AF - 46452�
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Caty of Fridley, Minn.
BUILDING PERMIT
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Date: _.._. Ma.q �, 1967
pwner: Kurt W.Skrandiea
Addn�s 321 Hugo St.
Builder
Address
Hugo Skrandies
195 Hugo St.
�» ��
11T� 924�
LOCATION OF BUILDING
321 Hugo Street N. E.
No. �... Street _.. —. �_ Part of Lot
�54-56-55�� Bl� A ._, Addition or Sub-Division ._�verview� I3eig�.ts
Coraer Lot — Inside Lot —. X Setback 35 �__ s�deyard _ 10' - 8
840.5 8�
Sewer IIevation � �
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling 42' 24'-26' 20' �• � 1050 �� 16,800
Front _._. Depth Height ..V
Garage �nt 15 � Depth _,_, 24� �eight ^..10' �, � 360 � � 3,600
Type of Conatruction Frame �� �$11,500 �M� To be Completed Rov. 1967
SEWER LOCATIOIV - 11.8' � West of Manhole
WATER LOCATION 12.2' West of Manhole
In consideration of the issuance to me of a permft to construct the building descrli�ed above, I ag�e to do
the proposed work in accordance with the description above set forth and in compliance with all provla�tons og
ordinancea of the dty of Fridley. _�, !p °
00.00
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In conaideration of the payment of a fee oP $ 37 . 00 ��t ia hereby granted to Hugo Skrandies
to construct the buflding or addition as described above. This �t ia granted upon
the express condil3on that the peraon to whom it fs granted and his agents, employees an worl�en, in all work
dane in, around aad u�n said building, or any �art thereof, shall confornn in all respecta to the ordinanc� oP
FridleY� Minnesota regarding location, construction, alteral3on, maintenance, repair aad moving of bufldings
within the dty ]imits and thia permit may be revoked at ar�y time upon violation of aay of the provls�tona oP ssid
ordinanc�s.
CLARENCE BELISLE B��g �
NOTICE:
ihb psra�tt doss no1 eovsr ths eonstrneHoe, hutallalloa h� vririne. plumbing, en 6eaNng, awar or wafer. B� �una fo �
tl�a Butldlue lespecter fo� isparah psrmhs fee t6as ttfna.
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APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME !�1 Gy 1^'� �• �//7`�'�! �'y ��� S' BUILDER_ %7���0 "�`i'a'�� c�j �,�
ADDRESS .��/ /7��f � ���' � ADDRESS /�.�° ���� ��
LOCATION OF BUILDiNG
N0. �� � s���p STREET
PART OF LOT
LOT °%�`'`=�cS ^,�/' BLOCK � ADDITION Ol� SUBDTVISTON e'7�A' �� ��/ /l��
CORNER LOT INSIDE LOT �/ SETBACK � � SIDE-YARD � � °° �' �'
SEWER ELEVATION ��� ' � TOP-6�dOTING ���• �
,��'v�u� o��-� f/ • �' ' �� � ����"'�� -
Applicant a tach to this form two ertificates of survey of lot and proposed
bui ding loc„ation d awn on these two ertificates.
`���� � ' � - /�.,� � �� ����� _ �-�-.' � - �' �_ ; !
DESC1tIPTION OF BUILDING
To be Used as:
/
��� �? 'y�� �'� ��5= Front Depth � ��°° �� � Height ��
Sq. Ft . %� �� � Cu. Ft . ��, ���
Front /,� - Depth o� Y Height_ �' �,
Sq. Ft. ��D Cu. Ft. ,\.� 6��
Type of Construction
Estimated Cost � %�,�s�
To Be Completed ��'-�'.��.-��-,r- ��G 7
The undersigned hereby makes application for,a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Qrdinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE ao� f � - ��fa %SIGNATURE �.��-� �
(Schedul of Fee Costs can be found on the Reverse Side).
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HARYEY A. CAPiTWRIGHT
AR10KA COUNTY BURVHYS
H[PIN�F'IW GOUIVTY SURVEYS
ki1NMHppQL1$ 6UWVEYS
8410 AALM $TREET N.W.
SUNSE7' 4-7859
OWNER
IPoDUg34RlAL — JUOICIAL
FSV��PIH�E9 — TOP06RAPHICAL
CITY LOTB — pLqTTIN6
$11g0 �iti'��S
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326 PLYMOUTH BUILDIAIG FEDEqAL 8-6721
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As sux°�rey�d b�r me this 6ttt da�r of October, 19650 ���'
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sue�ecT PERMI�MO.
City of Fridley - �y� � � �
AT THE TOP OF THE TWINS � � ^����
� BU ILDING PERMIT -
� � RECEIPT NO.
• COMMUNITY OEVELOPMENT DIV. /",
r � L � PROTECTIVE INSPECTION SEC. ��� i
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� ' /"'1 � CITY NALL FRIDLE� $5432 NUMBEfi i1EV OATE VAGE OF APPROVED BV
�----� • •', 612-571-3450 910-F15 7/3/96 / /
10B ADDRESS321 HllgO Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S�F-56 A Riverview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Terrence Poss, 321 Hugo St. NE, Fridley, MN 55432 786-9478
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
SELF
4 ARCHITECT OR DESIGNER MAIL ADDF;ESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
1Zes�.dential
7 CLASS OF WORK
❑ NEW XE7 ADDITION p ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
B OESCRIBE WORK
Construct addition
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plans.
SEPARATE PERMITS ARE HEOUIRED FOH ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR A1R 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
OF WORK IS SUSPENDED Oii ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT 1 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 WOFK WILL BE COMPLIED @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z�SOO.00 �pI..SO
DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �]L�.. �S �.00 Fire SC
PIAN CHECK fEE AL FEE
$ 9.25
SIGNA7UAE OF CON'RACTOA OA AUTMOAIZ ENT IOATEI PjiO VA�ID T THIS IS VO p PER�
� Si� OF OWNEFUF OWNE�ILDEfii�� IDATE� � �' �
DG �NSP I�pJE
t� B
NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
Building Permit Application
3/1/96
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ConstructionAddress: _ i �, % ��/� � /� �
Legal Description: � �%S `�'`� -5 � � S� � L� �ld � � r e��r , e r � r _ , /_ro � ,-, ���'�
Owner Name & Address: �%e/�/� � ��.� � � � Tel. # ��� y ��
Contractor: ,� � � �= ' �,r l� ���� � � ,�� J-.�MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�R:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlV�ROVEMENT
r
Le�lgth � ^�-- Width /U � Height /U �
Length Width Height
Length Width Hgt/Ground
Tel. #
Sq. Ft. ��
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback � Side Yard Setbacks
Type of Construction: _1.,� `� � p �G� � Estimated Cost: $ ,�,j—(�U i
Approx. Completion Date: �'��� (�. /�,?p .r�l ,
���: � � �3�, aa
(Cost on Back)
Driveway Cwrb C�t Width Ne�ded: Ft. + 6 Ft = Ft x$ —$
DATE: � - � — � � APPLICANT: � /-���� � Tel. �#
, ' .
Permit Fee
Fire Surcharge
Sta.te Surcharge
SAC Charge
License Surcha.rge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Gharge
TOTAL
STIl'ULATIONS:
$ ��%S
$ � D�
�_ /. SO
$
$
$
$
$
$
$ . 02,�"'
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$900 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 Ne�essary [ ]
�
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BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial 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
stntcture, 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 $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $5�,000
$500,001 to $1,000,000
e
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for fust $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 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 fra.ction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,0� or fraction thereof, to and including $100,0�
$887.25 for first $100,000 plus $5.00 for each additional
$1,.0� or fraction thereof, to and including $500,000
$2887.25 for the first $SOO,OUO plus $4.25 for each additional
$1,000 or fraciion thereof, to and including $1,000,000
$5012.25 for the first $1,000,�0 plus $2.75 for each additional
$1,0� 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 5urvey of the lot, showing the location of the founda.rion once it has it has been constructed
will be required before proceeding with the framing.
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Building
Inspections
763-572-3b04
763-502-4977 FA.X
nnr� (d 1�t I f C�
SITE ADDR�SS ��,C
THIS APPLiCANT [S:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CCRTIFICATE OF
INSUIZANCE
PRUPERTY TYP�
PERMIT TYP�
From: 6512920905 Page: 1/3 Date: 6/11/2010 9:24:43 AM
BUILDiNG
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
Ynl1R E-MAIL ADDR�SS
OUiNER �pNTRACTOR
STATE LICENSE �
— pil.� �G
;�,.SINGLE FAMll.YRVEW CONSTRUCTiON
0 TWO FAMILYINEW CONSTRUCTION
❑BASEMEA'TFINISN �tOOF
❑ DECK ❑ SIUING
u SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CO}VSTRUC'f[ON ❑ ADDITIOAI
AINTENANCE/REPAIR OItfiMODELING
DESCRIBE WORK BEING DONE: - c� � ,.}.
SIZE OP 1MPROVEM6NT C,ENGTH WiDTH
R�� ❑ HOUSE ONLY
NUAdBER OF SQUARES ,� 'I�HOUSE & GA RAGE
GAR �'E �AT'fACHED GARA(3E
PROPOSED SIZE: ❑ DETACHED GARAGE
PROPOSED HEIGFiT:
SIDING
D Vinyl
❑ Alwninum
0 OtNer
QSa�t
O Trim
Q Fascia
�IDOWS
IN EXISTUVG OPENFNC3S �Yes �No LOCATION OF WINDOWS
OR FOR NEW OPENiNGS-DESCRIBE SIZE OF
OPENING CHANGES &
EXP DATE
0 DRAtN TILE
❑ OTHER
Permit No.:�`�'� /'l�!�,!� I � �
Receiveci By: !�' � 1
��°d! � ►N 11 � 1(
,'� ("��i' N r � G t�'►„°k.-
,`
STATE �W ZIP �I
3 a� aoca
C�� STATE�ZlP �j�
_ „� .a<
L
I . Fxisting Floor Plan
2 Propased floor plan
3� List of structural members to be used
FOR NEW CONSTRUCTION 1NCLUDINC DECKS,
1. Site P1an/Survey showin� the existing sttustures
and proposed project.
2. Two sets of construction pimu
3. Energy Calculatians
FOR WINDOWS — PROdtbE U-VALUE AND
MA.NUFACTURE STTCKER ON W1N�W,
ALL FEES ARE BASED ON VALUAT10N,1NCLUDING THE COST OF LABOR Al�`D MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDUI.E)
TOTAL JUB VAi,iiAT�nni e _ _ ____ . _ _ _
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOtAI �I18
� :� t i+ a2S See Back Page for Fee Schedule /!�3
$ 65% of Building Permit Fee `�' �" °��
$ �.001 times the total job valuation yZ� GC}
$ � .0005 x Permit Valuation Minimum $,50 # �'�S�
� e�i , Cx� $5.00 (State Licensed Residential Contractors)
$ $2100 per SAC Unit (Plans to MWCC for determination)
� f}+6ft= $x$24=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
ot' Agreement necessary () Non Necessary (}
$� �� 2 Make checics paveble to: Citv of Frid1� Affewla CK....I..K.
TH)5 [S AN APPLICATION FOR A PERMIT-N07 VALID i1�iTIL PROCESSED
I hereby apply for a building permit and I acknowledge tbat the information above is complete and accurate; that the work will be in
confocznance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit d work is not to start without a permit on site; that the work will be in accotdance with the
approved plan in the cese of all w rk hic uire e ew and appruval of pl s.
SiGNATURE OF APPLICANT dY'`'� d8 � "1%i° PRINT NAME �1�C �CLC•I ti`� �-"t�+ �. DATE �"✓ I� 'C!
� nt a � c�ra ......... ..�._ - — ' — -- � - -