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AF - 45594� h, �Y � , � 1 R� °� � , � � �� r''�1 /� �� City of Fridley, Minn. BUILDING PERMIT � , : , � ,. ,� .: _ - %: 0 7� ,, � , � , ..a- . . ,.�:.+` � �� -�_.� r.��:: � s . a. ��.�r�_ . ;� �. - Address Adciress �,��;� LOCATIO F ��NG No. Ta Street � Part of t� Lot �__ Block � Addition or Sub-Divisfon ��°�£'*9"� �" �� a... � �j Coraer Lot �� Inside Lot � Sstback �� _ Sideyard �_.L_...1 a - Sewer IIevatton � — Fo�mda.tion IIevation � DESCRIPTION OF BUILDING T Used � FYant Depth '�� Height � Sq. F't ��=� � Front Depth �,�� fTeight �� S�l. Ft. .�� Type of Conatructton ��Z�!�.� F�t. Cost � ��To be Completed _ � � F't °.'�`I�� F't. �„ �" � In coneideration oP the fssuance to me of a permft to construct the bwilding described above, I agree to do the proposed work in accrordance with the description above aet forth and in compliance with all provis�tons oP ordinancea oP the dty of Frldley. ��: � .�. � Ea ca�deratton of the payment of a fee of �'°� , permit fa hereby graated to to construct the building or addition as d�cribed above. Thia permit ia grantefl u�n the egpress c�ondition that thepe�on to whom it is graated and hia agents, employees and worl�nen, in all work done fn, around and upon said building, or anypart thereof, shall conform in all respects to the or�linanc:e� of Frldley, 11Rinnesota regarding location, construction, alteration, maintenance� repair and moving of bufldinge within the dty limits aad this permit may be revoked at any time upon violatton of aay of the P�� of said ordinances. ,��I , �� Nonc� 71d� pen� doa not eeva ths coesleucHee, I�sfallaliea fer vr6�ee, plumbiee, ga 6u�ing, aw�r or waten B� sure to as tha Birildte� Imp�tee tor aparalr pnm6s fe� thas �. [and Plonnin9 6�87'S-Hi9hwor� ��S �. (m�dSur�ver�iixJ � Min�eoPols3Z, Sa��r�� '� r� ENG I NEERI NG, I NC. ��°'° c;�r � M��i' w�tQ-�o� , E� ;� � - � ��-- E�9►ineers � E �urve�o�� ° .=- , 9 � . ,5 � cert��scate o� s�,�r�e �A�► ��Gr�r�a��rr G��s�rac�l��. , � 7 � p' .,, >� J . / - . . • � , P. �, �c Tf7 � ��.�/ � . . �A h• . . . � � � ' `t a ✓� + . L.� . �1 , _ _ _ �, ;,�s _ . • � . +._ , � T �o _�` _ � _ -- --- - ------� � ;� ; � f �'� S C f � � d h . �'�1 ' 1 C� I � � � 1 N � � i I � r ' , � y�' �— ' �>" � , g � e + �, � � � :, 'x V.� `2.33 ��: V: � /°� � � O �, 1`° �� ..' ��, � ; � ` `.� �'^..F' � � i�` : . �. � � � i '� fiw. A � `� �' e" ml*°• �I � 1 ` ..�. 1 � ! O �S .'� ' o � f� L� � � �� . dE � r'� �. g a � C � � � ' s�s � f X n� � a V �' ��I ^ - R� �� P/ � �� c- � � �� \�, i �+ re /V _.n � ' �i r� ,,r r � ..� �r � ..� ,�'.F .,__� -.,�� .�.___. ��__ ....�j�"' G ��/L�� 1 �' �� 1 f r' i . ' �� T'''� ' ��I /lra�by �erfi�y � �ihis �s a lrae arrd m�rrtcf represer�ofinn o�'a s�vay ��'f/a� bermdorres �i'�e obo,r afescr�6rd lm�0, ond of'l/x la�v}ivn �'oa ys, fl��, crr/at! ris'�6/e or�noovrhmaifs ,�f'a�ay, �n � ar�said /and. As .s�rreyed by m�e llns -°� f °�' A:D "�'. SUB URBAN ENG/NEERING , INC. L- �neerS' Fr Su�'�rs .� /.A/ ,,/y ti .6i r E.�7� ; / [e a°'� f� "'� .t `.T . � � �; � � 1�.1 i s � � � � � o z � � � N � � � � � � � � �Q � `� `p'�r. q'� 1D= '° . � � i C - � .O �'- o V- � � i d ._ . j' .� 7 C_. �'J o' �.J i`� i �=-d r: ; � �-, >�_ I `/ rt��'�'" y x x � � r � o � x x z � �u � 6� O A ��z �� /1—'" � � � O � � � m � V! � �n. � _ \ 9 � � M c�a� y Vi ¢ � h'� ¢ w � � � k � .. O � � y N � � a � . o � O � • bd � [ : : � � � x �a x � o N � 0 0 0 � � � � � � Gy �r � h� '�d � � � � 0 0 � � a � � `� � � 0 � 0 0 0 0 O � � O O � l � 0 r on �y �1 C � M I w 04 w �� H � .'S" �9 O .� y O � � "! N A � • �: �� 6: � - � O O � �� ,at''. a w N 00 � � �� x� �. � � � M � �� h A � x �' y � �y �� a. � 0 O � F"' � � � N N � W O O O O Sfl {A {fl ifl , � O A7 „H]1 , , ". i � ' , O � � ,�y w � r. � � `° � z � p � � Z � � � � � � ~ w � � � � m � � � � � �° z � � . , � D � , � O � � 8 � �►°jj��. bd � � � Q "7 � 0 0 � !Sl � � � x M 0 � m � 0 � f) � � � g � �__� � � � x � �. � � �' � o, �� `�� ro � � � o �g� � � � o � d�r � : � o"r � � � o a, � : � � EN Op . ' � $ O ; ' O � � � ' � 9 � �' �' ��y' S � d ~ � � � y (p m m � �� a�.� � � o � ►e � � � � � �� , b � o � a � � � � � . . G1 . . � � . . Op � . . O : . . N��N� ��,�� O o O O O O o O p � � � � � � � 0 H � � �t'� r• R.. �i .�. . �r�l.. . . . y ,' � � � � � O "t ro � � � . 1 � \ � i � � �. �� . �� ; � . ;, � � �; i ,: �� m � a�� i�. p. � �� a� � ��- w o a � ��.s� y �e e��.y�� y v �e► a�-P � Q �.�° �° pp�� o� y ��G1 � ��w � � �� N.oa �� pv'`+� w �Q.�p O ry .'7 M F ~ � � . p�� ] a a fD e.�°.�� N � h �� em�►� � C � �� ' tp p. �� D "'' r � �"' m � 2 m C r m b �. o, � � a � a a � V O � � � � � �' O � � �� 0 � ' � �• � � _ �� H � � � � �H 0 � o.:° v< —`• �. � � O 7 7s � � � � ' d � � �`_ �.,� .�.. -�_.4z ��' �l��` - � �s .__ � �a� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINNI. Weathe�strips A.S.H.V.E. Conatruction No. Insulaaon Guide Windows ( Doors Reference Out. Wall Int. Wall Cxiling Roof F1oor Kind How Applied Yes—No Yes—No 19— � Fl.� '' oom � Lengtl�/ � Width /�' Height �' j Fl,� Room Length / < Width � d+Ieight �' � Windows and oors—Crackage and Area Windows aad Doors—Crackage and Area Width Height No. at Llneal it. Area Wldth Halght No. ot Llneal LL Aeea No. ot Dane a[ pane Ilghte of crack eq. tt. No. of Dgne ot pane ligbte of crack ea. tt / � . � . � o�- � • � � � � i � �/_ _.� �. r/� /� �n s°J� �' Ceef. Btu Coef. Bttl I In6ltration � G Glass Eap. wall Net eap. wall p Int. wall Ceiling �° Floor Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. L.ead'er area Fl.� ,�,,; -Room ( Length Vf/idth / ' Height Windows and Doora—Crackage and Area WId1h Helght No. ot Llaeal [t. Area No. of pane ot pane lighte o[ crack e4. tt 3 d 2 ,.{, / S l � � /L � /� • '� � In6ltration Glaaa ' Eup. wall Net eap. wall Int. wall Ceiling � /� Floor . Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. l.eader ana F1, ngth / r Widtl�/ /�Hei Wiadows an Door rackage aad Area Wldth Helght No. ot Llneal [t. Ares No. ot vane ot Dsne IlBdts ot orack aq. it. Infiltration C,laas Eap. wall 1Vet eap. wall Int. wall Ceiling Floor Total Btu. � Required sq. ft. E.D.R. or aq. ins. WA. l.eader area / F7.1 Room � Length �' WidthJ/, 1�/endows aad Doora—Crackage and Area Wldth Selght No. ot Liaeal It. Area No. o[ ysae o[ pane llg6ts ot crack aa. [L �.� /� � �l_ 3 /O. Bc� 9� � In6ltration �� Glaaa Eap. wall � Net e�cp. wall Int. wall 10 / � Ceiling Floor �' -'/� Total Btu. COEf. Bh1 Infiltration „� Glasa , Exp. wall Net e:p. wall , �� Int. wall Ceiling ! Floor Tbtal Bcu. / I Required sq. ft. E.D.R. or aq. ias. W.A. l.eader area '`- I � FI.� Room I Len� j! �dch /ol � Hei�ht r Windows artd Doora—Crackage aad Area WIdt6 Helght No. o! Llaeal tA Aros ' No. of pane ot pane Ilshts ot crack eQ. tt. � �Y /� � � � �l r � jAf11ti8t10II Glaas Fip. wali rr�t ��. wau tnt. Wau Ceiling Floor Total Btu. ired aq. k. E.D.R o� sq. ins. WA. Leader arra Btll �3 G � � � 'O �-�i � y p° M : � � o" : � : m . N : o : 5' �y7 . r: � • fA �I N � � I�i � � ~ y � W G: � � � � o � � N � o � � � : o . o . o . � : : � . . > o oa x aa�. N ►�+ � O O O � b9 fI9 i!i � � � � x � � � m � w czo � � x 8 � � 8 � � � M � � � � � � � � � � a � � m � � � � : O � ¢ o � �d O� � � . � a . a N : �- � : �n A a o : � � : � � . . . . : � : : : : : � : : : : ��,o aa �e x �a �e �e W L� W ►+ t+ � � CN7� p C�7� O O O � {fl � t9 {fl fi!! tA /� y . y ' � � � �� 0 a x Y � � � � � � 5' � � � r � 3 D � i � m � � 2 m °c r m � � o � � �' � � � $ a o C��w o � F� � l"' �' � � � o� � � g � � ,�. � � � � � a, p � � x ,' w �' � Stories 8 � WATER � ~ ClOSETS � uatwN.s � a�rH � � � � e�sro�s � � I S�NKS � �� wnsF+ �' rw��rs w �� "tl 8 8 M �� bd � � �• � � �t DRINK. FOUNT. s►+w�. ROOR DRAINS GTCH BASINS �trro WASHER �� GAS RANGE G�S OPENINGS 'v • z • �y � tn D A m � n p a.a.� � �a� � �� m p '�'b °� tao � � F�• I�y+. � ��o�. � � �� ' �. � `� � �"�° � � ,� b �� m p � €Z �a � �a ��.� M O1 M � � � w ��$� �� oo �' ►• � � �' I .s � � 3 `� � � ro � � � m p d r'�i n � "bM a� R� % �°n p � M � �, w a m � � Q � � n � � � f� � � • r d O. �- �ro � w � � M I� � ro � o � �� ,. � , � `� 4 � ` ATTENTION OF: e r------ ___ ------____---- --___ -----__ __ - -� . To _Mr. James_ H. Hensle� iiealth__Ins�ector . y ------ City Manager City of Fridley City of Fridley ----�6Q�_ &entorL_Av�.nu�:__ S.outh� _. _ _ _ _ _ _____ --_�____ ____ 6431 University Avenue N.E. L Ecl�na�__Minnesota 55424 ___� __ J Fridley, Minnesota 55421 SUBJECT Posaible Iiealth Problems DATE June 8� 1966 ____�l�_ __C.omplaint on proper�y next north of the Sunline Motel. Debris from ___ _ ��_� _---�-----_------------------ _ tornado, etc in the wooded area ne�rt to creek which are Lots 3, 4, & 5, - -__ __--$rook�raLew--Addition--and-the--�ax-st,atement--states--�liat_-thF=3� Bernard Jv,lkowski. The Sunline Meotel is 6881 T.H. �#65. _.---(_2j-___.Comgia3�nt-�o�-�p�o��cty-at-i��0- Sacan_3�rive-.---Owner--�is-�i�-�-f.`omcad:-. Legal is Lot 9, except south 100 feet in Auditor's Subd. 129. (3) Complaint on property at 7495 Hayes Street Alortheast - Owner is a Robert ------_ --------------------------__------- __ ___- -------- ----- - ---- --------------- -------- ------ L. Carlson. Legal is Lot l, Slock 2, Gunderson Terrace. __ �_-______- ----_�-- -� --- ----___ _------- ,--____ ___.-- ----- __.______ _----_________ _____._.___._____ ..-----_ () Rats in the sw area of Lots 2& 3, Auditor's Subdivision No. 59 - - ---------A�ner--�s-I�a��--and--Mar�ha Ka�rT--4A4�--Du}�en�-�vcR�e--�o�t-�i-s--�his--P��a�se��--- is located betvaeen 5th & University, north of 62nd, west of the 5 double �__ __ _ _2��;�'�C1��s��232; �_�-242�; �2�fi�2��_�2�,��-2 T2j-�a��3��-�� i��-3��-��,_ �_______- -- - ---- -- - - -- -- - -- � -- ---- - �-- - - �-- �--- � - - - - --- - -- � ---- -- ---- (5) Ariother complaint on the property of Ed Meyer, 6524 Jackson Street N.E., __ _ __ _T%e�_ �ave__c�,��ned.__u�__sonte� but a___]�ot ,_more__to _be done_,____ Se_e_ _youu�c __lettex___o_ f__ SIGNATURE�ay �'�� 1966. The 1 es complainant states that this is for Sale..... REPLY: ' �� _L�r. _to cl�an and cle�r �nd � �.nd _5 (�-13-�6�_ _ 2. Ltr. to c�e�n a.nd c11 e�.r. _ __ __ ___ � . _��.�. ___ _ __ _ ____ __ _ _ _ _ ___ ___ _ _ __ __ _ _ _ _ __ _. __ _ _ __ __ _ ___ __ _ _ -- DATE $�1��6 SIGNATURE `��` REPLIER'S COPY— RETAIN FOR YOUR FILES TO: FROM: ZONING - NOTIFICATION OF INTENT Wilder Children's Plac�ment Service •919 Lafond St. Paul, Minnesota 55104 APPLICANT: 0 � The.se applicants have applied to our agency to do foster care at the above address. They have c� natural children in their home under 18 years of age, and they are requesting licen�ure for � foster child� DATE OF NOTIFICATION: � � �� SIGNED : �� Georgi Boehlke Fost��- Home Consultant (612) 645-6661, ext. 302 SUBJECT PEI�i{G�kfT�NO. City of Fridley ' 18 6 9� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � R _EIPT NO. � • COMMUNITY DEVELOPMENT DIV. - -- ' j y � �� r � • � PROTECTIVE INSPECTION SEC. ,� � � � i = � , �'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �"""'� � ,�� 612-571-3450 810-F15 10%1.4/86 � � JOB ADDRESS 7495 Hayes S'trE�t N.E' . 1 LEGAL LOT NO. BLOCK TiiACT OR ADDITION SEE ATTACHED DESCH. 1 2 �sl1T1C�p„Y'gpll TP.%c3C2 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Peter Wolterstorff same 786-5846 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. S� 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDFESS ZIP PHONE LICENSENO. 8 USE OF BUILDING R-1 7 CLASS OF WORK ❑ NEW C� ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 16' x 16' living area ad.dition to ho�. 9 CHANOE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI, PLUMBING, HEATING, �PE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wppd, j+'rc�I� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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. • N0. 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 SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4 ?50 �L.38 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. y�rJO .'rJO PLAN CHECKfEE TOTALFEE .. 3 $65.51 IG ATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI ^ +� yyH �N P O` L L DATED THIS IS YOUR PERMIT ; � lo � �. � �� o � iGNATURE OF OWNER iIF OWNER BUILDE ��ATE� BLDG �NSP � � q 7E � , LonDR�rtnin9 !�d St,�eyir� - ' `:.Y �� ._`:,�,�.'.�1 ...I ,. � :. , . . , :.. �:.. � ; �:a« � .;.' • . .: �; , . �. . . / / � 687'S-Hghrt� +CS AtE. Mirn�eo�nn/s)1. ��'�� :-J� _-.� �-.�.� � EN G I N EE R I N G� I N C. ��°,° �N� � �� . . w�,x�e-sor6 , , � �9� - " � — E�9ineers � � - � Surveyors `= .� `cestu�scafe o� ssztve �o: ��4GUr�dersor� Go�sfi-�rc�io��O. � .. . - . T, . . �-:. . � � � � . � �iS �� V�-�l �'�" ��,�E .: - . : . . � . -. . � �;., . -8�s�-- - � � _ � �� ` � � •. � . �� N � � , �, N. � 1 i i ,� 2. 9; M � , _� , �' ' � . •3� ---�` ` .. � • � ^ /r ' , , � �� _ . �,� J� t ' � a ,� ..� J n. � �.._ - r+ Y n� /� � �� . � � � � y •� �' t 1 � 1� -- /�7S' � .� . , �. G' �" / L�� 'J � �� 2. � i- �' �. � � � �' . ti��.. 44 � , �� .� `� �) .:`'1 \ � �,' `J �! I � I ' ,� , �� 1 � �� o .� �n•i ` �,��/�/ ,. . . _ _ � ��, � � .�G%VG�� 1/ 7"E,�11�� ,. . . s ' � � � ! 1 .. y� e � . 1 � 1 . J / befEby �arf�'y llini lhis �s o lr�s � mrrte� +r�v��ofion s�o sr�er� �tl�! born►dories �'!Ix �Ge,r aEw+'►brd land, aad ��aalSia►� e�'a!! ' , ihr��, �d d/ ris'�blt �roorJi�nads ,��'ay. �ii ar ntsid /�nd. As srawryed � mr f/��s - d� � �' SUBURBAN ENG/NEEQING , /NC. � �s Er sw- � Y � -� �-r`�.� ._, i� ,____ _-__--- NE� [ ) ADDl; . QI,TER. I J City of Fridley �R-1 AKD R-2 � Building Permit Application Effective 4/t/8c Construction. Address: �� ` � ��%C�S �� De i tion. �.CJ� � lS��'�� - �%��,��.�'.�aa� � r_��'� �� Legal scr p . dd � Tel . f �o�� -- ��' Si ( Ownez Name i A zess. - -- ^ � ' �� ' /�e �- L�� C �' �{� :� � ��` Tel . � Contractor: 6 Address: C � g� 7�' °� ��.� �.� % /�� , _ - _ - - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot. With Lhe proposed construction draWn on it to scale. DESCRIPTIap OF INIPROYEMEh'T '_- � da ''L � � Length _� iiidth �� -%� Height Sq. FL. �� Length Length _ iiidth Height Sq. Ft. iiidth __ Hgt/Ground Sq. Ft. _..__ � i� / ��9 ` Z � � %�� a S � Corner Lot (�� In'side Lot [] Ft. 7d. Setback __ Side Yard SetDack Type of Construction• ��° � ✓ rr��'° �= Estimated Cost: � . � �� Approx. Completion Date: Alt. A Alt R Proposed Drivexa�� Width If Neu Opening Is Desired: � a See Back Page for Explanation f.. � � �� f� .�� Tel . 0 �� E' CC � D�TE: � d � �� APPLICAt�T: "�' CITY OSE ONLY Permit Fee ;. � Fee Schedule on Reverse Side Plan Check � �• G 3 25i of Building Permit Fee state Surcharge � �• 3 � �.So/�t,000 valuation SAC Charge � ��i75 per SAC Unit Park Fee � Fee Determined by Engineering Sever Nain Charge f � AgreemenL Necessary [ ] Not Necessary [ ] ?0'tllL : • . STIPULATI02:S: � .� 2�� .��i.a� 3�aL l �.�v .S'G � BD�.DINC PERNIT FEE SCHEDIILE r The C�ief Building Official ahall, before iasuing permits for the erection of ar.y Duilding or structure� or for any addition to any existing Duilding or structure, or for any alteration or repair to any existing building or structure� upon applicatio n tt.eref.ore, require the payment by the applicant for auch permit of tees to the amount herein Delo�+ set forth and in the manner herein provided to-Wit: ' Total �aluation =1.00 to �500.00 �501.00 to �2,000.00 Fees �10.00 (Minimuc Fee is �15.00) �10.00 for the firat �500 plus �1.50 for each additional �100 or fraction thereof, to and includinE �2�000. t2,001.00 to S25,000.00 �32•50 for the tirst �2�000 plus �6.00 Tor each additional �1,000 or fractior thereof, to and including �25�000. �2;�001.00 to 550,000.00 �50,001.00 to 5100�000.00 1100�001.00 and uF� �170.50 for the first �25,000 plus �4.50 for each additional �1,000 or fraction thereof� to and including �50,000. S2E3.00 for the first 550�000 plus �3.00 for each additional �1,000 or fraction thereof� to ar.d includinE �100.000. ��+33.00 for the first �100�000 plus �2.50 for each additional 51.000 or fraction thereof. DRIV�.iiRY DEPRESSION ESCROiM (Concrete CurD Streets Only) Alternate "b": Aecoval and replacement of curD and gutter only - Driveuay vidth plus 6 feet time_ �13.50 �lternate "E": Recoval and replacecer.t of curb and gutter and in�tall a 3 foot vi�e aFproacr with 6 inch depLh - Driveuay width plus 6 feet times �1�.75 YERIFICA?ION OF FOUNDATION Percits fo^ construction �ill be issued a air.imu� o.° 24 hours froe the time c:' aFFlication to a�lo� for proper reviex of Lhe propose� structure and o:' trc construction site. A Certificate of Si:r�ey o_° the lot, sSoWing tbe loc2tier.� c,f the foundatior, once it has Deen constructed xill be require� Defore procee�:r.� xit� the framiag. 0 �- � sue�ecT -MIT NO. � City of Fridley 2 8 955 AT TME TOP OF TME TWINS g U I L D I N G P E R M I T � � � RECEIPT NO. ' COMMUNITY DEVELOPMENT OIV. �� r � ~ � PROTECTIVE INSPECTION SEC. � _ . l•---� �'�'1•� CITY MALL FRIDIE� SS�SI NUMBER REV DATE VAGE OF AVPqOVED BY L ' � 612-571-3450 910-F15 3/1/99 / / JOB ADDRESS 7495 Hayes Street NE t LEGAI �OT NO. BLOCK TRACT Oii ADOITION SEE ATTACMED DESCR. j 2 Gunderson Terrace SMEET 2 PROPERTY OWNER MAII ADORESS ZIP PNONE Pete Wolterstorff 7495 Hayes Street NE 786-5946 3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO Rick's Roofing & Siding Inc 183 Cleveland Ave SE, New Brighton, MN 55112 4 AfiCMITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO. 538-6395 3566 5 ENGiNEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O AODITION O ALTERATION [� REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS AqE RE�UIRED FOR ELECTRICAL, PLUMBING, FIEATINCa, TYPE OF CONST. OCCUF VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTFUCTION jONING SO. F7 AUTMpRIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEp OR ABANDONEO fOR A PERIOD OF 120 OAYS AT ANV TIME AFTEfl WORK IS COMMENCED NO. DWIG. UNITS I HEREBY CEHTIfV AT I MAVE REAO AND EXAMINEO THIS APPLICA710N 1 ANO KNOW TME S TO BE TRUE ANO CORRECT. A�L PROVISIONS OF LAW$ yALUATION AND ORDiNANCE$� OVERNING THIS TY E Of WORK WILL BE COMPLIEO WITH WME7MER ,$ CIFIED HEREIN OFi OT. TME GRANTING OF A PERMIT $2, 399 DOES NOT PRE U E TO GIVE AUT RITV TO VIOIATE OR CANCEL TME pEqMIT FEE PROVISIONS O NY OTNER STAT OR LOCAL LAW REGULATING CON- STRUCTION O E PERFOFiM N OF CONSTRUCTION $7/{. ]S Y � ` � � PLAN CMECK �� Lic S�GN U O�CON7RACTOpOpAUTMOA�ZEDAGENT �DA . ..� iD�iE� S7AlLS GROUP OCCUPANCYLOAD CU FT. OFFSTREET PAqKING GAiiAGES SUpTAX �1.20 SAC CMARGE Fi SC $2.40 TOT L FEE $83.35 _ � IS�S�.O � �E�� NEW ADDN ALTER �� I] [l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 7 Ll � s /-�� ;'� s s�� Effective 1/1/99 . �� 5�� _ � � V_ Legal Description: � � � y � � � � "'� � �r Owner Name & Address: �� •�r� .�/� � � � , .� � G � �� Tel. # 7 � � � � � %� Contractor: � <<'r� ' S 2�e � < <� °� s'�'c% < << -� C MN LICENSE# � �� , Address: l cJ �' � l4 4 v ��1 � a� vr� S ��r �-- l3 y:�Tel. #��/ —� 3 -�� s� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Length Length Length DESCRIP'I'ION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: �v�1 � 1�� C3 �� Estimated Cos��_�� Driveway Curb Cut Width Needed: DATE: ` � ` � �? APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 7� %s� $ o�.� O $ %o?D $ $ s. o� $ $ $ $ � 3�� (Fee Schedule on Ft. + 6 Ft Ft x$,,� , // � /' � _$ Tel. # �33 -- � 3�iS` Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] i �.L BUILDING 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 appl'ication 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 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $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,OOU plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $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 for the first $1,000,000 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 f�aming. ,.� _. � Building Inspections 763-572-3604 DATE � v� f ,� d � �SSTI'E ADDRESS 6 THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY 5 �{.fl �l'�' 3° � �OWNER PROPERTY OWNER/ � TENANT CONTRACTOR SUBMIT�A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE �rE o� wo�: YOUR E-MAII. ADDRESS ❑CONTRACTOR rr 4J m�- C��'s j er � li��' c,r�" S' . Sr PHONE: / 6 � " � !j � � �S �t' �( �rs STATE LICENSE EXP DATE Pernut No.: Received By: Date Rec' d: � � STATE ZIP, ADDRESS: CITY STATE ZIP QTWO FAMILY/NEW CONSTRUCT'ION 0 ADDTTION O GARAGE/S ❑ BASEMENT FINISH ❑ ROOF ❑ DECK � SIDING ❑ SWIlVIlvIII�TC ❑ NEW O ADDITION ❑ MAII�ITENANCE/REPAIIt ❑ REMODELI DESCRIBE BVORK BEING SIZE OF IIvIPROVEMENT_ NUMBER OF SQUARES _ GARAGES PROPOSED S1ZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other VF'IlVDOWS IN EXISTING OPENINGS DYes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE 0 ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS OF ❑ wn•mows ❑ DRAIN TILE � OT'f�R HEIGHT �ASEMENT REMODELING SUBIvIIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structival members to be used Ft. FOR NEW CONSTRUCTTON 1NCLUDIAiG DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey.showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surchazge License Surchazge SAC Charge kCurb Cut Escrow r rosion Control Park Fee .., Sewer Main Chazge Total Due $ $ $ $ $ $ ��1. � $ $ �V r See Back Page for Fee Schedule 65% of Building Pernut Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.04 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for e e ion) $4�i ft + 6 $ _ � ft x $20 = $_'�� onservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPI:ICATION FOR A PERMIT-NOT VALID UNTII, PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only an applicati n for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor w" h re uires review andapproval of plans. SIGNATURE OFAPPLIC pR1NTNAME / G 1�'� �o L. ��tr$�G��q� O`o�6 0 5� _T �,Q% � � � � ` V `""'�- D� �`�—�iJ.i� �,f` i�� % � v r / Page 2- Building Residential Application BUII.DING PERMIT FEE SCHEDULE The Chief Building Offieial sha11, before issuing permits for the erection of any building or structure, or for any addition to a.ny existing buildang or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the mann.er herein pro�ided to-wit: " ToTai. vai,trE r�Es $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for ea.ch additional $100 or fi-action, to and includin $2,000 $2,OQ1 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fracrion, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1$25,000 plus $10.10 for ea.ch addirional$1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional$1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includi.n $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Pemuts for constructioa will be issued a mini.mum of 24 hours from the time of application to. allow for proper review of proposed structure and of the construction site. A Certificaxe of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977