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AF - 46564� � City of Fridley, Minn, BUILDING PERMIT Date: A�� 27, 1966 �� o �er: BOB DE GARDNER ��, L& N CONSTRUCTION COMPAIQY Ad�re� 20I0 - 17th Avenue North A� 6350 Ware Road Minneapolis, Minnesota Circle Pines, Minnesota �v 5J9'� 8'795 ` LOCATION OF BUILDING No. 5 09 3�t HUGO STREET N. E. Part oP Lot Lot 9��0 Sl�k G Additlon or Sub-Divislon Riverview i3ei hts i Corner Lot _ Inslde Lot Setback 35 Sideyard Sewer IIevati� 848 .5 0 �Oii�LElevatfon 851.5 0 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: ��(m B��-d DWELLING �t 29 �p� 34 H��t 20 sq. ��°� �� 19, 560 Front Depth FTeight S�l. �. � � Type of Conatructton Frame F�� C� _ 7.$ 4 50� To be Completed SEWER - 145' East of Manhole Sewer - 59' Deep at Property Line WATER • 156' East of Manhole In conffideratton oP the issuance to me of a permit to conalruct the bufldiag descrlbed above I agree to do th� proposed work in accxrdance with the d�scription above Porth aad in complianc+e wlth a�l provisions of orainanc� of the dty of Frldley. `� - - ,� 6, C� , �.� a In camsdderatlon of the payment oP a fee oP $ 20. OU , permit 9s hereby granted ta L& N CONSTRUCTiON COMPANY to conatr�ict the buildin� or additfon as descrlbed above. Thi� �ermit is granted upon the express condition that the person to whom it fe gra.at�ed and his agente, employees and worl�nen, 9n all work done in, around end upon eaid buildiug, or anypart thereoP� ahall conPorm fn all respects to the or8inancee of Fridley� Minnesota g locatton, conatructfon, alteration� maintenaace, repafr aad muvang of builciin$s witYiin the dty ]imits�3aa�thia permit may be revoked at any tlme upon violatton of aay of the Brovisions og eatd ordlnanc�a ALLEN G. JENSEN 8�� NOflC@s 'lhis p�tndli doa � cow� fh� eoemuaHoe, fmhqrH�e-�;ei vrUleo, plumhtee, oa 6afino, aw�� or wal��. B� �un to a� tl� gu�idlno le�r ter ap�rab pWmlla fe� fMa N�m�. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAN1E �'� �.�; ��i.PSi� BUILDLR �,� �� , , [� � �nn�ss ��6 �7z`��,.� �r, ?�-„Z� , � ` • _ ann�ss �.� � r.�� „ � o�� 1��..... LOCATION OF BUILbYNG N0. �� , $TREET �� _PQRT OF LOT l'�'�' � � , � . LUT %� i 6 BLOCK r�' ADDITION OR SIIBDIVISION^,��— �, CORNER LOT TNSIDE L�T SETBACK SIDE-YARD SEWER ELEVATIOIV . —� VATIOIQ �� S � c `�— Applicant attach to this form Two Certificate�o�u vey of Lo aad propoaed building location drawn on these Certificates. U ,� � - / �J � V � �''''. �f `s y� � � �-c , - �� w_ /�G � � D CRI�OR OF, BII�DING �� y-.�.� � � �� To be used as; � . / �i a�� Front � � Depth -3;� Height �0' Sq. Ft. �� Cu. Ft. �� Front Dept � Height Sq. Ft. Cu. Ft. Type of Construction _��Q,,,,�: � Estimated Cost �f �°� To be completed l`�'� � �cy,� �� -- ---- The undersigned hereby makea application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildiags, and hereby declares that all the facts and representations stated in this application are true and correct. � DATE �P/� � � SIGNATIIRE �� o�o �� "'�� ~ - __T�'�1L�l�C � � � �. . ,.._._ � r� V' (Schedule of Fee Costs can be found on the Reversa Side3. �, � _ _=." Q �. n � �,.^x = � � „�^ _ a� BIIII.DIlVG PERMIT FEE SG�IEDDLB SECTIOP 2. The Inspactor of $uildings shall, befose iseuing any permit for the erection of any building or sEructure, or for any gddition to any existing building or structure, or for any alterationa or repairs to aay existing building or atructure, upon application therefore, require the payment by the applicant for such permit of fee� to the amount_herein.below_Bet £orth and in the manner herein provided to-wit: 2.1. For any such permit for the erection of any fire•proof building, othei th�n a garage, warehouse, factory or grait� el�evator, or for the erection of any fire-proof addition, for aimilar occupancy, to any eaiating building, sha11 be at.tha rate of $1.40 for each one thousand cubic feet, or fra�ctioa thereof, in such cubical coutenta. 2.2 For any such permit £or the erection of any fire-proof garage,, warehouse, factory or grain elevatoz, or for the erection of any fire�proof addition� foi similar occupancy, to any exieting building �hall be at the rate of $1:25 for each one thousand cubiC feeC, ciaseified as "fireproof" by Section 502 0£ the Minneapolis Building Code. , flOIISES 2.3. For any such p�rmit for the.erection of aay non-fireproof building, other;than a garage, warehouae, factory or grain eievator, or anq non•fireproof addition, for aimilar'occupancy, to�any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any auch perm3t for the erection of any non•fireproof garage, warehouae, factory or grain elevaCor, or for the erection of any non-fire-proof addition., for similar occupancy, to any egistiag buildi� or for each such � R� building or additioa - ninetq cents ($0..90) for each one thousand cubic feet or fraceioa thereof, in the cui�ical contents�thereof with the minimum of $4.00. For the purpose of compuCing fees for building permita, the cubical contenta of any building or addition to a uaiform height throughout by multiplying the ground area covered from a point six (6) inchea below tha floor line of the basement or cellar to the average height o�.the upper aurface or to the average height of the roof �urface of the main gable of a pitched roof. 2.5. For repaira or a].terationa to an exiating structure, the fee shall be at th rate of $3.00�per each Five Suridred Dollars ($SOQ.00) or fr�ciY��, thereof ia the coat of all proposed work. ' 2.6. In no case 8ha11 the fee ch�rged for any permit as set forth in Section 2 be lesa ehan $4.00. � STORM REPAIR DANlAGE FEES; Residential; Estimated Coet of work up to 5��,�� -$5.�� ' Estimated Coat of wor'.t c��.r .; '-s:,._, `.�;� � Y� ,, t_�0 Co�ercial; Estima.t�''`�;ost �of. �.��.; U1 `:� �� ;�•�Pdyt.a e '9�.�,� :. - .,�� Eatimate� Cost of �;oc� o��r �_�s:C�.UaI - $«,.',s0 - r^�. � . . , _ . i � � _ ' , . .. _. . _ �>- .. .. _ I _ � . . . . ' . .. � ' .'.. _ ' . . .. . . � . ..: � �►��y , � : : �s-H��,�y •�s N.�. �rt3w�e�;tr�y _ � M,'„n�pa�s3z. . •_ , , . _ - .��y ; ,' � � -E�+C� t 1��E1�! ��`i, , l �lC. ��f4 . , �i'vi1 fi ��ri,�a1: . , - , sunse�Q-6lI66 ��9 ~�- �r�l7El��' a, L . ��tl�Vec�ar�.� �-�-- , � � . . . 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' . _� � �` _ _ � p �� , -_, . �4� � ' �� . t: _ , . �� ` . . { -�'o _ � . n � i , : �e�a�� t -� �� '. `� ; I h�by cerfr ��lti5 �s � fi ue arrd r�c� �e�.s�f�ia�t v�('a st,p�retf qi'ilA! b�ndo+yes �'� aba►r a�su�ilaed /and, ond ��t,kr4�on o�l' ll�ldin , fdersrm ,�d/ risib/e t��ir�fs., ��`ar�, {nvn or ar�said %m�d. �s wrve�ed bt�, �e flus �' � oby `� - '�:D �� ,�,.� �/Bi7�d8AN EM�1/VEEf�lNl3, lNC. . � _ _ �s � �� Sy�, � ,.. . . ._ �/\ � ,. . � � .. !P�'.�..�'6 i"f's<�'-9..�� - .,v'f��. . . . . � .�( �,�� . �' � . . . ....__ i . . . .. , . . . _ . , ,.. . - . . ` " . . -� --- - . . . : 3 .��..%.'.:s�- . . _.�- -, . � . . � . . _ . �. `� �ul� �0, �96& �i $ � �4119titl��ltlli i:�Yl�1QYij� 6�50 Wa�e �,a�d Ciz��.a Piu��, �Iin�e�s�r�� / Re: 50� �tu8� 8�r��G b1. �. �, .�.... ..� �. Gentlea��; f� J�1� �S� 19�6, �i��,a r3ff��e� �d� an inepe�c3.a� �� eha ab�e cap�ivne8 ei.��, er�ci �re c�cyuld �gp�e�i��e �.t ve�y �ch i� yac� would ki�+�1y ��t �p �t�� fac�n� y�d c�.th�� he aexe �e� da�e. �B:cks '�Ias�n'� �� o� �►our rr�oger+��,s�a �� t�a�.� maee��. gc�Q �egy eriilq� t�AR�tCE SEialSLE Bm��f.d3�n� I��o� �9��r o� �rfdl�y � � � � � � :� � N bd � � � p � O � x r � � � x � � � � o H � °x � x � � � O '��z �� ••-- � � � 0 � �' � � �{ Z m � /� m � � � 0 � �n c�a�ryy y a " hq � � W � �4 � k �D „" a± � o � � N � � y o� o � O � • �y Q : : � W � � L•J � hy 0 � 0 0 0 0 O � � � � x . oa �a �a o : w � cn O O O � O � � if! � fA v � �`� � �� b � � � � � � � �d � .�° � � 0 O r � rr � C I y O w o� W �� M � .�% y O � y O � � m � . m : eo • � : � � � : cn C O � y �' � � w � � � � � � � � � � {� 4 � J+`. � 1 � r. ;o ` � � �, � � h9 � �. � � 0 �'� � � � � a � ��j�� o � �. '� o �� , � , � ; � ,, � w �w �y � "�'"�' ]' � p G m p7 � � M aa `D fD x � � O nWi o � � H oo,. �� °� �� 0 f`�D O O � ��.�� o � �o � � � '+ : s� : : � � � � o � . . � � : : � � : : A : nD t� 0� Oo tJl C1� O G O O O O i» � � � � � S` �. �. � � �� p � R° R° cp Ot � � ��o�� m � �° � �° �o�� ' '� � � "r� :x: �' � � y o a � : G •• rn °v : � � $ $ : : o o: : : � N qf Cil N OD O O O O O � N � �. 0 � O y � � z � � � y a � � �1 � � €nc' � � � Y � � � � � � � b g � : � � `' �a'. j�� - \ e � �� O � ��, � � � � � � � � � � � (� � �. '1 r 8 �j � � O �, 'd . � �+ � � � x �� m I � '�tl � b � � � � � �� m � � Y � a � e�o � � o � � fD ,, "' R'� 0 0 � � �� ° i%'�i a � � � a �' . . en . . a °o : : ,°o $ : : � : : : n� er v� oo � C7� O C G O O O Q � �� aa � � �� a � � ��. � � � ��• ��' ��°R �p � p p� �'4 ��o � R' ��b o�� p��x �a�p �' �, o �y y m � � m � a� �� o �� . �� D � � r � � T H _ m C � � �, � � � � �� O � �' � � � � .i �� a• _ � �` � 0.� �° ` �. � � � 0 � � I � � ��,�� i p, � 0. �� HEAT LOSS CALCULATIONS ,�T ��f� DEPAR'1MENT Weatheratrips A.S.H.V.E. Conatruction r Guide Windows Doors Refereace Out. Wall Int. Wall Ceiling e N� I No 19_ Fl.� Room Length Width Height Windows and Doors—Crackage and Area Wldth Height No. ot Llneal [t. Area . No. ot Dgne o( Dane Ilghte ot crack eq. tt. (J . . Coef. Btu In6ltration Glass �,! F.ap. wall y� �Net exp. wa ! ° �f Int. wall Ceiling �' - - �iaor Total Btu. ,�!'f Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area FI.� , Room � Length .�► Width — Height '' Windows and Doors---Crackage and Area Wtdth Helght No. 01 Lfneal it. Area No. ot ana ot pan Ilghte ot crack eq. tt. In6ltratioa Glasa � � Esp. wall Net exp. wall ,�! Int. wall Ceiling �/ j�` Floor Total Btu. R i sq." ft. E.D.R. or aq. ina. W.A. Leader area FI. 1// Room � Length / Width �" Hei " Windows and Doora—�rackage and Area Wldth Helght No. ol L1pea1 ft. Area I�`o. o[ Dane of pane Ughts ot c ack ea. ft. . Coef. InGltration Glaea Fsp. wall � J( qf Net exp. waU � Int. wall Ceiling Floor Total Btu. Required sq. h. E.D.R. or aq, ina. W.A. Leader area B.D. Z18 i�d�S�3id/-� �'I OF BUILDINCS �" B'1'"°�°II lo. , : [naulation ° Roof Floor Kind How Appli�d � " L°'�t` FI.� Room Leagth Width — Height ' Windows and Doora—Crackage and Area '� wia�e xe�anc No. o: Lmeai:e. wrea j No. ot paoe o[ Dape Ilghte of crack aQ. ft. G,� / Coef. Btn In6ltratioa % / Glaae .�► Esp. wall y l�let ezp. wall � Iat. wall cea;�g ,� G ./,� Fi�r Total Bta `�'' Required sq. 8. E.D.R. or aq. ine. WA. l.eader area FI.I �'! Room (1.eIIs�h �'�-Width + Height Windowa and D�ra—Crackagt and Area Wtdtb Helght No. of Llneal ft. Area No. ot Dane ot pane lfshts o! crack ea. tt. Bhl Infiltration Glasa �p. W8u 7� N�� . W�i Int. wall Ceiling �o F7oor e� Total Btu. Btu II Required aq. ft. E.D.R. or aq. ina. WA. Leader area Fl.� '.�. Room I Leagt6 .- Width �'Heighc -� R/indowa and Doora—Crackage aad Area Wldtb Helght No. of Llneal tt. Ares No. of Dane ot pane Ilght� ot crack �a• tt. i Uv� Coef. Bcu ' In6ltratioa __ ��' l!L!'/1 Glass �p. Wau Net eap. waA Int. waA Ceilin Floor �� — r��i'`l. k. E.D.R or aq. ias. W.A. L,eader area l.� � Room I Length idth Height �/indowa and D�ra—Crackage and Area �lasa Btu Fsp. wall wall � , ��`1 � City of Fridley, Minn.. BUILDING PERMIT Da�, la'OVEMBER 14, 1966 N° �r: RAYMOND OVERSON B�� ROBERT DEGARDNER Addr�s 509 HiTGO ST. N. E. �,d�� 2010 - 17th Avenue �OR� FRIDLEY, MINNESOTA 55432 Minneapolis, Minnesota LOCATION OF BUILDING No. 509 � S�t ^ HUGO STREET N'. E. __ __ Part oP Lot � 9& 10__ Bl� G Addition or Sub-Division ___��$V�EW ��S,�_ Corner Lot � Inaide Lot —. x Setback ____ Sideyard � Sewer IIevatian Fotmda.tion IIevation ��-� .��., 9U 8'� DESCRIPTION OF BUILDING To be Uaed as: DET. GARAGE �t � 22 �p� 26 H��t 12 �. � 572 �, � 6, 864 Front Depth ____ H`eight ._.._.. Sq. F� � Cu. Ft 7.�pe of Construction �� , �__ $l, 5 00. 00 � To be Completed SURVEY ATTACI�D TO BUII,DING PERMIT In consideration of the 3sauance to me of a permft to construct the building described above, I agree to do the proposed work in accordance wIth the description above set forth and in compliance with all provisfons of ordinances oP the dty of F�fdley. ��j� ��i��/� In consfderation of the payment of a fee oP $ 6. 00 � pe,�t fs hereby granted to ROBERT DEGARDNER to conatruct the buflding or addition as described above. Thiape rmit ia granted upon the express c�ndition that the person to whom it is granted and his agents, employees and worl�en, 3n all work done in, around aad upon said huilding, or any �art thereo� shall coffiorm in all reapecta to the ordinaacxs aP FridleY� Minnesota regarding location, conatruct�on, alteration, maintenance� repair and moving oP bufldinga within the dty limits and this permit may be revoked at any time upoa violation of any of the pnovis�lons of said ordinanc�a. �? �;_�` �' . � _y , ,,.� NOTICE: ihts permh doa eof eowr t6s eoest�etioe, ieshllation fe� �Uta9. P�+�9. ea 6eaNag, qw�r or w�ts�. 8� wn w a� tha Buqdiu8 Inspsetor tor �parat� pormH� foe t6as Innn. APPLICATION FOR BUII.DIlJG PERMIT GI7R OF FRIBLLY, MINNESOTA OWNER' S NAN��/.� ��B �//i 8 PB�� S O� . BUILDER�O f�/pT D�� G� 11�1),nBL:�T� annx�.ss�o9' �fi��o s� �� : ann�ss �oro�i�'�'-�u�. �� _ LOCATION OF BIIILDING N0. �`0 9 STREET 1� iJ Gt C� PART OF LOT �t �/�'/� " LOT �'� BLOCK_� ADDITION OR SDBDIVISION �/(�� (f/��rJ /�/ Z; �,y� CORNER LOT INSIDE LOT�SET�ACK SIDE-YARD SEWER ELEVATION FOUNDATIQN ELEVATIQft Applicant attach to this form Two Certificaees of Survey of Lot and propoaed building location drawa on these Certi£icates. DESCRIPTIOR OF BIIILDING To be used as; � � / �„�- C� � Front �� Depth �� Height �, � _ �� ,� Sq. Ft. ,�3`� Cu. Ft. ` � Frqnt� � � Depth�aeight � / � � Sq. Ft. Cu. Ft. GO Type of Construction �,y�� (� � Estimated Cost ��"� d— — , . To be completed � �` — ��" ,i,S�� L� The undersigned hereby makes application for a permie far the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruliaga.of the Department of Buildings, .and hereby declares that all the facts and represeatations stated in this application are true and correct� �� (Schedule of Fee Costs can be found on the Reverse Side). �� , . ��Y� � � n ' � -, z ' y y,� 3� -�-., t � , . � ., BV.ELI��G PEI�ITT FEE SG4IEDULE SECTIOP 2. The Inapector of Bufldinga shall, before isauing any permit for the erection of any building or etructure, or for any addition to any existing buildiag or etructure, or for''aay alterationa or repairs to any euisting building or �tructure, upon application therefore, require the papment by the applicant for auch permit of�.fees to the ffinount herein.below.set forth and in the manner herein provided to-wit: � 2.1. For any euch permit for the erection of any fire-proof build.ing, othei than a garage, warehouae, factorq or grain elevator, or for the erection of any�fire-proof addition, for similar accupancy, to any eg3eCing building, shall be at .the rate of $�.40"�for each one thousand cubic feet, or fraction -. thereof, in auch cubical contents. 2.2 For any such permit for the erection of any fire-proof garage, warehouse, factory or grain elevator, or for:-the erection of any fire•proof addition, for similar occupancy,, to any egisting building shall be at the rate of $1.25 for each �one tho�sand cubic feet, classified a� "fireproof" by Section 502 0£ the Minneapol�is Buildiug Code. HODSES 2.3. For a�y such permit fDr the erection of any non-fireproof building, other than a garage, warehouse, factorq or grain elevator, or any non-fireproof addition, for similar occupancy, to any existing bui�.ding - permit $1.00 for each one thousand cubic feet, . � GARAGES 2.4. For aay such permit�for the erection of aay' uon-fireproof garage, warehouse, factory or grain alevator, or for the�eraction of any non-fire-proof addition, for aimiiar occupancy, to any egisting buildimg or for each su�ch building or addition - ninety ceats ($0.90) for ea�h one thousand cubic feet or fraction thereof, in the cubical contents zheieof with the minimum of $4.00. For the purpose of computing feea for building pez�its, the cub�tcal contenta of any building or addiCion to a uniform height throu�hout by muZtiplying the ground area covered from a poin�t-si�c�(6) inchea below the floor line of the basement or cellar to the average h��ght of the upper aurfa�ce or to the average height of the roof suzface of the main gable of a pitched roof. 2.5. For repa3rs or altera�ions to an existing structure, the fee sh�ll be at the rate of $3.00 per each Five Aundred Dollare ($500.00) or fractivn thereof in the cost of a11 proposed work. 2.6. . In no case Bha11 the fee charged for any permit as set forth in Section 2 be lesa than $4.00. STORM REPAIR DAMAGE FEES: Residential; Estimated Cost of work up to $500.�� -�5a!!� Estimated Coat of work over° �'��.'.. °: "� �`• �`; y�� Goffiercial; Estimated'�at of wog1- u,.� �. �'�.`` :';:; ��J r Y"'`�� i -.� ��..,; Estimated .,osC of woz'K o��::r ;;� i;t:�i�� - 4`i:..J `' � SUBJECT P City of Fridley � 17 711 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � CEIPT N � `L _.____ COMMUNITY DEVEIOPMENT DIV. . r r � � PROTECTIVE INSPECTION SEC. ��«IJ � . , � � �"'1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE/� PAGE OF APPROVED BY �.---� • •�� 612-571-3450 910-F15 9/ �/84 � � JOB ADDRESS 509 Hugo Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9,10 Bl ock G Ri verview Hei ghts SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Mr. & Mrs. Raymond M Overson sarae 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. f�ber9�a$$ 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 HEREBV 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 CjOO.00 .�JO 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �JC.00 PLAN CHECK FEE TOTAL FEE 15.50 GNATUREOFCONiRACTO ORAUTHOR12E ENr �Dn ' HEN P OPERLY VALIDATED THIS IS YOU PERMIT � E� �..� ��;�.� �%�� SI A R OF O NEAIIF OW E B ILDERI IDATEI BLOG INSP nPTE NEW [ ] ADDN. [ ] pLTER. [ � Construetion Address: Legal Description: Owner Name & Address: City of Fridley Effective 4/1/84 �R-1 A8D R-2 Building Permit Application Te1. V � 7 �r O / �.� Contraetor: � Tel. � �lddress • Attach to this application, a Certifieate of Survey of the , lot, with the proposed construetion drawn on it to scale. DESCRIPTION OF IMPB09EMENT LIVING AREA: Length Width He3ght Sq. Ft. GARAGE AREA: DECR AREA: OTHER: Length Width Height Sq. Ft. Ler�th �Tidth Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construetion: � � Estimated Cost: $ �� Approx. Completion Date: Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: $ � See Back Page for Explanation DATE: � I o � v / APPLICANT s ' ` i'� �' � � Tel . 4� �� '� ��`�^ CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL $ $ $ $ $ � � STIPULATIONS: f � � v -�/�i�^'�sl� � �S'�`� �� 6�� _'�/��v Fee Sehedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $u25 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Neaessary [ ] �� . � BIIII.DING PERMIT FEE SCH�DIILE The Chief Building Official shall, before issuiag permits for the erection of any building or structure, or for anq addition to any existing building or structure, or for any alteration or repair to any existiag building or structure, upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manaer herein provided to-wit: Total Yaluation �1.00 to �500.00 Feea $10.00 (Minimum Fee is $15.00) �501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. a2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $50�001.00 to $100,000.00 $100,001.00 and up $170.50 for the first additional $1,000 or including $50,000. $283.00 for the first additional $1 , 000 or ineluding $100,000. $25,000 plus $4.50 for eaeh fraction thereof, to and $50,000 plus $3.00 for each fraction thereof, to and $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCROii (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 ineh depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION 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 onee it has been oonstructed will be required before proceeding with the framing. ,.-�, ..-,, sue�ec. PE IT NO. City of Fridley 19 8 3 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. �� o�� i � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,�� 612-571-3450 910-Fi5 4/18/89 / / JOB ADDRESS 509 Hugo Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9� 10 G Rivervier�r Heights SHEET 2 PROPERTYOWNER MAILADDRESS' 21P PHONE Raymond averson 509 Hugo Street N.E, 784-0195 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO- Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 8 USE OF BUILDIN(i Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �I REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WOHK Reside & Reroof Garage 9 CHANOE pF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEfiIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS 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 $8SO $.SO 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- 23.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL FEE Q $23. 5 SIGNATUREOFCON7RACTORORAUTHOR12EDAGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT 4 � � j � Ia SiGNATUREOFOWNER�IiOWNEHBUILDERI IDATEI BLDG INSP nA E � [ ) � [ ] �°►�'� [ ] �. . :.. r=- I�31 D2SGZ'l�1011: owrter rr�ne � Contractor: p,c�dress : I�1 AND R-2 Building Pezmit Applicati� � Effective /1/�" � ��: �°° I� � � � �. # 7� �-�a P�I �� Te1. # Attach t�o this application, a Certificate of S'uxvey of the lot, with the pr+apoe,ed oo�uctioaz drawn on it to scale. �IPTI�T �' II�liO�VH�Tr LI�TII�1G AREA: Ie.rx�i Width i%ight Sq. F't. i�' AR�L IPIICJ�Y1 .°ji � W1C��1 � HelC�lt SQ. F't. / D f� DDCR AREA: rp�h Width Hgt/Grauxl Sq. Ft. �: � C7orner L�t [] Inside Iat J�] Ft. Yd Setback Side Yanel Setbacks Zjipe of Oonstruction: imated Cost: $ ��/► . ra4 �� T Approx. Ccanpletion Date: � �� Prop�ed Driveway Width If New Opening Is De.sired: Ft. $ $ 'dth + 6' See Back Page n�,�: —/ - �' �c�ar: �. # 7 � 5'- o � �.� Permit Fee $ c:�. �' C� State Surc�aYge $ �� SAC Charge $ Driveway F�craw $ Park Fee $ Sewer Main Cl�arge $ . �_ ��iM1: a : Y �:�� s a� �. � QTY �E �II,Y Fee �edule aai Rever�.,e Side S.5o/Sl,000 valuation $575 per' SAC Unit - Alt. "A" Or Alt. ^B" Above Fee Z1E�.t2�d by �; nar�r; r7 � N�� I ] � �� [ J =,,.. _ � � � :�1 / � � • :�i'� 1 ' :�1= _'r:l:�i�'1 ' �e Criief Buildir�g Official shall, before issuinq permits for the erection of ar�y building or struc4ue, or fa�r ar�y add.itiaa�► to any existing builcling or stnictur�e, or for ariy alteration or repair to a�r existirg buildirrg or structure, upon application therefore, require the payment by ti�e applicant for � permi.t of fees t.� the ama�u�t �in belvw set forth and in the manner i�erein provided to-wit: Z�O�rAL VAIIJE $1 to $500 $501 ta $2,000 $2,001 to $25,000 $25,001 t.o $50,000 $50,001 t�o $100,000 $100,001 to $500,000 � a. $15 (Miniimna Fee is $15 plus �►,*�+�,?,�j $�15 for first $500 plus $2 for each ac�litional $100 or fractiae't thet�eof, to and includil'�g $2, 000 $45 for fisst $2,000 plus $� for each additional $1,000 or fractian �f, to and iriclt�ding $25, 000 $252 for first $25,000 plus $6.50 for each a�litional $1,000 or fractio� ther+eof, to arid including $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fractiori th+ereof, to and includirig $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, �o arid including'$500,000 $500,001 to $1,000,000 $2039�50 for the fir.st $500,000 plus $3 for each adclitional $1,Q00 or fraction thereof, to and iuicluding $1,000,000 $1,000,001 and up $3539.50 for tive first $1,000,000 plus $2 for each additional $1,000 or fraction thereof �tIV�iY �SI�T FSG'ROW (�ncrete Gtirb S'treets On1Y) Alte,rnate ��A�� : R�naval ar�d r+eplaoe�mesit of wrb and gutter only - DriveWay width plus 6 feet t]mes $13.50. Alternate "B" : R+e�mval ar�d replaoement of wrb ar�d gutter and install a 3 foot wide approach with 6 irxi� depth - Drive��ray width plus 6 feet times $15.75. •?+� .� �� .: . � �.�„ �� .� P+ermits for car�tructioa� will be issued a m� *+�m± of 24 ha�rs fraan the time of application to allaw for prcyper review of the prc�posed stxucture and of the aoa�struction site. A Certificate of Sw¢vey of th+e lc�t, shawing the locati� of the fau�d�ation or� it has it ilas been oonstructsd will be required before pra�eeding with the framing. a vyr Building Inspections 763-572-3604 763-502-4977 FAX DATE � ` � �- I � SITE ADDRESS �O � THIS APPLICANT IS: PROPERTY OWNER/ p TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIA.L APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 � OWNER C9e , i: �- . � Ess:� E: � - � , , 1 .' � YOUR E-MAIL ADDRESS CTOR � � L� � �f Qi 1� � g c� s� CrrY � �- St�� — ..sz C� �._� . �h c � Pernut No. Received By: t �,��_.�� , 1` r STATE LICENSE # � 0(� 3�-1 J� EXP DATE "� — 3 l— l annt�ss: � I`1 ( 1 C�, q� L h- v� � crrSt � h� k� STATf�'t �IP � 530 PHONF/��3- � a a '� � � �{. � FAX � �'S`INGLE FAIvIII,Y/NEW CONSTRUCTION SIZE � TWO FANm.Y/AiEW CONSTRUCI'ION STORTFC O BASEMENT FINISH ❑ DECK TYPE OF WORK: O NEW HOME CONSTRUCTTON �B'R�C1F'— O DRAIN TTLE ❑ SIDiNG ❑ OTHER ❑ SWIMMIIaG POOL ❑ ADDITION �4 �ODELII�TG DESCRIBE WORK BEING DONE: �-2 a-f� if-'-�r'GQ� � SIZE OF Ilv�ROVENIENT --- LENGTH WIDTH H�rc:u�r OOFING NUMBER OF SQUARES _�� GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING 0 Vinyl ❑ Aluminum ❑ Other ❑ HOUSE ONLY ��i�U�GE ARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit O Trim ❑ Fascia wwnows IN EXISTDVG OPENINGS OYes ❑No LOCA170N OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPENIAIG CHANGES & TYPE OF WII�T�W TO BE INSTALLID NUNIDER OF V COT. � BASENIENT REMODELING SUBMIT• 1. Existing Flaor Plan 2. Proposed floor plan 3. List of struct�ual members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT• 1. Site Plan/Survey showing the existing struct�ues and proposed project. 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE STICKER OM WINDOW. ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATERIALS: (LJSING THE 1997 U.B.0 FEE SCHEDULE) JOB VALUATION $ pCCUpANCy TypE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ $ $ �.�X`� $ $ $ $ $ $ 1 ,� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (Staie Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL 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 af the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applirdtion for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved p1an in the case of all work which requires review and approval of plans. �,,� � Q J�,�� -.sc, h SIGNATURE OF APPLICAN'� L�� PRINT NAME � Q�i DA� �t `- ��, - l O Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Buildi.ng Official shall, before issui.ng pernuts 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 e�cisting building or structure, upon application therefore, requfre th� 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 FEES $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 each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional$1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $39i.25 for 1�` $25,000 plus $10.10 for each additional $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 fra.ction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each addirional $1,000 or fraction to and includin $1,000,000 $1,OQ0,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fi'action 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be requireti before proceeding with -the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, NIN 55432 763-572-3604 Fax: 763-502-4977