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AF - 42787/�~1 i Caty of Fridley, Minn. C 1 � ' ' I � ,�, �• .:_ � . �i - �///�"..� ��"�.-.r - 2 / �,� '�" .L ✓' � �. . � � ��1� — LA ON BUILDING No. " � e Street � r _�_ � Part of Lot Lot _ Slock � ddition or Sub-Div3taion . � _�� � Fm' v `���� �—.,_ Grner Lotr Inside Lot Setback �_� Sideyard ,�r�. �� sewer IIevation �'�'_ ' 8 � _� Elevation b� �l a . � � 'j'OP oF �'oa71N6 DESCRIPTION OF BUILDING Front �� Depth .���� Height �� &1. Ft ��� Cu. Ft� Depth I� ght Sq. Ft Cu. Ft, Type of Constru �� F�t.�C'o�t �[ �o be Completed In ew�sideratfon of the issuaace to me of a permit to construct the building descxlbed above, I agree to do the proposed work in acc�rda.nce with the description above set Porth and in compliance with all proviaions of ordtnances of the dty oP Fridley. _ �--e--�-� . In consideration of the payment of a fee oP $_�`� , perrnft is hereby granted to to �onatruct the buflding or addition as descrYb� above. Thisp�� t ie granted upon the express crondition that the person to whom it is granted and hia agenta, employees and workmen, in all work 8one in, around and upon said building, or anypa� thereof, ahall conPorm in all respecta to the ordinaac� of FridleY� M3nnesota g la:ation, construct�on, alteration, maiatenance, repair and movin� of buildiuga witbin 'the dt3► ]imfts��a d�this pernnft may be revoked at any time upon violat3on of aay of the provisiona ot esid or�inanc�s. � _ �-� Building Inspector NOTICEs iW peneh dea eof eo+rar 4hs eo�erueH�, leshlla�im hr wWeB. P�+�B. 6a 6�9, �ru er wafer. B� a�n fo as tlw BniWiuB lesp�eto� tor pp�raf� parm6s /or th�a it�nn, � � �v + V v • c• 'V�►' o , , , (,�t��` Vl.�d �SSOC�.IAtGs� ��C• Telephone 421-6340 LA6�lD SUR1/EYORS . Anoka, Mirenesota CL=RYiE9CATE OF StlRiiElf: • cJOSEPH MACIA8ZEIC �OB����0��9�70 �.-° �.�1 � � � � � � D� �� ,zi � 35' O � — _ ,� .. �/�4 C A t� '1' � 0 �29.o Pc.�r 127.9Q IY1�A5. - , � � � I 4- �.r J � — — ---� — — -- — -- � 15 12 7, 9Q 1Y►E A�, 1�9.a ('�Ar �G T" ,���. i�. �, LoTS 14-1�, B�ocK I, OAK GROVE ADDITION, ANOKA COURITY� MiNP1ES07A � �� SCA �. E - �'�= :�►�� _ � ��►�a�' � : �R�aiw� I HEREBY CERTIFY THAT TH15 IS A TkUE AND CORRECT REPRESBJTATION OP A SURVEY OF THE BOUNpAR1E5 OF THE ABOVE DESCWBED LAND, AND THE LOCATIOPI OF AL! BUILDiNGS, THEREdN, AND ALL VISlBLE EWCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS....I GTH DAY OP ..... ......MARCIi .......AD. 19.FiI�:.... ...... ..� ............................... _ P!. C. HOIUM A�r'AS��I��ES, INC. �Np SURVEYO�S l r . � ..............................� " �. Bd....�.ri.°.�.9.G:.. . ..� ��, ��5�� .........�:: -i...:�'� a......- f ^a ,t.l�7 . . . -.. .. _. '!'�S a: 'g' � . . . �� °� °, �"��� Caty of Fr�dley, M�nn. � BIJILDING PER:MIT No 7 0 7� na�: � — � — � _ , �. � B�� AdBress - Address � �O ION BUILD NG No. _G�..��� Street .� Part of Lot � Lot __ 81ock ddition or 5ub-D4 on � Corner Lot �� Inside Lot — " �b�ck Sideyard � � � � Sewer IIevation ........_ — Fo dal3on IIevation DESCRIPTION OF BUILDING To as: � F�nt ��"... Depth .�Q� Height � S4. Ft��'-�–f�- Cu. Ft�.�� t Depth �Tefght � Sci. Ft. Cu. F� Type of Conatruction ��_._._ Faat�C'osil ��_��_ � To be Completed In conaideratton oP the issuaace to me of a permft to construct the ding described above I agree to do the proposed work in acc�or�dance with the descrlption above set fo�th�3n c�mPliance with ons of orrlinances of the dty oP Frldley. `) / -- e... � � In conafderatton of the payment of a fee of ���� , permit fs hereby granted to to conatruct the buflding or addition as described above. Thts permit fs granted uPon fihe express c�ndition that the person to whom it is granted and hia agents, employees and worl�en, in all work done in, around and upon eaid building, or anypart thereof, shall �nform fn all reapects to the or�inances of Fridley, Minaesota g location, construct�on, alteration, maiatensace, repair and moving of bufldiugs within the dty limfts��s d�thia permit may be revoked at any tlme upon violation of aay of the provi�lons oF eaild n Nonce= 'Ihis parmtf does net eorar t6s comhveHo�, �oa �er wUteg, plumbtnA, en 6�attnA, rar�r er wal�r. B� aRS to se� th� Buildie� IespKter for ap�rd� parmha for fh�a hxea. ,. , a OWN��lt ° S ADI3RES5 APPLfCATION FOR BUILDING PERMIT CITY OF FRIDLEY, MTNNESOTA LOCATTON OF BUILDII� -!- � �--: r No. �� Stre�t Part of Lot Lot Block Addit3on or Subdivision Coraer Lot s—llnaide Lot _�tbac Side Yard�_ SEWER ELEVATION UNDATION ELEVATION Applicant attach to thia form Two Certificates af Survey of Lot and proposed build- ing location drawn on theae Certificates. DESCRIPTION OF BUII�DING To b use as • Front Depth Height� Sq. Ft . , Cu . Ft . ��, �� Froht Depth Height Sq. Ft. Cu. Ft. . / � �ype of ConsCructioa Estimated Cost Tc� be Completed The undersigned hereby makes applicat3on for a permit for the work herein specifiAd, agreeing to do all work in etrict accordaace with the CiCq of Fridley Ordinances an� rulings of the Department of Buildings, and hereby declares that all the facts aacl repreaent�t3ons aCated ia this application are true and correct. DA� � °— ..� (Schedule of Fee CosCS can be found oa Che Reverse Side). ti � s � � � r I 1 � � 1 � e BUILD7IVG PER�T F�E SCHEDULE Section 2. The Inspector of Bu3ldinge shall, before iesuing anq permit for �he erection of anq building or structure, or for any addition ta aay exiee- ing building or struceure, or for aay alterationa or repaire to any existing building or s�ructure, upon application therefor, reqaire the gayrment by ehe applicant� for auch permit of feea ee the amount herein below aet forth and in the manner hereia provided to-wie: 2.1. For any such permit for the erection o,f any fire-proof building, other than a garage� warehouse, factory or grain elevator, or for the erecCioa of aay fire-proof addition� for similar occupancq, to aay exiating building ahall be at the rate of $1.40 for each ona thousand cubic feet, or fraction tt�ereof, in such cubical contenta. 2.2. For any such permit for the erectioa of anq fire-proof garage, warehause, faetory or graia elevator, os for the erection of any fire-proof edditiea, for similar occupancy, to any existing buildiag siaall be at the sate of $1.25 for eacb one thousand cubic feet, clasaified as "fireproof" bq Se�tiaa 502 of the �tnneapo,'�ie Building Code. �QUSES ' 2.3. Eor asy auch permit for the erection o� any non-fireproof buildiag other _ � thaa a garage, wareho�ae, factorq or �rain elevator, or an�nan-fireproof -' a�tditton; io ar occupancy;�o any existin� building - permit $1.00 fos each one thousand cubic feet. GA.RAGES 2.4. For anq such permit for the erectioa of aay aon-fireproof garage, warehouse, factory or grain elevator, or.for the ereetion of any non-£i.reg�a�.f add3t�.ou, £or s.imilar accupaacy, to aoy ex3ating building or for each such bu�t.lding or add3xion - niaety ceats ($0.90) for each one thousand cubic feet or fractioa thereof, in the cubical caateata thereo� w3th a minimum of $4.OQ. For the purpose of camputing feea for building permits, the cubical coatents of �ay buildiag or addiCfpn to 8 uniform 6eight throughout by muLtiplying the gsound area covered from a poiat sis (6) iaches below the floor line o£ the basement or cellar to the average heighC of the uppar a�arface or to the averege height of the roof surface of the main gable of a p�tched roof. 2.5. For repairs or alterations to an existiag structure, the fee aha11 be at the rate of $3.00 per each Five H�mdred Dollars ($500.00) or fraction thereof fa the coet of all progased work. 2.6. In ao case ��all the fep,chargad fnr anp pPrault �a set forth in Sectioa 2 be leas than $4_00. ,''� � � ' �""`� � � � � b r O �'J . � . � . � � O . �' • � � � � r � � c� �~ � z� � x� z� �' w h6 8� 7! M� n � � n � � � � � � � ��������� � � •• � � '1 � O � � � � • � CC! �o • �' p q y �. � ���: �� : � O � � : . : a �� . �o � ' . : m � �� : . � O . .� . Op � • . . � . . � . . . � • • . � . . . . • • . . . r . . • • . . . . . . . . . . . . . 0 � N i! N M N x D� M i! �4 8�8�8�i$8�$$8� M M � M tA N 6► M tI► � Q I 0 � ( � � � � 1 6� � � m� a � � �� D � � I� "♦ � � � m v r PT1 H � � � � a�. � � A 'd �. y � G. ~ � W �' m � g � � z �I �' _ � r ° ' �� . , \; � � � ;� . _ .■..' ' � : ■..`\' � . � ����1 . . : ■■■�, � .■■1—,/ ' : : �����1 � �� �O C � � M � G. � � � w��u � un�wus MTM �{I�S � :�� wwsN rNAK ORINK. /OIINT. S►11N�. DNAINS GTCM sAS1N5 �uro w� � �K. RANGE OPENINGS .. Z • N � r � n � o. � �fp � � p, A M r � � � gA� ���$ � � o R �, � � ���.�� b��'m ���� ��m; � �� s � � ., � m � a � ���� ���� ���� � � � 7 32� A i�i � � � w {� � � d� � � Ar O � p � M � � � � � � � T � � � � � '� � �( M � 1 � SUBJECT F�ER � O�. c�ty of Fr�aley . 13943 ,, AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � CEIPT . � • COMMUNITY DEVELOPMENT DIV. � � Vy ������� r � � PFOTECTIVE INSPECTION SEC. ���� ' i ' � /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •'� s�2-58o-3a5o 910-F15 3/9/77 � � JOB ADDRESS 6601 Fridley Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 14,15 1 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Da1e Brinkman 6601 Fridley Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICEIVSE NO. T. M. Campion Co. 2139 Lowry Aeenue N.E. 827-5781 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE Of BUILDING Residential 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 30' Addition onto dwelli.ng 9 CHANdE QF USE FROM TO STIPULATIONS Provide smoke detector in hall outside sleeping area. Provide proper excape windows in all three bedrooms. ���� S�pEy�p� PfR�AfTS REQUiREO F� ����G' TELEP�10r £� ELfCTRiCa�U{IS Et� HEATING. PLU1�1BING AND SIGN�. �.�: REP,�U4RED �Y LA TYPE OF CONST. OCCUPANCY GROUP OCCUPANGY LOAD SEPAFiATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� Fl"3In2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 48O �J%GO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF. LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y5`13 � OOS y�`G. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OT R STATE OR LOCAL LAW REGUTATING CON- S OR THE P R ORMANCE OF CQNSTRUCTION. �`3S.4O NONE PLAN CHECK FEE TOTAL FEE NONE $44.90 SIGNATUHEOFCOVTRACTORORAUTHOfl 7 IDA7E� - WHEN PROPERLY VALIDATED TH�S IS YOUR PERMIT , • �e� ` d z �—�� - SIGNATUREOF OWNERIIF OWNER BUILDERI � IDATEI BLDG INSP �ATE V. y y 4. -. .. .. . .. P `��s�_.1���{ � {FYi��,�� I ���e�r ��� �._ I �' � �:'1 i91�J_ 3'�i � .. 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'fi� � . � .W '---'------ --�-----.,-�-I ` :._.._. ; �.�I ;-c -:�._�. j ,7.S�arlti.?-:9_ + Y 4� �c,... j �-� ic� � ----------- =�`a; r . ���, �;� ��a j - . , �. �. � — - , t � � _. � _ __ _ . _ . .,. . �c"-�l-. �rt.`, ? . i�-�Y �i . . _:m. �..: � .._ . ._ .. . .. . ---.. -- Y y � � ' -- - - ----�- k ` � � y —r w�r-� -r� ���,-f,-:-��a r � . � __- � = __-_ _ =� __ ��..�_.;_., .�-� ? � ------- — - - - _�' _ �— � - -�..._.$�.� ��_. �J .�-, ,...._�..._ � ,�__.-_�... F,.��a- J ]r•' ......�.Y, � �+ _.,, s_ + . �f ' , � �� I -. % CITY OF FKIDLEY �� � �: � � -,�� � � B"� APPLICATION FOR RESIDENTIAL BUILDING PERMITS iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) . s OWNER: �'`�• BUILDER:- Ts �` C� P� Z%'� c� . Address : C�� C� � ��- e��i Address : � �,.3/ � , %� Tel. No. : ^ ��' � ,� � � � No.: c� � � a Street:� � LOT: �I,OCK: ADDITION : CORNER LOT: . INSIDE LOT: SLTBACK: SIDEYARDS: Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. . e DESCRIPTION OF BUILDING To Be Used As: � ,9 � ?� ��_ "� �'� �� `� ��l�. 'Front � �� Depth: � � Height: ,� Square Feet: `�' � �`� Cubic Feet: � �� � + J : 3°?!�:S'°. � � � ���: `" �,:.� � ,� , ` Front: �c�� Depth: �� �:� Height: "��"'s t � '�� Square Feet: ,� �: _� Cubic Feet: �_' �-� -_ Type of Construction: ��(„� ��� Estimated Cost: $ .%� �,� �� �`y� `� �' To Be Completed: ��� /A1t, A Alt. B Proposed Driveway Width If New Opening Is Desired �/� $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby - declares that all the facts and representations stated in this application are �true and correct. See reverse side for additional information. DATE: Stipulations: G��`,�,�, / � r� �°'° � � �/ �`l Ze��-�- � � �1� 6 SIGNATURE: . ��-�`..�'. �� LL l� r , �� , �' r �� �C' �=�t2' r � � q-� � � � y n ��, y � `7{J� Z �V •OC_/�-L v ✓ �� � / . � ��,..c.� `�..��� ,��;� �;a � ,�/ � '�t�v'y�G ;'-i-�,n+�� � L���-� c.:;=!'-��. -e� �� a-� �����0 � �'� � , __ w, «r �� f ���_ +y� 1 G. � r E � f / ��-;, � ��� ��,y�; - E.t p `� g � t � �� -�p� .F�+nt�tyti�y p ` � � � �� �(�F. � •. ` � BUILDING PERt�IIT FEt SCNEDULE �, _ SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any exis ting 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. � DRIVEWAY DEPRESSION: (Concrete C�rb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.75 ' 11 � � � �' � 1 For the pur,pose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the 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 permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Pern►its �or construction will be issued a minimtun of 24 hours from the time of application to allow for proper review of the proposed structu,re and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. ► : � � '�� _ � Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and saa.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. . � 0 m d h � {� .�p ��.J ° �• (��������� l.�.l��% ��i ���L�,t.�l�� ��' ��1�. Tele,�h�ne 421-6340 � '° LAI�dC SUR�f�I'ORS _ Ancko, 1�,�1:r.r,�sota C�Rii�t�.3a1�� �F SU�.'�'EY: JOSEPH 14'A�. I AS2EK ( �j�1�_ ��(�...:,C�'T� � � vACA � ; �. . , _ 1 �` , � .. ,r � � � :� �'� �. �\ \� , 0 35' `�!--- — — i {�9.J 1�:.A ' : , �27.90 fr����+,. ! . ---, (---�---_�_..._ _ .___ `.`_� � �----•�. 1 ` � `t' i . t t � � � ._ - ��,(�-' . _ � L�t�� � � ._ . � � ! o `� � I , �--�.r�._._�L. _., -- ----- -- — 1r � 7, 9:7 11' c t� .:. ---� 1 �. �, �.^% ( r : 1 �C� T� �, .; ;��. {'�, �. 1 '0 V � L07S I':-I'�, ELOCK I , O�F; GRGVE A�JC1Ti�t�, AP1CIK.A u0UP1TY� A l�.NESOT� .; t _�! � � r I � i ;V i �� ,: � ; CH�.E = f =: � � � V � �? 1 r .� i i� -% �'� - 1 HERE6Y tERTIF'f THAT TH!5 IS A TRU: AND CORR[CT iiEfR'c5E1:T�TICr� OF A SUR�'EY OF THF BOU."�D,4KtF5 GF THE ABOYE p'c5; ^t3cD LAND, AND THr LOCATION Of ALL BUi! DtNGS, THE�:FGN, ANC� ALL VISIELE F.P:C�GACHr,tENTS, I` A�J'!, FROM OR ON S:.I� LAND. ' AS SUR�'EY;D 9Y !�: TNIS �`^ TH. DAY OP a ri � A�?CH „ A.D. 19......:.... N. C. HOiU;.I AlyD AS�OCIATES, INC. jlAND SUR'JtYG'S , .� r: � �' � � � � � . � :��_ �. _. . .... __. _ - -".. 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O U M t+ 'J � a c � � cn n y x w � C� y N H• (N'� W � c c� a � o � C z o y �' O M C � � G � � z 0 ro ro r rN N O O O O� V�.P.N O O O Q O G O O O O O O O O iA i/! tn (� iA i/l iA t�Y ° � w� d rzi � �-i ?1 O tZ+7 hi O CJ� � O b C C W n C� �""� F� t� H [y�] � H m 7. z � � � y � o � N ro a w '=J t=7 � H � y O � o O I ro l�f � H z 0 � I � � r '' �Li �l �i da N ,ta J�i N�''� � 00000 00 00 ;-� O O O O O .0 O O O ����� ���tn H ' O r�- w � � � � � � p' n � :J �< �p, a N N G v, �, � I �w p' to i rMt � K N Su K c++ I-'• ' � r�n N W O fFJ' O I m � � K l�v � � w a' Y rt� o � � o a a � N � �'S O 'C N N (D F-� W hM{ � � S, N N• fD O O R, (?, �h �i � r x' �� m r• e� s 'G � G � Y rt � � � xa�n a �• r• �•• rt rr J N � � F-�• � �4 W O . a N � � hl � rr . �a w o r• � � n w� aro 7 N 7 r�i a � m r• m a � � m r• ra � � � o w m et rt rt N �" �' � N (J fJ t � �' Y• r0 � w r n O rt 'G X' � � H � m j��iJO rt~mm 'N � N �. W 0 U � � k tn N v 0 'O .~-. fl y '-i U Z "�1 O a� � U � m .'i7 a -r �7 D z c� --1 o cn Z t7 D �-i �7 o z z m .. � z -i c, ... z cn c� -G � N -t C� � O cn r D z Z G� CJ ` t7 < m m (� � tn D � 0 z � m 'T1 � � m � 1> --i O z D � C1 c-� .-. ---{ -< G '� 1 'Tl �:J t� f m -G ���� SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ; L _.___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � � � �"'1 � CITY HALL FRIDLEY 55432 NUMBER AEV. �'""'� � ,�� 612-571-3450 910-F15 JOB ADDRESS 6601 Fridley Street N.E. 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. ]_-15 1 Oak Grove Addition 2 PROPERTYOWNER MAILADDRESS Dale Srinkman 6601 Fridtey Street N.E. 3 CONTRACTOR MAILADDRESS Ariel Rc�aod.elinq 5744 �ntest Moore Lake L 4 ARCHITECT OH DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING DATE PAGE OF 6/16/81 / / ZIP PHONE 571-3619 ZIP PHONE \ PE . 16240 RECE O. �� � � APPROVED BV SEE ATTACHED SHEET LICENSE NO. LICENSE NO. 21P PHONE LICENSE NO. 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Canstruct a 12" x 25�' Addition 9 CHANGE OF USE FROM TO STIPULATIONS �n.�actor to verify that there d,rill be 18' betFreen addi.tion and side lot line. ������ Bafae diggirtg c�ti local utiiities TELEPHQNE - EL+'�C; k�C • 6AS Etc. REC�UIRL�"f ".�'r' �-�W S�PERaTE PERMiTS REQuIRED FoR i�'Ri�G, HEAtIf��, PLUI�BING AWD SIGW�. TYPE OF CONST. SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. W-�Od Fr�IG THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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. N0. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION 'D� �RHETHER SPECIF EDNHEREINIOR NOTOTHE GRANTING OF AOPERMIDT +��-Oi2rJO NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE � 'ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- � `I�OR THE PERFORMANCE OF C STRUCTION. S63.00 \ e� PLAN CHECK FEE � � �� � $15.75 �F CONTRACT R OR AUTM RIZ D AGENT IDATEI WHEN PRi � � � OWNERIIFOWNERBUILDERI _ _ IDATEI BLDG WS OCCUPANCY GROUP OCCUPANCY LOAD SO.FT. CU.FT. 306 STALLS �GARAGES JRTAX �5s 13 �C CHARGE NONE )TAL FEE $83. 88 CITY Of� �ttIDL.CY • ��r��.ic:nria� r�orz r,�str�rr�i-rzn�_ r�u���»�iG near�rrs (Idc��l, 111 �cr�tions, /ldditiuns, or Rcpairs) � 01dIdF:R: �`a �2 �`e �i �� � � �a ADDRES S : � � D � �� • �a�� a ; � � TEL �l0: �UILQER: �r i.� � �� ��-� . /1UDRESS: S 7 �{�" (�,cs� ����� ��. TEL (d0: . ��I'��/� �`' � Cons�;ruction Location smz�c�e r2o : � � 0 , s��r T: � o' �� �� �— � i . � � � LO'!.': - ' � BLOC%: � 71UAITIOP3: � ^sa. �s � Y 0 ��. � � �e e � . Corner Lo�: ��'"� Insicle Lot: SetbacY.: Sideyards: l�p�la.cant at�ach to t�}iis form L`LJO Certificates af Suxvey of lot and proposed building �ocation drawn on certificates to scale. . � DESCRIPTIOfd OF COPISTRUCTIOPd - � ��1 i rl0 � I�'ront: ��-•� Depttz : �S�/ Iieight: `o� � Sc�ua3^_e. k'eets^�_ Cxibic Fcet: �'ront: Depth: � Heiglit: Square• I'eAt: � Cubic I'eet: � �,i` Ic ��. � : /U,?�'/.S�t - /(� 2�'u t10 Type af Consicruction : OB� ��C, Es�:imai�ed Cos�: $ �� xb $e Oor.�pleted: I �� � ��t � , . � � Alt. A Al.t. B Proposed Arive�•�a�J Width If New Opening Is Desired: $� $ ' S�E k��tTERSE SIDE OF SHEET �Sle undez signed hereby m�};e� applica�ion for a permit icr the �:nrk� herein speci.fied, agreeing to c� ,all work iri strict accardance t•�ith the City o€ �'ridle}� Ordiiiances and rulings ot i�he Department of I3ui.ldings, and hereby deelares that all the iacts and rc�resen t�ztiens stat�ed ;si t.iiis applicatian re true and corxect. A.:TF:: �/ �� �� � SiGNATUF.�:: � St:1j�U11t1O11S : • {T� �V�� � �0�� db • P.�.. 1�.7�. S. C . � � 3 �'l3�• `� F� � ,��.- . � � � . ��' P. d • • : �::..,�:. • 13UJLr)II��GYI'(_f�t�J'(' f=E���:�C{If;r)UI_L� `� . :;1:C'.C:�OI�� ?.. '1'1�Z 7n�.:�;ectar �f )eca�lc?i�►�J�: :;h;�l.J., hc�l.'ar.c� i.r,suiucJ J�w�niLs for i:hc crccL-i.on vJ: any )�u.;,].cl.i.i►�� ar. :,t.::11Ci:UL'C'.� �r. ta�: tin�� �xc1Q�.i:ir>11 !.o �u►y c�:i:�i_S.u�� l�uilclinr,� �r stx.-�icLur.r_, . ci�' i'ar t���y til.t:c•r.�t�i�,n ar. r.cl,�ii.r.:, t:a �at7y c.:S. :t:i.ri�J )�u�.:i.di.�i<1 or. :,t�:ucttirc, t�J,wi ar�pli.cat.i.or� �tli�r.:f.or.c, r.cqu.i.rc t�Jic pciymci�t: }�y t]ic a1,J�].S.caiit: f:a�: ;;t�cli ��cr.rnS.t• ut: fc;c:, ta tljc arnount- hcr�iri bcJ.o�•� sr.t- fnr.th �inc1 i.0 t:lic ���annez hczcin r�zov�.cic_cl L•o-�•:.i.t:; . I:l:1�J CON�;�l7'tUC'.CIOIJ: �ingJ.c ).'�1mi1.y llotr,e:; and Gar.�Zqcs;: ;:4.00/J.,G�O cuLi.c tec.t.. . P7,7:;�2 C:I11:C1:: 25 I�r.xcc��t: a.L bui.lcli_nc1 }�er.miL fce. Ulil\'1;S•'111' llL•'L�P.L•'557GI•:: (Conczetq C1irb �Lrcets On1y) � � ' A?.t-crnli:e �: ]ta�noval �znd repl.ricatr�ent oi' concxetie cur.b and guLL-er anly; l�rivecaay �•riclth p7.us 6 feet r. $13. �0 � 7�li.crnate l3: };�Inoval and r_e;,��.acement o£ concrete cur�, ancl • guL-ter ar,d ins���ll.� a 3 f-oot e�ide anPzoach taii:h '' . � 6 �nch ae�th; Uri.vc;•�ay �•�ic:th �plus G �'er.t r. $15..75 • � �nD 1 T j �nn►�r .,�-, - OiZ��1/1T r or I'or the purlvse of compuL�_ng tees for. building permits,. t-l�e cubicaJ_ coi;t.ents of any kiuildi_ng or. a,ddition, i.s dci.er.:nined by rnultiptying L-he gr�und area covcred from a p�in'� sis: (G) inchcs belo:� i:Yze floor ]_ine of tlie basemeni� or the cellar to 'tiie average iicights of fihe •upl�er sw-facc or L-o ihe average hei�ht of the roof �urf:ac� oi i:he raain gab�.e af a pa.tched roof . ' Fox re�ai.rs or a�t�r�eti.ons to an eYisting s�ructure, tiie fee shall be at the xate of, $3 . 00 Pc� each five l�undred do�lars °($500.00) or iraction '�lier�of i.n the cost of all proPosed wor.Y. . . • . - � in •no case sha;.1 the fee cliarged foz any p�nni.t as set iorth i_n Section 2 be less � tiian $7.5p plus $.50� sta'r.e surcliarge. ' - , - � , -RIFIC�TIO��! oF r-ou; nn -lo � � � NOTE: Permits ; oz cons.L-rucL•ion �•�ill be issued a minimum oi 24 hours from tiie tizne vt �pplication ta a]locv for pxoper revie�v of ihe proposed structure and of the canstruction site. . . ; , I� Certificate � of Sui-vef of the l�t, sho�,ring the location o� the faundation once it has been consunic�ed t.�ill be required before pr.oceeditlq �•�ith the �rami.ng. , .�RTIFICl�TE OF ���UPAI��CI' ' � �� � I►PP�i�atzon for a Certiiicate of OceuZ�aiicy sh?11 k�e mad:� ten (1p} d1 S �t�:e or aecurailcy ot an}• structure for �,rllic}i a buil�iiiiq �ermit Las bee'n Pssuedi�andc stii.d struci_u�-c :�.tialx liot be used oi- occupied t.ritil a Cert�j.tic�Z�e oi Occul�Znc}► has �1GGJ7 xssued. 0 0 .� . . � , � � , 1 �'� ! ,� � r` a , ✓ �' �_l• �.�Il�t�l.i���l �,�,�Z�! (J �r�{�1 ��"�i.��"��i.r t �I��� . � �' .. LAP�D SU�CV�I'C�ttS A;,Gkc, l•.1:rr.a�<ota c:��;-�c.a=� cr su,�:;��tY: . 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I.° A�i'.', iliQ•• CR CN .:.iJ AS S'.!^n'._,.. �Y �_ ;H_ � i�� �yy C�� �. A�'('F� .� - A.R. i 9 • , I`:• r. F�`: '_� :. A"�� i�`_-:j�.. �,.�rr:r. ��il... /- 1 d;vh V �.'.t�vn-.e� + 6 i � C � � i � �� � � , '�'— �, . � C�> � . �� �� o s �, �' � °�� .� • v ' `'y; S i rj � r �' P °c. tQ ; _�� A,, `� L /� cf '' �''v . �as , � �� I � � _. _ i -_.a � ' � I� _ -.-_------- ____..., t-- j _ _ � _. . _ _ + �� � yJ { � ' " J � +I �i � :; � � �� I /� u � C'�v;,� ��2, ;g � 104J� . /eeN.y� __�-.� , � �r _ __ � 0 0 C \T� �` �� � '; ` �t._i �� r,. � 0 \ � 2�,_6,, , v � /� ' ' � �-+.....� . P � "� � � . � � � � � �� � � N x � � � � n� > � �� � �'' '''�°° ! � O N �• . ' �, ' ;s .� g� w o 1 , *-- `�. ;: ti _ ,�:� . � e, ' -. `�a � n� ; � � � T � � � � s° ` � � Sue�ECr Cit� of Fridley AT tHE TOP OF TME TWINS g U I L D I N G P E R M I T i � � . � `y �_�___w COMMUNITY DEVELOPMENT DIV. f � ' PROTECTIVE INSPECTION SEC. � � �"'1 i CITY MALL FRIOLE� SS032 NuMBER REv �----� • •'� 612-571-3450 9/0-Ft5 10B ADDRESS 601 Fridley Street NE 1 LEGAL �OT NO BLOCK TRACT Oq ADDITION oESCA. 14,15 1 Oak Grove Addition 2 PROPERTY OWNER MAIL ADDRES$ Dale B�rinkman 6601 Fridlev St NE 3 CONTRACTOR Midwes�t 4 ARCHITECT OR OESIG 5 ENGINEER 8 USE OF BUILDING MAIL ADORESS Roofing & Siding NER MAIL ADDRESS MAII ADDRESS 7 CLASS OF WORK ' ❑ NEW 8 DESCRIBE WORK Reroof'IHouse & 9 CHAN(iE OF USE F IOM ❑ ADDITION O ALTEAATION 33 Sa) Tear-off TO OATE PA 5/14/98 / �26053 NO. c�� % � OF APPpOVEO BY / SEE ATTACMED SNEET 571-8374 21P PHONE LICENSE NO. .e Grove, MN 55311 21P PNONE LICENSE NO. 416-4804 20010277 ZIP PMONE LICENSE NO. � REPAIR ❑ MOVE O REMOVE STIPULATIONS ' '�Underlayment must comply with the State Building Code. SEPARATE PERMITS AR� REQUIREO FOR ELECTRICAL, PLUMBING, HEATING, '' r� �r �••v•. VENTILATING OR AIFi CONDITIONING. THIS PERMIT BECOME NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT C MMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPEND D OR ABANOONEO fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOR IS COMMENCED. NO. DWLG. UNITS I HEREBV CERTIfV THAI I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME T BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOV RNING THIS TVPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIf ED HEREIN OFi NOT. THE GRANTING OF A PERMIT �2 f 752 DOES NOT PRESUME T GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEf1MI7fEE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING CON- $74.75 ST TION OR TNE PE FORMANCE OF CONSTRUCTION. � '-�� `''� ` ��/� �� P LiCNECK FEE SIGNATURE OF CONi ACiOR OR AUTHORIZED AGENT IDATEi �N � � �DATEi GROUP �OCCUPANCVLOAD CU. FT. OFFSTREET PARKING STALLS GAFAGES SURTAX $1.38 SAC CHARGE Fir SC $2.75 TO L FEE $5. $83.88 ALID THIS IS VOUR PERA i►/__ /_• � ._ . �w ADDN ALTER [] [] [] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/9� �� a ��� � ConstructionAddress: �i � C�� F/► ��G �f 5 f �.egal Description: ' �wner Name & Address: ��/a �� �✓'� �,� ��►�,�cJ Tel. # S�%/— � 3� y Contractor:� r G�G� S � , �v �i3� y ,� � � � 11�1 [� MN LICENSE # �U /OpZ � 7 , Address: %� 9 T j (s iacQ�s l�o� f l� ld'� •,�l 4 D�< �rdve -/I/� /� Tel. #�irC� ' �%�0 �/ � �I s's"3 r/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ' LIVING AREA: Length GARAGE- AREA: DECB AREA: OTI�R: DESCRIPTION OF IMPROVEMENT Width Length � Width Length , Width , ��.cs'� s;? Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. 9�� - %� -4,� Construction Type: �4�• o�"� , i�c. " I�ao � Estimated Cost: $ �/,�a� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: .S %`% ��f APPLICANT: L'�%2-% �- /���5� Tel, # g�'/" G G� 2 �ermit Fee � ire Surcharge itate Surcharge �.AC Charge �,icense Surcharge ��riveway Escrow �;rosion Control ?ark Fee oewer Main Charge TOTAL I$ ' ,i�,� $ �. �S" ,$ o $ $ ,.� -�� $ '$ $ $ � $ 3 .c`�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. °B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ��ULATIONS: �.-° 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 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 $ i to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 _ $50,001 to $100,000 ' $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee i� $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 - $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, tm and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fracrion thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,Q00 $887.25 for first $100,000 plus $5.00 for each additional $1,OQ0 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the fust $1,OOO,Q00 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 $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applicarion 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 constructed will be required before proceeding with the framing. i� � � � C U: -� O Z D ti � D r � rn '� Z1 O < � m 0 v m � C � i� � ---- m C) � O z � 0 D D z 0 � D W r m rn _D C� O � � O z < m z -� z � 0 O z � D n � � � m � D � � � � � � � � c n�i n�i W � � Z � r � � � � � � n� n� n� � � c� � � a f o O��`� � 0� m m m� � �� O T � y_ � O � � 1 1 � N � � O � � x 1. m ^' � � ;�° ni ni � c�i c� �n oo �� c aCi � -p �4 � ' � m m j �D r � N � �� � m � � D � � � � cn � � �� � Z o Z � � � � N -o � can � �� a r cn �n �-a a� x O V G � : � �,' � � � c�' �c x 1 C � � 7 � � � � � � � Cn p � 2 p . � � D � Q cn v � Ci 7 D o f"�p O � � Z � �' -� °� �° � �. � � � � _. �, -i � z m � � ° rn � � I ( I I I I I I I((( I O 4 � � t� c� � t� ba � v+ �a ba c� En en � -- ---- --� vr-- --a _p __o--�+ -o--:.+- �+-- .�, o 0 0 0 0 0 0 0 0 0 0 0 0 � o 0 0 0 0 0 0 0 0 0 0 0 0 ,� ° � ;N ° c � C D v v 0 < m o. � � �� � � z m v � r c � ao z � � � o • � O � � v �m m � � � �� m z v ° � • � � � � .`� �1 . c � v� � li! ( , � c m � 3 m � a � 0 � � .� 0 � m � � -� � O c � a � to � � c� c. � N ^ 1 i�� � �� � � � N �,O w � r C � W Z � � X -a C � m � D � m � � D � � � � A rn �, v � � � � N � �;,, Z m o u' v� A A .< �' D N � m z m f C < ti �� i Q � � � i N C O N