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AF - 42313i��o �.���� _�, ue: i inicw =_� F�r LE ROY :i. YVINNER &� ASSt3�1A�E5, lNC. aos No. ----�:-'-�---- -- .�r� .�o� q� pascd �'ivu�e.eyo,t�. art. ..e,�9__ r�. ---7s------ Rpiar•..d Under Inw. ef SM� of Mien.wM LeROY H. 4VIP11ER � ASSOC., INC. Phone 78d-0270 LAN� SUR'JcYOR'S 8729 CE�diRAL AVE. N.E. CERTIFiCATE OF SURVEY B�INE, NiIi�NESOTA 55434 PHONE 784-0210 iV'FY FOR: LYON CGYST�UCTION CUt6PpYY � iCRI�ED AS: East 75 feet of Lot 15, Auditor's Subdivision No. 129, Anoka County, :v;innesota lying Northerly of the Southerly 130 feet and excepting the North 50 fest thereof for road purposes. �■ _� 121. Q�R" � ' c� I eo � l� � � w w aoi.z I � z --- — -�+ c~n T --/� �3G_CO --- �l �--ATT:CHEC ---I't----- --�`] 1 ; ^ GAkAGE '�� '' � � i % yo (RtOP0.5ED) o oi 7!� i �-�w�.BLK. - h i�J {�'-'�. �� FOIIMDATI � � I J�? � � I I � ? ' —�' --- � I � � :� � ,� � , � , , � � � __ � � -� __'— _ _ Fa�VG�''�-E __ _ __ _ _ ---C-E�J-�RAL—_ _ _ --- g {C. S. A. 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C � � m ��,�c. �•�n� i �' o 7�"� �� O ,d� ��n� �'� f�� ���» `�m� �-�nn �� a tr•�� n y MM ro T � � -- � � � � ry � --� � ci 7 i! � �' � rv � � � � .�,� °x 7 � aj �� �> «;�a R� �� i� r+� • y, . .� !} � A�, � 4� :.'�i `; % �.,, :��, f 9 �ao �'.S n :» . e r'i aaJ �-; !;� : 1� �' � c � t,.. t� ° ^� t � ¢i �u.�,� °_� � �; <:a t� �`s. r�', �y r=� '`�� '�� �, . E� � `� . r f3 e.;g e: � r•�a E� � Ed a�l f`.1 m'a � �3 ` a�`i � sue�ECr PE NO. c�ty of Fridley , i3358 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � PT N � ; L _.__�_ COMMUNITY DEVELOPMENT DIV. � � / r � � PROTECTIVE INSPECTION SEC. 1 , '4 � �"�1 � CITY HALL FRIDLEV 55432 NUMBEF REV. DATE PAGE OF APPFOVED 8V ""'� � ,'� 612-560-3450 910-F15 1 23/76 � � JOB ADDRESS 1370 Fireside Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION � SEE ATTACHED oescR. Part of 5 Auditor s Sub. #129 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Kevin Olson 1407 Adams Street N.E. 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Lyon Ente rises, Inc. 12 Brid e S uare, Anoka 55303 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 24' x 41' Dwellin and a 23' x 24' Gara e 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER IACATION: (Approx. 9' Deep) 129' East of Manhole (Inv. 885.3�,,,,-y;�, �...,� .�,,. Wye Elev: 887.94 ���`��' �"�i` G `-�''=_� -� Top of Footing: 890.94 Minimum NOTIFY THE F[�l�LF_Y �N R. WATER LOCATION:15' East of sewer service. DIViSlON REGARD;l�G CU B REMCiVAL AND REPLACEM Ni' NOTE: The City does not quarantee accuracy of utility locationsAT DRIVEWAY OPENING 1�►ARNf�iG ,, Before d�g�ing cail Iccal u�i�itits r� �; .�, � �.:�,t�,.;:°`�-.`.� ` '�'' '`i,,�`•.�. TELEPHONE-ELECIt�iC-GRS Etc. � � � P �il� r. ,- �_ : , 5_..t'_ � t�E�T��; , j��...���,�-;��it�i� ��� ��c�r�s, REQUIRED �Y L�,l�' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FY'dIR2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 2'7, 744 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 22].% +552 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS 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 34 3%O 17.19 DOES ESUME TO GIVE..B.IlTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE P ISIONS O ANy--Q7HER STATE O CAL LAW REGULATINCa CON- TRUCTION OR H'E PERFORMANCE OF CO TRUCTION. 51.33 325.00 �' PLAN CHECK FEE TOTAL FEE � L���� 418 . 52 • Si RE-0FCONiRACTORORAUT eonGEN7 IDATEI WHEN PROPERLY VAUDATED THIS IS YOUR PERMIT • 1— ��� �7<.� SiGNATUFEOFOWNERIIFOWNERBUILDERI IDATEI BLDG iNSP �ATE APPLICn'I'ION FOiZ RL'�IllLP1T'IAL, ALT�;RA'I'ION, OR tillllI1'i0N 13U11.,DING 1'rRD9IT CITY OF FR1llLEY, MINNLSO'TA �" � , G ,. .v T� ti(� rL � 2 E� .��' , a /' �� OWNER'S NAME: �l.'�'�; ���=��-'� � BUI:LDER:�i,��'/C� ��'�i�'��''C`ff�/`/�'�C` �', ADDRESS : l�C'7 i�-���r � � i` ��' ��.� ADDRESS :1� U'� r �Jr � ��� , /��,'��f�.�— iZ�,c '. � �s s ;�? � � �� : r � �� TR�ET : � , � � 5 � �� � ��;� ► � ► c- LOT :��R �e�� � BLOCK : ADDITION : /� � � � � l � % COI'u'VER LOT : INS IDE LOT : � SETBACK : SIDEYARD : Applicant artach ':o this form Ttao Cert.i_f:icltes of Surve�� of Lot and propesed buildii�g location drawn on these Certificates. � DESCRIPTIO:�i QF BUILDING To Be Used As: 4C[ _S L... � Front : � L� Depth : ��� Square Feet;_��� � Cubic }�'eet: � � Iieight; ���Z��� � �� - ���d lr'��'-�t� �- Front : - .�-- � Depth : ��._Height : Square Feet; Ct�bic I'�et: � ; �- � "`� Z`ype of Construction: ~�./���: �=, Fsti.r.iateci Cost: $ 7- �� _�.�_._ T.c Be Completed: -�� r��f�'�� � '� lne undersigr.ed hereby makes applicati�n for a rermit for the work h.erel.n spe�ified, agreeix�g to do all woxk i.n st'xict accordance wi.th the City of Fxidley Ordinances and rulings of the Dep�.rtm�nt of_ Buildings, and l�ere�y declar�s that all the fac::s anci rc�p;:e.sentations statecl in this application are true and correct. DAT� : 1 ^ �� � T (c� � SIG?�Il��'iJi'.� : (See Reverse Side For Additional Ir.foxma, ����d ' ._3`% 3 3 • 3.�"0 , o v i�• �9 y�s/3- 32 � � �/tJ �. L� �.2�-,i�ca` ��G s���� � - �KOv��� - �.��� ��G r:.� ' t y , ; ( . � . � I `;� BUILDING PLI<MIT F�E SCIILllULL' 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 existing building or structure, upon application therefore, require the payment by the ', applicant for such permit of fees to the amount herein below set fortli and in F. the manner herein provided to-wit: � UNIFOItM BUILDING CODE: Type l, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. AllDITIONAi. INFORMATION For the purpose of computing fees fox 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 o�- the cellar to the average heights of the upper surface or L-o 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 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 perr.iit as set forth in Section 2 be less than $5.00. VERIPICATION OF i OUNll!�TION NOTE: Permits for construction will Ue issued a minimum of 24 hours from the time of applicatien, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, sho��ainb the location of the foundation, once it has been constructed, will be required before pxoceeding with the framing. CERTIFIC�'\TE 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 Uuilding pennit has been issued; and said stxucture shall n�t be used or occupied until a Certificate . af Occupancy has Ueen issued. , 0 a �i� - - /.3�C� - �'�� s�,o� - s��e�1r - �d .r ,� 3. ;� _ � 9 � � --�- - —1!0 , 3 x �!�-= `3 % � -- /�9S �..z �a X a3,o -- _�o�� �� x �5; o � �,�L �� z z -- --� __ i � - ---+-__ i�,3>� -__� �� a__�_ 3 '`,r iz = i..� �6y�` `� (,t-� 3' _� _ ,��z _ 2 x lv = 5 .T�-- --- - --- - � � yyy - �- 3 ., , !_'_ __ --_~_ -_ --� �� '.-_ _-.. - __'___- ' - io 96 '�r � �"v = _ � � q�2 'Y, ,30 - —�--- - �/Z z ` � � a � , �-,e = �o?.S'. �.3,5 �, a? o • - s.� ,z ' x `��� Qoo = . ��o = y a 8y, 8a _y � `� .��! �3 G , .3"� - - ---- 1 �9 �' �Y� � �a • °.� — -- - ��,�.) ��y�y 3_ X � �L���/D�IO j =--- _ __ 3/. .� .3 — ��4 c. 3,�'d , o 0 , —_ � � �%�. ,�.� -�_- a s. 6 � -�- __---�--°.._ -�-��� z �� „�,.. .<...,.�...V.�o...�....�..._,..ro.�.�.. _ _.,..w...._..�.,,........._.,... ,.,...��.�.,�,.,�..,�.....� �.. ._.,.,� _.._�.._, .. _ �� � r : J1! � �P j ” 1n...� ,�lo•�nint� ��/i�'�f `�1� /� 8$7: Hiytiv.�� r< •j i�t F i S5 ��t_. 3UYkR'tV7[� � M , � _ � �;. resr� :-� � f'I �« �,�t������%�!¢ , � ' n. } l.,F j'�593� � � • �,� 1 f . t:; �� � - r,� �r� � � � c ;:�t� ,-, erenQ T••ie�, f.. 'L'� r�4bG � ` iuo ;°�c�it7eCrirtg �'r3��1I1£�@I"°i a�.: .f'91IiVt��% � e.c;.irs h?a � i' �'._ '� I 1� , �. 1 .. ' _ . �*,./ n� i E. i. .i. i 4�+ (i� L � 4:T� ►.�% 'ti.1 Jt � �i �fT �'i..l ` � � + . ` i;. . r� � � ��`��. ._.. _..__... � �} J t���:.+ ` - � ;- � T'^ , , t i �;'� r ` �. t� r_ � . �. � �. '- �,..�...._.�.�.. �._.�.._ ..�.._._. �.n $�� - - l '� ; � i5� � _ �" ` Y t� _ 1 • . � i K � ` e � _ .., r I f�4 � Q��j � .- , , E � --!_MP4RTRNT- ' N�TIFY THE FRfDLEY ENGR. @I�d1�lQN REGARDING CUR �N�61��i�L ANp REPLACEME� �� �RIVEWAY OPENINGS. . �� � � *,a �, � �.�n � ������.�� Before di��i�g cafl local utili�i2s TELEPHONE - ELECTRIC - GAS Etc. REQUIRED �Y LAW � � . � � , � { ' . � i . � ' ! � r- � � - w ;. . � °� ��...,..,�...-,...�..� ` _ - , . `,.�-----� ---- _ r _ _ __ t . << � , . � , ,a , , • ' e Y � - , . . . � � � I i , ' , . F, .1 t.'1, ` , . 1 \ � �. . . .,.` ., �.�� 4 ��'1 ' � a,' ? .��_ ��� ; �r t �-. . . � ' �4 �: t.. ; . . ,f : � t t' I. / ta .' .� . , ,�'.� " "' .n . , a` , , i.K i. , r_.:, ... �} � . ; _ 1 , �� .��� � _ .. _ � �,+ �����y. ! 1#sere�^y certiiy t►�ut this ia u t•ue and cu���c:t ��pres�ntccio�� of a..,rvey of the F33a:�3��4!'IPS o' ��,c aboti� descri3se�! te�r�d� cinsi of �I�e`location o4 utt bu�ldings� •hereon� an� utl �. ,ibte en�rotetFmqnt+, ti �,^,y. frarr o� �,•, ic3irl lond. As surveyed by m� lhis��^ dar of�_�!F,_,� —_--�A.17. 14 _ _ St��URBAN E�GINEER�lNG, it�C. .• /'T ' �1 '; . :sr�ineers Sii�'ve.yOr3 , , . ; -;{,_.�<< ,�,r)('�'1 = �, ! �,. • � � , . by ..�,.. . __.�--- . __ _�_.____!�.._.___..__.__ .,' • .. f .�.....�....a.._�,..r.Y.._.,..,.�...�..,_...,......_.s..�....A..,..�., W...�.,...�..,.,... �,�...�,....,.<,.....�..�.n.......�.,.,:..�.�,.,.�.,�, . ,m,�.,..,,.,.. � � �. J� �� �'C . � / .�`�° � � �� � � g ' �; � �- �.���� C�--�w � � � �- 3 � � 2 wy� ���� - ���� 9� / o � �� � ��� , z 1``w o c �-, n.� G - � � (� , �'� - _ . � � � �� � % ! �llitl,��;'v,y�, '''' �'-� _ 3 ,� � � � , � � ----- ���� � . %� �- °� /v a -� �- -. N� �� �` T�- �� �s LJi! � / T y' : �,, ��°,',Y- �°�� .�1 � ,E�',�' l �" �. � c�'� ca Y�- �' � �v T � �, �C � e.�� � � �- � �� �.� � � �c/.S 4 . E : , _._ __ _._.�_ �.... � C ' � JVOJCL� .. c;ty of Fridley A7 THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � i VV'�"�� � COMMUNITY DEVEIOPMENT OIV. f j ' PROTECTIVE INSPECTION SEC. 1 ; i l_-_•�'��"' �'� CITV HA�L FRIOLE� SSIJ2 NUMBEN i 612-571-3450 910-Ft5 JOB ADDRESS 1370 Fi resi de Dri ve NE t LEGAL LOT NO. BLOCK TRACT Oq ADDITION DESCR. Pt. of 15 Auditor's S� 2 PROPERTY OWNER MAIL AODR�S$ Laverne Carlson 3 CONTRACTOR MAIL ADORESS William Mattson Constr. 11274 198th Ave Nu � ARCMITECT OR DESIGNER MAiL A�DRESS 5 ENGINEER MAII ADORESS 6 USE OF BUILDING Residential 7 CIASS OF WOHK nEV IO�TE 6/14/99 21P vAGE OF � � PMONE -4786 PHONE PHONE 29680 CEIPT NO. ���� 6vqpvEO Br SEE ATTACIiED SNEET IICENSE NO 3354 UCENSENO IICENSE NO O NEW O ADDITION O ALTERATIQN � REPAIR p MOVE O REMOVE B OESCRIBE WORK 9 CHANGE OF USE FROM ST�PULATIONS Underlayment must comply with the State Building Code. 0 SEPARATE PEFMITS ARE REOUIqED FOR ELECTRICAL, PIUMBING, MEATING. 'r� ve y� VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NUII AND VOID IF WORK OFi CONSTfiUCTION ZONING AUTHORIZED IS NOT COMMENCEO WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOq A PERIOD Of 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG I MEREBY CEi;TIfV THAT I MAVE REAO AND EXAMINEO TMIS APPLICATION ANO KNOW TME SAME TO BE TRUE AND CORRECT_ ALL PROVISIONS OF �AWS VALUATION AND OROINANCES GOVERNING THIS TVPE OF WORK WILI BE COMP�IEO WITH WHETMER SPECIf1E0 MEREIN Ofi NOT TME GRANTING OF A PERMIT $1923 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE pERM1T fEE PROVISIONS OF ANV OTMER STATE OR LOCAL lAW REGU�ATING coN� �69 . ZJ RUCTIpN O ME PERFORMANCE OF CONSTRUCTION P�AN CHEC Licens S�GN�TUAE O� CON'aACTOA OQ �UTMOQ12ED �GENT IOATE� S�GHnTUAE O� OwaEp��� OwHEQBw�OEA� iO�TE� m n UN17S P OCCUPANCYGROUP OCCUPANCVLOAD SQ. fT CU fT OffSTREET PARKING STALLS GARAGES SURTAX $.96 SAC CMARGE Fire C $1.92 TOTA F E .00 $7 .13 V/�IQ�1 MIS IS 1L�UR PFR . � �A . _ NEW L ] ADDN ALTER Effective 5/10/99 ( ] CITY OF FRIDLEY [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address Legal Description: `.s JC ��`, �2c-'s ;�J�- Q2 �O �� � � Owner Name & Address: `�r �� c `i� •z� - ��' �4 �'� � �--�— Tel. # ��C�— ��-� l 2 Contractor: �' ; � ( � � w: yYr �t i jsc�,,,v ��o ,�,,- _5 i�Z � � � , c� , MN LICENSE # sns' �`/ Address: / � � 7 y / L �-T H � �; �� � �� � ,�� �rm.a� 55 3 3 0 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 I.ength Length DESCRIPTION OF IlVIPROVEMENT Width Height Width Height Width Hgt/Ground 0 Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: T� -r+�z � f'�` �f /''�,�L�C;r (-f�� : sE-�- ���Estimated Cost: $ C - { `— � � ^ /��� Driveway Curb Cut Width Needed: DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STII'ULATIONS: APPLICANT: $ � ,�' $ $ $ $__��� $ $ $ $ $ / • � Ft. + 6 Ft = Ft x$ _$ . Tel. #. CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut 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 Chief Building Official 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 $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for %rst $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100, 000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the %rst $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minirnum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Cert�cate 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. � � n c� � Q C�� �� a � � �' �- � � N. -� 4 '�' � n � � O � 3 0 � � T ? � � o � � �' � OC1 � lD �` � � � � 7• � � � �•��a o `° � m � � Q � � � S O � `. 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