AF - 45450��
City of Fridle�, 1Vlin.n.
BUILDING PE�T
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Owner .......................................
Address......................................
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N° 322��
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Builder �. tc-::.:' :::..�.... {`�r r c'. �� .'. t : ' �.' ..-. ......
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Address .............................................
LO�CATI�I OF BUILDIdVG
No. �.:� � :... Street � �: "...., .....:. � :..�� :.:�-.��``... Part,� Lot ......... ... . .... •
Lot . .. t�. �. .. . Biock . . .�'"� .. .. .. . . . . . . . Addition or Sub-Division ��. : . :.�:�; . . . . : . . . � � `"- ��'� �. . . . . .: � ��=�°`���
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Corner Lot ..... Inside Lot ....� ...... Seiback c�s::�=...... Sideyard E::-�.....�� ....:.:........
DESCRIPTION O�' ��JILDII�C
To bg Used as: �, � v°
`� .- . : . " . : . . . . . . . Front � . . � . . DepthF- : � . :': Height . . . . . � Sq. Ft. .%. �. � Cu. Ft.�=� �` . .� : ! �
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.................... �ont ........ Depth ..... Height ...... . Sq. Ft. ........ Gib. Ft. ........
7�pe of Construction �� , � . . . . F�t. Cost. �c � .,� '`.� � . �: . . �c�. •. To be Completed . . �� . i�. :`: : . . . . . . .
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In consideration of t'he issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance wiilz the description above set forth and in compliance with all provisions of
ardinances of the city of Fridley.
....................................................
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In considera.tion of the paymeat of a fee oP $. �. �. .�, l permit is hereby granted to .. ��:.�..`� �., � F l
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... . .. ........ ..... .. . to construct the building or addition as descrlbed above. This permit is granted upon
the express condition that the person to whom it 9s graated and his ageats, employees and worl�aen, in all work
done in, around and upoa said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the prnvisions of said
ordinances.
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r�/ � �•". : :. .. `�`�� ::��.. . ,��ng In6PectoP
NOTICE: �
This pe�mlt does not cover the construetlon, Installation o� alte�ation for wlrin , plumbing, gas heating,
sewe� o� water. Be su�e to see tha Buildine Inapector fo� separate permlis for these Itema
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INDUBTRIAL C. E. C O U L T E R
BUBINESS
cirr�ore LAND SURVEYOR
TOP06RMHIC EAAPPINO REGISTERED UNDER LAWB OF STATE OF MINNESOTA
LICENSED 8Y ORDINANC6 OF GITY OF MINNEAPOLI6
3300 LYNDALE AVE. 50. MINNEAPOLIS 8. MINN.
TAYLOR 4-0370
Su�VEy f-o,� BEn�.so�v �'�.Y.�Ti�,v�rr�,°�
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JUDICIAL
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— —�+`` Or�%�aya �U�i%ify fdsQ/Ae/�f � — —
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I he�reby cerfiify that the above is a true and correct plat of a susvey of :
r.ot Ten (10), Block Three (3). PARKVIEW HEIGH'fS ADDITION, Anoka County,
M3nnesota. �.
As susveyed b}� me this 6th day. of fi�ugust 1958 A. D.
Signed � �°'� � �
Minnesota Registration No. 258
�lpproved by �uitding Inspecto-r
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City of Fridley, Minn.
BUILDING PERMIT
�
1�T° 5993.
Date: _....�.+�- �-,�..,,�.�-�'
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Ovvner: ,,��,�.. � Builder _ !`�� � ------ —
Address __.._� �._ Address .—�_.�._.. �._..—.__.�_�._.._...�._...
ATION OF ILDIiVG
No. ��— Street ,��_ .� �.� _ P t --�---
Lot _._� .__ Block ____._...y,�_...._�. A' on or Sub- . n" .,�,1�-�G�'_� �_
�
Coraer Lot _ ____ Inside Lot —. �"'"''� *rtback � ideyard —._.� � �_._.� _
Sewer Elevatlon �� _ Fo tion IIevation _
DESCRIPTION OF BUILDING
To U
. � s, / Front .� Depth .�� HeigHt .�/�'• 89. Ft���.�' Cu. Ft�.�G'`
Fro _nt�— Deptlt eaght �Sq. F't. G�. Ft
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Type of Constructio . .�:� j.' �.��. Co °�, ��.:______^�-�"`i''o be Com leted —
n�,.'����°` � a �-� P
� In considerafion of the 3ssuance to me of a permit to construct the building described above, I agree to do
-. the proposed work in accordance with the deacription above set forth and in compliance with all provisions oP
ordinances oP the dty of Fridley.
�
In consideration of the payment of a fee of $�M"""`e�� , permit fs hereby granted
to construct the building or additaon as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, altera.tion, maintenance, re au and moving of buildings
within the city ]imits and this permit may be revoked at any ' u�vi��j�any of the provisions of said
ordinancea
Building Inspector
NOTICE:
This permit doss not eover 16e eonatrueHon, InstapaHon fo� wtring, plumbing, gas heating, sewe� o� water. Be sura to sae
16s Buildieg letpeetor for ssperate parmits for theas haeu.
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�pr�ac�,Taov �o� Buaa�a�vG pE�uT
c��c o� �in�x. ��sar�,
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Owner's Name C Huilder
Address %a� ld G �c.�°�`�� �i c�ress
LOCATIOIY OF BUII�DIIITG
No e 1� a o Street ����. Part oiE Lot �
Lo� f D , Block � Addit�.on or Subdivia�.on�
' / t%�y--�-��.
Corner Lot �nsi�e Lot v Setback Side�Yard
SEVt1E� ELEV�+,TION FOUli�DAT%ORT FLEVATI4RT
Applicant a��ach to �th3.s form Certiilcate of Survey of Zot and
proposea builcling loca�tion.
DE�CRiPTYON OF BZJILDING
�q s 1''L e ��.� �-� �� l.:l s
�.�n� / �
�t. ���- d
�'ront� ep•ch He�tght
Sq. Fte Cuo Ft. _
�ype o� Construc�cion�, Es��.mated Cos� � o_���
--
la be Comple�ted
The undersigned hereby makea appl�ication �or a permit �or �the wo�k
herean specified, a�ree�.ng �to do all work in strict accordance w3th
�he C3ty of Fridlay Ord�.nances and ruling o� the Deparcicmer�t of Huild-
iags, and hereby declaJC�s that all the factcs and �ep�esen�a�ions
s�cated 3n this appl�.cat3on are true and correct.
(Schedule of. Fee Cosics can be found on the Reverse Sidlej .
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�UILDING PERMIT �EE SC�IEL?iJI� _
Sectio� 2. The T�spector of Suildin�s shall, be�ore issuing any
pe�:ni� for the e�ec•�ion oi any building or structure, oic for any
addi�t�.on to any ox�.s��i� �uild9.ng or � s��cuc�ure, � or � fo� "�� 'alte�ations
or repairs �o any oxis�ing building or struc�u�e, upon application
�h�re�or, require the paya►ent by the applicant �o� such permit of
fees �o the amount herein below set �orth and in the manner here�Ln
pgovided to-witn
2.1. For any such pe�mit for the erection of any fire-proo� building,
o�er ttzan a garaga, waacehouse, factolcy or grairi eleva�to�c, or for the
elcec�ion of atiy �� re p�oo� additioa, �or s3.milar occupancy. to any
exis�ing bu3lding sha11 be at tlze rate ot $1.9�0 for each ono thousand
�ic �eet, or �rac�t3oa thereoi, in such cubical contents o
2.2 . For any such por�n�ic �or the erec�ion . o� any �Eire-proo�E garage,
wagehouse, facto�cy or grain elevator, or for the erection o:� any iire-
proog addit�.on, �or siYnilar occupancy, �o any existing bu�ilding sha].l
�Oe at the ra�o.oi $1.25 �or each or�e thousand cubic �eet, classified
as "f�.reproo�" by Sec��.on 502 0� �the M�.n�ieapolis Building Code.
_-___ � �-�5--� - - - _ - - - -_ _�___._____� _______________.__ __� __ _ —_ - �-- ---
�
2.3. For any such pe�mi�c for the erec�ion oi any non-f�eproof bu31d-
ing other �han a gara�e, waxehouae, �ac�ory or grain elevator, or any
non-rigep�coofc addit�on, for aimilar occupancy, to �ny exis�9.ng build�.ng .�
Permit $1.00 �or each ono thousand cubic �Eeet. ' �'��
.y
CTi�I�GEdS'
_._.__....
2.�. For any such permit �or the erection or ang non-firepxoo�E
garage, warehouse, Lactory or gra�.n eaeva�o�, or for the erect3on of
any nom--firep=oor addit�.o�, ror aitnila� occuparlcy, to any existinq
bui�.ding or �or each such bui].ding or add3tion, Nino�y Cen�ta fo�c each
one �housand culoic ieet or fraction �hereo:, in the cubical contes�te
thereofc with a m3n�nu�ri or $4000. �'�"i'
°�
For �he purpose o:� computing fees for build�.ng permits the cubical con-
tents o� any buildi�g or addition to a unifo�n height throughoufi 7�y
multiplying the ground a�ea covered ;trom a po3.nt eix (6) inches belaw
�the �loor line o� iche basement or cell.ar tv the average hoight of, the
upper surface "or ico 'che' average height of the roof eurface oP the� tnaia
gable of a pitched �oo�.
2� For repairs or alterations to an ex3st3.ng structure, the f�e
�shal�. be at �he ra�e of $3.00 per each Five i3undred Dollars ($500.00�
or fxaction �hereo:c �n �the cost o� all proposed work.
2;6. Yn no case shall ��.h.ho fee charged �or any permit as set fortis in
!�c+i' R _'�
SeCtiOri 2 � ,�SB tl�� $4.00. �
��
City of Fridley, Min.n..
6431 University Ave. 1�. E., Minneapolis, Minn.
� � � �
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�,�� sanuary 2, 1973
_120
�� Donald Scherer Wm George
8uilder
� 1000 Hathaway Lane Ad�ress 3922 Richfield Road
LOCAT101V OF BUILDING
No 1000 s�t Hathaway Lane N.E, p� of Lot
� 1 0 �� 3 Addii3on or Sub-Divis�tan Parkview Heights
Coraer Lot Inside Lot Setback Sideyard
Sewer IIevatian Foundation IIevation
DESCRIPTION OF BUILbING
To be vsea as:
Additio�n �nt 10' �� 12 � Hei ht
P g Scl. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
'1'ype of Consiruction Wood Frame �� $ 3800 To be Completed 2%30j7�
In considerai3on oP the 3ssuance to me of a permii to construct the 'building descri above, I agree� to do
�3se Proposed work ia accordance with the description above ��. � rth an�„ ia complian�ith all provisions oP
ordinances of the city of Fridley. „ //A;, � / 1
In considerat3on of the payment of a fee of $ 24 . 00 � p�t is hereby gran�ed to William A. 6eorge Jr .
to constrixet the building or addition as described above. This permit is granted upoA
'fhe express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, aroimd and ugon said building, or any part thereof, shall conform in all respects •to the ordinances oE
I�Sridley, Minnesota regarding location, construction, alteratton, maintenance, repair and moving of build3ag8
��� dty limits and this perrnit ma.y be revoked at any time upon viola.tioa of any oP the provisions oE said
G���'' _ —" BwAding Inspector
DARREL CLARK
NOTICE:
ifits permit does dot a�ver the eoastruetion, installaHon fo� wirins, plumbfng, gaa heatieg, aewe� o� water. Be surs to �e
ths Building Inspeqa� for aepa�ata permifs for theae herds.
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AP.P������Q� ��� R��IA��ii��. A�T�R�►��a�,
0� AAA�TiO� ��I�DT�G PERMT�
��TX QF PR�����e M�NN��QT�
QWi+TE�' S N�¢E :�./U N l� L ti? S� N;L�.k�� BUgL�Ei� s, �%'"� � L�i1 Fi /�;.,. � �,� �., �
�nn�ss s���a� l�i�TN�4 w✓� �� GAa� ��s: 3� za a2� ���� i�Z� R� �
�.a�+��•v �. r��� w i e � s i e is
��jg ��� v eI�ep�+��►Q �/�aT�/���a t/ L�9N�
1'��D1'I. � 1�d•A�i}F+#7�.r��.a.w s"�I �a T.�r ■� ��e• � iiuw�
�� U �i.ocxs � i�2�zo�aR �,l°/�1 � U/(�� l�L-° l � tii S
C;(1�N�R LOT; �� I.OT:, , SETBACRg SIDEY�IRD:��
.��.�,ca� �t�r.� �a, ��+�qa��,,.a Certificatee vf SutvBY o� La� a�d prop���d
�i,�.�tt� �.+�ti.oa elr�ta s�a t�#ese Cextificates�
�
����Fi�PTIiJ]V OF BUILDIAiG
� �e ii�e� � :
�� ,�vow. � !�% � nepith- /"Z � �ight:
�.�+�.� i e � s �
�,�aT$ ��a�i� � 2� c��� ���3
Fr�t t Dep�h ; i%i.ght s
$quaX� �'get; Cubic Feeti
�►� v� �oa�t.�xe��.+c�� d.�,7#°✓�� �I�"31�' , im,a ci �: $ �,�OC�
�at Ce Cos
� e e� �
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�� � �'����ds �,�, ��n/ �zi �.
T� �+�er����d hereby �c+�s a�l�.c$tivzt �or, $ pe�t fa� th� w��k be�rei.�
#��,��.� �ee�.a�, t� do a11 N� iu stt�at acco=dance wit2� the ��,ty �f
F�'1,A�D.�' £ll��� �d �u►� aP# � ���� Af Bu�$d�.��, � �tereby
d�,�� � al1 �hk� �E�cts � s�reseatari.o�ts �tated � t��a a�1�,aati�a
�� � a�d cvrrec�, .
�1,�'F� 7 ��l��� :
�� g�i�►e S�c�e �o� Add#t�onal �n�ostq�atiaa.�
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BU���TN� P�RMIT F�� ��H$AU�E
����� �. �h� Inepectax �f �u�ld�ags s�a11, befo�e �asuiag penait� for �he
������on o� a�y bu�lding A� s�ructure, ox for any addition to any �ist���
������ ox S�ZI,iC�ulea o� fv� any alter$tio� or xe�airs to any ex��ti�g
������� ox stxuct�xe, upon &ppl��ation theref�se, require the paym�n� by �hs
����i�a�t €p� such p�r�►i� �� �ees �o the a�ount heaein below set �axth a�d #.�
��� a���r ha��e�n p��vided � �o4•wwiX z
UN��QRM BU�LDTNG �ODE= �►Pe �.s 2� 4-$2.�5 �or each a�ae thous�rtd cubic
�e�fi�, �� f�action th�7c'eo�, i.n tsu� cubical con��nts. 3�rpe 3& 3� -$�.,85 �o�
�acb Q�Q t��usand ,�bic £ee�, .
A�D i T�U�iAi. I NF�tMAT I ON
Fp� �t� �u�pp�e of �C�npul�ilu� �ees for building pertait�, the cubica]. contents
og �y building or addition, i,� dete�rmi�ed by mui�iplyi.n� the $round area
�ve��. �pm a poi�� ��x �6j inc,�es below Khe f�.00x line o� the basement
�► �� ���.1$� �o the average �eights of the upper surface or to the avera����
�,�t �� t� �'O�t� �nt�face a� Ghe uiai� �ab�.e o�t � pi�ched xoo�.
��i;r� o7c al�$����.ont$ � a�, existin� st�L-�a�e� �ae f�e shalJ. be �t� �h�
��,�� o� $3,�0 �elc �� f�,ve h�c�a�ed dollar� ($�OOrUO) � f�tio� �hereo� in
i�� ca�t o� $11 �►��gc�sed wv��a
T� � c�e sha�.l �a� i�es fo�c � pe�it as set ��� 3an Se��ian 2 be
�a �aA $5. (1A.
�
V������4TiQ�1 0� ��i1NF4lTI0N
�p7�� P+ea7naits �ox ��ts���oa� wil�. be f.��ued a ��#�m o� �4 �ours �xa� �e
��Mar o� Ap�iicat�on, �v a���w �ox pra�e�r review of �kte pzopos�d a��ug�xe aAd
�� �e �st�u�tion �i�e.
' � �C��.�i� su�sv�g v� th� ���, �,.a�i�$ t� �oca�� a� �h� �auxiclati�„ o�� ��
��� �st��d� wiil ba ��u�.rgd be€ore proceedin$ w��h tit� fr�i�.
.
��R�'TF��.Ai� QF l3��PA1V�Y
�F�������a �� ����i:�itta�e c►� Oacugar��ey �hal� bs mads t�u (i4) �ay�s pxior
�Q fih� ��se Qx +�c�upa�g o� �ay u�ec�tre far which a bui.�.di.a� pexsai� haa �een
isstaed; �tct s$�.d st�'�.l�l�tt� �hal� pot be used a� occup�ed u�til a C��ti.ficate
Qf t��upa�ay ha� b� �.sau�ti.
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land Pla�nieg su�u/L�n 6875 #lighway No.65 N.E.
' Land Swveyin8 � � ��J /+ Minneapolis�
Soiis Tostieg �����ne�//u�J V�i/� Minn. 55432
Civil Engineering Telephone 784-6066
� M�inicipal Engirreering Engineers & Surveyore A�@a coa� biz
Mortgage Loan Survey fori�fl���o�V�,�..� S��i���K
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pA��.vti� 1������ Aa��-��Q�
�lnok� Cou��iy _
7his is a true ond eorreet representation of a aurvey of the boundaries of the Iand aba�e dexribed and oi the
loca*ion o/ all buildings� if aar� thereon� ond all risible eeeroaeh�nenfa� if any� from or on said land. Thi; survey is
mode only in connectie� wifh o morfgage loao now 1�ing ploced on the propertp and no lioftility is assumed
axeept to the holder of such mortgage or anr othar interast acquired by the ren3on oi auch �norfgage. !t is
understood ond agreed �o monumeMp kave beert laced for the purpose of eatablishing lot linea or bpundary
corners. Dated thisJ,�dar ot QcT p, O. :9,�, -
SUBURBAN iNGINfERING, INC. .�
Engineers /♦' 5urreXors ,
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sus�ECr PER
City of Fridley ���ING _ 16 5 9 2
AT THE TOP OF THE TWINS g���� p E R M I T
r
; � RECEIPT NO.
' COMMUNITY DEVELOPMENT DIV. � � � �
' �lr -
r � � PROTECTIVE INSPECTION SEC.
1 = i
� /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""� � ,�� 612-571-3450 910-F15 5/21/82 / /
JOB ADDRESS 1000 Iiathaway Lane N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �O 3 Parkvi.ew Heights Additi.on SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Don 5cherer 1000 Ha.thakray Ia.ne N. E. 571-4879
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Ryan Company 12201 Orchard Avenue North 544-6787
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION O REPAIR � MOVE � REMOVE
8 DESCRIBE WOflK
`dreck atta,ched garage
9 CHANGE OF USE FROM T�
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIQNS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED NONE
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
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $].r�.00
TRUCTION OR THE PERFO MAN OF CONSTRUCTION.
�r�'A •� PLAN CHECK FEE TOTAL FEE
�.ls� � �. i : �( $15. 00
SIGNATUREOFCONiRACTOROfiA OR12EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
��
SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI �'-� �-'E"c'DG INSP /+TE
Effective Aug. 1, 1981
City of Fridley
•T r�e roP a r� rwa+s
WRECKING PERMIT APPLICATI0�1
-"---� COMrNINITtl p!V[I.O�fEMT 011f,
i r110T[CTtV� MIi�CTIM{ O<IT,
�
�__' � pT1f MAL� fINOLtr �:
�.� w-eso-s�so
Job �ddsess
% C5 ��4T� �-a�,p�i'
Legal Lot No. Block No. Tract or Addition
Desc. 6� ,� ��k:Yd��JJ ��
Proper.ty Owne Address
�� ��� , ��v°' � � ,��9T�tI �9e�a�°�'
Contractor " Address
� h� �rJ'i� n�' 1 ?y2�z I �i��� �
Description Front � Depth � Seigh�
of Bldg. /� ��3 '� °-� �y
.1��'+4�f-4�� No. of Dwelling Units Taxes Paid
�a�,��� 4 � �
Permit No.
Receipt No.
/s�.5 �� A�
�iAAJ.�° _ �,�Ph
=, �%d ��%—� ��"
Sq. Ft. Cu. Ft.
3 `� � �. �._.��
Tax 8eceipt No.
, IEstimated Cost of Wrecking �� ITo Be Campleted
Utilities to be Notiffed and ciate Services Disco:uiected
Mpls. Gas O�. N.S.P. Northwestern Bell Tel. Co.
Engr. Dept. Cust. Hus. Of c. Sus. Of c.
372-4850 330-5540 332-4112
Date D�ate Date
UTreckinq Fees: $1.25 for each 1000 cubic feet or fracti�on
For structures which would be impractical tA cube, the fee
shall be 5ased on the total cost of wrecking such structure
at the rate of $6.00 �or each $500.00 or fracti�on.
MIIJIIr1TIl�1 FEE: $15.00 No State surcharge on Wrecking Permi.ts.
Approved By Water � Sewer Department:
All Bills Are Paid
Services Are Disconnected
7.'he undersigned hereby makes application for a permit to wreck the building
described above, agreeing to dc all work in etrict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facte and representations stated in this application are true and correct.
�� �� ��
'� � c� �D Contracto�
i'�� � . / 9 � Z
Date �
�
c�ty of Fridley SUBJECT o� 16 5 9 3
A T THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
; � R EIPT N
� `v _ COMMUNITY DEVELOPMENT DIV. �
r � � PROTECTIVE INSPECTION SEC. � pQ
� � � �o���Cy
� � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'"'"� � ,�� 612-571-3450 910-F15 5/21/82 / /
JOB ADDRESS 1000. Hathavaay Lane N. E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEE ATTACHED
DESCR. ].O 3 Parkview Heights Addition SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Don 5cherer 1000 Hathaway Lane NeEe 571-487�
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
H�X� Ryan Company 12201 Orchard Avenue W. Mtka 544-6787
4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22' x 32' Attached Garage and a 4' x 12' Addition to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
WA��N� �FPFRAj� p
pofae aluint c� t�l at�ities H��Tt�� �+R�/��S �E
t�.F�� • F�c��c -� E� At��g��; aN��r���p f�R �
R�QUIRE� BY L�►�N ��� ��.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. GTOOCI FrdIDe
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 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 VAI.UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9�000 yS4. SO .
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �%4. SO ���+
�,�/�� ��% PLANCHECK FEE TOTAL FEE
//W"r.�.r �-"-' �� Z�"�'�, $18s63 $97.63
SIGNATUREOFCONT AC ORORAUTHORIZEDAGENT IDATE) WHEN PROPERLY�VALIDATED THIS IS YOUR PERMIT
� Fa� OH
n,� �
SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI _ � BLDG INSP � E
�
CITY OF FRIDLCY
Effective Auq. l, 1981
APPLIGATI�J FOi� RCSIDCi�TI11i QU1LQIfiG PL•(ttiITS
(N�►�. Alterations, AddiLions, or Repairs)
ONJNER: ��� ��-i�d'��— t3UILDER: d��'�� -��2����'
ADDRESS: ��fl �IA�T-�1 �'-J �`� ��� �� - ADDRCSS: ���/ f��tJ�� �,9&�� �� . /�'�.�q
TEL N0: �'�6� �� � 9 TEL N0: �°r'�a� �?� i'
Construction location
- STRITT NO: �� O STItEET: 0-i i?-� �� dL� L�1- c�� l� ��, . .
LOT: /� BLOCdC : ry�3 a�na�ao�a : �A P.� (� ��� l� I�'� l-L 7 S 1� �D � l.� •
Corner Lot: Insic3e Lota k Setbacr: - Sideyards:
Ap�licant attach to this fozm two Certificates of S1�rvey of lot anc7
proposed building locatio� drawn on certificates to scale.
DESCRIPTIOfv OF COhJSTP.UCTIOW
�+ '
�TT�%� tra,���@�,.� Front: ��. �� �� Depth: �� � e� Height: �.� � ��
Squane Feet: �t� � i�ibic Feet: �� � �
.��i7/�i� Front: 4/ p�� Depth: /� � d�� Height: c'� ' c� ��
Square� FePt: �� f Wbic Teet: ���
��`.�,� �� A� � � �,�°1.'�U �° �� � 3� ,°��, � � �'�io. ��� ��`� � �C� � � ���
Type of Cor,struction: �J��7 �� Estimated Cost: $ �
Rb Be Obr.�pleteci: �f) ��`��
Alt. A Alt. B
—�roposed Drive��ay Widii� Ii tJcw �peninq Is Desised: ��i � �
� , , SE� REVER�E SIDE OF SHEET .
�'iie undersigned hereby maz:e� application for a permit for the t.�orl:� herein specified,
agreein� to ao ,all work i.r, strict accordancc r�ith the City of I'ridlel� Ordinances �nd
rulii�g� of tl�e Department of IIuilc3ings, and hereby declares that all the facts and
repres�rtations stated in this application are true and correct.
� _ . � .�% �
a.��: �1�. 1 °� b`1 �'� si.ccNnzv�:
Stipulations: �
;
� p \.
tl �
�-��
P
i V �
,e � ���
,���G�
r
�_ .��.
�
BUILDING PE•RMIT FEE SCHEDULE
The Inspector of buildings sha'11, before issuing permits ior the
erection of any buildinq or stru cture, or for any addition to any
bxisting buildinq or strycture, or for any alteration or`�repairs
to any existing bu3lding or stzucture, upon application therefore,
require the payment by the applicaat for such permit of fees to the
amount herein below set forth and in the manner herein provided to-wits
TOTAL VALUATI0�1
$1.00 t� $SID0.00
$501 b� 52.000
$2,001 to $25,000
525,001 to $50.000
$50,001 to �100,000
FEES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional �100 cr fraction thereof, to and
3ncluding $2,000
$32.50 for the first S2,000 plus S6.00 for each
additional $�,000 or fzaction thereof, t.� and
includinq $25,000
$170.50 for the first $25,000 plus $4.50 for
each additional $1,000 or fzaction thereof, to
and including $50,000 -
$283. 00 for the first $50, 000 plus $3. 00 for
each aciditional $1,000 or fraction thereof, to
and including $100,000
5100,001 and up $443.00 for the first $100,000 plus $2.50 for
each additional $1,000 or fraction thQreof
PLAN CHECK: 25 percerit of building pezmit fee
DRIV%WAY DEPRESSION ESCROW: Concrete C�rb Streets Only
Alternate "A"a Aemoveal and replac�nent of curb and gutter only
Driveway width plus 6 feet x$13.50
Alternate "B": Removal and replacement of curb and qutter and install a 3 foot
wic3e approach with 6 inch depth
Driveway width plus 6 feet x$15.75
VERIFICATION OF FOUNDATION
Permits %r construction wi3.1 be issued a miniminn of 24 hot�rs from the time of
application to allow for proper review of the proposed structure and of the
constructio�n site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
1 ��
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Mortgo,ge
��'l��l�'��,�1 �� . � 8873 Nlyhwar No.bs N.E.
l:''�dr�{����,l�'��2�, �ni�i� Mie� Si 84
�� iel�phon� 7N-0006
Engineers & l5urvey�se w..o coa. e�=
Loan Survey forMi2•�o�t�.� 5�►�-i��E�
� ATU AWAV
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p�uv��v U�.r�u'c� A�����o�
Ano1�Q C,ovn�y .
TAis h q�rve aed eo�r�st npr�ssatat{ow o/ o f�r��y oi 1A• bounda�i�s M fht lond above d�seribad oed d Nw
Issotion o! oll lwildinga� i/ oar� 1fi�rson� oud ol! vi�ible �qtroetha►snQS� 8► m�ro 9roin or os soid land. t0�ir surwp b
mado ealr in apaoes�ion with a �nortpo�� loon wow Min� plac�d on tks propsrty and no liobilNr is o��um�d
e=eept tp the hoWer of weh mmf�ope �a any oth�r iwfr���� o�qe+ie�d by 4M rtason o/ �veh �no�lgoye. It b
vnderatoqd ond ag�e�d �o n►onumenl h41r@ b�oo to��d 1or tM Prrµ�oi� o! �atobli�!►in� b0 li.i�� or boundory
cora�n. Doted ohh,�,__dov of .��_A. O• 10� --- --- -
, �, °p�a��y t�aq a� 6�S8dtt��q �o
eaaa'F3'F���� 8 T'Fa� Pe��n��o so pasn �q �o� YiB�i� �tn9�tuqe p�tre pu,� ip�nse�
ae�q e$q �ivusd Sn�pt�nal � qo'Fq� x�; a�l�� � fa ��ee¢n��o so as� rr� o�
so�acd e� (At� �a ���4 aq tt�s 8�nedn��p ga s��f�Y�� o x�og n.o��+�'�t�it
sue�ecT P .
City of Fridley o 188 1
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � ECEIPT .
� ; v _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �- 'Y� �
i ` �
� /'�'1 � CITY HALL FRIDLE� SS4$Z NUMBER REV. DATE PAGE OP APPROVEO BY
�""'� � �'� 612-571-3450 910-F15 4/7/87 / /
JOB ADDRESS 1000 Hathaway Lane N. E.
LOT NO. BLOCK TRACT OR ADDITION
� DESCR. �-0 3 Parl�view Heights Addi.tion SHEETTACHED
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Dan Scherer 1000 Hathaway Lane N.E. 571-4879
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Western Remodelers 2520 West Larpenteur, St. Paul 55113 645-1411
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
RBS1C12ri't].d�.
7 CLASS OF WORK � NEW ❑ ADDITION �J ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WOF;K
Reside Dwelling, Alumi.niun t�im, Replacement Windows
9 CHANGE OF USE FROM TO
STI PU LATIONS
SEpARATE PEFMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
V�NTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH 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 �- 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 $9, 448 yS`4. %3
DOES NOT PRESUME O GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF O HER STATE OR LOCAL LAW REGULATING CON-
TRU ON OR T E PE FORMANCE CONSTRUCTION. $SO. SO
PLAN CHECKFEE TOTALFEE
$85.23
oc N� A TOR AUTNOAIZED ENT IDATEI �,w EN P P V I ATED THIS IS Y R pERMIT
SiGNnTUREOFOWNERiIFOWNERBUILDERi �DATEi � 9LDG �NSP �
n
N� [] City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
pLTER. [ 7 Building Permit Appliaation
Construetion Address:�
YV
Legal Descriptioa:
Owner Name & Address . � Tel . � �� � � �
Contractor: � � � Tel. # �
Address:� W
�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOA OF IMPxOYEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Hei�ht Sq. Ft.
DECR AREA: Length Width Hgt/Ground Sq. F�.
� "S ,� �-J '� 4 �0- I � � q � � �tn�
OTIiER: C� S�'�� S12��
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek
Type of Construction: Estimated Cost: $ � I"��
Approx. Completion Date: �� � � � ��
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
J ` � // / /
DATE: � � APPLICANT• Tel. � ��
TY IISE ONLY
Permit Fee $ ���� Fee Schedule on Reverse Side
Plan Cheek $ �+ 25$ of Building Permit Fee
State Surcharge $ • 3 $.50/$1,000 Valuation
SAC Charge $ � 525 Per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
,�+ Agreement Necessary [ ] Not Necessary [ ]
TOTAI. $ R J � ��
STIPULATIONS : �� ` 3J - C� � �l
3 ���v �
�a.C� • o�? a, c� e� �-- 3, a v
�
�db
��6 �
�SO .Sv
BIIILDING PERMIT FEE SCHEDIILB
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 strueture, or
for any alteration or repair to any existing building or structure, upon application
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 9aluation
$1.00 to $500.00
Fees
$10.00 (Min3mum 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 eaeh
additional $1,000 or fraetion thereoF, to and
ineluding $25,000.
$25�001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraetion thereof, to and
ineluding $50,000.
�50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraetion thereof, to and
including $100,000.
$100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for eaeh
additional $1,000 or fraction thereof.
DRIVEfiAY DEPRESSION ESCRW
(Conerete 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 FOIINDATION
Permits Por construction 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 once it
has been eonstructed will be required before proeeeding with the framing.
��
sue�ecr PER
c�ty of Fridley 7 8 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
' ' NO.
� �
� `L __�__ COMMUNITY DEVELOPMENT DIV. q � �
r � � PROTEC7IVE INSPECTION SEC. �"�
1 ` �
� �'�'\ � CITY HALL FRIDLEr 55432 NUMBER REV OATE PAGE Of A�PROVEO 8V
ti.__.Jl.' '•� 612-571-3450 9t0-F15 4/2/93 / /
JOB ADDRESS 1000 Hathaway Lane NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. �-O 3 Parkview Heights Addition SMEET
2 PHOPERTY OWNER MAIL ADDRESS 21P PHONE
Donald Scherer 1000 Hathaway Lane NE 571-4879
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PMONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW �7 ADDITION O ALTERATION ❑ REPAIR ❑ MOVE . C� REMOVE
8 DESCRIBE WORK �c�rch.
Construct a 16' x:.l4i Addition; a 16' x S' Deck; and remove an e�cisting 16' x 14" De k
9 CHANGE OF USE FROM TO
STIPULATIONS gee notati4ns on plan.
z ������iG v�R�o '�°R ���S•
�e�or� diogin� ��1! fior G Np
��� �ti�yt� i�at� pER���� ��B�N A
��� S�pPR�'THEA�CING� P�"
��Q����� BY 1�►►� ��R�NG�
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AIVD VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED 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 EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED 6 8�8
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ ( S3 �45
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S9O.O.0 Fire SC �S`G.�O
PLAN CHECK FEE TOTAL FEE
��'=�-� G � Z 9..3 $100 ..35
SIGNATUREOFCON�AACTORORAUTHOA�ZEDAGENT �DA Ei WHE PR ERLY V LID ED THIS IS YpUR PERMIT
� � -4 - /�J
SiGNATUREOFOWNER,,iFpWNERBU1lDERi IDATE� BLDG iNSP qFTE
NEW [ l
ADDN [ ]
ALTER [ ]
Construction Address:
Legal I?escription: _
Owner Name 8c Add�
Conhactor:
Address:
� � ,CL��c
L� AREA:
GARAGE AREA:
DECI� AREA:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
. . .: . � ...:.::.:: : .:: �, ,
Effective 1/1/93 �'
,
-���= (�'eI. #� / - ��' � �
MN LICENSE #
Tel. #
Attach to this application, a Certificabe of Suivey of the
lot, with the propased construction drawn an it to scale.
DESCRIPTION OF IMPROVEMENT
Length � Width % �-c Height e� �
I.ength � Width Height
Length _ l � � , Width �. Hgt/Ground
sq. Fr���
Sq. F�
Sq. Ft. 2�
OTHER: - ' � � `f' _ �.
, �°G7 ^ lJ3a�r ` G��j
ZI f 1C 7��� -! (?�,1
Corner Lot [] Inside Lot [`� Ft. Yd Setback Side Yard Setbacks
Type of Construction: ���� ��; $ .
Approx. Completion Date: ��f-----� � � ��� %�
�
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �' a APPLICANT: , � Tel. #��a�� ,_ �_ � �
CITY USE ONLY
Permit Fee $ �� �� Fee Schedule on Reverse Side
Fire Surcharge $ 6� 9 � .001 of Permit Vatuation (1/lOth�)
State Surcharge $ � . � sS�$.50/$1,000 Valuation
SAC Charge $ � $750 per SAC Unit
License Surcharge $ --� $5.00 (State Licensed Residential ContYactors)
Driveway Escrow $ --(� Alt_ "A" or Alt. "B" Above .
Park Fe,e S `� Fee Determined by Engineering
Sewer Main Charge $ �� Agreement Necessary [] Not Nec�ssary []
TOTAL
STIPULATIONS:
�/��, 3��'
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before iss�ting permits for die erectioa of any building or structure,
or for any addition to any existing bnilding or structvre, or for any alt�ation or repair to any existing
building or stlucdue, upon application theaefore, require the paynne�nt by the applicant for such permit
of fces to the amount herein below se� forth and in the manner herein provided to-wiL•
TOTAL VALUE
$1 to . $500 �
$SOl to �$2,�
$2,001 to $25,000
$?5;001 to $50,000 - .
$50,001 to $100,000
$100,001� to $SOO,OQO
$500,�1 to $1,000,�0 .
$l,(100,001 and up
s
�EFS
$15 (Minimum Fee is $15 plus so�rcharge)
$15 far first $S00 plus $2 for each additional $100 or
fraction thereof, to aad including $2,OOU
$45 for first $2,000 plus $9 for �each additional $1;000
or fra.ction thereof, to and including $25,000
$252 �for �fust� $25,(�l0 pl�s $6.50 far each additional $1;000
or fraction therebf, to and including $SO,OQO
$414.50 for fiist $SO,OQU plus $4.50 for each additional
$1,000 or fraction thereof, to .aad including $100,000
�39.50 for first $1W,000 plus $3.50 for each additional
$1,000 or fra.ction thereof, to and including �$500,000
$2039.50 for the fust $500,000 plus $3 for each additional
$1,Q00 or fraction thereof, to and iacluding $1,OOO,t?00
$3539.50 for the first $1,0OO,OW plus $2 for each additional
$1,000 or frdction �thereof -
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alterna�e "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 gutier and install a 3 foot wide.
approach with 6 iach depth - Driveway width plus 6 feet tim� $15.75.
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 s�ructure and of the coas�ruction site.
A Certificate of Survey of the lot, showing the l�cation of the foundation once it has it has been
constructed will be required l�fore proceeding with the framing.
V
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' loed Swv�rin0 �� • � • ��ZC• Mi�w�e eli�
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� Mlrnicipal Enqi�a�ring Engineers & 6urveyore Ar�o Cod� 012
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loaa�io� oi oll brildinos� if onr, 1h�r�on� and oll viaibl• ��roa�Mn�ef�� i1 onr� ��on+ or o� sald land. Thi• su�wr is
ace� t tor hs�holder,of�r� h moH�oro��� ��n wow b�iny ploc�d p� th� Prop�rfr aed �o liobilitr ii Of�Y1t1�fI
P � 8 0► aey oti��• int�rrfl ocquir�d by fM r�a�on ot such mor� o
underi�ood ond ogrsed �o nnonumenl hq're b�an ploc�d /or fM p�rRoa• e/ •s�ablfshin 9�� �� ��
corMn, Dorsd �hls.J�,__dor o!_Qj,�.A.O• to,7]_ _-- __.�. _ � � b0 dn�a or boundsry
�:_. _ _,�..r_.-. ,.,_ __ ._ _.�._ ;_t-,�,-....�:.L�..�'-- `., _. � . _... _.�.-�._. _�-._�YnY :tflll _L.t' �it91lA 2A --
. _ _ _ _ �.... .�. . - -�- _ s ftaoe
0
� !
' sue�eci � PERMIT NO.
c�ty of Fridley 2 $121
AT TME TOP Of THE 71MINS g � � L D I N� P E R M I T
� , 5�'2-3604
,�
r ; y�__�__ COMMUNITY pEVEIOPI�iENT DIV. i P��
� � PROTEC7IVE INSPECTION SEC ����J
i . ,
� _ �"'1 � CITY NALL FRIDLE� SS�3i NU4BER pEV OATE PAGE Oi APVpOVED B�
�"""'�� �'' 612-571-34b0 910-F15 / /
10/6/98
JOB ADDRESS 1000 Hathaway Lane NE �
t LEGAL �07 NO. BLOCK TFiACT OR ADDITION SEE ATTACMED
oesca. 10 3 Parkview Hei hts Addition SHEET
2 PiiOPERTY OWNER MAIL AOORQS$ ZIP PMONE
Don Scherer
3 CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Top Gun Inc. 5014 Parrish Ave NE Ro ers MN 55374 428-4559 20128211
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE UCENSE NO
5 ENGINEER MAII AODi;ESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION � ALTERATIQN � p�PAIR O MOVE O REMOVE
8 OESCRIBE WOFK
Reroof house and garage (23 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STiPULATIONS �
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE FiEOUIRED FOR EIECTRICAL, PLUMBiNG, FIEATINf3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
VENTI�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTHOfiIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOR A PEF1100 OF 120 OAYS AT
ANY TIME AF7ER WORK IS COMMENCED. ` NO OWLG. UNITS OFFSTqEET PARKING
I HEREBY CERTIFV THAT I NAVE REAO ANp EXAMINED TNIS APP�ICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PpOVISIONS OF LAW$ yqLUATION SURTAX
AND ORDINANCES GOVERNING TMIS TYPE OF WORK WIl1 8� COMPUED
WITH WMETMER SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PERMIT �I.9�I1 �.98
DOES NOT PFESUME TO GIVE AUTHORITY TO VIOlA7E OR CANCEL TME pEpMIT FEE SAC CHARGE
PROVISIONS OF ANY OTNEFi STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION $62.25 Fire �1.97
P�AN CHECK FEE TOiAL EE
1
Licen S 5.00 $7 .20
$�GN4TUAE OF CON'AACTOA OA AUTMOA�2E� OGENT IDA7E� EN P OP ATE N�S �S YQ� PEFl IT
-_ � � �
$�GN4TUAEO�OWNEQ���OWNEpBWLOEA� ��A1E� Bl �NS�' p6f(
� .,
NEW (�
ADDN (�
ALTER ( �
ConStruction Address:
Effective 8/ 1 /95�
CITY OF FRIDLEY _________..__ ___ _
r-----
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 \�
Building Permit Application ���G �
. � ��
/CX�� �e�hQ � �� _
I..egal Description: - _
Owner Name & Address: Q�'l�► ��„QJi �Jt _ _ _ ( SAf°�l � �_ Tel. # �
_
Contractor: 1'�� P C�U t� = I�C . MN LICENSE # e?p/� �a //
Address: 5'O I �-I t�0�LJ1 f S�� ��� � Tel. #�fo2�f° �/�5 9
Atta.ch to tlus application, a Certificate of Survey of the
lot, with the proposed construdion dra.wn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
LengCh
Length
Length
DESCRIPTION OF IMPROVEMENT
Corner Lot [] Inside I.ot {] Ft. Yd Setback
Type of Construction:
Approx. Compledon Date:
Width
Width
Width
Height
Height
Hgt/Ground
Sq, Ft.
Sq. Ft.
Sq. Ft.
� �3
Side Yard Setbac
Estimated Cost: $ '��i�° / � "7 i'. �'�'
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft =� Ft x$ _$
DATE: /t�° `� 9� APPLICANT: � Tel. # �/� �'�`� �
CITY USE ONLY
Per�it Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$
$
$_
$
$
$
$.
$
��. � 5
/ e 97
9 �',�
�.p�
� °7p. �L9
!�' i��
Fee Schedule an Revetse Side
.�1 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.� (State Licensed Residential Conira.ctors)
Alt. "A" or A�t. "B" Above
$450.� Conservation Plan Review
Fee Determined by Engineering
Agreemeat Necessary [ ] Not N�essary [ ]
.. �
��JILDING 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
sbructure, 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 $5�
$501 to $2,000
$2,001 to $25,090
$25,�1 to $50,0�
$50,001 to $100,U00
$1�,001 to $500,000
$500,001 to $1,OU0,�
$1,0�,�1 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $SIX1 plus $2:75 for each additional $1(� or
fraction thereof, to and including $2,000
$6�.25 fQr_ frst $2a000 plus $12.SU f�r each additional $1,0�
or fraction thereof, to and including $25,OOU
$349.75 for first $25,000 plus $9.00 for each additional$1,000
or fraction thereof, to and including $50,(m0
$574.75 for first $50,000 plus 56.25 for each additional
$1,000 or fraction thereflf, to and including $100,000
$887.25 for first $100,� plus $5.� for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $5�,000 plus $4.25 for each additional
$1,(�0 or fraction thereof, to and including $1,0�,000
$5012.25 for the first $1,000,000 plus_ $2.75 for each additional
$1,000 or fraction thereof
DRIV��VA� DEP1tE�SION �CROW
(Concrete Curb Streets Only)
Alterna.te "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
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 $15.75 .
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allaw for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showiag the l�ation of the foundation once it has it has been constructed
will be required before proceeding with the framing.