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AF - 42311sus�ecT PERMIT NO. City of Fridley � 12934 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. RECEIPT NO. �7 ' • 7�C �i �) �C '�' / � �ti: -^--- r � � PROTECTIVE INSPECTION SEC. 1 , i �( � /��i � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""�� ,'� 612-560-3450 910-F15 5/8/75 � � JOB ADDRESS 1360 Fireside Drive N.E. 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Gunderson Terrace SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Charles Bitzen 6417 Highway #65 N.E. 3 CONTRACTOR MAI� ADDRESS ZIP PHONE LICENSE NO. rtin Homes 6901 West Old Shako ee Road Bloomin ton 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR � MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 44' x 28' Dwellin and a 2' x 2' 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION (Approx. 9.5' Deep) as� East of Manhole czn�. ss5.36) M� �8 a3�1f1�3� Wye Elev: 885.92 Top of Footing: 8s9.42 Minimum '��3 $y� -��1�313 -�C�10Hd�131 sai�i�i�n �e�oi ((e� �u�A�ip aao7a8 WATER LOCATION: 11' East of Sewer Service �� SEPERATE PERMITS REQ�II�EQ Fd HEATING, P�U�BlNG a�p R WIRING, S1GNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GFOUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. W�d FYaICt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R—�. 1.312 25,904 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED 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 WHETHEii SPECIFIED HEREIN OR NOT. THE GRANTtNG OF A PERMIT $3�.�SOO ZS.%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS`()1.39 $325.00 PLAN CHECKFEE TOTALFEE 402.14 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT iDarei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT Q � �/ / _, (�� S ' - C�/� ,c � ��-- SiGNATUREOF OWNERUF OWNER BUILD 1 iDATEI BLDG INSP A7 . � � ' � .. r. � � � APPLICATION FOIt Ri:SIDE?�TIAL, ALTEItATION, �R AllllITION BIJILL�ING PERA4I'T GITY OF FRIDLEY, 1�1INNESOTA OW1V�R`S NAME:�7��1�5 �T7/��5�7� BUII.DER: /�'//��/T�/!/ ��J�S �J�'/� %� h�� 90/ �rr�sT Q�� /��-e1°,E-,e�oPopL AnDR�s s: �G ��! F AUDI2ES S: �" �.( oo,�� ,�� 7- I�0 : �� lo O STREET :��iu�r�L-c� '�J i�� LOT: � BLOCK: � ADDITION:_ _ ��,��CC�L¢.,.,� CORNER LOT: INSTDE LOT: X SETBACK:�L�_SIDEYAP�D:�f /4 Applicant attach to this form �o Certificates of Survey of Lot and proposed buildin� location drawn on these Certiiicates. DESCRIPTION OF BUILDING To Be Used As: ��5� Fron� :_ ��f Depth : 2� �` �� Height : ,� D .�T�1 % � � Y �3 ►'t� � Square Feet; %�a f Cubic Feet:_�� Z,S 9Q� �--�;�� Front : e?L� Depth • :Z � Height • �– � � Square Feet; %2 S Cubic Feet• �� Type of Construction: �–�'�� Estimated Cost:_$� To Te Completed: � ,�,�� 3 �� Sac� The undersigized hereby makes applicatinn for a permit for the work herein specified, agreeing to do all worlc in stzict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and riereby declares that all the facts and representations stateci in this application are true and correct. DATE : �`��—%� S IGNATURE : C�t�.� l% f i,�_:�;�i.�� (Se� Reverse Side F r Additional Information.) G�it. 33 ,1� � k l. 8 �000 = Co I.3 f � 3 I, Soa Y 5'`�/a.R, : � j.��. �`� S �. � �"�. ° °�-- _ .- . - r�c.{G �-, � � �� /""�� _. 'Su,�,�,�' _ w_._ � �.�.`.. �; . . RU1:LT)ING 1'I;R'�IIT I'EI_i � C11}illULL-' SECTION 2. 1'he Inspector of �u�lclin�s shall, before issuing perniits for the erection of any buildin� or sLructure, o;_ for any additi_on to any existing building oa: struci:ure, or for any alter.at;_on or repairs to any e:�isting builaino or structure, upo;.i apF7.icati_on thezefore, require the pa}�ment i�y the appli�ant for such permit of fees t� t��le amoui�t here.in below set forth and in the manner herein provided to-�ait: UNI�'ORi� EUILDING CODr: Tyoe l, 2& 4-$2.15 foz each one thousand cubic feet, or fraction thereoi, in such. cubical contents. Type 3& S-$1.£5 for each one thousand cubic feet. �' � AllDITIONAL INFOI:I�IATION '� � m For the purpose of CG?:1j�Lf:1Ti�; fees for buildin; permits, the cubical contents of any buildi_ng or addit�on, is detzrmined by m:alti_plyir,o the ground area covered from a poinl: six (6) inclies below the iloox line of the hasemen� ox the cellar to the average heights oi the upper surface or to the average.- height of the roof surface of the mai� gable of a pitched roof. For repairs or_ alter2tions to an existin� structure, th� fee sha11 be at the rate of $3.00 per each five hundze:d dollars ($500.00) or fractzon thereof in the cosz of a11 propo;ed work. In no case shall the fee chaxged for any pexm it as set iorth in Section 2 be less thar. 55.00. VERIFICATION OF FOUNDATION NOT�: Permits for construction will be issued a minimum of 24 hours from the ti.me oi application, to allow for propex xeview of the proposed structure and I of the construcL-ion site. , A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required Uefore proceedinn with the fxaming. C�RTIPICnTL OF OCCUT'�I��CY ApplicaLion for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structuxe for which a buildin� permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. _ . _ � � a'?� � _ _ __----------- ----- __. _ .. � � ' CERTI F'ICATE OF SU RVEY ' � . � JAMES L. KURTM � LAND SURVEYOR i �2Ot N.E. STH STREET � ,,f � COLUMBIA HEIGHTS 55421 788_y�{ 1 N[1�EiV CERTIFY TNA7 TH7S 6URVEY, rLAN. OR REPOR? WAS PIiEPARED BY ME OR UNDER MY DIRECT SUPERVISION ANO TMAT I AM A DUIY REGISTERED I.AND 6URVEYOR UNDER THE LAWE OF THE STATE OF MINNESOTA , DATE 5- � • � � � 9-�--,�_ �, � �,-� �- '`� SCA LE 1 '" = 30 ' MfNNESOTA REGISTRATION NO 5332 0- IRON MONUMENT � � � �.. _ !- ►ct�s�o� Dcz�.r`. - �Z� - � y ' �� .9'�' � �f q� „ � ----------� � ��1�r � « � ��___.� ,�. . � o y; �� .c � �i h �. ; � ; - �, -- -- ; . i � WARNING � e!� digging call local utlll�� : ��, ONE - ELECTRIC - �� tE UIRED SY �'''ilV � , � , 1.� �"£ �' ir � ,� ' , , � , _ _- - - — — — --- — — --- -- _ - � U-��..� ,� z .1?��.�K�c � � -�M -- —�__- — -- l"t_O c�O - - J , � � � `f: �nt"Y'- . . + . , . , ;+' '�.�:-E.;r�t_�i ___ �.._,_,,..�_---_.._�___------------ � a ` � ��'�� i s__._.. _�� ,* k lr f r8 � ,� f�,. � .: �..;7 � . ' �r�-- �� ; �; �. . ,�. . - � � , ��i � : � , .� _ w.� � �� °�� . ��, � ' � � '� . � l . / ` .'�1 i'r j ' ...r / - ... �J �' .,� �; � ` �-_ �' r , _s� � r^�+—.- .�%_ f- .. - , A '� � �,i.� � ,' _F_ � rtri, X .��,� �t � f t�.,4 1 :d ' . . . ��.` -,. / e 1 i� � � i �, � r '� z� . . .�: i.. ..N' . ... . . _.. ,:..,0�'.w"ww..+�" I r � . � t � �+F • � � - a � � � ,: �.. .w4� - _� / r-�, � � ,, °. , � �� --�"' � ,,,'' ;� �', --..-...... e, �.. �. �.. �.... a �•. �' �-- � '1 ��..� - � . � i . .. � . � -+. ♦ CERTIF'ICATE OF' SURVEY 3 JAM ES L. KURTM LAND SURVEYOR 4201 N.E. STH STREET 'i ; , � COI.UMBIA HEIGHTS SS421 788-9M�- 1 MtRE�Y CERTIFY TNAT THIS 6URVEY. •L.AN, OR REPORT WAS PREPARED BY ME OR UNDER MV DIRECT SUPERVISION ANO TMAT I AM A DULY REGISTERED LAND 6URVEYOR UNDER TNE LAWS OF TNE S7ATE OF MINNESOTA , DATE S- � � � � `' da�,�_-�.�v � y, _ ✓""`- `- f � SCA LE t " - 30 ' MINNESOTA REGISTRATION NO. 5332 �� IRON MONUMENT H5c Lo� (o- �3-�S / �-- �- � �- (O � - � �'--1_�L � S �_O � z 1..� Gt \ �! �__ � , — - - - -- - _ _ N � ( C U r ,.— � � 1 I 1 , � � I � _ �� -_ d � f � � z� —� � ol �� -- � 34 '�— --} � � I 2 b �I ' � � ; f � V�1 � � 34 1 _� . � � i t , �- - - - - --- — — — — -- — -- — — -- — —�- - — _ ��' U-r.�, ;� - i��,:�,n�� : �-��i � _ _ � t_ v �-, o - - � � , f � � � J �r � l 5 c,e �. �vrrow. . �"_ - �360 �',��;�r� 1�. a. . 2 8 x 44� = I Z 3'L �D � x S� = 9, 8S L ---------- 4, �x _S = 38 — X �'-- -�-- -- �.� --- - ---- � Z � o - -------�� _ -- � __?t��s� a-- _ �b�� '' —__l. 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A h � M n 7 � � � I � � O • !f' � ��x . . o ,� 4 � I �� , C�� o r��le � � ANOKA COUNTY 560-3450 6431 UNIVERSITY AVENUE IVE October 29, 1976 FRIDLEY, MINNESOTA 55432 Mr. Charles Bitzen 1360 Fireside Drive N.E. Fridley, Mn. 55432 . Re: Final Inspection at 1360 Fireside Drive N.E. Dear Mr. Bitzen: A final inspection of your address was made on October 27, 1976. The only item noted that was not coanplete was the installation of the hard surfaced driveway. We will expect the driveway to be installed by June 1, 1977 when a reinspection will be made to determine compliance. Please be sure to contact the City Engineering Department to obtain approval for the driveway approach before installing the driveway. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development DGC/mh CC: Engineering Dept. sua�ECr PERMIT NO. City of Fridley 16 7 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ' ' R � � • � • COMMUNITY DEVELOPMENT DIV. � � �: ------� r � � PROTECTIVE INSPECTION SEC. ' � � �� 1 i � 1 � � /'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,�' 612-571-3450 910-F15 9/15/82 � � JOB ADDRESS 1360 Fi•reside Drive N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Gunderson Terrace SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Charles Bitzan 1360 Fireside Drive N.E - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Provic�e 42" frost footings. for chimney. Shed must be anchored to concrete floor or other type of anchoring device. �� 6efae di�in� ca11 k�c�1 utiliti�' TEIEPNONE - ELFCTltlC • GAS Et� S��'ERArE PERMfts R��p �. a�QUtRED BY LAW E�17ft�iG. #'LIJlM81NG AND SIG�. �R W�G� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 Sl �300 $. 6S 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 OF THE PERFORMANCE OF CONSTRUCTION. $22.00 PLAN CHECKFEE TOTALFEE $22.65 SiGNA7UR�N'RACTOROFAUTHOR�ZEDAGENT IDATEI WHEN PROPERLY VALIOATED THIS IS YOUR PERMIT �i / � ' / f sr v�� !S L..�_ �.! SiGNATUREOFOWNERIIFON/NERB ERI IDATEI BLOG INSP �� E e CITY Of fRIDLCY Effective Aug. 1, 19s1 APPLIGIITI��! FOf; RESIDChITIlli. 6U1LQIiiG PCRi�iI7S (I�err, A1 terations � Addi Lions, or Repa i rs ) OklNER: ��ff%�� f- S ,�%��/I f l3UI LOER : _ /� � � . ADORESS: Jj�� %/�°.�5�,�,� AD�2CSS: TEL N0: _%g� ��j 7S� - TEL ti0: Construction Location • STRI�T NO: � -b D STitEET: ��OJ �.S�d,� %� � LOT: / BIACIC: � ADDITION : �G�/Jf �,GL �S� �l� �� v ✓//�C�C � Corner Lot: Znsicie Let: `�_ S�tback: Sideyards: 1�p�licant attach to tl�is fo�cm two Certificates ef b�rvey of lot and p.zoposed building location c3rawn on certificates to scale. DESCRIPTIOi�! OF COhJSTRUCTiOr� � %%rF "�_ Front: Depth: Neiqht: Square �`eet: Qibic Feet: , %/�� Front: / � �.'�- Depth: Height: � Squar.e Feet: o? Wbic Teet: Zype of Cor,struction : Rt�..Be Our.�pleted: _ � /1�/1 �T�i Estimated Cost: $�/ .� Dd , Alt. A Alt. B proposed Drivc�+vay k'idth Yf New Openinq Is Desired: $� � . SE� Re^,VER;E SIDE OF SHEET �iie undersigned hereby ma3:es application for a penait fcr the work herein specified, agreeinq to cb ,all work ir, strict accordanec ��ith the City of Fridley Ordinances t�id ruliu�g� of the Delkirtm�� of Duildings, and hereby declares that all the facts and represr�tatiens stated in this application are true and correct. �'1T�: �-'�� $� SIGNATUI�:�.�'/� . �! _ �i �c'�s!.s�-�_ Stipulations: � �w►1 �m '�.�' � �!� ' t�°.�� "� I,�1� i� �� I�w% 3 E� t�ft ?"+.0 R $� h... S k� � �� S� /,g+� �A �CK-- l�ti r-2 '�' � Ce NL.iz�2]'`�.. � �—u t�'-- Q 1ti-� . O��v� �p2 0 �2- �N c..�}-at2.r,J c �Q�.U�.G., �� ..2 , � v _. . _ �l' , G 3' � ZZ.. - - _ . .. . . - -- BUILDING PERMIT FEE SCHEDULE The Inapectoz of buildings shall, before issuinq permits for the erection of any buildinq or structure, or for any addition to any bxisting buildinq or structuze, or for any alteration or repairs to any eaistinq buildinq oz �tructuze, upon application therefore, require the payment by the applicant f or such pezmit of fees to the smount herein below set forth and in the manner herein provided to-wit: 'POTAL V11I�JATIQN 51.00 t� 5500.00 5501 to 52,000 52,001 b� $25.000 525,001 to $50,000 $50,001 to $100,000 FEES $10.00 1rlinimum Fee 515.00 plus surcharge $10.00 for the first S500 plus $1.50 for each additional 5100 or fraction thereof, to and including $2,000 S32.50 for the first $2,000 plus 56.00 for each additional $1,000 oz fraction theseof, to and including $25,000 S170.50 for the fizst S25,000 plus S4.50 for each additional $1,000 or fraction thereof, to and including S50,000 5283.00 for the fizst $50, 000 plus S3. 00 for each additional $1,000 or fraction thereof, to ar�d including $100, 000 $100,001 ar�d up $443.00 for the first S100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN (�iEQC: 25 percent of building pezmit fee DRIVE�tAY DEPRESSION ESQtOW: Concrete G1irb Streets Only Alteznate "A": Removeal and replace�n�nt of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Ranoval and replacelnent of curb and qutter and install a 3 foot wide approach with 6 fnch depth Dziveway vidth plus 6 feet �c S15.75 VERIFICATION OF FOUNDATION Pezmits for construction will be issued a minim�n of 24 hours fran the time of application to allow for proper review of the proposed structure and of the constzu ction site. A Certificate of Suzvey of the lot, showing the lxation of the foundation once it has been constructed will be required before proceeaing with the framing. � � �, �,. � jv,� � �`� �• J ' ��` -� Z�, u � � CERTI FICATE OF' SU RVEY JAMES L. KURTM LAND SURVEYOR �t�1 N.E. iTN STREET �� COLUM�IA HEIGMTS S542f ��_�a. 1 M[IIt�V CLRTt►Y TNAT TMIS fURVEY. ►LAN, OR RE►OI�T WAi ►1RErARCD •Y ME OR UNOER MV OIRECT fUrERVItION ANO TMAT 1 AM A OULY R[OIlT<R<O I.ANO iURVLY01! UNDER TME LAW: O: THE fTATE Oi MINNEfOTA ,-, , DATE S" 1 • "7 S . ;' "�--� �► "+ �„^-� � SCA LE 1 " = 30 . MINNESOTA REGISTRATION NO. 5332 0- tRON MONUMENT - Hse Lo�.. (o- 13-�ZS /,3 � 4 " _� __�-�Q�s�o� � _ � � � � � � � �' � ' w1 �� V -- tZO.00 -- i� ac� ��:. —� �r � � � �? � � ' �`Gt'Vi.�y nF :•'t i. �?C`:�. .., �7U; 'nr:�i)/1 �'t'r'a��'. �.C{`t" r". rrr.•• �- - _ ;�:' '� �, :i:..ti 0 lS-� � SuB�ECT Q. City of Fridley 2 9 2 81 AT TNE TOP OF TME TWINS g U I L D I N G P E R M I T r ; � RECEIP . COMMUNITV OEVELOPMENT DIV. � � � �� PROTECTIVE INSPECTION SEC. aa� 9 r , , � . , � i_--•�'��"','� CITY NALL FRIDLE� SS132 NuMBEa pEV O�TE v�GE OF •vPROVED Br L 612-571-3450 910-F15 4/23/99 / / JOB ADDRESS 1360 Fireside Drive NE 1 IEGAL �OT NO. BLOCK TRACT Oii ADDITION SEE ATTACMEO oescR. 1 3 Gunderson Terrace SNEET 2 PROPERTYOWNER MAILAODRESS 342 McKinle St NE, Anoka,Z1M1V ,5,5 3� j�ONE LaFrance Exteriors 712-1090 J CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO �� Charles Bitzan 1360 Fireside Drive NE 1 AiiCMITECT OR DESIGNER MAIL AOORESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS Of WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CNANGE Of USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TYPE OF CONST OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE RE�UIFEO FOR ELECTFICAL, PLUMBING, MEATING. VENTII.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOIO IF WORK OR CONS7RUCTION 20NING SO. FT CU FT AUTHOi;12ED IS NOT COMMENCED WITHiN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED fOR A PERIOD Of 120 pAYS AT ANV TIME AFTER WOpK IS COMMENCED NO DWLG. UNITS OFfSTREET PARKING 1 HEREBV CEiiTIFY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of LAWS VALUA710N SURTAX ANO OiiDINANCES GOVERNING 7HIS TVPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED MEREIN Oii NOT TME GRANTING OF A PERMIT �Z,056 �L.O.3 DOES NOT PqESUME TO GIVE AUTMOqITV TO VIOLATE OF CANCEL THE pEqMIT fEE SAC C RGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STFUCTION OR THE PERfORMANCE Of CONSTRUCTION �]L}.]S F� SC �Z.O6 - ,�s/�� //y/J PLAN CMECK fEE T A FEE ��C"/"//' ��/(/ �?3/9 L • S sc � . oo �s2 . s4 , 5� ♦tuAEOFCON'A�CtOaOa�uiHOAi2E0�GEHT �iE� MEN Pq VA 1 THI l S IS O A PEAMIT % � S�GNSTUAE O� OWNEQ�� OwNEpBW�OEp� �O�iE� � ,Ngp, �E NEW ADDN ALTER [l [l � ConstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION )� d� F r r e� r�e d��, � e ��d le� �.. a �Y'a l� C na Owner Name & Address: e Contractor: J � Address: 5�� LNING AREA: GARAGE AREA: DECK AREA: OTI�R: � �S �x��.'l^�or5 r�quG e D� n C E' )� � Effective 1/1/99 �` � �� . �� S A�� /�s �1ba��Te1. # G%vi-7/��J 0 �O MN LICENSE # � � D `�l � �7 Tel. # s' � � � � s q�dv � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length W�dth Hgt/Ground Sq. Ft. o� �"f Sq , � � - v Construction Type: �� 4 4 Estimated Cost: $ (} S� (Fee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: l /a3 � APPLICANT: � � Tel. # ��d ` %/� `� � �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ °�C/ �_ $ $ / D�3 $ $ S: C%� $ $ $ $ $ ��-�`/ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] � BUII.DING PERMIT FEE SCHEDULE The Cluef 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 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minunum Fee is $21 plus surcharge) $2�. for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $6:� .25 for iust $2,000 plus �S 12.50 for each additional $1, 000 or lraction thereof, to and ircluding $25,000 $349.75 for iust $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and inc;.(uding $50,000 .$5'�4.75 for first $50,000 plu� $6.25 for each additional $1:��)00 or fraction thereof, to ;ind including $100,000 $8F7.25 for first $100,000 pl�e,� $5.00 for each additional $1.,(�0 or fraction thereof, to �ind including $500,000 $2 �87.25 for the first $500,0(NJ plus $4.25 for each additional $1,b00 or fraction thereof, to and including $1,000,000 $SC�12.25 for the first $1,000:(�0 plus $2.75 for each additional $1,��00 or fraction thereof DRI'rEWAY DEPRESSION E��CROW (Concrete Curb Streets On! �) Alternate "A": Removal and replacemerit of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal `�nd replacemerit of curb and gutter and i}stall a 3 foot wide approac� �vvith 6 inch de}�th - Driveway width plus 5 feet times $23.25. VERtFICATION OF FOUND: ►TION Permits for construction will be issued.a r,ninimum of 24 hours fron� 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 fou�7dation once it has it has been constructed will be required before proceeding with the framing.