AF - 46454_,--�_
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
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� `v __�__. COMMUN�TY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC.
i-_--� ��"" �,� CITY HALL FRIDLEY 55432 NUMBER aEV.
i 612-5T1-3450
910-F15
JOB ADDRESS 331 Iiugo .�'�. Ne$.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
oescR. 57,58 A Ri,verview Heights
2 PROPERTYOWNER MAILADDRESS
T. E. W. Homes Inc. 15052 Bass Lake Rd. Ma,p
3 CONTRACTOR MAILADDRESS
Owner
4 ARCHITECTORDESIGNER MAILADDRESS
5 ENGINEER MAILADDRESS
DATE I PAGE OF
2/15/83 � �
Grove 55369
21P
ZIP
21P
PERMIT N�!
_ 169
R
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g s� v
APPROVED BV
SEE ATTACHED
SHEET
PHONE
559-5638
PHONE LICENSE NO.
PHONE LICEN3E NO.
PHONE LICENSE NO.
8 USE OF BUILDING "`� � N;f, c,''s r. �- ,, .
R0SI.CIPI1'tl.d�. ,��'`��,z'� ,.� � ��
7 CLASSOFWORK •c�;�:air-, ���., ;,,�.:i rr�.ii:,>:;
[� NEW O ADDITION ❑ ALTERATION ❑ REPAIR j�L��ih���q���".�,�„��E �� ��.,'.
8 DESCRIBEWORK , , �r������� ��y �yY lF
Construct a 24 X 40 house and a 20' x 2n� attanhor7 ,.,,.�.�,. � ��;�F•
9 CHANCiE OF USE FROM TO
STIPULATIONS
Driveway Escrowo $297.00
Provide sod in the front and side yards, Provide City with a verifying survey bef�
capping. Provide a hard surface drivewayo
SEWER LOCATION: 75' W. of M.H. at Ruth St. (Inv. 840.62) Wye Elev: 840.44
Top of Footi.ng: 843.50 Minimum
WATER LOCATION: 10.1' E. of Sewer Service
e.f� �Y �� �K«6C'/ 4J��J �y'V� t7V.��7:e�VYAd/�F" "���, =J�,���l��C ��°ky`y��lF 6 ➢ iP`
,1.,..UR CY �F l9T�i.e.�t' L��a-iTsi�R�' FIY�i°6�s � ^ � L{ , �, �"'�°��' "���",��_�{���[� �`�7� �;'f�(�°:
�.� C� TA !S FOft 13`�F�;tPr:��'lp�1 t'U�:��raES ,pP <yi�� a�, . �p a6,::
9'6��eEEd'�i�, k��������y�1�.P� ����J�� �
��RSOfJ USING 9T SF3��lJ� VE�Y FH� INFURAAATPQh; �����"
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SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING, TA�OOCI Fr�Ipe
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS OFFSTREET PARKING
1 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
WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIO S OF NY OTHER STATE OR LOCAL LAW REGULATING CON- SAC CHARGE
TRUCT�N HE PERFORMA E STRUCTION.
�. � PLAN CHECK F E TOTAL FE
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IGNATURE OF CON i RACTOR OR AUTHOR12ED AGENT $766� 7S
IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
C��t�t����4YE �F �l>�VEY
For:
DALE JO:�ES & DON HYLAND
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L�t 57 and Lot 58, Block A, RIVER VIEW HEIGHTS, Anoka County, *iinnesota.
SCA�E i Inch =—Feet o Denotes Iron B�or�ngs s1�n ore on an assumed datum. Job No. °'-��� Book -� Pbge-
We nareDy cerfify tnat th;s is a Iru� ond corrict rep�es�nfo�ion oi a surv�y o� �h� E. (�j. RUD 8� SONS �(n:C.
oo��ao•�es ot tne otsor� aescriD�d �and ona ot tne �ocat�on o1 a�� Du�t�m�s, �� a�Y. LAND SURVEYORS
tnereon, ar:d all v���Dta �ntroacAm�nts� if ony. (rom a on so�d lond.
E. G. RUD , 8 SpNS , INC. 9550 �ex�ngton Avenue N
Goted tn�s ��reay o� Oc��� 682. �+ ��- �' � ' SSiIQ riqhton (Lexington), Mi�nesoto
py �1,...:.- .� � ^
.; __ � _'_ .,_ ,_� -,� _ Tele hone : 7Q6 - 5556
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CITY OF fRI01CY Effective Auq. 1, 1981
APPLICATIOE� FO(; RESIDCWTIIt� BUILQ1t1G PL•Ri4ITS
(t�c�. A1 terations. Addi tions, or Repa i rs )
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OtJNEt� � i -�'-� , -: � -_�- � :'--- a BUILD�R:::,- � � �-�� ._ ��� :, ��. ,
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ADDP.ESS: , _ � ADD1tCSSi � "" �
: �,.� -� -.�� � � , - .- _ �
TEL N0: ,' � �-���: � - - �'� ;, - ; ,
_ TEL t�0:
Construction Location
,. ,-� �, ,
- STRI'TrT NO: � -� 6TItEET. � � ��' ` � � " � �'� � i —
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IAT t � . f . ` — � � BLOIX : �;_,__ ADDITION :� � f'% �''' % r � ` �
�,
Corner Lot: Insii3e Let: �'� Setback: Sicleyards :
J►p�licant attach to this fo�cm two Certfficates of Stirvey of lot anc7
pzoposed building location drawn on certificetes to scale.
DESCRiPTiOid OF OOFiSTRUCTiOr�
, � r . —� , , �
� �' � � _ Front: �-� ��r Depth: � Hefght:
8quare Feeta dbic Feet:
�,,� ' p r- , �, �
.;����.��:�� _ _ �'� � � FronL: �-%� �; �p�a '� ' � Height: � -
Square FePt: Wbic Teet:
- ' �,��
s��� % ' . � d ;' F
r: i , s
Rype of Cor,struction: G "��%� �� �°"''-� Estsmatec� Costa -� -
Rb 8e �r.�pleted: - = � `�
� . A Alt. 8
Proposed Drivc�aay hidth If New Opening Is Desiredr '�/ _
� _ , SE� REVER.� DE OF SHEET _
Tiie un8ersigned hereby mal;es appiication for a permit for the work herein specified,
agreeing to cb .all verk it, strict accozc33nee with the City of Fridley Ozdinances and
ru1�L�g� of the Depaztm�t of Duildir�gs, snd hereby declares that all the fact� ana
represer�tatiens stated 3n this applicatio� are �arue and casrect..: ,
,
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DATE:. � '� JI� SIGNATUI�: _�,-��� �i�.,./� �'-;�� '
Stipulations:
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BUILDING PERMIT FEE SCHEDULE
The Inspectoz of buildir►qs shall, before issuinq permits for the
•zectioa of any building oz �tzucture, or for any addition to any
�xistiag build3ng or stsucture, or for any altezatioa or repairs
to any �siQting buildinq or structuse, npoa application therefore,
sequize the payment by the applicant fot such permit of �ees to the
a�ount berein below set iortb and in the �annez herein psovi8ed Lo-wit:
TOTAL Vl1LUATIQJ
51.00 tiD SS00.00
5501 t� 52.000
S2,001 ta S25.000
525,001 to 550,000
lEES
510.00 t+liniaium Fee S15.00 plus surcharqe
$10.00 for the first S500 plus S1.50 for each
additional 5100 oz fraction thereof, to and
includirsg 52,000
532.50 for the first 52.000 plus 56.00 for each
a8ditional $�,000 or fraction thereof, to ar�d
i�cludinq 525,000
S170.50 for the first 525,000 plus S4.50 for
each additional $I,000 or fraction thereof, to
and inclnding $50,000
550, 001 to S100, 000 5283. 00 for the f3rst 550, 000 plus S3. 00 for
each adc3itional S1,000 or fraction thereof, to
ar►8 inclu8inq $100, 000
5100,001 ar�d up $443.00 for the first 5100,000 plus S2.50 foz
each adc]itional 51,000 or fraction thereof
PLAN CAEQCs 25 percesit of building permit fee
DRIVD�IAY DEPRESSION ESQtOyd: Concrete G1irb Streets �ly
Alternate "A"a Removeal and replacelnent of curb and qutter only ,
Driveway wi8th plus 6 feet z$13.50
Alternate '8": Reooval and replaceanent of curb and guttez and install a 3 foot
wide approach with 6 iach aepth
Driveway width plus 6 feet x 515.�5
VERIFICATION OF FOUNDATION
Permits foz construction will be 3ssued a miniminu of 24 hours fraao the time of
application to allow foz proper review of tiae proposed structure and of the
constzu ction site.
A Certificate of S�rvey of the iot, shawing the location of the foundation once it
has been oonstxucted will be required before proceec]ing with the framir�g.
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��RTIFICATE QF SVRVEY
For:
%: E. W, Ho�es /n�:
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HUGO STREET
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Lot 57 and Lot 58, Block A, RIVER VIEW HEIGHTS, Anoka County, Minnesotae
SCALE�i Inch =�eet o Der�tes Iron Bearings shawn are on an assumed dafum. Job No.83-�qs Book — Page�
Ws hersby cs►tify that this is a iro� and corr�ct repnstntafion of a survyr of th� E. (�. RUD & SONS � �NC.
boundaries ot th� aeov� dacrib�d tand ond of th� location of all, buildbiqs, it arq►, � LAND SURVEYORS
thereon� and all viaiea �nc►�cAnaMs, it any, from or on said land. 9560 Lexinqton Avenue N.
E. G. RUD 8► SONS, �NC.
Dated thie �2 eoy ot ��°� �8�. New &ighton (Lexington), Minnesota
55112
f/ouse .r�eosu�ed �/u�e 23, /9e3. ��inn. Rep. No.. 9� O8 Telephone: 786 –5556
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c�ty of Fridle� 2 8 023 ^
AT TME TOP OF TNE TWINS g � I L D I N G P E R M I T
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; � RECEIPT NO.
COMMUNITY OEVELQPM�NT DIV.
i LV �.��� , .
r � � PROTEGTIVE INSPECTION SEC.
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1 = �
� /'�'1 � CITY NALL FRIOLE� SS132 NUMBEP REV OAT� � VAGE Oi APVROVED 81I
�._--�: �.� 612-571-3450 9�aFt5 9/29/98 / /
J08 ADDRESS 331 Hugo Street NE
t LEGAL LO7 NO. 9LOCK TRACT OR ADDITION SEE ATTACFIED
oesca. 57, 58 A Riverview Iiei hts SNEET
2 PiiOPERTY OWNER MAIL ADpF�S$ 21P PMONE
Judy Stolz 606-8505
J CONTRACT01i MAIL ADORESS ZIP PMONE LICENSE NO
Owner
A ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUIIDING
Residential
7 CLASS OF WORK
O NEW O ADOITION O ALTERATIQN � REPAIR ❑ MOVE � O REMOVE
8 DESCRIBE WOIiK
Reroof house and garage (16 Sq) Tear-off
8 CHANGE OF USE FROM TO
STIPULATIONS �
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIiiED FOR ELECTRICAL, PLUMBING, MEATINO, TYP� OF CONST OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WQAK Ofi GONSTRUCTIOM ppNING SO. fT CU FT
AUTHORIZED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION
OA WORK IS SUSPENDED OR ABANQONEO FOR A PERIOD OF 12Q DAYS AT `
ANV TIME AF7ER WORK IS COMMENCED. ' NO: OWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIfV TNAT I MA4E FEAD ANO EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORREC7. A�L PROVISIONS Of LAW$ yp�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE Of WpRK WILI BE CpMPlIED
WITM WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A pERM1T �IO3O.OS �.SZ
DOES NOT PiiESUME TO GIVE AUTMOiiITY TO VIOLATE OR GAMCEL TME pERMIT FEE SAC CNARGE
PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGULATING CON-
STRUCTION OR 7ME PERFORMANCE OF CONSTRUCTION $3%.SO Fire SC �I.O3
PLAN CHECK FEE TpTAL FEE
39.05
S�GN4TU�7EO�CON'A4CTOpOAAUTMOA�ZEDeGENT IONTE� WNEN PROPE VA�pATED TMIS IS VOUFi P IT
2q � �j � / ��
�GN4TUAE Of OWNEAi�� OWNEpB 4DEAi IOAiE� ' BLO �NS� ' � p6}E
w,
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 n
BUILDING PERMIT APPLICATION L �'�
n
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ConstructionAddress: �� l I°�� �, o s j— �'dZ, � L� y
Legal Description:
Owner Name & Address: � t� �p � �-�'� L� % y� � �r 'j Tel. #�o � � g$'b �"
Contractor: ��'�T MN LICENSE �#
Address: G� � nv�� Tel. # _
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DESCRIPTION OF IMPROVEMENT
Length �. �. Width �( Height
Length Width Height
DECK AREA: Length
OTHER:
Construction Type:
Driveway Curb Cut Width Needed:
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
„ ,
.: �=t''diJ1
s%!'�
/
$ ��, d�
Width _
/ �o
Sq. Ft.
Sq. Ft.
Sq. Ft.
� i � ���
Estimated Cost: $ 0 � �
(Fee Schedule on Back}
Ft. + 6 Ft = Ft x$ _$
Tel. #
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 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 [ ]
BUII,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 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,OQ0
$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 $2,000 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 fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1, OQO 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.
Altemate "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.