPRE�SION ESCROY (Concrete CurD Streets Only) . Alternate "A": Removal and replacement of curb and gutter only - Driveaay width plus 6 feet times =13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach vith 6 inch depth - Driveway Width plus 6 feet times �15.75 iRIFICATION OF FO.OND°A�IOA Permits for construction Will be issued a minimum of 24 hours from the time of application to a11oW Por proper reviev of the proposed etructure and of the consLruction site. A Certificate of Survey of tbe lot� ahoxing the location of the foundation onee it has Deen oonstructed will be required Defore proceeding xith the framing. �� �� �� � c�— �,� l�� � � � �� �� � \ ) � , �, � �' . �' � \_ ^ � � r , � � � . � ` � � � ��/ ' � G�`'� V.a � N � � �k ; �� , � I � �i � � �, o � GG � � � '' �1 � � Ul I � � I ' ��k � p1 � � c�. 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