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AF - 43627. . � � B. H. BRADLEY CIVIL ENGINEER AND SURVEYOR 8829-247H AVENUE SOUTH MtNN6AP6L1$, MINN6SOTA 83608 724-2189 f;ot Split ��67-07 East 273 Ft. Lot 14, A.S. �129 �`urv�y ,1`rr- Frecl �' r'�sn�S.jr��, �'�4/ - 3! ��9ir� /°l., ly�wh`�p �? /a%ir�� • , � �ale -'� �3D' e�i��e�� d��t Y� �l ) �'', ti,''� . ,. I�`'� s�a � ��r�� r��ou� d�h�.Qr�eb�r certif y fi�ic�►� �hi�� s � fi°u � e�� c��-reE��/cr� o,�t�' sc.,/-v��;�► of fh� t�UES� �g {e�� o�' �`h e�'ra.�� l7� f�r� �f L�� !� ��i�i s� �� v��i�r� �`t�c� s�.�, �'r�o�a CAUm�; /�inneJO�� '�s�un�y� by r�e f�i� ��`�'d� ��'l.7�e�rnh�r0i�7' �� J�11'�/�V�' o�il0�? � eTa'd �l�� „�. � . !-ig_79 ' CITY OF FRIDLEY - INSPECTION DEPARTME1aT BUILD�NG REPORT DATE .�,�� .�°�%� INSPECTOB � � -� O/ % /'� �", , —T OWNERS NAME � � � � �� ADDRESS �G � �S� �`"r� l� 5 h� � o �� - � �'� d,� 7'�_�0 �� h..�l �-�`�_ � INTLBIOR PRESENT.COI�IDITIONS CHAPGES NECLS3ARY BASE1rD:NT � � � G � � � V� FOUNIDATION wi�,i.s .�ooRs CEILIPGS. FIRST FLOOR WALLS CEILINGS FLOORS ADDITIONAL FLOORS � WALLS � � '"�- f FL00RS �� v � �7` � � v �.�.��, � _ �'/ oS� � .�,� � ��"� � � �,��,�� C � � y �F� l�lC�� I t-� �t Se� �i �-� i t� .o 'f t� -�`i S ! ' �r V�,� �� 5 p d � Z � �� " C�-�c' lz � � A i4o /�/ �c� � °� � /�' � � � -� Q �/�� rr1 �1�� %lo�° ��, � � � � �r � �� .�. � c�� l� � �',�� f� R � � � � �_ � -� �� ,� �� , � ,��.�,�, �� r�sc . � 0 CTZR OF FRIDT.EY - ZNSPECTION DEPARTME:NT BUI DI G REPORT DATE 3� 5 %I INSPECTOfl � �� /i S�� OWNER 1/ �-2� T � ,/�� -� annx�ss � �� 3 �"� r �.�.�- s , �� , EXTERIOR PRESENT CONDITION /*' �' � .✓ 3 �-e i,' %� �XTERIOR WALLS /V`e 1l°� /1iI�/�i'7��Ne��iG 'f SILLS iTi'� �� „� ,� � � ..e Q � / � / �i � n- � lZ B !� '� '� � �. � d � WINDOWS � � h. � F" s / r/�e: � in! �!4! (1 a I�r/5. 0 2 K' -� �' ROOF ,�-�-P !' J � � `'e � CHIMNEY SOFFITS ACCESSORY BUILDINGS ��, �� - %c� `� `e�/ /1 >1 � //,� /.P�y� /� �- .� �-�� d (� �,e � r -�j a, � � � �/ ti[ /Z $ � � i�l �' `td �/,��/� �ett�S � �. ;� � � � N � �-h ,� �° � � `� GENEBAL SITE � � � / �� ss /Z � .r-1 � d � d ..� � °e l�.��J � 2 a�� o� /G � �- � � � � � MISC.. CHANGES NECESSARY � , , — r� , - � IN��T9�� , � ��a� � _ �� :� �a �_, -� �;, ,L. ! M�Y 7�i �`�� s�� c��a °` �� I y� ��` � �� if � �� ,7l� .� � w � �l �'? :'�,` /V •a" ,6^� ,":'� � � � �-Z-� �1 Li�¢y f� I//_�m �'', SITE ADDRESS � � G � � � �Z -e 5 / e/ --e_ �� `s � '� � `� T�HAT INSPECTED PRIIQCIPAL USES �,<i f' a e� � � USE ZONE LEGAL AESCRIPTIOP OWPER address phone AGENT addrass phone OCCUPANTS � address phoae address phone LIBI�OLDERS � address pho�e CONSTRUCTION OF BUILDING �� G' �''� � no . of s tories �,�h ti,� ,� ,� � PERMITS ISSUED ON BUII.DING ' DIMEI�SIONS OF BUiLDING _,� y �_�2.� !-.� r �� ,��` `Z-'� %l �� i7 � � fz d � �--�_ . SETBACKS - front rear aides building inspection-date 3�) inspe�tor �„�-e �i 5%�� plumbiag inspection-date • inspectnx electrical inspeetion-date inspector fire itl,spection-date inspector health inspection=date inspector photos taken-date RECOI�IlNENDATIONS OF THE INSPECTION DEPARTMENT L��' S S �� S�7 i�� `E� �"`.,� � %� � u � f2- � /�/�7` L � �t f� � .�- �-� o �/ �7�/ ��,�� a .� �� , ��/��°/!��`�. � �t'/1- /l.c i � �� t� � G� G- -� S S � %�` � / /� s� � � � �� QLCs �O�d NG Y Cover Sheet A �S �- a�� 0 _-�. City of Fridlep, Min�n. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT ��; June 24, 1971 � tl 0 � � • ��_9 pwaer; Veteran s Administration g�d� Lyle J Kaufenber�„_ �ddT@SS ��l Riiildin�r,� St. Pat�l �jd�g �h Nnrth j�jPstr�� AY@I7u.L�.� $� �R�1.�... LOCATION OF BUILDING No. 1367 ____, g�t Firesalde Drive N.E. Part of Lot Lot .�_ �,/� Black ._ .�_._...... Addition or Sub-Divlsion _�tiditor s�( S�Udivi R i on �199 Coraer Lot ._—.. Inside Lot Setback Sideyard Sewer Elevation Founda.tion IIevation DESCRIPTION OF BUILbING To t� v�a �: _Repairs to bring �n�o code �p� Height Sq. F't. Cu. Ft. _ Front Depth Aeighi Sq. Ft C;u. Ft. Type of Construction.� Fst, Cost .� 790 00 To be Completed July 30, 1971 Stipulations as per attached inspection report. Numbers 1 thru 10. Number 11: 2 x 10 joist added at 16" centers to be cut in at 6" bearing space above concrete wa11. Double laminated 2 x 8 beam added j��¢ at each end to carry joist - each beam to be supported by at least 4 column supports to footing. In consideration of the issuance to me of a permit to construci the building descrl'bed the praposed work in accordance with the descripi3on above set forth �d in compl3ance � OrBinances of the city of FridleY• ��l%//9 �-, In consideration of the 6. 00 " v payment of a fee of $ , permit is hereby granted I agre� tQ do provisions o� to construct the building or addition as described above. Z'Y�is permit 3s granted ugon the express condition that the person to whom it is granted and his agents, employees and worinnen, in all WoYk done in, around and upon said building, or any part thereof, shall conform in all respects •to the or�inaac� oi IrYidley, Minnesota regarding lacation, construction, alteration, maintenance, repair and moving of btlildiags ��th�e city limits and this permit may be revoked at any time upon violatioa of any oE the provisions o� said ,� _ �_ �. /� Suilding Inspeator NOTICE: 'fhis permif does aot eover the eoesfruetion, iestallaHon for wirine, Plumbin8r 9� b��8. ��' or water. Be sore 40 �s fhs Building Inspeeta� for seperafe permits fo� ihese hems. APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � �� 1� � � OWNER'S NAME: Veterans A.d.m.i�.2istrati o�iTILDER:_ Z,yle J. ga.ufenberg-General Cor�.t. ADDRESS: Federal B1d�. St. Paul, M.r�ADDRESS: 76 N� Wester� Ave. St. Paul, Mn.o NO:. 1367' , STREET:_ Fireside Drive, Fridley, M.�. LOT • 11 o sc r�� i`�'� n—��c ��' BLOCK• ADDITION• CORNER iOT: INSIDE LOT:� SETBACK: SIDEYARD: Applicaat attach to this form liao Certificates of Survey of Lot and proposed buildiag location drawn on theae Certificates. ➢ESCRIPTION OF BUILDING To Be Used As; A�2l�u�;y Front: DeP�' Height: . Square Feet: Cubic Feet: Front; Depth: Height: Square Feet; Cubic Feet: T�►pe of Constructioa: Remodelin� Estimated Coat: $ 790.00 To Be Completed: � 0. 1971 The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and ruliugs of the Department of Buildings, and hereby declares that all the facts and representationa stated in this application are true aad correct. �TE ��^e,�� 1�171 S IGNAT[iRE z p (See Revarse Side For A�iditioaal Info t n.) � %�`r��` � ��€' °' � , ,l //,�V I�C!/� I'�sYl 4" G! s /7l° f�- �bl S/J�C/ •atJ77 �@�O'Y+- �a'i CP�,/ C-�I�Iyt�i p� / r /� -�x i� Ta�'s�`- ,�dd�d .��- �� , SP�e� �-/�ave e�a�c ��r.�� v,��.� ��✓i-s�s T ° /3�= e� t � �/ �r � � AF�RiNG A�T �.�cr,� �Nd �-a e.�� ° Due��.� L�.�JiA��4TC� �ae� �(�M .400r^� � !� .�'o � 9 T ,� E'.�e f� O�' q�'1s1 T �'7 .�3 //�" S�i �Pvol T�o �'/ •�.r tF_.FST y ev�v�°A� �'�s��r�,�1�s -�o �a�� i,�� . . � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Ynspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any exiating building or atructure, or for any alteration or repairs to any exiating building or structure, upon application therefore, require the,payment by the applicant-for such permit of fees to the'amount heiein below set forth and in the manner herein prwided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in sueh cubical contenta: �pe 3& 5-$1.85 for each one thousan.d cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of 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 average heights of the upper surface or to the average- height of the roof surface of the ma.in gable of a pitched roof. For repairs or alterations to an existing atructure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a miaimum of 24 hours fram the time of application, to allow for proper review of the proposed structure aad of the construction site. A Certified Survey of the lot,.showing the location of the foundation, once it has been coastructed, will be required before proceediar� with the framing. CERTIFICATE.OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building pezmit has been iasued; and said structure shall not be used or occup�ed until a Certificate of Occupancy has been iasued. • . - t -- GENERAL CONTRACTOR LYLE J. KAUFENBERG 76 North Western Ave. St. Paul, Minnesota 55102 '1367 Fireside Drive Fridle�r �inn. Propert.y Discription East 273 ft of I,ot 1¢ addition, subd3vision 129 together with easement over th north 30 �t. of that part of side lot 14 line west of the east 273 ft. � Ex�sri�s eaac � �4/G o�/AJG �" ��o"_ � � ( i � ?q / 'Y1? t� �i2 .� / 7 U c / �, '1'P �i (//'�e c� � o r /�1 n�� sv� sie, >�� y dPS/�Y� e.{`/�s �i"Yt� �Pe �1 7�D d Q c%P s:� N p� Sfr�. � �, �' �9 0 � � �, �i+ �a,� �'� �c � o :1+„� z, z C G °;, � � � �� @ � � � � ti � � r � � : � . � � ` o . � : � � : � � ' . � N � � � qr � m � a � � � � � x � � �t � w n � � � F � � � � � �t � � � � � � '� " � � R °»° R � � � � � � � ►. A � � � iy � � '. O y � G . . , � j� .� Q �7 � 0 'd C! [�i � Q• L,,,�. � t0 � : � : oo � . � � : . . . . ° � . � . : : : : : � : : : : : . . . . : . . . . . . . . . . . . . . . . . . O O � �o w . N �a x x k �e x . � � � y� �p W Wp W r ,��+ �p �y��y�yy S � � � O Q� O � � � p � tA M � N+ ds tA b► M � I I 0 � � r � � � � � � � � � � n O � , D � i � � � � 2 m C r m o � 3 z � � � a a �� . � � � � � � � a � b � �. ...., � : ..■■1 . t .�.�, � - �� • • ■.■■, • ...■' ��i�� r � � ❑ C � a � � M ~ .. �`� \ a,osns uau�s MrM � .�u�s SIN16 WASN TMYS ��. wuNr. sMwes. �� GTCM CI�SINS � w� � c�.s a�NCe ctis OVENINGS � • _ • H � a � � n �a� a �� o� a Rs �� ' a ,�, � o � � �b �� ti �� m o 0 � � M � �, 6� V �. � � � a��» �� 7 .. � 3 � ^�. � w d � � a� �x &� p � �� , : � T � � � � m � �� ° � � � � � � ; 1\ ,�� \ � � , N y r „d o � o �0 x° � � b cai K 9 �� M rt� E� C ��l �t � �� p' �'` W H k � o K �' t+7 �j � ►r �� N w � �' "� n � o -° m m � � �1 z o � fD ►°i-' � z � w rt o° rar w� 5a 5a �1 o°o r" � t+7 � c� � � O� � p W r� r+ rr o ''� r OC m � M � M H � p �p � H o � Q�i v' m a b� ° �� °n 0 H K p o � � r� m w � a m � � F, � o W � � -�-F Q W o ° � �A •-r � � 67 O • • r � � � �� rn m N � v� s � I I I I � I I I I I(�� m I � m oc x x x x x x ec x x x ee • iA N i-!, tq tA tA tA fA !�-� Vl iA tI! �tI! N � c.� u, o r w � vi . u, .i o u, u, n> c.� w O O O O O � O O O O O O O O p y O G O O S7 o O O O p O o O O �J � � �� 0 � o � O 'A � � � � y � v in 0 eb+ �.. N � 0 � a � � � t� tn v► �v► tn tr� tn vi tn �3 � H O r � � � �� x o ro � 'A \ � rt ' � � � . W � m � � �v fyD W Q r � e o �' � txf � � � 0 � � a�o � d � �G y O CZ' 't-] � � O o • � r i � � �' � 0 'p w N �-' Storiee � xt � Oa a r�r o •u n a z e Closets E �Orinals x � � o � satti Tubs N � BdSj.I18 O a � Sinks � '� Wash Trays � �. Drinking �q Fountains Showers � Fl�r Dr a� Catch o Basins aAutomatic E Washer � Gas Appl. Mi.sc. Fixt w m Gas Range r* E �° Other �' w � � �� m 0 N � � � � � c N � - � ^ , � � � � � � �a� � ,��r,�ro °v fI �, W W l7� M � �r a �'' �' i � � � � m a K �r� m G. 0 k �" � � �M N M � � �'c �1 P � � M �a a � ��g � � ��o�� W�� ° ° � E m 1 � K +M� m �. a rt(p� a� ro '� mW k'� '.7 f'' (^ `C � F^'' m � _ `! � �a�o a � m n � m� `�ro � ro°'om m�'�� ' ��m �. � o � �i�x°n � �m�� m �w� � ��x � aw�x 8 h~+ � M g m �' rt a � � r n p -i O 2 � • O � � E �' 3 —~1 a� -< � o a T Z C `1l � c,'� �--� a t� N �-7't M � 0 m� � � b y. r e"e -p •� Ri ►' l�if M x Z S �f X"�' yC C � K � o L n n n t rr ,1 � 7 R � p r u H ^ Cl M r h X'+1 M P 7± � u� N 7 o r� ,..� r � O ° o w n� N1 � p- r w �� ,... �.Fs r. o a. o t{ r p r= O V % Z a R O R F'� F{ .< 'X '71 N� �. ~ L C7 P� ' o O o 7 n n n ►-� r o r- � a ►t . � �i 0 0 ,.� � r°, '� n 7 n.��- I °° M 'a o � � .� c .. o ?� o s � a a ' s s p� t-�a p o � - o be . � ,� � ~ r M CZA H I Y � s y n t. o N �+�j G � � n � p � m . � � A v � N � 1� S ►� � M ; p n 'a n / � [ � M rt r o , Q C � - n � • 0 m • - t� ' O �+ �lOi1C� i..i ct C�oscts ' Urin�ls IIath Zvbs Dasins . � C ^ ° ' ,� � `�g � 507 � - - �° � � � �-� . - X X X N N fIl Y N N wa �n O !� W O O O O O - 0 0 0 0 0 {,� try [n N o° 0 3 H N 3 C Z '4 c� � M 0 A � ro r � � M z n . ro M . . .. � . H � . .� � J . � O �s m tn y M .y N -p Z o � < H y Z r �„ -� b 0 � v � np 3 � '� M `� c>- ) - J `• - - 0 X K N V1 • O O ' 0 0 � b .�, O C n � H 2 N b � 0 �' CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERNIIT FOR INSTALLATION OF WATER & SEWER SEBVICE I) This form to be completed before a tap is made to any egisting water or �s wer line., ��1 �Q 't��__�Bl� �"� 9 ddition • � Address �II� �UII1b8T CHARGES TO BE PAID BEFORE TAP IS MAD — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer ta.ps. WATER TAP: Materials Used: $ Street Patch: $ �� ° � �. TOTAL: $ � � ° � SEWER TAP: Street Patch: x :$ III) If this pro�rty has not paid a full I.�teral Chazge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping germits, meter deposits, etc. WSt@T - ASSESSMENTS TO BE LEVIID: Lateral: $ $@Wef T.AtClAl: $ TOTAL ASSESSMENT: $ � � ' Clerks ,� - . . Supt. of Public Works '-�� . M/P 3/76 Whtte P.W. Cenary Finance ink Prop. Owner Goldenrod Plumber • - - \ R = o 0 . , ' �""� �� 6 °n � x sue�ecT PERMIT City of Fridley 133 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' � � � COMMUNITY DEVELOPMENT DIV. ECEIPT NO. iLy �� r � � PROTECTIVE INSPECTION SEC. �� S /°'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF �.APPROVED BV '�"� � ,'� 812-560-3450 910-F15 4/18/79 � � JOB ADDRESS 1367 Fireside Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j,Lj AL1CZ. Silb. #I.29 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rona.ld Gustafson 1367 Fixeside Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S B DESCRIBEl/VORK Construct a 24.5' x 14' Addition and a 18' x 28' Garage 9 CHAN(iE OF USE FROM TO STIPULATIONS ��I� Provide a hard surface driveway � �� N�ng cail ioca� utir;tie ELfCt��C - GAS �i� REC�(3tR�D �l� SEPERfITE PEftMiTS RE(��UIRED FQR �Ii1RII�C�, ��' HFATI(�G, PlllMBING AND SIGNS. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE 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 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 yqLUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`�850 $%� 43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ' $47. 6O NONE PLAN CHECK FEE TOTAL FEE $11.90 $66.93 SIG#ATUREO�CONTRACTOROR THORIZEDAGEN7 IDA7E1 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � ��.e.. �� '�.� � �� .�J '�l— � � - °� 9 ATUREOFOWNERUFOWNERBUILDERI IDATEI �►BL�G uSP qA7E • 1 � . , n CITY OF FfZIll�EY . �1PPLTCATIOi'� FOR RGSIllCP�TI/1L LUII_DING ('ERf'IITS (I�EIJ, �iLTCRl1TI0NS, ADDITIO(��,' OR REPAIRS) 0 0 OWti�R: �'�t'JA��1� ��"(.,'�T�ii".�C� IIUILD�R: ��`'�d'1%�_ .�' . ��.-� ,� �/ � l C� �� -�P� Ac3aress : � Address : � � � . Tel. No. . � No.: ��'� 5treet: ��12�lp� LOT: BLOCY.� ADDITION: CC1�iNER LOT: INSID� LOT: L� SLTBF�CY.: SIDEY111ZI'iS: Applica'r.t attach 'to this foxm �ao Certiiicates of Survey of Lot and propose3 building location drawn on these Certificates. . • DESCRI PTTOPJ OF BUI LDI NG � 'db Be Used As : � �/YIlC i e�N Front: o� � Depth: '��' ' Height: �S��y Square Feet: �3 G�bic Feet: �p�ov G�Q�(fl� Front: /$ Depth: Z� � Height: /Q ! � Square Feet: Soy Cubic Feet: �� Type oi Construction: �L�hyi� • Estimated Cost: $ � S� Zb Be Completed: �j /??U�,� Proposed Driveway Width If New Opening Is Desired �,D� '\ • Alt. A Alt. B $ $ .. (SEE Ft�17ERSE SID� OF SFiEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all �aork in strict accc�rdance with the City of Fridley Ordinances ar�d rulings of the Department ot Buildings, and hereby deciares i:hat.all the facts and representations stai:ed in this application are true �.nd correct. See reverse side for additional infoz�nation. DAT�: Q SIGNATURE: pulations : 3y3 � S• 1'L ` /��(e �f° �� ,,c.rlC ? . 17� �1 � 3 y3 x �� .5`z- " �� Sa/ �` 7, Z y 2 . �R�+�� /�.� x �! o, = c��. �a . . �Q lC�9a � ' . . 7"x. � �.� � •- t--° . � � �-� x � � • � • - . q y 39.3G 3G�$ �L Iy.sy�P.�� 1. ��. �. . � , _. . .,. .,. � .... w _ ._ _ . . , . _ _ _ e ._ I • .�.�..... ._ � a..:�-.._ . .. ..... .. ........_._... _.� ....... . _. _.. . _... . � .m, . BUILDII�G PERNIIT FEr SCF�EDULE � SECTION 2 e 7'he Inspector of }3uilclings shall, before' issuing permits for the erection of any bui].ding or sLruc�ure, or for any addition to any existing building or struc�ure, . oX for any alteration or repairs to any existing building or structure, upon ap�lication 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: iJEk� CONSTRUCTION: Single Family Fiomes and Garaqes: $4.00/1,000 cubic feet. pLAN CHECK: 25 percent of building permit fee. . DRIVEWAY D�PRESSION: (Concrei:e Curb Streets Only) • Alternate A: Remov�l and replacement.of concrete cuxb and gutter only; Driveway width plus 6 feet x$b5.75 Alternate B: Removal and replacement of concre�e curb and gutter and install a 3 foot wide approach with • 6 inch depth; Driveway width plus 6 fee� ac $17.85 ;11 � :_. 1 �i ' �► For the purpose of computing fees for building permits, the cubical contents of 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 th� cellar to the average heighf�s of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee sha11 be at the rate of $3.00 Pe� each five hundred dollars-($500.00} or fraction thereof in the co'st of all proposed work. � In•no case shall the fee charged for any permi�. as set forth in Section 2 be less ti�an $?.50 plus $.50 state surcharge. • � � � 1 ►1' � NOTE: Permits �or cons:�ruction will be issued a minimtnn of 24 hours �rom the time of application to allow for proper review of the proposed structure and of the Construction site. • � Cer�,i.ficate of 5urvey of the lot, showing the loca�ion of the foundation once i.t iaas been constructed will be required before proceeding with the framing. CERTIFICAT� OF �CCUPAI�LCY App�ication for a Certificate of Occupancy shall be made ten (TO) 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 oz occ�pied until a Certificate of Occupancy has been issued. ._..�, � SUBJECT City of Fridley 15 5 4 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � CEIPT NO. � ` __.__ COMMUNITY DEVELOPMENT DIV. � r � y � PROTECTIVE INSPECTION SEC. �,�`' �, '��' � �� i � � /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� • •�� 612-571-3450 910-F15 11/1/79 � � JOB ADDRESS 1367 Fireside Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]_[j Au�j. $l�. #],�9 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ronald Gustafson 1367 Fireside Drive N.E. 786-8007 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USE OF BUILOING RBSICIEYI't13�. 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Install chimne for v�oodburnin stove 9 CHANGEOFUSEFROM TO STIPULATIONS Provide comh:ustion air for existing furnace. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY lOAD VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION 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 $550 y�`.SO 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. yS`%.S� PLAN CHECK FEE TOTAL FEE $8.�0 SIGNATURE �qqFCONTHAC.TaORORAUTHORIZEDAGENT (DATEI WHEN PROPER�Y VA�IDATED THIS IS YOUR PERMIT ��t'�'"� � �'°'i- h±: o : _ �l � IGNATUREOFOWN R�IFOWNERBUILD R� IDATEI BLDG �NSP pTE CITY OF FRIDLEY • APPLICtITION FOR RCSIDCNTIAL QUILDIPJG PERMITS � (fJew, Alter�tions, Addi�ions, or Repairs) ' � OWPlER: �or�vd�` � L- , C� v��`+�t�s owJ GUI LDER :-S �1� ADDRESS: 1�C�� F��C�'�� `�,A ADD�ESS: - TEI. N0: �� ° �0�? TEL PdO: ' Construction Location STREET NO: I� STREET: F I�E5'�DL �Re d� LOT: � 4 BLOQC: ADDITION: � I Z-� ' Corner Lot: Insicle Lot: Setback: Sideyards: Applican� attach to this form two Certificates of Survey of lot and proposed buildir►g location drawn on certificates to scale. DCSCRIPTIOW OF CONSTRUCTION � � �.h`�� Front: � Aepth: Height: (,�,1�,� �� , u�� Squane. Fe�t_ Cubic Feet: �� Front: Depth: Height: Square• Feet: Cubic Feet: Type of Construction: � ZU Be Cbmpleted: Estimated Cost: $ � .7� "o� � Alt. A Alt. B Proposed Drieeway Width If New Opening Is Desired: $� $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes appZication for a pexmit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings ot the Department of Buildings, and hereby declares that all the £acts and represe�itations stated in this application are true and correct. DATE: / ( - / - �79 sxcrrA�ivxE : Stipulations: � ,� �,-� . s� `�a�G� �i � �' .o- " �,i r�� . 32 '� , � V '� y�� :;�' ,.3' f . 1�rF.�... �: F�.�� :i� J... :�N �; �. �`�� ;�` s' :�.: ;s�;. � ,�� ,-��.� s; �� r� ,� �,� o- . _ � � BUILDING P�Rf�11T �FEE SCf�CDUL�� . ST:CTIOI� 2. xl�e Insl�ector o� 13uilclin7� .,liaJ.�, bcLor� i.ssuing peL�niL•s for f:he erccL-ion ot any bui].da.nc� or strucLurc, oz for any �aait�.o,1 L-o ar�y exi�ti�lc� building or strucL-ure, or. fai any a1L•u:atio�l or xepairs to •any c�:i�ting }�u�_lding or struci:urc, upon applicatS.on L-hcr.ciore, requirc the paymenL bX tlie a�;��licanL• tor. such }�ermit of fees to the amount hcrein be].ow scL- iorth and in L-he manner herein pi-ovicled t;o-wiL-: � I�l's4a COI�S�RUCTION: Single FamiJ.y iIomes and Garac3es : $�! . 00/]., 000 cubic ieeti. PI,AN CIiL•'CY.: 25 percent of bu�.lding ��exmit iee. DRIV�t�7AY D�PI2L•'5SIOI1: (Concrete, C�zrb 5ixeets Only) ' ' A].ternai:e A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x Y15e 75 Rlternate B: Removal and replacement of concrete curb and gutter and insta7.1 a 3 foo� wide aPproach wifiJ� �' 6 inch depth; Driveway width plus 6 ieet Y$17.85 � ADDITIO�/�L INFQR�1IITION �'or the purpose ot computing fees for building permits, thc cubical contents of any build9.ng or addition, is determined.by multiplyiny the ground area covered from a point sir. (6) inches below the floor line of the basement or i:h� cellar to the avexage heights of the upper surface or to the average heiglit o� the roof surface of the main gable of a pitched raof. Fox' repairs or alterations io an existinq stnZCiure, the fee shall be at the rate of $3.00 per each five hundred dollars-($500.00) or fractioi� thereof in the cost af all pxoposed work. . Tn •no case shal.l the fee charged for any permit as set for�h in Section 2 be less � than $7.50 plus $.50 state surcharge. ' � VERTFICATION OF FOUNDATIOfV NOTE: Fermits �or cons:trucL-ion will be issued a minimtmn of 24 hours from the time af application to allow for proper review of the proposed structure and of_ the construction site. 11 Certificate of Survey of the 1at, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. ' ` � ' 1 . Application for a Certificate oi Oceupancy shall be made ten (10) days prior to the use or occupancy of any si�ructure for wiiich a building permit has been issued; and said structure shall not be used or occupied until a Certi�icate of Occupancy has been issued. - �. �c sue�ecr ERMIT NO. City of Fridley � � � � � - AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � �' COMMUNITY DEVELOPMENT OIV. R��'''aa�� ^� ' j L �'�'� � �" / � / r � � PROTECTIVE INSPECTION SEC. � � � � ��1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPROVED 8� �----�: �.� 612-571-3450 910-F15 7/12/96 / / JOB ADDRESS 1367 Fireside Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. P't 14 Auditor's Sllb. ��129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO Custom Remodelers Inc 8729 Central Ave NE, Blaine MN 55434 784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Reside Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTEFIATION �I REPAIR O MOVE � REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORI2ED �S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED Oi; ABANDONED FOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS 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 �6 s 2OO �3. IO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �LL�F. %S Fire SC y�6. LO PLAN CHECK FEE TOTAL FEE License SC $5.00 $139.05 SIGNATUAEOFCON'HACTOAOAAUTHOF12EDAGENT IDATE� WHEN PiiOPERLY V ATED THIS IS YOUR PERMIT PI' � I i si � ��•,, a SiGNATUREOFOWNEAdFOWNERBUILDEA� IDATE� � BIDG �N pp7E NEw ADDN ALTER [] [) �] CITY OF FRIDLEY SINGLE FAMII:Y AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 ConstructionAddress: f � � � ��/Z� � d � �• � � Legal Description: Owner Name & Address: .� C.c'(fi �; �2� S ; c� � p�, jJ �, Tel. # � � � - � � � Coniractor: � � � �,�.� � �mo,( p ( 'g ��,N� � � �CENSE # � � �� Address: ��:L q 7'i2./a'l 6h/� � N� Tel. #'? g�,1 -o`Z � Sl,� LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certifica.te of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Length Width � : ��►>,. ... � � � Height Sq. Ft. Height Sq. Ft. HgtlGround Sq. Ft. n - °�- �v e`� �lL'�7-s,�l -``�2 Corner Lot [] Inside Lc�t [] Ft. Yd Setback Side Yard Setbacks Type of Construction: t�o��a ca� `��.,or,,�•. � Estimated Cost: $ [c ��d °°- Approx. Completion Date: 7— � 9� 9� (Cost on Back) � Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � — % � ' g � APPLICANT: � �C_ Tel. # � � � - a � y � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � 1�� s° $ . �� 0 $ � � �� $ $ $ $ � l .D� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuaxion (1 / l Oth %) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contra,ctors) 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 Chief Building Official sha.11, 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,�1 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum�.Fee is $21 plus surcharge) $21 for fust $500 plus $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, to 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 $50,000 plus $6.25 for each additional �$1,000 or fraction thereof, to and including $100,000 $887.25 far first $100,000 plus $5.� for each additional $1,.000 or fraction thereof, to and including $500,�0 $2887.25 for the first $500,�0 plus $4.25 for each additional $1,000 or fra.ction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,040 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Gi�rb Streets Only) Alterna.te "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJECT P City of Fridley 2 � 3� AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � `v __�___ COMMUNITY OEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � .1 , 1 1 /"'1 � CITY HALL FRIDLE� SS43P NUMBER iIEV DATE PAGE OF AVPFOVED BY �---•�' �•' 612-571-3450 s�aFis 8/24/98 / / J08 ADDRESS 1367 Fireside Drive NE t LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACMED oesca. E 273' of 1 Parcel 940 Aud. Subdivision 2 SHEET 2 PFiOPERTY OWNER MAIL ADDRES$ 21P PNONE Scott & Lori Randol h 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner d ARCNITECT OR DESIGNER MAIL ADORESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara 2 e 8 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION Ofi WORK IS SUSPENDED OR ABANDONED fOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAqKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TNIS TVPE OF WORK WIIL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �LOBS ], . O/{ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Ofi CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PEfiFORMANCE OF CONSTRUCTION. �7�}. ]S Fire C L.OH PLAN CHECK FEE TOT FEE 7 .87 SIGNATUREOFCONi TORORAUTMORIZE AGENT IDAToE� N ROPE ALIDA HIS IS� Pf� v 4( \-/l � � � , I SiGNATURE OF OWNEA i�i OWNER BUILDE �TEi BL Sp �1 E NEw'� °� [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: % �� i`e S� �l • � � ° Legal Description: Owner Name & Address: Contract� Address: h 1 Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length I.ength DESCRIPTION OF IlVIPROVEMENT Width Height Width Height Width Hgt/Ground ry Effective 1/1/98 �� ENSE # Tel. # `16�ia -f�� l � � Sq. Ft. Sq. Ft. Sq. Ft. ��a� D-F�� ' �� Construction Type: Estimated Cost: $ � �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: �' - � � APPLICANT: � �'` Tel. # $Ip -IU �-I � Permit Fee Fire Surcharge State Surchazge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �� / �%S Fee Schedule on Reverse Side $ �6� � .001 of Pernut Valuation (1/lOth%) $ %. �� $.50/$1,000 Valuation $ $1000 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 [ ] $ , c� - _ L'� BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial 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 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $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, to 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 $SU,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constiucted will be required before proceeding with the framing. � D r: � � Q 7 f�D Q � .,« �' � N A N. � O N � A 1 � o � 3 � 0 Q� � �' � �• d � A fD � a o � c�o � � N `� Q- o � � � � d � ,,�, �..� �`�° a �� W •� � s,, J U� v �� h" S } � � O �:' � C e C . �• r., '� .�, •'' �-� � � � `- � �' � �� i1 , � s� �� ~; - � �.,; _ �'' M V�i � ��, �� m z C/I � m n -� 0 Z T m rn �P v O O � _ � � V% 2 ov m o 'm —Ai a � czi W F\� O x � C � � � � v d � v a � m T � d v C1 � � �,. 0: � � \ r•, _ `�i �r. �` � � --I O � r -n m m 69 1 �1 `;d P �. N n � � c � � � OC �D tJ1 O rr A 0 �3 � !p °, � o► O1 \ � a=, O N � °—' oi � c� c� 0 G 0 x !� -� � y --� � �• � c�o �� a � n� r. n� � � � � �• m N W � fD v� _. �� Q- -. ov �. � o � o � �- °'° a � �•vo� '"� �• � � � � �, ��o� '� N �Q � c,'a'a N— •�-r � � � � � � � � � n j cu n. � -� � � ° o c � � d c� � � .a c� � N (np � as� 3 (7 p� :-► O .�+� � -w � � � O (D � ? .-r .n-n S� � �D �i �' �� 0 u! O 7� d a� c� �� o 7 � � O �. ? <� � � y � � � �. N D � a�' D � ._. � `�° o �'; �o � N x- i N � O Z � D n v bq � W c� � � � � a� Q c� Z d � _ -o N m Z 0 m' v � � ,+�,G� G� � D 'n � � � N N N N 1 N n �,y j l � 0�1 � � � A � ��q � v, _. c� .. '� I� � p�q � Oi � a: O �• �• � C Z � � � � � � � � � � � Q . � � D � O Q � � Q � � _ C � N Cl � O p'j •A-• � "" � N (Ap � � (AD 3 ° � f � � � � -� � - v � W � � � � � � c� � ff� bA 69 �aA bA N ►-� r r--� W C.'1 O O O O � o °o °o °o °o °' � b�1 6�1 GP 6q i� �N' � �, O � r �v'��Z � -+ �, o _cQ� � _ z= ;� �' � � _ �, � �. � � C �+ ? �N ,� �. � _ �o� -� � �°�. �� 1 � o ` � � � 0 � �0{,i �D � ;1 � � � � a � r n; a' Q"'z3 v � O � _ 0 G N f�D v � � 3 v � � a � m � C� O � -i �� J y �, �,.. �"° � m � � z � � � �� iT .� � i*1 N n _ m v C r m C � C r- z � °- � a z � c� N �" m C � � � �m a v \ � �� ! I � � EJ � �.r � / ., .:�. r �e O ic �� ,�, ,, � '.< CHni Pi TEY'�ND STACK VERIFICATION The undersi;ned hereby verifies that the "e�cisting ctrimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration= ,. Yes O No O 3. Has no. foreign objects lodged within Yes O No O 4. Is securely supported Yes O No O 5. Meets all current:Gode_requirements for �ize and totai BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL B'�U' � Yes ( j No ( ) 7. Has a�iner been prcvided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () N� () Remarks: List ALTERATIONS Beine Done• HEATING CO: Signed By: Date: 3uilding nspections 763-572-3604 �ATE �" ��- �� ;rrE AnnxESS � 3 fv� iI3LS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY � Pernut No. Received sy: Date Rec' d: YOUR E-MAIL ADDRESS ��"�1 GtC s�i l�ir' � C�N�1 C� � e+� � D,2 , ❑ ovv�•�x �o�ucTOx ,�nnxESS: I 3 to-7 � r�Sy�.�e D✓ crrY � PHONE: �% (O.3 � 3°i � Z '-fs � � zrn SUBMTT A COPY OF STATE LICENSE # � p�'I �p I i%g EXP DATE .� - 3�" D� YOUR STATE LICENSE ADDRESS: Z S� L f I CC �� L �il �� CITY %� ��.6�uL- STATF�ZIP SS` Y J VdITH APPLICATTON pNONE `I I � FAX �% ��% �� TYPE I L�sINGLE �ntv O TWO FAM1L PERMIT TYPE O ADDITION 0 GAR.AGE/Si�D �WIND�WS ❑ BASENIEIJT FINISH ❑ ROOF O DRAIN TTLE ❑ DECK ❑ SIDINQ ❑ OTHER O SWDVIlvIIIQG POOL TYPE OF WORK: w ❑ .'1DDITION _ O MAWTENAAICF/REPAIIt 0 REMODELING DESCRIBE VJORK BEING SIZE OF IlvIPROVEMENT HEIGHT Ft NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBIvIIT: GARAGES 0 ATTACHED GARAGE 1. Existing Floor Plan PROPOSID SIZE: ❑ DETACHED GARAGE 2' Pr°p�d fl°°r P�en PROPOSED HEIGHT: 3. List of structural membeis to be used y��G FOR NEW CONSTRUCTION MCLUDING DECKS, p my� � ❑Soffrt ADDITION3. & PORCHES SUBMIT: �Aluminum S' �(�� T`s ❑ Trim 1. Site Plan/Survey showing the exisdng structures ❑ Other ❑ Fascia and proposed project WIIVDOWS 2• Two sets of construction plans IN EXISTMG OPENINGS �Yes �No L�ATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPEMNGS-DESCRIDE SIZE OF � iTG 6f�iV �ig �77 C OPENWG CHANGES & - TYPE OF WW�WTO BE INSTALLID � NUMSER OF WIIQDOWS ALL FEES ARE BASED ON YALUATION, INCLUDING TI� 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 Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ (� ,��' See Back Page for Fee Schedule $ 65% of Building Permit Fee . $ �d �� .001 times the total job valuation $ ` p � .0005 x Permit Valuation Minimum $.50 $ �', � $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ °��, �_ __ Make checks payable to: City of Fridley Attach TFIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio or rmit or 's ot to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh ch uires vi d roval of plans. (�, SIGNATURE OF APPLICANT PRINT NAME -F� �� G°"�� 1 �il' DATE � ' ` � /� 7� Page 2- Building Residential Application e BUII..DING PERMIT FEE SCHEDULE The Chief Buildi.ng Official shall, before issuing permits for the erection of any building or stzucture, or for any addition to any existing building or structure, or for any alteration or repau 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-wi� VERIFICATION OF FOUNDATION Permits for construction will be issued a*n;nimum 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, showi.ng the loca.tion of the existing founda.tion will be requir� before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Depariment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977