The URL can be used to link to this page

AF - 42014�.._t �,y� � _� `� � G_Z_.r'1 "�11 � � � :'` �''`� s �° 0 � � +� �� `� ��;:�� '�'-'--� �r`� `' r �� cQ9�l�f��—= °';�.:' --o � �._,— �–� � ?415 WAYZATA �WO. � + � AIINNEAPOLIS. MINNESOTA �SYAa. 18)j �/ � ��vi�� V i.ii� Fo� Ouane Pearson /RON_ _ - -- 72.5 - - - `'° 6 �'t Ut� /� fy ar�d � D�'a%iraye Easemer.�, .•. ' .. : ;. . ,, I � � � � � l , — I,22.45 '' 1 I ",� i �I ,� ;i /!'Oh/ - - _ ,;. : fjU/LD/NC (U„de� Co ns f� ��.� 72.5 FEi�/�0,4 L E . -; '� ; /RO/�/ , �— � � SCti D ° : 1 �� 3� � ... y� � - � i �o � m � 0 � __�Dwellin9 N - - -� �- � ��.1�� i�� ♦ \ 0��,.' � �°' ' D�ESCR [ PT! ON : C.ot 7, B 1 uck 1, SHkDY pAK MANOR. �� ., , ;; , ,, „ - -' " /RDN � I/El(/�/�' 3g. y y. y P�� 6� � We hereby certify thal this is a true and correct representafion of a survey of the bound�ries of the land above described and of the loc�tion ofall building� if any, thereon, and all visib0e encroachments, if any, from or on said land. De ted thi s 15�' day of Nov�mber � 1973 �, EGA9d, F I ELD 8 NOWAK, INC R?v3sed this 164h � of Nov�mber 1973 Survey r % . Fi te No 5299 Book No 1996 - 48 bY ..�JL,ti.�� ,, !.�.��-� 1915 - 71 � ' �, SUBJECT PERMIT NO. City of Fridley 12385 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I� ' � ` � � RECEIPT NO. � ; L ____ COMMUNITY DEVELOPMENT DIV. r �� PROTECTIVE INSPECTION SEC. �S � � � i � �� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""� � ,�� 812-560-3450 910-F15 11/6/73 / / JOB ADDRESS 1567 FERNDAI,E AVENUE N,E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] ]. SHA])Y OAK MANOR SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE DUANE B. PEARSON 1214 - 432 AVE N.E. COLUMBIA HEIGHTS 789-7117 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S +' 4 AHCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USEOFBUILDING �'SID�'IAL 7 CLASS OF WORK C� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK CONSTRUCT A g 40' BY 24' DWELLING AND A 15 . 92 BY 24 ' GARAGE 9 CHANGE pF USE FROM TO STIPULATIONS PROVIDE A HARD SURFACE DRIVEWAY. PROVIDE A VERTFYING SURVEY BEFORE CAPPING. FINT.SH 60 SQUARE FEET IN THE BASII�NT. SEWER "Y": � 114' Easc of Mar.hole "Y" ELEV: 953.79 TOP OF FQOTING: 956.79 Minimum INV . EI.EV : OF MA1V�i0T,E : 9 54 . 2 6 WATER LOCATIOI�T: 10' plus or minum EAST. OF SEWER SEPERATE PERMITS REQUIRED FOR �11RING, HEAT�NG, PLUM�ING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �D � THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�1 960 + 381 19,200 + 381 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORflECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�� 7�4 9.39 DOES NOT PRESUME TO GIVE AUTHORITY VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS F ANY OTHER STATE O OC L LAW REGULATING CON- STRUCTI R THE PERFORM CO TRUCTION. � $�F3.00 L7S.00 PLAN CHECK FEE TOTAL FEE iC 327.39 TuREOFCONT RO UTHORIZEDAGEN ID � �yyHEN PROPEFLY VAL THIS4S YOUR PERMIT � SiGNATUREOFOWNERUFOWNERBUIL0ER1 IDATEI BLDG INSP DATE � �3� �� J FOIt CITY USE ONLY DIMENS IONS : Length : �✓ -� Height : �� C=- Cu. Ft. _/��,� � C, Width: �`"� Sq. Ft. �� f, Accessory Buildings� Length: -�'` ( S,�� Height: j c� Cu. Ft. 3� 1(. Width: -�`� Sq. Fte ;�5�� ,(� VALUATION; �� '� Sq. Ft. X Cost = Valuation ) , ) To�al `� � ' J � �- � ' `�') Valuation Basemenfi � X Cost = Valuation ) ( (�'�i`��` �� 'e ��F ` �., s _ ) _ ' � ':� PERMIT I'EE: Residential Total Valuation $1.00 to $500.00 $501.00 to $2,000.00 .�Zy��l.�� t0 $ZJ�'��.�� $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 PERMIT F�E: Commercial and Industrial TotaJ. Cu. �`t. -, PT�AN CHECK ° Fee a $5.00 $5.00 fox the first $500.00 plus $1.00 for each additional $100.00 or,frac�ion thereof, to and including $2,000.00. $20.00 for the first $2,000.00 plus $3.00 for each additional thousand or fraction thereof, to and including $25�000.00. $89.00 for the first $25,000.00 plus $2.50 for each additional thousand or fraction thereof9 to and including $50,000.00. $151.50 for the first $50,000.00 plus $1.50 for each additional thousand or fraction thereof, to and including $100,00O.00e X $2.15/1,000 sq. f�. X � Permit Fee _r Take one half of permit fee = STATE SURCHL�F.GE : Valuation X $.50/$1,000.00 = ' X $.50/$1,000.00 PERF�iR��;l11�!Cti BCJiJD VALUAT�O;�I i�lacktop Curb ing Sod Fencir�b Bushe� and Trees 1.50/sq, yd. 2.00 l.i.i�. f�. 0.40 s��_>'d. �.UO lin. �'t, 5.00 - :�0.�0 TOTAL FEE % ,� - �' � TOTAL BOND VALU� . .� �� :�� j AY Tb� YO� 06 �iFi� Tt:IW� r, 1 6 . ° i B� ____-_, COrae�ua�iv R�vELO��aEw7 �v. � 1 i Pt'$6YECYIVG ��I��CTIOPl H�vfT% 1 . � � i '_�•1 � CI'fV ii�LL �idlpL�Y 9�4�� `__a� � �.J 612—�80-3��A JO% Acidxess : � i sc�. _ - — �d�cr BUILDING PERMIT APPLICATIO(v �b� (YEV. 9AT� �1�� 1 Lega� Lot No. Block Tract o� Addition I}�sc�. -- � � ' � `� 1 P�operty �wner - Addr�:ss � �,, � � __ �,— � , . � �� I ° / ��iL.. V��YC ontracto� ��_, � , „<<- xc itect o� � c i /_i , se o� Building �f �: �, ✓� l�ss of Work e�cxi e Woxk .�,,� /�� ..:,.r Addrr�s s / Addx�ss �� , , i �� e�� /,� � � � �,aa��s S ,� _ Zip Zip z�P Zip New ❑ �ddition ❑ Alteratian Phone Phone Phone Pe�ni.ic 1Vo. lteceipt No. See At�ached Sheet Phone �L� `� � �,�;� �i Licens e-7To . License No. License No. Remove ir Move �nange os use Fxom To �SPECTAL ASSESSI�NTS : ' " If latera.l assessments have not beea�. plac�d on th.is propexty, an agreement tmast be signed, agreeing to assume such lateral assessments before a permit will be issued Agreement Necessarye Agreemenic Unnecessa�° �inance Direct�r J OUTSID� UTILITIES: � Sewer Elevation: �dater Elevation: O . Stub Locationo Stcab Location: � � w � � EUILDING INSPECTION � }a Plumbing H.V.AeC. Electrical Fire Insp. � Signature & Date Approved � � � Registexed Engn. Stamp. Legal Description Check �x�erior Devel. Check Perfoxmance Bond Check Easements, R/W, Special Aoreements Fixial Approval Date Certificate of Occupancy Date � . � t, „ � � �� , , o � � �� 1 /, _ e -r� � �-'�— G—Z. _ s---� - -.� -- __ _�`�, �fl��.� � �� -.. � i , _�� Su4�t\/�V�ff�s , ��•,: -,� .–.. �_ � `�"--___, '_.` -��_ ' � .• ` 74I5 WAYZATA BWQ � � MINNEAPOI.IS, MINNESOTA , ' ` , Es��i. tlfj '. _ . . � , , , .. .... �� :_� : ., ,� , . t�'' ' . Fo� Duene Pearson _ ; ` . - � �-: � �� a»� ��`` - /RON .. 72.5 - /F�D/� , . : � _ f , � ,� �..` ;. ' � 1'� q 7f � � �� . `� ' : ; 6 �'t � Ut�/;ty ar,s E � �s��'``', �* � ' . � I Dra�na,ye �E"asensen�s � � , . ` . ' : � . � �: � , . _ . , . ' ,. � , ' ', I �� . ;- �� :' , , . � ` � ,, ' • . ,�• - �'� - :; �� . � �:. .. : �� ,� ... - 1sca1�: :1�� o� w�?� `� . . . . . . . � �� : , .,�^.,�' � � �. • ; � ,�,: '; . } � ' , � ''� ,�� o � 1� . �= �.,..�.:, . , �, � � , � I . ��°`� � � . � � . . �,; . , , y m . 40 14 M. ,. , r. �� , Proposed \ � '� ,` . � , � N Dwelling N . _ �Dwelling . : . : Z�92 �`' i �-��- � �� . ., .. , . ,. - . r . 4 . ,0:�8 � - . - � � � � ` . ' . D�ESCRIP'ftON: P.ot ,7. B1ock 1, .SHl�.DY . ; ' . , � � '•,; � m/�K� N►A�N OR .: ... ' I ., . . . o� � ' , , �::, , � M .' � � � � , . , � f, _ ' �, , f � , /RON ' � - - 2.5 . ' .,' " , /RON , , ' . , � , . . . . � . ,_ . . .. .. . q� ., , � . . � . � � . ' , � . .. � ' . �'.a�, . , . ' . . . .. FER/V0.4 L �". A�I/�"/I/U�' i.�� . ° � �� . We hereby certify thal this is a true and correct representotion of a survey of the boundaries of the land above described and�of the location ofall buildtng� if eny, thereon, end all visible encroechments, if any, from or on said �land. Deted this 1__day of November � 1973� EGAN, IELD 3 NOWAK�INC. _ 5299 ��Book No.� 1996 -- 48 � Survey r '" A b Y�..�Ji�.e (��'. l/ i l`�C �.��-.�J_�� . . . ` �. t L ,� � � �/�'' _ �, N r�5t o �= �+� �.� 1 "sy�� E�.�V. ��,3.%i --�—� � a � �_o o �' � As � �I � l�r . ►� L � v. �j ,S G • 7 � 1 � V� � 4 � v. U �_ ��+, l-F . �j � `°I , a � v� P� T �= �Z Io�t f�l�S�` � J. _ � , J ._ _._ �'� e= ( , , � �� b„. V' � �=� �� =�� -��-,,� �� .�' �� _ �5` �`' ,� . _ �_ �_ 33� � ! i� ��L!` ��` `'l �,��,_. .7�� , -�Sy, � l� _ , Lt � � s��_ �Fy �� , � � � i ��" �� .� �'°��:��''�.� 4Y Ykg T�� UP Yil� 1'�IWe� r��: , � � , � ��-�_�__-� COa�eaUWtYY D�t��l�'�'��Mi Dlb, 1 o i PNOY�CTtY� �mW:"��;7K�1'W C?dP'� � � � P-.._e� � �OYi' M�LL FE?I�lc�� e�rKV'� �..a.�.� .J ��- �00" � �s� ,job AC�CL`t°f?SS �� Contracto� � i�.� Il.) � �Z Kind o� BZ�i�dinb tion M I U 2 r � � W W < < $ �, a�Nra sr� � gdfl� �X��I •�s�w 1 ! •saaiI •tivaiva1 i � ; Sb�sda ' a H�ia� 1� `x O..' sNivao �cl � NOO"Id 0 :�� ! \ ,O � I saarnoKg ;��— � �D � •tn�nod � �� a� ,,�,� HN��a I� � � SAVH1{I s .(��I� HSVMI\ � — � II SNNISI� �� £NISyBI \ I \ I � � sent � HAVB Nfa�I � � ^0135(?17�\ � f � • � Yl31VM \ I � �i f cf ( � �i � '� e c + � � °� I ,� b, P� ��-; er7 m r,� � d� � an K •U �L � 0 � Wa .a �i �I C � � �.. d � n :� � � �J in � �; � I ri�i� ��3'as d�GY Permi't No . i0 /�� lJ�`l!�Ai�� PERfiIT APPLICE?TIi�;�� P F,�V. 611L7E F�S',3C 2'� a�aeani�cn n� / E):�:I�ESS d n! a- l � A ��ess s t�h+�r, e �c r�-�'- �_ — � 1 ( Phane � �lumbiri� Fxxture Rates: N0. RAT� TOT�Z ltluml.ler F�.�:tuz-a�u' �C.! x.}2 e DO $�2C9' U � Fut�re �'ix�ures x $1.54 New Fix�u,-e-Old Open. x $1.50 Gatch Br�s��.n x $3.25 Watex Hea.ter-99� 000 33�(T / x$3. 00 �'-U O (1 Gxaund Run Old Bldg. x$�.z5 Elec. tvater Heate-r x $2.00 G3s Fitci.Yi , �'c�ps � . 1�� s s,Ytu��s r X$�.on a-vo Additional Fixtures x $ .75 Gas �t�.nge-I9�, 0�0 ETit 4 x$5 o OG Re airs & �1ter�.tions JG1� DC.'SC�'1P�ZOT1 � i;OC�(.' Stat� Su�charf;e .5n �'OTA�, �E� $ _�2S-• S� The undersigx�ed 1ieleby makes applicaticn £or a permit for tl-ie work herein specified, a�resir.g to da alZ woxk im strict accordance taith the CitJ Or.�.inanc�s and rulin� of. the Dega.rtm�nt of 3uildi�gs, and h�:ceUy declar�: enai: a11 �h� facts and r�pr e tations s�atecl in ttiiis app�tion �xe J-,�ue nd coxr�:c�, Lu Date,/ ; .� � � , � � Y Y• :�u — � . . , �. ' - � r � ; :.��;: � �: ;. � � :� � � ��.. � Q � � � � � � n �� x ��,.�� . � �.�..�- cn ' � �' E � � ( e � K � N� I �S � � � M � � ID � v W � %6 « a � � , I ' (� H � °� , G� [ � � � '3 C � � � � o w � � O � � �� I � � � � �e fi � � �� 7 � �� w 6 �� O r � a �o � � M s w �w �� 'n � � � � o � C p � � �. � � � � � A m n � � ;, � � � � ��i � � � � � � w � M 2V 1 . . � �� g � m � � n a a � `° x �� " S � � ii a R° k� .� � � r � � A ��?s� t� x�'��.� ��,� � " d �. � � o � � � � ti EA w ;a C o 8 � 8 � N� 4A fA N , �d ��b � � � � �� % � � 9 � � � 3�� °��p� O � � � 9 � v 7 � � d s � � � � � � � � � � � W W C� 4: G+ 8 � 8 � 8 M ' Ci G O � o � 7C � �� A � � p ~ ~ �. ' � E�. � A _ �, �. c. � � a. ��1 � � � � �� ro � ,�, � �} � �. ; x � �� O � Q; i , � E I :� � � x 0 � � � � �� R� R� � 9 a � � � � � »�� , � � � � � 4 � � ��a� � ��. � $ � � . � 41 �. O! A � g 8 8 � � � � 6/ Ol �1 o. a� �e �� _. �, � �� w� � m .� � c��.� '�do�e°� �s� N � r M.y.,� ii� � �3�" � � :� .. ?O Q y w'1� � � �_.� C' d � C+ ��bf� 0 y M 0! p��,rs �°'o� �' o �� M �p p. O/ �' �p �. � � E� � � �.» � �$ ��A 5 0 A � �� -� 6`�4 � f� � � � � � � � � � � ,, � � � � � � � � �� g �� . �: � �. � � � � � � � � �� `. ase , : � -�,. 4 Z � � �A--o�( � �� •/ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide - Windows I Doors Reference Out. Wall Int. Wall C.eilieg Raof F7oor Kind Yes—No Yes—No 19_ / s F1.� U U! ll1.1 C� Room � Length /�' � Width I z'-(� Height �°-� "' J S F7.�F�pn.i i pc� Room � Leagth /(o =(o°`W Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. ot Llneal 1t. Area Wldth Halght No. ot Lfneal fL / No. of pane o[ Dane lighte ot crack eq. tt. No. ot Dgne ot pane Ilghts ot crack s� / G a � 4-' 2� � � Z. Z � '� � � —r Coef. Btu Infiltratioa �, � 3� �� Glaas o � /�',� �� u_� Exp. wall Nec exp. wall - �2, /O �O� __lnt._wall --- ----- -- Ceiling Z�� ! � (�4� � Floor ' Total Btu. `� Required sq. ft. E.D.R. or aq. ina. W.A. Leader area �S�Fl.� �fi-�� Room� Length �3'-�1-" Width �-�"Height �°-c� Windows and Doora—Crackage and Area Wid'th Helght No. ot Llneal [t. Area No. ot Dane ot pane Ilahte ot crack ea. tt. � Ia6ltration �858 Exp. wall Net exp. wall Int. wall Ceiling Floor -�� _ �� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl. (�R�.c� ��Room � Length 13 °- 3' idth ��'- � Windows and Doors—Crackage and Area Wldth HelBht No. ot Llneal It. Aree No. ot pane ot Dane Ilghts ot crack eq. tt. z 3Z "�c� .�'C d7.� Infiltration Glaas Exp. wall Net exp. wall Int. wall Ceiling Floor � Coef. Btu 1 �, � � c� �' � 1io� ll 20 / l ��J° 90 ��C� % (� 0 1 f '�..G� Tbtal Btu. t, Required sq. ft. E.D.R. or aq. ias. Q/.A. L.eader area �� How Applied 92AC�HeiBht �_'� � Coef. Btu In6ltration � � _ °� ,� � 53 � Glasa � �, �j ,� � / Fap. wall Net eap. wall � � � / � � �° � � Int. wall - - - - - Ceiling �� d � � � � Floor � Total Btu. �� z Required sq. ft. E.D.R. or aq. ins. W.A. Leader area - F7.1 FO`l� 9. ��-Room ( I.ans�h '� =U"VUidth /$-� Height /'� 1Vindows and Doora—Crackage and Area Wldth Helght No. ot Ltneal It. A�ea No. ot pane of pane Il�hte o[ crack eQ. tt / �Q m � " ZU,I � / ,� �° =�� j.�, I�1t�tiSt1o11 ��a% � / ��,� �a� � /0°3 C� � � �- D v o R 2�a ! � Net eap. wall � � � (� � � p � Int. wall Ceilin8 �J ��, '�� Floor Total Btu. . _ - - - _ -- - - _ . --- - - _ (' _ _� l- Required aq. k. E.D.R. or aq. ina. W.A. Leader area 1 FI•� �,l r�� Room I Length �'- y? Width /Z°� Height �! �; Windowa and Doora—Cracicage and Area WIdtA Helght No. ot Lineal tt. Area No. ot pane ot pans Itghts of crack eQ. t2. ! 3� �o Z. �,� Coef. Btu In6ltratioa $,� �� Z� Glass ' �, , � �, ��, � Exp. wali Nec eap. wall -�' 7' ,� � o � Int. wall Ceilin8 / p p � � l � � � Floor Total Btu. 9 Required aq. k. E.D.R. or aq. ins. WA. Leader area , � � U �t�t�. @ �.�� 0`� � . ,_ � HEAT LOSS CALCULATIONS DEPARTMENT Of BUILDINGS ��1�L�� `�i I�I�.I.I Weathentrips A`.H.V.E. Construction No, lnsulatioa Guide ��dows + Doars Reference Out.'�lall Int. Wall Ceili�g Roof Floor Kind How Appli� � es—No f Y'es—No , 19_ , 3 .� K -N� Room � Length '1� � p'� a'idth Z! D"Height L p"�' FI.� Room Length Width Height • Windo.+� and Doors—Crackage and Area I Windows and Doors—Crackage and Area n'�ith Heigh[ No. ot Llneal fc. Area Wldth HeigAt No. ot Llneal t4 Area �� Vo. o! pame o! Dane llghte ot erack eq. tL No. ol Da�e ot Dane Itghte o[ cracic �. tt � � 3Z�� ,/ Z �. � , . COGE. BcU P�nSlcratioo 7� 3 3 Z Gla� 3 /3 �. �� Net ezp. wall %� 3 /a /S [nt. wall �eiling 9�o Z � Flomr l'otal8tu, 3 Z Requued sq. ft E.D.R. or aq. ins. W.A. Leader area F7.� SM j, Room� L.ength �'-p idth 2S!-'O� eight f Wm�ws aud Daors---Crackagt aad Area Widt� He16ht . No. ot Llneal tt. Area Ja ot pane nf Dane ll�hL oL eraelc tp. tt. ' 3 3 Z !� 2/,� 5 � >o � S, � n5ltratioa � , . ��+ 3/, / :�. w� �� c � �'�; `� e:p. wal� ��' _ - _ _�_ - � :� _. _ a .e. ,a� EacT C.�►�IC . 4Eu�� RaD�. �� 7 IC coeE. Bru 30 9� 'loar `1 �a0 'otal Btn. Zequired sq. ft. E.D.R. or sq. ins. W.A. L.eader are� FI. Room � Length Width Wine�ows a�d �ors--Craeltage and Area Wldth HelQht No. ot L1nea1 tt. Area o. oQ pan• ot pane l�ght� ot erack aa. tt. n6ieraeion �lasa 'sp. wal! � +tt ezp: welf nt. wall eiling ' � �aor �btal Bta � �equired sq. ft. E.D.E�. or f�`. iU,iil /�3 5� f�d 178c� � � n� �l (o 5 ��d z33 3 Heiahe Coef.l Beu ins. W.A. Leader area Infiltration (;IASo FJ[p. W81� Net eap. wall Int. wali Cetling Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. WA. l.eader aren Fi.i �m � �o� w�a� Windows and Dcors—Crackage aad Atea Nldth Helght No. ot Llneal [t. T Aren No. at nane o[ e4ne Il`hta o[ craek 1 ea. tt lnfiltration Glgs� F_xp. wa11 Net exp. wall Int. wall Cei�ing Floor Totai Btu. Required sq. h. E.D.R. or � F7.) Room I Windowa and Doors--C WIdtA HelsAt N No. o[ pane ot Dans Il in6ltration Glass Etp. wali Net ezp. wall Int. wall Cei�ing F!oor Total f3tu. Required sq. h. E.D.R, or iris. RI.A. L.eader ares ngth Width kage and Area t L1nea1 tt. Area s ot craek �p. tt. ina. WA. Leade� area �tta �ss:.�� r Btu SUBJECT �� P IT N O. City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • 12'745 / � � RECEIPT COMMUNITY DEVELOPMENT DIV. �� L � PROTECTIVE INSPECTION SEC. r , , � � , �� /��i � CITY HALL FRIDLEY 55432 NUMBER REY. DATE PAGE OF APPROVED BY ""� � ,'� 612-560-3450 910-F15 10/7/74 � � JOB ADDRESS 1567 Ferndale Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR AD�ITION SEE ATTACHED DESCR. 7 ]. S�13C�I7 O3�C MdIIOZ' SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Pearson 1567 Ferndale Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � ❑ NEW ❑ ADDITION L� ALTERATION ❑'REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Renew Building Permit #12, 385 9 CHANGE OF USE FROM TO STIPULATIONS provide a haxd surface driveway SEPERATE PERi��ITS REQ!J1�ED FOR }�I�(�G. }�EATIN�, PLU��IIVG AI�� SIGIVS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCl FY'3IIl 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 R 1 OH WORK IS SUSPENDED OR ABANDOIVEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAHKING 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 Sl � OOO . SO 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $6.00 PLAN CHECK FEE TOTAL FEE �' - $6.50 , ATUREOFCONTH Toa THORiZEDAGENT /Q IDA7Ei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ..� IGNATUREOF WNERUFOWNERBUILDERI � IDATE _,�� ...Jt.w'C�'�� !Cl / ! 6LDG iNS� TE AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � ,��t � �+�a.� � �► �.�� -� � � �� ri� � � ADDRESS : �(� 7 ��c1��7:9! �- ��;'�= ADDRESS : f �G �% i=c"�/��91� $i�� N0: . /Slo `7 STREET:,,�--�iE!i7�4� � 1'��= ./ll. �= _ �_ ,� i 7�i� LOT : '� BLOCK : � ADDITION : � �-,4 ;� � � � � p�/%�s]/D e� CORNER LOT: INSIDE LOT:_„�SETBACR: SIDEYARD: Applica.nt attach to this form Two Certificates of Survey of Lot and proposed buildiag location drawn on these Certificates. � HESCRIPTION OF BUILI�ING To Be Used As : � i � d�t�� `�c,e t c. � [ n�'� �� y1�- < < � � �' � � � Front: Depth• Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: �pe of Construction: Estimated Cost: $% o t� t� � v v 9 i` • To Be Completed: The undersigned hereby ma.kes applicativx�.for a pexmit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of �he Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : �l/�� % (GI ?'f SIGNATURE : (See Reverse Side For Additional Inforntation.) � �- � w /> I � . i ► � �-S� � ' e �--� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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,repairs to any existi.ng 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: �o UNIFORM BUILDING CODE: �ype 1, 2& 4�$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 1�pe 3&,5�- $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, f:he aubical coatents of any building or addition, is determined by mu2tiplyi.ng the ground area covered from a point six (6) i.nches below the floor line of the basement 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 ox 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 iu the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Sectioa 2 be less than $5.00. � VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a miaimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of tlie lot, showing the location of the foundatian, once it has been constructed, will be required before proceedin� with the frami.ng. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de tea (10) days prior to the use or occupancy of any structure for wl�ich a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . . � '' •� - ,. I-. _ ___ __._'____—_ -�-_' V � • o � _. _ _ � � ��ISI/C/�i/C __" _____.__ - ___ - _ - _!�� _ e 0 � �: � i-' �,, _ - ,�� / �/.��,.if�._/��L/ -- --- -_ - - - ---- ��t�` � =� -- - -- � �'i,.�'�!��G �' _ _ ------ - --- ------�� _(� � .— --��.�=.._ _ -- -- _ _---- -- - --- - - -- - -- -- -- -----__� c_I-�------ --- -------- --- � � - -- - — - -- -- ------ ---�--___-___��..�__-��..� -_-_-_-- I --_____ _ __ __ � --_ _ -- w 0 - s • J `• - r � .. y ^� G � c [ :,� e �, C .z G j• n � n n M Y n � U � � � T � _e � O Y ' � � c [r +f w w ! y �n ►� .o [ _ O O O o G R' C H N (� r -� b r r o - tn r Ii ..-ni n X X x N N {n N N N N� 0 h�' V n o 0 o c 0 0 0 0 0 {n Vf �n N � o. O `',' N M 3 c r' r. ..` �" C t C. T I^, �. ti � V 11� v r c N O t•. �i R cE :! � S R N V� V! 7 c < 7 r C• [" � � M r N V. � Q a `r G � � � l�7 ` � 4. 1 r� _ -- � �- � � . fo ( , .. � f O I �' r' C• ^� ^ . - r. � � C � n � ° ( y C �: c f. � C b 4 ^ + � °+ G � V _ �- S L r U � > Y C'� ^ � G^ � n C r T .. F o c � n � � � � U n Y m - ' O .^ � C' � ► p G � p i: e� �t+ � � R r u• � .• n C v - � r [� �y . r. V ► � � O � -+ o a� u �R' 1 C • x x x x r. x x x x N �n N rn ►� V� M an �n N N N V Q YI tA N N W 0 0 0 o c o c, o 0 0 0 0 0 0 0 0 0 0 �q w tn N N M N�n {A � n N N � v 4 G 0 �� r tJ / L :� ..� �. r'7 � tn r= n� < ;� 1�I `_i G f • n� � � �-t tn '� 0 � s O r 0 � r C c I" n � [" r� f� •J �: �� ^ r t+ [� L 9 m Y � � C�' !�{ J � f'1 r :; Ia1 C� I ` I-� -' I�----' ._ _I r.- 1 I„-_^'� 1 � ' I ' � ' � � ( � � � � G` •. . n�' _ _ . ._ __._-_.- ___.... __� i _ , . � ; � � . 1 � L':.-.sa} ' , � � n �____._.-�_ . � ' I „ I 1 I ► Ls.r. �,. G 0 5 –�- �--� i— j --- ' � I he s is:e l• L� U I I I I 1' � iM9 � � +I I I�' I V� Wd�h :TAYS R :�- � �j�y u _ � 'I__ �"' I __ � i'i7flS.7r,►1•. W _ -I - -� I I � '�n�w(•T'S _' " _ _' __ I . .I 'I' _ � I !'l[r�Z Uldi f� I� � - � i - i- - � - i --I _Catrn _. R fl t1.:L 3 f1S. nT'_._. ..�___ n �---I I I � I Au[CTn.�c � M'.tShr f 7 I � I ( � I Ga6 T��L� . !us�. Fik: ¢� � ( I I I I Ga`' i:�inpr ^ I I I 1� I � r' � C)thez ' ti n • = I i_ I I 1��1a� I I I ! � r I n� � Uf Q !A M � o 0 0 � � a o ►a n �n �a r o � ':� C � r � O ti c+ �a P' � .w v �p -- 1 N LI � � �I. M Q � o � � � �� Z n � CD � � r. �r � H L r .� n m m y n O - 7 'O f� ►� .�'- C A� R_„3 r r. o � - -c• o. ., ., �- � � r� c .e � c r a r r- = v� � J r ? 4 4 � r .-. _ ' - �, c+ � n r+ a u m n ' • �-• �- � u a s- G O 4 C� r. �- tr �- r-r. n. R v O F � r. _ �t C f. r- + � L ___� : •s c �. C -T :.. e� ;f r t^ - L 2 U � �� - •- r �: A :n C� Y R n (� . , '. � t. 7 G fi r •, � � � a n r. G � O O �. �w �t Y I.i 7� 'J n tD '[7 G L ►� ►' G, �• :� r .. �� Y w �� •� r. n � n �. I� L'J �� il .� V� (� � . A Q. �\ U h 1' c i r, n : c. �, �� n • ., . i.. c.. • � .. p r� 4 ff 1 � I M ` t � !� O f' * r' n �- � u �. ' � � w . n v � „ n " n N '� 4 O c � a R v � � i A. w � i � � - : 4. • I I, o'�� ' � � .- n o .�- � , '�. � r � Dc � � a r. -' � h .� � i. r_ � . � � � � ` = . ^ a „ r. • . • ,_- r: __ �.._ . . _ . - --� � - - . - -. _. -- ° �--; �, , _ _ sus�ecr pE , " _ City of Fridley ° 1618 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � . � ; y _ COMMUNITY DEVELOPMENT DIV. / � r � � PROTECTIVE INSPECTION SEC. � D � � , i � � ��"1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY �----� � ,'� 612-571-3450 910-F15 5/14/81 � � JOB ADDRESS 1567 Ferndale Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 1 Shady Oak Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Ri..chard Bjorklund 1567 Ferndale A�enue N.E. 574-1974 3 CONTHACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residenti.al 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFiK Construct a 21' B 5.5' Addition to Front of D�relling for solar heating 9 CHANGE OF USE FROM TO ST�PULATIONS Slariance approved on May 12, 1981 IIVi'�R��G S�PER�ITE PERMITS REQUIRED FOR �1R1i�G►. 8efore digging call locai utiliiies t�EA�tNG, PLt�MB11�G AND SIG�.S_ TELEPMONE - E4EC1'RIC - GAS Etc. RE�lJ9RED BY LAW - SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OP 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 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 WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT $4iOOO ,�$B �`Z.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHEii STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $24.00 PLAN CHECK FEE TOTAL FEE $ 6.00 $32.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI e WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i� G1<?�C-�� ,� � s'— r �. � �r �� ' ��/�l � SIGNATURE OF OWNER�IF OWN BUILDEF� IDATEI BLDG INSP n TE �.. 0 CITY. OF FItIDI_CY • • I�PPLIC/l'fIO,J FOft l;ESIUEitITI/li_ E3UIL[lIt1G P�Fti�iTTS (t�et�r, Al �er.aLions, /ldciitions, or Rcp�irs) at�i��E�t: __ � iGI� �� TU �Z� Lv� � ADDRESS : ��O 7�EI�n3,�/�LL A v� . IU L 7CL h0: 5 7�— � Gf7l� �UILQER: . ,Ij(ZA� ,7G�rS . . /1DdRCSS: - 7EL [�d0: 377- 5 23�j Consi:ruc�ion Location ' . sxr�x rio : I S`�7 s�r�r:T: _1=� 12N�� c- /� �� /V � . -__�.___. Lo�.�: � sLOac : ( r.nnz�rzort : SK� � r G� �� /�1 ��✓o� . ,. _ . Corner Lot: xnsicIe Lot: 1/'`� setbacY.: ,�� ,� sideyards: Ap�licartt attach ta i;liis form twa Certificates af Suxvey oi lot and proposed building �ocation drawn on certificates to scale. . . � DESCRIPTIO►� OF COFISTRUCTTON • � � Front: ��-�-T°" Depth: �� S Height: 1 Z� Square. �'eet: % jS � S W.bic Feet: f 3,�.�, _ � �XOIlt: Depth: � Height; Square- I'eet: Gtibic I'eet: . Type of Construction : S C�1�4 �2 �}Dl> iT� UN Esiimated Cas�: $�- oGp 7b $e Cbr.�pleteds ��v� 30 $l . ' . . � Alt. A Alt. B Proposed .Drivec�ay Width If New Opening Is Desized: $' � . . . S�� VERSE SID� OF SHEET �.'Iie undexsigned hereby ma};ea applic�ttion for a permii: �fcr the t:nrk� herein speci�ied, agre�ing to do ,all work in str�ct accordance �•�ith tite City of P'ridley Ordii�ances and ruliiigs of the Dep�zrtntec�t of Buildings, and hez:eby declares thzt aIl the iact-s and represen t.ltions stated ;ii this applicatian are true anc3 correct. D.3TFs: � �`El �'I SIGNATUF�: /`i��-..`✓� ��✓ 5ti��ulations : VG✓I�v�..cr l� i1,2�� .S �' / Z - �51 . a�evV p.� �6�� • � �� 3Z,vd � , • r 0 , • • ,� • rI�JLJ)II�lG ('�R�1JT ("E:t� :�i:iff:T�U(_L"� ` � . :;L:C:'.Cx01�� ?.. • 7.'1iL 7n�.:��eetc�r. of' )luS.7:c?.i.�u1:: ::li;il.l, hcfor.c: i.�, .ui.ncJ� ��enniL•:; l:�r t:he eract:a.an of ��►y 1�u�.J.�l.i.>>�� uz :�t:ruc:t:ttr.c, w: fU�: �ui�� acicIi.t:a��n t:r� �u�y CY.]_:;Li.i��1 l�tiilcli.ny oz :;�z1icL•ur_r_, ci�: f:c»' c,r,y til.t�ertiL•ic;i� or. r.c�,,��i.r.:,; Lo •any c>:S.r:t:i.i�� )nti.l.c�i.n<� or. :;L-1:ucturc, uJwn ar�pli.c�,t.ion �ttir:r�f.or.-c, �l:cqu.i.�-c t�]ic ��rx}�mcut: )�y t1�c aT�Z�l.i.car�t: fc�r. sucii ��cr.��i.L• oT fec:, to 1:1�c ain�unt. hrxuir� bcl.c�ar sai: rort�� ,�a a.�� nc� manrter_ hcze�.n �,�:ovi.cic:cl L•�-�•::i.t.: - . ),l:l•1 COid�`I7'tUC'.CIOId: �incJ].c l.'ami7.y Ilotr,e� and Gar.�iqc,s;: ;:4.00/7.,0�0 cuLxc fec:t:. • I?L?s:� (:ll):Cl;: 25 j�er.cciii: of hu�.lcli_ncJ }�e�-mii: fce. � U1tZ��F.I•iAl' llL•'L'P.c:SSx01•,: (Concrc:L-c, C�irb uL-rcets Only) �' ' Al.icrnrii:e n: ltc:►n�val at�d replaces�ient oi concxe�e cuxU and c�uL-L•er O11I.j�; Driveway �;�iQth p].us 6 feet• r. $13.50 AltcrnaL•e B: Removal and r.eF��.acemcni: of concrete curb and • gutter and iilst��ll a 3 fooL- �•�ide aPproach �aith '' .� 6�.�►ch depth; Drivc;•�ay �•ridth �plus G feeL• x$15_.75 � . �►LDI i� on►n� 1 r�.r-onc��nT � or I'or the purlZ�se oi co�nputi_ng Lees for. building perrnits,. L•he cubica3. contents of any bua.ld5.ng or. addition, is detcr.mi.ned by rnultiptyir�y iiie gr�und area c��vered fro:n a . p��.nt six (G} inches below the tloor J.ine oi the basement or the cellar to 'tiie _ averdge hcights ai ihc •unper su�_face or L-o the average heiPub of the roof. surf:�ce oi �l:]ie nain gab].e of a pitched rooi'. ' Fox' ze�ai.rs or aJ.t�rztions to an er.isting strticture, the fee shall be at the rate oi $3.00 �ier. each iive hundred doJ.lars °($500.00) �r fracL-ion tlier�oi xn the cost of all proposed wor.k. - In •no case sha�.l the fee cliarqed for any penn�.t as set iorth i_n Sectian 2 be less � than $7.50 plus $.50 state surcharge. � - ' ' _ VCRIFICATIO��! OF t= U��jDt1l�I0tV ' NOTE: Permits for c�nstruci:ion a�ill be issued a minim� ai 24 hours fr.om Uie time oi application to ��.�oca fox proper revie�a of i:he proposed st-._ucture arid oi the COI1StY11Ct.].011 site. ' , � I� Certi:Eicate � of Survey of the lot, shoc,�ing the locata.on oi the foundation once it has been cons�nicted �.�ill be required bef_are pr.oceedinq witli the tramang. .�jiZIFICATE (lF O��UP/1(��Cl' ' ' I►FP�-�Cation f:or a Ceitificate oi Occu��ancy shall be mac?z� ten (10) da�►s prior to the u�e or occu��3ncy oL• �ny stzuctur� for tahich a�iuil�iing perrait has been issued; and said struct.u�c shal). not be used oz- occu�ied t:riti_l a Ceri�i.iicate of C�ecu1�:incS� has bcen xssued. 0 • ` , ' � ' � ' � . 0 /RO/V _- --- � �--, ��-� �- � G—� ��...� � �' � �� q � � � L�� t_• Z.; C`� �::� ��,�I � ;;"� �-- � � �� a�^��r�� ,-� .:;�:.,�-� —'';.� -.. _ ;►-�---�-�-.� --- '�---, -: �- ---_— - 7415 WAYZAYA 6WQ �° �� " AIINNEAPOLlS. MIhKESOTA EsYao, �� ta�r �� r��C�� 4 ��L�� Fo� Duane Pearson 72,5 ---_- , ' 6 �'t Uf� /.'ly ar�d � I D�"a:r�a�e E"ase� . I :. f � • �/ • ••� � I � ` � 1 � ; I h; = ,2T.45 � , � ( � � �� G • v .a, I � : �''� �� .�: �E. i /RGiY-'' - .- .; : b U/�D/NG U��der Co ns f.� 4 0.0 , + ___ �Y�s�n� (�oor. . .'. i /RD/� �� — � : � Sca1e: 1" = 30° � _ , M 1� � y __��.Dv��eiling -- ---33- �` �� .. � /V�� J' I "P � �: � � � Yt 35 . `� s.a 3 9 � . 't � PRSS+vt I Su�AfL � `� t SaK rL � � � � y.2o- 8� . : . i � � J, , ;� 72.5 - - pN FER/�10.� � E �t �/ENcJ� DESCRlPTtON: tat 7, 61ock 1, SH�DY pAK MANOR. �y. �l ::�— ��,�► , . j� , ( Vu l / � � �� We hereby certify thal this is a true and correct representation of a survey of the boundaries of the`land above described and of the Ioca4ion ofal! building� if sny, thereon, and all vi�ible encroachments, if any, from or on said land. Dated this �sday of Nov�nber � 1973�, EGAN, FtELD 8 f�OWAK I�IC R�?v� 5�d th i� 1Fith dr of Nover�ber 1g7j� ' Surveyor '� •'� ' = i ie Iv'�o 529� Book No 1996 - 48 � by%/'t,.,,�; J�`� �,�• ;�� .) � � , . ... . 1915 - 71° . . �' � � . SUBJECT PERMIT NO City of Fridley �- 6 5 4'4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � R NO. � `L ____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /� U 1 . i (l/ 7 1 � /"'1 � CITY HALL FRIDLEV SS432 NUMBER REV. DATE PAGE OF APPROVED BV �----� • •,� 612-571-3450 s10-F15 4/26/82 / / JOB ADDRESS 1567 Ferndale Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 1 Shady Oak Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ri.chard Bjorklund 1567 Ferndale Av�nue N. E. 574-1974 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Custom Builders & Remodelers (NOT LICENSED IN FRIDLEY) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF' WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 14' x 12' 6" Deck Porch Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Get method of rafter ventilation approved by the City. �EPER�ITE PER�?9�°S REQLI9RED FOR �iR►P�(�, ��A�9��'�1a.1, ' . .. •„�� ,�P�-,R,� 1V SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD VENTILATING OR AIR CONDITIONING. WOOC� Fr3ID@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNIPIG THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT..THE GRANTING OF A PERMIT $2 � 6OO �`�..30 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $3S. SO NONE PLAN CHECKFEE TOTALFEE � $9.63 $49.43 SI NATUREOFCONTRACTORORAUTHOR12EDAGENT IDATE� �'t�� WHEN PROPERL VALIDATED THIS IS YOU PERMIT o � � � � SIGNATUfiE OF OW OWNER B DERI IDATEI BLDG INSP � �A E r O � Z � i� O C 1 _ m � � � �z'-/Z a�N �aX �8S a�� c�z� a q► � �� 8m 3A � �� , z p n�'+ R1 N � , �� o ° A� � � � O 0 c �� 3 D� _� i� �� 1 �� vi Avo'� rrnJ� .�o �C � — m N3 2� �a= � m� �v n�i °— � 2C MZ d � a�1v � °�� _ � ., � r o�A� Nzo= aa �o mQ c' �� r.,�-�--.r.�.�..--�.��,,._�.� ._._4 . . -..�..-�.�_„-__n ___._ . . _ . _. � � 6 � r � � � m � �v • � .< r� o Nz � 3 �° _ z�D a $ c fi -1 O r� z f '! E. I � ' c i . / ' � � ' . .,- ' 1 I � � �— — — — — — — — — -- -- � ' � r.. ._ ._ ._ .._. _ � _�� i R' In U' • -i -i ,Q rn i � r,��„� v z � -Ai �Z �- �� z o c '° z �' � d I ; � W n N �0� � � �' O N rq 6; � I "� � VC 7� '- o" O I .-� � ' � � or� _ = r C � ,._f�_ o � �.,. � � e _.. . `� � � �' �, . � � r� i �m z � � � � dd � t I R,.�. � ! � I � � . 1 � ' ; � � ,, � ,. r � I �_ �- -x 7� , {1 � X° 0 � fl1 � � � I ' p z �� rn � j, 6� �� 1 s� ± �a � � � �Q f P � � xi � � � � � � � �' � � � � • `� 3 �i � � - - I rn� �� N - O _' � — — — — ? `' O „ — — — — I . � � . 4.' , . - � �� . � �.� r C w� G . �7 oA C ��z � � -o m� �o � =• i 0 3 1 � 3' Z� c� � �" w � x ao 3w � � N N A A fiJ � (O V � A O � a � 0 3 m 0 � 0 � 1 O r r 3 D Z Z n O Z � � n � Z �ii o' � �°< �� --, � �� 3 �� m�� o �� g��as' ;��gm m�� oa � g '� s `�i_g �' �� $am� �' ��a$ s.��`' p�0�. a T ��3m' m� �� o�� o ' O' mA ��. � ' V , �� ; � � � o � 0 � ; �? � $ � �e m� gx �� E � � ,� �� n� � D a� m m � „� s Q � $o � � � � m � x � � � � d V O O � �. � � 0 A N 0 0 � � a c� � � a � � � V � �� pp`� _ `�'D �C �1 �%* �.d► �• yn (�/�l � � a � d � 7D � �D � <. 7� m�� m y. �. w �°— y. "y.mo � m� �c°• � � y� d a d � �� < � _ c� � �3 m Q � NO�DA 7' ? � «� III mmm �� 00 �� m �- ? � m .?i � � � 3 N �I N�� V' 3 fA � � � m � � a C � � �g O � .C+ � � Cw'! � c� �� I O y ' �3 � �� n� 19a, � � c� �� + � A 0 3 C c m � � 0 � � � N � � � _ ,� � o'� ��,�' �dw Oyn y0?� 3� �m A � � ? O N � �, co � � � r° fA �O 3� � �� c��o cn �� m � m 7 m W .�-► m 1 o�o ��7 N y a� y Ol j• � m3� �iU01 N-� ��ro ��. O N n � N ( D � a� m� d � 0 � ii �� 3� 0 N � D i� � m � � a � � � �y� fA yp �,D � c w � � m � c r V � m C � m � �o�o3fA �yg�e �m � 39 �3m;_ �a� � a �3 �� m Oc�� v�w��3 3��.�� o��..a 'o_'� � � m~ �3rt �, � � � ; � � � S 1 7 � �� O � �' o ? m '! � �D � � N �o � o o '� N 9 � w��on O �: : -+�Q 7 ' y. il ~ 3� 3 e: . • � � � : � : m � . . . . � +� w��>'9 O� W a.'�iZ 0 03 —Q� _.�p �t � o .c e ql �3�� m �C�m K � 03�� M �j, N� �D v y � . wr.n.��0 \gw39 w�3.�iC1 � m �► !C � ac��M ��c�o0� poo 3 a� c� w � = a�m �Q �� y� a�t i �: � � �� e � ^' D � y. v d �O � O tA �� w ai Dtm1 w =-vQ a H� �� m 3v;� � � � � � � Q � » O a� d mo►o "•a� 7 C A �a�im �.. � f/1 � � O � � � � � D�9 � � ��y oco�Q��= r. � O�- ��`pm m y y � O (rj � � �,y �C A �?;�yt�a0 � a=3��3 � . c �'. ,� �► � < rc �� y��. g c^'�w �� , na� �p�CC��f � �?o< � �� ?�c�' m � .��3 D � �m �v�Q � 30� o '° Q � � � � w � ��m p: 0 3� ° �3 7 y �� 7�� T■ 03.�� 07 �p �,n T3c��c t�n ni � D!� c�-�sa 3�°.�� y w O m � �� o' ��m� O. Rm � Q� m � a�.� � � C �D A� .� °;�^'m� a�� g�,� < C � "� � � d � =C�A � �9b. XyO9 — c�ma �D $, � � �N� � � � C � y�qC o �c � ;� <-��'3�+ � p D � ?� '� 7 H 0 � ,� � O �� m ax � � � 03�� 0 � ��0 <_a,Ae co y D� � ?,m p� m � ��pmm � �. � 0 � ��m a3�� e .. o m � w � � � a �, � o� � � ma o��.� �� ¢��g �-�mc»� ��x mm��m� g�� g3�� .. �m ��m� 1 � '� v °�»m a�.� .. w m .. C ,.. � N � N?'� � O 0 M-�� 3°cx�c �� Q ,r5. � �m C a o �m �o� gm�. ��ma � �'v �, � 3»�� m� ��a �g�� m 8��? °c��'� '0 �p .7► o/ � m Q ��. '� rC � a � �' m �o' � � . ro � � . R� � �c�vo�� w�vy=? ?Qro -► O m � c�m �� o�_vo"�7� :m v�v�, a��0_ � I =c' w mA �D C O c O1 W � a� �� ao, od��$= m�OmoX 1 p�1�IT1��Q � C � �,� � .2�— ..;i oo�� -w�7��pym .'�� C� p: 31 .* m .ni�O 0 ��» <a�o�; � w�� Om ~ o��T�,�. ��°�o � � �� a�� $ �>o � �3 m �d ��c'�3 °-'m�m�3�m� 7 -i� �� a-i'♦ 3� �� ' �� mf m�� , mm m � (A •+ � 'O W � a� 0 »�•� � .�..0��0'��D � 03 � o7oo3v�Q .�. � C � < �, �i N—'C�m00 �'0,� a?� � � ��a�D D3 N�.�.0 �.�g � � � y N � � wa��oOm �m��y �0�� - ... �o�D r. ��ma �'� �� -J m m O m W O O O� O f�A• � �m � � o+ m `+�.� o ww�e � � � � � m � � � � � � m � y�� O I�-� F�'!'d FF''''� �} 0o m o e roro m m c+ R� m � 1�--' F�-' � P� I� � 1 W��. ��`'m ►�� m ��,y � ��° m� tyD� o wm w�NO o m c+ W m � o�t g a+ � c+ c+ ►i co m v w m� a� bmw � ►�+� Q° e+ m N w� � e �� o a� m �a� �� .3do �� i� 1 � � � � a � *� �3�� 41 y a � a�m0 � ~` .�► N i�/J � � W � �m =�tn � � < y N � � m G. y _c 0 wQ� � � � ��a H � � — m ei � > > ax � �.so �� =��m ��,009 o��o. Ci0 y c � cuw�'m0 �� m�g� ��Qm� �� 7��C;• � y —; �O�H � O�°—" � T�' O. �� m � O � C � � � 1 � � �t° �� o��D �m�� x� y m m o m� o o m o m� �m��m�'�w�ow�3 m ep�+ � F� � �i � � � O�q C � A� Fi m�� F-' O I-' �'d �'' � �h oa m m Mw�} � c� e+ �1 m �Nc�+o+ F�•`i w�.. �w � ac � � �� m �m m°� � o � m 'l7 R� m m y� � C� c+ �C 1--� F-' c+ m�+ �°w�°� oeeH°o o� c+ m m m � � �� e�+ O F�-� µ n.�.. � e `+` � a �°-a � a �o w m� . • . • • �cm�c��,?r�mcn-n�g�000 �� oN��d��X��M� D -•-3 � W,o' c �s�o cey�o��Kyc m �v.�»�w��D.r. ec� �3a� �� w �•� °_".m �?3 mQ��3 o c�i � Si�_. � .OI-►Nm .��►O �� p•� �a� y � � �s� ��o��D?;��v��w�� m- y � �c � m �3�0 �p �m y�� C�� c� Do pm m am O �o � .°�, N ap=►�po�� O� �p3 = � mg wA��OvOo�ai.�>�yfA k_ »Q�D � � TI� � _� �Q•►m �� w "p�g�+�� m,w�„c � � � ? = 0 � •-• 77 3 �� wryro 3 � � �y��m'�m � � g� ��, „�� mm 3�a � 3 ��ym r � 0� y�n w � p fC n n O � Q � � � 7 � �+ � � �w � $ T� g a �� m �'3��v�3�� w �'.�co mv_ao,?.� � 7� -� = 'w � 7r� � ��o�o,.,��P tnyD'�'?p?.=.C� Cw � v, r.�_», m y, Q n� C CtQm.x+>>�nm � e�o�c��.aw�� =•�' �$ �� m? °�Hqu,a�� a �.mmc�_? x�OwmHo� Q��3.?�x _�a�c3 Z�ig3��. ��am��g� o�oc,$,o�m mC 'COCn�+ A ?..,mv »� o °c,.my.n��o�3 :w o.� � »�� a��a oD � ,r c '� m � � � 0 m m � � � � m 1 � � � � r �.°+�'� ��G � � � O � O 0 y � � � NI w � w � � ep <cp� m t�_03 W � � � O y � � � � Q d ay ... � O a =.'O - ��d N O � Q g�,3 -w � � �w'oo:?3�� '�o eu � "D �.a�.y �o �.rm O�� S7 � C�i � n y pm� � �� y � � 3 �y au; � �D w° m�' y w � �D�,�v,cr�w �,$��o— m w -.,c � Dd e a�� g� N�.K�OID� cmd��om �o�30Q� ��_.�Occc� �co�3:n—� a�°�c � m ��d�� o �� a3 c�wr'f.Cc�a � �� ; o � »m � CITY nF FRIDLCY Effective Aug. 1, 1981 APPLIG/ITI��r1 FOf� RCSIOCidTIlli,. I3UILQIt1G PL•f2t�lITS (t��►•r, Alteratians, AddiLions, or Repairs) OHJNER: _ � 1 L��-�rrz� � ��2 K.LUSv� ADDRESS: I ��1 � 1'��D�� /� v� ,�vc TEL N0: ��`f--��(�� Jalf� //Vt/ct��= �S' [3UILDER: CU.STo� �v��fk:�2s � j�¢Mopt�C�v2� ADDRCSS: TEL f�0: � S 5— S b�/ _ ._ Construction Location • STJiI�T NO: 1�✓ �� STItEET: /--C✓LN/� %3LL /-�-�(_ O�� L. � �-_ . ....-r-�_ LOT: . � BLOQC: � ADAITION: S�-fA�j' U/�(L 9 N'4f2 Corner Lot: Insiiie Lot: i� _ SetbacY.: !_ Sid�yards: Ap�licant attach to this form two Certificates af S1,trvey of lot and proposed building �ocatio� drawn on certificates to scale. DESCRIPTIOfd OF COtJSTP.UCTIOPJ __-___�� D � , Front: � � Square. Feet: I�� Depth: � Z� G�� Height: fj �� c�ibic Feet: � 3 � Z . Front: Depth: Height: Squar.e� Feet: Clabic I'eet: fis�l� = 2G2�s . ��OO 4ype of Construction : ��UD F�2A/�l � Estiunated Cost: $ U Rb Be Obr.�pleted: __ %�/t A`( , 1�$ 2 Alt. A Alt. 8 Proposed Drivec�ay Width If New Openinq Is Desired: �� $ �� , . . SE� R�VERSE SIDE OF SHEET RSie undersigned hereby maT;e� application for a pezmit for the �:erk� herein specified, agreeinq to �o ,all work ir, strict accordance with the City of Fridley Ordinances Pazd rulii�gs of �the Department of Builc3ings, and hereby declares that all the facts and repres�tations stated in this �pplication are true and correct. D.�T�: `Cf�2� 2y��`7��' SIGNATUFE: St.i.pnlaticii$ : ' � . � �• �� 9.�3 .�� .�/� , . /i �_/ � . . � ,A�► r � � . 0 � i� s � I � ," BiJILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or"repairs to any existing buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and i.n the manner herein provided to-wit: TOTAL VALUATION $1.00 to 5500.00 $501 t+o $2, 000 S2.001 to $25,000 = FF.ES $10.00 Minunum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each addition�l $100 or fraction thereof, to and includinq $2,000 $32.50 fmr the first $2,000 plus $6.00 for each addition�]. $�,00� or fraction there,of, to and including $25,000 $25,001 to $50,000 $170.50 for the first S25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $100, 001 arid up $283.00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $443.00 for the first $100, 000 plus $2. 50 for each additional $1,000 or fraction th�reof PLAN (�iECR: 25 percent of building peYmit fee DRIVF�n1AY DEPRESSION ESCROW: Concrete Q�rb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Rgnoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF �"OUNDATION Permits for construction will be issued a mini.mwn 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 Suzvey of the lot, showinq the location of the foundation once it has been constructed will be required before proceeding with.the framinq. 2 G� G " 2�� l �G 3� �' � 3�. s� �.-. sue�ec� P City of Fridley l AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� 7� � r � � RECEIPT NO. � i y______ COMMUNITY DEVELOPMENT DIV f � � PROTECTIVE INSPECTION SEC "�pj `� � _ � _J C�.� � �'�'1 � CITY HALL FRIDLE� 55432 NUMBEF REV onTE PAGE oF APPROVED BY �"""�� ' 612-571-3450 910-F15 7/18/96 � � JOB ADDRESS 1567 Ferndale Avenue NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 1 Shady Oak Manor SHEET 2 PfiOPERTY OWNER MAIL ADDRESS 21P PHONE Loretta Borgan 1567 Ferndale Avenue NE 572-1778 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Smae 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (11 Square) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOfi ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alq CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZONING SO. fT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTFEET PARKING I HEREBY CEFT�FY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED { WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTtNG OF A PERMIT �907 �•�•°"'� 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- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�3�1.%5 Fire a5�.' �.91 PLAN CHECK FEE TOTAL FEE $36.16 SIGNATUAEOFCON�RACTOROAAUTHORIZEDAGENT IDATEi WHEN PqOPEFiLY A},ID TED THIS IS VOUR PERMIT ��. � �� _ � � � c�,� , - Si NATURE OF OWNER iii OWNER BUILDERi ATEI BLDG N57 ry�TE ' NEW ADDN ALTER I] [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 Building Permit Application ConstructionAddress: ,y� �� , �.� E-� � . � Legal Description: �U % '7 .�( , / ��.f� y° (�t� ✓J%� ,tJU2 ---, , Effective 3/1/96 �� Owner Name & Address: �e��-- � ��',.�-'� Tel. # � � � - J '� �`�� Contractor. � �-;�� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground �- Tel. # Sq. Ft. Sq. Ft. Sq. Ft. .� _ _ . �--,�� / � Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks ,� of Construction: � � �� ='� TYPe Estimated Cost: $ �v�=� _ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Nesded: Ft. + 6 Ft = Ft x$ _$ � DATE: � / � `''� � APPLICANT: �2�� ; - �a Tel. # .��7 �- �' � > � ._'��J��i� Permit Fee $ ��(�"� Fire Surcharge ' � � $ � State Surcharge . �� $ '� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $9Q0 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 [ J $ � �= 9 4i _ ��,.�� BUII..DING PERNIIT FEE SCHEDULE The Chief Building O�cial shall, before issuing pemuts 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 $54,000 $50,001 to $100,OQ0 $100,001 to $500,000 $500,001 to $1,000,0� $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 phas $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, t� 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 $50,0� plus $6.25 for each additional $1,�0 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $S.OD for ea.ch additional $1,D00 or fraction thereof, to and including $500,�?0 $2887.25 for the first $500,000 plus $4.25 for each additional � $1,000 or fraction thereof, to and including $1,OQ0,(?00 $5012.25 for the first $1,00O;OOQ plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternaxe "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alterna.te "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 �OUNDATION Permits for construction will be issued a minimum of 24 houirs 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 l�ation of the foundation once it has it has been constructed will be required before proceeding with the framing. - -� . , ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE Permit No. : CITY OF FRIDLEY * z 0 1�- 0 0 7 9 1* DATE ISSUED: 05/28/2010 6431 U1vIVERSITY AVENUE NE FRIDLEY, MN 55432 ►63) 572-3604 FAX; (763) 502-4977 : 1567 FERNDALE AVE NE : 243024110085 : SHADY OAK MANOR : LOT 7 BLOCK 1 : BUILDING : RESIDENTIAL : DRIVEWAY CURB CUT NOTE: CURB CUT ESCROW = NO FEE PER JIM KOSLUCHAR. 5/28/10. ASSESSMENT AGREEMENT ATTACHED TO BUILDING PERMIT IN ADDRESS FILE. LINEAR FOOT 20 APPLICANT GUERRA DE SIMS, MARIA DEL CARMEN 1567 FERNDALE AVE NE FRIDLEY, MN 55432 OWNER GUERRA DE SIMS, MARIA DEL CARMEN 1567 FERNDALE AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date DRIVEWAY CURB CUT TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.00 0.00 B�ildirig BUILDING Perrnitrto::� � �u °l�C�� °Inspections RESIDENTIAL APPLICATION Received By: '� 763-572-3604 CITY OF FRIDLEY �6��Y ��8 763-502-4977 FAX EFFECTIVE 1-1-2010 � DATE h s l a� 1 a.o �� YOUR E-MAIL ADDRESS C f� S� L t1 S� A M � i.,`i . IJ E� srrE .4nnxESS 1 S�� E�2cJf� �4 E A V i�?E THIS APPLICAN'f IS: L�OWNER OCONTRACTOR PROPER OWNE NpME: d�l dl �.lC � i(I✓ls TENANT ADDRESS:_ S(i�AE /� 14('�OUE C[TY STATE ZIP PHONE: "��,?� - �7 1 -7 S � 2 CONTRACTOR NpME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTIOAI SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERNIIT TYY'E � ADD1110N ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FITTISH ❑ ROOF � DRAIN 7TLE � DECK O SIDING O OTHER ❑ SWIIvIlvIING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ' ❑ MAINTENANCFJREPAIR ❑ REMODELING � Q 1 Vl.1.J�:�'i CU �i3 - C Ut DESCRIBE WORK BEING DONE: SIZE OF IlVg'ROVIIVIDVT LENGTH WIDTH HEIGHT S Ff �� ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT• NUMBER OF SQUARES ❑ HOUSE & GARAGE �, ��y��ng Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SiZE: ❑ DETACHED GARAGE 3. List of struotural members to be used PROPOSED FIEIGHT: IDING FOR NEW CONSTRUCI'fON INCLUDING DECKS, 0 V�nY� ❑Soffit ADDITIONS_ & PORCHES SUBMIT• �� ❑ Trim 1• Site Plan/Survey showing the existing structures ��►�T � Fsscia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations W EXISTING OPININGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FORNEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE SiICKER ON WINDpW. OPENING CHANGES & TYPE OF WINDOW TO BE IIVSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge 5 See Back Page for Fee Schedule $ 65% of Building Permit Fee S .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2 0 SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $4 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make c6ecks payable to: City of Fridlev Attac6 THIS 1S 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 accwate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica6on 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 NAME�/l�� aS/�f9.S DATE OS/Z� /Z� /O Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erectYOn of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any e�cisting 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for l�` $25,000 plus $10.10 for each additional $1,000 or fraction, . to and includin $50,000 $50,001 to $100,000 $643.75 for 1� $50,000 plus $7 for each additional $1,000 or fraction to and includin $100 000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional$1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1� $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 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 Fax: 763-502-4977