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AF - 42315B. H. BRADLEY //f��� (/ Ji t CIYIL@IOIN�RANDSURVEYOR �� y-� �a� �f���/j1 �,/�Qe.!/ 9829 -24TX AVENUE SOUTH ` � y �� � ��� t �� � MINNfAPOL18. MINN660TA 6810� � � �� ( /� �� { � Y CI �►6.q F 724.219Y �'v rve y�o s�►a w�oc�►tt�+v o�' �io � s e Mr o�ve�{ �"e �0 7r' ��t Lt�t 0 � �t �#s f 7f � Lot` /� ��+ �� ir Nv. 1 Z! S'e�e /e l "� � _ � ��rt — �f�.st'� p r. -..,.�.... � ;�e:T L�sFr e � * f�j ��t�► �rl�i �.. !w� fe,� p r,r.�'� c�r�e..- � �� �hs�ci� Cstt�i��y �'%s7r t�rrs t's a�tt-ec.7�' ►'+e�rt:st�r t� 1`'�o�r o� a s�tu�y o��"�s l�'�s* ��'' m� L d T�'� �r��i+y'''��-.� �'v,�. 11�a� �.'�'�j �/r'� G t�t'���d'�s l�.S '�St�fi►�#� t� �1N�E�"' ,#K'� s'v��r�i�i��, �'fic. /�- � o�- t%a��rr�.' 19 �'"', 1�� /� ��� ��' �a��r�'�e+�',r F' �.. l/ �►e Caty of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: _.._December 6� 1972 Owner: ....._.IIanal.d...Eind.e.1.1.____...__......_....._....-----_........._� Builder _.._S.ame.. _.__��.. _ Address _..._.6.�7.b----�an�ral_.AYSntt�_N..E..._.-------------- Address .—S.ame_____-- ., . • � LOCATION OF BUILDING No. .....�.�-Z7..,------.---_ Street .._.._....._k'.�..x��.�...D7�.�.iL�._�L.F.......__.__._....—_ Part of Lot Lot .E....7 S_ � _---�.f_1_�# Block .---�-- - --- ----------------------- --- ' �l�L._..��_.._. ........_... Addition or Sub-Division ._ALl_�..._ Corner Lot ....:...............-.------. Inside Lot ._..._..-------.$.._....---__..... Setback _.----._...3,2.'_-•--___._ Sideyard �� �ir 21 � �Jl�'��l Elevation ._--------------•---$.$Z...._7�...----------------------•---- Fi9����9� �9'�'���� -----�.Q-�--...7�. Mi ni mtlia Wye Top of F$� Footing , DESCRIPTION OF BUILDING To be Used as: g� Eound. fo�....I��ll._i.xa$---Q�.�:y Front __ 4.�' Depth .�� �.� Height .�..._.. Sq. Ft. 1708 Cu. Ft .................-- Front ..—.---_...__ Depth _...__:.._..._ Height •—_...._••--• Sq. Ft. __._.....—.__ Cu. Ft Type of Construction ____.._B�QC1t_._.__._.._._...__ Es� Cost ..�4.�.Z.3.�...--_.-_-•-_-___ To be Completed 2 months Stipulation: Provide a verifying survey before capping. Provide a hard surface drivewgy. Get City approval for drainage before final grading. WATER LOCATION: Must Be Tapped. 6" watermain 15' S. of N. property line of F=reside Dr. SEWER LOCATION: Wye Only. Must be extended to roPe 1.�'F �e. 1� ' o }�j 0 MH Inv . 885 . 36 ��C�� #��� f J �\C'� �`^���, NFJ►Tit�, Pt.CiNi66NG aND SlGNS. In consideration of the issuance to me of a perniit to construct the building described above, I agree to do the proposed work in accordance with the description above set fo and in compliance with all provisions oE prdinances of the city of Fridley. ` / .. G � / 2.37 State Surcharge In consideration of the payment of a fee of $__.�.�...2.�_.._.., permit is hereby granted to.�..,_�i�dell .�_......_�_.._..._ ............................___ to construct the building or addition as described above, This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all WoTk done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of Fridley, Minnesota regarding location, construction, alteration, mainten ce, repair and moving o# buildtrigs vyithin the city limits and this permit may be revoked at any time upon 'o ti any of the provisions of 88tid ordinances. BuilclinS Ix�spector DARREL CLARK NOTICE: This psrmit does not eover the eonstruefioo, installation fo� wiring, plumbeng, gas heating, sswer or water. Ba wr� to s� �', fh� �yilding Inspecfo� for separate permits for thase items. �� \ � \ ti r �, p(��' � AP�I,I�ATIQN �Q� RESIA��ITTai,. A�.T�R,ATIAN, OR ADA�T�41� �3UILDIN� P�RMTT �ITX OF �RIAI��Y� MINN�S�TA OW�R' S N,A,1�E :� 0 hi� � U �/ nt �j rz- �-�- BUILDER : ADnRESS :�=�(� �% 6 C}_a�� C��' �I �- A,D�tEss : , N�%s /--r� � 7., s�i� � �� iz S � 19r'� � l2 / f/ � �r s� ' '�- �LOCx: �.rni��zoN:�„ C'�`�Q,�_�-�-�-iL�...�.� Z `� �';q�g Lp'P : �N$IpE LOT ; � SETBACR i SIDEYpRD :�,,,r ��.�,�� ��c� ta �� ��_�,�,io Certificates of Suxvey l�o�i,lti�g �+acati�r� d�� �u #�sae Cer�tifi�ates. � C.e� �we or � u,+ ��'� ,�i� "�L S 6� D 7 = }-� v-c,ca.e: u.: ,�:11 .,�t_ P -�C.cv.�c' r o � i � -� �II" -"W' ',cJ e.�- .,�-=,�e ,�„� k-A-e! . i�..l"�..-.�' ���CRIPT�ON OF BUILDING of Lc►t a�d propp�ed �' � �j � g� ��d1 f��� �' £ � �> � � ,�-�L�.., � � t3�ed Aa : / . �� , � �� � � C� - � F�� � 3 Dep� : � d Aeight : ���� ,.\ ��� � i� l� 0 O 7 ; Squase �se�; Cubi,c �'�e�; � � � ,-� � � �ra�t: Depth; Height• �quaxe� �'eet; Cubic Feeti T7►�a o� Couatxtxc�iaR� %%�v�t��v�-o-/-��•�...,��/��.u�_� °`� Estimated Cos�: $ �- 'y �%�� w�n�i�i. w. r•w � � � . /� � 3 ��-,;�:-�w � ,� ��h �. �� 8a t�g�+���d; — . , �, � T!� u�c�e�ni�xted hexeby a�skea a�licatiflu for, a pe�mit fax the wa►�ck h�xei� �ge����cl# agxeeing fi� c�o all t�c►7�c in stti.ct accordance with the Gi.Gy o� F�Citdl.�r �Ixd�,�c�e8 �d �uli�#� �T� #� Depas�tnten� Qf Bu��din��, +a�td hexebY ��a=e� � all �h� �$cts a�d se�resantatioae stated � Ghia appli.catiom �� � �lud cv�xeFC„ . ., S �� S �GNATUR� : ' p�J � � I�AT�; �� ._. .. , �. . .. , , . ���e R+e+�er��e Sf.da For � � J,J2.��rw� �c,�: O �,��,�..� '� � , � �J/ � . ) A�id�ti.outtl Infostqatian. ) ;' � � ��� , a ��� � x �� • n � `Y T t ;�^� � a,� ; �� f., 0 � 0 , � �BUI�AING PERMIT F�� S�H�DU�E S��T�Q� �. The Inepecto� pt $uildings s�all, befoxe �asuing permit� for �he �����ion o� a�y building o� structure, or for any addition to any a�cisting ����dLng ox stxucture, or foz any alteration or re�airs to any ex�sting ��4:�i��n� ox stxucture, upon �ppli�ation theref�re, require the payme�� by Che �L���i��tt fpx such permit o� fees �o the amount herein below ser �orth ��d �n �in� �annex hexein p�ovided �.a�wit : UNIFORI�I BU�LDING COI3E •�pe I,� 2 �e��, �� f�action the7reo�, in such �aCh one tl�ousand cub�.c feQC. & 4-$2.15 �or each one thousa�nd cubic cubical con�ents. ljtpe 3& S-$�.,85 �ox A�D�Ti01�1AL �NFt)�MAT�ON Fo� Che puxpQSe of �amputing �ees for building pextnits, the cubical contents of any building or addition, i8 det�rmi�ed by mu1!C�.plyin� the ground area �ove��d £�c�m a poi�tt s�x (6) inches below the flaor line o� the basement t� tbe �C��.lar �o the average heights of the upper surface or t4 the averag�.f �i.gbt c�� �hs �ovf ��'face of the main gab�e of a pitched xoo�. ��i�cs ox al�e�a�ioms �as an existin� str�ci�taxey �ae fee shal� be �+� �he �at�e a� $3.fl0 �e�c e��h f�,ve h�ttdred dollaxs ($30U,OU) .� f�tion thexeo� in t.�i� cos�� o£ a�l prog�sed wo�k.. Iat �o catse sha�l t�� �,e� �d for attiy pe�it as set fozrtii �.n Sa�t�Lon 2 be �.�+is titan $5 . AU. � V�R�����TiQN OF �t�UNDA'iION ATp�s pe�'mits for �cr�stxu���on will be issued a a��ni.� o� �4 hours f�om the �##e o$ ap�Iicat�,on, ta a��aw €ar prQgex review of the p7roposed s�x'u��ure �aitd t+f �e �tstruction sf�e. 1# CB���.�i�d Sux�r�y o� fiha la�, �h�ing t� �.ocatiat of th� �oundatio�, v�ce �.t ha� #a�n �o�s�.�t�ct�, wiil be �requix�d be€ore proceedin� wa.�h �i�c� fr�it�g, C�RT���CA'�� QF lJ���JPANCY t��gli�,a�i� fox a Ce7c�i.�is�t�et s�� Occupancy �shall bs mads tea (1Q) +days px�ox �o �he �se o� ¢ccupa�►cy a� any at�ckure fox which a build�.ng permifi has been issu�d; ,�ttd s��.d s��ct;u�re i�t�a11, not be used a� occupied until a Certifi.cate af Uca�up,a�cy ha� be�� �ssued. � . Loc �pl�c �ib�-o7 ( �J � B. H. BRADLEY East 273 Ft. Lot .14, A.S. �129 AV16 WQINHER AND SURVEYOR . . � . 3�2f.21Tn A=NUE SOUTH � � . _ . . - � _ tt ir� MMitAIOLR. MiNNESOTA ii� . . � . . _ . . . �, 7��ttA ' .'' t l . � Sur�t�y fo� - Fr��:l S. ?'c�sn� s f�c. � 885� /-,� /s_t fI ve. N� NEYv C/cp�� t�?i��� . _ � f�jo7 � � � s� ' � ��u �lv � •� �� o �� . t`r _ �� ; , ---� - '� i�a � - m ' . � ; . � �� , ��' --__ :, � M _ �1�75 /ro � c v � � � . Q �,. � �� . ,, � v° �. 0 �► . � 2�►'ZZ 1 ti � �..: � .- /l',.._.5i�� ` %��: ! V� /�vr� —�._ „ ,, • �cc%�-/: .�� . , 1 1{C:I'�? J7/ _,'+'� / ��/ 1�C'/� ,�r� / f �� �� r~L/L`^ C1/iL:� L✓ %/'�'�f /',+1� �' -, ]Jy / , � ,. .:/< <:1 �y .���r�L�, OI / I�� l- �� �� � / 5 �C� i • ,� � ' . . ��'f Cj _G ��r� r. u�ifprS c���jc!iv.����i� �`� I� y���,c-��r � , ouii�`� ��1ii1:1 �SOfc, as ,Sc;�,�y�r/ �7� rr� �� f!� c"' ���� �i�i�,• ::j�;�-�. /i�i'. i — � �- , - ���i' i �I�i.L�L._:../ �(�/F},'C �- /'r7//11i. ��C.�. /�I��,� I�f�: � o. " --, � �_��� �`_ �C�i 1 / c1f"J' c, F �� . ,y � - � �' - "` / � 8 f � w ( G CJf � � / �1 S r � � _ .=rJ.: . . ^> �.,, . -+- • ,-� • � . % �_" ^� . ..:. r..' , , . . _,. •.:> liC� / � � r�� � , �,.. �, �_ v, ,.... ; .-- �. � ��� , �U �� ,Jj, �,: �vr,�r�6 — � �� ��-rt ,�' ;',,�J','r✓r'„ % d ,/'��t' T _� � L-- � �- �`'' 7 ,` : �'':% _ __r.----�---°°� .__ .� _ _.. .. , - _ r� / ;.,/ ' ,�,� ^? R � � ~ ` . � ` , r �: � � f ���/ t � �_ ... � O � ° � /� -�r F.; �' _ r,� t';� ' /-:� , 4 > '' �,_ " . . , , �� ,i � �-', k� � �� ^ . . ,. �,�Y_ J _ ^. -� .�,.. . +..: . °I'' ,.. ..°j 6'J��:)IUC� /�� ; . . , . '� i C-' . � � ' .��� � � ��. '�� �-< �, .,� paluiid S3aIlS wW�£° S1N3W3JelHlN3 Oi x 8 I S1N3W3�2fdlNj L x S S31d0� 3ZIS 13lltIM f----! � . CL � ; c-i;'�c ,aa�as no,( �siaz�s ayl ,o} KeG a;eudo�dde ay; ui pansap saido� �o �zqwnu au; ale�ipu� �sa�dc� �uuap�o uaym a�uaivanuo� �nc�( ic� `a,'1���5 �► t e� G:. ��r �►1� t� � }� }, p �i ��.•^-"a� �•�tn4� .no� . ��� . � �.:,��� ���,,� -�� J �-1.� i��CJ -�-�1� , � 8 �3 - 9�� �, �'���e� ��-�ir a'L.�-Q-�� �� � q %�- � �-(� , .�' �_ /� l t t�it/t. � . , � �, � �V � � G� �� � �� � �, .� � � �� '��1 �� � � . . � ��,,,� �� . ..� ,e,�,�-�-� c� ' ,� �i�,l �� �- �. ��� �� � ��� , � � � - a� MOVING City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 ����� PERMIT Date: _..__.._._.D.��Qmh�Y' Z�],2�_._.._ _ Qwner: _._Donald Findell Mover ��y�,��( _ Same Address -----.�.�.7�.---��.i1��.1.�_.�Y�.Il�.l�...N....��_.._---•-------. Address _._S.ama_...._..__ I � � . � LOCATION OF BUILDING No. ...._13 ��..______ Street ___F ir e s ide Dr ive N. E. �__ p� of Lot Lot .E-�'--�-�-�----ofl4Block ._ ................�----�--- ' ' .S�lz.�_�1.2.�.-- .._..._ .............._.... Addition or Sub-Division _�1�.�.�_ Corner Lot .....- ............._....---- Inside Lot Sewer Elevation Setback __�.___.._._______ Sideyard Foundation IIevation DESCRIPTION OF BUILDING To be Used as: above address .M4..V..e...�IST3k:� �---_t_Q....._ Front -•-----.�..__ Depth .._.____._.._ Height _.___._...__-•-.. Sq. F� Cu. Ft ---------•---------•---------- Front _—__....._ Depth Height .��_.. Sq. F't. _. Cu. Ft Type of Construction -------------------------..._...__---.. Es� Cost _...�2a_OOO....Q�..._.___._._ To be Completed .__ Move house from 4044 Unity Avenue North in Robbinsdale, north on Main Street to 57th Avenue, east on 57th Avenue to 7th Street, north on 7th Street to Mississippi, east on Mississippi Street to Central, north on Central Avenue to Fireside Drive, east on Fireside Drive to the E. XRR 75' of Lot 4, Aud. Sub. ��129 Stipulations: The house to be repaired and brought up to Code within 1 year. Provide a hard surface driveway. Post a$2,500 performance Bond. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above se o and in compliance with all provLsione oP Ordinances of the city of Fridley. ` !/ � /� In consideration of the payment of a fee of $__.�?..2�_.r, permit is hereby granted to nona _td F_ ��ndgl, l __._......_.._........._._ ..............................._ to construct the building or addition as described above. This permit is granted upon, the express condition that the person to whom it is granted and his agents, employees and workmen, in all Work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinance8 Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings yyithin the city limits and this permit may be revoked at an 'me upon viol ' any of the provisions of Said ordinances. Building InspectoT DARREL CLARK NOTICE: ' This parmit does not cover fhe eonstruction, insfallafion fo� wiring, plumbing, gas hsafing, sswsr or water. Bs sun to sN ths Building Inspoeto� for separate permifs for fhese ifems. -� r _ �a-e�,�.� -cQ - � �c� , �8�-C1.�1l� � G�-� U Inspector of Buildings, 6431 Univ. Ave. N.E. APP�JC�ATION FOR M.OVING PE1tMIT ia - �'- �'� //-�i- ��: No. Fridley, Minn., ���'�i'J1��� % 1g�� The undersigned hereby makes application for permit to m�ve building as herein specified, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby de- clares that all the facts and representatians stated in this application are true and correct. Lot Block Addition Present Location : 4044 U�i�1 Ave . ?�, R�binmda,le , , , To be maved to: 1377 Fireside Drive It.F.. Fridile� 4� � Aud Sub 129 Routing: '���t� �� �Ai� St t• 57th Ave iiE, East on 57th Ave AE t• 7t� 3t 'iE, tt�rt� •a� 7t� St. NE t• Mississippi St ItE, East �� �fiasi,�sippi St ItE '�i t• �Cer�trxl Ave I(E, �f�rth ��. Ce�.trs,l Ave I�E t• Fir�►aid• Driv�, E�►st s� Firesid• Dri�e t• Ruildir�g :i�e. Distance moved it.To be completed about Dses . 15 19 72 Taxes paid ? Estimated cost $ Foundatian and alteration permit numbers Certification as to cost: I hereby certify that the above designated building is worth at lea.st sixty (60) per cent of the cost of a simi- lar new building. Signe u �/—i�i�z�G� Owner or Agen! � �� � � . � (_r . ��_� , � , _ ��_,�:. . (��' � r" �r:_ � �'/� • - .0 /��, / �� i � Ap�praved by: �� ; 1�� . f � � !' ,�1 _ l ,' �,� C�� / � / � . / � ; %�� ' ,%', _ �� � _ . � ,� � /� � a ' � , - - �„ _ ��. �- ���i,� �/���„��;1_i" � , .1 � - . �- - _ ' �� ._ - -r �,, -.�;- ; �; _,>_ 0- � , ' � � � , ' �'� �/: ` ' f� `� ,� ` ''�' ' °'� - -� Water & Sewer Department �� 1/ c, _ , ' '�/� _. � � Y, Utilities Notified: Minneapolis Gas Co. (date) (Title) (Title) orthern States Pawer Co. (date) —1Vorthwestern Bell Telephone Co. (date) (Title) �i ,� � . , _ ,�_ ` � �.Y,_� � '�� _ �, � , �% � � � �.,_ Signed � �l � '"` Licensed Mover - --.'_-- y_.' _�- " ,� /,_> • = �' (See revers� side for iastructicns) �n the event that the moving p�ermit is to be applied for by the owner or by any other person than the licensed Mover, the following letter must be completed and signed by said maver: Inspector of Buildings, 6431 University Ave. N.E.. �idley, Minnesota Date , 19— Please issue the bearer of this application, Mr. D���ld H. F3Rd�11 a permit to move building from: 4044 II�it1 Av� It, R�bi�adale to: 137 7 Fir t ffi id • Dr ivs , Fr idl �� to which I hereby authorize him to sign my name. Signed Licensed Moves GENERAL INSTRUCTIONS The following must be secured before moving permit will be issued: 1. A building permttt for new location of building to be moved. To obtain this building permit, the following is required : • � (a) The building to be moved must be inspected for structural soundness by the building inspector. Phone this , office for inspection. SUnaet 4-7470. • ;. (b) A survey of lot to which building is to be moved. This survey must be made by a licensed surveyor. (c) The building and moving permit must be obta.ined at the same time. 2. Tax receipt showing that all real estate taxes due have been paid. Duplicate receipts may be obtained at Anoka County Anditar. - 3. Approval from, the Fridley Water and Sewer Department showing that bills chargeable against the property to be moved have been ga.id and water connections have been discontinued at the curb line or at the main. (Sce reverse side of form.) 4. Approval from Fridley Director of Public Works office approving routing. 5. Notification to, and signature of utility campanies. (See reverse side of form.) (a) Minneapolis Gas Co.,, 739 Marquette Ave., Engineering Department, Fourth F`1oor. (b) Northern States Power Co., 15 South 5th Street, Application and Extension Department. f!� Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Floor. - � ; .. 11 250-8-58 �` 4. Building Standards-Design Control Subcommittee Meeting of November 21, 1972 Page 3 Seconded by Simoneau. Upon a voice vote, all voting aye, the motion carried unanimously. MINNESOTA T ON FIRGSIDE 6634 CENTRAL FINDELL, 667 EY 940, AUDITOR'S SUB, N0. 129 UB. N0. 21, THE SAME BBING (RE UEST BY MRS.� DONALD NNESOTA 55432.) Mr. & Mrs. Aonald Findell were present to present the request. Mr. Findell said they had decided on the lot on Fireside Drive N.E. This lot is 75'�c132' . Mr. Tonco asked if the�r had checked with the neighbors to see if they had any objections to this house being moved into this area. Mr. Findell said they had �ot. The house is 28 yeara old, but they think it is a very attractive house and it will add to the area. Pictures taken by the Buflding Inspector �ere presented to the Board. The housa has a one car garage. Mr. Findell said the garage could not be moved. They will constxuct a new garage after the house is moved. He was asked if he intended to construct a one or two car garage. Mr. Findell asked what was required. Mr. Boardman said he could construct a one car garage but there would have to be room to have a two car garage. The Subconimittee felt a two car garage should be constructed if at all possible. Mr. �onco said there wauld be some damage to the house in moving. He thoughr . the Findell's shauld post a bond to i.nsure that the house would be repaired ' and brought up to code. They also want to be sure that the house will be locared oa a foundation as aoon as posaible and the lot properly landscaped. After discussion by the Subcom�ittee, they decided to ask for a$2500 performance b ond . MOTION BY TONCO to recomn►end to the City Council approval of the request to move this house into Fridley with the stipulations: 1. The houae be repaired and brought up to Code. 2. Post a performance bond of $25 00. Seconded by White. Upon a voice vote all voting aye, the motion carried unanimously. Chairq�an Zeglen adjourned the meeting at 1�:00 P.M. Respectfully Submitted, � l �'- � � ..' �I � tG �y' . � '�-[ ,."t�.r �r.>l�� Dorothy Even on, Secretary _ _ _ __ __ ♦ ` . _ Z��c IQ�� _ (�•.�_ _ a �► s �"" � �a l � -o c � _ _ ��''- -- Y, _ -_ � _ _ ! ! 11 � _. Z`� ��2 1 v� S t�� e �,�� h ea.�� � �.�i � �. �..� _ _____--_ __ _ _ �Z�z� _ _ __ � �_ ___ _ - _ ___ � _ _ _ �_�f x ��..� _ ___ _ _ __ _ _ _ __ _ ___ ._ _ __ _ __ _ ___ _ � � ��, - -- �-�- - � rr a��. -�an.�..� � _ � �� _ _ _ � - -- - - _ -- _-- _ - _ _ -- - _ - -- � . __ - - ----. ' � -- - - � � - - _ r"� _ _. _ _ _ _ _ _ _ _ ___ _ _ - - _ . . � Gc .� � �•� �i �� _ ���-- --- �i'r'�,.�_ � -- -_ _ ___ 2. � �_ _ �l� � � O,C" _ `�'_ � �� ✓'$'�,..._ _ _ _ _ _ � L / . /�.v_vT CvdC/l �� c1trG. ��R�Cl�? � � _ - _ �C../1 Q� /�O Q�'! �I�v G �/ r1.` � c�.- .� _ ___ . __ _ _ _ ___ _ _ __ �a �-� c�,1�re s _ _ _ _ _ _ _ , _- _ _ __ T � - ��_I��-- _ ��; ���. --- �-_ _ _ �_�� _ _ _ ___ -� � �- . . _ - _ _ __ _ C�` ""�- __ _ __ , _ _-__ - - _ _ I 1�� � 'r �� � �� /i'1 . - ���- _ � � � _ ___ V �`Ov �. ec� Q�f� � �� __ _ _ _ war� �. �t Q�GGs ar� Gh� _���e.,. - ,�� �� __ _ �C �--►� _�.% �� ' - _ __ _ - ,,,--�.-� _ _ _ � �.... "" � ' �D �i 'C- � I! _ � � _ �./ C°_ 4�� � ��� 9 �`i _� , � _. _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ - _ - _ _ _ _ __ _ �� � � � C� �'Y OF FRIDLEY � �., 4 2 5 Application for Installation of �Vater and Sewer Service This form to be completed before a tap is made to any existing water or se er li�e. �� � . . G�,� : �,� Lo:..� ----../..-- -�-- Block -�--------------�-�--�----- Addit�on - -� �- -�-�- -- -�--��-�-- -----...---�--------�-- ----------- : Address �- -----�-�--%---.�..��.re-:�-��...---- ---- -�:-----------��-----------�---... ....-- Owner .. .. ..... ...:D�..�� _.�.�_..�..T--� Plumber .-.--.,�:G-Ft���----,�o-�-�:c1..:...1._.�:L'�,t (this portion of f to be completed by person requesting tap) CHARGES TO BE PAID BEFORE TAP IS MADE — WHERF. ASSESSMENT HAS NOT BEEN LEVIED AGAINaT PROPERTY Sewer Connection fee 'Street patch ...... $26. � ,5�� �� Water Connection fee ......................................................$10. Meter deposit ....--�----..._ ..................._........- -.... 25 3 G� � Materials used .._........-� •- -.....-�--� ---��---.._--� --...... 55 � � �� ` '"Street patch .....--•----�-�--.._ ............._........---........-- - .00 J .00 ' Where applicable �� S f Q!'J The above applies for all regular residential size services IF LATER,AL ASSESSMENTS HAVE BEEN LEVIED AGAINST THE PR.OPERTY, THERE WILL BE NO CHAftGES OTHER THAN CONNECi ION PERMITS AND METER DEPOSIT The City will furnish materials for water service and the plumber will bill the City for sewer, not to eacceed $3.00 a foot or a maximum of $60.00. ASSESSMENTS TO BE LEVIED Water La.teral $ .......................... .� � ... Credit for material ............................................. Total assessment $. - .....---�---......... Sewer Lateral $ ............... .............. ...... Credit for material 60.00 otal assessment $ ...................._.........--._--.•---.. Clerk's signature --�--�-----��....�---�---��-� ----�--�-------------�---�---�--�-- I hereby authorize the above ta.p lst copy—Public Works Director of Public Works . City of Fridley r •T T� rov o► r� rw►►+a � � . rL"������ GOMwUM�T� OEVi�OMrCNT OIV, � �( � MOT�CTIVR IMlII�CTIQN O�K, �` i r�_- i pTV MAL,L sAIOLSY iM: {...-.J`.� `.J N�'��0'3N0 ires s 7%„ : �r2rz S �U� l�c�N �-�% �inr�,� c� Contractor — 'S ,� C � Kind of Building omptet �� Q��j � ; �- I--!I ,I W i � -- I 3 I< I � I I ' �i � �; I I i I q a�Nra � � i � evo I i I � �� � '1rdYl I � I i Q Qro i i , ,. �� I � � ; I� ; —,I� •caoil I � I i•MNwa j � � � d SNISVYI a. I � H�1V�I � �a w OO i►+ivaal „" 3 k �oo,� � •�p I sraaa+g O a I p'1Nno� d HNtilO b U�V� ' �iAYYlI A MfYM s�Nisl -... �Nisr�l � �uv. � ` ttivwwn MssvM 1'I I I • .. � � � � � � w .� ra W ::� W � � 8 � �� . �`�oo � iw�ECT ��- �v PLUMBIiVr, PER�IIT APPLICATIt�iJ �,�� D�lR:f:�t���' ��7t�s��� : 11 Aaaress �hone 6 C�-,�rrT,�,�3 �- ►v,� �8 5��-�6 � d ress P one se —1 --_ _--- -- _ �_ ----. Plumbing Fixture Rates: N0. RATE TOTAL Number Fi.xtures � x $2 . 00 ;'$ (� . ('n Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU � x $3.00 ��-(�� Ground Run Old Bldg. x$3.25 Elec. Water Heater Gas Fitting Fees: lst 3 Fixtures x $2.00 / X y�2.�� r� -i1� , Additional Fixtures x $ .75 I i Gas Range-199,000 BT[1 x$5.00 � Repeirs & Alterationa See � Description: Code IState Surchart�e .50 � ! TOTAL FEE $ �� . S <� I !The undersigned hereby makea application for a permit �for �he work herein specified� agreeing to do all work in atrict accordance w ith the City Ordinances and ruling of the Department of Buildinge, and hereby declare that � a1l�the facta and repxesentations atated in thia application are true and correct. n -�` ;c-��� 8- � - �3 ��'Signature � Date � . �-iy,>� _ -- d1� � t . � �`���' �� � �'��' $� i�' �r j� 4T TME TOP OP TNE TYIINS' � �� � ` --- r � L" �-� GOl.!NVkfTY p[VFLO:°'ssENT DIY, f � i r'fi`OTECTIV$ A�:.^r'[�710't Cv'F'T. � i r__.� � C17Y n.nLl fRiC�yY p�.t�:! �"'..1`: �.J ��2-68o-3a-�0 Job Address �- , w ����cr ;-., Permit No. HE,�TI�PvG PERP�IT APPLIC�iTIOi� �£R a'.v. - �ATE -._ FAGE OF 910-r17� 0 2/15/73 1 � 1 t3�r� �' � REs� pE ,�R. ����iLD N. !-IND�LL (iOLl tZ'uC �Oi' SS 0 ^uS kFPRC\'EC 800 rnone rl 8'-� -'7(0 �-1 o Ynone L'EN F}l. (-}I NO• �'r Nr . 7qo s L°LCII�Llf�VO �4'O-S�// Kirlc3 oi I3uildir.g Use � A E `��S + t��U T� �4 t- Con�etion Date ,st�matea �ost " __ 1 �- 15 -'73 '� BOC� O° fir�cii�i?'�""a �`? �rii:i �.I�$: �'��°x'+ d'�ii"ay r Heatir.�/Poz�er Plaiif�s Steam Hot Water Warni t�i Flarnace SyeYf Gc I3JCt �ears ... . ... . .. .... ..$1Q.(?�' � - Replacement oi Flzrnnc� ..... �� — Trade Name �{�jZR�EjZ _ I 6.OJ $ I Repairs & Altera:ions—vg to �500.Ofl g_(� $___.— Repairs Ec Alterations each add. �500.00 , g_pp �___ _____ Size No. �5'� M RTU/f�i ��C%L �3F�.�'�;:5 P�TR Capacit}* Sq. r t �rnace She11 & I?u`t �7ar�: to 1:�U,0�0 STiJ .. . S1o.00 �— EDR BTLT Toi� . e�ch add. 60,Q�� B'C'U .. ............ .... 3.W # Total Connected Loa�� RepIace�meai ot r �rnace ... 6.00 $ t-Q• �O Repairs F� Altxrt�tions--vp to $5fl0.Q0 �� � Kind of Fuel ��}� _ Repairs & Alterarions each add. S3C►0•OU 3.00 i Burner 3TEF,1�4 or Y:OT t*JA'Y ::A SY�'i`E2� Trade Pdar.le F�rr.uce 5heFl ,°,: Lines—t.o 4C0 sq. !t. EDR Steam @?O.�JO S-----.-- Size No. F�unace She11 & I.ine—to 640 sca. ft. EDR Hot Water I0.00 �_ __ � ! i Each add. 2Q0 sq. ft. EI�R Steam a.(1(1 3...- __ --- C�pacity SCI.Ft� Each add. 320 sq. ft. EDR Hot Water 3.00 �__ EDR BTti lon, OIL BURREP,—to 3 gal. per hour 6.00 3____— � over 3 gal. per hour--5ee k'ee Schedute G3�^� FtII�i?a�£:�i (up to I��,G� ETii) 6.C1� j' � wer 1;�3,C�'S �T(T ,siee Fea Fsthcduls � �AS FI 1'dP�G F��: Yd0 it�a� T07�L � lst 3 F:xtures . _� x$ wC`�,� 5-----� Additional 1 ixtures x .?5 S _— Gas Range to 1:3,Cw"�3 E$ E.W S .50 State Surcnarge � Riil CC?�",�I�"TC'S?i�Ci �: 1 FATi €.�?�.�3i=G ?Y:7T�"^�! 3�a F� l�chnFie��g _____ � V�.a'IIL,'.aif�� �SY�•'I'�'�� �_ ; �.L7'1'.Ed1a.iEC:iS Et FF.FRIFt3 T�O7i'i�. Fi..: � ' � , , F.Oi3� F: FZ;ti i, L _ _ I � �f 'r �%� I ��i+. � — - i nature � � ����� /Q-- io - ,�� _ ' AT'�ENTION OF: CITY O.F FRID�EY ; . r t . .. , 6431 University N. E. To - Hsseiet �C---,. - Minneapolis Minn. 55421 _ ' 612-560-3450 _ __ _ . _ _ _ __ L__ _ _ _ _ __ _ _ __J 4 SkJBJECT � � ��`A'�# � �pOt�;C DATE � %t I.�� ; __ 1�7.ar■�t a�d�s # �::�o�at in !ir aMOm�t_ of- _=2�546.�Q .�i_-p�Iq�eb� #o--�(E. _-�l��-�i�i�t�� _ . _ bi7i �l_ �r�+s. �.s � s #�Li�, �+s _ ?►3�.. � _i� _ � _ �r�i. �tf . � _ _ _ �'�� �wti i�t t�a__���i_i�c__L�7J �i�nsLir �4ci�..i.i.. �hit_,� _l� b�n. __ _ __��d �ri _sp� 1�T _� Iro��.� �. _ __ _ _ _. _ _ �--�---�- _ _ __ _ _ _ _ _ _ �c_1�, _ _ _ __. ... _ __ . _ _ _ _ _ __ _ __ _ _ _ _ ___ _ _ _ _ _ _ _ _ __ __ __ _ _ _ _ . _ _ _ _ __ _ _ _ __ _ _ _.._ _ _ __ SIGNATURE � REPLY: _ _ _ _ __ _ _ _ __ _ ___ . _ . __ _ I _ _ _ _ __ __ _ _ __ _ _.. _....._ _ __ _,_... _ _ _ _ _ __ _ _ _ _ __ __ _ _ _ — _ _.. _ _ __ _. _ �.. ... ..W _ _.. . _. _ _ _ _ __ . _ __ _ _ � _ . ____... __ __....... DATE, SICaNATURE Ori1GINATOR — DETACH AND RETAiN .,' � . .�.' ,� � 3 • ) ." `� .�.iJ.� ,,..� � w��-��i T '� '� ;�_; � , ,� ; � ,--� � t. �, �'� � �� F� �t��o ��de � � 6431 University Ave. N. E. Fridley, Minnesota 55432 �. t� f Te I. 560-345�� :Se-''� ' � 6-c? RECEIVED OF $ �-�� � � ADDRESS � - �'l �- FOR �-�-� � �"^ �Y % � FUND CODE AMOUNT 0?,5 6-0 ts� Marvin C. Brunsell Treasurer ^ BY. ....... . ................ � � � �9� No, 6641�. � Fp�NZMEIA INC.: ST. �AUL, MINNESOfA a � � � y� � . �.� I , l�i � � � � ��;�� 6 �l 31 u ` G-u�e- ���,')'I7,�,�� 2 ci,t/,' ���,�,,y.Q C�.��.° � �ti ��� � m� � � � �� a, `�� S�a °-° Q � G`'.-�iei� � � o� �'�- �1 � �9�3 w,� � � � �,�,��-1 � �.-�.. a. p��.�'� �-�-�-� � ��� � ����- � � � � , � : , � �. 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Y��r��_ � r . � �lfl� � C,�.��.. � � �. ��, + �-� { , , , l � � t.fj �,;t -1 f r, 5 n . �:, �� [ � d � ,, .! . � �? "+ �t°� a�. � . .., . , e r . : f i � � ' ���,^,,.�,p� ��, }1� . y.,�+q Kfr�r?'�1�� . � � � ��-j7"A�.. •• . � . � .. . . . � . t. .. � . . � ' ,'1'6is Ger�i#ies #hat we have insp'cted 11�e buildjng ot the above Iqta�rR, si!#�c+ied o� Lot� �;��� �,� ::,,� � �'-� 'y �iaa�non. to Fridt�r�r, ar�. �3d ihat .sth� scme e a� , Y r� ��`e�ur k�ovvledye and belief, it�'C� afl:tfie rp�drem�nh of the 6�td�� �ir�p�uc�s of tl�e e3t�► M� .. i'.. . .� . .. �. . ��1 . .r .. . ,`, „ . �. i '�" b����ce�nis�i4n is hereby .given for=�ifie occuFtaney of saidybUitdiny. �� �a�t�tjr'bc �h pdrf, in ;th�'�n�ai r� 1 � ;, : �;� h+�rein below spsdfi�d. � , _ , F . , �1?�; � 'R .. � ' .f ,. � , �j�.:� �r � r .'/':. . 4 ,_r l''A' A. 3� -,�f, .•i � . : '� M '�`' � ��` �' . , � �„ ;4 ��, floor � �, ��:� , ro 1� nccupiec� far . 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' 'd• . � . r � � � N n � w ., �" %' � � '; � z � i' � w :� � E � n F c � n � o M n � C) M � '�'� '9 � � K 'h �s: o `'' x "•a. ►i N � � � A " ta : � � ? A c � o � N � � �` c M -. , � x � : � 'D � 'O '-' • c c: � :ri `�' f', • % � v • �' � � �. � O a � • O � • � a • � � . . p. � � cn -_1 � � Cd `$ . 2. ou ' . A � . . . °' � . °: . . r' . • • • � • � � � _ �7'� • • • • • � • • r � � • • • � : A �-� � �•, • • � � � � � • • • • • • • ' • • ' • � • • . • . . (/i _ . : . : . . . . . (� 2 m � . o o rC-- x x K " x x x x x x m V � N �.'b N � �. CJ rN+ rU+ J 'A g c'�n b' �j �' uN, �' cNn i �i 5' �� . A N N M� N N V� N N �.M •� I I ►i O t � o I l • � . � � . • ' . • • � � x [ � n 1 N � 0 o y a � x � ��� � °' � c a a � a a� �e -� � =' � ° W ,�, � .°. v � :�;, � a � Od N � W � � n '� E' � p ;� a, � � . » � . G1, �• e�+ n H � �. a °ry'� ce„,� o A 5 0� . � N 'V !� y � � /i °' g. � � �,boa b � N. � c� �, a- �i U .�py � .0 (D fi � a � � � cY �/1 7 tn W � � J� � ` �G � � � �O c�9 W t� �r � o ti � vj FJ � `�3-- y+ a x- `� VN'. � ~ ��,,, P � �. C7 'J � � T) o' � vt �' n "" � e., •t. t=. L"'. � ^ � � � � � � n p. A Z � V �y � y '!. Z � � �'�o 0 1'ri -� N ;� � � �J't L re 1' y n �• • ryI�' � ^ � C� d A, 'a° f � «. r� � .. x aux� „� � '��'f p � � h u n � �u� . ; i �((''(��(�{ � � i u. A "' 7 � � � z � �. x . � � � d . t'1 :t N n � M � � A O � N 7 O }J •.� � U � o O M iJ 'I I ♦ �. .� ■ < � � o� p � C1� :� ' C�7I ..� � � � � � ��' �"?' � � �� � • %i -� �� • ��L � � �� � � �i � �.� � ��r.: � W � (�,~,�• � O �q�i� � � �J z . �a � � . � .:. . � � K? A• N' � N �l . W d 1 � � � � � 0 � � �O F�-' v1 V1 � SUBJECT PERMIT NO. City of Fridley ° 15 4 9 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � ' � RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. ' � �: ------� r � � PROTECTIVE INSPECTION SEG �`7� � 7 1 � � / / i ` -� ; r"'1,,� CITY HALL FfiIDLE`/ 55432 NUMBER REV. DATE PAGE OF APPROVED BV ` � � 612-571-3450 910-F15 9/26/79 / / JOB ADDRESS 1377 Fireside Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E%�j � of 14 Auditor's Sub. $�.29 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ji.m Kadous 1377 Fireside Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Res iden tial 7 CLASS OF WORK ❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Roof house and ara e install al�uninum sidi and trim 9 CHANGE QF USE FROM TO STIPULATIONS �of can he second but not third roof. Install rid ed g galvanized valleys. TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 ," STAL�S 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 OF NOT. THE GRANTING OF A PERMIT ZO OOO y�S.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERM1T FEE SAC CHARGE PROVISIONS Of ANY OTHER STATE OR IOCAL LAW REGULATING CON- T CTION OR THE P�F FMANCE OF CONSTRUCTION. E)O.00 PLAN CHECK FEE TOTAL FEE a-n- �j - �--6 �7 S6s. o0 SGNATUREOFCONran a0 AUTHORIZEDAGENT ion7Ei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � S�iGNATUREOFOWNERiIFOWNERBUI�DER� �DATE� BLDG iNSP qpT l. i. �1�` E � _... �! :'.t",i"�_� �..�' ! . ,.J . tiC I.F . � �i!_li � � � ? S � .. � � . � -� . l l. ��L. .. _.. t i�'. t_ti.i'�a ..'s ;i���l�i/ ��L..! f._{.:��1 � . (.�, .. �r ll;.l.ii � i i.;ii�� t ����i ..__ ��`e��. � �<. . % 0 :�,;,r!:?z: Jir:, Kadous �,`:c,,.t,�,�,. 13'77 FireSi�.:_e �r. }�`�i : 1377 5trec�: 1J �l : � . r;t�i��r����:: �.:ilton L. Johnsor:- �%o. �; 5�3 ^ � �, 1 � �,��,,_ ,� _ �,,enti 1 T � J i �� 1. r:� . ___-7 �� sY� � � _ Fireside Dr. - 'i3L�OC}:: riDI):i'x'7Ci? : '7i� i .�i ., T' �r `C.'r��l:� .ji �1)�i1 4. COi�=....:� �';:i;': I� .�I._]' I;.,:': ,� _.:3l�CY: :> 1):. �� .D :. _ -- -- _.._�_�-- -_.�.__—, —. - -_._ �__....._ � --�. I`1?�;�.i.ican'._ at.t_.c}1 Lo t}11.5 =."U?T�I �itit:_J r<?I''.,l:r1C'c1`-�-`---0.__ill1`VG}� Of ia0� cil"1C� T-l]"G.1�<?St:C3 ba�.lc�ir.; loc�'��o;i lira;,rz exl tt:e�� C�rtif^i.cate.,. . r�� r:-, '�J,°,�'Ci ri`_;: Lv a.c. �LJl.fii����l�:r �F L3il�.�....L�:\fJ �rt>:� * : Depi:h ' _ .��._.._ �'r i t�;ht � : :�li::i"f: i''Gt".�� . ,_.___— C11�.2.0 '_'i:.'C'.::. __ _-- .._._._._...._____._. �_..._.._...� i'.rGiit: _.W__.—_�_.._ TJL�pt:l: .______._�..___.___ }le:i.griL-: ___._.._._.__.._.._._-_,_.__ � Sc�aU.:°e �'ect : .^_ +"�ibic: 3?e�-t-.: __.._..�_�_�.__ ---.�� '.1`�.��e of Const��uc�a.on: Roof House &, �?aLa�'e �',;�is�at:e:3 Cost; $ 10�Q00.CG �I um asz i!:��r3�n `� "!b 13c C�anp1C'.t.�t3: _+�_..._� _ __.__ RZ t. :� I:i 4. � �'xcposeci Urive;aay t�;idL.� If_ Neti,� Opening Is �es:�red _ $ ______ Y_ �._ �Si:1: �ZL:\rEFt:�'.�' STI�� {?F SI3L'E:TI �?'�7C' 1l�]:�t'1'Cl�TIIE'.C� }'C'2-('_}7jj ;lic�}:L':� u��`y,'!1].Cl':.1Gt1 �CY ci t E:;�:T;�� 1C?.0 t:lC WC:�,':'}: �iL'1`t�.'.I` S��G'C.Lj leC�� �:CJ2i'C111C� t:0 G'O i1� � h'O1.'1'i 1T7 Sa..]'1Ci. �1CC:�):!i:1:1CF' Y1.:L1:.}l tiie Clfi}� Oi ��.1:{7.i.ti� �YC:lII'ul?Cf'S hcit� Y'L1�.l::QS Cf L}73 D:�?7lLi�ir_'?1L (?)� ?:ii1.�.C:.?�T]t��>� d::� �ICY'C})}� C�i:C��3.`�f.!:i �:}:�.�.`l, c1�j t:�lC fc7Ct.�� il1lC� .L'C:1?YC�,C'll'�:c?t1U21:� St�-.i.:C;I 1:1 1:i11S �:a??���.�.c`i1:1C)il iil"�3 t:L-l:(' ;1T1�� CO]:l"(GCt:. �L'@ TC`JCL'_`�f.' 51C�1? f�Y c1t1C3Z::lUl1:1. ).itfO��:i:lt-.�.Oli. n�,r " ._���_ -��#� -- �nx�L: .�_a G - 7 � � �c:��� ��..t.. _ _---__.._ �i S: :.��ll i�l t:.l C22 S: \./ � L���� �� �� , �; � ��. � '� � ✓ ,-•; ; � N � �; . � � / \� . � !� ra���i rti��� �'�.k:�i�� r-r-,. cr - ,� �- . , . � � ,�. 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X �?.�•i. �'`.) `y"U't�i=.._ 0.,._.y'i t� T�'C'.�1'nc9j-". 15: F'i':�1U�7ci:L ul1Cl Y'r�i'%.i_�:tCF_'i;!'c;.t Of cOT!fili.tr' r11:� 21'.C; �,` __..�-- - -°--- Y - � C�1.;ti:E;_ d:�Cl :�_1"1.£' d 3'.007� GI1C��' c9t:iivO3!'� ,..71 . : �- r '� F? 11tC:i C�Ent.�lf i>� �: �:•Iily W1.U'L�"1 �i'u i C it.C'.L .. �� .\ _�`,L)�,i_� IU�V!� T:'_'�_:=Gf?%!£� I ?Gt� .':i.- t�tl('. ?�Li.i t-,���i? 7� CO,iilJlli_1?-ACt %EE'.S i0;: .J?_i1.iC�lI1C� �eY:TIitS � t�7�' ::U�,`1C�i}_ CO'1L"e;I1'!�� Oi aiiy ,. � _Cti;i� O?:' c-tC�C�i_t::.•',:1� :io '�� rr t::1;�:?Cl by i:iliitlj���'l'1Q ?::!C' G�O'1I1C1 uYE'.�i '.'�J�Yi'c� 'iJ:C";'.': cl .'.'�!.'— u1:. ��J1 1ilCi E�� iJF_'li?�.Y t..flc fii:0?� line nf tI1.-L' .u7:�E'.I11C?:Zt ✓L t-�?� C•�1.�.ci� �LC� ��.li� _t� r r��3e f�eigh*_s o{ r_h� u���,er �;ur'T�:Re cr. �o the ���;erage h?icr<t af ti�u rcoi ..�r.fr4ce +.>:i: t.:�e ma:�r: �,ii:�'c �i a�>i�ch�_d roof. ;�.;� r_Fna.;.�-, o�: a_lterati_ons Lo �-� e:cist_i:g �truct??r�, the fee shull be at t}�e rate , :�?= 53.0� ���e.r e�cr. fi.ve hu�id:red dollax-s �$500.00? �r i.��ctiois �her�of_ ii� i.he cos�. c�i- ��:L:i .pro�osed t,or'�. � Ti^. ??.0 !�c?.SC.-` �ra?.7. t?�,� i �-� cnarg��d f�.r �tny L�e�ii.t �� .;�t fcr�h i.n S.ctic�. 2 be l�s� -r�-�n ;�;'.5U �l�is $.�0 stat.F s�arc:-xarr,F. .�� ` � .," �_ _" . _�c��r ��:�a �io�� o�= rc��sr��T A�i� oIJ �� ��, • �vc)`;'�: r�:�r:r�i�s Aor c�ns�Lructi.on wi:Ll. i�e issuPd a minimum of 7.4 hours froin tizc� t�ne �� C:"i ci1�p:L1�.c1t}Oil t:0 �!i7_OW 'LiOY FiYCJt:�PY' �t.41FW Of �Yl�' 1�£Oi�CSt?•'� St:Y'llCt.LtY'P_ (37`iC3. Oi t�7E Ci�1?S`�i"lli:t1011 S1t:�. \ 'i Car4i��icaLe r�f Suzvey of �he ].ot, sY;�wing ��tie �.ocat:ioii of. the f:�ur;datior_ once it ;:�,s k�e�:i c:onst_ucted wi.11 ;�e _ec�iirer� �ezore �rcceedir.g wit}� the frami:�g. ��=?T � r?��1L� G��'_ OS;C.�Pr� VCY t'a� j_��.:.Ccii:�Ull fOY a C2rt:ifica+�:: O: Cccupancy Sr18.i� i,�(' iIl3Ci� tC?Il � i�� days N2.1:)Y �O tti'il? �1:tSE O;' GCC'..li'dIl::�i Jf any s�Yl.C�UT'2 tG1" ;JYIlCrl c3 7ili �1:�11i.�7 �,�2"IT:l.t �.�#S bEC`1: ].SSU`il; �r.c3 .�-.',if:2.C� :t:L'?.iC:LU:C:: S11cz�_1 110t J2 used C�r' OCC;ll�?lE:.� un�i1. u CGYt1L?_C�L2 OL CC:C!liJallC:j' t7�;�S �l,'('I] .iSSUEC�. „ ° w E S� M r� r n rRU o; 7 7 b �' ry K H O' w p '. v� m ti' O N ' 7 � ', M 7 , n �' o ' � L a m ' 0 r• �O �• a � � '. a f�5 r• �� a �n � � r• o G, n m . � a O� r� rr O G R 0 � c O+ � � a � 0 N a < r� � � n N O � O � z m � c, � � c+ C Z 3 n (D N ro3 M cz �� �� o '� Ct1 tn th HO Crl 'A cz � K �� [rJ N � ro � �S H H � � � 0 O�' ';' >, �_.. , � �a � • (7D d o °' � � � � � h] �O r• o � aN r 5 f++ 'O O • n ro � � C7 �• a t'r �* � v a K m � G W x M � N b a c � a K � w � � a � � �� �c �i o � yz c�i 7 3 O � m m n � � £ z � � � � - � � r, � ° . y � ' n � � � � ro pf 3 ryr A K ` � � O O t+� n '*1 � a c N � t!1 M 7 r• � n C m o, � � C Z my � � �7 O M C I� [Zi1 . �. A c i` � z 0 � S '0 2 \� v ^ `J � � � � N b cD 0 ff r• 0 � 'h � N � � � O 0 � c� a r m � � G �S n xa �4 w � � � � � � �, o V n � r eo t� M n a r r fD o M f�A � z ro � � r w .'� c� � n 0 n X � b .b r r• r K �O n rr O M (D W C m r► Fa-+ 5+\D O � �o �• M ft � � �' a �a ~ a � �• m� � n v n� E O o� r'S N 7r � r 0 0 O W a a,., p�i C G M �n N ro �n n n v o ;u u ro � � 7 K W� w n � HH fD W � W � 9' ht fD � � (A ti �,'A H r�n � O r Mr �, ro � � �a � �v c � � rt -� rn n F E N ° ax = '" ,�, � , e ... C r m � � � � r r r n� 0 0 o c y O O O O Ct1 O O O O v� tn tn tn tn t� � ° � � v v � 2 � s � C C M U v � z � ro � � a O ro � � H z O ' .+,a N y � � r�* a � � ~ �c w t� M �• (D ry a � � c v+r°n� �ao�o. a �-�'-ro� r'1 U7 W M W W R ro r�i� � w o m � J N��.� �� ���a � ��o K � t'• '0 (D �G � o m a a y, y M�r O 'K u, m �' w W n � � x F, a n E �o N• N O O y 7 o. d �n 7�c- 'o �• `�C � C r• r �D . �• � r. n r* F-� n N 3 M O� � � � 7 N 7 '1 W 'C 7 � y K ? C ro a a o � �wn �' z rar �' n � t� �• m c. �o • � r�o � � • a � r�o �r. n m O� E K O• lt ID r ro F-' �V M r S M '< ,� � N 7 � 3 = N N fD Z a n n E u+ �O�i rt K A f� `C iC' 4+ � 1y N rt 0� l'� 7 r �D � Q �D �o n r O. n �J rr r� m �� � �' 5 O y r 4 0 Q a d n m N N t .; � v � � � � D � 0 z T O � O i m � D � � D C'7 � O N l7 D •• z -i C O 2 z m z � c� .. z � � � � N � C") m o 3 O N � D Z z c� o � m m < Z � n m � � � 0 z � m T .A.. � m � D � O 2 D Z C7 � � � 0 T T a C r m � � r� n < m 0 � �o 3 � � � � CHIM��EY AN� STACK VERIFICATION The undersigned hereby verifies that the existing chimney o r stack; 1. Has been carefully examined Yes (,) 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. Meets all current Code requirements for size and total BTU connected 6. Has Total hea ti ng BTU's of All other BTU's TOTAL Rema rk s No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) Com pa ny Signed By Da te � __--- _._ _ __._ sue�ecT PERMIT NO. c�ty of Fridley , \� a � � .� AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � ` RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. �� , � , % � ' j L �����-, . r � � PROTECTIVE INSPECTION SEC. �T�T � � /'��1 � CITV HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of � APPROVED BV �'""'�� ,�� 612-571-3450 910-F15 6/1/90 � � JOB ADDRESS 1377 Fireside Dri�e N.E t t LEGAI LOT NO. BLOCK THACT OR ADDITiON SEE ATTACHED DESCR. �t. I.4 A11C�� Stlj�, #129 SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Jon B.lom ui,st 1366 �ireside Dri e 786-0562 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same d ARCHITECT OR OESIGNEfi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION �1 ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRtBE WOFiK k'i�ish_ Attic Area 9 CHANGEOFUSEFROM TO STIPULATIONS pravide szrtoke detectors on all le�els o� dwelling having sleeping rooms. S:�e notations on �plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PlUM81NG, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED 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 PARK�NG I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVIS�ONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9OO $-r�O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23.0.0 S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PL N CHECK FEE TOTAL FEE $23 . 50 $IGNATUAEOFCONTRACTOAOHAUTMOAIZEDAGENT �DniEi NEN PROPEfiLY VAL TED THIS IS YOUR PERMIT '� ,iy1 . � �/ � � S� TUAE OF pWN IIF OWNE BUI�DERI IDATEI � G�NSP �TE � [ ) Effective 1/1/90 �� [ ] R-1 AND R-2 �'� [�Q Buildir�g Pie,rmit Application Cbnstxvctlarl Add1�eSS: %.3 % % ;G�IZZr.�'l�if ,%�A. /�� ��•'uL�:,J j��/�,�'/x', J�✓ ��i3Z I�egal Description: _�A�i �S' ��� ��' �1/ /,J. S. / L � Ownex Name & Addres.s: _ .foit� �• ��h�v3T , �iDur� �5 A�DII � Z�e1. #_7f�G -O3G � Contractor: .��-t' /�'l � � � �'/��rJ� Z�el . # 7$�- G5 G � A[�dres.s: �i1a�'t� /�� .�✓S/�U�� Attach to this ap�lication, a Certificate of S�.irvey of the lot, with the proposed construction drawn on it to scale. •. _�+• r • � �• •.� � a� i� LlvaliG AREA: I,ex�g'th Width Height Sq. Ft. C�R�E AR�: Iength Width Height Sq. Ft. DDCR AR�: Iength Width Hgt/Grour�d Sq. Ft. o►i�: �N �s�✓ �{� .-sT�l�.� Corner Ir�t [] Inside L�t [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost; $ e1 Approx. CX��letion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Bacic Page OA'1'E: APPI.�ICANI': �, # Permit Fee $ � 0 U State S�rcharge $ , � SAC Charge $ Driveway Escraw $ Park Fee $ Sewer Main Chan�e $ G�i� � STIP[IIATIOIJS : � $ �,�a CITY 05E �Y Fee Schedule on Revexr.,e Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abwe Fee Detennined bY �J��J Agreeme.nt Neoessary [� Nat Neoessary [ J . - -- L � C/ �G �- -- C�,�� I�� , U � f �`�; u � I:�1 • � � ' ]I'i � " 51' �M�I:H� 11 _ �he Chief Building Official shall, before issuirig permits for the erec,•tian of ar�y �i i 1 dir�g or structure, or for ar�y addition to ariy existing building or stnicture, or for ariy alteration or repair to ariy existing building or structure, upon application therefore, require the payme.nt by the applicant for such permit of fees to the amotuzt herein belc�w set forth ar�d in the manner herein provided to-wit: ZOT��L VAT�JE $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 i � $15 (Miniirnnn Fee i.s $15 plus sum,harge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to arid including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction ther+eof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fraction thereof, to ar�d incluclir�g $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and includirig $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and includirig $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY D�PRESSIO�T ESCI�FT (Concrete Ctirb Streets On1Y) Alternate "A": R�mwal and replao�nent of curb and gutter only - Driveway width plus 6 feet time.s $13.50. Alte.rnate "B": R�noval and repla�nt of curb ar�d gutter and install a 3 foot wide approach with 6 irich depth - Driveway width plus 6 feet times $15.75. � �• ■ v• •; • � • �i i� • •� P�ermits for oonstruction will be issued a minim�nn of 24 haurs frcan the time of application to allaw for proper review of the praposed structure ar�d of the aonstruction site. A Certificate of SuYVey of the lot, shawir�g the location of the foundation once it has it has been oonstruct.ed will be required before prooeeding with the framing. ' � � �a� ��o/j14viJT i�7� �j�erJ/��".1%. __ � n��r� ��✓ .Srs�JZ G.�C�zf ��,�►��-t�taL� 3z � �,��- w��� }�--���-�- � ��� �� . _h � � ` � , ► � � � k,�E� ��c� �. ���rR�c ���� �` �t n�t� f�u,J --___ _ � - � ��� Fz, ��c:.r.� T ��� /Yr,S Gl,vifl �i���i �� A ��l v� � � L� . � f�-- l3 � 'Ei�ery s�eepis� caan sAN� �ws at �east c�ne ,M�iO,,,,�,i� � ti M�i/K r uat � r"'" ��� � 1Ae � � �MM Pro�iQe nd 1�es tMn 53 �i. R of opemble ar� wM � �nin-1�1'd d Z4" and t t�nn. wiAd�+ of 2d". s = ` � � D � � W n � o 3 0 �� O y � n o � � � Qo o m� �. g m ca'i � a � � � y i `D m � 1 1 a i � 0 c ., � m 'D � n m � m z � T c � Z � m � m Z � � n -i z � m m � 0 0 0 D '� � 0 m a � � �o 0 c � � � i � v ?: � ?t � � v � � t� � � r � � � � m a m z 0 `� � � N _ a � Z � c� � � D z � O D r � m m � � c � � m � � � � � � 0 c� � m -� a m 2 � m 0 � ..A � � O O � � � �. C C m � �, a D ai � � '• � 0 � O � �O o �� c � m� � �a D v� � � Q° •a � m� � 0 0� C�� G y � = �"� � Z D n � � � c .-Wj � C m c a • — � o � � � � m � m � � _ -� � C� N � C�i � m � ^ m N a tn � °�m°3 npo,� � ' _ � � m �-. � � a � .., D n 0 � � � m D v� � � � N v m � � N � a� m � t�n �n t� J � � 0 0 0 °o o° o � � � m � � � m � n O � G, Q � � m � � Z O � �.�� � ��� 00 C � v z � c � m v � � n � � � '� Z � � a m a � � i C � A v a�� � c � � �� � � o' � N � �? � �� 3 � a c � m � � o � � C 3 W � tn � 0 0 �p a� °o °o m � � � O D r � � � � � � � � � � ��'��� n,.• � N a ��N�sm n N c�c.~'� ��c�o. �am�� � � �� � � �� �o� � � o � •��-►, 0; � � y m � � �v�� � � o > > a � � � � � » o �' ?�'� �� m o � � 1 Q . � ' O 0. y 1 0 (9 M/ � � n � � � � m m N r,J► O � � � �o �o � � m n _ � � � � D O v ,,� u: � v � � � d � b � V � A � N p. � � � p� � O s�3c Z y � � ,� v r N m '� Zz m� � n -� z v m� � � /r1 �li " m� �z Z � D � Z � vp. D � � m n� O� Z vz -� � O D Z Z �v 2 �� mz �� an vg m� �< mm N Z � � � � z W � m O � � � c � � � �O � CBIMNEY l�ND BTACR VBRIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected Yes () No () 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Beinc Done: HEATING COMPANY Signed By Date � A N � � o �� � . 0 w� � � o � 3 � Q o O (D 7� �O 7 p) (Q n -a Q. � �. m � `C p� O cD � � m � � Q � S 0 c r« ZI m Z � -o � � 0 Z m � N 0 � �� �� o �, � c � �, m -+ � 3 Z n � W -� � W � C � � � v m D � � n � m � � � c \ � � s � I � � � v A. Q; -� m O z Z � Z 0 � � ` 1 A� \ 1 v � I�-► . � N 1 \ � � � � � _ m � Z � :-% 0 -�o A Z -< J � ^y=' 0 Ve �� �� � a. O � � m j� — 0 m O < 0 � � � O�, N r � c m � rn � cQ fD J � o Q o � <� �� O � �� � � � � ro � 0 7 C N O � � � -� O Z D � 3 * c� 0 � 0 � t� � D � N m N n: N v � 1 Y, N � � � � � � � � N � � (7� O O °o °o °o tn rfl r» rfl � 0 � � oou�o � oo-+z "�C� ro �Q•° N� N p � Z = Q� 3 ,��'. � � � 3 C 3 m y \ _ � o � n �1 n (D n U 0 3 • �- � � m � v� � � � Q. v� su 4 �i m 3 m� °'�o i � � O N � � � D m � � � � n O � � � rn � � =i Z � � \ \\ `I" m c v Z � C � m v D � � � y C y fA p -� �N�� � � ����� Z � W � � � � m Q � � Q a =_". L v c ? O � � � � � � oo � o � n � � `-�� W u 3 m � � � � � O O � o° °o �' � � � � O � � � � � � � � fD y �D � a w � w `� � �' (Q y' N W�.� y C. 7 Q. Q- � S Q � � � 3'��� <' � v; � 3 � su ? o m 'D !U 7� y n' � � "O p:���°— � 1. . �. � c� � � � `a o � � � � o c a Q � m y �, � � 7 y n � 1a,..� n � O � ' � 1 3' '�` � � � O n — � � r� S (D � fD � � � n '< O y n 7C � N Q � ro � n. ° m w 5' � a D � n 2 rn v C N p. � � I (D J � rn =` ; ° �z� � � � � �1 < � ro ro . Z Z m u' -D m � O Z v < � D � � � r m n � � �-Di O O Z Z �1 Z �1 v -D D O � � n � O v� �z z° a, z� � � �n v W �2 °v �� � � Z m � � �' v c� � m O �l m z \, � � V < rn Z � � :.� �' Z. , \ � _ � � '\ I �1 �� � � \ � Z cD 0 � C (� C � � co � sue�ecr p , City of Fridley 31219 AT TNE TOP Of TME TWINS g U I L D I N� P E R M I T r � � RECEIPT NO. ' ' COMMUNITY DEVEIOPMENT DIY. � ♦y ��..� , .�'�� � r � � PROTECTIVE INSPECTION SEC. i � i l_--- �; r���;'� CITY MAIL FRIOIE� SS132 NUMBEN NEV OATE PAGE OF APCqOVED 8Y L l\ 612_571-3450 910-Ft5 7/18/00 � � 108 ADDRESS 1377 Fireside Drive NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHEO oescR. E 75' of 4 Auditors Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PMONE Thomas Sontag 1377 Fireside Drive NE 612-780-0357 3 CONTRACTOR MAIL AppRESS 21P PHONE IICENSE NO Owner � ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE IICENSE NO. S ENGINEER MAII ADDRESS ZIP PMONE IICENSE NO 6 USE OF BUILDING Residentiai 7 CLASS OP WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE B DESCRIBE WOfiK Reside House F, Garage 19 window inserts no change in openings 9 CHANGE OF USE FROM TQ STIPULATIONS RESIDE: Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel of when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. WINDOWS: Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARA7E PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI AND VOID IF WORK Oii CONS7RUCTION 20NING SO. FT CU FT AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTEii WOqK IS COMMENCED NO OWIG. UNITS OfFSTFEET PARKING I HEREBV CERTIFV THAT I HAVE F1EAD AND EXAMINED TMIS APPL�CATION 1 STA��$ GARAGES AND KNOW THE SAME TO BE TRUE AND COFiFiECT. ALl PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WOWK WILL BE COMPLIED WITH WHETMER SPECIFtEO MEREIN OFi NOT 7HE GRANTING OF A PERMIT �lO�OOO.00 �S.00 DOES NOT pRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMtTFEE SACCHARGE PROVISIONS OF ANY OTHER STATE Oii LOCAL LAW REGULATING CON- STRUCTION OR THE PERfORMANCE OF CONSTRUCTION �IH1.25 Fire SC �IO.00 PLAN CMECK f E TOiAL F $19 .25 UAE O� CON'AACTpii OA �UTHOAi1ED �GENT iO�iEi EN OPER V DAT T IS I�R P IT • ^\ �V'V� ' $�GN4TU�7EO�OWN Aii W EQBUiLDE �OATE� B40 �h5� � r�etE NEVV [ ] ADDN [] ALTER [ ] Construction Address: Legal Description: _ CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION i �--7 -� — , � }�r�S� C. S� �� Effective 1/1/2000 (763) 5T2-3604 Bl�g insp ` � ' ��-��C> � Owner Name & Address: �t, S ��u,������� Tel. #('� �a? - 780 - 03S % C�ntract�r: _ ��J,�.P/L MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: L ngth Width HgUGround Sq. Ft. < OTHER: .S (�1 pr,t,9.� �✓�� Y� Se►�-S CI`t� �Ja C'���.�� >� C� ���, ��s Construction Type:_ �i �n y J Estimated Cost: $ � ��C�C� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ = g DATE: �� �$' Uc� APPLICANT: _ � Tel. # f� � 2- �� • O,�S7 C I T Y U S E O N L Y - Ca l l ( 7 6 3) 572-3604 for Permit Fees if mailing in application Permit Fee $ �,�S� Fee Schedule on Reverse Side Fire Surcharge $ 1C1. C)p .001 of Permit Valuation (1/10th%) State Surcharge $_ „�. �aC) $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee Sewer Main Charge TOTAL STIPULATIONS: $. $ .Fee Determined by Engineering Agreement Necessary [ j Not Necessary [) $ f /�o-�� , /�'!j1 � •��;� ���� ���; !! i ,� ��' I'��►' ►� BUII..DING PERMIT 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 $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 $3.05 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 first $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 iust $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "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 minunum 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 cons�c�<;d will be required before proceeding with the framing. New Houses Onlv - - --