AF - 42402Caty of Fridley, Minn..
BUILI)ING PE�VIIT N� 4�r7 �'
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LQCATI O ILDi1VG
No. -��r��,� Street -,...�;�.•��'..�-�-�— -,�- P f Lot _
Lot �._.__ Block �. _ Addition or Su ' ivision���
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Corner Lot � — Inside Lot Setback .,;,��._.V._. Sideyard
Sewer IIevation � Foundation IIevation �_-
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DESCRIPTION OF BUILDING
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To Used a : '� �}
Front �� DeP'th e� Heighi �� Sq. Ft. ,���Cu. Ft ����4.�
Front Depth H ghtX �Sq. FC. —` Cu. F`t. --
Type of Construction - Es� Cost ..�l.! � To be Completed � _
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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 descxiption above set forth and in compliance with all provisions oP
ordinances oE the dty of Fridley.
�
In consideration of the payment of a fee of $.af.�...'-_._.., permit fs hereby granted to
to construct the building or additioa as described above. Tlus permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said bu3lding, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota, regarding location, construction, aiteration, maintenance, repair and moving of buil8inga
Wlthin the dty limits and this permit may be revoked at any time upon violah'q�gP any of the provisions of seid
oTdiIIBUCEa .r+� /? /t �' %
BU�1d�IIg I2I8pECtOT
NOTICE:
Tl+is permit does eot eover t6e eoestrueHon, 6utallalioa for wlring, plumbiag, eas heafie8. sewee oe water. 8e suro io see
tha Buliding Inspeero� fo� aeparate pem�its for these hema
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APPLIC�TION F� BIIILDIIVG PERMIT
CITY OF . FRIDIE7[, M�SOTA
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LQCATI�N OF BIIII,DTNG '
No. 7� �� 3treet � ���- Part of Lot
�..�,,._.._
Lot � B�.ock � Additioa or Su'�iivision � o`� P
Corner Lot _�_Ineide Lot � Set�.ck � � � Side-Yard �� � �'�Q�o
SEWER ELEVATTON FOIIND�&TION ELEVATION
�pplicant sttach to thia fo�c°m Certific,a,te of Survey of Lot and proposed building
location,
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•� Io• i .c •i l
Sq� �. /��� Cu. Ft.
Front� Depth Height
�. �. Gu. Ft.
T�pe of Construction � Estimated Cost
To be Completed �
The undersigned hereby makes application for a permit for the work herei.n apecified,
agreeing to do a7.1 work in strict accordance with the City ardinance� and ruling of
the Department of Bu3ldings, and hereby declares that a1Z the facts and representatione
atated in this appl�.ca.t3on are true and correct. n � n ��
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(A Schedule oi Fee Costa can be found on the Reverse Side.) ��
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HUILDING pERMIT FEE SCH�DIIIE
�ection 2. The Inspector of Buildings shall, before issuing any permit Por the
erection of any building or etructure, or for anX addition 'to ang ex�.atia� build-
ing or atructvre, or for any alterations or repa3rs to any existing bu3lding or
s'tructure, upon application �tharefor, require the payment by the applicsnt for
such permit of fees to the amount herein below aet forth and ia the m8�tner herein
provided to-w3.t: �
2e1. For ax�r such permit for the erection of any fire-proof building, other than
a garage, warehouse, factor�r or grain e7.evator, or for the erect3on of axig fir�-
proof addit3on, For simila,r occupancy, to any exist3ng building shall be at the
rate of �1.1,A for ea,ch one thousand cubic f'eet, or fraction �hereof, in such
cub3:ca1 contJents.
2s2e For any such permit for the erection of any fireproof garage, warehouse,
factory or grain elevator, or for the erection of ar�r fireproof addit3on� for
similar oacupar�cy, to an,y exiating bui7.ding shall be at the rate of �1. a5 for
each one thou�and cub3c feet, classified as ��fireproof�� by Section�502 of the
Minneapolis Building Code.
AO'JSES
2a3. For any such permit for the erection of a.n�r non-fireproof bui].d3n� other
t�.n a garaoe, wsxehouse, factory or gra3n elevator, or any noa-fireproof
addition, for similar occupancy, to �.ny ex�.sting buildin�. Permit �7..Q0 for
e�ch one thousand cubic feet,
GARAGES
2,L�e For a�y such permit for the erection of a�► nora�-f3reproof gara�e� warehouse,
�'actory or grai.n elevator, or for the erection of any nor�fireproof addition, for
s��i].ar occupancy, to ariy exist3ng building or for ea:ch such building or s.ddition.
�dinety Cents for ea.ch one thousand cubic feet or fraction thareof, in the cubical.
confi,ents thereof with a minimum of �I�e00.
For the purpa^� of computing fees f'or building permits the cubic.a7, contenta of any
build3.ng or addition to a un3"orm height throughout by multiply3ag the �ound area
covered from a point six (6) inches below the floor line of the basement or cellar
to the average height of the upper surface or to the average height of the roof
�urface of the main gable of a pitched roof.
2e5a For repairs or alterations to an exiating strueture, the fee shall be at the
r2te of �3,00 for each Five Iiundred Dollara ($500.00), or iY�action thereof in the
cos�t of all proposed work.
2e6, Tri no case ahall the fee charged for any permit as aet forth in Sect3oa 2 be
less than �1�.00.
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MINDER ENGINEERING CO.,INC.
ENGI NEERS AND SUR�/EYORS
��NO 6URVEY�NO , SOi�s TE3TIN0
GIVCL Lr, MUNICIOAL ENOINEERINO • LANO PLANNINO
6418-56T" AVENUE N.
MINNEAPOLIS 2T. MINN.
KE ?- 3637
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WE HE0.E0Y CERT�FY TNAT TH�S 15 A TRUE ANO CORREGT 2EPRESENTATION OF A SURVEY OF TWE BQUNDARIE� OF THE
LAND ABOVE DESCRIIiEp ANO OF THE LOGATlOAI OF ALL BUILDINGS, IF ANY, THEt2E0N , ANO ALL VISIBLE ENCROACHMENTS'
IF ANY, FROM oRON sA�o �Nn. MINDER ENGINEERING CO., INC.
�ATED TN�S DnYOF �eO7GMPe/' A.o.1759 E1JG�AI�E�� AuD S�RV6YOR5 �
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CROI'�ST�OMS HTG. & AIR COND.� INC. Job Name
D-S6 ��O Bxselefer boulevard, Minneapolis 16, Minn.
' ae N6A7' LOf� CALCYLATIONS Job Address
Weatherstrips A.S.H.V.E. Construction No. I Insulation
Guide
Windows Doors fteference Oat. Wall Int. Wall Cxiling Roof F7oor Kind How Applied
Yes—No I Yes—No 19_ I
/ Fl.� / jr a�/'q�Room Length �.�' Width /f� Height � Fl.� ;-° Room Length /� Width j,� Height �`
Windows and Doors—Crackage and Area � Windows and Doors—Crackage and Area
�Yldth Height No. ot Lineal [. Area t � Wldth Halg6t No. ot Llneal tt Area
No. o[ pane o[ pane Itghte ot crack eq. ft. {j No. of pane o[ pane IfgLte ot crack eq. tt.
�r � � � '`�" � � � +�S" '�' �i : -- .: � !� «'� � �i d'+ �✓ �'
a� � � '� .'"� r� � r� � .7 i' '�° ,� � i
i � � � �°�`' � S+ � �
Coef. Btu Coef. Btu
Infiltration �' .,�, `�� �" � �' t► Infiltration �' / `,/ t� ,/ � ;�u
Glaas %"�f` �,°;,� � �' +� +r Glaaa .� o ,�+� t �'a' c�
Exp. wall ���,, i�"' R «'� .� � Eap. wall s` � r� �
-_ _-,_
NeE exp. wa -- -- �_-_ _ _--.'���- �- .i�+�'=_� --�� N,,"�� --- -_�_,��__ - _ _l��i�-=
Int. wall In� waU -
Ceiling ,,� :+►s� r� �' .�'.� �"� CeilinB i y f 3' ��' �i a
Floor �""""�'�"�` Floor
Total Btu. �' �' +° � �+ Total Btu. � � f/�,
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
/ F7.� '��, ,� Room � Length � R/idth ,�s�F Height �
Windows and Doora—Cracl�age and Area
Wldth Hetght No. ot Llneal fL Area
No. ot Dane of pane tlghte o[ crack sp• ft
� r1f � � � +� � � �
��
Infiltration
Glaas
Eap. wall �a, � +
Nec exp. wall
Int. wall
Ceiling - - - -
Floor
Total Btu.
Coef. Btu
�� �� �
� S� � �
' ?' �►y .�?Q
� w �.3" ,� .� � �
Required aq, k. E.D.R. or aq. u►a. W.A. l.eader area
,� F1. �"� Room � Length ,�+' ��' Width ,,P� Hei
Windowa and Doors—Crackage and Area
Wldth Aelght No. ot Ltneal !t. Area
No. of pane ot paee Ilgdts ot cnck sq. !t.
� .� � % 1°i ] '� � �' S�
Coef. Btu
Infiltration .�' +� gr� ,�,� � y
Glaaa �',�'i S°� �ji e�,�,�
�p. Wau � y,� � - �� �
Net eap. wall '' +�' , '� yr ��, / �r �jr �
Int. wall
Ceiling J y� ��- � �
Floor
Tbtal B�u. „�`�► y�
ft. E.D.R. or aq. ias. WA. L.eader arca
Required sq. k. E.D.R. or sq. ins. W.A. Leader area
�► FI.I %,� ,t" t�r Itoom I
w�ao,� ana u�m—c
Wldth Selght N
No. ot vane of uane 11
�
In6ltration
Glaaa
Eap. wall ,,�,
� Net ezp. wall
Int. wall
�' �► � ° Width
and Area
' � ��
���
Ceiling $�� ,p *�� � ,� �'�
- --_— --_
_�
Floor - - -=-__ -. -
Total Btu. �, � �r :
Requued sq. ft. E.D.R. or aq. ias. W.A. l.eader area
� F7.� ` � , Room I LenSth �' ,,,�! Width . . Height ,�'
Windowa and Doora—Cracka�te and Area
Infiltration
� Glass
�,.,�u
rr�� ��. W�i
Inw wall
Ceiling
Floor
Total Btu.
����
-- �' i�
k. E.D.R. or aq. ias. WA. l.eader area
Btu
+' y,�,�
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City of Fridley, Minn.
BUILDING PERMIT
Date: - June 4, 1970
p�r; Bruce Miller ��r Sussel Company
Ad� 7872 Firwood Way N.E. Ad� 1850 Como Avenue St. Paul
5�� �� 7
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LOCATION OF BUILDING
No 78�2 Street Firwood Way N.E. p� of Lot
Lot �. __ Block - � Addition or 5ub-DivIs�tan . Pearson's Craigway Estates 2nd
Corner Lot _ Inside Lot
Sewer IIevatian
Setback � Sideyard
-- Fotmdation IIevation
DESCRIPTION OF BUILDING
To i� v�a �:
Attached Garage �t 17 � Depth 22 � Height 10' �, � 364' �� 3640'
Front Depth fTeight Sq. F't. Cu. Ft _
Type of Construction Fxame �y�, �_ 2 700.00 To be Completed 90 days
Provide Hardsurfaced Driv�way
In c�tderation of the issuance to me of a permit to construct the building descrii�ed above, I agree to do
the proposed work ffi accordauce with the description above set forth and in compliance with all proviaions of
orrlinances oE the dty of FrYdley.
�
In consfderatfon oY the payment of a fee of $ �• 00 � permit fa hereby granted to Su5se1 Company
to construct the buflding or addition as described above. This permit is grented upon
the express condition that the person to whom it is grented and his agents, employees and worl�nen, in all work
done in, arouad and u�n sefd buildiag, or any �art thereof, shall conform in all reapects to the ordinanc� oF
Fri�IIey, Minnesota regarding location, conatructton, alteration, maintenance, repair aad moving of bufldings
wlthin the dty lianfts aad this permit may be revoked at any time upon violation of aay o�,the provisiona oi ea�d
ordinances.
�
CE BELISLE
NOTICE:
This psrmh das eo1 cevar t6s coe�rudfon, installa�ton he �na, plumbiee, gn heaMeg, �nru er wtlsr. B� sare to aas
� t6a &rildiu8 Inspaetor tor apuata parmtts Po� t6as huet.
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APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:_ �i-r/c�' ,�� I�P�- BUILDER: c�fi �,r'�(�
ADDRE�a S : __��% /' � � ev � a aL (,Ll e-�.j _ ADDRES S : /�.S�d e��no /4 v �,
NO•. STREET:
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT:� SETBACK: SIDEYARD:
AppliCant attach to this form Zt,,io Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
�iESCRIPTION OF BUILDING
To Be Used As:
�-��Q�� �a�� Front:_ I� Depth: a- �- Height: /�
Square Feet• � Cubic Feet: � � �� �
Front: �pth: Height:
Square Feet; Cubic Feet:
1�pe of Construction: �d-cz�.� Estimated Cost:_$ �i�a ��
To Be Campleted: /�� cYa�..S
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and sulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
n��: _ �-� �.� � °- 7d SlGiva�: ^ ..� � �� � , �%��,,�li
(See Reverae Side For Additional Informatioa.)
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing pexmits 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 forth and in
the manner herein provided to-wit:
[TNIFORM BUILDING CODE: Type 1, 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.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
c�vered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average*
height of the roof surface of the 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 penuit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: 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 aad
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constxucted, will be required before proceediat� with the framing.
CERTIFICATE.OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy qf any structure for which a building pezmit has been
issued; and said structure ahall not be uaed or occupied until a Certificate
of Occupancy has beea iasued. •
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II��TALL l,�Z" BOLiS 1�" F�i�NI EACh�
CORNER EXCEPT AS 1��3TED C�R
I�IDlCAiED A�9D 6" OFF CL OF EACC�
REf�APP�t�G �f�lALL.
All subcontractors shalt verify,and be responsfble for
ali locatfons and conditfons shawn by these drewfags.
This office musY 6e nottfied of any variations or obstaclec
4o the proposed work belore proceeding With ANY
instailation. ,� �
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CIVIL EN6INEER AND SURVEYOR
3828-24TH AVENU6SOUTH
M�NNFAPOLIB. MINNE60TA 89�09
724-2969
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° CHIM�JEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (�
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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 Yes ,�
6. Has Total hea ti ng BTU' s of �/�� L�
All other BTU's
TOTAL
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Company l I�h�'�_��.�-��'��- I�� �
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CHIMNEY AND BTACR VERIFICATION
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
Al1 other BTU's
TOTAL BTU's
Remarks
List Alterations Beinq Done:
HEATING COMPANY
Signed By
Date
sue�ecT P -
City of Fridley 216 6 2
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
�
; � RECEIPT NO.
� ; v _ COMMUNITY DEVELOPMENT DIV. 7
r � � PROTECTIYE INSPECTION SEC. j� �/
� ` �
� /�"1 � CITY HALL fRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVEO BV
�""'� � �'� 612-571-3450 910-F15 11/16/92 / /
JOB ADDRESS '7872 Firwood Way NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 2 Pearson's Craigway Estates 2nd SHEET
2 PROPERTYOWNER MAIIADDRESS ZIP PHONE
Bruce Mi.11er 7872 Fixwood Way NE 571-1296
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Lakewood Interiors 1742 Frank St, Ma.plewood MDT 55109 776-2852 3997
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION I� ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Install gas �ireplace
9 CHANGE OF USE FROM TO
STIPULATIONS
Separate �err�qit xequired �c�r gas piping,
SEPARATE PERMITS ARE REOUIFED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEfiEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
WI H W ETHEFi SPECIF ED HEREINIOFi NOTOTHE GRANTING OF AOPERMIDT $2 /2OQ S�-, 1.O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiMIT FEE SAC CHARGE
P ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54.00 Fire SC �`Z.ZO
R TION O� THE PERF RMANCE OF CONSTRUCTION.
� PLAN CHECKFEE TOTALFEE
/�-� �°��� License SC $5.00 $62.30
S�G r o CoN� A TORO uT ORIZEDAGENT IDATE� EN O �LY VALI AT THIS IS YOUR PERMIT
' Bv �` /� ^ � �
SiGNATURE OF OWNERi�F OWNER BUILDERi IDATE� LDG 1NSP �aTE
NEW [ ]
ADDN ( ]
ALTER[]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: �%� +12, � ( `� �� 1� �� %�
Legal Description:
Effective 3/ 11�2
Owner Name & Address: �� a��'. l'.J � /`�� p LL.�'/� Tel. # S' 7/- I Z%
Contract�
Address:
[CENSE # o � 9'`�' �
Tel. � �� 7 L� _Z.�.� Z _
Attach to this application, a Certificate of Survey of the
lot, with the proposed coc�struction drawn on it to scate.
DESCRIPTiON OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length WidtU Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [ � Ft. Yd Sstback Side Yard Setbacics
Ty� of Consiruction: . 1 C.E Estimat� Cost: $`ZZ�� v�
Approx. Completion Date:
Driveway Curb Cut Width Needed:
DATE:
APPLICANT:
(Cost on Back)
Ft. + 6 Ft = Ft x$ _$_
Tel. #
�TY USE ONLY
Permit Fee $�,�� F� Schaiule on Reverse Side
Fire Surcharge $ �� 2� .(�1 of Permit Valuation (1/lOth%)
State Surcharge $ � � / O $.50/$1,OU0 Valuation
SAC Charge $ -�—' $7(?0 �r SAC Unit
License Surcharge $ ��� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL $ � � � °� �
� t '
� `��E�iC�'/ U/(j�����'�" G�i'�'��� � e
STIPULATIONS: �j y ��- �
_. �
BUILDING PERMIT FEE SCHEDULE
The Chief Buildiag Official shall, before issuing �mrits for the erection of any building or structure,
or for any addition to any existing building or sbructare, or for atry alteration or repair to any existing
building 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 $500
$501 to $2,�
$2,�1 to $25,�
$25,001 to $50,000
$50,001 to $1W,OQ0
$10(},(?O1 to $5�,000
$5�,001 to $1,�0,�
$1,4IX},001 and up
FEES
$15 (Minimum F� is $15 plus surcharge)
$15 for first $SOQ plus $2 for e,ach additional $100 or
fraction ther�f, to and including $2,000
$45 for first $2,000 glus $9 for each addidonal $1,�0
or fraction thereof, to and including $25,000
$252 for first $2590W plus $6.50 for each additional $1,OIX1
or fraction thereof, to and including $50,�
$414.50 for first $50,� plus $4.50 for each additional
$1,000 or fractaiion thereof, to and including $100,�
$639.50 for first $1�,(�0 plus $3.50 for each additional
$1,�0 or fraction thereof, to and including $500,000
$2039.50 for the frst $5�,000 plus $3 for each additional
$1,� or fiaction thereof, to and including $1,�O,IX10
$3539.50 for the �irst $.1,�0,0� plus $2 for each additional
$1,000 or fraction �thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Alternaxe "A" : Removal aad replacement of curb ar�d gutter only - Driveway width plus 6 f�t times
$13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driv�way width plus 6 feet times $15.75.
VERIFICATION O� FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow
for proper review of the propose.d structure and of the constiuction site.
A Certificate of Survey of the lot, showing the location of the founda.tion once it has it has been
constructed will be requir� before proceeding with the framiag.
�
I _
sue�ecr
c�ty of Fridley
AT TNE TOP OF THE TWINS � U I L D I N� P E R M I T
;,
� �
� ` _��_ COMMUNITV OEVELOPM�NT DIV.
r j~ ' PROTECTIVE INSPECTION SEC.
�
� _ •
� �"'1 � CITY MALL FRIOLEY �132 NUMBEB
�'""�� ��' 612-571-34b0 s�aF�S
JOB ADDRESS 78�2 Firwood Way �NE
1 LEGAL �OT NO. 9LOCK TRACT OR AODITION
oescR. 3 2 Pearson � s Cr�
2 PROPEfiTY OWNER MAIL ADpR�S$
Bruce Miller
3 CONTRACTOR MAIL ADORESS
Minnesota Rusco Inc. 9901 Smetana Dr 1
d ARCHITECT OR DESIGNER MAIL ADDRESS
S ENGINEER MAIL
8 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW ❑ AODITION
8 DESCRIBE WORK
Reside house and �araae� snff;rc
9 CHANGE OF USE FROM
STIPULATIONS
NEV OATE PAGE OF
10/8/99 � /
Estates, Znd
ZIP PNON
5 71-12
Z�P PHON
nka 55343 935-9669
ZIP PM�N
R O.
0369
RECEIPT NO.
6� ��
APPqOVED 9Y
SEE ATTACMED
SHEET
LICENSE NO
2173
LICENSE NO.
LICENSE NO
O ALTERATION � REPAIR O MOVE O REMOVE
TO
Call for building wrap inspection before covering.
Provide soffit ventilation to meet the State Building Code.
P�rmit Insp�cf�Q� C�r�s
Will �e Mailed � .
To Homeowner To Post
SEPARA7E PERMITS ARE FE�UIRED fOR ELECTFICAL. PIUMBING, HEATING, r�PC OF GON$T. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR COND�TIONING
TNIS PERMIT BECOMES NULL ANO VOIO IF WORK Oii CpNSTRUCTION 20NING SO. FT CU fT
AUTHORIIED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO Oli ABANOONED FOR A PERI00 OF 120 OAYS A7
ANY 71ME AFTER WORK IS COMMENCED. NO OWIG.
I HEREBr CERTIfY THAT I HAYE READ ANO EXAMIN�O TMIS APPLICATION
ANO KNOW TME SAME TO BE TRUE ANO COpRECT. ALL PROVISIONS OF LAWS yp�UATION
AN� OROINANCES GOVERNING THIS TYPE OF WGRK WILI �E COMP�IED
WITH WHETHER SPECIFIED HEpEIN Ofi NOT. TME GRANTING OF A PERMIT $9165
DOES NOT PRESUME TO GIVE AUTMOqITY TO VIOLATE OFi CANCEL THE pERMI?fEE
PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGUTATING CON-
STqUCTION OF TME PERFORMANCE OF CONSTRUCTION $181.ZrJ
PLAN CNECI
Lice
S�GNOTUAEOFCON•AACTOAOpAUTMONi2E00GENT IO�iEi _ ...�
STA��S �GAFAGES
` $4.58
SAC CMARGE
Fire SC
' 70TA EE
$ 9.99
IAT HIS IS YO
�'/V
.16
r
IT
A_��� ] °
ADDN
ALTER
Effective 5/10/99
L l CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2
BUII,DING PERNIIT APPLICATION
Construction Address:
Lega1 Description:
� �
��
� ��
Owner Name & Address: ��,�� QQe�� `'% S7 � �,�L�,�� 7�,,� �. Tel. # � l a - ��JI - / � ��
Contractor: MINNESOTA RUSCO, INC. � MN LICENSE #�� 7�
Address: MINNETONI�ArMN 55,�;o Tel. # �/�—��5-9��9
LIVING AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRII'TION OF IMPROVEMENT
Length Width
Length Width
Length Width
Height Sq. Ft.
Height Sq. Ft.
HgtlGround Sq. Ft.
OTHER: �
COT1StrliCL10II T�. � r�$StlIIlatC� COSt: $ 9� 6�
Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: /l� � �°j � APPLICANT: � Tel. #�i'ca7 9�� %� %
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� I� f.a�
$ ��1�
$ �. ��
$
� �a o�'
$
$
$
$
$ ��.
CITY USE ONLY
Fee Schedule on Reverse Side
.OUl of Permit Valuation (1/IOth%)
$.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 [ J
.�„
� . ��-
BUII.,DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any e�sting building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applican�t for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
T�OTAL VALUE
$1 LO $500
$501 to $2,000
$2,OQ1 to $25,000
$25,001 to $SO,Q00
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,Q00,000
$1,0{�,001 and up
E���Cy
$23 50
.kka
. � _r
g.;:', , �
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,OQ0
$69.25 for first $2,�0 plus $14.OQ for each additional �a1,000
or fraction thereof, to and including $25,OQ0
$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 $100,0(10
$993.75 for first $100,OQ0 plus $5.60 for each additional
$1,000 or fraction thereof, to and inciuding $500,040
$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 first $1,OOO,Q00 plus $3.15 for each additional
$1,000 or fraction thereof
— ��v'E-�JV�3� ��'����i�i �R�A�'i�' -
(Concrete Curb &treets Only}
Alterna.te "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 insta.11 a 3 fQOt wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for consiruction will be issued a minimum of 24 hours from the time of applica.tion 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 foundadun once it has it has been constructed will
be required before proceeding with the frami.ng.