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AF - 45489/� City of Fridley, Mina. BUILDING PERMIT �, nat�: . . . . .-�� . : . ` : . :��. �.� . . . . . . . . . . . . . . . . . . . Owaer....................................... Addre�ss ...................................... ��l e N° 3236 � �° f �'= i��' � _� Builder �'.�::�.' :... : .: .. .... .'.. c.. :..... . � . :: . ....... .:. Address ............................................. ,,� �> ' -.,. . L.O�CATIO�V OF BUILDING :� .. No. .` . . . . . .� . . . Street . . �., . ' ' ' . Part of Lot . . .... .............. � ! Lot . .. . . . : :. .. . Btock . .. .. f:. .. .. . . Addition or Sub-Dfvision M',� . .. . . :. .. .. . . . . . ''' '" -� � , r -, °. .. .-. .......:' . , . ,�.F , ,� � � - � , Corner I.ot . .. .. . . .. .. . Insfde Lot . . . .. A: :. ... Setback ..� .:.: .. .. . Sideyazd C.1.. .. .. .. ..�� .. :. .. �. . � DESCRIPTION OF' BUILDING T be Used ea: � . �"'•�� . . . . : : . . . . . . . . Front . . .-�`�.�. :�. "�r . °`.� �, , �' f °, � � . ,�'. .� De�h ,� : Height . . . . . . 5q. F't. .�. . . : . �,. Cu. Ft��': . . . . . . : ................... I�'ront .. ...Depth ........ Height .... Sq. F� ....... G�. Ft .:.... -�' ,,, > ^ , -� , , ,, ' ' �- /� j * � -. Type of Construction . . : �<: . . . ; . : . . . . . �at. Cast. r.-�.�. ti :. . : . . . . . . . . . . To be Completed . . . . . . . . . . : . : . `. . . . ,�-�± �`' ,, . � � ,, � .rt: : _ ` ' - /;;t p , / -�� n ,� y! � .'.� � p - ' n � 1 µ �s , e ' "1 _ � ._.. . I _ � � .. I f-�� - —:�'�c_ p. ` ,. . �,'� 1 ,i � 1 /� � r - IFJ��..err __ .-. ' c .. _� -.. �r�,.,.#r ..�-- . . -' :''' . , ^-�`---' � �.. . .�_� , In consideration of Yhe issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordanee with the descrlgtion above set forth and in compliance with all prov7sions of ordinances of the dty of Fridley. .................................................... .nR' ' r., �� P.– . In conaiderat3on of the pa.yment of a fee oP $ : . . . . . . ,� .. Permit is hereby granted to ( , , `° • '� . . . : . .' . . . " �- - . • • • • • . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This permit fs granted upon the express condii3on that the person to whom ft is �aated and his agents. employees and worlmien, ffi all work done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinances of FridleY. Minnesota regarding location, conslruction, alteretion, maintenance, repair and moving of bufldings with- fn the dty limits and this permit may be revoked at a�y time upon viola.tion oP any of the provIsions of said ordinances. / ,_, i� � � ' ,f �'i ; � , ,6 � • 'l�/'� .. .... ..... : �uflding Inspector NOTICE: - Thts pe�mit doe's not aover ihe construotion, Inetallatlon or aiteratton for wiring, � sewe� or water. Be su�e to se@ _the _Buliding_ InepecRor for seRarate permlts fo� theso . �"+ ` °l� - _ ' � - -+ gas heating, %�i�c.� � PA�.c� viEav' ��.'GH Ts A�vo rios✓ INDUBTRIAL `� �j . E. C O U L T E R BUSINE89 cirr �oTS LAND SURVEYOR TOPOGRAPHIClAAPPIN6 REGISTERED UNDER LAWS OF STATE OF MINNEBOTA LICENBED BY ORDINANCE OF CITY OF EGINNEAPOLIB 3300 LYNDALE AVE. 50. MINNEAPOLlS 8. MINN. ° TAYLOR 4-0370 � SuRrEY FOi? BENSOrY CD�°ST/pU�T�ON -r--- — � �mnrpg�o�r's C�iertititatr ' SL.�'��•, ti�4 T/-�� y�.� � � �Nf 0 — —Q�' �t . _� , � h � , --76' - � -- �o � � � �3 � � � PUITTINO FARM BURV6Y8 � LAKEBHORE � �uo�c�w� / '� �Q P �� -- � ,� � � I hereby certify that the above is a true and correct plat of a survey of: Lot ?hree (3), Block ?hree (3), PARKVIEW HEIGHTS �4DDI?ION, Anoka County, Minnesota. As surveyed by me this 6th day of August 1958 A. D. � �� s"° ,7�'� �''.,,�- S i g n ed � �.� , �� _ e �. �° �. x. .� isi. •�.�f. rr+r��. + . nnesota Registratxon�Fo. 2584 �PAroved bY Buildin �� , � Inspecfor �`�_--- � � �--__ � __________ �.• � �� r� SZB� � �� O � M � � •/ 0 �� `��. � �n $ y � � m � `�-`I � �V y " �� ^ t\,� i- n � , � � V � m �� \ � �;�� . N � M �t a ° � '� � � � i�� U a � � :� � b � � W I a � � m � a' p�- r� a1 a p r� cD � `y o� �� O � T w� _ --9 �� e � � � � � -a� �, ;� �,, � � �i -.� �, ,.� � � � r � �, � z^ � �p, Q � 'd � �q � �, � � � s� � W �W�� p y ►i O O Q O �� w� : � : : : � : : : � : : : �°' : � � � � � � � �� b � s �� a� � x �'�� N��y c�� °�°� � oy �� '�� ° �� $'�jJ"��f�Q� �� I � w I�, W �p � m � � O �. �� . � � �' � �. • � �' �* • a ��:�� : �� o� : :� �.: �� o. : �$: : w Q . o 0 : : �� : : � � : : : � � � � : � o m o : � � � o � : : : : � � : : : : : : : : : : : � : : : : : : : : : : � � � �N�� O p O O O G O � � � �� h9 � � � � .I � � a �� , W o � � � � � � W � � � �� i � � �� z � z � �� x � 0 � � � 0 � � �1 H �� O O � � � � m �� g � ��,�� C71 C C O O O O O O O {� ��. � �� C� � �� y � �. � tA h�b y �^ y ��,� fi `;a on � , a I ._� ►+ m I N��,�� Ci� O O O O O O O {A <!� 0 � �. �.� � � �� o ��p�� p��q� ��'' � ��-� �� :� d�� °� � � �_� � � � � y �. � w �� w �� - �� .�p 6�a�a'"o ►t 6-:� � a. w �a � � � ��. �� ti �� o m �� ' m � �i I �� '� � � m N _ m C r m d � � � a � fA b � � V O -� -�� , � � � � ao `I � � ' �� e i • � � � . • � .'A � w � � � �.� � � �� . � ` �. � � �: � 3• � a �� City of Fridley, Minn.. BUILDING PE�MIT N° 591 Date: _� "" � � .�"" L,I .�"'" � � �... Owner: _,� � � Builder a� Address — Address — _.._ ,� " CATION O:� ILDING No. � Street _� Part , �Lot Lot �,�_ Block �_ _' dition or Sub-Diyision .��_�� '� � Coraer Lot — Inside Lot � '�back ideyard _�� Sewer IIevation �_ ._ Fo�mdatton IIevation � DESCRIPTION OF BUILDING To v • - �, •'� Front �� Depth _�h_ Z__ Height ��✓ Sq. F't. �,� Cu. Ft �,�� .. Fro Depth eight _..�._.�� Sq. F� � Cu. F`k Type of Constructio . ' � � �. Es�_� �'�"_ To be Completed _ ��'�� z'' In consideration of the issuance to me of a permit to construct the building described above, I agree to do the pro�sed work in accordance with the description above set forth and in compliance with all provisions oP ordinances of the dty of Fridley. � In consideration of the payment of a fee of $��, permit is hereby granted to to construct the building or addition as described above. This permit is grauted upon the express condition that the person to whom it ia granted and his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform itt all respects to tl�e ordinances of Fr"riidley� Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinancea Building Inspector NOTICE: T6Is permit doea eot eover the eoeslrucHon, testaqatien fo� wirin8. P��B. e� heatin8, sewer or water. Be mre to ses t6s ButWing Inspeeror for aeparafe permiti Por these items. , �>_.. �^"' 4 .�' -� � _� ,r �„ _ Owaer's Addresa APPI.ICATION FOR BUILDING FERMLT CITY OF TRTDLEY, MINNESOTA / � .�!.'.�.1 ��i LOC�iTTON OF BUILDINa No'� 0'%� Street `, �Part of Lot Lot Block � _Addition or Su ivis3.on ^ `�� Corner Lot _ Tneide Lot�Setback Side-Yard SEWER EI.EVATiON FOUI�ATION �LEVATION Applteant attach to this form Two Certificatea of Survey of Lot and proposed building location drawn on ithese Certificatea. DESCRIPTION OF BUILDING To be used as � Front Depth Height � t� SQ. Ft, �,�j o2��. Cu. Ft. �� Front Depth Height Sq. FC Type of Construction To be Completed Cu. Ft. atim�.ted Cost �� ° The undereigned hereby makes applicati�on for a permit for the work herein specified, agreeing to do ail work i� etrict accordance with the City of �ridley �rdinances and rulings of the Department of Buildinga, and hereby declarea that all.the facts and repreaentatioas stated in this applicatioa �re true and correct. � DATE G/ � , SIGNATURE (Schedule of Fee Caets can be found on the Reverse Side). �-` - � n -- e BUILD�NG PERMLT FFE SCH�Di1LE Section 2. The Inspector of Bu3ldings shall, before issuiag anq permit for the e::ection of any bu�.ldiag or atructure, or.for any addi�ion to anq exist- ing building or structure, or for �uy alteratione or repairs to any existing buiidin� or s�ructure, upon application therefor; require Ehe payment by the applicant for auch permit of fees to the amount herein below set forth and in �he maaner herein provided to-wit: 2.1. For aay auch permit fqr the erec�ioa o# eny fise-proof build:�ng, other than a garages warehouse, factory or g�ain elevator, oz.'for the erection of :�.,.,.��.�ny f�re-proof additttan� for similar occupaacy, to any exieting building shall be at the rate of $1.�±�O�-for each one thousand cubic feet� og fraction thereof, in�such cubical contenta. � 2.2. For any such permit for �he erectioa of any f3re-proof �arage, warehouae, fac�ory or grain elevator, or for the erecCion of any f3re-proof addition, for similar occupancy, to any,existiag building shall be at the rate ot $1.25 for aach oae thousand cubic feet0 clasaified as 01fireproof" by SecCion 502 of the Minae�polis Buildiag Code. „. , ��;�- I?OUS�S 2.3. For aay such permit for the erection oi Any non-fireproof buildiag other tha.a_a-ga��e, warehouse,_facto�y or grain elevator,._or any non-fireproof addit3on, for aimi�ar occupaacy, to an� esis�ing build3,ng,- peraait $1.Ob for each one. thoueand cubic feet. GARAGES 2.k. For any auch permit.for;t-he erecCion of any aon-fireproo� g�rage, warehouse, factory or grain elevator, or for ttce e�ectiou of �ny noa-fireproof addition, for s3milar occupency, Co any exi.sting building or for each such building or additioa - ninety ceats ($0.90) for each one thousarcd cubie fec�t or fraction thereof, in tfie eubical contents thereof wi�h a minimua� ot $4.00. For the purpoae of camputing fees•£or building pet�m�its, the cubica� contenta of any buildiag or additioa eo � uniforan height throughout by mult�plyin.g the ground area covered fram � poin� six (6) inches below the floor line of the basemen� or cellsr to the average.heighC of the upper surface, or to the average height of the roof aurface.uf the main gable of a pftched roof. 2.5. For repaira or alterations �o an exis�3.ng structure, ttie fee shall be aC the rate of $3.00 per each Fiv� Eundred Dollars ($500.00) or fractfoa thereof in the coat of all proposed ��ork. 2.6. In no case shall the fee charged for aay permit as aet forth in Section 2 be lesa,thar� $4.00. �"'� /"`1 ..� �_ .. ---�., _ SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I i � � � � ; v __.___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � , i-_-_� ��"' �,� CITY HALL FRIDLE� 55432 NUMBER aEV. i 612-571-3450 910-F15 JOB ADDRESS 1070 Hathaway Iane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3 3 Parkviev,z Heights 2 PROPERTYOWNER MAILADDRESS David Anderson 1070 Hathari�za.y Lane N.E. 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDING ReS1C1Eri'tl'sl�. 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION a 8 DESCRIBE WORK Construct a 1Q' x 16' Shed in �a.ck Yaard 8 CHANGEOFUSEFROM TO STIPULATIONS DATE 5/6/81 ZIP 574-1797 ZIP ZIP ZIP PAGE OF � � PERMIT N _ 16156 ECEIPT N � 9�' �o APPROVED BV SEE ATTACHED SHEET PHONE PHONE LICENSE NO. PHONE �ICENSE NO. PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIOIV ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1. AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8QQ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �`7�SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE � SI ATURE OF CO TiiACT�R AUTHO�IZ�D AG =NT ` ID�E) ��q J `� t � �, , SIGNATURE OF OWNEF IIF OWNER BUILDERI IDATEI DCCUPANCY GROUP OCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $.50 SAC CHARGE TO�AL: FE, rs uu RLY VALIDATED THIS IS YOUR PERMIT ��.� �-�� r�� f1ATE CITY OF' f"RIQLCY • Af'PLIC/l'I'IU:J FOk R(:SIU("i�ITI/li_ QUILDIt�G PEf�fTTS ' . � (We►•r, A1 LeraLions, /ldditiai�s, or Rchairs) OtdtdER: �G� V l� J �j'l��Y�"ts � �UI LDER : �/�'�C . /IUDRESS: /'0 � � �%�7�%��i �.1�. /IUI�RESS: • T� TCL �IO: _ �'��/—/ 7 � � TEL id0: Construciion Locaiion sx�T rro : i 0� Q s2��r:T: � � L07.': � BLOCK: � _ �nzTZON : P��( U 6 �Pw ��P/ 9� T"'� . Corner Lot: Inside LoL-: �^ Sef}�acY.: Sideyards: Ap�licant attach to this form two Certificates of Survey of lot and proposed building location dra�an on certiticates to scale. DESCRIPTIOiv OF CQFlSTP.�JCTIOPd - � r � .��1° � i'ront: 1� � Depth: � �v Height: �Q Square. �'eet: Gl�ibic Fcet: . Front: Depth; � Height: Square� FePt: Cubic I'eet: Type of Constructa.on: C/l�� (J� Est.imaL-ed Cost: $�� 7b Be Oampleted: c� �151�1�5 . • . . ` . . � Alt. A Al.t. B Proposed Drivej�ay Width Zf New Opening Is Desired: $' $ . , SE� REVERSE SIDE OF SiIEET 7:5ie unde�rsianed hereby ma);es �pplic�-�tion far a permit fcr the �:�ork� herein specitied, . agrceinq to c.'o ,all work ir� stra.c� accordance �•�ith ihe City of I'ridley Ordinances and rulings of tihe Deplrimesit of Buildings, and hezeby declares that all the iaci.s and rcpzesent,ltions stated :n this applicati are true: and correct. D.iTE: S'Cp'—O I SIGNATUF.F:: 1 �� __ Sti��ulations : � ,� Jz. , �,�� ___ —^:� �' : c , c� a � � • • � . ru��nJr�c_�>r_rzi��i�r r�:�� sc��r_r.�u�_�: '� . ;k:�:'1':C01�2 2. 7.')�� 7n�.:��ectc�r of- 1tui.lc?iiu�:: ::1uil.)., hcf.��:c: �.�,sui.n�J ).�e�iniL� f�r i:hc erccL•i.on af t��iy l�u�.).cl.i�� ax :,i:�-uct:uz�c, w- f��: t�ny �xc]Qi.t:i�,n !:� aii; cs;i::t:i.nr� l�uilclincJ o�- :str.lict;ur_e, . cir. i`az r,�;y :iJ.t.art.iL•i�;n or. �_cl,uir.:. Lo •any c.:i.:�,t:in�J huiJ.di.�i-� oz :;L�:ucturc, uJ,c,ri ar�J�1�.c:at5.ot� 'ttir:J:�L'or.e, x-cqu.i.�-c fJi� L��aymc�,L• ?�y tl�c �zr,z>>.,.��„t:�r�„= :;ucli }�cr.mi.L• GJ.' f('.C.; t<� tl�c �inount• hrx�.i.r� bcJ.a�•i sc�C Tor.t)� �inQ a.>> t:1ic manric�: hc�:ca.n �,�:oviclt�cl L•o-�•::i.L•: . Id1;1�7 COIJ�'!'1;UC'.CION: Sing�,c l.'amil.y Ilom.�:� and Gar.�zc{cr: ;:4.00/J.,0�0 cuL�.c fet:t:. . )'LA'•l CII1:C1;: ?.5 ��er.cc�it: af hui.Ic]i.ncJ �:�cr.miL- fce. ll�tlt�I:t•'111' llL•'1'P.i:S5201�:: (Concrctc, G1ir}� utr.cets On1y) �' ' J1l.tcin�-�i:e 7�: Itainoval and rep7.acament oi-' concrete cuxb and quLL-er o�lly; l�ra.veway ti•rictt}i pl.tis 6 ieet• x$13. �0 � )1l.tcrnat•e B: }2emaval and r.ep�.acement of concrete curb and • gutter and iiist��ll� a 3 fooL- �•�3.de anproach cait:h "' .- 6�nch depth; Drivc;�ay wic:th �p�.us G f'eei: x$la_.75 ' .1�1I�1�I i' 1 ��I�L I tL�' OR�Y1l1T T or� . x'or th� pur��se of co�npuL'i.ng tees for_ buildS.ng Pezmits. L-Ize cubi.caZ cbntents of any buil.d�.r�g or. additi.on, is detcr.tni_ned hy rnu1L-ipl.yir,y i�ie ground arel covered from a poa.nt sa.�: (G) inches belo:� the fJ.00r J.ine oi L-lie basemeni: or th� c�].lar to 'tiic avex�.ge heights of ihe -upper surface oi to ihe average heiPub of the roof. surf:ace oi i:tie main gab].e of a p�.tclzed roof. ' f'ox' re�ai.rs or �],ter�itions i.o an eY?sting str�2cture, tne fee shall� be at the xate of $3 . 00 per each �i.ve hundred dollars °($500.00) or fracL-ion tllereof an �he cost oi all proPosed wor.k. , - � In •no case sha�1 th� fee cliaryeci for any penni.t as set iorth i.n Section 2 be less - than $7.50 plus $.50 state surcharge. � • ' ' . VERIFICATIO�! �F F�U��D111-IOtd NOTE: Permits :or consta.-ucti.on ��ill be issued a minim�n oi 29 hours from t:�ie time vi �pi�licatiaii to a].loiv for proper revie�a of ihe pro,posed si-Yucture and oi the construction site. A Certificate � of Suxvey of the lot, shoc,�ing the location oi the foundation once i.t has been coxlstnicted <<Till be required bef.ore procecdi�iq �•rith the �raminq. . �.�'iLi�.C_11TE Ofi O��URI�f��Cl' . . ?sPp�i.cation f:ar a Certificate oi Oceupancy sha11 k�e mad:� ten (lOj d��s prior t:n the • u: e ox: OCGLl]�3I1Cj� o� any stz-ucture tor �,rliic3i a l:iuild:ii�q �?err,iit l.as been issued; and sc�icl structu�e shall. i�at l�e used ar. occu�aied t:i�ti�. � Cer_i�a.iic��e oi' Occuj�ancy has �icen xssued. 0 0 0 � ' . 0 i � • , .� .� a .�-�--?. 1 • sue�ecr PERMIT . City of Fridley o 18113 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r ; � �E� � �. � `L __�___ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. � i � � � /'�'1 � CITY HALL FRIDLE`1 55432 NUMBER REV. DATE PAGE OF APPHOVED BY �"""� � �'� 612-571-3450 910-F15 7/17/85 / / JOB ADDRESS 1070 Hathar�ay Lane N, E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3 3 Pa,rkvie�nr Heig'hts. Additi.on SHEE7 TACHED 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Da.vid Anders.on 1070 Hathaway I'�a,ne N.E. 574-1797 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS , ZIP PHONE LICENSE NO. 8 USE OF BUILDING R051dBri'�,1d�1. 7 CLASS OF WORK ❑ NEW ❑ ADDITION �i ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof �elli:ng and add bay �rindow ancl patio door 9 CHANOE OF USE FROM TO STIPULATIONS �'��'��?'� P��Ni�'� R:�E�(�f�� 1Nii�9�li�, ��'��1��n �''�..1��:��1�� :�� m SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY �ROUP OCCUPANCY LOAD 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 1 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 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2 � 5OO �`I.. ZS 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. $38. SO PLAN CHECK FEE 70TAL FEE $33.75 NATURE OF NTRACT R O�UTHORIZED AGENT 1DATE1 WHEN PROPER VALIDATED THIS IS VOUR PER AIT � S 7 -�� .� SiGNATURE OF W E �IF OWNER BU�LDEFiI IDATEi BLDG �NSP q7E N� [] City of Fridley Effeetive 4/1/84 ADDN. [ ] R-1 AAD R-2 pLTER. [ ] Building Permit Application CcZnstruction Address: %�� i��i��"��/ � �/� . Legal Description: � � ��K � � �t�''+� .��-� �� Owner Name & Address : �%��'�� /"`�� Tel . � N-�l � `'/%i� Contraetor : �� '�Cs'6►-� Tel . � Address• ��e -- LIVING AREA: GARAGE AREA: DECH AREA: OTHER: Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. DESCRIPTIOW OF IMPROYEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ��P Y�ot► � � �ir-� ��ar� �- �d�ia �o�l�' Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: � � Approx. Completion Date: � '�� Proposed Driveway Width If NeK Openin� Is Desired: Estimated Cost: $ ��s�' Alt. A Alt B $ � See Back Page for Explanation DATE: � / � °�� APPLICANT: �� Tel . ��7� ��f°% Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee SeWer Main Charge ��_� STIPULATIONS: �/� CITY IISE ONLY � ��„ �� $ � � �-� � � � °� �° � � � Fee Schedule on Reverse Side 25� of Building Permit Fee �•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] , � � - BOII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-Kit: 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 eaeh " additional �100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50�001.00 to $100,000.00 $100,001.00 and up $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or f raction thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraetion thereof, to and ineluding $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $433•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRI9EiiAY DEPRESSION ESCROH (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 replacement of curb and gutter and install a 3 foot wide approach With 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION Permits for construetion Will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been eonstructed will be required before proceeding With the framing. � ��, �o � C� <� �— � . � � �� ,a. _ r� :_ _ � City of Fridley AT THE TOP OF TME TWINS r � � � ; L __��_� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. l"-.� ��"' ►. J CITY HALL f RIOLE� SSIa2 N� t 612-571-3450 JOB ADORESS 1070 Hathawa Lane NE t LEGAL �OT NO. BLOCK TRACT OR oesca. 3 3 Parkv 2 PROPERTY OWNER MAIL ADpFi�S$ 3 CONTqACTOR MAIL ADDRESS Suburban Exteriors 9701 Penn Av� 4 ARCNITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRE$S 8 USE OP BUIIDING Residential 7 CLASS OF WOqK O NEW O ADDITION � ALTERATIpN �9 REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and �arage (28 Sal i�rcr EU ILDING PERMIT � iBEI1 NEV O�TE vAGE O: s�aF�s 7/28/99 / / 21P 43 21P PHONE .R�� PMONE PHONE 29952 T NO. ��% 'VqOVED BY SEE ATTACHED SHEET LICENSE NO ��8� LICENSE NO LICENSE NO 9 CHANdE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATINCa. TYPE OF CO VENTIIATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTpUCTION 20NING AUTMORIZED IS NOT COMMENCED VyITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO DWIG. I HEREBY CERTIFY THAT I MAVE FiEAD ANO EXAMINED THIS APPLICA710N AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF Wp1iK WILL 8E COMP�IED WITH WHETHER SPECIFIED MEREIN OFi NOT. TME GRANTING OF A PERMIT 2447 DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE O!i CANCEL THE pEqMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAI lAW pEGULATING CON- STRUCTION OF TME PERFOiiMANCE OF CONSTRUCTION �S2Z '7G S�GNATUpE O� CON"RACTOp OA AUTMOpIjEO 4GENi IDATE� S�GNOTUaEO�OWaEa��:OWNEp8U40ERi � iO�TE� � STAL�S ROUP OCCUPANCVIOAD CU FT OFFSTREET PARNING IGARAGES r 1 22 SAC CMARGE TOTAI.FE 9 .. 2 �� D T, IS V,Qy�p�PERN1i1j�` � 1l1� � _ ,� [ l ADDN [ ] �-� [t.�° CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 . � BUII,DING PERNIIT APPLICATION. , .. �: Eff�tive 1/1/99 �� 7� ; COVSSh71Ct10I1AddtCS$. j � r G� � � � �, .g � F � � r,. a , , , � Legal Description: � ,� - �� x �� ;, . cJ�.!� . ,. r � . i. . . . ! 1 �' . ._ �� . Lh Owner Name & Address: � �%ov� 1 � '� d 1� � _ Tel. # � � � - � � 9 `� Contractor: � �. � �� MN LICENSE # � a � � Address: �j � C� i �,��vr � � � � �� C� �% Tel. # �1�5� ' J� a 3 � ' Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn oa it to scale. LIVING AREA: GARAGE AREA: DECK AREA: � 01'HER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construcdon Type: Estimated Cost: $ o� �, 3.� �a�y� " �' � • � (Fee Sehedul e on Back) . � Driveway Curb Cut Width Needed: Ft.' + 6 Ft �= - Ft x$ _$ DATE: / ��o� � � �'i APPLICANT: e� �l,Ql/Yo �'°c�..�Ls�//�'L Tel. # �� I - e�o� �� Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Driveway Escrow Erosion Control Park Fee Sewer � Main `Charge TOTAL . STIPiJL,ATIONS: $ P�-�s $ �- �� $ /- � a� $ $ �', 4 6 $ $ $ $�= - - . � 9�.�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuadon (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.� (State Licensed Residential Contractors) Alt. °A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement �Necessary [ ] Not Necessary [ ] � � BUII.DING PERMIT FEE SCI�DULE � The Cluef Building Official shall, before issuing �rmits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fee,s to the amount herein below set forth and in the manner herein provided to-wit� ;' � �' � . - . ;. �.... ��. .. r �' ' i� , • . . . . . Y' TOTAL VALUE FEES . , . . $1 to $500 $501 to $2,000 $2,001 to $25,� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,0� $1,�0,001 and up $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,Q00 plus $12.50 for_each additional $1,�0 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,0� or fraction thereof, to and including $50,�0 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first �100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1,000, 000 $5012.25 %r the first $1,000,0� plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (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 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 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. RPR-2?-2004 11��4 FkUM 3 � a � a3a 'a v° cD � � 7 � � �c � � < a �a 0 C � 0 m � p1 Op! c�'o z m Z � n � O Z m m � O g _ C � -� v� a rn -� _ m � d e�o � � � L11Y U� ��1llLtY ��' n 3 �� a o � 3� °3�'� � Co � �3��Q 3 � '�� n• � T� �-5 0 �rn �. � �-°*��,� .� �'�'� O. 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Z � � � r L� � m � �°z �o � � �� m � � O7 O � ° O Z � �� O � z � � v .� � _ ��,�i• � � I � , m z i� � � i� , � � !�� Z O �� o � I� � . � ;m Z ,� � � � �; 2 C �I � � � � � N $ � � ��t� v� 6 � � � FlPR-27-�004 l i�� I-kUM C i TY OF FR I DLEY TO 75'rb'rbl h'. b�/b� � �� _ � _ � : alep , - :l�g pau6ig �o�ss � ��T�g � �n� �xz�t�� z95�1 �O� JNI1b�3H �x� zNioax��t�� ` ad�tl w .ia�aweiQ � y�6ua� }� 3y6iaH �o}�auuo� �uan � a�uei�ddy �-%J ad�(1 ui"�.�a�auaeia }�,� 436ua'1 �� ul�iaH lo�auuo� �ua/� Z# �uei�ddy 6�ac1�1 w---� �a�aweia � /��t1}Bua� }} ,,,c� �y6iaH ao}�auuo� �ua/� �# �uei�ddy ti J ,/ say�ui � �a}a��u�ia �� 346iaH �uan � r� adttl �uan uowwo� - � }ndul ��8 I��l � sa�uei�dd`d I�ol �eN .to pa�siss� ue� �dul f1.1.8 ad�l £# aoueyddy —�'— �eN ao pa�s�ss� u�e,� �r� £' ind�l 1118 ad�fl Z# aaue��ddy ��, ;eN �o palsiss� ue� � 3�dul fLLB -� ad�l 6# a�u�i�ddy ( ) aN uo�euuo�u� ao uua� �uan pue �uan uowwo��azis pue a 1 eoue�� d (� sa,� �sapoo 3ua.un� �ad se �t�a��das pa�uan pue �uan uowuaa� au} wo.�} panowa� uaaq seu a�uei�dde ue �a�e �(��aa�a� pa��}sw pue pazis s.io}oauua� �uan pu� a.uan uowwo� ay� s� i)�N i� ) Sa�l 'sa�uei�dde �.e.,p �e,�n�eu pue pa�sisse ue� �o� sa�qel 6ui�uan aoewn� �n.��ua� ��o6a�e� yWy�-y�y apnpui saop sn�, •suo��i�ads s,�a�n�e�nuew pue sap� �ua.�n� ay�. s�aaw pue �t�qwass� pa�si► e si � ieu� sa�uan l�qa�ay pau6is�apun ayl wa; u�uan nn�u e u��e�sui uauM ( ) oN ( �4 Sa1. ( ) oN l� ) Sa�l ( ) oN ( ) oN •suo�;��oads s,�a�n��nuew pu� sapa� �ua,�no ay} �aaw o�. pa��e�sut pue pazis aq puu� �i �� uogsnqwo� �u►au e ��sui o} pa�mba� uayM •suo��e��vads s,tam��.nuew pue sapo� }ua��n� ay� �aaw o3 p��e�sui pu� pazis st �i�e uoqsnqwo� ui��xa ayl � ) sa� �sa�uei�dde }}e�p ��an��u pue pe�sisse u� �o� sa�q�el 6w�uan a�ewn� �e��ua� I I(�o6a3� yWyJ-bJN aPn�oui s�op siyl 'suai}��ads s,�a,�n�e�nueua pue sapo� }uaLno ay� s;aaw pue �t�qwasse pa�si� �e si �iun }uawa��da� ay} l�u} sa�}uan os�e pau6�s�epun ayl �) sa,� �uoi�eu�uual pue snnoq�a }o �aqwnu 'y�6ua� `Buiz�s 6u�pn�ui suoi��t,�,oads �aml�e}r�uew pue sapa� �ua�rr� ��e s�aaw pue ��p��se�d si wa�s�(s 6ui�uan ayl O oN �) saJ� 'pa�inba� a�at,{iv� paddo;sa�� pue pa�oddns l��a�noas si pue 'su�i�an�}sqo 'uoi��oi�a;ap `�sru wa� aa1} si pue pauiwexa uaaq s�ey 6ui�uan ay� �� sa�}uan �Sqaiay pau6�s.tapun ay3 `a�ewn; ugs�x� ue u�oe� aa uay/V� N.0111��1�Rl3A 2�I�d NC�IlSf19W0� aN1f 210�3NId0� 1N3A 1N3A NOWWO� S11W2l3d 3�NV�I�dd�d JNINall9 '13f1� 1N3W��d1d321 a0� Xi313�dW0� NI ��ld TOTAL P.02