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AF - 45170City of Fridley, Mirm.. BUILDING PERMIT NA s85s � . .. �� Date: � pwner: e� Bu3lder Adaresa Address � �, L TION BUILDING No.� �! 7�� Street � Part t Lot �_ Block � Addition or Sub-Div�isian G�� Coraer Lot 7ns�ide Lot � S.etback � Sideyard � Sewer IIevation 9 a�'• a Fs�on IIevation Cl -� l�� %vf� o� �uo?s�cJc�a. DESCRIPTION OF BUILDING T Used . � �°'� � Front �� DePth ��.Z� �ieiP,ht �� s4• F�. � ^ � Front � Depth FTeight � Sq. F't. Construct4on ��2�=�� -Q -- Fast.�C�� -�'�o be Completed _ Z�'P� � � (��. F� � � Cu. Ft --��.—s�' Ea considerat[on of the fssuance to me of a�rmft to construct the building des�ibed above, I agree to do th� proposed work fn accordance with the descrlption above set f in com c�e with all provlaions of or8inancea of the dty of FiicIIey. v� In comsideratton of the payment of a fee of $.�°� , permft is hereby granted to to construct the buflding or addition aa descrlbed above. This �rmit fs gi�anted nPon the expre� conditfon that the n to whom it fs granted and hia agents, employees and worl�nen, 3n all work 8one in► around and upon sai building, or anypart ther�of, ahall c.onform in all reapects to the orainances of Fridley� Minaesota regarding lacation, constructioa, alteration, maintenance, repair and moving of bufldings within the dty limits and tt�is permit may be revoked at any t3me upon viol�f;ion of aay of the provisions oP said ordiaeacea. r� .�, � / / �� NOTICEs Tlds permk dea uo1 eovar �6s eomtruett�, � foe wMee, plumbie9. 6n 6aHoe, a�w�� er waten B� sure fe ies 11ro BoiWi� lespu�ar tor aparab p�rmhs hr thsa �ea. .�!��c-,�,� "�,c.G�,e.,6 / d—Oj 3 �� V ' ; + .. ' HARVEY A. CARTWRIGHT wao�u► couNrr sur�vErs HENIYEP►N GOUHTY BURVETB MINNtAPOLI� SURVEYB 8410 PALM BTREET N.W. BUNeer 4-7686 owmEa lNDUBTRIAL � JYDICLAL 9UBINE88 — TOPOORAP1iICAL Gt'tY {.OTS — PLATTING S�m Tem�lin / S �f^ y � 0. Y . CASTWRtGST & Ol�ON LA1VD SUR VEYORS RRBI!'ftRiD YNDLR LAWS QF lTATR OP MINNH90TA LICiNYtD �Y pRDINANC[ OF CIT1/ OF M1NNLrArOLld 326 PLYMOUTH BUILDING FEDERAL 8-B921 H�NNEPIN AT SIXTFi • MINNEAPOLIS 3. MINNESOTA �burbcpor'g �crtitKatc �� °� ��' �� ,' �,� `�' .� �I a T � � /t �-7 — c_� �„ ` "„� 1 ~` �� "� � 41 - � � z7 0� � Uy5'!<fy � !�/'�tift6 ti�a�a l � � COMBINING TME RECORDB OF J. E. H111.1., CIVIL ENGINfi6R 6�TABNBM[D tlY� C. F. SANDHOFR CIVIL ENGINEBR esrneueM�o �aos JAMES NELSON BuRVtroa EBTABLIBNHG tiBII METROPOLITAN LAND SURVETORS, cstwe�isNeo �es� Invoice 22882 � � � ' - J .� � � ' � � H � m -- -- � �� 'r�se�e�/sf � T la.cx�by certi�r �that this is a ttu.e �nd correct representat3on of a svrv�y of: Lot 3, Block 2, Garden? I�Ielolar� G�.r.rdQns As sua�ve�ed b� rae �h3s 9th day o� Idovemb��r' 1952. ! �� ' - � ,�►✓'r'.-G��,� r�-.� �� r '� m 816NED ,. �� IGHT AND OL90N � � �, _ � APPLICATION FOR BUILDING PERMIT. CI'1`it 0�' F�TDLEY, MINNESOTA OW1t�IL' S NAME � ADDRESS ADDRl'sS8 LOCATION OF SUILDING 'No. ,`�� Street �� , v� Part of Lot -- - LoC � Block Addition or Subd3v�tsion ��@��,,°� .�-�� _��,�° Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to ehia foron Two Certificates of Survey of Lot aad propoaed build- ing location drawu�on Chese Certificates. To be used as: DESCRIPTIOAT OF BOIZDING Front Depth Hei$ht Sq. Ft. - Cu. Ft. . Froae Dept1� Height Sq. Ft . --- --- Cu . Ft . Type of Construction Eet�.mated Co'st To be Completed _ __ The undersigued hereby makes appllcation for a permit for the work herein specified, agreeing to do all work in atrict accordaace with the City of Fridley Ordinances an� xul;.ngs of the Department of Buildings, and hereby declares that all the facts a�� represen�tions atated 3n this application are true and cor�ect. IDA�."�'��Li� �- � C� � � � � (�chedule of Fee Costs can be fouad on the Reverse Side). �� r i s ' .a F r �c V i�f•y �/►14 C BUILDiNG PEItMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall. before 3sauiag anq peraiit for �h� erection of any bui.ldiag or structure, or for any addition Co aay exiet- ing building or structure, or for any�altera�ions or repairs to any exiating building or s�ructure, u�on a�plicatioa therefor, require the pay�en� by the applican� for �uch permit of feea to the smounE herein below set £orth �ad in the manner herein prov3.a�ed to�wi�; 2.1. For any such permit for the erection o,f anp fixe-proof building, othe� than a garage' warehouse, factory or graia elevator, or for the erectioa of any fire-proof additf�an, for simi.lar occupaacy, to any egisting bu3lding shall be 8t the rate of�$1.40 for eacl� one thousand cubic feet, ot fract�.o� �hereof, in such cubical conterats. 2.2. For aay such permit for the erection of any fire-proaf gasage� warehouse, f�ctory or grain elevator, or for the erection of any fire-proof aaditioa, �or similar occupancy, to a.�y existing buildiag shall be� at the rate o� $1.25 for each one thousand cubic feet, classified ae °tfireproof" by Section 502 of the Minaeapolis Building Code. �ovs�s 2.3. For any such permit for the"erection of �ny noa-fireproof buiZdiag other than a garage, warehouae, factotq or �rain elevator, or aay non-fireproof addition, for similar occupaacy, to any esisting building - permit $1.00 for each one thousand cubic �eet. GAt3ACES 2.�.. For anq auch perm:it for the erection of anq non-firepro�f garage, wGrehouse, factory or grain elevator, or for the erectiou of any non-fise��o£ addit�.�, for s,imilar occupancy, to any exiating building or for each such t�i.ld3ng or addition - aiae�y cents ($0.90) for each oae thoueaad cubic feet or fraction thereof, in the cub3cal contents thereof with a mfu�tmtmn of $4.Ofl.- For the purpose of camputiag fees for building permits, the cubical coutents uf e.ny buildiag or addition to a uni€orm height throughout by a�itiplying the gsound area covered from a point sis (6) inche� below the floos line of the basement or cellar to the aver�ge height of the upper surface or to the averege height of the roof surface of Che main gable of a pattched roof. 2.5. For repairs or alterationa to aa existing structure, the fee aha11 be at the rate of $3.00 per each Five Hundred Dollara ($SOO.DO) or fraction thereof �tn the cost of all propoaed work. 2.6 . In no ease �shall t�12 �P�, chargc�d #nr anp p�ruei t as �et forth in Sectiaa 2 be leaA than $4.00. � �`� _�..o. i`1 M � 3 D � � � � Q c�i x � N W � r� p�% p � � � � � y � "1 Y � � � r � o � O y � x n z � � � O ��x �� fA � � � � o � � � m � � � � � � � � Y � v�', y w a. <. �, y �, `�" W � � p � � � " � t�"n O � � y N y O `t O ' O y • O • oa : rr : : � � � x x � x o � tV r °o o p � {fl :!1 �fl � H � C"j C�" � m � � I � � 0 Y � � C z � � O �P O O O 0 O � O r � 'a0 C � M I W Oq W � � � � M � '� M � � y O � � � �: �. �: a' : � � �. � 0 O SA U \ � � 0 O !� o � � � �ro a m � � � � � � � � � � � � � W � � � � � � � � � � �d� � O lJ�l ro 0 m � o � � � � � � a K �\ � � Io% O �y � z ��o � � 0 \ � � � � ro n n �� a a 00 � � �� x� � � � � �� t� �� M � � O �' y � R° '�p�r � � fD � � �. � 0 0 � ;� � � �g t� �� en cn o 0 O O O O 4A E!s {fl iA � � ri x �°n 0 �a ° � � 8 a � � � � � � 0 � � �c � � .�'i� � � �°�,� �� R° R^ � � � �� p p F � � Opp e� � � � fDW � �p p O � b : o� o� � � • O p, � : � �. o . . � � � � : Q S g : : � o . . . � .° : : : � ��N� o °o o °o °o � � � � � y � � � a� w a � o N "�* � � � � � � w Q° � g I r � � V� � � J v � � y 7 G� � �bb�S °i m(� � � �• (D m � � R° R° �, � � � � � � A Pi °y' � � .'�'i EL �'- � � � � W � fD � P" • �, a � : . ¢ �, . . � . . �•°� : 0 0 : . o . . $ : : : N w � m � ?r b o c p o O p � 0 � aa� �n ro�� ° � �� m w"'�� a � ��V p� �oa �� b � �� °� p�� Ct p G`4 � � O�+ '��Y p p � � y � � � � �� ,� � �'"m'n� p� �� '3p � b � ��.y � `�� b ` a� �.�e � � �� edj y t�D ►�1 � �� G�o � � r' � � .'7' m ro � � � �' 0 � D "� D r � --� m N _ m C m � M Ce � d% � a � A V O � �. � a � O � ae �° 0 � w� � = ' O� � ;• A � � � �H o � 0.� A A e• � � � 0 � �e � � � � � .� ��., v v '�'�-� � `� . _� _ �� a . w � r�' � . � �'�� I � 4,M �� . . D-S6 a 9 ��,� �� r 4�� r"� ` HEAT LOSS AL ONS � DEPARTMENT OF BUILDINGS MINNEAPOLIS, MIMV. Weatherstrips •S.H.V.E, Construction No. ' Insulation ! Guide ' ows s Reference Out. Wall all Ceilin Roof Floor Kind ied Yes o I�� Ye o 19— _ Fl. Room � Length Width >Height �° FI ' oom Length Width Height � Windows an oors—Crackage an Area Windows and Doors—Crackage d Area Nidth Helght No. o[ Llneal f. Area i Wldth Helght No. ot LI¢eal ft. Area � No. ot pane of Dane Ilgt�te '. :*ot crack eq. { No. p ne o[ pane llghte ot crsck eq. ft. � t _ e Coef. B Infiltration Infiltration Glass Glass +�' Ea�p. wall E$p. wall Net egp. wa Net eap. wall f lnt. w ll Int. wa 1 Ceiling Ceiling ' Floor --- Floor �°`" To tu. 'rot tu. Requi sq. .D . or sq. ins. W.A. L.eader area Required . k. E.R. or sq. ins. W.A. Leader area F7 oom � Length Width r..��eight �, m( Length Width .� Height Windows and Doors—Crackage and Area /�'� ,,. Win ows and Doors—Crackage and Area` Wtdth Height No. o[ Llneal it. Area �!' Wldth Helgbt No. of i,lneal [t. Area �, � ;No. ,o[ pane ot ps e uanca, �.. �o rsc ft. �r Na. . o p e of pane . 1lghte �- ot crack eq. tt. � , � ' e Ru Coe Btn In6ltration - Infiltration Glasa Glass - Esp. wall ,,P. Eap. wall ' Net esp. w ' Net esp. wall " Int. waU Int. w Ceiling ` - Ceiling 'Floor � _ .�*i °� _ F}oor '�„"'.; Tota tu. - � Z'ot _ tu.- -" -- - -- - - '- Require . E. . or sq. ins. W.A. tieader area Requir . k E.D . or sq. ins. W.A. Leader area Fl, m � Length 1Uidth ,�,�«Height �. Room I Length Width ,,,..--Height ,Win ows and.Doors—Gackage d Area indows a oors—Crackage and Area Wldth Helght No. of Lineal ft. �Area � �Vidth Hef ot Lineal ft. Aree Na, :' of Da of p e. tighta ot c a eq. tt. , No. e. e A e hte of cra eQ. It. , COC B _ O BtU � Infiltration' " , . ,: Infiltration _ , ,,� Glaas • Glass ,;� '. Exp. wall • Exp. wall �` Net exp. wa Net exp. wall � Int. w 1 ' � Ceiling 1� loor wru""" ; Tot tu. j Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area � � . Int. � j - . � �Ceiling Fl4oF . ""'""- ` Tota tu.. ' Require� sq. ft. E.D.R. oz sq. ins. wA. l.eader ana r .. . � _ , . . _ �� __ s � � � Dd6 ; s T, ��, � � � a � � " HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. NIINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide ��ti s I� Reference Out. Wall `Int. Wall Ceiling Roof F1oor Kind How Applied es ,. �'es— 19_ Fl. �' .' �i oom � Length ,�Width,,�` «.� Height Fl.� Room Length Width Height in ows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vld He[e�y, �Vp ot Llneal f. Area �4 Wldth Helght No. of L1nea1 ft Area No, aYnn� otlfiabL lf(hte ot crack eq. ft � No. ot pane ot pene __ IfBbte of crack e9. ft. Infiltration '',�' � Glass ; � � E7cp. W8�1 w. � r Net exp. wall Int. w�ll ° Ceiling Floor � �..t , .�"" � ` � To Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.� Room � Length Width Height Windows and Doors—Crackage and Area W1dth Helght No. ot Llneal ft. Area No. of pane ot pane lighte ot crack eq. tt. � In6ltration Glaaa Eap. wall Net exp. wall B�, I ..e - Floor � ' � Total Btu. -- - -- - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room � Length Width Height Windows and Doors—�rackage and Area ' Wldth Helght No. of Lineal ft. Area No. of psne of Dane Ifghte ot crack eq. [t. Coef. Btu Infiltration Glaaa Exp. waU Net exp. wall - � � Int. wall ; Ceiling _ l�loor ! Total Btu. � Required aq. ft. E.D.R. or aq. ins. W.A. Leader area � � Bhl Infiltration Glass E$p. wall ! Net eap. wall � Int. wall Ceiling ' '�1°"'��"oor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . F1,� Room ( Length Width Height Windows and Doora—Crackage and Area W(dth He16ht No. of i.fneal [t. Area No. ot pene ot pane lighta of crack eq. Pt. Coef. Bm In6ltration Cslass Esp. wall Net esp. wall 3 � � `� � ' Int. wall Ceiling Floor _ ,__Total Btu: , — Required sq. k. E.D.R. or sq. ins. W.A. Leader area F7.� Room I Length Width Height Windowa and Doors--Crackage and Area Wtdth HelBht No. of Lfneal ft. Aree No. ot pane ot pane tlghte of crack ep. tt. t � Coef. Btu Inhltration C,lass - Eap, wall Net exp. wall - Int. wall Ceiling ' , Floor Total Btu. Required sq: ft. E.D.R. or sq. ins, WA. I.eade� ana li � d � � � 'O �i p �, . N : x :Y . � • N : o . � . m 0 ' � ; � • � P � A .� 0 � � •. �i � � W � � p �� 0 � � � N • o � o • °o � : o . .. �:: � � � � � �N ►. O O O � � � . � H � � � � � � z � z x" 8 � � � � � � � � � � � � � � a � � � � � �) y . 0 � � � b � o � �d a p : � g- : � N. ��- � O . � . R� � � � . . 04 � . . . . ' Gd : : : : ; � . . . . � iC i: >C >: iC �a W N tA F+ �+ � � � �p cN7� o O O � {fl ifi {� {fl :fl 4A � °O � �` � z � N � � � C o�,�'°� � �f 5� W ;` r, � � , � y W � � 6 D � � � m N _ m C r m � � � �. a � � s�� w�r�R � • `� � � URINALS ei►rri . m � �, � BASR� � � I SINKS � � wwst+ �, �� DRINK. FOUNT. sHw�s. FLOOR DRAINS uro+ � e�sir,s � �vro W�� GAS APPL GAS I RANGE GAS j OPENINGS a • 2 • � � �m � � 8 p 8 ~ m � �❑ � � n o �' o y � � �� aa.fD �' a� a a. • "�p�] � �r n bi p M �D �p C� h+'', 8 a ° � � �a� � � � � m � o � � � �� P. 0�4 Q/� p c�o �� ¢q. � �' � 1 oa g � y�o�, � � ��j�j � � �p, ��.o� � � ` p � � � �s �v � �'"$ � �°�y � � � Y� � � � � �• � f�7 � ` � � �� fV 11 \Y � p � � o �� `�a�� p' ° 1"' � � M � y � ��w �� a�� o�a�: � � ��B�y. 9 � � .. - �� O7 W}� � � l^D m \. � � � � ��' � 3�� C m M � �e� � W ro o. � �rx & �°n p � M � � � � � � � ' � � (7 � � {0 � �� . r d O. �- � ro w ��/ M � ` °. C,� � � � .� � � o � � A A � A V O � � \ I 1 � ��- ��r� sue�ec, P NO. City of Fridley o 18 5 9 6�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; ;, RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. � 1 __��-� r , ; � t , � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER fiEV DATE PAGE OP APPROVED BV �'""� � �'� 612-571-3450 910-F15 ' 8/13/86 � � JOB ADDRESS 5�80 Gardena Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 G3�CIC�Ila. Nieloland Gardens SHEET 2 PROPERTY OWNER MAIL ADDHESS 21P PHONE Jeffrey Hagen � 80 Gardena Lane N.E. 571-9441 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. $�@ 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING � Residential 7 CLASS OF WORK ❑ NEW O ADDITION C� ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof �elling 9 CHANOEOFUSEFROM TO STIPULATIONS ,Roo� can be the 2nd layer but not the 3rd. Insta.11 ridqed galva,nized valley�. TYPE OF CONST. OCCUPANCY dflOUP OCCUPANCY IOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. 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 CERTIFV 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �59-7 $• 5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ],rJ.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL fEE $15.50 SI NATUR FCONTRAC� ROR UTIiOR12EDAGENT IDATEI WHEN PROPERLV V ��ATED THIS IS YOUR PERMIT . �� a —V � _ � �, � I �. s^� � - " �, ` l. � �� GN T O OWNERiIi�OW ERB IL` RI` IDATEI L G iNSP D TE � NEW [ � City of Fridley Effective 4/1/86 ADDN. [ J R-1 AND R-2 pLTER. [ 7 Building Permit Application Construction Address: � � �� C�� '� �° _rv� �/ - � s Legal Description: Ow Name & Address• ��,�-,� ��,�� Tel . # ��'� `� �t `f' ner , • e • Tel. # Contractor: Address• LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attach to this applic�tioru, a� �er°tificate of Survey of the lot, With the proposed construction draWn on it to seale. DESCRIPTION OF IMPR09EI�NT Length ._._.—. Width Height Sq. Ft. Length Width _ Height _. Sq. Ft. _ Length Wid�h _ Hgt/Ground Sq. Ft. � �. �, '�� ` �� , �— — Corner Lot [ j Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: � � °��,-��- �4--�^ � ��a� Estimated Cost: $ � � � � Approx. Completion Date: Alt. A Alt B Proposed Drivexay Width If New Opening Is Desired: $ $ See Back Page for Explanation ,� `� ,;% , � -�f.,k�°;`� Tel . � �� r-'��F , I DATE: � •�'' APPLICAPIT: �� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sever Main Ctnarge TOTAL STIPULATIONS: CITY IISE ONLY g �� = �j�, $ $ --`>�' $ �" - � � v '� s Zl Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $�175 PeT �C Unit �ee Determined by Engineering ��rat �e�e�sary [ ] Not Neeessary [ ] ..,.�_. BIIII.DING PERMIT FEE SCHEDIILE 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 applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein belo� set forth and in the manner herein provided to-Wit: ' Total Valuation �1.00 to �500.00 5501.00 to $2,000.00 Fees $10.00 (Minimum Fee is �15.00) $10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof, to and including 52,000. $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 a25,000. $25�001.00 to $50,000.00 �170.50 for the first additional $1,000 or including $50,000. $25�000 plus �4.50 for each fraction thereof, to and $50,001.00 to $100,000.00 $283.00 for the first �50,000 plus $3.00 for each additional $1,000 or fraction thereof� to and ineluding �100,000. �100,001.00 and up ��+33•00 for the first �100,000 plus $2.50 for each additional �1,000 or fraction thereof. DRI9EWAY DEPRESSION ESCROH (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach uith 6 ineh depth - DriveWay Width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction xill be issued a minimum of 24 hours from the time of aFplication to allo�a 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 onee it has been c:onstructed xill be required before proceeding with the framing. � sue�ecr PERMI . City of Fridley 19304 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � REC . � • COMMUNITY DEVELOPMENT DIV. � VV � r � � PROTECTIVE INSPECTION SEC. ��/� S ' i ' ' /"'1 � CITY HALL FRIDLEY SS4$2 NUMBER REV OATE PAGE OP APPROVED BY �'""� � �� 612-571-3450 9t0-F15 12/18/87 / / JOB ADDRESS 5980 Gardena � Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Gardena, Meloland Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Hagen 5980 Ga.xdena Lane N. E. 571-9441 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENCiINEER MAILADDFESS Z�P PHONE LICENSENO. 8 USE OF BUILDINC3 Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE X 8 OESCRIBE WOHK Install Heat N GloHr ixe lace Model #EM 42 AT FV 9 CHANGE OF USE FROM TO STIPULATIONS Fizeplace must be insta.11ed in accordance with the approved specif ications of the�approval agency (UL MH 11960) � � A�AT� p��,� ��, f��,� �'d�`�°,� � P� R�� A��D � ��pd�� f�� r ,r SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY C3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COIvIMENCED 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 EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�-�600 S•8O DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SZG.SO � LAN CHECK FEE TOTAL FEE $27.30 IGNAT E CONTRACTORORAUTMO IZEOAGENT �DA7Ei - HEN PROPERLY VALI A ED THIS IS YOUR PERMIT i 'Q 2 .O �S /G� uCJ �t- / c� ��, SiGN R F R WNE BUI DE IDATEi BLDG iNSP qA E N� �� City of Fridley Effective �/1/86 ADDN. [ ] R-1 AND R-2 pLTER. [ 7 Building Permit Application Construction Address: �! �� !C � � �-� , yV ° � � Legal Description: L�� Lc, �G Z. � Cb �L4�4 Nig � 4L� L�� C�o�.�i � 5 Owner Name & Address: �� "�`�L �� s�� Tel. ��7�-�yY/ Contractor : �� 4- ^ Te�. . # - Address• �y ,,� �' G Co �,r°/ �/2 �-i' �c/ /�T�c Attaeh to this applieation, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. LIVING AREA: GARAGE AREA: DECH AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Len�th __ Length _ �2 � � S Width �._ Height Sq. Ft. __ Width __ Height Width _ Hgt/Ground � �O r .-v� %'//1 � iG� � Sq. Ft. _ _ Sq. Ft. Corner Lot [] Inside Lot [ 7 Ft. Yd. Setback Side Yard Setback �� l �a� Type of Construction: Estimated Cost: $ Approx. Completion Date : � �" ' � �-' �' "u / � ��q � � ��.h-�L Al�i. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation �j., �°.� �� / Tel . � ��l � � �% � . �d� �b � APPLICANT: �� DATE. ,_ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY � �� . �� $ - � : �� $ - $ $ $ �� Fee Schedule on Reverse Side 25°b of Building Permit Fee $.501$1,000 Valuation $525 per SAC Unit Fee Determined by Engineering Agreement Necessary [] Not Necessary L � , BIIII.DIBG PERMIT FEE SCHEDIILE The Chief Buildin� Official shall, before issuing permits for the erection of any building or strueture, or for any addition to any existing building or strueture, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the ap�licant for sueh permit of fees to the amount herein belo� set forth and in the manner herein provided to-wit: Total Valuation $1.00 to $500.00 Fees $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 $100 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 ineluding $25,000. $25,009.00 to $50,000.00 $50,001.00 to $100,000.00 �100,001.00 and up $170.50 for the first additional $1,000 or includin� $50,000. , $283.00 for the first additional $1 , 000 or including $100,000. $25,000 plus $4.50 for each fraction thereof, to and $50,000 plus $3.00 for eaeh fraetion thereof, to and ��33.00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraction thereof. DRIVEWAY DEPxESSION ESCR0T�1 (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 replaeement of curb and gutter and install a 3 foot wide approaeh with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construetion will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. � Sue�ec. City of Fridley AT THE TOP OF TFIE TW�NS g U i L D I N G P E R M t T r � . � �` �� COMMUNITY OEVELOPMENT DIV. r � y � PROTEC7IVE INSPECTION SEC. � � � _ �"'1 � CITY MALL FRIDLE� SS�32 NUMBER �""'� � �'' 763-571-3450 910-F15 JOB ADDRESS 5980 Gardena Lane NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION oescR. 3 2 Gardena M 2 PFOPERTY OWNER MAI� ADDRESS Brian & Beverly Wuertz 5980 Gardena 3 CONTRACTOR MAIL ADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILOING Residential nEv 7 CLASS OF WORK O NEW ❑ ADDITION 0 ALTERATION 8 UESCiiIBE WORK Reroof House & Garage (ZS Sq) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO OATE oAGE OF 5/29/03 / / 33565 �� APPROVED B� SEE ATTACMED S1iEET 21P PFIONE LICENSE NO ZIP PHONE LICENSE NO. 21P PMONE LICENSE NO REPAIfi O MOVE D REMOVE Underlayment must comply with the State BuiZding Code. 1VPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAL. PLUM6ING. MEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OF CONSTRUCTION ZQNING AUTHORIZED IS NOT COMMENCED WITMIN 80 DAVS. OR IF CONSTFUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERI00 OF 120 DAVS AT ANV TIME AFTER WOiiK IS COMMENCEO. NO DWLG. UNITS I HEFiEBY CERTIFV THAT I HAVE AEAD AND EXAMINED TNIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED MEREIN Ofi NOT TME GRANTING OF A VERMIT �2�894 DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOIATE OR CANCEL THE pEqM17fEE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $83.25 STRUCTION OR THE PERfOFMANCE OF CONSTRUCTION S�GNeTUAE OF CON"AACTOA Ofi AUTMOA4ED AGENT n �D�rE� MEN �o.rE� �� S�. STALLS r ROUP OCCUPANCVIOAD CU FT OFfSTREET PARKING IGARAGES $1.45 �AC CHARGE Fire SC $2.89 OTAL FEE $87.59 1 THIS IS VOt.JR PE M NEW ADDN ALTER [] CITY OF FRIDLEY Effective 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ConstructionAddress: �� 1/�� G�C'ht7.. 1.��.,a 9�� o�d-� u1�1 SS�(�Z _ Legal Description: ��z Owner Name 8� Address: �� a��ti � W��t Tel. #?6� �S�z �ay i3 Contractor: s�e. � 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. DECK AREA: Length Width _ HgUGround Sq. Ft. OTHER: , ZS `� � ��i G/ a-� Construction Type: Estimated Cost: $ s ��s ! Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: 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 � ' �3� ��' $ �. 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 [ ] TOTAL $ _,� � ` `�� STIP ATIONS� BUII.DING 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 applica.tion 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 $50,0� $50,�1 to $100,0� $100,�1 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEE5 $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 $2,000 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 eaah additional$1,0(� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,0� or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,OQ0 or fraction thereof, to and including $500,000 $3,233.75 for the first $SOO,OQO plus $4.75 for each additional $1, 000 or fraction thereof, to and including $1,000,(�0 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, tunes 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 required before proceeding with the framing. New Houses Onlv � Building Inspections 763-572-3604 DATE � � /�'T SIT'E ADDRESS � 1'HIS APPLICANT IS: PROPERTY OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE WTTH APPLICATION PERNIIT TYPE MECHANICAL RESIDENTIAL APPLICATION CI�Y OF FRIDI�� OWNER CoMPANY T1AME:_ CONTACT PERSON: STATE LICENSE # 6 PHONE YOUR E-MAIL ADDRESS �� FAIvIILY ❑ TWO FAMILY TYPE OF WORK: I � ��'4' ��P�CEI�NT DETAILED DBSCRIP'FION OF WORK FAX Permit No.: Received By: V �' D��'� E P � �OC E3� DATE � CITY �RI IFJ STATE�ZIP `SS � ❑ TOWNHO[ySE ❑ ALTER�.T10N1REMODEL PER MS 16B.665 the permit fee is a minimnm of 515.00 or 5% of the total cost up to $500:00; whichaver is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.O5 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WF�RE NOTBD. FIXTURES: (INDICATE TOTAL NiJMBER OF EACH BELOV� Equipment Installed . � MFG: MODEL: � SIZFJBTU Q �G: MODEL: i SIZE/BTU �G; MODEL: SIZE7BTLl �A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEIJ $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.D0 NEW GAS GRILL $10.00 _BOILER $35.00 �FURNACE $35.00 _GAS UN1T H1R$10.00 CHIMNEY L1NER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 • _ _ VENTII.ATOR $15.00 _ _ _ Permit Fee � $ Number of fixtures @$20.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 � x$25.00 =$ � � Number of fixtures @$35:UU L, x$35.00 =$ S�. DO Sta.te Surchazge = $ 50 ' Tota1= $� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work v�ill be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota•Construction Codes; that i understand this is not a permit but only an ap lication for a permit and work i not to start without a permit; that the work will be in accordance with the approved plan in the case o all work ' h r ' es revie approval of pl •. ! q , a� SIGNATURE OF APPLICAM PRINT I�IAME I' DATE l � 1 D City of Fridley Building Inspections Department 6431 Universiiy Avenue NE, Fridley, MN 55432 � 763-572-3604 FAX: 763-502-4977