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AF - 43438.w►��, 1 INCNs so �:�r LE ROY H. WINNER � ASSOCIATES, INC. o Da�obs Iron piO� SURVEY POR: 1��r,� �'�hu�ery�r.l RegLterod Under Law� of Sfate ot M(nnesoto ' 8398 Center Drive • Minneapoli:, Minn. 55432 Phone 784-0210 CERTIFICATE OF SURVEY ailb�rt.A, Menkveld JOB NO. ... 73„67 _..,,... BK. ...R�!._ PG. .�� ...... DESCRIBED AS: Lot 1� Block 2� Oak Grove Addition, Anoka County � Minnesota, to�ether with the �asterly one=half of the v�.cated alley ad,; acen� thereto �� also . together with that part of 67-Gh Avenue NE.� (proposed to be vacated�) lying within the plat of Oak Grove Addition between the Northerly prolon- gat3on; of the East 13.ne of said Lot 1, and the�- c�e�t�erl�.ne of said va.ceted alley egtended Northerly. 894.0 89G.0 89aA 80p.0 . 90�.0 134.00 M _ � r � 135.00 PL. ,°., 6� i'H. i I I� ol � �� I �� I � 9.40 ��� W � �`� J � � � iQ`'.� �'`" I � W L �- � � J � I a ( I �,,.i � .I I � I � � I AVE� �2 112.28 129.00 Pl.. 128.60 M. 2� . 3 � �: . _'_— .� .� � - eo � �, Z —�''` �•` � �\ � �� \ _��\V�'•. 0 NE. ° �\ �.� � � w J 0 � so � I hereby certify fhot on �a'� a 19 ~� I surv�yed ths popsrty dsscribed above and that the , above plot is a eorr�cf r�pns�ntotion of safd surv�y. � , L'AND SUR EY�t REG. No. 44'�7 ��, �� �� , . _�.� . . ; . ,, ,, �E� � s-r. � N� . . ; . � . .�- .A c,� , C� ,� �. � S � � � �� . � . m _. - - ! HO ! rd ; IJ O�/� i Y y�J{ L-� � d /ti '^ � NH • � � �H H c� z �� �a d� d� H � z � H� O H 7d '.� . - C�] � rC N yz �� � � �c �� o• �� o� �� � �-C H � r � z� z o � � E � � o x � � ; � qo LOT SURVEYS COMPANY, INC. Lnivn strnvEYORs AEGISTERED ZJNDEA LAW3 OF STATE OF MINNE30TA 7601- 73rd Avenue North 660-3093 Minneapolis, Minnesota 66428 �1t�UPJDiB �pit�ft�Z! NEDEGAARD CONS1TtUGTION ❑ Denotes Wood Hub Set For E�ccavation Only ""�— Denotes Surface Drainage � Denotes Proposed Elevation x 9a�. z xoob,oDenotes Existing Elevation (34.0� nE��%�c — . — —�.I��J.ODPL9ll � � 9�I.z %O'�.� I I 9o�.b "� ,'o -9c.�3- yoo.S 4� �.i �� t_ Fi��- �V� NI � 9ez.4� 9oz.6---�'--�� . .-.I i�=U' '.;� %oz�5 I /� `a k=z � �� r-i �„' E: �' ' 4�' 4oZ.7 yK.S � � ¢}. L/. ��., �Q � �} 'Q � — . :—� � p " •O �,°"" I � O J� � � ��og. z I qai 5 �I .y �o, ow � �-?� . U��t��y E P�a.�o�EO =�. I � if t3i�J�NL'� �` I Uru�,�a9e � I�,-�� Ec.semen-�'� �+.{ ' 9o3.z qG=9" �/— C.�I �E6 — � y,/ ' � O �i � t � �� . � 903.4 I� - 96.33- � 1��9�� _ __���.L�-- � I . � � 7�'r+ BCaeK �04,� �'.°e. I �°• � INVOICE NO. 13616 F. 9. N0. 239-69 SCALEI" Z�' 0— DENOTES IRON '� .�� , �� � i�� �,,�r _ J � ,; !, ✓ i. " �� ', ,.t + 4.. � 883.7 -44.�0- �� i �"�� � I Top of Block �JO4�� Garage Floor Elevation � 0 4,1- Lowest Most Floor Elevation � � 7.4- �s �A� NP6�d4 I n� (�° o � � Vo L� � �t � �S' - �— I %0�.8 k I I 5 � I 7�. �9a�.slrJ 4� o :� � �g�;z v O TC. — . ,� 9az.9j � �s � � � 4 � Q � e� pvE�C.yEriG _ WiRES Subject to an ea5ement fo* the purpose of maintenance of streets and utilities for thrst nart that lies inside a circle with a radiias of 50 feet whose center is located on the center line of Fridley Street and is 69.8 feet Northwest �of the Southwest corner of Lot 3, Block 1, OAK GROVE ADDITI�11 TO FRIDLEY PARK Lot 1, Block 2, OAK GROVE ADDITION TO FRIDLEY PARK The East 1/2 of Vacated alley lying adjacent to said Lot 1 lying between the Wlesterly extensions of the North and South lines of said Lot 1. Also that part of 67th Avenue Northeast lyi.ng adjacent to said Lot 1 lying between the Northerly extensions of the East line of said lot 1 and the center line oi` vacated alley. The only easementa shown are from plata of record or infortnation provided by client We hereby certity that this ia a true and correct representatlon of a survey of the bounderlea of the above descrlbed land and the location of all buildings and vls- ible encroachmenta, if any, fram or on sald land. Surveyed by ua thts 28� day oi June is 84 , Signed � � �� R ymond A: Prasch, Minn. Reg. No. 8743 y{��i� ! -/ t.= �% �I 7 �� -"�CL� �.�C � LOT SURVEYS COMPAN1f, INC� F g�Np N�'2391 0 LAND SLTRVEYORS SCALE I" Zo' 0 — DENOTES I RON REGISTEBED UNDER LAW3 OF STATE OF MINNF40TA 7601- 73rd Avenue North 660-8083 Minneapolis, Minnesota 66428 �pFJOrS �Fr#�t�t NEDF.GAARD CONSTRUCfION -- - I 3 S_ OC7 --- / T H I��. .- � . - . �-. �-'� / I� 17.o p '- � v' 9.6 i�n . 1� 1 0 /� i �_ - �.c.7 C �.., \ � . � __ . .J/- �\ 1" � O� O Q � Zl. o O � I¢ I �. � z.o _ .._ � -� � � � I �'r I Li�r:<_i%-Y'_ � � r 1 N io.o l�ii-li: ��i`><� C rOUhU0.-I 1�%1l (1 I Fri�<n .=�_ . /^` ' P�ITIJM�NOlJ.S I v , —'..�_ � I �� N �FZI�/EW/�Y � �.¢ I _ — � 4:o.icj _ �`' S 3 n -���ti � M I �/ � V — � s I � . I ! Cress �� �r p � C . s,�s o , vr ,> ;�-w - _ w " '� v . - -- �Y _ � � �'�!C° `�� Power -- I l Z. Z F�--- -�`�` w p.�p, � P��e c,.; F�� i�._f .� - J v \�.•' I FZ E ` . I_ % WW J(W� Subect to an Pasement for the purpose of maintenance o£ streets and � LL, utilities for that part that lies inside a circle with a radius of � I 50 feet whose center is located on the center line of Fridley Street � j° and is 69.8 feet Northwest of the Southwest corner of Lot 3, Block �r, 1, OAK QtOVE ADDITION TO F1tIDLEY PARK � � r Lot 1, Block 2, OAK GROVE ADDITION TO FRIDI.L'lf PARK The East 1/2 of Vacated alley lying adjacen2 to said Lot 1 lying between the Westerly extensions of the North and South lines of said Lot 1. Also that part of 67th Avenue Northeast lying adjacent to said Lot 1 lying between the Northerly extensions of the East line of said Lot 1 and the center line of vacated alley. Tfre only easements ahown are hom plata of record or Informatlon provided by cllent 1Ne hereby certify that thia is a true and cortect representation of a survey of the boundarles of the above descrlbed lartd artd the Iocatlon of eil buildinga ertd vls- ible encroechrrrents, if any, from or on seid lend Surveyed by us thia 18� day of �tober �g 84 � � �i � Signed Reymoml A. Praieh, Minn. Reg. No. H743 M� �, , SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � �y __��__ COMMUtJITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. l1 i i ---• A ����',,� CITY HALL FRIDLE� $5432 NUMBER REV. DATE PAGE OF i• J� 612-571-3450 9�0-F15 7/9/84 / / JOB ADDRESS 6694 Ft^idley St1^eet N.E. _17600 REC� /� � �� �� ��� APPROVED BV 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 2 Oak Grove Addi ti on `to Fri dl ey Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curtis Larson 3 CONTRACTOR MAILADDRESS ZIP PHONE LIC N E O Nedegaard Construction Co., Inc. 1814 Northdale Blud. Coon Rapids 757-�L9�L� 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE IICENSENO. same 5 ENGINEER MAILADORESS ZIP PHONE LICENSENO. 8 USE OF BUILDING residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WOFK 36' x 26' house + 12 x 18 house and 20' x 20' garage 9 CHANGE OF USE PROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey perfore capping. SEWER LOCAImO(d : Sarr� trench and N. E. of Water SERUICE - Approx. 7.-5 deep at lot line WATER: 56.5' from SAnitary manho]�EPERATE PERMIi'S �E�UI�iEO FOR �I1R�i 21/6' from hydrant `N , Pl U qt{` AN�► SIGNS. DRI VEWNY DEPRESSION ESCROW: $324. ��� � 6 3c � 3. �� '�:� G :¢:� �� � 1N�►��IN �� d�!s N�T t�IlARANT�' � �ng call local ut�lities °r����P�C� �F �T�un �O�T�ONS AND �l�vant. gefote o�� - EIECZRIC - GAS Etc. '� � �aiH• I� FpP. INFORMATION PUPPOSES ONLY ;.�,. � jELEPH D g� �A� �:�t:.,vw: USNdG R S�IOUID VERIF7 THE lNfORMA,TlO�+ ��N �F �� �QVIRE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOO �F 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. NO. DWLG. UNITS I HEREBY• �:ERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9O, 350 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G1VE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PRO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- L�.OG.00 STR CTIO OR THE PERFORMANC OF CONSTRU TION. PLAN CHECK FEE �_�� io�.5o SIGNATUHE OF CONTRACTOR OR AUTHO D AGENT IDATEI WHEN PR( A _ . � Pi p I t+� 1!'M1.. ER BUiLDERi IDATEi BLDG i SO. FT. I CU. FT. OFFSTREET PARKING STALLS GARAGES SU RTAX 45.18 SAC CHARGE 425.00 TOTALFEE 977.68 R ALIDATED THIS IS YOUR PERMIT � � �� �' DA E . b" ' � � ,.,� � , s R NEW [ ] ADDN. [ ] pLTER. [ � Construction Address: Legal Desaription: � Owner Na�e & Address: Contractor :��� Address: /��� / y� . LIV7AG AREA: GAR GEA AHEA: DECH AREA: OTHER: City of Fridley �R-1 AI�D R-2 Building Permit Application Effeetive �/1/8�4 Tel. # Tel. # ������ Attach to this application, a Certificate Qf Survey of the lot, With the proposed constructioa draWn`on it to scale. DESCRIPTIOH OF IMPFOYEMENT c�s lai'�l6 Length � Width � Height C� Length ; Width _ Height 9 Length �0�= width6_--- Hgt/Ground SQ. Ft. r�U a Sq. Ft. 6a Sq. Ft. _ r �- Corner Lot [] Inside Lot [�] Ft. Yd. Setback J Side Yard Setback �a o-o �� Estimated Cost: $ "�' � Type of Construetion: . N�u� f��� � 9�� %� 90 �� �.lJ� Approx. Completion Date: � ��� � �� Alt. A Alt B Proposed Driveway Width If I�ew Openin� Is Desired: �/ $ •�u � - S �ck Page For Explanation DATE: �P � -�'� APPLICANT : Tel . � � ��'� �� � CITY QSE ONLY Permit Fee $ V�.W Fee Schedule on Reverse Side Plan Check $ �i� .��-- 25� of Building Permit Fee State Surcharge $ yS•�� �•50/$1,000 Valuation SAC Charge $ �: 2.�Y $425 per SAC Unit Park Fee $ ' Fee Determined by Engineeriag SeWer Main Charge $ Agreement Neeessary Not Necessary [ ] TOTAL $ STIPULATIONS• • O��U� � � o�`'I.� 3b1, I�� � ) � e. BUII.DIN6 PTRMIT FISE SCHI3DIILE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or Por any addition to any existing building or structure, or for any alteration or repair to any existiag building or atructure, upon applicatio n therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth and.in the manner herein provided to-Wit: Total Yaluation �1.00 to �500.00 F@@S ' r $10.00 (Minimum Fee is �15.00) � � �501.00 to $2�000.00 $10.00 for the first $500 plus $1.50 for each additional ��00 or fraction thereof, to and ineluding �2,000. $2,001.00 to $25�000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and including $100,000. $�33.00 for the first $100,000 plus $2.50 for each additional $9,000 or Praetion thereof. DRI9EiiAY DEPRSSSION ESCROiI (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - DriveWay width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh �ith 6 inch depth - Drive�ay Width plus 6 feet times $15.75 YERIFICATIOH OF FOQNDATION Permits for construetion Will be issued a m�nimum of 24 hours from the time of applieation to allow for proper review of the proposed structure and of the construction s3te. A Certifieate of Survey of the lot, shoWing the location of the foundation onee it has been aonstructed will be required before proceeding With the framing. '�� ���� � ' � � � �� ����� �P 1 � � l 2'� _ �� �o� � � � A /' t �� � �av� ��� �r�� �. �� � 1 s ��'% Iv � �i.b �c. .. �'� n �+� � u�� � i �,c � x r� ?a ��? s%� 9� �� a �, 3 c• i.�iZ. 2�D �.�+u.. c. �, s�QY . a�-�- ��u �c � 5�� � t� �1�,3 = 18' � �- � � s� � ����� = 3�, ���. ty � � . �a � �. k��. .- a U�,�� ZZst 13 - Z � �' S '� Id = �4 a- 7 � )o _ �u � y � ` � ��1 . � �..RW�, C3�COhM �Lt�► rut 7s� x �a �C � �� �AtL�A?,� 2 Z� � �. � �v� kri��,� Se� � s �t't� �� z 1�'� 22y Id � .�s+-- : �,t�, ���� ..�...�. `�, �il�l � �� � �'�•4 � � �liti�o 11,�� � 4 � ��`�� � _____ A ��,3� r•�� �� �, � � LOT SURVEYS COMPANY, INC� �NVOICE NO. 13616 F. B. NO. 239-69 LA11jp $(JJZ{I�YO� SCALE I" 20' 0- DENOTES IRON RE(iI81'ERED UNDEH LAW9 OF BTATE OF MINNF�OTA 78G1 • 78rd Avenue Nost6 880�8093 Minnrapolls. �linneeots 68428 $t�rnrgors �Lirtif�bt r�c�aRn o�vsr�ucriav • . : CIiY �F FRfDI�( D�5 NOi C.�Jl1RAN'f�L � � - P���;.�«,.e� � o� unlm► �oc�T�oNS .a►rao ���r�►r�r � o�otes w�a � s�t �,��. �,, t� �s Fo� �oru�►,►noN PuRPOSes ca��x A►�; For sacavation �,ly FC-R��+: USM�K�i i' S�IOULD VERIFY THE IN�ORMATFO�+ •�y TNe ctT� ' "'�— Denotes Surface Draiaage � D2IIOtC5 PIOpOSE'fl �BF81.'1G�! x000,oDenotes E�dsting 81ei•ation t. . f �.�� �.s+o4c — — —� 13��P�.,� � �s.es . 9ei.z 90i.1 � Q ge�.6 - 9G• 73 -?oo•S 4 �'Fa �_ F�TE C�� tii � 9oc.4� 9ec.� _ — . o�G=F . ,1��,5 '"'� " `�''� ir� � � � i z � . I � F ace.v 9ez.5 � I � `�' zi=io° % I � r � —� $ — O I :� �=a' I • � l� '+ ^� 90} z I 4 i�-o� ?�f•5 j, . ��;I;�y � t�,�sE� a �v+a� e ,PES.oE.�E o � � Eewe�n�'� N � '� � �'Z �G- � .r.I 9ed �� �B — -� �, o — �'� ,> o � 4 ,. a .e�. �a,,, . 9o'J.4 � - 96.3 1- � 90{,46 -'33• �' �i'9C T/ . s'�: �., ;. � ' ' -4.�.co- ' \ � 7 �`�' � I ' ^� r O � /V.L� v d- _ _� m 'h[g 'a S I T.G• 9a'-.B . 4oz.s9 pveaN _--v✓ — u/ WiR _ o ' ,ry�� � V ' _ — —I12.28 — = � — -! �,y �z.93 � . �3a�� ��'i10E �� �'��`�'�,���y��,',� � �,. e�K �r � � p �J�"X^"'E y JO.2 � � _ _ �_... � REQUO�E� ��,�a� �`�. � ,.,� . � $ 4i ,�� ;m,�� �E�A4VAL Ati1D REt� �; z.�..,.. a v pP�[�i'��'�. Q �.T DRidEW�A� , p, Top af Block '-� • �\ , � . ; �r. - � � • �I04�i �' , Subject to an ea4ement fos [he purpose of ineintenance of Garage Floor ffievatian+` streets and utilities for that part that lies inside a circle with a radius of 50 feet �ose centet is located on p�� 4 t the center line of Fridley Street m�d is 69.8 feet Northwest . rof the Southwest coraer of Lot 3. Block 1. OAR GROVE i.owest l�ost Floor B].evation ADDITIfHV 7'0 FRID1 EY PARR . . g ��.¢ � 1N�RHIH�G �t �, a��. a, oax c�are 8efoce digging c�ll locaf utiiiti�s ADDITI�J 10 FRIDLEY PARK TELEPHONE - ELECTRIC - G�S Etc. �e �t ��Z of Vacated alley lying adjacent to said Lot 1 E D BY LAW the Westerly extensions of the North and South liaes of s� Also that part of 67th Avenue Northeast lying edjaceM to �Lot 1 ' lyinE between the Northerly extensions of the Best lYne of said lot 1 m�d the center line of vacated alley. •. The a��ly eavenrenta shown ere frarn plata of reca�d w Info�it� prov�9d by CUenL w��re;�urrum�u,�rea+�,ea�,a��a�„�no�aa�eyama � ` ea,�� or n� a�e d�nea �w m�a u�e io�mion m�� euum,�a mw v�- Ibte �ehmeMe. H anY, fran or ai eald land. 8� G� � 8�me�redbYuethb Z8� myot June � 84 � - y R A. Prae¢h, Mtnn. Reg. No. 8743m151� , w _ _ . � c� ���� �� � /�C � �tis�lv�� a� 4�/i"�l`T�'� ��v �`!%/G`� - ,�D ,2o�Cs �� .S � �.r�'�� � � L/���' z � �, � , ��rn � � � �lr � t��� ���. �� �� �{��2�� � � �- 5���,J �� C� � �f� �� ,ec � . ��� ����� ��.. �o�- Lf,v c � (,� l.�.pT,� �- � s�' �-� � i �-� � � _ � .:��. t;;;� <''�,;`� :. �_. � �� � . � CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (812) 571-3450 October 15, 1984 Nedegaard Construction Co., Inc. 1814 Northdale Blvd. Coon Rapids, NAi 55433 Re: Final Inspection at 6694 Fridley Street N.E., Fridley, MN Dear Sirs: The final inspection was conducted on October 12, 1984 of the abov e address and the following it �ns were noted which must be completed before the structure can be finaled out; 1. Install joist hangers on deck joist by November 1, 1984. 2. Provide a handrail on the stair between the lower porch and the middle porch by Novesaber 1, 1984. 3. Provide proper clearances for the Class B furnace vent by November 1, 1984. 4. Nail joist bridging by November 1, 1984. 5. Provide the City with a copy of the verifying survey by November 1, 1984. 6. Provide sod in the front and side yards by June l, 1985. We will expect the above itaus to be completed by the scheduled dates when reinspections will be co�xlucted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, D . CLARK Chief Building Official DGC/mh CC: Mr. Curtis Iarson 6694 Fridley Street N.E. � sue�ecr PERMI . City of Fridley 202�2 ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � �� REC O. � `L ___�_ COMMUNITY DEVELOPMENT DIV. � 5 j�� r � � PROTECTIVE INSPECTION SEC. �p � i � , �°�� � CITY HALL FRIDLEY 55432 NUMBER REV. OATE � � PAGE Of APPROVED BV �.---� • •�� 612-571-3450 910-F15 3/30/ � / / � JOB ADDRESS 66�4 Fridley Street N,E. 1 LEGAL �OT NO. BLOCK THACT OR ADDITION SEE ATTACHED DESCR. ], 2 Oak Grove Addition to Fxidley Park SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Curtis Larson 6694 Fridley Stree.t N,E. 571�-8253 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R. C. Burns Co., Inc. 2425 Ti�st County Road e2, Rosev%lle, MN 55113 636�2158 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Foundata.on Repair on De�k. 9 CHANOE OF USE FROM TO � STIPULATIONS See nota,tion� on plan, SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES CiOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8 r gQO $4 s 45 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 AL LAW REGULATING CON- STRUCTION OR THE PER OR NC O ONSTRUCTION. S�.OSeOO PLAN CHECK FEE TOTAL FEE _ � $112�45 SIGN U EOFCONiRACTORORA HO IZEDAGENT I�ATEI WHEN OPERLY VA A D IS IS YOUR PERMIT � � ��J���� SiGNATUREOFOWNEAUFOWNERBUILDERI IDATEI ���`'� SP DATE NFw [ ] Effective 1J1/90 AD�T [ ] R-1 AND R-2 AL�R [ ] Building Piermit Application Co�nstruction Addr+ess: Iegal De�'iP�tion- — . � owner rra�ne & 1�dress: %� s L � �a-N �el . #S�/ - �� 53 aor,tractor• , � ��J/2�/s �' � Te1. #��j/ -GI �� . Acldress: E_�� �`�� C�►RAGE ARE�i: DECK AREA: 0�: - . - . Attach to this application, a Certificate of Suzvey of the lot, with the praposed oonstruction drawn on it to scale. • � �„��;.����:�,,i�+�� Widt'h Helgilt SQ. F't. Width Height Sq. Ft. Width Hgt/Grwnd Sq. Ft. Corner L�t ] Inside Ir�t [] Yd Setback Side YardASetbacJcs Zj�pe of ction: �(,� �. l,� � Estimated Cost: $ � (� � _ rox. letion Date: - S - � � . APP �P �bU�-+i0 el1�i t� Q��,�R��,, Proposed Driveway Width If New OpeniTig Is Desired: F`t.. $ idth + 6' L1ATE• - APPLICANT: CITY OSE �II,Y Permit Fee $ � �� ,�j State Surciiarge $ l.j.c�� SAC Chazge $ Driveway Escraw $ Park Fee $ Sewex Main QzaYge $ . �. sizx.rr.ATTOxs : $ I I Z , �I�° �.I � � 1y7�� $ See Back Page �7� Te1. #„� � � Z% �O Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abave Fee Determined by Eng�r�eexin9 Agreement Nec�s.saYy [ ] Not Nec�ssary [ ] g,qoou a oov- �Qae� 7 �9 � � � �o� :�� r. � c •�+•: � °:�- c��:i:�.•� The Chief Building Official shall, before issuisig permits for the erection of ariy �; � ding or �, or for any acklition to ar�y existing building or �, or for any altexation or repair to aziy PYl�tlr� building or structure, upon application therefor+e, require the payment by the applicant for such rn�++�i t of fees to the amo�nt herein belc�w set forth and in the manner herein pravided to-wit: ZC7!'AL VAIIJE $1 to $500 $501 tA $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 ��� $15 (Mininnan Fee is $15 plus suz�charge) $15 for fiYSt $500 plus $2 for each additional $100 or fraction thereof, to arid incl� $2,000 $45 for fiYSt $2,000 plus $9 for each additional $1,000 or fraction thereof, to and iricluding $25,000 $252 for fiYSt $25,000 plus $6.50 for each ac'�ditional $1,000 or fraction thereof, to ar�d including $50,000 $414.50 for first $50,000 plus $4.50 for each acklitional $1,000 or fraction thereof, to and includirig $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and includirig $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each a�ditional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each aclditional $1,000 or fraction thereof DRIVEWAY DEPRESSI�T ES�OW (Concrete Curb Streets On1Y) A1t�xnate "A"; Removal arid replacement of curb arid gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": R�moval arid replacement of curb arid gutter and install a 3 foot wide approach with 6 inGh depth - Driveway width plus 6 feet times $15.75. VERRg"IQsiTI�T OF FOIIrIDATI�1 P�ermits for von.struction will be issued a miniimua of 24 hours fr�n the time of application to allow for proper review of the praposed stnxcture and of the �ction site. A Certificate of Sutvey of the lot, shawing the location of the fo�uxlation once it has it has been constructed will be required before pra�edirig with the fiaming. �. ' MEYER , BORGMAN AND JOHNSON , INC. � CONSULTING STRUCTURAL ENGINEERS f � � DATE� � 1—� PROJECT� �—� 2'S �� � � � � �N C' � BY� SHEET N0. � -? 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