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AF - 43425�� uJ� Date: •1•;c, . City of Fridley, Minn. BUILDIl�TG PE�MIT � �/ - � � �� [�T� � � %�:� � /' � n � Bu3lder =�� P� , .�, Adaress Addrese — '� � NA '7420 , ` -��,--� �O , ,�TION�� I� G No. � � ' Street �" Part �.ot h�' G'' �, � � �., Lot �f '�,T:__.__ Slock �" '' ddition or 8ub-Divieion .�..�'� - � ° ,�'�-� ' f a°j ,� . s Coraer Lot _ Inaide t � Sstback ,�c� �— Sfde�d � � °� . .�.. % – `�'f S l'��• 7�a-f s /!'%� 3ewer IIevati� 7 �� Foundation IIevation �;,., ��.a a , es��.�eCG� S i a�. e� 5/v�-�. .� DESCRIPTION OF BUILDING , T Used , � n Front �^ �� Depth �� Height � Sq. FL � f�� Cu. FL �:..E:�"� � Fr�nt Depth ' eight ��;� Sq. Fk Cu. Fk Z�►�e of Conatructfon ��'.��"i��Fas� C' �� '�To be Completed � �i � . ��.�� .� -,�.�!�"� �-�� _ .�✓ , ��' "-�Gr S f�'�� /�l�e' �'��1.�.- �� ^ ��d�� _�'�f� �i � ��5' �? � In considerat[on oP the issuance to me oP a perrnit to construct the buflding described above I agree to do ' th� proposed work ffi accordance with the description above set forth in cbmpliance with a�l prwla�tona of ordinances of the dty of Frldley. � � �� In conaiderat[on of the payment of a fee of $��, � `�permit fs hereby granted to to construct the building or addition as d�cribed above. Thia t ia granted upon the expresa c�ndition that thepe�on to whom it is granted aad his agenta, employees an worinnen, fn sil work done in, around and upon sa9d builciing, or anypart thereo� shall o�nform in all rpspecta to the or8iaaacee of Fridley� Minnesota 1xa13on, conatruction, altera.tion, maintenance, repair and moving of buil�ings wltl�in the dty ]imits and permit may be revoked at any time upon violatYon of any of the provisiona of said NOTICCEss '1I�s psneH doa eet eewi His co�lrucHee, �m 1'er �rMn6. P��9, 6n kadng, awa� er wdar. B� wn to ns tM Bnlldin8 leq»eeae ter aparab pNmhi fer fh�a �. � . > . APPLICATION FOR BUILDING PERMIT , ,� _ ,� � � .. .. � . � ..�� . � GITY '.OF FRIDLEY, ,MINNESOTA.. . _. . . ._ . _, � . _ . . -�v OWNER' S NA'N� C��}'�ST/� fP l�.4� C/ � S J�% /r BUILDER � ,��"fJ �/_ , _�_ ADDRESS C� � � � ` � � f�9�,�„��,�=, � ADDRESS � �'A. �lf.= : . _ � „ , , . LOCATI�ON OF �BtJII�DING . � . � �/ / i /� No. l �' I/:— � � .. , Street - ,f� = S T ' _ . �art :of f,ot . r "'— , . �ot �� S' Block �� Additioa or, Subdivisio��i'/C �' �� fr%= /1 b-� / T/ D H Corner_ Lot � Inside LoC � Setback �S^ Side Yard; ��Q,! � p� SLWER ELEDATION �— P'OUNDATION ELE9ATION — Applicant attach Co thia �orm. �ro Gert,if3cates of Survey of: Lolt and _proposed build- #.ng 1QCation drawu on these .Certificates.. � � _ .. . • . -. . , _ - , . � . _ - . . : - - - - --- �=�-� - . � DESCRIPTION OF BtT�DING � To be used ae: � ' R . e„ �i /�G� ,�_ D E�f�'�R ;i � �=- ^ . Frout %�/. D- ° D�ept$ � o�� - Heigbt "�. (� ' � �q. Ft. , � � �. .Cu. Ft�.. . �� • � ��.� 'Front � - �Depth Height � . . � . . :Sq. Ft � F` Cu.: f Ft . � , Type af Cons truct ion ��l.� c� D �'�' � fi9 �.' ,;�. Es t i�a�ed Co� t. j��,,,0'� _. . : , . , . To De Completed �� ' ��A ,►/� _ . • � . . . �a E, , The undersigned hereby�makes application for a,p�rmit for �he;.work herein.specified, agree3r►g to do a].1 work in strict accordance with the Gi�ty of Fridley Ordinarices and rulings vf,the Departmen�,.of Buildings, and�he�eby declgres.�hat �ll the facte and representat�ons stated in this application are true and.correct. . �(Schedule of Fee Costa caa be fouad on the Heverse Side). � �'� �% � � � . _ . '~ ` - � � � �`� �:, � �� Lc.(Jf' �...,,, ��-� �°�� a.e^.a��ane �� s BUII.DING PERMIT FEE SCAEDUI,E Sectioa 2. The Inapector of Bu3ldings shall, before iasuing aay permit for the erection of aay bu3lding or structure, or for any addition to any exist- iag building or structure, or for any alterations or repaira to any existing buildin� or structure, upon application therefor, require the paymeat by the applicant for such permit of fees to the amouat heraia below set forth and in the manner herein provided Co-wit: 2.1. For aay such permit for the erection o.f any fire-proof building, other than a garage� warehouse_, factory or grain elevator, or for the erectioa of any.fire-proof addieion, for similar occupaacp, to any exiating building ahall be at the rate of $i.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For aay such permit for the erection af any fire-proof garage, werehouse,� factorq or grain elevator, or for the erectioa of any fire-proaf addition, for similar occupancy, to anq existing building shall be aC the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolia Suilding Code. HOUSES 2.3. For e�ay such permit for the erection of an�► non-fireproof buildiag othe= than a garage, warehouse, factory or grain elevatbr, or any non-fireproaf eddit�T f�r simiYaz oec�pasi�y, �c eny existfag be�ld�ng - germ#t $i.�A fer each one thousand oubic feet. G� 2_.4._ For any such permit for the erection of any non-fireproof garage, warehouse, factory or graia elevator, or for the erection of anq non-fire�roaf additi,ws, €rn-similar occupancy, to any exiating building or for each such �...- -building or addition - n3nety cents ($0.90) for each one thou�and cubic feet or fraatiou thereof, in the cubical contents thereof with a minimum of $4.04..- For the purpose of camputiag fees for building permita, the c�bical contents of any buildiug or addition to a uni�orm height throughout by �1tip�ying the ground area covered from a point si�c (6) inches below the floor line of ithe basement or cell•ar `to the average height of the ugper surface or to the average height of the rQof arurface of the maim gable of a p�,tched roof. 2.5. For repairs or alterations to an exiating structu�e, the fee shall be at the rate of $3.00 per each Five Sundred Dollare ($500.00) or fraction thereof ta the coet of all propoaed work. 2.6. In no case �hall the fee__charged:;For.any_permit.-as set forth ia Section 2 be less.than $4�00. /'1 - ' ,�"1 _ , . . . .. . _ v '1 w* _ b a. s - -F 2, • . j . , Y i �` , �" 4 i t y:, G C x. . y f �� i.\. � �� {� _ . - . . , �, � � �:: , , r,: . ' , ' ... . . . ., .. . .,y _ . .. ... , . . : , . " . . . " , ...'-� . .,. _ :: , ,_ - - . , . ; �e. . '.. _ ' _ XF � ; , _ . . , . . , . . . ,. . - .. .. ��r 'i % '�� "� ' � " ' . ., �� r h� - ` _ . � � . .,� �i.�.� � � � �� -�� . - � � � � � � � : �.�. _ � .� . } ��. _ . . . � .� .... � : . . . �.� � ��- . � �,��.� �:-� - � � � . �.�: � :, � �,�., � . _ . .. _ - . � � - --� 4�� &.. � 1+�� --� � �_•i�.r�:w � a f � . . . . Lf.� , .� ��,1� �A"�`� -� . �"Q . � . ,� �, ' , : �� t ` � � �� _ � , � ; � � r� i� r, '�f ;: x �•• � �x � _ t , . s�=� � : �* 'S� � ' � �. . ��- .�� o • � � �, '= E � Q �� , 6 • y` � � _ , �:� t �` i � r �°.r' � �, ' � �Y4. ,..w.�.s,t � �........., _ ... �......c. �' . : ��....�� .. � (� �. . ; �`a'� . . � r i �� .. ��,,.. � i , - .. , �. o.�i i +�' ! ,� o ;� � Q � � , , '. -. _�x i � - . � S � � � i,, c' � � � � . , . . ` ��' .. !�_ . ' "��. ' , . , r . � �. , . . � _ � . 01- � f ,``� ` � � �.�+f ��. ''` w"" � .i � ,' � , V� ` � �_ �* � � � ' �� -w . - �p 1'' '4a„ �A't` v� f . �►G:1�:'� � 1.-°�f , , .., . .,,,.,, �. , > � "1�4$.1�7► l��.A�r �:"' , : ......�.+. � , _ ' . �. � . . e �r- ti�+�� es�� J 5. C = I��r��3��+��" , y X . , _ � � ' .._ � _ � > .. �- ,. : , _ :, , ,, _, - . �-=�4 F F .. . ;_ 4'' " ' � l � . � . ., .. �..�. -a �� -�1 .��-��-' .- — �.. . - .�-- - - -. . _ - � � _ �. p. .. . . .� . � . . - .. , i��G�AL �6��1#�'T�Ot�t� � r. . = -; �.oT� �, a�a �,� ��.�,�K 2, 4��c G�� ,:QC�7r��v� ��► Covr��rv, . ,�1 N�tE�.C�TA � � ' . . . - ... . , ,. . . . . .. � � ,. . .. . ,� � � � � _ -: � � � . � t'ileiebY t��Sti�'Neyr "' �, �(�i � - -. ' " '�P��:�e��g�de�t��ec�� . � ; visis� aa� that � e�a �`daty=�i'�',� e�ned �..a�d '� :� ' � 5arveg�r �vs � , �e Qi tl�'ma�.. . R�t�lS"t�RED r _ . . 4 . �.��. ,• ,,.. . . . , . �. t��' '�II � S�RVEY�R ,�. _ ` pnr�_�" � �'"r�� ,N, � �'�„�► 4427 '� �� ; � �� g. _ `,� � t+� -- =,Y� . , i .. k. F ' . ` .. : - �- ' ' P� �.� � . . - . . � ' . - •` „ ,. :.. � _ , .- � _ . ,, F . :. .. , ." . - - . . _ - . .. . S , , � . � . . � ' _ �-. �.,. :...�� -. . �� v�.» ,. .. • .. - . . . . . � . . , . � �. � :` .. . . a .. ' • ;� � . �' - . - . . . , . . , , � ... . _ _°�' � . . .. , .. � �� . �.�� :��. � � r� - �.�r�c� �v��r�w��.s � � .� � s - �- - _ . � � ; � ,. . : _ _ _ ,, : � . : �_� � . _ _ . _ ___� . — , ;;. ;; s . . -, � ,. - _ �. _ _ , _ , . . u, . , , . - , _ . _�p y.. .. . . � ' ��.:� . _ . ' > ._. .� '. . ; : . . . . ..;g. �r � � �. ' , . _- . ; . [ ' .., .. . � . ... . ..,. .i , "� �.- { � . ' _.. .... . ,�_. '` _ . � � �`1 City of Fridley, Minn.. BUILDING PERMIT Date: Apri1 8. 1969 pwaer; _ Gaxv Wilson g�� Sussel Co. Address 6674 Fridley St. N. E. Ad� 1850 Como Ave. ��'�s� N° 10171 LOCATION OF BUILDING No. ��± Street Fridley St . N. E. part of Lot � 4& 5_ 81ock 2 Addition or Sub-Divisian Oak Grove Addition Corner Lot — Inside Lot Sewer IIevation Setback � Sideyard _.._ Foimdation IIevation DESCRIPTION OF BUILDING To be Used as: Garage ^�t 16' Depth 22 � Hei�ht 10' �. � 352 �� 3520 Front Depth ITeight Sq. Ft. Cu. Ft Type of Conatruction Fi�Tr+P E�� Cost _...�1.�.��QQ...__...... To be Completed In consideration oP the iasuance to me of a permft to construct the th� proposed work in acc�rdance with the description abov�t f� ordinances of the dty of Fridley. � I agree to do p�ovlsions of In consdderation oP the payment of a fee of $ 6.00 , p�t 9s hereby granted to Sus�el Co. to construct the builcling or addition as described above. Thia permit is granted upon the express conditiott that the person to whom it is granted and his agenta, employees and workmen, ia ell work done fn, around and upon said buflding, or anypart thereof, shall cronform 3n all reapects to the ordinaacea of Fridley, Minnesota regardiag location, construct�on, alteration, maintenance, repafr snd. movYn� of bufldings wittrin the dty limfts and thia pernnit may be revoked at any time upon violation of any of the provisions oE said ordinancea � /%�!�G� �a�� Official ,� Henrq .� Muhich NOTIC� ihls penah do� eef eovsr ths coestrueHoe, lestall�Mon foe w6fi�e, phrm6iee, ea hesfteg, awsr oe wals�. 8� wro !o ses t6� Bnitdiu8 laspestor ior separata parmNs for t6as It�, � . _ . . .. . ,� i _ � ��, V APPLICATION FOR BIIILDINC PgtMIT OYNE'6 �S N0. . "� � STREEr LOT °� °`'� BLOCK CITY OF FHIDI,E�C, MINNESOTA . ._ _r ,, (!1_!-.�.� . � � �• �/: Y� � - �� ., �� : � � ' r. ` �' �� l� :; � ��,.� �� - - " LOCATION OF ;' � P . A'JDITTON Ofl SIIBDIYISION -ce-K � e�-c�a-� ��--�—,�/� COR.'� LOT INSIDE LOT C� SETBA�:� SIDEYARD SEWII� ELEYITION q+pp pF �T� Applicant ai�tach to thie for� Two �ertificates of 3wrvey af Lot and proposed building loca.tio� drs,wn on thea� Certifioatee. DESCRIF'1'ION OF BfTILDING To Be IIsed Aea �' ,�Front Depth � `�, Height �� Square feet � � � Cubic Fe�t � �,'� �� , . Front Depth Height Square :eet Cubic Feet Type of Conetruction��_ Petimated Coat �� To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in�etrict a,ccordance with the City of Fridley Ordi.nancae and ruli.ngs of thr� Department of Buildinge, and hereby declaree that all�the facts and i� •eoer.tations etated in thie application are true and correcte DATE � SiGrTATURE � ' � (Schedule of Fee Coste can be found on the Reveree Side.) � �"`!�k ^ � � . �' � I 1 � r _�� • , p � • P s B'�ILDING PERMIT FEE SC�ULE S�CTION 2. The Inspector of Buildinge shall, before iaeuing per�its for the erection of any building or etructure, or for �.ny addition to aay esieting etructure or building9 or for any alteration or repa.irB to say ezieting building or etructure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the ma..�.ner herein provided to wit: � IIniform Buildinr Code: Type 1, 2, & 4-�1075 for each one thoueand aubia feet, or fraction thereof, in such cubi.cal cAntents. Type 3� 5- �1.50 fo� each one thouse.nd. cubic feet. For the purpoae of computing fees for building permite, the cubical aoxitente of any building or addition to a uuiform hei t throughout by multiplying the ground area covered from a point eix �6} inches below the floor line of the baeement or the cellar to the average height of the upper eurface or to the avera�e hQight of the roof eurface of the maiA gable of a pitched roof. For repaira or alteratione to an egisti.ng etructure, the iee shall be at the rate of $3.00 per each iive hundred dollare (=500.00) or fraet�on thereof in the cost of all propoeed work. In no case shall the fee charged for any permit ae eet forth i.� Section 2 be less than $50000 � NSS3D Connection Chasgea based on location - Area 1 or 2. � � ,�1 ^ �, a - , _ _ _ -- . -,. 0 LOT BLOC K ADD'N. -$/� �� _ �_ � �- � � .— � 1 NAME � ADDRESS � AREA SIZE �G��c 'ZZ VALUE ��'�° TYPE � �'ti2�� `�, �/ � �2t.�A� � t �V�� . A� ' I,��gg �� ,;' . �� !� 3Q4�.��Z� �N% �rs.! �-ic7��a� � '� �� St!?G. !��' �►i�Q�yis'. T'G7 '�T.�LLT_ Sf O1fGt� .� �" �C,Ni �+01�:.._ . O� �OC�1SC'r •n� St+�OVlit� • i � �� i'� 't�° �++'r O� .Cr+�:t ��. 'i't-a r,...� i..►�,. V�{'. -� '�� A� o � -�c�vs�. �.5 SNc�fwi . - _. _ - __ _ ` � G.�-1 ��.-1L �os�� C.rd+►!'� �. Ft �t..s. / '� � S� C.�:1��..�_ ��9.+.� Please edvlse the customer trefore starting the lob of - � the- epproximzte amounk-nf eztra flll and extre concreta and get th= Ow io go ahead. When the jo6 Is compleied, � noti7y ihe ewner and also Marilee of the exact amount of - �� extras used. - �� i—��'b � �s.�'i Ial � V 1�{� _- �� - GOA4�,j �T � • �� • �' � . r' i!• I ��.��Z'o� � � d,�►�. . � � v , � �c� '� b � � h � �_ �.� � � � ti. , � ` sue�ecr PERMIT NO. __ CitY of Fridle w�cx�NG -� � ATTHETOPOFTHETWINSy gUILDING PERMIT � �`i4291� � i. RECEIPT N . � • COMMUNITY DEVELOPMENT DIV. �� y-------� r � � PROTECTIVE INSPECTION SEC. 1 � � �l /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVE� BY L""� � ,�� 612-580-3450 910-F15 S/16/77 � � JOB ADDRESS 6674 Fridley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 4& 5 � Oak Grove Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gary Wilson 6674 Fridley Street N.E. 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Miles Garages 4500 Lyndale Avenue North 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 U5E OF BUILDING Residenti.al 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE C� REMOVE 8 DESCRIBE WORK Tnireck old garage 9 CHANGE qF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTFiUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HRVE READ AND EXAMINED THIS APPLICATION �- STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y��.00 NONE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR T RMANCE O NSTRU ION. � y�%. SO �-- PLAN CHECK FEE TOTAL FEE $7.50 SIGNAT E ONTRACTORORAUT IZED GENT (DATEI EN PROPE LY VALIDATED THIS IS YOUR PERMIT �l� � �% �_ �_,�; , SIGNATUHE OF OWNER lIF OWNER BUILDERI IDATEI BLDG iNSP DA7E � � -� �� ;� AT TH� TQP Q� YM� Ttl�'INA r, ; `, j j L---^—�—� GOF2aaUNIYY pEVff6.�E6tT DIV. P � � ptao��Ciiv� ��e�ie�W ��'r, �l � r"'g i CI'PY WA4L FF?IDI�� i......-�.� �.J 8'$-88Q-34�0 Job .Q.ddress Legal Lot o. Desc. Property Qwne Contractox Description of Bldg. � Blo�lyl No a �� !� �/ /1 ,��,-- � . �-. � i ��PECKING PERMIT APPLICATION �� Ev. p4 S� �' t �r o Ad � ' ion Address , � • �� Addresa �� He ight Taxes Paid Permit No. Receipt No. i S �°�� Phone Sq. F�t �� Cu. Ft. Tax Receipt No. Estimated Cost of Wrecking�r D� p,� I To Be Completed �� Utilities Notified: State�whether no�tified and date . Minneapolis Gas Company Engineering Department 372�4850 Northern States Power Company Customer Business Office 330-5540 • Northwestern Bell Telephone Co> .Business Office 332-4112 Approved By Water & Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hexeby makes application for a permit �o wreck the building described above, agreeing to do a11 work in strict accordance with the C ity Ordinances and rulings of the Department of Buildings, a.nd hereby declares that :a11 facts and representations stated in this application are irue and co ect. 7 d� �� •;� Contractor �II,`�� , �G �- �� na�� y y S�a�E�T - Po 14292 Cit of Fridle AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� r ; � ' .RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � Vy ��-� � � � PROTECTIVE INSPECTION SEC. 1 i i �` �'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPFOVED BY L""� � ,�� 812-580-3450 910-F15 8/16/77 � � JOB ADDRESS 6674 Fridley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. L,� & rj !� Oak Grove Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gary Wilson 6674 Fridley Street N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Miles Garages 4500 Lynda.le Avenue North 588-9750 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USEOF BUILDING Res i.denti al 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 30' x 24' Ga.rage 9 CHANOE QF USE FROM TO STIPULATIONS provide a hard surface driveway. �p �� VVl�r11VG. Befo ��R�� T� P�R'��TS RE� 1GN�, TftEF e dcg�in� call Eo � ��P�RA NC�NF. t�ECTR�� al ufiti�res �1NG, QLU��ING AN� R�Q ��S �°r',: NEA UIR�� BY � . i�,' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OH AIR CONDITIONING. WOOCI FZ'�e THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORQED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-�. %ZO %ZOO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,328 Z.�G DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST E OR LOCAL LAW REGULATING CON- $`2S.SO NONE STRUCTION THE P FORM CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � ��, �� 7 $31.46 I TUREOFCONTRACTORORAUTHORIZEDA6ENT IDA7EI WHEN PFOPE Y VALIDATED THIS IS YOUR PERMIT � r� � �� -� - SIGNATUREOF OWNERIIF OWNEF BUILDERI IDATE) BLDG �NSP �ATE , 0(rrTfJFsR: Address: No.. I LOT: CORNER LOT: INSIDE IAT: v SLTBACK: CITY OF FftIDLEY APPLICATION FOR RESIDEfdTIAL BUILDING PERI�IITS (NEWf ALTERATIONS, ADDITIONS,,OR REPAIRS) SIDEYARDS: Applicant attach 'to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificat�s. � DESCRIPTION OF BUILDING To B Used As: Frbnt: Depth: °� . Tieight: �� %� � ' • 5quare Feet: �' Cubic Feet: � �' � � Front: Depth: Height: � ' Square F et: Cubic Feet: �� Z� d C t• $ ^ � � Type of Construction: Est�.mate os . Zb Be Completed: lS� Proposed Driveway Width If New Alt. A Alt. B Ts Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to,do all work in strict accardance with the City of Fridley Ordinances and rulings of the Department ot Buildi.ngs, and hereby declares that all the facts and representations stated in this a plication are true and correct. See reverse side for addi�'onal i ormat' n. DATE: l � A� / 5IGNATURE: 5tipulations : - �' � �, � d / .�� ./� m?. L Ge � � � � �,6� . y 3 i, �` �; :e; 0 BUILDING PER��IIT 'FEt SCiiFDULE SECTION 2. The Inspector of Buildii�ys shall, before issuing permits £or the erection of any buildiny 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 pr.ovided to-wit: N�W CONSTRUCTION: Single'I'amily Homes and Garages: $4.00/1,000 cubic feet.. PLAN CH�CK: 25 percent of building permi.t fee. DRIV�L7AY DEPRESSIOII: (Concrete Curb Streets Only) Alternate A: Removal and repZacement oF concre�e curb and yutter 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 Fi fee� r. $15.40 ADDITION�L INFQRMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplyiiig the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main gabl.e 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 ;aork. In no cas.e shall the fee charged for any pe'rmit as set forth in Section 2 be �ess than $7.50 plus $.50 state surcharge. ' .yERIFICATIO�J OF FOUNDATIOfd NOTE: Permits �ar construction will be issued a mini.miun of 24 hours from the time of aPplication to allow for proper review of the proposed structure and of the construction site. . A Certificate of Suzvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (�d) days prior to the use or occupancy of any structure for which a builcliiig permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. -- - _ � City of Fridley AT THE TOP OF TME TWINS r � � � �` _��_ COMMUNITY DEVELOPMENT DIV. � 1i � PROTECTIVE INSPECTION SEC. r , , � . , � ` ��"1 � CITY HALL FRIDLEv 55432 �"""� � �'� 612-571-3450 SUBJECT BUILDING PERMIT NUMBER REV. DATE PAGE OF 910-F15 4/30/91 � � JOB ADDRESS 6674 Fridley 8tx�eet NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION �escR. 4, 5 2 Oak Gx•ove Addition 2 PROPERTY OWNER MAIL ADDRES$ Kevin Austad 6674 Fridley Street NE 3 CONTRACTOR MAILADDRESS Same. 4 AHCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRESS 6 USE OF BUILDING Residential 7 CLASSOFWORK � NEW � ADDITION � ALTERATION 8 DESCRIBE WORK Construct a 24t x 24r Liying Are� Addition 9 CHANGE OF USE FROM TO 20794 RECEIPT NO �� APPROVED 8Y SEE ATTACHED SHEET tIP PHONE 571-6258 ZIP PHONE UCENSE NO. �iv PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ REPAIR � MOVE ❑ REMOVE STIPULATIONS See nota,t%ons on plan, �rovide one new egr�ss window in �asement a,ddition or existing dwellinge �royide smoke detectors an b�th.levels o� existing house. Existing wall of garage must be sheetxocked on inside �itTi 5/8'� Type X Gypsum and service door must be.a �ire. door with closer, SEPAR�41"E pERMITS REQU!RED F�R WtRING, HEFiTI��, '�� l��.;i�;�N� A��qD SiG TVPE Of CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNIT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �" ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp��ATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3� 170Q WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEqM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $330. QO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATUHE OF CONTRACTOR OR A ORIZED AGENT IOATEI ' /l/1`vl ��a�'�✓\�/"c�c 1 °�' (� �? � �..,........� ...I...,.��e.�r nwuco miu t1Fii� IDATEI WAR�II�G Befvre digging cali for all utilit� locatians 454•Q002 REQUIRE� BY LAW OCCUPANCY GROUP OCCUPANCY LOAD Sa. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $18,35 SAC CHARGE Fire SC $36,70 TOTALFEE $385.05 J [ ] 1d �(J �-,,.��2 [ ] oonst.�tioi, Address: l� � � 1�1 AND R-2 ��; t dir�g Permit Application ! --r , ��► ! � ,. . S' Effective 1/1/91 1 ��: L��S �� aio�.��, ��k G�,�� R��, °�� t-��, owne,r rT�e &:��: l�e �� l`1 i��,•`°�',•ai .��..,�.. �, Tel. # S i 1-�, 2�� Contractor: S cA^io �• # • ... - c� �,.. , Attach to this applicatia�, a �ertificate of S1�vey of the lat, with ti�e pranoEed oo�stxwction drawn aai it to scale. D�C�tIPrI��I 0�' II�RONH�Tr LIPII�IG ARE�i: T p*�h �� Width 2�I � Heic�t Sq. Ft. �% � C�,R�GE AREpi: IPngt21 Width Fieic�lt Sq. F't. D�L� AR�+i: Ler�qth Width Hgt/Gzuu�d Sq. Ft. OR'�:R: t� t� a� t n w - �� b�d- ij . 0�� y��, `�� C s'�(o 3� �%'�� Cbrner Iot [] Insid+e Lo�t [� Ft. Yd Setback Side Yard Setbacks Z�pe of Cbns�tructioaz: Fsti.mated aost: $ •� Approx. �leti� Date: Fa � f 1-� l �� PY�osed Drive�ray Width If New Openirig Is Desired: Ft. $ $ Width + 6' See Back Page n�: ��-t�-�1 ��: I��•� � ��.d �. # ��. �zZ� � 3� - Ga�U Pezmit Fee $ �`�Q �� Fire S�arc�e $ �a .`�� State ;- S11r�C.t'13rge $ � °� l `3�� SAC Qzarge $ Drive�,ray EscL-ow� $ � Park Fee . .$ � Sewer Main Q�arge S � s S�� QTY �E �Y ;��i'iLJ Fee Scivedule aaz R�ver�.�e Side :`��,,�0� . 001 x P�ermit Valuat3aa�► (1/lOth $ ) ' . $.50/$1.000 Valuatian ;:d ci ,Oo� — a� �� $650 per SAC Unit '. � �q((v�$O � � Alt. "A" Ox' Alt. "B" AboVe • .. . �'�� Fee Detrermir�eci bY �1��9 Aq�oent Neoess�uY I] Not N�.saYY [] sizRn�,TTa�rs : � � � � � �.�.�--� � ��p" ►'° `" - �. �� (`, Zr�CrJl �.1 � �'a..�,�., ,�� C'lJ�� 3, ; �� i oL% S�� IJ�T�-� �� t,c� �-�-- �� s/ � p� �o � �� r �'-�C�S�'Q. L�o�� N �� ,�T� �� Z-�-�c,.s � . , . /YI �s� `� � �� i ��-� �� ►�. 5� /Zvr�2 � �r�s� �e � i: �1� �_ �,_ �:�;�Y�y+ � �a� _ �:i:�� The Qzief Building Official shall, before 3ssuit�q pexmits for the erectioai of ariy � i� ding or stnyc.�ture, or for any additian to any existim� buildirg or �, or for any alteratiaci or re�air to anY ��4 ��4 ar' stn��re, u� a�lication therefore, require tl�e paym�t by tiie applicant for aich permit of fees tc the �t hex�e311 belc7W set foYti'i ai�d 311 ti�e �nr,ar hereil'1 provided to-w3t: 'IOrrAL VAIiJE $1 to $500 $501 to $2,000 S2,00i to $25,000 $25,001 to $50,OQ0 $50,001 to $100,000 $100,001 to $500,D00 �'�V $15 (Minim� �1ae is $15 plus su��) $15 for first $500 plus $2 for eadi additioa�al $100 or fractioai theraof, to arrd ir�ludiu�g $2, 000 $45 for first $2,008 plus $9 for each additianal $1,000 oz' fraCtica'1 thel�eof, to at�d ir�cluding $25, 000 $252 for fixst $25,A00 plus $6.50 for each additional $1,000 or fractiod"1 thel�eof s to ard ityclud i� $50, 000 $414.50 for first $50,000 plus $4.50 for each additio�nal $1,000 or fraction �raof, to and including $100,000 $639.50 for first $iQ0,000 plus $3.50 for each ac�ditiar�al $1, 000 or fractioai ti�eraof, to ar�d i.t�cluding $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1, 000 or fractioaz thereof, to an3 includir�g $1, 000, 000 $1,000,001 ard up $3539.50 for the first $1,OOO,Q00 plus $2 for each additional $l, 000 or fraction ti�ereof �tIVL�Y �ffiSI�T �C3ifJW (oaa�r+ete � Stt�e�ts A�lY) Altexnate "A" : R,e�noval ar�d re�laoe�ent of cu� and gutter only - Driveway width plus 6 feet times $13.50. Alternate °g�� : Re�oval and �laoe�n�t of curb ani gutter and install a 3 foot wide approach with 6 irx3i dept2i -�iveway width plus 6 feet times $15.75. 1'/�+: �� : M .� , •i• ,�:n�n • Y •'. �*�++�; ts for �icn will be is.�yeci a minim� of 24 hours frc�n the time of applicatioai to allcw far pr�per review of the praposed � arxi of the oo�uctioa� site. A Oertificate of St�vey of the lot, st�owing the locatioal of the faux�atian oa�oe it has it has been oonstruc.-ted will be required before prooeeding with t2�e framing. 0 a ,o' '�� A�98E�.ME�i� I, �;�h,,o F Q �nh��e. /h IQa��.11r� , owner of the property iocated at �6Q�1 F�ic�l�.v S� Fi�� a�(�_�_� have no objection to the Ci ty allowing the construction of a/an ��v�,l�� . Oi �� '� o� to be located at . 7 r� t wi tho�a t the required certificate of survey that the City ordinarily requires for all new construCtion. !�!i tness �.� S� � �� .o� � V 1 / � ,� � � i � �.�: � � � .'v'.1..:�_ . �„iy�.,� _ ,ll I�u, r ., - i 1-,I-1�'Q( Uate ��'��— �� 4-- )1_�► �., _ _ �_ =� � �, ��` �� _ - - _ � � ` - i Cy ' ` . ,_ : ';. . . '_ R , - ,.� . . _: . � ° x ,� _ � ..'�.. � � � _ 1 n '� ¢ � ° � - �� ' : . � � � - � r : - . � ..-- . � j � '� � a ,; ` ` � ,�;�,- �'` '�yD ,� '' �►� - "� � :.. - ,"„ . _-".Q "� ¢ .�- , t�" , ; ! �+ C =' G� r„S' � , ..L' .*,� . � ° , �„ c#^ _ �, �, c,:, = � �. " _ ',. �, �,; .... �-t� �i v _ ''� � :,,,,,.t f? :- ,,, . .i-� '-' : �►- �-�. �. °"� � � i �- �' . .. _ :1 ,� � c,.,� : � . _ ;, _ - . _ . , ,�;, � - �, � , ,4 ' . -_ '- - . : ,: . : - : ` ��. ' , _ _ _ _ � - ,, _ : - .- _ _ - , _,:- ' �► ;. !'",4 ' -r _ i'f. : . ... �. ' ..: . .�, ��_.� 0' �,�_ ` � ,... ;� --..� r , - �_:;�,. ,.,. - -. � - - - _ - _ :. �� ' '.`� .. , . � �� -: , _.. �"- �-- . , _ -_.� :� . ��- ...�� '_-.� �` ,.�.. _ �_. _.,-, ,.. t �q-. �._ r,...: --.. 1. : _ _r,. .:� . ::: ..'; ..r:. ,.. �.-:. . .-�.: -'-. _ -'-�� -� . �'' .�... fj ` � �, p _ _ _ _ _ _ �— ,° �' � _ , , �.- , � � �. .� _ - - �. : - . o J � � � : . , : � �.. - � -�- . . � � , _ � . : . _. _ : - * - = � - . � , s�..- ; � . - : � _ _ ,.,._ _ - _ �" _ t,,� �„ F.... _ .... ,� _. i' ' -:: _ _ _ _� - .�`` - _ ` � C"1 = � - - ��. _ fi:.'�=�',� � = _. w. �. � . ; �= � ; - - ,� �� - -_ - _ _ - . . . k �z - ,i , - - ` : � � ` y: ,{ ' � :- ; . _. . : . . , . . ' .- _ ' . ' _�� "- . SuB�ECi c�ty of Fr�a�ey AT TFIE TOP OF TME TW�NS g � I L D I N G P E R M I T � � � � �• COMMUNITY DEVELOPMENT OIV. ' jy'�"' r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY HALI FRIDLEr SS�J2 NUMBEi1 REV OATE PAGE O� ��"'� � �'' 763-571-3450 s�aF�s 7/21/03 / / lOB ADDRESS 6674 Fridley St NE t LEGAI �OT N0. BLOCK TRACT OR ADDITION oescR. 4,5 2 Oak Grove Addition 2 PROPERTY OWNER MAIL ADDiiES$ Z�P Brian & Heather Ingbretson, 6674 Fridley St NE, Fridley, 1�IlV 55432 3 CONTRACTOR MAII ADORESS Z�P Same as above 4 ARCNITECT Oii DESIGNER MAIL AODRESS Z�P 5 ENGINEER 8 USE OF BUIIDING Residential 7 CIASS OF WORK �] N EW 8 DESCRIBE WORK Construct deck. 9 CHANOE OF USE FROM MAII ADDRESS STIPULATIONS See notations on plans. 33720 AFVNOVEO Br SEE ATTACNED SMEET )NE 763-572-0487 )NE IICENSE NO IICENSE NO. PNONE LICENSE NO O ADDITION O ALTERATION O REPAIR O MOVE � REMOVE SEPARATE PE�MRt�S REQUIRED ' WIRING HEA1iN P�UMBIN� AND Sl� S TO �•�� efore digging caii �c�e all utility locations 454000� ��,a�� _��F TYPE OF CON57. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCEO WITHIN 80 OAYS, OR IF CONSTfiUCTION OR WORK IS SUSPENDED OR ABANDONE� fOR A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO DWLG. UNI' I HEAEBY CERTIfV THAT I NAVE AEAD ANO EXAMINED THIS APPIICATION AND KNOW TME SAME TO BE TRUE AND COppEC7. ALL PROVISIONS OF LAWS yp�UpTION AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�� BE COMPLIEO $2�782��8 WITH WMETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI THE pEpMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- @83 � 2S STRUCTION OF THE PERFOFMANCE Of CONSTRUCTION w �CCUPANCY GROUP OCCUPANCY LOAD S�.FT CU FT OifSTREET PARKING STA��S GARAGES SURTAIf $1.39 SAC CMARGE Fire SC $2.78 TOT ,FEE �87.42 S�GNOTUAE OF CON'AAC OA Op AUTNOAFEO AGENT IOATEi j�E pq V VALI T � 7M15 IS r�(Ji� ERM17 �� -��°�� ' l .3 ��GNaTUpE0�0 NEQ�� NEABUiLDEp� iOATE� B G�N$o q6f � � NEW [] CITY OF FRIDLEY Effective 1/1/2003 ADDN � 6431 Universlty Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ; n � �=;� �'�' � �, I y, � � � � ��. I�� L �`c�. � �W.. I�.� ��` � Construction Address: � �� `i �rfc� �e,r S�E � ; �"' `�, - Legal Description: �— o�" �`� �"� � l � �k Z. C� � k C-, ro U�� `-�; �"� ,�r,o � a C-�� _ Owner Name & Address �,�� - � `� b'� { � �' Tel. # � � 3 � S �2 ' ° `��' � Contractor. ' MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height _ Sq. Ft. GARAGE AREA• Length Width Height Sq. Ft. � � l�� v� r Sq. Ft. � ZZ � DECK AREA: Length � y �dth Hgt/Ground OTHER: �' ' Construction Type: �� OZ- Estimated Cost: $ � � � �� 7 ��-° �� 1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _� C� � � DATE: � — l � — �� APPLICANT: � �- �� I � ��''� ��"� Tel. # � � � � �� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge . License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � �� a�� $ a`7�. S $ $ $ $ $ $ $ �, �( � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] .,� BUILDING PERMIT FEE SCHEDULE The Cluef 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 txlow 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,(�00 $1,000,001 and up FEFS $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,�0 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 $500,0(}0 .. $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 CURB CUT ESCROW (Concrete C�rb 5treets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the tune of application to allow for proper review of the. proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be requued before proceeding with the framing. 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' . . � .' • ' • � y ' �v 1} , � 1 l.• , .. - . , . ,; ..•r! n��nr � [ l ADDN [] ALTER �f Construction Address: ��, Legal Description: Owner Name & Address: �i�, � � �� — CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � 6��/ � �F � Contra�tor: v f�.'�'�e� ��'�'� s � i� = — • (763) 572�604 Bldg Insp (763) 571-1287 Fax �� Te►. # %�3-�7a �� LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cert�cate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length �dth Hgt/Ground Sq. Ft r �a,r Ss � `n��J — �S�P.�U� Constnaction Type: Estimated Cost: $ /,�dZ� � �'� Driveway Curb Cut VNidth Needed: Ft + 6 Ft = Ft x� _$ DATE: � O APPLICANT: �Jr� t�� (i��r�� Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we rroill call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � J L--� . n C� $ $ 7 � 50 $ �7� $ $ $ $ $ $ $ ��o�i�J _ ¢��/ �/t I/ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: BUII�DING PIItMIT FEE SCfIFDULE 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,(X)1 to $25,0� $25,001 to $50,0� $50,�1 to $104,� $1�,001 to $500,�0 $500,�1 to $1,(�0,� $1,�0,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,0� plus $14.(� for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,� plus $10.10 for ea.ch additional$1,000 or fraction thereof, to and including $50,(�0 $643.75 for first $50,000 plus $7.OD for each additional $1,0� or fracrion thereof, to and including $100,Q00 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5(�U,00(1 $3,233.75 for the first $500,000 plus $4.75 for each addirional $1,000 or fraction thereof, to and including $1,000,� $5,608.75 for the first $1,0�,0� plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRES5ION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of S�uvey of the lot, showing the location of the existing foundation will be required before proceeding with the frami.ng. New Houses Only lEW ,DDN �LTER �od�- � 9� y � � CITY OF FRIDLEY (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLIXES R-1 AND R-2 (763) 571-1287 Fax BUILDIt�G PERMIT APPLICATION Construction Address: ��y Legal Description: Owner Name � Address: �� s�/3�. Tel. # 7G3—�7� -��8'7 Contractor. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applicaiion, a Certficate of Survey of the lot, with the proposed construction drawn on it to'scale. ��o � �� DESCRIPTION OF IMPROVEMENT �� Yd�� / D/ �- � Length Width Height Length � `� Width 3 � Height Sq. Ft Sq. Ft Length � �dth Hgt/Ground Sq. Ft l Q � Constn�ction Type: Estimated Cost: $ / D�U Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _� DATE: � �� APPLICAtJT: � `� � � Tel. # %6 3 � S %a -��i8' % Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ • c40 Fee Schedule on Reverse Side � 65% of Permit Fee � $ �� .001 of Permit Valuation (1/10th%) $ . �/ $.50/$1,000 Valuation $ $1450 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 [ ] $ ��.� _ STIPULATIONS: BUII�DING PERMTr FEE SCHEDULE The Chief Buildi.ng Official shall, before issuing permits for the erection of any building or structure, or for any add.ition to any existin.g buildi.ng 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 pemnit of fees to the amount herein below set forth and in the manner herein providal to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,�1 to $50,0� $SO,W1 to $100,� $1�,001 to $5�,000 $500,�1 to $1,0�,�0 $1,0�,�1 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereflf, to and includi.ng $2,000 $69 .25 for first $2, 000 plus $14. � for each additional $1, OQO 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 includ.i.ng $50,0� $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,� or fraction thereof, to and including $5�,� $3,233.75 for the first $500,000 plus $4.75 for ea.ch additional $1,(�0 or fraction thereof, to and including $1,0�,0� $5,608.75 for the first $1,�0,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundaxion will be required before proceeding with the framing. New Houses Only Building Inspections 763-572-3 04 DATE SITE ADDRESS � THIS APPLICANT IS: PROPERTY Np�; OWNER/ f,nD1� TENANT ______ CONTRACTOR SUBMIT A COPY OF YOUR. STATE LICENSE WI1�i APPLICATION PERMIT TYPE MECHANICAL RESIDENTIAL APPLICATION CIT�' OF FRID�EY ❑ OWNER CoA�IPANY NAN1E;_ CONTACf PF.RSC . STATE LICENSE �{_ ADDRESS: k�iQNE `�'SINGLE FAMII,Y E-MAIL � r�P �v� STAND�C �t ; a.� . .--� FAX ❑ TWO FAMILY C�1 MN 55408 ❑ TOWNHOUSE 1`YPE OF R'ORK: � �'' '�LACEMENT ❑ AL'[BRATION/REMODEL l �1 . DETAII.ED DESCRIPTION OF WORK Pernvt No.; Received By: D��' A ATE ZIP PER MS 16B.665 t�e permit fee is a miniimam of $15.00 or 5% of the total cost np to 5�00•OO,.whichever is greatei', fat the . , . improveanent, installation or replace�nent af a reside�tial fncture, exr1,��7T� �e.€�res•. (This should reflect only.the cost of labor ) Labor cost under $300 = $15.00. Lalior cost betw�n $300 to $300 = co� oflabor . � . . �t .OS =: . , - - . . FOR PROJECCS WHERE LABOR EXCEEDS 5500, FEES,41tE BASED ON �SI0.00 PER FI3C1'[1KE. EXCEP'f � NOTFA. �JR�: N"�ICATE TOTAL C P' . NUMBER OF EACH BF,LOWj • / �i� � SIZFJB.TU •I. �O BquipmentInstalled MFG: �_ �. MODBL:P' _ MEG: � � MODEI,: S� �y �p; MODEL: �,A/C $25.�1 F�PLACE (Gf4S) 515.� GA.S RANGE/OVEN S10.OQ AIIZ TO AIIt fiXCHANGEER $15 FIItEPi�ACB (WOOD) 535.� NEW QAS G}Rlid. S10.00 BOIT,EIt 535.00 FtlR1�lACE 535.00 OAS UHIT IiTR 510.00 Ci•IINII�EY LT1�ER $10.00 �QAS DRYER 510.� POOL HBATER 535.00 OUCT VfiORK S10.00 (iAS PII'INQ $10.� VEN1'II ATOR;IS.OQ _. Surcharge TOTAL DUE % �lU.1/U � $ � ,Sp Numbar of �es � $15.00 x $15.��- $ $ � Number of fnctures @ $25.00 �x �25.00 � $�,� � Numbar of fixt�ues @ �"35.00 ,� x �35.� _ $,�.� State Surcharga � $, .�a Total � $� TEIIS 1S AN APPLICATION FOR APPdt14IlT�lOT VALID UNTIL PR�SSED I hereby apply for a bm'lding p�it and I acl�awledge t�at �e inf°rmat�°n ab°ve is completie and acxurate; �►at �a work w71 be u conformance with ii�e ces aad City of Frldloy aad with the NI'nme.aota �onsttud3on CQdes; that 3 unders�nd this i not a peimit but o an a �' for work is nat to start wi�out a peami� t�at �e work will be in accord ce ' th� approvad plan ' the case w h_ rw►iew aad approval of SIQNATURS OF �1Y1 ATS � City Of Friclle� Bailding Inspections Dep�rtment � 6431 iJniversity Av�nue NE, Fridl�y, MN 55432 � . 763-572 3604 � F.AX: 763-502-4977 REQUIRED tNFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTtMG HOME ❑ MAKE-UP AIR REQUIRED �OR NEW/EXIS.TIN��MQM��:� ::j::.:.... � ..�.. .. .�• . :�.✓^ii_ =.1-�`- �:'��'t . . . _ .. 1. Combustion Air (See note belo`�cr)? � ` . � � . �'' -�: ?f �';; �. °� ;:9 .- r:.. .. a. Oil or solid fuel JMC Chapter 7 with MN Amendments b. NatUral Gas or Propane/IFGC Chapter 3 with h�T.Amendments 2. Make-up Air (See note below) a. IMC Ch�pter 5 with MN Amendments 3. Ventin.g a. Gas applianc,es IFGC Chapter 5 with MN Amendments b. Fuel otb�er tlian gas IMC Chapter 8 wit3� MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss 8i c�oling load per room � a. Required on new consiruction IMC 1346.0312 5. Ventila�ion . a. Pcr MN F�ergy Cod.e 7670 or 7672 � ... . — . - - -- -- --- - - - - -- -- 6. Du�t Desiga Pe��IlVIC 134b.060�:2 . . . - _ �: � --� a. ACCA Manual D NOTE: Centerpoivat Energy Mechanical Code Gnidelines software may be nsed for colmbustion and make np air calcnlations .