AF - 43589sueaecr PERMIT
c�ty of Fr�aiey �i3364
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T '
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� ' COMMUNITY DEVELOPMENT DIV. RECEIPT NO. �`
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r � � PROTECTIVE INSPECTION SEC. p
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l--_.� �'���1.� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
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812-560-3450 910-F15 1/29/76 � �
JOB ADDRESS 1250 Gardena L�3IlE N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 1 2 Grace High School Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Gorham Construction 9050 Collins Drive, Anoka 421-0998
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 64' x 24' Dwelling and a 20' x 24' Garaqe �� :� ����„'��;�;�'�
6efar� c1i��en� ca69 loc�l ufiBiiiPs
8 CHANGE OF USE FROM TO �' V ' GAS E[�.
STIPULATIONS
Provide a hard surface driveway. Provide a verifying survey before
capping. Provide sod in the front and side yards.
SEWER LOCATION: (Approx. 11' Deep� 76' South of Manhole (S. INV. 923.47)
WYE ELEVATION: 924.22
TOP OF FOOTING: 928.22 Mi.nimum �'f��a'P�Q�'''��7-�
NOTIFy T�.lE FRI�L�Y
WA`I`ER LOCATION: 10' South of sewer service D�V►SJpN !?�Gp�Rpp �����
5' 10" from curb line REMUV�� qND REP N� CUR�
NOTE: The Cit does not Ar DRfVEW,qy ppEN,NGS NT
Y guarantee accur of utility locations
SEPERATE PERMITS RE(�UIRED FOR VVIR��(�,
�iEAT1NG, PLUh�B9NG AND .SiGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOCZ FiaIllC'
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT CpMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-�. 1056 i'�BO 21.� �.ZO 'I' 4SOO
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 THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VA�UATION SURTAx
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT $32 r 17O S�-6.O9
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- $350.00
STRUCT�ON OR THE PERFORMANCE OF CONSTRUCTION. � S�%.SO
PLAN CHECKFEE TOTALFEE
7�v /-�'0-76 � �yi�.s� �
SIGNn7UREOFCONT CTOHORAUTHORIZEDAGENT �DA7Ei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
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- �SIGNATUREOFOWNERIIFOWNEFBUILDERI IDATEI BLDG WSP pATE
� APPLICATION FOR RL'SIllEN'TI1�L, ALTLRATION,
OF. AllllITION BUILDING PEItA7IT
CITY OF FRIDLEY, MINi�iF,SOTA
OWPI�R' S NAME : � e�, ry' � �,� ��� ,,�BUILDER s �/.� / ��, r-o. � dPAa� � .
ADDRESS:_ ��,�� I���'lr,rs ��. �n,p��c. ADDRESS: ��.a'C� �nl�iti.� j'%a'-, .Qt�p��t�.. �.�,j�S'�
NO :. f�.�"� S TREET : .-�� a�. , d c.va" tD �
LOT: � BLOCK: o� ADDTTION: Gr�+�,� �f ,�� ��,k�� g� ��� �
CORNER LOT e � INS1_'DE LOT s SETBACK:_ ,y �� SIDE'YARD:_ y0
Applicant attach to this fozm �fiao Certificates �f Sv.xvey of Lot and proposed
building location drawr_ on these Certizicates.
DESCRIPTION OF BUILDING
To Be Used As:
ao
_ Fcci4or�e� ,Front: �`� Depth: a�/ Height: �
Square Feec:_ l�� • �ubic Feet: �?/1 /��
� De th•
�� �'� Front: � � p "'� �` Height• / d
Square Fee'�; �� Cubic Feet: �$� O
Type of Const�uction: ��� � Estimated Cost: �' ���%Q ; Od
To Be Corngleted:
The undexsigned hereby makes apg3.icati�cn fox a peYmit for the �,iork herein
specified, agreeing to do all work in stfict accordance witii i.he City of
Fridley Ordinances and rulings of the Department of Buildings, anc�l?er�by
deciaxi:s that all the facts and representations stated in Chis application
are i:rue and correc�.
DATE : _ ! - a (, � ?�6 S IGNATUP.E � � �,�y��`�'
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(See Reverse Side For Additional Tnformation.)
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BUILDING PERMIT F�E SCH�llULE
SECTION 2. The Inspector ot Buildings shall, before issuing pexmits for the
erection of any building or structure, or for any addition to any existing
building ox structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant fox such permit of fees to the amount herein below set forth and in
the ma.nner herein provided to-�ait:
UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic
feet, ox 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
ox the cellar to the average heights of the upper surface or �o the average�-
•height of the roof surface of the ma.in gable of a pitched roof.
For repairs or alterations to an existing stxucture, the fee shall be at the
ra��e of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of a11 pxoposed work.
In no case sha11 the fee charged for �.ny 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 pxoper review of the pxoposed structure and
of the construction site.
A Certified Suxvey of the lot, showing the location of the foundatiun, oiice it
has been co�.structed, wi11 be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be ma.de ten (10) days priox
to the use or occupancy of any structure for which a Uuilding permit has been
issued; and said structure shall not be used or occup�.ed until a Certificate
of Occupancy has been �ssued.
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GERALD T. COYNE
300 BRUNSWICK AVE 5.
GOLDEN VALLEY, MINN.
MINN. REG. NO. 4741
INDUSTRI1IL — JUDICIAL
COMMERCIAL — TOPOGRAPHICAL
CITY LOTS — PLATTING
�.;vI�.HAM CONSTHUCTION
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LOT SURVEYS COMPANY
LAND SURVEYORS
8E(7ISTESED UNDER LAWB OF BTATE OF MINNE90TA
LICENBED BY ORDINANCE OF CITY OF MiNNEAFOldB
5747 W. Baoadway 533-9922
Minneopolis, Minnesote 55428
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Lot 1� �lc��k �:�, GHACE IiT�:,H SCHUJL ADDITION
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RAYMOND /�. PRASCH
6917 IDAHQ AVE. IV.
BROOKLYN PARK, M�NN.
MINN. R�G. NO. 67a3
INVOICE NO. 1�
F. e. No. 1 4-1 a
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We hereby certify 4hat this is e true aod corr�rf represontation ' �"�' f
of o suroey of the boundories of the ebove des_ribed land and y
the Ixetion of ell buildin s end vis�ble eneroathments, if en , � '.
from o� on aaid lend. 9 Y � �y. i! -�- �f-�: , � � ' -_t� ►� r .
Signed '
S�Nayed� by �5 this 24 dey oi aPT,-1 �v 7f' LO P SURVEYS COMPAI�Y
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DESCRIPTION: Lot la Block 2, GRACE HIGH. ,� ONo � �F�� �`�"
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� NOT9�l TI-fE FR9DLEY EiVGR,
Qs`JC�CON �CGAf�DING CUR�; SCALE: 1" a 30'
. Ft�(l�fu'VAL l�fVD REPL�ICEMEfV j
We hereby certlfy thel this is e t��iF��i°��'�'�o�r����epresentation of e survey of
the bounderles of the land above desc�ibed end of the location of ell buildingg
if any, thereon, end all visiDle encroechments, if any, from or on said lend.
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�eted this 18_ t__dey of July � 1975 � EGAN, LO NOWAK� INC ,-
� ��I e No 5299
8o k No. bY ��rveyo (�( ,(�� �-C.A-�e��J
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HEA'f LOSS CALCULATIONS DEPARTMENT OF INSPECTION
Weatherac�ips ��� Constructioa No.
Windows Doora Reference Out. Waq InG Wall Ce�iag Roof Floor Kind
Yea— o Yes—No 19
Fl.� C>�'�'`� ," Room L.sngth �,,`�`'� ""� Widch �' °' Heig6t `�'` �' F1. �s �toom I
—�_ � i�� �P G', �
w�ao,�,� a� Doora—Crackage and Area Wmdowa and Doora—Crs
�Vldth Helght No. ot Llneal f Ara� -- Wldtp Holgh! No.
Na ot pane ot pa�e Ilght� ol cnek p1. tL Na ot paoe ot pane llgl
j B aoa ,+ :,��ar c� ��,
� �*f'. ;� � �� �� ��+
`._ `- '� `` �
, -p, n 0 a � n �9 .r, . ..�, �
I Iafiltratioa ,� ,�,� �
� WaS3 � ��"' r��� � �p ��i�° R---�� � .
Eip. WPu �9 �
NE� lEE1. WAU � �' �'� � �° �
j IaG waU
Ceiling �, � � O ;/•*+ ,� �
� F1oor C� e� l „��, �
� Total Btn. � °' C�, � ,r
Required aq. k. ED.R. or aq. ina. WA. Leader ana
� Fl.� �e���� R�m �� �� � w;a�, �����` H�,t �°�
w��ao„� eQa n��--c���� �a ,�,►
WldtL Selaht No. ot Llnpal (t, Aeaa
Na ot pane of psne llsst� ot cncY p: it
� � �7' ��' � sn�� � �l.n
�f Bi11
In6ltration � � � � � e�
Glass
.� � �`�� F �� � e�+
Fsp. wau !��' �
Net eYp. wall l? ;�a. 5''� s`? �' �b
Int wall
Ceiling � �a� ^� � �A%>��
Floor , �� °�'" � � nn
a=
Total &v. � � c�
Reqaired aq. k. E.D.R. or aq. ins. WA L.ea�r. ana
F7. o� F� � �Room ( Length /�` Widch.�'� � ` Hag6e � �
Windowa aad Doorr—Crackage and Area
Wldth He1gAt No. ot Llneal tt Aro�
, No. ot yane ot pane If pt� ot onck �p. tG
� �r;/' �� y' .��' ��" .
Coef. Btn
1n61tration ,� � .� � � �, � �
e � �
�815 �r ,'-J _-�?_) +�-' e-`'�' �-
�. W� ��C'� �
Net t2p. We11 > �
i�,;_� ^,� �a ,�,_�
lnt. wall
Ctljllig ''v �? � � � , �
n�
Nloor �� � �;� �� ;
�=
Total Btu. ` �,� �A �, ,
_ .,
Required w. k. E.D.R or x�. uu. W.�A. �,.eader uea
���°��, �,�, �70�>� �7i�? °��
Ia6ltration
�ea.•
E�. WB�I
Net e�p. wall
In� wall
Ceiling
I� F7oor
�� TOtal Bta
I
�
+
N�IVNEAPOLIS. A
Inaulation
How Applied
/B �� '0 Width °� °P Height " o
and Area
Qaal [L Aeaa
crask ea.ft
� � ��
i�'.
Coef. 8tn
� �-:�
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!' � `
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� �" ,�ca �' � �',��
� �;; ,�,: �� �a �
d' Ei F
� �� � s.
ired aq. k. E.D.R. or aq. ins. W.A. Leader area
Fl.� �� Q� �� � t��� �� w�a� �>
Windows aad Doora--Crackage and Area
Wldth Hel�Dt• No. ot Llneal tt. Area
Na ot paae of pane llghta o[ craek eQ. tt
� �� �� �� ��
�
Ia6taation � �, F
� Giau
Fap. waU
Net ezp. wall
In� �wall
Ceiling
Floor
Total Btn.
� ��� ���
�� �� ����d
�`' �"� �' �'�
� `� �
� f? �� ��
W. f� ED.R. or aq, ina. W.A. Leader area
Windowa and Door�--Crackage aad Ana
Wldth 8eltht Na of L1nea1 fL Ares
Na et pane ot psns tl�hb ot craelc p. tt
� � � � �S <� � � n`� a
In6ltration � ,� Coef. / Btn
� �_' � 5,> ,r:�
Ciiiib q , � �.
. __Y• � _!,' �,c� ,�j � =? -
��r>� c�
Net e�. wall ,_ � �, � � �„ �
Inw w+�U
CCl�lll$ n�;�ff� h' F;� � u� &�
Floor ,� �
Totd Btw � (� � ��
������
ReeNired W. h. E.D.R. or sq: ins.. WA. l.eader area
.�� �A�.�.�'�°�,��' ��'�
b�
HEAT LOSS CALCULA'tIONS DEPARTMENT
Wead►erat�ips �� Con�uetion 1
Windowa Doora Referenec Out. tVall IaG Q/all Ceiling
Yea— o Yes—No 19
�' •f �r' V C'^� [W011l 1.l� ,._ .a �I�l �rt (�,�.: v�t -
i7
Windowa and I9oors—Crackage aad Area
�Vldtb Halg�t Na ot Llneal t Aros
Na ot ptoe ot pane Ilghts ot erack �. tL
2B �� Y �'l� °�
tr�
Coef. BtU
Li6lUatioII �a `� � '� � ��
Class .,� � � ��
�. W�u . ��
' Net esp, wal) "" � .�� � � t�
iInw wal)
i Ceilia8 �� Fd 6� ae�
, Fl�r �, .� `� C� � �
- Total Btu. � � �� �
� Requued aq. k. E.D.R. or sq. ina. W.A. Lea�r area
�•� - �� �':'��;��c�. Room � l,i� � �'� Width i9.� � °�W�t ; �'
Windows and Doora—�rackage and Area
' Wldth SelaAt No. ot Ltn¢al f� Ae�
No. ot yane ot p�ae tl�ht� ot enek p. !t
� �^� � !Q� � f'� Frc�� . � c�-is f
� Coef. Btn
In5ltratioa R7 �� �� � � � �
- r' �
/►� �7 q �w�,
W 8E� �, �, � c� (� � d'�, C� (�
�. W8� �f f�
�� � �
. Net ezp: wall � � � . � � �
�M �
Ceiling
Floor � �� � �� �
Total Btu. a� ,,;� ��, �
Required sq. f� E.D.R. or aq. in�. W.A. Leader_ area
r�. r,� �° �� I�� �� ° w�a�► � �jP,>� �e
Windowa and Doors--Crackaga and Acea
Wldth Ha1gLt No. ot Llneal (G Are�
Na ot psns ot pane Ilseb ot anck �. tt
_ � �v� �^� �' /1G �r,
1n61tration �
Glaas
Fsp. wall
1Vst up. wall
IaG wall
Ceiliag
�l�r
7'otal Btu.
Required W. k. E.D.R. or �. io�.
���. �'� ��;� �
�
:, t,t�, , � ,� �
�� �
�� �� ���r�
�� � � ��
�
; _ �,� L�
'/.�1. Leader are� .
. �
OF INSPECTION �Eppp�� �,
Vo. Iasulation
Roof Fl�r Kiad How Applied
F7.1 j c ,�'',�FRoom Length �> �; Widtla �'�' ,� `�' Height � �'
Windowa and Doora--Crackage and Area
WIdt6 Helght Na ot Llueal tG Aret
Na ot pans ot yane !lghts oi crack ep. t4 .
�� � � � � � � N�
�
In5ltration � �
Glaa' / �
EEsp. wau -� o �
Net ezp. wall
In� wap
Ceiling
Floor B�
Total Btu.
Required aq. h E.D.R. or aq. ina W.A. Leader area
� F1.1 Q� � „ � Room ( LenBth � � � Width, �r
Windows an �Doora--Crackage and Area
Wldth Hal�ht� No. ot Llneel IL Are�
Na ot pa,ne of pane tlghts ot crack ap. tt
� , � �' � 4 d�`� � �
�, � , � �, �
�' �—�-�� "� re°� �
C
In6ltration s�'�'�
�8i5 °�' a
Fap. wall � `� ^��
Net esp. wall �,; �,n�
i4�. -wY�!
ui
Ceiling '
Floor F� c�
Total Btu.
Reqnirsd sq. ft. ED.R. or aq. ina. WA. L.eader area
�. tt�m t �� w�a�
Windorvs and Doon—Cracicage and Ana
Wtdt6 Haf�ht Na o1 Llpeal t!. Area
Na o! pana ot pane I!`ht� ot crack p. tt
�
Infiltration
Glase
�vsll
Net e:p. wa11
In� well
Ceiling
Floor
----.----- -.� ••• ••••••... �� .Y. ,ua.. ...n. a.eaaer area
�,�f.:���b'6��' �" /7'� �. 6'f �°'�� ��`��
�
�
�
Btu
�
,6►�C
�
'�� � .�r,�9
%� L � NJ ��.-
� �� �
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Btu
� �` �� �
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�� �� ��,���
_� �'�
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,� September 8, 1976
'�;.
... . _ _� _ .� _ :. .;
tr� , � �� � �•� � �.� �. �...
8431 UPIIV�FISIT`P A1i�(dUE PI.E., FC�IDLEY, RAIPdPJESOTA 55432
,Gary Gorham Construction
9050 Collins Drive N.W.
Anoka, Mn. 55303
Re: 1250 Gardena Avenue N.E.
Dear Mr. Gorham:
TELEPHONE ( 612)571-3450
An inspection on September 8, 1976 of the above address noted that the
sod has not been installed in the side yards. We wi11 expect this to
be completed by October 20, 1976. This item has to be completed before
the buildinq permit can be finaled out.
Please contact us if the work cannot be completed by October 20, 1976,
or if you have any questions concerning this matter.
Sincerely,
��� / .�-
RON HOLDEN
Building Inspection Officer
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sue�etr IT NO.
c;ty of Fr�a�ey 30485
�
AT THE TOP OF TNE TWINS � � �.L D I N G P E R M I T
S � RECEIPT NO.
� `v _����_� COMMUNITY OEVELOPMENT DIV. ����
r � � PROTECTIVE INSPECTION SEC.
1 = �
� /"'1 � CITY HALL f RIOLEV jS13i NUMBEN REV DATE PAGE Oi APPROVED B�
�"""'� � �'' 612-571-3450 s�aF�S il/5/99 / /
JOB ADDRESS 1250 Gardena Avenue NE
t LEGAL ��T NO. 9LOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 1 2 Grace Hi h School Addition SNEET
2 PROPERTY OWNER MAIL ADDF�S$ 21P PHONE
Todd Halverson 571-0907
3 CON7RACTOR MAIL ADDRESS 21P PHONE LICENSE NO
Midwest Cedar Timberoof 1001 E Cliff Rd. Burnsville 55337 808-1149 20147336
a ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATIpN x� REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Rexoof house an ara e
9 CHANGE OF USE FROM TO
STIPULATIONS '
Underlayment must comply with the State Building Code.
��r��a�� �nsp�ction I�ar�s
�►�ir �� ��iiad �
�o N�r�����r�r To Post
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. �PE �F CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VEN71�A71NG OR AIq CONDITIONING
TMIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTpUCTION ZONINf3 SQ. FT CU FT.
AUTNORIZED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOO OF 120 DAYS AT
ANV TIME AFTER WOpK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV 7HAT I HAVE READ AND EXAM�NEO THIS APPLICA710N STAI�S GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yp�UATION SUR7AX
AND ORDINANCES GOYERNING TMIS TYPE OF WpRK WILI �E COMP�IED
WITH WMETNER SPECIFIEO NEREIN Oii NOT. TME GRANTING OF A PERMIT $2185 $1.09
DOES N07 PiiESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE pEqMIT FEE SAC CNAFGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGUTATING CON-
STRUCTION OF TME PERFORMANCE OF CONSTRUC710N .�83.25 Fire .SC .�2. �.9
PLAN CHECK FEE TOTAL E
Licen SC 5. 9 .53
- SIGN4TUpEOFCON"AACTOAOAOUTMOp�ZEDOGENT IDATE� N P �PE LI�AT 1$ I��Jij P MI�
� r
��
S�GN4TUAEO�OWNEp��fpWNEABU4DEp� IOATE� BLOG N5o � p�iE
r �[ ]
ADDN
ALTER
�.,�� �'l� 5'.3
Effective 5/10/99
[ ] CITY OF FRIDLEY
I�'1� SI�i IGLE FAl1�II,Y A��TD DUPLEXES R-1 AND R-2
BUII,DING PERMIT APPLICATION
Construction Address:
I.egal Description:
Owner Name & Address:
Address: /o
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
/ylq/o?��
�
��
� �
n��
1
Tel. # /�/� ��/-�°� �. —
MN LICENSE # �d/ y� ����
Tel. # lvl.7 - FI� �'''// S��
��tach to this applicadon, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
0
Y��CRIF'TiOI�T OF Il1��R�i�IVYEIV�'
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length _�,� Width Hgt/Ground Sq. Ft.
�-
Construction T �
YPe� Estimated Cost: $_ �,/� y'', �
v
I�riveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ -$ .
DATE: �` � A,PPLICANT: �
��n � Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Fscrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$_ � _ � �
$ �_/�
� j,o�
.$
$ �1 � d
$
$
$
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.so/$1,000 valuadon
$.1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determ.i.ned by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� �
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $S00
$501 to $2,000
$2,091 to �25,000 _ °
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,0(�,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
�6�.25 for f�st�2,A09 ���$�4.00 fcr each at�di�a�&i �l,t?�fl
or fracdon 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 fust $SO,OOU 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 fracdon thereof
DRIVEWAY DEPRESSION ESCROW
(Conc�rete C�trrb Stree�s �3niy)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
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 foundation once it has it has been constructed will
be required before proceeding with the framing.