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AF - 46155�, � Caty of Fridley, Minn. BUILDING PERMIT o?� � / a N° 7251 .: �' . - . � l, y� r� , � / �'� ,� � " � � ....�..u�. � _.% _ i(_-.,i - ° l/ : 1 � ..1 , ' '• . � �( / .�� `- _ � � � � TION O UI DI G No. �/��,� Sttleet �art of Lot Lot _ Block Addil3on or Sub- on ____ Corner Lot _ Inside Lot _._. Setback �'�� Sideyard �� Sewer Elevatfon ____ F tion IIevation DESCRIPTION OF BUILDING U F'ront ��. Depth �,� Height �� Scl. FL P�e�' ,� � Cu. ��`� Front Deptln fTeight � Scl. Ft C:u. F't. Zj+pe of Construction ��r��3� F�t. �� °-To be Gompleted In consideratton oP the isauance to me of a permit to construct the building descrlbed above, I agree to do the proposed work fn accordauce wlth the description above set Porth and in compliance with all provIafone of orciinances of the dty oP Fridley. . �i �,, ,� �> In camsfderation of the payment of a fee of permit fa hereby graated to to conatruct the building or addition as described above. Thia permit fs gra�►ted u�n the enpress condition that theperaon to whom it is graated and hia agenta, employees and worl�aen, fn all wark. dane fn, around and upon said building, or anypart thereof, shall conform in all reapecta to the orainancee of Fridley, Minnesota reg g la:ation, construction, alteration, maintenance� repair and moviag� of bufldings within the dty ]imits an�this permit may be revoked at any� up� v�n of any oE the P�� of said ordinance�. � �� n NOflC� '16b permh doss eef eovsr t6s eomteucH�, I�aWHee !er vrieie9. P��e� �n ksaHng, awu er wafsr. B� suro to sN tla Boildiep letpKMr fer aparab p�rm6s fee 16�a I»m�. �. _ -�,�. .�. . . , APP'LICAZ".LON FOR BUILDING F��'.N�T CITY OF FRIDLEY, MINNESOTA , orar�R� s ru� /��r �. ,l�'�r�� .�• �� suunr.� il'��.��'� ��'��',�e .� Ann�ss /'.� � ? —,,�'.�� '� �nnx�ss , LOG�iTIOPi OF BUII.DING No. SCreet �'art of Lot Lot Block ` Additioa or Subdivision - Corner Lot Inside Lot�Setback .�,�� Side Yard � SEWLR II.EVATIOAT FOiJRTDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed bLild-. ing locaeion dra�tn on Chese Certi£icates. DESCRIPTION OF BUILDING To be used as: �� _/�°�'� Front ��.�.h �� Height � ��O'�,o�� r%� �� Sq. Ft. � Cu. FC. Front Depth Aeight Sq. FC . Cu . Ft . Type of Construction Estimated Cost _ To be Completed The undersigned hereby makes application for a permit.for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridley Ordina.nces and rulings of the Department of Buildings, and herebq declares that all Che facts �nd representatioas stated in this application are true and corxect. DATE �Ci� � />�/ � � �� Schedule of Fee Costs can be found on the Reverse Side). a_ � � _ }-� �"`1 �\ o .. » 4 � BUILDZIVG PL�T FEE S(wIEDULE Section 2. The Inspector of Bu3ldinga shall, before isaui� any pea�an3t for the erection of any building or structure, or for 8ay addition to aay e�i,st- iag building or structure, os for any alterations or repa3rs to any esist:i.ng building or atcructure, upon application therefor, requize Che paS�nent by the apglicant for such permit of feea to the amount hereia below set forth ard in the mannes herein pr�ovided to-wit; 2.1. For any such permit for the erection o.i any fire-proof buildin$, other than a garages warehouse, factory or grain elevator, or fvr the-erectioiz of anq fire-psoof addition, for similar occupancy, to any exieting buildi�.g shall be at the rate of $1.40 for each.one thousand cubic feet, or fraction thereof, ia such cubical contents. 2.2. For�any such .permit for the erectioa of anq fire-proof garage, warehou,se,_ f�ctory or grain elevator, or fo� the ereGtion of any filr�-proof edditiou, . for similar accupancy, to any ex3ating buildiag sha11 be at the-rate of $1.25 for each one thousaad cubic feet, class�fied as "fixeproof" by Sectioa 5G2 of,_ the Minneapolis Building Gode. ' � . HOUSES 2.3. For any'auch permit for the er�ction o� any.non-�ireproof buildir.; aci�e� than.a.garage, warehouse, factory or grain elevator, or�aaq non-fireg�c�9� addition, far aimilar occupancq, to any exiatin� build3ag - permi,t $�..4p �or . each one thousand cubic feet. GARAGES 2, .= For any such permit for the ere�r,s�,� o` �.;:;� r�or��fi:.P�rc�of gara�e, . warehouae, factory or grain elevatorr �� ro�: �.'.�-, �•.e:9�s.or� o.� eray non-C�r..,�ruof additioa, •£or �s3milar occupancy, to �-.;�> �.�F::$ �: :��,r_�, 1�:4:. r,�.;.ao or for each sLCh _ _ --.- = bi�.t].ding � or additioa - ni�ety �P*±�:-� � ��x ,; , °:P;,:; � �� e�,F:.,: oae thcusand c�sb�� feet or fracCioa thereof, in the cu��c�:� rd��r�,.�: _t;r.e�nc� w3th a minimum of $4.0�.- For the purpoae of comput�Lng feea fL� �'_�z, :;.uix�g per�3 E:s, the cubical conteats of any �buildiag or addition to a enifc�r.a ��i�t tl�rot.�hout by multiplying the ground area covered from a,poinC si$ (6) iuehAs be1.:,y� the floos liae af:�he basemeat or cellar to the average hef�ht of ta� ra�:rTer su�face or to the average height of the roof surface of the main �able of a pitched roof.. Z.S. For repairs or alteratioas to an exiating structure, the fee shall be at the rate.of $3.00 per each Five iivadred_.Dol,lare ($500.00) or fractioa thereof 3n the cost of all propoaed work. 2.6. ' Tn 'rio case shall the fee._charged.. for. anY Perm�{t. ae set forth ia .Section 2 be 1esa: tha� $4,pp� ��d a /� ,''1 ,��. �,�.� ,� � � """" SUBJECT P MIT NO. City of Fridley 16 3 0 g AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. ( `L ______ COMMUNITY DEVELOPMENT DIV. �� r j � PROTECTIVE INSPECTION SEC. � � _ � ' �'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"'"'� � �� 612-571-3450 910-F15 7/3.0/81 / / JOB ADDRESS 1342 Hi.11crest Drive N.E. LOT NO. BLOCK TRACT OH ADDITION 1 LEGAL SEE ATTACHED DESCR. �.8 3 Moore �.�C@ �7.�.�.5 SHEET 2 PHOPERTYOWNER MAILADDRESS ZIP PHONE Neal Jenewei.n 1342 Hillcrest Drive N.E. 571-6742 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. .S3IDe 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 24' Garage Addition 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface drive�aay. 1NARH��G Before dig�in� caU lat� t��itfe� SEPERAT� P��t��'� ��;1�� (}� y��;i TELEPNQNE-ftFCTR�C.�,SEtc. HEATlNG, RlUMB��"G A� ��I'�, �FQ�J��a �3�' LAWV SEPAFATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4�9g9 $2.�9 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OFi CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINO CON- $21. Z2 STRUCTION bR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $23.61 SIGNATUREOFCONTRACTORORAUTNORIZEDAGENT 1 ATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT P� ,.�°`' � �� S°/`-� �B►� a� �Q�� ` �� 1 NATURE OF NER II WNER BUILDERI IDAT 1 BLDG INSP `�� O E �'�efio� `�tr��l9 /t ,S,�l�e�t CITY OF FRIDLCY APPLiC/17I0i�! FOf; R�SIDEi�lTI/lL I3UILDUIG PCFtt�iTTS (tde��r, Alter•�tions, Additions, or Repairs) 2 �s �� Z� a�� OLlf�ER: /r/�A / �lP o./�n/EIs+/E,/il/ [3UI LDER : , � �%°� � ADDRESS: ��t�o2 �,��',�'�;� I,a?i✓�' ADDRESS: TEL N0: �" — ��- TEL t�d0: Construction Location • STRI�FT NO : �CJ �yJ e STREET: L07.': �� BLOQC: _�_ ADDITION: %�O�I"@ �KG _i/�S -- Corner Lot: Insicle Lot: ��5� SetbacY.: Sideyards: Ap�licant attach to this form twa Certificates af S�txvey of lot and proposed building �ocation drawn on certificates to scale. DESCRIPTIOid OF COFISTP.UCTIOPJ � . i��`� d?r,�.�4/��4!�@ I'ront: /°a2 � Depth: o? Height: �0 � ax�sfny � (� S��e. k'eet: ��f Gtiibic Feet: y,�� Fron�; Depth: H eight: ' Square• Feet: Cubic I'eet: . � �� A �� 7�ype of Construction :�i¢/ll�_ Estimated Cost: $�� Zb Be Oor,�pleted: �D d� S Proposed Drive��ay Width If New Opening Is Desired: i�., Alt. A Alt. B �,/�� $ ' $ SE� Rc^�VERSE SIDE OF SHEET , Tize undersigned hereby ma};e� application for a permit for the t:vrk� herein specified, agreeing to c� .all work ir� strict accordance r�ith the City of Pridley Ordinances znd rulings of tlte DepartTnent of Buildings, and hereby declares that all the facts and represen�ztions st ted :n this application are true and correct. De':Tl:: � •� �� SIGN11'.i'UF.E : /r � �ti°�-o�✓`J StipulaL-ions: • l^` :�d' �'_,�'° �' �' � �� a J '` , �. 4 �� P p� � �� R , � � . tsu�u�iii� t�►�ici�> > i �:� :��tt ��u�t � ;1,C'PI01•7 2. � 7.'liZ� ?n��cctar.' of l3uilc?ii�g.^, t:hri]_1, bcfor.e i.;suiiig pernnit:; for t�l�c arcct•3.on of .�.»y )�u�.1_cl:incJ ar :�i �-uct:urc, or. fo�: any adcli.ta �n L•a a�zy er.icL-�.i�c� Luilclinc3 or structvare, ri�- 1'0�� ai,y �].�c•ration or. xcl�air.:� L•o •any exi. .L-ing )�ui.J_di,�i:3 or str.ucturc, ul��n a}��li.c:ata.on ihar.�ior.c, rcquirc Uic Pa}►mcr►L }�y tlic app].i.cant: ior. sucll per.mi.t• of' fees L-o il�c �nount hcrcin beJ.c��•� sct ior.tli and iii tlic mannc�: iicrcin provi.dccl L•o-�:a.t: � ldLl•1 CoN�jrI:UCTIOtJ: Sing].e 1'amil.y Ilomes and Gar.ages: y4.00/1,0�0 cubic tect.. PLT::� C1I):Cl:: 25 �ercent ot' bul.lciing pei�niL- tee. UiZl'V�[:A�' ll�PRL•'5SIOI•:: (Cqncretc, Gtiirb Si.rcets Only) �' • A].ternat:e �: Itcmoval and replacement oi conexete cuzb and qui:ter only; Driveway �•ridth plus 6 fee� x$13. �0 Altcrnate B: Removal and rep�acem�•nt of concrete curb and . guttcr and inst�ll a 3 foot e�ide approach <<�f th ' . 6 i.nch depth; Driveway �•�idth �plus G feet x$la., 7� • . ADDI �' I O�nL I N�OR��1�1T I ON I'ar the puri?ose of coa�pu�ing �'ees for. building permits,. L-he cubical contents of any buildi.ng or addition, is dei:er.mi.ned by multip�.ying the gr�und area covered from a p�a.nt sis. (6} inches beloV� L-hc: iloor ]_ine of L-he basement or th� cellar to tiie average heiqhts of the -upper surface or to the average height of the roof. surface of �hiie main gabl.e of a pitched roof. � For repai.rs or a].terations to an existing stnicture, the fee shall be at the xate of $3 .00 �icx each five hundred dollars -� ($500.00) or fraction tliereof in the cost of all proposed wor.k. . � In •no case siia�.l the fee cliargeci fc�r any ppx�nit as set iorth i.n Sectian 2 be less � than $7.50 plus $.50 sta�e suxclzarge. � • _ VERI F I C�TI �V OF F(lU[�ID111 I Ot� ' NOTE: Permits �or cons.L-ruction �vill be issued a minimiun ai' 24 hours from Uie time �f application to a].low for proper review of t}�e proposed structure and oi the construction site. A Certificate � of Survey of the lot, showing the location of tiie foundation once it has been constnicted �eill be required before proceedinq with the :Craminq. CFRTIFICl�TE OF OC�UPA�CI' �?►PPlication io� a Certificate oi' Oceupancy shall be made ten (lOj c3ays prior to the u�:e or OCC11F3I1Cj7 oi any stnxcture for !rliich a builcli�ig permit lzas been issu�d; and said structure shall �iot be used or. occupied tuitil a Ceri:�.ficate ot o��urzn�y has bcen issued. ��o� ��/i/oe� � % ,.,��s �oa �• vr9 S �G�.i� ' �� s�� r� _ �p�7�°/B'GtC�t� Gi , • s� GC�vO�.i/�� ,� � 0 � , . � o � �� O � � �1 � �� i � i - � Q `-c��' (� ^ �Q � � � � � � � �� b � t� � y � � � �� 2 �� y� � W �` � '�3x � ��o� � � � �b � h � 1� � �' � . � � � � � R � � � � � � C �'� � � ,� 0 � � � � F_ - � � �� i � � 9 � � � � � � w � , � � � � �� , ,� ,� � � �, � � � �s -� � � �, � � � �� ;� � � � � � � a b O 7 — � -- A� 0 R� --- � � ,, .�w� 0 � � D � � P � � � � � � � � � Z � � H � � � � h�� 0 s •� � � ; 6�a '� � 0 b � � �' O . _ � �� e `� � � Z � �� 'C ��0 �1 �� , r � ` � � ��R � �a b �'; P � �� y � O � � � � 1 � � � � �8 � � � � � � y � � 4 �1 � p � y . � � � � O � � a 3 � - SUBJECT PE NO. City of Fridley 18649 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � REC . � ' L ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� ' i ' � �'��l � CITY HALI FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � �'� 612-571-3450 9�0-F15 9/16/86 / / JOB ADDRESS 1342 Hillcrest Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. ].8 3 Moore L3�Ce H].ZZS SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Tom/1�rlys J'enevein 1342 Hillcrest Drive N.E. 571-6742 3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO. Coronado Stone 1628 Highwa #10, S rin Lake Park 55432 786-2341 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE UCENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Inatall Heat N G1ovJ Fix lace 9 CHAN(3E OF USE FROM TO STI PU LATIONS Install �ire/sz�ke detectars/alarms., SEPARA`iE p,��l°�� kE U� . �l/IRlNG. HE�1fi�1VG, P�.(�r �� F�R � �� TYPE OF CONST. OCCUPANCY OROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH 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. AL� PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WI�L BE COMPLIED $1 � 7OO S• 85 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- y�`2$, OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � � /� `�� PLAN CHECK FEE TOTAL FEE $28.85 SIGNATUREOFCONT ACTORORAUTNOAIZEDAGENT IDATE� WHEN PROPERLV LIDATED THIS IS YOUR PERMIT �a a SiGNATURE OF OWNERIIF OWNEP BUILDERI IDATEI BIDG iNSP �pT e N� [ 7 ADDh. [ J pLTER. I J City of Fridley �R-1 AND R-2 � Building Permit Application Const ruction Address :� 3 � � � � � L c � �s � '� �� '�e Legal Description: Owner Ngme 6 Address: Contractor Address Effective 4/1/8G Tel. ! � � ` _�9 _.,.�f LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attach to this applicatlon. a Certificate of Survey of the lot, �itb the proposed construction draWn on it to scale. Length Length Length DESCRIPTIOp OF IMPROVF•t�N1T Yidth ______ Height Sq. Ft. Width �_ Height Sq. Ft. _ liidth _ Hgt/Ground Sq. Ft. _ �` �� .C_� � L O �� c�`I J N oL t. Yd. Setback Side Yard Setback _ Corner Lot [ ] Inside Lot [ ] � r Type of Construction: ��° � � st mated Cost: � � � Approx. Completion Date: F ��'�v Alt. A Alt B (�L. ' �i��q6� $ - Proposed Driver�ay Width If Nex Opening Is Desired: S�e Back Page for Explanation � � �.�r _._ ' �i Perait Fee Plan Check State Surcharge SAC Charge Park Fee Sever l�aia Charge TOTN. /�, Of7�.� �� VO�� Tel . � � �� °�� APPLICANT:I� - CITY DSE ONLY � ,� Fee Schedule on Reverse Side g �---' 25� of Building Permit Fee � a_q �.50/�1,000 Valuation � a475 per SAC Unit g _ Fee Determined by Engineering � / Agreement Necessary [ ] Not Neeessary [ ] � � , �� STIPULATIOt7S : �,�� f�(� ��.�� ,�,°,�..�-� . is��o � c� C, -- f � . () C) la,� i � I �, oc� ��POc� BDII.DING PERMIT FEE SCHEDIILE The Chief Building Official shall� before iasuing permits for the erection of ar.y Duilding or structure, or for any addition to any existing Duilding or structure, or tor any alteration or repair to any existing building or structure, upon application therefore, require Lhe payment by Lhe applicant for such permit of fees Lo the amount herein below set forth and in the manner herein provided to-�it: ' Total oaluation �1.00 to �500.00 �501.00 to �2,000.00 52,001.00 to S25.000.00 �2;�001.00 to �50,000.00 Fees �10.00 (Minimum Fee is �15.00) �10.00 for the firat �500 plus �1.50 for each edditional �100 or fraction thereof, to and including 52,000. a32•50 for the first �2,000 plus �6.00 for each additional �1,000 or fraction thereof, to and including �25�000. �170.50 for the first �25,000 plus �4.50 for each additional �1�000 or fraction thereof, to and including �,50,000. �50,001.00 to 5700�000.00 �283.00 for the first �50�000 plus �3.00 for each additional �1�000 or fraction thereof� to and including �100,000. �100,001.00 and up Su33•00 for the first �100,000 plus �2.50 for�each additional �1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROIi (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�ay �idth plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and in�tall a 3 foot wide approacr xith 6 inch depth - DriveKay Width plus 6 feet times �15.75 YERIFICATION OF FOONDATION Percits for construction �ill be issued a�ir.imun o:' 24 hours fros the time of aFPlication to alloW for proper reviea of the pro�,osed structure and of the construction site. � � A Certificate of Survey of the lot, sho�ring the location of the foundation once it has been constructed aill be required before proceeding vith the framing. - - . .� �, t_� SUBJ ECT N O. City of Fridley 2 0 9 4 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � COMMUNITY DEVELOPMENT DIV. � • L PROTECTIVE INSPECTION SEC �/ D�� -_"- r ; ; � _ , � /"'1 � CITY HALL FRIDLEv 55432 NUMBER i1EV. DATE PAGE OF APPROVED BY �'""� � ,'� 612-571-3450 910-F15 7/18/91 � � JOB ADDRESS 1342 Hillcrest Drive NE t LEGAI LO7 NO. BLOCK TRACT OR ADOITIOPI SEE ATTACNED oesca. 18 3 Moore Lak.e Hills SNEET 2 PROPEHTY OWNER MAIL ADDRESS Z�P PHONE Tom/Arlys Jenewein 1342 Hillcrest Drive NE 571-6742 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOHK Construct an 18' x 6e Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. �� Before di�gi�g call for aN utility Iocations 4��0002: - REQUIRED B`lf LAW � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED $80� $, rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $21 .OQ Fl.Y2 SC y� .8O STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION. FEE TOTAIFEE 2.. 0 51GNATUREOFCONTRACT THOfi12EDAGENT IDATEI WHEN P OPERLY ALI E T S OUFi PERMIT._ �� - /�° �j Ih R � � SiGNATURE OF OWNER i�F OWNER BUILDER� 1DATE1 NSP �pTE . - � [ ] � �� [ � - .�« . l�l 1�t�ID I�2 Buildirq P�it l�pplic�tian �d�+2�3SI _ � J� � c� �� I �''e5 � �'1/'.'L`� � Effective 1,/1,/91 c a�ner r� � Aaare�: 7-_0� A� l; S �� e�., C�- �, �, # W!{.LOLi�ii �� ✓�'L �"�LtCr _ _ � �• # �i • . Attach to thi�s applicatian, a Certificate of Stizv+ey of the lvt, with the p�opoEed c�anstructian drawn an it to scale. .�- LIVII� 71i�: Ie�yth Wi�lth Heic�t Sq. Ft. � 71t�1�: Length Width Heic�t �_ Sq. F't. n� �,: Ie�yth — ��' wi,dth T Hgt/c�aa�d a y�� Sq. Ft. � O►�t: (n �5��-�� `� Cbrner Lat [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks Zj►pe of �,iar�: Estimated Qost: $ �� 1 Approx. Oc�letiae� Date: Pt�a�osed Drriveway i�i+s3th If New Openirig Is Desired: Ft. S $ Width + 6' See Back Page '��: rI - [ �i ° °� � APPLICI�TT; ti- � - ' '!�e],, � �'� 0- �� Y `� �ezmit Fee $ � ` s 0 f� Fire S�arge S �� State S1u�arge $ ^ � � SAC Q�aige $ �iveWay Escsua $ Fark Fee $ sew�er Main a�arge S � s '� � 3a ��: � «�� _,_ . yi Fae Sd�edu].e an lieveise Side .001 x Pe�it Valuatian (1/lOth $) $.50/$1,000 Valuatian $650 per SAC Onit Alt. °A" Cr Alt. "B" Abvve F1Be DET��illed by �i r�ri r� � � � ��Y [ ] � N�YY [ ] `�� s� �� 6 _ E :�1� � �, c 'r-+�•r�4 r ±: ; a:i :� �� :1 �e Chief Building Offic3al ahall, befa�+e fssuitq pe�its far the erectiar� of ar�y bui.lciinq os etructia�e, a� fa� any ac3ciitian to any esatst�inq bu3.ldv�g o� �, or for any alteratian a� sepa,ir to anY �d.sti� buildin3 c�' �c4u�e. i�pc� aPPlication t2�erefame, raquire t2�e PaYm��t bY �e applicatYt fa� eurii p�imit of fees to the aano�uYt ZIP1'p�Il belQ�i FiE't f�l �� 3!1 �1e �a*e�r �311 j�pN3Lj0Cj t0'i�1�t.: ��AT� �IJE $1 to $500 $501 to $2,0� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 i - � �. $15 (Mini]� Flee 3s $15 Pl� �d�a�ei $15 fa� fitst $500 plus $2 far each additianal S100 or fxz�ctirn tl�ereof, to er�d includin3 $2, 000 $45 fcs fii'st $2, 000 plus $9 fos' eacii addit3anal $1, 000 a2' fica+ctiCn theseof, to at�d iriCludi.r�g $25, 000 $252 fa� lfi�st $25,000 plus $6.5o for eacn eaaitiorjai Si,000 C� �G[1 t�Iei'�of, t0 OI1d �tlCludii7g $50, 000 $414 . 50 fa�r first 550, 000 plus $4 : 50 for eacii additia�al $1, 000 a�' fracfi3an theZ+eof, to at�d iT�Cludir�q $100, 000 $639.50 far first $100,000 plus $3.50 far each additia�al $1, 000 or fract ion tirr+e�of, to and it�cluding $500, 000 $500, 001 to $1, 000, 000 $2039.50 for the first $500, 000 plus $3 for eaci� additiaa'ial $1, 000 Car fract,ian there�f, to etid it�cludirrq $l, 000, 000 $1,000,001 ar�d up $3539.50 for the first $1,000,000 plus $2 for each �dditional $l, 000 e�' fzactian ti�ereof ntIVF�[ �SIQJ F�QiOW (Oariacet�e Q�b Streets Q�lY) Alternate "A" : I�wal ar�d zeplaa�t Of curb atrl gutter anly - Drive�ray width plus 6 feet tiioes $13.50. Alternate "B" : it�ov-al and repla�t of a�i� at�d gutter ar�d install a 3 foot wide appro�ach with 6 indi de.pfih -�'iveway vidth plus 6 feet times $15.75. .�� -. �� ;.• . ��; ts for earLStn�ctian will be f s.sved a minim� of 24 haus .�fram the ti.me of applicatian to allew fa� pa�cper seview of the p�oEed stn�u�e ar�d of the eanst:n�c:tian eite. A Oeztificate of S1nv+ey of the la�t, �howirg the locatirn of ti�e faar]atian ac�oe it has it has been ea�st�uctsd urill be required befa�e ptoaeedinJ u�ith ti�e fra�u�g. ^ � U^ l - � �.A � "'�J '� 0 c 1 �1 2�: �{ a�F ��.ca,v�D �y� � �on� C� `\ G, CI � j�Cr ^^a N e w � S�f X `I o� `` �t�le� pf aQ��o n� �x � �.� 'r ��f o . � a� �� Lo�� t� � � L�� r�,l C� 2n6 C:� t�„Q4:. ,. .i :1_ � ! � r V _ *2 � � 1 G�� SuBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ; y __�� COMMUNITY DEVELOPMENT DIV. r � � PFiOTECTIVE INSPECTION SEC. l._--� ��"' �,� CITY HALL FRIDLE� 55432 NuMBER AEv i 612-571-3450 9�0-F15 J08 AODRESS 1342 Hillcrest Drive NE DATE PAGE OF 9/12/97 � � ,�P . IT NO. �2549� RECEIPT NO. ��id APPROVED BY 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. LS 3 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Doug Milkowski 1342 Hillcrest Drive NE 571-8322 3 CONTRACTOR MAILADDRESS 21P PNONE LICENSENO. D& D Iiome Improvement Inc 11773 Magnolia St NW, Coon Ra.pids, 1�T 55448 4840 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 757-7780 5 ENGINEER MAILADDRES3 ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WOi;K Reroof House & Garage (23 Sq) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOH ELECTRICAL, PLUMBING, HEATING, TYPE Of CONST. OCCUPANCY GROUP VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. AUTHOR12ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFS' I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED 1� 918 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES N PRESUME TO GIVE AUTHORITV TO VIOLATE OFi CANCEL THE pERM1T FEE PROVI ON OF ANY OTHE STATE OR LOCAL LAW REGULATING CON- �62.25 STRU TION R THE PERF ANCE OF CONSTRUCTION � PLAN CNECK Fi L e A U E F CONTRACTOR Oii AUTHOiiIZED AGENT IOATEI �.�... i�� OWNER BUILOERi �DATEi C STALLS CU. FT. f PAqKING GARAGES $.96 SAC CHARGE Fi• SC $1.92 i FEE $70.13 � THIS IS VOUR PERMIT � � � f�6TE LOAD NEW ADDN ALTER [] [] [l ConstructionAddress: Legal Description: Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION e Effective 1 / 1 i97 �? 5�G%% 4��`Q Tel. � ��/ �a� � Contractor: � g�e Hnma Tmnrn�scmonf- _�� MN LICENSE# 4840 Address: 1 1 77� A�iaqnnl i a �trr�r�t rtT;J � c`nnn R��j,ds 55.�A8 Tel. �` 75?-7780 Attach to this application, a CeRificate of Survey of the lot, with the proposed construction drawn on it to scaie. LiVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlYIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � �� C�nstructi�i Tyre: �� —�/� � Estimated Cost: $� �l�d � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ DATE: APPLICANT: �L ' Tel. #, ��7� ��'�'� Permit Fee Fire $urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � � Z, �� $ ��9� $ ,� $ $ �f� $ $ $ $ $ �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuarion (1/lOth%) $.SU/$1,OOQ Valuation $950 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 [ ] ,s - D ]7 � � m 3 o � v � 2 � � m � �, � o * � � n m D � O Q Z �p � � 0 A � � � N � � � m o° \ p m o D = z �` D � a � cn � �' � Z �' � � v r m `° -r+ m m m v �� O O < Z � � m v � cfl � m � c � � n � � � � � m n � O z � r�- � v D C 2 'Q z --� C a v = 3 a m T � d► m °r° � m m o °' tn O � D � D � m z � ? .� o � y cQ C C � � � (�j C � tn = � � rv a oo v m �o a; co L� Z m u, m � Q a cZi �' _ � m m � � � � w v m � � D z v � � � � � � � � � n � W O z °' su w m w w c w w o m � � o �n �, r. r. r. ��-* m n- f �'� �� m m m.� 3. �. � 0 � fD o � � 2 2 � � � � � � � fD co �� m �� v � c v's � m m m�D �� N� c'n � �► � � 7 �. � y < I 1. �° � p� 7 m 1 � 3 i�ii m -Q ,� N � N� * � � � T � * o �' � � � � 1 � � � m Q. � � .-. �°ii�i`i�iiiiiii � � � � � � � � � � � � � Ut O O O;v O V V V V(71 A �I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � �� C � r�- � C = � � � � z a o n 0 � � C v m � � � z O c \ �\ �. � � � c a � � c � � a O � � m � ► � � ► :1 ,, ' r :� � v � a ce m _ � c 3 � a @ � � m o m cfl 3 m m � � a � � � � ° m Q- Q- a- � o .� � m � � o m� � o '� ? � aQ' � � � � �. ci a c� m � m o � o � � o 0 a � m � v �mm �°' � 3 � � � �' o 3r.� � m s � � m � � �0 A1 m m � m m � � r C � � z � T X � m � m � Z O � � m -i O � � O m v v � m � � 0 e �