AF - 42353City of Fridley, Mirm..
BUILDING PERMIT No 4 9 4$�
Date: .�.�z.."`_'_'�--`—•'°-.�.� ______._.._._
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Owner: _ ,`, . � ' '
MG.�c�.�� ' �_.. '-G�- r Builder ....._.._--�------.... . -�:___._..____.----_.�.._._..
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Address ....._._...---__.__._..._..----
- - _ Address .--��---:� -� ---_.�..__.._. .. .1 ..__.---------.._.._..__.
� LOCATIO� B I�.DING
o ,
rro. ....'��....��--� s+aeet __._. _..""�r � t� .. �,► ....._ .............-�--
._ . _... ... ... � . ..,, Part of Lot
.....-----.... ._.._......._..._....._...___
Lot ............._'_.........._....... Block ..-.--..----. '���---.......-_........_.......... Addition or Sub-Division � �
� .._.. _...._. ....... . .-- - -
_ � _ .. . _ - . �
Corner Lot .................................... Inside Lot ....._.... � _ ..... Setback ....._..__.f ."1�. "� / ��i��--
�.,�,y.._...._........ Sideyard ....._.��� .......................................•---._......
Sewer Elevation
To b�, Used as: /
�;a � .
Foundation IIevation
DESCRIPTION OF� BUILDING
,,�,� .�
Front ...;�°:� _.. Depth .�....._..._.. Height ...�.. Sq. F� ��°�.,�i�° Cu. F� ��� [�,��+`
...._....-_. ----- .......--......._........._.. Front ----...........__.. Depth .....-- �-�eight ^ ........._.i. �� Sq. Ft. ....._...--_._._.. Cu. Ft
Ty�e of Construct�on ..... �����,: f� f� Est. Cost._..l.�..� ._ "�°.��'••�'
�,+ ,� ��'+�...._........ To be Completed ..----•----._....__...
In considera.tion oP 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 set forth and in compliance vvith all provisiona of
ordinances of the city of Fridley.
_..�-,.-----_.._...._.. :.______ ___..__
In consideration of the payment of a fee of $_,�: , permit is herebY granted to.....__...__....-_-.--._-----------------
�_..._.---
-•-�-----
_.._ to construct the building or addition as described above. This �rmit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in a11 work
done in, around and upon sa.id building, or any part thereof, shall conform in a11 respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
t�thin the at3' limits and this Permit may be revoked at any tim�_upo violation of- y of the provisions of said
ordinanc�. - Jj+'J
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�"�;,,�"r�"r°'s=�"'Building InsPeCtor
NOTICE:
This permit does not eover fhe eonsfruetion, fnsfallafton fo� wirfng, plumbing, gas heating, sewar or wafer. Be sure to see
the Building Inspector for separate perreits fo� fhese ltema. ����'l�N
,-►. a T�{ I�ERMIT D VIOLAT•
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MINDER ENGINEF•�? IN G CO. INC .
ENGI NEERS AND SURVEYORS �
LAND 9UAYEYlNO
G/VIL d, MUNICIPAI ENOINEERINO 801L8 TESTINO
LANO PLANNIN O
6418-56T" AVENUE N.
MINNEAPOLIS 2?, MtNN.
KE 7- 3637
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LOT � BL`� � F�'E�,���I�"� �'RAlGVif,��r° �S�'AT�� ��'� ,
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WE HEREBY CERTIFY TFtqT TN►5 IS A TRUE AN� CORREGT REPRESENTATION OF A SURYEY OF THE g01�t�pp�2�Eg OF THE
LANO ABOYE OESLR16ED AND OF TNE LOCATION OF ALL BUII�INGS � IF ANY, TNER£bN , P.t�1D AI.� Vt518LE ENCROACHMENTS,
IF ANY� FQOM oR oN SAIO IAND.
OATED TN�S O►�YOF St�PT M� � MINDER ENGtNE�RING CO., INC.
ao. i�5 9
ER1G11J� RS AIJD SU vEYOR$
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APPLICATION FOR BIIIL,DING PE�MZ'P
CITY OF FRIDLEY, MINNESO`rA
aw;aer's Name - L, � e ��,�� �-' Builder �-��.�
�tddress ���` ��fi�i �e � Address ���
LOCATION OF HIIILDING
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No. %'� ��. 3treet_��t��t�� _��. Part of Lot
Lot � Block ��-- Addition or Subdivision� ������ � �� � ��
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Corner Lot Inside I�t �/�Setbaak �� Side-Yard /� /i��� �f�
SEWER ELETTgTION FOIIlt1�DATION ELEVATION
�pplicant attach to this form Certificate of Svreey of Lot and proposed build3ng
location.
DESCRIPTION OF BUII�IIVG
, °�
To be used as : �� ��� o�/� ��
Front�Depth � �
�. Ft. � � �C� Cu. Ft.
Frvnt Depth Hei�hht
Sq. Ft. Cu. Ft.
T�rpe of Construction ��T��i✓/� Estimated Cost /�J`� �
To be Completed �� �,�C� � � �
The undersigned hereby makes application for a permit Por the work herein apecified,
agreeing to do all work in strict accordance with the City Ordinances ing of
the Dep�rrtmeut of Buildings, and hereby declarea that all t gac s re esentations
stated in thia applica.tion are true and correct.
DATE ��� ��L� ,� SIGNATiJRE a �
(A Schedule of Fee Costs can be found on the Reverse Side.)
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H�'ILDIl�IG FEftMTT FEE SCI�DUIE
Sect_i_on 2. The Inapector of Build3nga shall, before 3ssuing aa� permit for the
erection of e�r building or at�ucture, or for a�r addition �o ang exi�f►ing builc%
ing or e�n.ictvre, or for aay altera�Eiona or repairs to aa� e�i.et3r�8 bu3.lding or
structure, upon application tharefor, require the ps,yment by the appliceat fcr
such pe�nit of fees to the amount here3n below aet forth and in the meaaer herein
provided to-�tirit:
2.1. For � such permit for the erection �of aa� f�.re-praof bui].ding, other thsa
a garage, warehouse, factory or grain eleve.tor, or for the erect3.on of any► �ire-
prooY addition, for simi].ar occ°upancy, to �►y e�.Bt9n� buildirig ehalZ 'be a'� t�
rate of �]..l,A for ea,oh one thou�and cubia f�et, or fraet3on thereof, i.n such
oubicai. cont,�nte. �
2.2. For any ench permi.t for the �ection �f ax�y fireproaf garage, �rarehouee,
factory or grain elevator, or for the ere�tion of s� firegrooS addit3on, �'or
eitai7.er occupency� to aay e�det3ng bu3.ld�.ng shall be at the ra'te of �'1..25 for
each one thouaaud cubic feet, alaasi�ied es �'firep�cof" bg 8eation 5D2 of the
Mixuieagolis Building Gode.
H�
2.3, For e�p such permit for the
thaa a garage, warehouae, facto
addition� for aimilar oecupanay,
each or�e thoueand cubic feet.
f�ARAGES
ereotion of any nor�-farep='oof bui1c13ng e'�her
r� or greia eleeator, or aay no�-fireproof
t,o a�y ex3�t3.ng bui].ding. Permit �7..00 for
2.l�. For an� auch perm�t for the erectioa of any non-fireprcof garage, werelnouse,
factory or grein elevator, or far the erect9.on of eny no�Fireproo� addition, far
s3miler occupaney, to any existin� buildin� or for each such build3ng or addition.
Ninety Cents for each one thousand cubic feet or i�ection thereof, ia the aubicaS
con�enta thereof with a minimum of �1,..00.
For the purpase of computing fees for buildin� permits the cubicel coatente of any
build3.ng or add3tion ta a un3form height '�hro�ghout by multip].y3ng the ground aree.
covered from a poiat a�c (6) inchee 'below tke floor line of the tre.s�aent or cellar
to the average height of the upper surface or to the average height of the root
surface of the main ga.ble of a p3tched roofa
2.5. For repaira or alterationa to an existing structure, the fee siiell be at t.he
rate of �3•� for each Fine Hundrecl Dollars (�500.00), or f"raction theaeoP 3n the
coat of a].1 proposed work.
2.6. Tn no case shall the fee charged �or any permit sa set forth ia Secation 2 be
lesa tha.n #4•�•
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Caty of Fridley, Minn.
BIJILDING PERMIT �� s o s 1\i
Date: ,� "'�'� � ",�., +C,� � �
Ovvaer: �+�''f � '�.��-�_�_. Builder _.._
aaa� � . `�
Address
No. �� L�CAT N OF BU DING
� � Staeet .���!�ra�1�'�� P Lot
� ---.���.__ Block
� Adc]ition or Sub-Divisfon
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Coraer Lot _ _._._ Ine3de Lot _._. � Setback _�_�_.,__ Sideyard �� �
Sewer IIevatian _ � Foundation IIevatiaa
DESCRIPTION OF BUILDING
To U as: � �
� FYont ��� DeAth .�;� Height � Sq. Ft ��� C�. Ft ���
' Depth �' ei�t �' Sq. Ft ' (.i�. F't.
TYPe of Construction _�'"�,rE..� F,�a� Cost L� � To be Completed
_����
In consideration oP the issuance to me of a germit to constrvet the building described above, I agree to do
the proposed work in accordance with th� d�scription above set forth and in compliance wit� � pr�ons of
ordinances of the dty of Fridley.
�r
� �on�fderat�on of the payment of a fee of $�..R� ., p�t is hereby gran,ted to
to construct the building or addition as described above. This �rmit is gra,nted upon
��� xA�ss conrlition that �he person to whom it is granted and hia agents, employees and worl�nen, in aA work
�in, around and upon said building, or any thereof, shall conform in all respects to the ordinance� of
within theM dty limits�and�� location, construcho�n, alteration, maintenance, repair and moving oP buildinga
o�� permit may be revoked at aqy� up�n v��ion of aay of the provisions oP eaid
BuildinS Inspector
NOflCE:
'11ils psradt does not eerer ths coestroeHoe, h�stallaefoe fer w1rL,a. ��b�na oa 6..�tea ..wa or �►n.r. e� sun ro s«
1h� euildieg lesp�etoe fe� aPu+l� Parmhs fer t6as h�m�,
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Owner'e Neme
Addresa
APPLICATZON FOR BUIL�ING PERMIT
CIT�t OF FRIDI.EY, MfI�SOTA
� /�/2
LOCATION OF BUZLDING
.� _ �
_ .tiY^.',Nd�S.ufr."-.r'=Yx'r'��Q::Fr+{:r.'vr��. —
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No. /�� � 7� Street f""i/��a�� �.�� art of Lot �_
� -- ��i�fl:S ���/ ^ �ST�T�
Lot Block % Addition or Subdiv3sion i- ��i1`S �����
__ ,
Corner Lot Ineide Lot 3etback �/% Side-Yard ��
�EbJER $EVATION FOUN�ATION ELEVATION
Applicant atCach to this form Z'wo Certificates of Survey of Lot aad proposed
building location drawn on �hese Certificates.
DESCRII�ION OF BUILDING
To be�ed as:
���� L,� �rr����a � i / �
'� ���"/� Froat /'.'� Depth�Height �, �
Sq. Ft. �/� Cu. Ft.
Front Depth Height
Sq. Ft. Cu, Ft.
Type af Conatruction _ ��,9,�,� Eatimated Co�t �'C�� �
To b2 Completed_ _ ���� � �� z-
The under�igned hereby makes application for a permit for the work hesein
specified, agreeing to do all work ix� strict accordance �vith the City of
��ridley Ordinances and rulings of the Department of Buildings, and hereby
declares th�t all the facts and representaCions stated in this �lication
are true and correct. ^ _ / / ,
DATE �� -./"� � � SZGNATUR� - io�' �
(Schedule of Fee Coeta can be found on C�e Reveree Side).
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BUILDING PERM[T FEE SCHEDULE
Section 2. The Ynspector of Builciin�s shall, before issuing any permit for
the erection of_, any buildiag o� structure, or for any, addittion to aay eacise-
iag bui.].ding or strucCure, or for �ny alterations or rrapairs to any enis�ing
building or structure, upon applicatimn therefor, require the paymen� by the
applicant for such permit of feea to the amount herein below set £o�th and
in �he mannez hereia provided to-wiC;
Z.1. For any such permit for;�he;erection of �ny fire-proof building, other
t�ian a garage� warehouae, factory or grain elevator,'or for the erection of
aay fire-proof addition, for sianilar occupancy, to any esiating building
shall be a� the rate of $1.40 �for each one thousand cubic feet, or fractioa
thereof, in such cubical contenta.
2.2. For any such permit for rche erection of any fire-proof gerage, warehouse,
fac�ory or grain elevator, or for the erection of aay fire-proof addition,
for similar accupancy, Co any ex3stiag building sh�all be at the r�te of $1.25
for each one tliousand cubic feeC, classified as °1fireproof11 bq Section 502 of
` the MinnespoY,is Building Code. � _
L�OUSES
2,3. For �ny such permit Eor the erection of �ny non-fi.reproof building other
than a garage, raarehouse, factory or �rain elevator, or �ny noa-f�.reproof
additioa, for similar occupancy, to any existiag build3ng - permit $1.00 for
each one thousaad cubic feet.
GARAGES
2.4. For any such permit for the erection of any non-fireproof garage,
warehouse, factory or grain elevator, or for the erecttion of any non-fireproof
addieion, for s�tmilar occupancy, �o aqy exfsting building or for each such
building or addition - nin��y centa ($0.90) for each one �housaud cubic feeC
or f�caction thereof, in �he cubical contents thereof with a minim�aan of $4.00.
For the purpose of computing fees for building pe�mits, the cubical contents
of aay buildin� or addition to a uniform heigh� throughout by multiplying the
ground area covered fram a point six (�i) inches below the floor line of the
basemen� or cellar to the average heigh� of the upper surface or to the
average height of the roof surface of the main gable of a pftched rooi..
2.5. For repairs or alterations to an exis�ing structure, the fee shall be
a� the rate oi $3.00 per each Fiv� Hundred Dollars ($500.00) or fraction
thereof in the cost;of sil p.roposed wo�k.
2.6. In ao case shall the fee charged for any permit as set forth in
Section 2 be less th�n $4.00.
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City of Fridley
AT THE TOP OF THE TWINS
�
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� `v __�_�_ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC.
,
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� �"'1 � CITY HALL FRIDLE� 58432
�'""'� � ,�� 612-571-3450
SUBJECT
BU ILDING PERMIT
NUMBER REV. DATE PAGE OF
910-F15 7/8/86 � �
J08 ADDRESS 78r,2 Fixtvood W�y N. E.
1 LEGAL LOT NO. BLOCK THACT OR ADDITION
DESCR. Fj 2 Pearson's Craigway Esta.tes 2nd Addn.
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Gerald Robb 7852 Firwood Way N.E. 571-7342
3 CONTRACTOR MAIL ADDRESS Z�P PHONE
S�mit Builders 900 West 94th Street, Sloomington, NIlV 55420
PER O.
I° _18530
REC�RLy9/
���y�
APPHOVED BV
SEE ATTACHED
SHEET
LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENOINEER MAILADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDIN(i
Residential
7 CLASS OF WORK
❑ NEW X❑ ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Con,struct a 14'8" x 18'8" Livi
9 CHANQE OF USE FROM
STIPULATIONS
�ddit�.on and a 14"8" x 15'4a" Garage Addition
TO
Install fire alarms. Tie new foundation footing into existing basement
with two #4 or 5 10" long rebars.
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,�FQ �l��c C���i�f.
B� �F��
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SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING
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. D
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAT
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WiTH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
�S NOT PRESU/��E A����T� VIOLATE OR CANCEL THE pERMIT
OVISIONS OF A TH S L AL LAW REGULATING CON-
ST UC�YION OR PER R C F NSTRIJCTIAN
AGENT (DATEI
IDATEI
SQ. FT.
WLG. UNITS
STALLS
ION
$14,950
FEE
$110.5Q
�ECK FEE
�S 27 . 63
CU. FT.
OFFSTREET PARKINC
IGARAGES
$7.48
No ne
TAL FEE
$145.61
fHIS IS YOUR PERMIT
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MINDER ENGINEF.�IN(i� CO. INC.
ENGI NEERS AND SURVEYORS ��
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LOT � B�K 2�E�RSON"S AI Y ND � ,
, . CR GWA EST��' �5 � ADD N.
WE HERE6Y CERTIFY Ti1q7 TN�S IS w TRUE �Np [ORREG�- REpRgSENTATIOW OF A SURVEY OF T'NE dOlJulpqRtES OF TNE
UWC ABOVE OESGRIBED AND OFTNE LoCAT10N OF 1LLL bUlLO1NGS. IF IWY, TNERfON, AN� ALL VtSl6LE ENCROACHNiENTS,
tF MtY. PQOM OR Mu SNC IAND. .
�o �.�: �,Y� SEPTEM�ER MINDER � ENGINEERING CO., ING.
- a°.MS9 �NO�N� as .aac su vEroas
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NEW L ] /`
ADDN. [��
pLTER. [ 7
City of Fridley
�R-1 AND R-2 �
Building Permit Appliaation
Effective 4/1/86
�l
Construction Address: 7� 5 Z �� r wo o�+ �a �
Legal Desaription: ..
Owner Name & Address: �e�'�� � �o�� Tel. � ���r�3�2
Contraetor: S�►nm, �u.���er5 Tel. �i � g" �q5
Address• �� � W°1`f Stre�e�' Q�am�r,A�vh ��, .551f ZO
bIVING AREA:
BARAGE AREA:
DECg AREA:
OTHEB:
Attach to this applieation, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOA OF IMPROYEMENT
iv �� , ,� 1�
Length /� v Width �� Height Sq. Ft. a
Length ��+ Width �� �`�z� Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setbaek
Type of Construction: �o� ►^ Estimated Cost: $ �'��
`J ,f���sf /O�/98� •�
Approx. Completion Date: ,c� , �y
��� ��ey� '� `�.� �V �'► sM � �lL�s4� t2e�•� ����p�•Ois � I� ���B�v.�C�
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
�
DATE: � 5 APPLICANT: �����,n, o� 1L-�.ch�✓c�� Tel .��8 � go 9�
CITY IISE ONLY
Permit Fee $ �� �e� Fee Schedule on Reverse Side
Plan Check $ s 25$ of Building Permit Fee
State Surcharge $ � � $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
,1 �• Agreement Neoessary [ ] Not Necessary [ ]
TOTAI. � ' �+ � �
STIPULATIONS:
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y�(�� �a� s�` ' '� � � ,�S
I�� �9AN • , � � N ��
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BUII.DING PERMIT FEE SCHEDIILE
The Chief Building Official shall, before issuiag permits for the erection of any
building or structure, or for any addition to any euisting building or structure, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applieant for such permit of fees to the amount
herein below set Porth and in the manner herein provided to-wit:
Total 0aluation
$1.00 to $500.00
Fees
$10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraetion thereof, to and ineluding
$2,000.
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh
additional $1,000 or fraetion thereof, to and
including $25�000.
$25,001.OQ to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or fraction thereof, to and
including $50,000.
�50,001.00 to $100,000.00 $283.00 for the firat $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up
��33.00 for the first $100,000 plus $2.50 for each
additional $1,000 or Praction thereof.
DRIVEiiAY DEPRESSION ESCROii
(Concrete Curb Streets Only)
Alternate "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
approaeh With 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOIINDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
applicatioa to allow for proper review of the proposed strueture and of the
construetion site.
A Certifieate of Survey of the lot, showing the locati�Q of the foundation onee it
has been eonstructed will be required before proeeeding with the framing.
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City of Fridley 2 8 5 0 6
� 5�2���T��F TME TWINS g u � L D i N� P E R M I T-
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,�
� • COMMUNITY OEVELOPMENT DIV.
� •V ������,
r � � PROTECTIVE INSPECTION SEC.
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i---.�; "' ��� CITY MALI FRIDLEv 83�32 NUMBER
t 612-571-3450 910-F15
10B ADDRESS
7852 Firwoad Wa '
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 6 Z �
2 PROPERTY OWNER MAIL ADOFiES$
Gerald & Cindy Robb
3 CONTRACTOR MAIL ADDRESS
Wellin�ton Window & Door Co_ 39�R Maar�nm}�r�
a ARCNITECT OR DESIGNER MAIL AODRESS
5 ENGINEER MAII ADDRESS
8 USE OF BUILDING
Residential
7 CLASS OF WOAK
B OESCRIBE WORK
Window reula
11EV
����
OATE P�GE OF ACOROYED BY
11/3/98 � �
933-6300
�.�-�
PHONE
PMONE
PHONE
SEE ATTACHED
StiEET
LICENSE NO
6�� 7 A
LICENSE NO.
LICENSE NO
❑ NEW ❑ ADDITION � ALTERATION � p�pAIR ❑ MOVE O REMOVE
9 CHANQE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code - aa in each sleeping
room and on each level of house.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTii1CAL, PLUMBING, HEATING, � r�c
VENTILATING OR Alq CONDI710NING
THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION 20N11
AUTHORIZED IS NOT COMMENCED WITMIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOq A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOFK IS COMMENCED. NO
I HEREBY CERTIFV THAT I HAVE READ ANp EXAMINEO THIS APPLICATION
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIQNS OF �pWg ypLU.
AND OROINANCES GOVERNING TNIS TVPE OF WOHK WILL BE COMP�IED
WITN WHETHER SPECIFIED HEREIN OF NOT TWE GRANTING Of A pERM1T �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCEL THE pERM
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW FEGULATING CON-
STRUCTION OR THE PERFOfiMANCE OF CONSTRUCTION �11
S�GN4TUAE O� CON'AACTQN 0�7 4UTMOpIjEO AGENT iDATE�
�GNATUQE O� OWNEQ ��f OWNEi1 BURDEfi� iDATE�
SO.FT
UNITS
STALIS
6000
fEE
� $5.0�
1P OCCUPANCV �OAO
CU FT
STREET PARNING
IGARAGES
iTAX
.00
:CMARGE
r C $6.00
L EE
_6.25
�jS IS V U PERMIT „�
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p6rE
NEW L 1
ADUN ' °° [ ]
ALTER [ ]
CITY OF ERIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress� `( ✓� � ('�0
Lega( Description:
Owner Name & Address:
Address:
LIVING AREA:
GARAGE A,REA:
DECK AREA:
OTI�R:
�'
��
III�� I[J
���
Effective 1 / 1 /97
Tel. #_� � � % ��
MN LICENSE # 3 , -�j � % 9
S oZ� Tel. #% - 1.d 3(�t�
Attach to this appiication, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
�nS'� Width Height Sq. Ft.
�n� Width Height Sq. Ft.
�nS'� Width HgtJGround Sq. Ft.
Construction Type: ` �J
Estimated Cost: $ � � ( S , � G(��
(�'ee Schedule on Back)
Driveway C�irb Cut Width Needed: Ft. + 6 Ft = Ft �x $ _�
DATE: l o- z g• 98' APPLICANT: Z,
— � � '
�
���� - CI`I'Y USE ONLY ����5+
Permit Fee � lo� �
� . Fee Schedule on Reverse Side � 6��
Fire Surcharge $ � 5
� _ ,001 of Permit V�luation (1/l_0 %) lO�
state Surcharge 3 p`L$ o �"
, . : $.50/$1,� Valuation �%.��y
SAC Charge $ $950 per SAC Unit � �j�
License Surcharge $ , j, o� $5. pp (State Licensed Residenti Contractors) �� L
Dri v e w a y E s c r o w $ A l t. " A" or A it. " B" Above �
/� '
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessa
ry [ ) Not Necessary [ )
TOTAL $ �
ST���1�_A"I'IONS: / ��-��-�
, ����
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I3U[LDING PERMIT EEE SCE[EDULi:
1'he Chief Building OfCcial shall, before rssuing perniits for the erection of any building or structure, or tor
any addition xo any existing buildang or structure, or for any alteration or repair to any existing buildin� or
stiucture, 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 $5(?0
$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,(�0
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
�
$21 for first $S� plus $2.75 for each additional $lOD 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,� plus $9.00 for each additional $1,(�0
or fraction thereof, to and including $50,0(�
$574.75 for first $50,0(?0 plus $6 25 for each additional
$1,� or fraction thereof, to and including $1Q0,0�
� _..
$887.25 for fust $1�,OQ0 plus $5.00 for each additional
$l,��or fraction thereo��.to and including $5(�,000
$2887.25 for the fust $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,�;000
$5012.25 for the first $1,0�,000 plus $2.75 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 $13.�0_
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 $15.75_
VERIFICATION OF FOUNDATION
Ycrnzits for construction will be issued a minimum of 24 hours from the time of application to allow for pro��r
review of the proposed structure and of the construction site.
A Cei-tificate of Survey of� the lot, showing the iocation of the foundation �>T1Ce (i }l3S II IlaS f7CC11 C1117SIiUC'.��:
���i;! h� rcyuircd hLfc�re ��r��cccdic��� ���ith tiic frarnin�.*.
sus�et� P .
City of Fridley � 3 i 4 2 3
AT THE TOP OF THE 7WINS � � I L D I N G P E R M I T
r
; � RECEIPT NO.
COMMUNITV DEVELOPMENT DIV.
f � y � PROTECTIVE INSPECTION SEC. �.,�: 1";��
� . , "
� : �"�'� � CITY HAIL FRIOLEY bS132 NUMBEp pEV O�TE P�GE OF AVv1iOVED Br
ti.__.�1.� '•� 612-571-3450 910-F18 9/25/00 / /
JOB AODRESS �g52 Firwood Way NE
t LEGAI �OT N0. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. ( 2 Pearson's Craigway Estates 2nd SNEET
2 PROPERTY OWNER MAIL AODRES$ ZIP PMONE
Gerry Robb 7852 Firwood Way NE
3 CONTRACTOR MAIL ADDRESS ZIP PFIONE IICENSE NO
Richard Hastings Contractor 6331 Riverview Terrace NE, Fridley, MN 55432
4 ARCNITECT OR OESIGNER MAIL AODRESS 21P PMONE LICENSE NO.
574-9966 4051
5 ENGINEER MAIL ADDRESS 21P PNONE LICENSE NO
B USE OF BUILDING
Residentia.l
7 CLASS OF WORK
❑ NEW � ADOITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear-off
9 CHAN(3E OF USE fROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARA7E PERMITS ARE RE�UIRED FOR ELECTFICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONS7iiUCTION 20NING SQ. f7 CU fT
AUTHORIZED IS NOT COMMENCED V�IITNIN 80 DAYS. OR IF CONSTRUCTION
Oli WORK IS SUSPENOED OR ABANDONED fOii A PERIOD OF 120 OAYS AT
ANY TIME Af7ER WOFK IS COMMENCED. NO DWLG. UNITS OfFSTREET PAqKING
I MEFEBY CERTIfY THA? 1 HAVE READ AND EXAMINEO THIS APP�ICATION I. S7ALl5 GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. A�l. PqOVISIONS OF LAWS yq�UATION SURTAX
AND ORDINANCES GOVEFNING THIS TVPE OF WORK WILI BE COMP�IED
WITH WHE7HER SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PERMIT �Z�SSJ �]..2$
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pEqMIT fEE SAC CN � GE
PqOVISIONS OF ANY OTMER STATE OR IOCAL LAW REGULATING CON-
STRUCTION OR TME PERfORMANCE OF CONSTRUC710N �S3.ZS Fir SC �Z.SS
�
PLAN CNEGK E TpT L FEE
� ��-5� �O Lic e SC $ 0 2.08
� S�GNATUpE O� CON'AACTOA OA U�MOA�ZED AGENT IDATE� O VAU T THIS 1 A RMIT/
� S�GNAIU�7E O� OWNEA ��� OWNEN BU�IDEN� IO�fE� ��`�
B �a5o qarE
, � -
N� � � Effective 1/1/2000
ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: ,�i.� S�- �v�z,�*-�%
Legal Description: �
Owner Name 8 Address:
Tel. #
Contra�tor: �C�� �� MN UCENSE #� e� S/
Address: � 3 3 I �-� � - Tel. # �" 7 y ' � �f� �
LIVING AREA:
GARAGE AREA:
Attach to this application, a Certficate of Survey of the
lot, with the proposed�construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: Z $�.
Construction Type� �,.�'�� Estimated Cost: $ �� .� %
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �- S O� APPLICANT: ����,� Tel. # S? V-�� G G
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ U.� �S. Fee Schedule on Reverse Side
Fire Surcharge $ � S� .001 of Permit Valuation (1/10th%)
State Surcharge $ l �-$ $.50/$1,000 Valuation
SAC Charge
License �urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$.
$1100 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 [ ]
$ � 6°v
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erecdon 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 $S00 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 $1,0�
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,0(}0
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, OQO or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,004 or fraction thereof, to and including $500,000
$3,233.75 for tflie 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 first $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 minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the constructgon site. '
A Certificate of S�u vey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the frazning. New Houses Onlv