AF - 45328�5.:
City of Fridley, Minn.. -
BLT�I.DING PERA�IIT N° �� 3 3
_. � s r� �,�.�,
Date: . . . � . . . .� ,;�. . . :" . ,,�1� . . . �. . . . . . . . . �
.. ....... ...... . Builder . `7 -!� •� .:R�.
Owaer . ... ... ... ............. .� �'°b�
Adcire� ...................................... Addt�ess ............. ...............................
LO�ATION OF BUILDING
rro. . ,'�'.� �J .lo st�et . .,•��.,,,,,,�,,,,� . . . . . . . . . . . . . . . . . . Part or r.flt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot . . . . �. . . . . . Block . . . , . .E,,r. . . . . . . . . Additlon or Sub-Dfvision . . � ��,y3,�,,y. . . . . . .
CornerLot ............ Inside Lot ............ 5etback ............ Sideyard ...........................
DESCR[PTION OF' BUILDING
To be Used as:
_, �/,�/
. . . . .,o���?L . F�ont � (�-�DePth • v� o�? f ts''�ieight. ��%:`. � . �Sq. Ft. : .7 •.f• . Cu. F't. : �i/�� t�
.................... FrQnt ........ Depth ........ Height Sq. Ft. G�. Ft.
Type of Construction . . . . . . . . . . . . . . . . . . . Eet Cost. . . . . ���'�.'�.—. To be Completed . . . .. . . . . . . . . . . . . . .
I
��
,. c
_g
� _ � �
�- � �
�� Q��
�
In considera.tion of the isauance to me oP a permit to construet the building desribed above, I agree to do
the proposed work in accordance with the deseription above set forth and in compliance with all provisions of
ordinances of the dty of Fridley.
..� ................................................
In consideration of the payment of a fee o! ;..��`�.. ., permit is hereby granted to ... . .. .. .. .... ..
... .. .. ...... .. ... .... . to construct the building or addition as descrlbed above. 'This pernnit is granted upon
the e�ress condition that the �rson to whom it is Qranted and his ageats, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all resgects to the ordinances of
Fridley, Minnesota regau'ding location, conetructian, alteration, maintenance. repair and moving of 'buildings with-
in the dty limits and this permit may be revoked at any time upon violation oE any of the provisions o! said
ordinances. _,.,.�-^=
�, Buildiug Inapector
.;
NOTICE:
Thls permit doea not cove� the construction, installat(on o� alte�atlon to� wirinq, piumbinp, gas heatin�,
sewer o� water. Be eu�e to aee the Bufldinp Inspector fo� sepa�ate permib tot these lYems.
'�..
..�..
�- � >. ..
v. � �- �"
p S� � .
APPLICATION F�R BUILDING PERMIT
� CITY OF FRIDLEY, MINNESOT�.
O�anera , Name R��ert J . l�d�����art Builder � � .�I �a ,Pg� a �9�g� -..�.
�ddress 5��6 Ha`�kmann Ave. � � �,daress —�� o �. C� �-�.� � �, � .
. LOCATION OF BUILDING � '
Noi 59�6 Street� Haekmc�nn Ave._ p�t of Lot __ _
Lot 6 Hlock 4 �&dd3tion �or Sub. Diq. � Parkview �ianor
Corner Lo�, ;� �..,_. ?*+side Lot � Se� Hack - -- -
Appl3can� atta.ch to tliis form:Certific�te of Swrv$� �f Let and proposed
buildirig •�o�c�tion. .
DESCRIPTION OF BUILDING
To be used� as• .
Gara�e � . ,�ont 2dL Depth �.2 He3ght �
Sq. Ft. � _r. Ou. Ft. _ �
_ , Fr�nt .._.__.. Depth --Height
�. �. Cu.� Ft. �.,.....�— , ,
Type of.Construc�ion: , Est3mated Cnst -$�,.�•
To be completed �
.. _ ..
The unde�s3.giaed hereby makes application for a permit for the work
� herein �gecified�:�agreeing to do ali work in strict accordanEe with t�e
City ard3.nances and ruling of the Depar�tment of Buildings, and hereby
declarea.that.all the fa�ts and representations �tated in this application �
, . � '.
axe true and correct. � �
�,� � Signature
(A Schedule of Fee�Costs can be found on tYie Rsverse ide) �
,4,
( � / 1 d s � '�
Y..d, _ � _ - �-
_•�i •
�
�
BIIILDING PERMIT F`EE SCHEDiFLE
Section 2� The Inspector of Buildings shall, before issuing an� permit
for the erection of any building or atructure, or for eny addition to
any existing building or structure, or for any atteratidns or repairs.,to
any existing building or structure, upon applicat3on therefor, require
the pr�.ymen.t by the..applicant for such perm.3�.t of fe�a to the amount , �
herein be7�ow set forth and in �he manner herein provided to-wit: -
2,1 For any such pernit for the erection of any fireproof bui7.ding�
other thasi- a garage, wa.rehouse, fac�tory or grain elevator.' or for the. ..... .�
erection of any fireproof addition, for similar occupancy, to any
exiating .building shal�. be.at �Yxe rate of �.1,40 for e�.ch o.ne thousan�
, c�bic���et.;-=�r=��i�n thereof, in su�h cubica,l contents.
2�2 For any such permi.� for -�he erection of an�r fireproof ge.rage, ware-
house, � f�.cto��r or �grain �levator, or for. the erection of ar� fireproof •'.
addition for similar occup�ncy, to any existing building shalT:be�.at the �
rate of �1�25 for each one tk�ou�and cubic feet, classified as "fireproof"
by 5ection 502 of�the Minnea�olis Building Code,
HOIISES �
2�3 For any sueh perr�it for the erection of any non-fireproof buiZding
other tha� a.� garage, wareho�se, r�factory or gra�i ele�a:tor, or any
non-fireproof addition, for similar occupancy� to any existing build.ing.
Permi.t �1,00 for each o:�e thousand cubic feete . . ' . � .. . .
GA.RAGFS ... ____..... . ; :• � ; , • , � . . .
2�4 For any auch permit for the erection of an,y non-fireproof garage�
wsxehouse� factory or grain elevator,.o�•.for the.erection of any nor�.- , .�
firepro�f addition, ior similar occupancy, to any existing building or
for eacn�,�t�ch �� build :i�ig or addi-�ion; N�,nety Cents for. each one .
thousand cubic feet or fr�.etion thereof, in the cubical contenta thereof
with a mi.nimur,� of �4.00� .._.. . _.. �
For the pux�pose of�computing �ees for building permits the cubical' �� '
_ _ cQntent� of any_buildi_ng orfaddition to a`uniform height throughout by
multiplying � the ground ��rea covered from a po3�n� ��b} in�es-'�tot�r `•-��
the floor line of the baser�ent or cellar to the average he3ght of the
upper surface or to•tihe ave.ragQ heigh� of the roof aurface of the �aain �.
gable of a pitched roof.
. • ..• •. �, � . ;,
2�5 For repairs or altorui.:�ons to r�.n existing structure, the fee shall
be at the rate of �3�00 for e�ach Five Hundred Dollars (�500:00)� or
fraction thereof in the cos� �i a.1.1 proposed work�
2a6 In no case; shall the fee chrirged for any permit as set.forth�in
Section 2 be leas tYi�xi �!��00 �, '� ' � , '
� p �� ^
,�
� � _�. -
�
f��
City of Fridley, Minn.
BUII�DING PERNIIT
��: ...:�' ...� ..`:�...� ... .. .........
�
N° 3849
Owner . .. .. . . . . .. .. . . .. .. .. .. . . .. ... .. . . .. .. . Builder �'�✓!���i°.'�'�e .. : �:��:°:�: :� �. . . . � . . . .
Addre�s ...................................... Address .............................................
LO�CATI�V OF BUILDINC
No. �� . .(�. . Street �!���!'..�?'."�{`�'�!l . ��.,I��:: Part of Lot .. . .. .. .. .. .... . . . . . . . .
.......
Lot . . . � . . . . . . . BYock , . . . .� . . . . . . . . . . Addition or Sub-DYvIsion ���"'��'+�. . . . .�'�c'.'�. . . . . . . . .
Cerner Lot ............ Inside Lot ............ Setback ............ Sideyazd ...........................
� DES�CRIPTION OF BUILDING
�To UBed as: ��' � /� r v
�-���.�.'.� . . . Front l.�.�.'. � Depth °�:�.�. : �� Height ( � (.�. Sq. Ft.��� Cu. Fk`�. .��
. .. . . . . .. . . . . . . . . . . . Front . . . . . . . . Depth . . . .. .. . Height ..•.•.. :.•.•. . Sq. Ft. . . . .. .. . Cu. Fk . . . . . . . .
1�►pe oE Construction . . . . . . . . . . . . . . . . . . . F�t. Cost. . � . .�.�. �. � . To be Completed . . . .. . . . ..
Ea cansideration of Yhe issaiance to me of a permit to construct the building de�ibed above, I agree to do
the proposed work in accordance with the description above set f�o and in compliance with a11 provlsions of
ordinences oE the c�ty oP Fridley. ��.->�� �� �,
..�......°�:�.�.=.r�.-�..� ..:��.....
�
In consideration oE the payment of a fee oi $.. ........., permit is hereby �ranted to ...................
. . . . . . . . . . . . . . . . . . . . . . . . . to construct the buildiag or addit3on as descrlbed above. This permit is granted upon
the express condition that the person to whom it ia granted and his agente. employee� and worlmaen, in ali work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea of
Fridley, Minnesota regarding location, construction, alteral3on, maintenance, repair and moving oE buildings with-
in the city limitg and this permit may be rev�ked at any time upon violation of any of the provisions of said
ordinances. 0 A � r
...... Building Inspector
NOTICE:
Thia parmit do� not covar the construatlon, Installa#lon o� alteratlqn fo� wiring, plumbing, gas heating,
sewe� o� watar. Be sure to see the Buildlne Inepeato� fo� saparate permHr� fo� thesb Itema
�
.�
V"`
APPLICATION F�R BUILDIlVG PERMIT
CITY OF FRIDLEY, M�SOT�.
r N �/' (.G Builder ��L �`
Qwne s ame �
--.�.� �
Addresa �yd � '�� ._._ Address `� °��/ � �L� ����
, � •'`�-72r�..�.y�.�. Z,c..�=
����L��� .
;� - LOCI�TION OF BUILDING
No, Street _ P€arrt of' Lot
Lot`_.. Block .��� �, -�ddition or Sub. Div.
Corner Lot � 2rai..de Lot. �et Pack
Applicant sttach to this form Certificate of �urvey of T,ot and propased
building location. • � � � �
� • DESGRIPTI0�1 OF BIIILDING �
�..F ' ' .
To be ussd as . � -� �- �
. ' � � .. , . .
�o�t:�.1� Depth_�.Height � ��
Sq. r't. ' .. ..Ct�.. • F'',t., . �.
. .` .'': Front ._.____._....Depth ' Height
Sq � F`t. Cu. Ft. _..�
Type of Construction ' Estimated Cost �.,.��—,.
To be completed ��,�-� , . •
The undersigned herebg makes applicat3.on for a permit for the work ..
herein specified, agreeing to do all work in strict accordance with the �
City Ordinances�and ru7.i.ng.of the Department of Buildings, and hereby
declares.tha.t all the facts.and representationa stated in �thia appl�.�ation
are true and correct. ����'� ��
' �`� � ,� Si ature /���' �����'– . .
Date �
(A ScYi�d�].�.•a� FQe,Costs can be found on the Reverse Side)
+:� . ,. . ..
' . . � � .. ,
�
-..,;� � -.. � � � ° � , .
_ � �, �
.
. _.,.
BUILDING PERMIT � �uCIIiE�DLTZ,E -
Section 2� TI�e Inspector of Buildings sYiaYT, 'befo�e issv.ing aany permit
for the erection of•an� building or structure, or for any addition to
any existing builflirig or structure, or for an�r alterations or repaira to
any�existing building or structu�e, upon appli:cation therefor, require'
the �a.y�nent� by the applic�nt' for such. permit of .feea to. the amount �
herein below set fort� and in'the m�.nner herein pro�ided-tII-wit:
2�1 For any such perr�t for the erection of a:ny fireproof build3ng�
other than a garage, warehouse., factory or grain elevator, or..for the
erection of any fireproof additiony for similar occupanc�r� to ariy '
existing building shall be � t the rate o£ �7. � 40 for er�.ch one thousa,nd� •
cubic feet, or ira ction thereoi, in such cubieal.�contents. �
.. ,
202 For__�,n9 such pormit for the erection of a.ny" fireprt�of garage� ware-
house, � factory� ox .grain eleva-�or, or� for the• erection .of, ar�► fireproof
addition for sinil�r. occup�:ncy, -to any ox3.ating build3ng shAl.l; be at the ' '
rate of �1<25 far each one �hou:sa.rid citbic fec�t, classified as "f3�eprooftt `-°
by Section.5�2 of the MJ.n.-�eapol�s Bui].ding Code.e �-�
HOIISES
2�3 For any such pe��it for the erec•tion of any non-fireproof building �
other th�n._a garage,.warehous�, faetory or grain.eleva.tor, or any
non�-firepraoi addition, for s�.milar occupancy, tct any exiatin�•building:
Permit ��"1.,00 for ea�h o:�e thousand cubic feet, �;
GA.RAGES � . _
2-�. For any such perm�.t fo� tHe erection of any 'non-fire�proaf garage�
w�.rehouse���£actory or grain elevator, or for the @rection of any non-
fi-repro�f add� �? ono for, simila.r occupa.ncy, � to a.ny existing :�uilding �or �-����
for eaeh.. �uch �b.zi.lding -or .addition, Ninety Cents for' "each one
thous��nd cabic f��t or fra.etion thereof, in the cubical contQnta��hereof
with a mi}zi�ru�i of A�.,,00� '�
�'or iche pusPo3� o�° com�utin� fees fer building permi.ts °the `ciibical.
contents of �ny buil�iizg er addition �o a uniform hei ht thrQUghou��by
multi�7.yir.!o -tiie g� e��°�d �.rea coeerecl fron a point six �6) in�hee below
the floor l.l:ie o� the 'ckse�yen-i; :�r c�� lar to the average height of the �
upper su,.riac� �r -�o �?�e aver€s�e h�ig?�t. of the roof surface of the �.in
gable of a�i �ci��c� r��y �
2,5 For repairs cr �:.l��r;.��:o�^ to a:� exi�ting atructure� the fee shAll
be at th.e rate oi �3, GO yoy ��!c.. Five H�anc'kred Dollars (�500e00)� or
fractian they eof in '�t�� co3t c•f � 1 pro; osed werk�
206 In no case sha�1 ��;'�� fee �h:�.rged ior �,ny permit as set forth 3n-
Sectio�� 2 b� leo�s �ha�~� .�!�-:00�
�,
� ..-� ..�._-.,
.-.� .� ..
1 �.� ��
�
�
i�\
City of Fridley, inn
BUILDING PERMIT
Date: �ugust 29, 1967
��o��
N� . g�24
p��.; 8obert McTaggert �� A. B. E. Blacktop Cp.
�,d�$ 5906 Haclanan Ave. Ad�� 1308 Ma.in St. N. E.
LOCATION OF BUILDING
No. 5 9 06 S�t Ha ckman Ave . part of Lot
Lot _.... ....___ Block
Corner Lot � Inside Lot
Sewer IIevation ____
Addition or Sub-Divisfan .�...�..____
—. Setback _._.._ Sideyard
, Foundation IIevation
DESCRIPTIOI�I OF BUILDING
To be Uaed as:
Dxiveway Front r. Depth Height ._ Sq. F� Cu. F't
Froat Depth ITeight Sq. FL CU. Ft
Type of Construetion Asphalt Drive� �� $245 .00 _ To be Completed
In conaideration oP the iasuance to me of a permit to construct the buildiug des�Ibed above I agree to do
th� proposed work in accordance with the deacription above s�t for�h` and� c�omplience with afl prov3afons of
or8inances of the dty of Fridley. i�J %
In consfderatioa of the payment of a fee oP $ 5• 0�� � permit fa hereby granted to A. B. C.
Blacktop Co . to c�onatruct the building or addition as descrlbed above. Thi�p�� t fs granted upon
the expr�s condition tt►at thepera�n to whom it is graated and hfs agent�, employees aa� worl�en, in all work
done fn, around and upon said building, or anypa� thereof, al�all conform in all respects to the ordinances of
Frldley� Minnesota regar�iiag location, conatruction, alteration, maiatensace, repafr and moviu� oY buildin�s
within the dty limfts and this per�nit may be revoked at any 13me upon violation of aay of the provfaions oP eaid
ordinancea
(:T�ARFN'CE BELISLE g�� ��
NOTICE:
lbis psredt dea net covar t6s eeeslrueNee, IestalWion �oe �rMn6. P��+�9. 6+� 6�9. awu er rratsr. B� wn to sw
t6a Buildiu0 lespaetoe for aparair p�rmh� Poe ihas Inms,
fi
�
APFLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
� 1 ' � �- � C� � C�T BUILDER A• � � G . ,B �,QG7�T� n� C�C�'
OWNER' S NAME �, � � � T
ADDRESS ��J [7 �� - .17� � Cli m /� � � [��. ADDRESS %� C� �' - �� e1% AS�; /1� �.
LOCATION OF BUILDING
N0 . � Q/ ��- STREET J� �- G/i I�R /!/ A v� PART OF LOT
I,OT BLOCK
ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE-YARD
SL�`WER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
�DESCRIPTION OF BUILDING
�
To be Used as :
-- Front
Sq. Ft.
- Front
Depth � Height
Cu. Ft.
Depth Height_
Sq. Ft . Cu . Ft .
Type of Construction S��//aL.�" �dP/1,.�Ci.�,�q.� Estimated Cost �o� �S� �
. . � -
To Be Comg.leted ° u � a � �, � � � � 7 �
The undersigned hereby makes application for.a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Qrdinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE / �l � 7 SIGNATURE ' L-- � - C'� � � °
(Schedule of Fee Costs can be found an the Reverse Side).
�.
� - r:
� ��- �
��_
�
_ � ,�
�
e . Y A _
, - - . !�1 0
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building of structure, or for any addition to any existing
�uildi.ng:or structure, or for any alteration or repairs to any existing building
or structure, upon application therefore, require the payment by the applicant
for such permit of fees to the amount herein below set forth and in the manner
herein provided to-wit: .
Ur.iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each
one thousand cubic feet.
For the purpose of computing fees��for building permits, the cubical contents �f
any building or addition to a uniform height throughout by multipluing the ground
area covered from a point six (6) inches below the floor line of the basement�or
cellar to the average height of the upper surface or to the average height of the
roof surface of the main gable of a pitched roofe
For repairs or alterations to an existing structure, the fee shall be at the
_ rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof
in the cost of all proposed work.
0
In no case shall the fee charged for any�permit as set forth in Section 2 be
1 es s than $5 . 00 .
NSSSD Connection Charges based on location- Area 1 or 2,
! \
.�,. , _,.._>
�
�---� a ,� � a- �
t•
susrecr PERMIT .
City of Fridley 140��
AT THE TOP OF THE TWINS g U I L D I N G P E R M I •
t
� � RECEIPT NO.
� ; L __�� COMMUNITY DEVELOPMENT DIV. ��
� � PROTECTIVE INSPECTION SEC.
1 i �
�` /'�'1 � CITY HALL FRIDLEY 55432 NUMBEH REV. DATE PAGE OF APPROVED 8Y
L""� � •'� 812-560-3450
910-F15 5 17 77 � �
JOB ADDRESS 5906 Hackman Avenue N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ( 4 Parkview M3IlOY' SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Robert Taggert 59Q6 Haclanan Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Earl's Construction 1210 Crosstown Boulevaxd N.E. 434-6387
4 ARCHITECT OR DESIONER MAIL ADDRESS � ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Re sidentia.l
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof and chi�ney veneer
9 CHANGE QF USE FROM TO
STIPULATIONS
� SEPERl1TE PERMITS REQUIR�D f�R YI�la1NG,
�EATING, PEUI�BING AND StGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
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 1NORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $l, 425 $.%�.
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-
STRUCTIO THE ERFORMANCE CONSTRUCTION. � $S. 'rJS
�! � PLAN CHECK FEE TOTAL FEE
n � ,� ^� $9 .26
SIGNATUREOFCONTRACTOR RAUTHORI2EDAGENT IDATEI WHEN PRO ERLY VALIDATED THIS IS YOUR PEFiMIT
3°^ ` ' � 6� � +� _ � !
SIGNATUREOFOWNERUFOWNERBUILOERI IDATEI � BLDG INSP �ATE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PER��ITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
-�
OWPJER: /�� 10 � �_
Address: � � � � � �
No. er' % o �
LOT:
CORNER LOT:
Street:
� �� �� �o �►� S �
BUILDER:
Address: �°?%O (i � a � � � ° � � /��'�� �•%
� �
Tel. No. :��� 2 � � ��
� �� �� ���i
BLOCK: � ADDITION: �r/-c-,,� �el��
INSIDE LOT: S;sTBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and prop�sed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Heiqht:
Square Feet: Cubic Feet:
Fron t :
Depth:
Height:
Square Feet: Cubic Feet:
Type of Construction: �"e d�r� �� ��� E��' at d, Cost: $/ ya,s� %
To Be Completed: �� - � �
ti
Alt. A Al�. B
Proposed Driveway Width If New Opening Is Desired $ $
(5EE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional informa ion. �
c
DATE: ,� —�� � � � SIGNATURE: �/ �c..
Stipulations:
� /��
�
�r
�
�- �
�
��- -
�
BUILDING PERt�IIT FEt SCHEDULE
5ECTION 2. The Inspector of Buildings shall, before issuing permits for the erection
of any building or structure, or for any addition to any existing building or structure,
or•for any alteration or repairs to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
NEW CONSTRUCTION: Sinyle Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
-Alternate A: Removal and replacement of concrete curb and
gutter 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 6 feet x$15.40
ADDITIONAL INFORMATION
" For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or th� cellar to the
average heights of the upper surface or to the average height of the roof surface
of the riain gable of a pitched roof .
For repairs or alterations to an existi.ng structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00} or fraction thereof in the cost
of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
� VERIFICATIOV OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
cons �ruction site.
A Certificate of Suzvey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
CtRTIFICATE OF OGCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
�- _
� ��
� _ _.
sua�et� T�NO.
c�ty of Frid�ey 3 0238
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT N���
� `v _ COMMUNITY OEVELOPMENT DIV. °i�
r � � PROTECTIVE INSPECTION SEC. d����
1 .1 , .F.
� 1 �"'1 � CITY NA�L FRIOLE� SS�3Z NUMBER REV DATE PAGE OF AVPROVED BY
�'""'� � �'' 612-571-34b0 s�aF�s 9/20/99 / /
JOB AODRESS 5906 Hackmann Avenue NE
1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED
oesca. 6 4 Parkview Manor SNEET
2 PiiOPERTY OWNER MAIL ADDRES$ 21C PMONE
Gerr Hollis $ Sand Hollis 82- 045
J CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO
Owner
4 ARCNITECT OR DESIGNEH MAIL AOORESS 21P PMONE LICENSE NO.
5 ENGINEER MAI6 ADDFiE3S ZIP PFIONE LICENSE NO
8 USE OF BUILOING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (27 Sq) Tear-off
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Bu:i.lding Code.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTFICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONtNG.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT.
AUTHORIZED IS NOT COMMENCED W.ITHIN 80 DAYS, OR IF CONSTRUCT�ON
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTiiEET PARKING
I HEREBY CERTIfV THAT I HAVE READ AND EXAMINEO TNIS APPLICATION STAILS GAiiAGES
ANO KNOW TME SAME TO BE TRUE AND CORWEC7. ALL PAOVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVEpNING TNIS TVPE Of WORK WIIL 9E COMPLIEO @
WITH WHETHER SPECIFIED HEpEIN OR NOT. TME GRANTING OF A PERMIT �p2�J6O .�1. �.S
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE Oq CANCEL TNE pEqMIT fEE SAC CNAFiGE
PROVISIONS OF ANY OTMER STATE Ofi LOCAI LAW REGULATING CON-
STRUCTION OR TME PERfORMANCE OF CONSTRUCTION .�H�J. ZS Fire SC �Z . J�G
PLAN CHECK FEE TOT FEE
.79
S�GNATUAEO�CON'. CTOpOp1UTMOp�ZEDAGENi �DATE� E pq p I THIS IS V PERMIT
� ��
S�GNOfu E O� OwNEp��� OWNEpBURDEAi iD E� DG �h5 n�1F
�`e_
�[ l
ADDN
ALTER
Effective 5/10/99
[ ] � CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.DING PERMIT APPLICATION
Construction Address: �'9� 6 �,� �,�,z„ �,�w
Legal Description:
Owner Name &
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
Attach to this application, a Certificate of S"u�ey of the
lot, with the proposed construction dravvn on it Co scale.
#
� �'�
��
1 Tel. # — ��t ����-!�
�,::��.-�
.����-
DESCItIPTIQN OF IlVIPROVEMEI�IT"
Length Width Height Sq. Ft.
Length Width� Height Sq. Ft.
DECK AREA: Length . Width Hgt/Ground Sq. Ft.
OTHER: � � G � �o �� �.A a�S� �� �o .4-sE' �
� � S�u��a=�2�� s �_ _.
Construction Type: d�= T�-/1 or�`'Estimated Cost: $ `�f�l� �
Drieeway Curb Cut Width Needed: Ft. + 6 F= Ft x$ _$ .
� �� " ���
DATE: o � APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ c���
$ � �
$ -(6
$
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State. Licensed Residential Caniractors) .
Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
i
ar .
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 applicadon therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000:
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,a01 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additionai�$100 or
fraction thereof, t� and including $2,000
$59.25 for first $2,000 plus $14.00 for.each additional $1,000
or fraction thereof, to and including $25,0�
$391.25 for first $25,000 plus $10.10 for each additional $1,Q00
or fraction thereof, to and including $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 pius $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
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 instali a 3 foot wide -
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for constraction 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.