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AF - 42796� Y d � � � � b � � r o � a � : � x :r m . M : o : �' . . � : � : � � �i � N �O � .. H � a � M �� M � � o � � °!° N � . 0 o � : o. �:: � . . x 0 i! k i4 � � � O Q O � S � � . � 0 � '�'� � � � a � � � � w e7'o � z 'r' � `° �, � � � � o�i � � � k '+ 6C a � � � " � � " � M �d ' O ., '� ,� S]' � rq � 0 p � `° M �o: �.��. � � � � . • � � : : � : : : x 0 k k k k k SS W N W ►+ t+ � �J � O � O O O � 1N f/! i�! EA i!► {fi ( y 0 O I � L O 0 V. x � C m � � � D � � D � m � n m v I"' m ° � � � a 0 a � � W froD � 0 � � � � � � � a � � +t� • � W ,��y �" a! x ,� � � ¢ � � Stories • �� WATER � � c�os�rs � � � uaiN�s � � s�ni � R ` tues a � atisiNs y � � SINKS . � � w�s►, . �� rnnrs DRINK. FOUNT. st+wns. � F�ooR DRAINS UTCFi � BASINS �uro � WASHER � �� . � c�s RANGE GAS i OPENINGS �8 8� � � � ¢ � � h11 10-y �'f � � ro � w • Z • ' > A _ r p n aa� � � �� w fD �a� � y 04 w � o � a � � �o � �� t � � � �� o o � m ~ �. '�'i � � � �� Ry � � O� `�s° p w p� � 0 �a°� ��,o C �! � � � � � a�� c�o►°s r. �'A� �� m �=' Q O � a �' � m � ► � r• e a �' d �� A .b a� R� � � i� � M o �n � � A W 0 0 i � � � O � � n � � � �T � d o. °- M � M � a �',.9 � � �p p O � � �� 0 ` �. \ \ City of Fridley, Minn. BUILDING PERMIT nate: ...._.��?�,�...19 7 0 _._._ 5�3 s3 N 1072 p�r; _Franc�s Palmer g�� Sussell Company �.,�.�. Fridl�y Street N.E. ____ �,� 1850 Como Avenue St. Paul LOCATION OF BUILDING No. 6632 � S� Fridley Street N.E.�Y� � P� �� Lot 10,.L1 __ Block 2 ^. Addition or Sub-Division .�Oak Grove Addition Coraer Iat �_ Inside Lot —. Setback ��._ Sideyard 3ewer IIe�vatiaa __.._�. _.._ Fwmdatian IIevation DESCRIPTION OF BUILDING To � v.ea �: ; Gara�e �t 24' �p� 24' H�t 10'� �. � 576' �' � 5760' �^o�t Depth ____ Height �....._.__ Sq. Fk CXt. P't. Type of Cox�atructi� Frame ��$2, 700. 00 �,--- To �� Oct. 1, 1970 Provide Hardsurfaced Driveway In oandderation of the isauanoe to me of a permit to coz�struct the building deecrlbed abave I agree to do the pacoposed work in acaordance with the descrlption above forth snti in c�oanplianae with a�l p�o�visiona o! a�limnoes of the dty of Fridley. �e • In cao:[dezat[o� af the paymeat oi a fee of � 11. 00 _� ��t ��, �� Sussell Company to c�onstruct the buflding or additiari as described above. Thiap�rmi t is gisnted upon the express condition that thepersoa to whom it is Sranted and his ager►ts. emPloYees and w�rl�nen, in all work da� i�►. around and upan seid iuiliin8, or a�►part ther�of, shall conloTm ia all respects to the ordinanoea o! Fridley, Minae�ta re� locatio� a�struct�cs�, slteratian, matateaaac.e, repair and. moviaS � b� sa�d within the dty ]imib aad tv permit m�► be revo�d at a�► tinae uPon violation oi atp► at the p�ovLdons o� a�dinaaae�. ,� CL�RENCE BELISLE NOTICEs lhk pewit �w �e1 sewr tw eNMroaliM, M�t� ier wieMY. P�W f+� �N. Nw�r or wM�r. M a� te w fw � I�el�e /er �nN ��Ms �er fi� 11�. .�. , , � ^ � . .l � APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : �/'�iC�s � ll�a r BUILDER : �vJS s�:V CI ADDRESS :� 6 33 FI"i C� /e� /I% E, ADDRESS • /dSo C'�r►+ o/q �Q. NO : . � � �'2 S TREET / 7/ � O' �e � LOT : G� BLOCK : oZ ADDITION : d �'i !� � y�� v� CORNER LOT: INSIDE LOT:� SETBACK: SIDEYARD: Applicant attach to this form �tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As : p�� ,(�.a..�. ..�aa.u� 3f� Front:_ �y Depth: /o Height: Square Feet :��G Cubic Feet : J� �G � � Front: Depth• Height• Square Feet; Cubic Feet: �,o 1`ype of Construction: fiQ�n � Estimated Cost: $� r�� To Be Coinpleted: _� — � / -- � �� fj The uaderaigned 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 uulings of the Department of Buildings, and hereby declaree that all the facts and representationa stated in this application are true and correct. DiATE : �v r< < � 9 i 9 %o SIGNATURE : ��SS�� • �.7� dC �wti1.�/ (See Reverse Side For Additional Infosination.� � � � %�� -y ?.,? / � �''P �P �� c� . �� L �� ° �( �� o � r1 ��.� q —� __ � � I'1 ..r . BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pernnits 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 pexmit of fees to the amount herein below set forth and in the manner herein provided to-wit: UIJIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 1j�pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical conteats of any building or addition, is dete�nined 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 peYmit as set forth in Section 2 be lesa than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a mini�um of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey af the lot, showing the location of the foundation, once it ha� been constructed, will be required before uroceedinQ with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building penuit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. • , .1 / \ � . r, �, .` � � K. _� ---• ' 1 G[RALO •T COVNE LOT �7��YS C��Y R�Aa1AO�D�C �►R�SCN ?O� ^R',:N�WiCK A�[ .`.. �.�i�� I�EN YAL: FY �11M1:n LAt•D ,� R�•f.l I.IIl� BRQOKIYN CAr.r, MIV�+ 1E618TERED UNDER LA�VB OY SSATE OF J2II3N£SO?A LICENSED $Y OHD2NANCE 0i CITY OF MINNEAPOLIS 6917 IJahu A.r. !V. i.i:� �xr12,. �I�nn�a{h�{i�. �linne��ta :�31..'8 - a� - �,� . �� iH . TNAr, �� vF4R� •..�F ivp�. ��N:+!.. - �I�CICIA� �urbPpor� t�ertificate ^Y ,� � � �'C•'v -"PE�..ENCF iN THF i-;- ••.Fr��iRl � 7GCCGRAPHIGAC . �. �� n�y 4F;f A � . U �'� :.CT3 PLA?-f�iNG ' �- J�tir��J Po3,; � i:i�.��'�;;� t'.'�. ��5-73 r,i�fil'.i�. L�Ltr..il1 . .t1Li,. IN '— 2�� •':;:..ic�r,�:., 1-��.r: , �, �_ ._ _ . , � � . c� - � / � �,• i-�" , __-'/ � � � 'L = � _ - i34. �a�'_ ��_ � � � - - - n. --�_,�_ �-:��.�_�. _...� __.__ __. __:_� ---- , � �; ;� � � v, � -t-------- - - �' � _ � , �, . � � � -� - - ----? :�. 0 � . ^ � _ _ s _ �ir. ` l, }-- v L. _ _ , ,� , .� � r� c �(} � � / ` ! �^ x �" , � o �� p'�_ ' o__ _..___--- --__.__:_ __._ � �, ; , _, - - - - -. --- -- — o � � J �,� ac +_� �- � � � � ,, • � ;o � � :f v : y, i � � ` '� -' N f , � ` ��,/ ,►, � . °"i ; f f r . ' � , r L.1 � ' - i , , � y� o, ___._ __-- --- .. _ . 1 � ,. . _- � � � , ��,, _ ._- - L� ; ' _ ^ _? , I �,� � ' , � _ �_ , "� _ - _ - - - ,�/ , , _ , - . ; - r �,� -� .____ — ...�.� t : _ . � �_- .-,--_ __ ___. � .� F � — f � ¢ �_ � ; � - - `,` � � ,., E , �� v �.� , , �,� _ ,�' F : r� G _ a,..� � �" � / � �, f I,;:t s 1�.: ar:�i ? 1, B1 � < an�i i�e � l' .,. � ' "�3St 1� � '�; t'1? ': 3C 3t .;.1 311� j. /� � � , " . f- � iv�.rig ad�ac��t th=�rnt��, Oa� � Grave A;�d:it ion to ;; i�-i l.r;- P�. .' r' � . .. r r . Wt h�reby ..erlify t6si tf�is iS e�ru• snd cocrect r�preseMa- �` (�� /� �� /� tf'/�.� v�� -- • � lr. Y.'__.._��. - lion of • survey oi t6• bo�ndnries oi �tie abov des:+;b�d Slgli2ai -_ � ---- - --- tand end �Mr loc�fion of a�l bu�ldings aod .isible sncro�ch� LOT SURVF.YS i.'C�.l1Y.�.+'�Ti' i n . � n�enls, �f any. �roi* or on sa�d e d �� ,,, ��,"• ^ r � � lc:�!: 19i'_` Surv�y�d by os •61� _,._-- d�y of ' LOT • BLOCK ADD'N. � ,�' � � c ; s � 1 `_. � �X�ST �5 � 1 i I I ( 1 NAME ��U�1S �.�\..t�rt�t7� ADDRESS G��. �,��►�G� �.�. AREA �+�. i �..7t.�� ( � J M�S�-� ��4� �T � � � �_a�acL { 2' /�,�uo�.t � ��s r'�rru e� y p.s��.�.-� 1 ✓ _ ._ _ _ , _ ._ � iZ gw►� So...' � —�• �� \ �� Y � x � � �' SIZE Z� �c z4 VALUE �y�p� T V PE T ►T. f�.M � t '�.►..�� w/ t-Ic��.►-�e� ��c��. r.ac fc„o�.�.,�»�.a�. --t� �'►",v� 4` ��-�� x �S�- a��-��.~c . L�2�•r� �5 S �-i�v�t4:,j .�� 1='�� o �,.�-�c �� -�cz.A.� ""C �a 'S-c A.cz.�t I!o' �'rzoM ��►"� �"" � i—�t� ti.lS � 4=c? �J:.,► i�t—'�CT ��.,.► � S � t-�t„� JJ �...1 �� ' a� c��Z �16�t�.► � ,r j � /�G.T t�.,t„7't�,[a.'T i V +�1 = � � �G.� ; Gc:at�� G�z�F�..� ' ac, t� ��v� +�. x► Sr zti�.�r � � �*, 'S + �t�* .�.ta� � AS r•iC G. + t �• 7� ttik�5t-t � �.t.Ta hv� "C' � €� �.e. �=: : s � �.,f„�t-�'•r.�5 � t �;� �r�,.� �..i,c.;�T - • � ,� �G`:� 3 a. �a �Tsa » � � ��u� � � �� J ,�w►T� �../t�.�i � / �.. HC�u St � �VtiJ�JD�►'s'<�3 tNc�T i/z" BOLTSSi N�T�D dR ACH ;�, � E:R EX�EPT A DtCAT�.D AND 6" OFF CL OF EACH REMAtNING V�IALL. , t A11 subeont��ctora shal{l�tiry,and be �esP°nsiAls for �tl locatlons and co�diti ns shown by tAea� drewings. Thia otflcs m�sa�b° o'kiti do fQ�Pyro��ins^with ANYcN` !o tM D►� instdlatlo�. ; / 1 i - - � ' • .J. �+ � City of Fridley, Minn. 6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT : ��: November 16, 1971 p�; Francis Palmer B�� Potvin Sales Company_� � 6632 Fridley Street N.E. Adaress 7341 Commerce Lane N.E. LOCATION OF BUILDING Na - 663?,F, S�t Fridley Street N.E. ....------___._..___ Part of Lot j� _ 10,� 11 gl� 2 �_ Addition or Sub-Division ._Oak Grove Addition Ca�ter Lot Inside I.ot Setback Sicieyard �5ew�r Elevatfan .,.._ Foundation Elevation �S'9 oU 12 �, DESCRIPTION OF BUILDING To be Uaed as: Res ide Overhang Front Depth Height __._._..._._. Sq. F't. ____ Cu. Ft �ont Depth Height —._._.�. Sq. Ft _____ G�. F't. � � �� Aluminum � �t � $640.00 ___. To be Completed �.. Dec. 1, 1971 In camsideration of the 3ssuance to me o# 8 pex�rnit to construet the buflding described above, I agree to c3o 'tlte PmP�a work in accordattce with the deacription above set f and in 'an 'th all proviaions at Ordinanoeu o! the cfty of Fridley. .50 State Su charge In c�ideration of the payment of a fee of; 6. 00 �_�� t is hereby granted to.� potvin Sales Co . 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 dome in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of l�"ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil yYi'�� city limits and this permit may be revoked at any time upon violation of any of the provisions ot�d NOTICE: This p�rmif do�s not eowr tM wemuefion, insta0afion fo� wirins, plumbing, qas h�atin�, s�w+�r or waNr. M wn to sN fiN Buildino Inspacfar fo� separafe p�rmits for th�te itsms. t� APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' $ NAME :L,,,�iYs-u-�-v� �i,�� BUILDER • ��I� � • �-, ,�nnt�ss : � 6 � �'-��u� � An�ss : r 73�'i ��rrr..��ce. l.e�c� z�o : . �� 3 v s I�OT : � C� ^ I� BLOC K; � ADDITION : � CORNER LOT; INSIDE LOT: SETBACK: SIDEYARD; � Applicaat attach to this fonu 1�o Certificatea of Survey of Lot and proposed bu�.lding location dxawa oa these Cextificates. HESCRIPTION OF BUILDING To Be Used As: '� x t: Depth: Height• Square Feet: Cubic Feet: �'uonts Depth: Height: Squaxe Feet; Cubic Feet: �r � 0' ljrpe of Conatruction: '� ''" Estimated Cost; $ � '� To Be Completed; � 1he �ndaxaigaed hereby makes applicatinn for a�ermit fox the work herein spec�iied, agreeing to do a11 Mo�ck in attict accordaace Witb ttte City of lhridley Osdiaaace� apd sulings of the Departmsnt of Buildinge, and hersby decl�treR that all the facta aad rspresentationa atated ia this appiication are Csue and correct. DATB : , //BT��-� � % % j SIGNAIV�R : (Sas R�v�r�e Sids For Additianal Imforsation.� � r-� . 6:�.-� . 5 ._ J � /�O J �r � j , . ..., _) � � � �. � � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pextnits for the erection of any building or atructure, 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 applicaat for such pennit of fees to the amount herein below set forth and in the manner herein pravided to-wit: � UNIFORM BUILDING CODE: �rpe 1, 2& 4-$2.15 for each one thousand cubic fee�, or fxaction 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 contenta of auy building or addition, ie deterniined by multiplying the ground area covsred from a point six (6) inches below the floor line of the basement or the Ce11ar to the average heighta of the upper surface or to the average� hei�ht o£ �he roof surface of the main gable of a pitched roof. For repairs ox alterations to an existing structure, the fee ahall be at the xate of $3.00 pex each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In aa case ahal�, the fee charged for any pexmit as set forth in Section 2 be lesa tha,a �5.00. ViiRIFICATION OF FOUNDATION I�DTE: �ezm�ts for aonstsuction will be issued a minimum of 24 hours from the tiae of applicatioa, to allow.for proper review of the proposed structure �und of the conetructioq �ite. A Ce7ct:L�i4d Survey of the lot, shaJipg the location of tha fouadation, once 1t has.been canstructed, will be required befora proce�diwt With the framing. CERTIFICATE OF OCCUPANCY Applicatioa for a Certificate of Oceupeacy shall be made teu (10) day� grior to fihe use or occupancy of any structure for vhich a buildiag pennit has been iasued; and $+�id atsuctura �hall not be uaed or occupf.ad until a CerCi�icaCe of Occupancy has been issued. 1 � , �1 � � �� \ N v A � i > � � N � 0 � ..�. N C z � _ a � c� m 69 �� v W � � 1 r � � M � � �� a A p O �r � a � �j � Q � �i `�� -- � � � •� � a � � >"� � a " � w o, n � �� r � �v � � � �� i i � �: - ( � M N M � M M N a 8 �, M N i � � O I r rr � � � � � � � i�i a m w � � � V A 8 « � A 0 r � ° °< � � I M � w 0o w �� '� � S `� C � �� ` � ^ A � E � $ N I �� a a � � x � � o N�'� : y o $ ..r C � �� • x x � d � � A � � � o $ o�ia x��#� ��g,� � M e� �y d � � � o �' � � � Gt 30 O o g � g g i w M � i ( I � I ' � � b ao � b A � z � � 9 0 y � � w � n a � \ � \1 � � � � � O � O. m S � �� a �R� � � '� sa»8��y A � �y � R� 7 �o�y�$� A � � 9 � v .y� S � � 71' � g � � : � « 8 � � . � g � G a GO Ol Ol 4: O 8 g g � g M « jl� I �� a A H � � �. � �� i � V �� m �' � � � $ � � � � y a 3 � � � O � � r �' p' �' � � � y p �' � � � a � � �° � � $ . 8 � a �/ 8gg8� � � � � i � �� I , � � I mW�+ �ii ii � � d' �' n �] �! A C K'• 7' �i � �. � fD y � � pP7 aoaa, g m~�� ,"�, cAa" � doe � �s$ .ti,+C R� °� m �� o 0 N ~�� b �r.� b r� � (: a y M'1, O � � � � '��"$ � °' ~A M � � �A � m �' �, E'� � �. �� m� � � � 0 �'r �' A p. � � � :� � A 7� � � � � T n � C r T � �i. � �� a w � � C--so� � -�, SUBJECT pE City of Fridley ° 12508 � ATTHETOPOFTHETWINS gUILDING PERMIT ; � RE . � • COMMUNITY DEYHLOPMENT DIV. � ' j v __�•�-� / V r � � PROTECTIVE INSPECTION SEC. 9 a � _ � �l ��"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPHOVED BV L•�-�� / ,•� 812-560-3450 910-F15 4 25 74 � � JOB ADDFiESS 6632 Fridley Street N.E. 1 LEGAL �OT NO. BLOGK TRACT OR ADDITION SEE AFTACHED DESCR. ],Q�],], 2 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Mr. Palmer 6632 Fridley Street N.E., Fridley, Minn. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Potvin Sales Caaapan ?341 Com�erce Lane N.E. Fri�dl 4 ARCHITECT OH DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEEH MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING �S1C12ritld�. 7 CLASS OF WORK O NEW ❑ ADDITION C� ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside J�¢xx�f Dwelling and Garage 9 CHAN(iE OF USE FROM TO STIPULATIONS Caulk butt ends �� P �� ,� �RMf�rs R ��Ig�NG A� �UIR�� FO � S�GNS. R I�iR jNQ� TYPE OF CONST. OCCUPANCYGROUP OCCUPANCY LOAD SEPARATE PERMITS AHE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. A�.UID].T1UIIt THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTHUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION R-1 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 1 STALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SUATAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIEO. $2�99rJ 1. r.�O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 18.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL FEE �� ' Y��'% $19.50 SIGNATUREOFCONTRACTORORAUTMORIZEUAGENT IDATEI n WHEN PROPERLY V ED THIS IS YOUR PERMIT � � ; C.�G,t h�2.u.C!��A.c.� .(1 � '`� ds / � SIGN REOFOWNERUFOWNERBUILDERI IDATEI BLDG.INSP �ATE�� APPLICATION FOR RESIDENTIAL, ALTERATION, � OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, NIINNESOTA OWNER'S NAME: �� BUILDER: ^�� ADDRESS : � � � �^ �-/ ^ ADDRES S : �� ' ( " �Q'�! ��,�� '/ � NQ•. �,� STREET: LOT: l�� 1 / BLOCK: � CORNER LOT: INSIDE LOT: ADDITION : Q� � 2 C1 �� 7'� � /�% • ✓ SETBACK: SIDEYARD; Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. � DESCRIPTION OF BUILDING T� Be Used As : ,/ �' (�,�4 ��4� � R�,��L�. �GC�uS� Front: � Depth: Square Feet: Cubic Feet• Height: Front: Depth: Height: Square Feet; Cubic reet: ` � d 0 Zjrpe of Construction: /L.P��o Estimated Cost: $�/%� —` To Be Completed: �C� -�; The undersigned hereby ma.kes app�icativn for a permit for the work herein specif ied, agreeing to do all work in stiict accoxdance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and repxesentations stated i.n this application are true and correct. � �)ATE : � %� 1�' �Y SIGNATCTRE • . (See Revexse Side For Additional Information.) /�-�o � .So i9.s�. � ' � � � a .� .. f BUILDING PERMIT FEE SCHEllULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any. building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: UDTIFORM 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 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 xoof surface of the main gable of a pitched roof. For repaizs 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 $5.00. VERIFICATION OF FOUNDATION NOTE; Permits for construction will be issued a minimum of 24 hours from the ti.me of application, to allow for proper review of the proposed stxucture and of the construction site. �. A Certified Survey of the lot, showing the location of the foundation, once it has been coristructed, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPaNCY Application for a Certificate of Occupancy shall be ma,de ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. �._ _ ,ti � SUBJECT PERMIT c�ty of Fr�aiey , i33o8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � S Z REC O. � `�_. COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 , . � 1 (` /"�1 � CITY HALL FqIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV L•"•'�'� ,'� 612360-3450 910-F15 11/12/75 � � JOB ADDRESS 6632 Fridle Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]_O I.1 2 Oak Grove Addition SHEET 2 PRORERTY OWNER MAtL ADDRESS 21P PHONE Francis P 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. 4 ARCHITECT OR DESICiNER MAtL ADORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAILADDRESS ZiP PHONE LICENSENO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct 2 firepl�ces 9 CHANGE OF USE FROM TO STIP�IJLATIONS SEPER�ATE PERMITS REQUIRED ��OR W�R1t�� NEATiNG, PLUMBING AND SiGNS. TYPE OF CONST. OCCUPANCY CaROUP OCCUPANCY lOAO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. CP.m@Tlt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTqUCT10N OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES CaOVEHNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1 � 5OO .%'rJ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9•QO STRUCTIOIx O T ERFORMANCE OF STRUCTION. S// PLAN CHECK FEE TOTAL FEE $9.75 SIGNntURE F ON�aACTOR UTHORiZEDAGENT IDA7E� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT _ � . /1-�a - �.� ," UREOF OWNER IIF OWNER BUILDERI IDATEI BLDG. �NSP f1A7E � 3"'. APPLICATION POR RESID�NTIAL, ALTEI2ATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, NIINNESO'TA OWNER' S NAME : �fiNC �S �R � �'Y� --e r� BUILDER: ��""�`P`�� ` ° " "`"� -� ��_ ADDRE S S: �� 3� �'`/�� '�L�y �� ADDRES S: l� 7�'i�'�l - j uJ-r�-� NO:. (.O(o�a STR�ET: /–/�/l�L�c/ S% LOT: �U, � I BLOCK: �- ADDITION: v�s� G�O!/� /`l�D /�J CORNER LOT: INSID� LOT: � SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposa building location drawn on these Cert-i.f_icates. vESCRIPTION OF BUILDING To Be Used As: o� I'�i %L�` � Lf�C�S Front : Depth : Height : Square Feet; Cubic Feet: I�'ront : �Depth : Height : Square F`eet; Cubic Feet: �9 C� �pe of Construction: C�'1 � / Estimated Cost: $ �S ^� � `—� To Ee Completed: �'�7,� ��`� �� 7 S' The undersigned hereby malces applicati�n for a permit for the work herein specified, agreeing to do all work in stiict accor�ance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in tnis application are true and correct. �._/ �� nATE :�i'�7� � f°� � S r S IGNATURE • � (See Reverse Side For Additional Information.) �•� K Co.ov = �.3 Y . �v = .� 4 � �, o 0 ��i �� 9�.=�- � 1��''�' r` �. � 0 : ,. .� � BUILDING PERMIT F�E SCHEDULE 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 ox repaixs 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: UNIFORM BUILDING CODE: Type l, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. 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 covered fxom a point si_x (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 $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction wi11 be issued a minimum of 24 hours from the time of application, to allow for proper review of the pxoposed structure and of the construction site. A Certified Survey of the lot, sho�oing the location of the foundation, once it has been constructed, will be required befor.e proceedin� with the framing. CERTIFICAT� OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not �oe used or occupied until a Certificate of Occupancy has been issued. ,� , ,y �:�." .-- �...�r.... 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BLOCK TRACT OR ADDITION oesca. 10,11 2 Oak Grove Addition 2 PROPERTY OWNER MAIL AODRESS Frank Palmer 6632 Fridley Street NE 3 CONTRACTOR MAIL ADDRESS Northside Siding 6391 Monroe Street NE, Fridley, a ARCMITECT OR DESIGNER MAIL AOORESS 5 ENGINEER 6 USE Of BUILOING Residential 7 CIASS OF WOFiK O NEW MAII ADOfiESS 33060 RECEiPT NO. �0 7� ACVNOVED /Y SEE ATTACHEO SHEET ZIP PHONE LICENSE NO MN 55432 763-502-8767 ZIP PMONE IICENSE NO. 20172687 21P PMONE IICENSE NO O ADDITION O ALTERATION C� REPAIR 8 DESCRIBE WORK Reroof House & Garage (I8 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. SEPARATE PEfiMITS ARE FiE�U1RED fOR ELECTi;ICAL, PIUMBING, MEATING. VENTILATING Op Alq CONDITIONING. THIS PERMIT BECOMES NUII ANO VOIO If WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENGEO WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOFi A PERIOD OF 1p0 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO DWIG. UNITS 1 MEfiEBV CERTIFV THAT � HAVE REAO AND EXAMINED THIS APPLICATION 1 ANO K TO 8E TRUE ANO CORi;ECT. Al.� ROVISIONS OF LAWS VALUATION A RDINANCES GO� G TMIS TYPE Of WOR WILI 8E COMPLIED 1� 929 ITN WHETHER SPECIfIED M EIN Ofi NO THE G ANTING OF A PERMIT � OOES NO TO GI ORIT TO V LATE OR CANCEL THE pEqMITfEE PROVI NS OF ANY OTHER S ATE IOCA LAW REGULATING coN- �69. ZS STRUC OA THE �ERFORM CON UCTION Q PLAN CMECKfEE �-- _ .� Q.l)7� % /�/)/OZ License� •TUpE OF CON'A1�iQR Op �U�p�ZED A`iE� �19ATEi � �u.��i � e�� -„ .R a SO. STA��S $5.00 O MOVE O REMOVE ROUP OCCUPANCVLOAO CU FT OfFSTREET PARKING IGARAGES SURTAX $.�6 SAC CMARGE Fire SC $1.93 TOTAL F $7 .14 D T IS IS VOUR PERMiT � ' �� r�c tE � � �� City of Fridley, Mi.nn. � 1 ' ' I , i .- . , / . �� _ �,! /� f ��._._ i � - � ...� � ,,-- ;- -"' - LQ N O UILDING No. �� Street _ .M. _ _ _�a:!��r._.��! Part o! t _. rt� Iat �� _ Block ._._..,� `. dditio� or Sub-Divisian -� � � Corner Lot �_.�.__._ 7ns3de Lot �— Setback �,�;�1�.�� Sideyard ___ �/'� ,,�,� Sewer IIevatia� 0• 5� �ntien IIevation ___C.z._Z� ___ .�� .�,��;x . �� DESCRIPTION OF BUILDING T a Uaed � � F�ont �� DeP� -.�� Height � Sq. F't. .,�-"�� (:�. P't��,�-�'� Fro Depth Height _.__W�,.��Sq. F't ...._ Cu. P't Zy►pe of Construction _�..._._.. _ Es� ...,��..r�..�l�........_........ To be Campieted _..._..____.�._.._._..__� In consideration of the isstianoe to me of a permit to co�struct the building deecribed aboove, I agree to do tlu P� work in accordance with the d�scription above set forth and itt coanpliance with all pro�viaions of aa�dinancea of the dty o! Fridley. � _ _ _ .�, In caos3derat[oa� o! the payment of a fee o! �.,��`L� permit is hereby granted to� to construct the buflding or additi� as described above. This permit is granted upou the express c�dition that theper�n to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said buildiu8� �' �Y Psrt thereo� shall oont�m in all respects to the ordinancea o� Fridley'� Minnesota regarding locaUo�y constructton, alterati�, maiutenaaoe, repair and moving of buildings wi� dty limits and this permit may be reva�Ced at aqy time upon violation of any a� the P�visiana o! safd �S �� NOTICE: T6is p«�it dw� �ef eowr flw ee�die�, I�hN�N�s fx wM�. Pl�bi�o. ws I�wMp, s�wK er wabr. M am to � IM WiWdp IMp�1er /or s�p�rah PNw�ils fer fhw NMn. `A.!` i � � . ._., . .. : ...�i' . .. . . .: , ,'�''; �;'i '.cr ; : i ;. .. ... , . , , APPLICATIOTI Fi�L �$fi1Y�.�I�'.�a.�t�' ::,tlT r� , . . _ , � : �; :_ � �;�� c . . �.:, ., ' , � C�TY QF FR�DI.�,- MII't�i�'�r � ; � .. . .... .:. ....i �� •r, ��;�.r,, ,,;' . ,. •.... ,. . , ..;., . . , . . � , .. �, . ,c..t. . , ...� .. r .... :. , :. � � .� • . . r . .. ". ..., . , . . ..� ...�. � .��.. .. . �..:.. ..._ .. � :,�:-r�. ��c. �.� .:�' .,- ..� ,.�.�... ` ., . .. . , . � . . ,, . . . • , _ . � ..1 lt}.+, .._ .. Oi�il►B� S liAl�i \l.� �••—, . - -.w � �LO � atTrr.ti�ti , _ � �: .,. , .. /�.z _. � .M �, . . . , .: � ' AQ�1$$$.�i- : ...... `t"3 S� \ ��',,,,i �' � . -�.��i� _ �/M+�c�4_ _ -., ; , ., ., � , , _ ...�, . . . . . . . . . . _ . . c.> . , � . . . , . , .,,. ., �;�: � -..,. F .. �,�. �: ;�.; � . I � . �t�; .. . ... . . .. ., ..�.�_:. �.r.�.... . . , r._ .i.. , . � .... ✓. ,... . ._ LOCATIOI�i 0� .$�i�, ,.D��1Cr - . .. . . _. : i .�;, : ,� r . . .�E. _ N4•�_,.�... � � % ., .. . , 5,�,;ee� . . - ry,�s�.i of Lvt � � � . - ��:..�' _.. .,...__ . . � � �� . ; � . . . ._� , Lo��. � �� Y _ �.� � � �� .: : . � •- �� , . _ . : . i �1 . /1 � � 1 � ai�1c. , 2., , !►d�� oz' subsl.ivi.�icm� .Q,o�-.i�tF�;.J'.��. �.�DI ' ; . - , . - ,, ;� _ � Corner Lot��Inaide bot� Setbsck � � ��. t ; Sid�tY+1��; ~ IO � . : �. � � SSWER $LEVATION ��p,� g�,gVA�pp App1�.Caot . a�t�,ch . to thi,�:: �c�> T�9 �R�3��at� o�:., St�a�nt�r<; o�E�Lot _and ,Puopa4+i build- it�8 i�f�i�oc. dz,�wn on. tha�e , Certifie�a��e . - ; ; , , . _ ; : � � _ _ �.i_.. . �:..,. _ � ., . : . .:' .��.. . . . . .'. r ._ .. , .r..� � .: .. , . .. -� DBSCRIPTION OF BUILDING r..,� To be used as; ""'" ° _ . , . . �. -. . . ..,. � . -.�, :�•��. � r -•_ � . , �� . -.F - �..��+� r: ��:A` .x . �-, _ , .1�.".�o�tt � � � ,D�pth , .� � ` ^ ,�� .,.:�,� _ .� . : ', � �i�� , � . A . gq. pC. i.� ��i. t n.Cldk� . F�l.. •r�'�t�}�"�'"��.1- << , _ _ r� , , _, ... . : . . .,: , _ . . .. , . �?. ... . . ..� �.. .. _ . . .. Froat D�pth Aeight . : : . , . . , : ;� �l�.t. ,: , .;,-,: = -. 3. ' ,, ` �t.. . �-� . -,�±�tr �f . _ ,. , , . _ , ,$�. �F.t�.l�,• . .,, ` ." . C�#�, �.�_:.: � � r .. � •. .: . : . ._. : � ._.. ; � . , ,;.a � .. :t r: � ,. � � `; '':;y � L r� . Yiy� Type of ConstxuCt,i,c� � . ' : ' .8s�,�qr�,ad -�:c6�� -.{�4:�b :° . . . � _—..�:... .a.�.�.�...�,� ,,. -- . To be Completed . c� .. ; . . �, . , . . t. .�::. - � .. � �; r;�; .�: , � �, x �, v � .. .., :.,. - . , , -, � ' • .. , .. , � , . � -, . .�. • :. . � ��:; ' . : .` :, t � _ ::�... �n� .,.... .,,s ;. : :; : ,.rl , � •.:'� ' . : .. .. ,� .�. � c ..c� . :° c:r�: :. �; The undersigaecl hereby ioakea �applicat,��, fo�,:-�,-�xa�i� �ofc .��t� wntkl het9ti�r;:�ecified, agreeing to do all work in strict accardaace �+ith the City of Fridley Ordinances and rulin,ga, �e:�- the, DeP��;�:P�, 8�?47.d+t�Bs�, .,�audr ��teby �ec� t�tr �i.la�the ti�dts and represeatatioas etsted in Chis� applicatioa are true..,�m�:�xorr�at.: �: c� •� t;� �� Scbedule of Fee Costa caa be fouad on the xev�erae Side). /'� _ ., „ � a BUII.DING PERMIT FSB St�EDULE Sectioa 2. The"�i�pettot of Buildings shail, before iseuing any permit for the ezectioa of any buildiag or structure� or for any addition ta any �exiet- ing building or st��i�re, or� �or-atty alte�rntioas or repaire to any eaisting building or structure, upon application therefor, require the paymeaC by the applicant fos such permit of feea to the amouat herein below set forth and in the maaner herein provided to-wit; _.. _ _ _ _ . .._..._ ... . _ _ _ _ . _._. .... 2.1. Foz any such permit for the erection c.f anq fire-proof buildingb, other thau..a 8afc+�ea .:�c�ia�.�,..�aefi�i►r3i��_or..;raia ,e�QVatnr,. or_.for -the_ erectiou of any fire-proof additiot�, for similar occupaacy, to any exiating building shall be at the rate of $1.40 for each one thausead cubic feet. or fraction thereof, in sucb cubical ' c��te : ' 2.2. - F�r'�sny..s�:.��-.#4�_�he .erectie�t� of anp. fire-p�oi. gsrirge, -�rerahouse,_ factory or grain elevator, or for the erection of aay fire-proof edditioa, .for aini�a�„rocWpiunc,y; to e�y exi�titi�- bui2ding sbnll .b� at the.xgte af -$1.25 for each oae thousand cubic feet, classified aa "fireproof" by Sectioa 502 of _ th� Misu►aapo�i�`.'�3.�diag Cc�dq�.. .; �tTSBS �''�',�.•' :. . . - '� �.3: ��Epr apy •�ach p�a�,t fo� the �ere�#i�a of aay aoa-fireproof buiidiag other ' than a gar�e, warehouse, fe�tasy or g�csia- eiev�ttt�r; -or `aay noa-fireproaf additiea, for similar occupancy, to aay exieting buildiag - permit $1.00 for each one thousand cubic feet. ... . ._. � _. , , GAxAGBS ..�_ 2.4. Far anq such permit for the ere�tiaa of any non-fireproof garage, . .w�i�r�ou�tetr.�-�ict4?�X:��_S��in'�r�leva�ar,._:trs. for _�t�e erection.-af aay noa-fi�*oa�f add.iti.au, -€or--similar xcupancy, te aay existiug building or for each such _..,...._,��buildit� oY_.add�tiiott�=- q�m�tp_ cen�a.� ��U.9t�� for each one thousand cubic feet or fraation thereof, in the cubical canteats thereof with a minim+mn of $4.00.- . �:;.� . _ _. _.. , . . ....:...._ . . _ _ For the purpose ,of camputiag fees for building permits, the cubical conteats __ ...... of eap buildi�% o�F� i�ddit.�,qn .�o_ 8 u�ifcrm l��g�t throughout by m�ultiplying the ground area cavered from a point sia (6) iaches belo�t the floor line of the ba,aa,amoo�: q!r. c�Ya'� =� ��t� -�yex�e �i�ht_.saf _tbe .uprper- auzface or to the average height of the r�of surface of the maim gable of a pitched roof. _. _. _ . .. _ 2.5. For regairs or alteratioas eo aa existiag structwce, the fee ahall be at the rate,of $3.00 per each Five Hu�dred Dollare ($500.00) or fractiaa ' _ t�s�a�.� i� jth� aai�t '� al7r�"lirc�aed wortc:` -. ::,- , .. ...�: .7:. . . _ . ., . ; , - 2,�G:. �* in' no �a�e a�l: ��'he 'fe�:.`" ° ` X • � ' s�t fcrth in � �=�Y� �� aP . Sectioa 2 be 1�ss� ��irani=��..Oti�. ° ' � . ^ 4 . - s /''1 � , . _- _ s �• C• c�o : . . .,. -. :.. ,�,. , : _ . -- — . cu�n a�d ssoe�ates n�. T��,.b34o � �� LAND SURVEYORS Anokc, Minnesota CERTtFlCATE t?� SURVEY: , JOSEPH MAC t ASZEK , VAC AN T � l29,0 P�,ar �`- 128.07 MEAs. "° � � t— � � W . � :W p Lt�T 10 � � � � W � ti , � �5,� J � �.._. �Q } Q – . � . o LoT I I M � o. � � Sc.A�..�' :1 "= 30' � � 29.o P�AT ,�`�ENDTES i i�QNS . . : . -- --...._, ._ , . _ _ _ _ , _ -- - -.�=� �-��',� �.�.. _ � _ _ - _. J 28,0 MEAS. ��„f, 24.2 � I-S-F '� ##'6600 LOTS IO AN� I I, 6l.00K 2, OAK GROVE AODITION� ANOKA COUNTY, MlNNE30TA. . t � . 1 11lREiY C!R'fIFY TNAT TMS 1S A iRUE A!� CO�RECT �RA710M! O!� A itIRV�Y �!' 'f!� MiiLMWl1�ES OF 11r-'AtO�f! DlSC� LAND, AND Ttl! LOCAiION OP ALL �NILDt+IGS. Tt�REOP�. AND Att V{,1NL! B�/CRGAGIYKBiiS, IF ANY. l�OAA OR ON �Q LIJ�. . b �s suRVe�rEC eY � n� ....?......... c,►r of ................... ..................................n.a �9....�t,. .i�9 � N. C. FfOIUM ANQ ASS IN -- SURVEYORS �� ' ' ^ .............................�.:�... . � , °'�Y` ......�..: ..„:... � � � . .' _ �`� �`,�� r : � � � � � . a __ , t�: NEW [] ADDN (J ALTER ( J Construction Address: Legal Description: Owner Name �,A� Contractor. LMNG AREA: GARAGE AREA: CITY OF FRIDLEY Effective 1/1R002 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bidg insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPUCATION � Tel. # N UCENSE #� / ,�? ��' � �Tel. # 7,�`� S� Z " �'��o� Attach to this application, a Ce�tificate of Survl�y,bf 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 OTHER: Construction Oriveway Curb Cut Width DATE• �d APPLtL'�4N Call (763) 5T2�604 for PeRnit Fees if catl you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pa�ic Fee Sewer Main Charge TOTAL _ Width HgUGround +6Ft= in 0 Cost: _$ Sq. Ft Tel. # • 6 � 763�71-1287 if using credit card and we will $ (O�?'• � S Fee Schedule on Reverse Side $ / �'3 .001 of Permit Valuation (1/10th%) $ � � � $.50/$1,000 Valuation $ $1200 per SAC Unit $ 5-00 $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 [ ] $ / %. /y STIPULATIONS: ' �� BUILDING PERMIT FEE SCHEDULC 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 $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 inctuding $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 first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) �ter�oval and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of die lot, showing the Iocation of the existing proceeding with the framing. New Houses Onlv .... ., foundation will be required before