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AF - 46572City of Fridley, M�rm.. BUILDING PER.MIT Date: ___..--,�-�.---��--...��....~.. �..� ....._.__...._...._.. ' �,,� v Owner: --�--�- � °� �:�� {s; � r� � ��x��°,,j! � �� . '. .. � � �� —,� . .._�.. � �,� '.,.s` . ' Address ..... ......... � ._.....-��; � ..<.. �:��c.��_ I — � N° ,,� 4926 � � �..;� 3� Builder ....._.... -� • -�---� • 4-�`� � � Address..--------------...---._.------------- - - -- ---- - �C ,,�y LO� Id OF BUILDING No. -�--�_.�---. 5treet _--.w-• -••�---� �-=�� ---:�:J....�..-----------�---------_ Part of Lot ....._...----.-____...._---------._..._.__......__ . Lot.....:. ................._........ Block ....._............_:............_............-�--- Ad tion or Sub-D visipn .....---..........--� -......---�--- ---_....._.........------------�----......._-•---.••-_--..--..--. �`':� ;� s Corner Lat ---......._----.........__.._.. Inside Lot __._..._........_-----._....... �ack . =-��Sideyard ---.-�'_.-._. _ ..- - Sewer IIevation .---�-�--�--._ ...............•--�-••--�----•-----�--�-��-�--�--�-------........._..........._. F da.tion IIevation .--�---...---�• •--. . DESCRIPTION OF BUILDING To ;U �p�'"° � .. ..%;.��: ....... ......��-.... Front ..�...E,..�.�_.. Depth .._._� Height :...<-..-(�r_.. Sq. F't. ��%.�� Cu. Ft►..�.��.'..�� ----........._:.:_....: .._....:.._ :............. . ----..__.. Depth ...._..::.�:... --. Height ...�� ...�.. Sq. F� ...__............._.. Cu. F�k ._.._................. � -...,.. Type of Construction ..��.,,,�''R �:jG:if'{,,,,�!:..__ Est. Cost._,t'�.�,..: ........_........ To be Completed ...- --------------_........... --�� --........ �4�� . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the propased work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. . �-�"d----------•-----_�_._..._._.. _ In consideration of the payment oP a fee of $�'..�:......., permit is hereby granted to....._........_..._. _—___.—...__......_�.___.._.__ to construct the building or addition as described above. This pernut is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, __�epa�r and moving of buildings within tt►e dty limits attd this permit may be revoked at any�-upon vio�ation of�any of the provisions of said ordinances. � � .�,'7 �0' �/ � Inspector NOTICE: This permit does not cover the eonstruetion, installation for wiring, plumbing, gas heating, sewer or wate�. Be sure to see the Building Inspeetor for separate permits for these items. ,� � �, j r . +-er„�., 4 �"'� � .F. —� �+... � � ,� �, APPLTCATION FOR BUILDING PERNiIT CITY OF FRI�LEY, MINNE.SO`TA �er' s Name � 1 � �� f� �! �,�°� ��1� P� v �� Bui7.c]er �" i l �. L� � � � v� s � �ddress � �c� l�' (= � 1� � � � �ddress �/�'� � %� � t� ' /�,�_ - No. ��' �� . �-1 �,� LOCATIQN OF HIIILDING of Lot Lot Block Addit3on or Subdivision �' �Corner Lot Inside Lot °�� Setback Side-Yarrl SEqrTER ELEVATTON FOUNDATION ELEVATION �pplicant attach to thia form Certificate of 3wrveg of Lot and proposed building locaiion. DESCRIPTION OF BIIILDING To be used as: , � :;� �� , � Front °�a Depth ,-� � Height '� - �l"�.�,� Sq. Ft. Cu. F't. Front epth Height 3q. Ft. Cu. I�t. Type of Conatruction � �� -e � �"? Eatimated Cost � °�� '-� To be Completsd � � � � �' � -� � � �;.�_ � The undersigned hereby makes application for a perm3t for the work herein specified, agreeing to do all work in str3ct accordance with the Cit�r 4rdinances and ruling oP the Department of Build3rigs, and hereby declares tha.t all the facts and representations atatad in this application are true and correct. � DA7� �i `� � �? � �1 '� SIGNA� ��"' (A Schedule of Fee Costa can be found on the Reverse Side.) _ . �, i'1 t^. a_ HIIIi�DING PE�IT FLE SC�DDIE �egtion a. The Inspsctor of Build3nge ehsa.l, before lasuing e�Y permit for the erection of en�r k�ilding or s�ruatwce, or for a�y add3tioa to aq}r eui�tfag bu31d- ing or s't�ructvre, or for aay al�arations or r�pe.ira to • ar�►_. �xi�t,it� : bu37.ding or struoture, upon spplicet�ion therefor, requ3re the peyinent by the app].icaat f'or suah perm3t of feee to the �unt here3n b+e�low aet t'orth and in t�he tD�ner herein prov3ded t.o�-a3t s 2.1. For �r euah permit for f�ie erection of a�r ffre-prooP building, other thaa a gerage, warehou�e, iact,�r or grain elevator, or for the earect3.on o�' eny fire- praof eddition, Por simil.er occnpaucy, t� ar�+ e�i.stin� �i3ldin� ahe�7.1 be at �be rat,e of �1.1,A for each one thousaad cubic feet, or t�actioa thereof� fn sue�h cubica7. conteata. 2.2. For sr�yr euoh pQrm3t for the erection oP a�y f3reproof �ere.�e, w�rehouee� fact�ory or grsin el.evator, or for the ereat3on of ang firepraof a.dditioa, for aim3].er occupancy, to auy e�d�ting �.lding eha] 1 be et the rete of �1.25 for each one thoua�,nd cubic fo�t, alaeai�ied as ufirepsoof� by S�ction 502 of the I�xmea,�lia Bu3].din� Code. :�i, �: 2.3. For aay such permit Sor the erect3on of a�r non-fireproof bui].d3ng ethms than a�arage, warehouse, fact�r,� or graia eleeator, or��oy. no�-t'ireproaP addit3on, for similar occup�;uogr, to aay esistix�g bui7.ding. Permit �77..00 Sar eaeh oae thou�nd cubic Pee�. ' 0 2.1�. For any such perm9.t Por the erection of a�r nortiPirepro�S gesage, wsrehouae� factory or �ain elevator, or for the erection of any nvr�Pireproof' saddition, for s3milar occupariey, to a,r�y exiating bu31d3ng or for eaeh euoh building or additiou. Ninety Cents for each one thousand cubic Peet or f�ect3.on thereof, in the cubia�l confi.ents thereof with a min3m� of �4.00. � For the purpoae of computin� gees for building permits the cub3c�l contante of emy build3n� or e�dd3tion to a unit'orm height throughout by multiplyia� the ground area covered f�rom a point six (6) iaches below the floor line of the ba�ement or cellar to the average hei�hht pf the uppe.r surface or to the average heigh't of the rooP sur�ace of the main.gable of a p3tched roof. Z.S. For repa,irs or alteratioas to an existiag structure, the fee shell be at the rate of �3.00 for ea.ch Five Hundred Dollere (�500.00), or fraction thereof 3n the cost of all proposed work. 2.6. In no c�.se ahe11 the fes charged for sny permit aa aet fort,h in �ct3on 2 ba les� t��n �4.00, � �.. .� �, ^ -°� —.�. � d y �. 0 � �! : � : � ' � � r � � � N � � � s � r+ !'� y � ' � W � � � � � �� N • o • °o �' : o. �:: I I I � �C C4 N N F�+ � O O O � -0D ifl � �7 O � r � � z� � z� z x" 8 � � �`� � � n � °' �' $ '� � �� R+ y � 'd : a' � � � ��: ��.: � �a: : �o. �. . � � . . . . : � : : : : � �4 44 �Q N >C 5E W N C�7 h+ F+ ►�+ ,� fT O G� O O O � .(� {� {� � {� .�1 y H � � � � � � � � � � � r � � � � � m C r a�n � �. ..■�' � _ ....1 � ; .■��, : : ■■■�� ' �� ■��, .: : ��1 � � 8 1� M �°�, o � � � � � � Ci � � y a °� bd , o � � � ��. �" � � �- w � g � �I . �. \ � ua�wu.s earH �� BI�SlNS SINI6 W�, �� DRINK. FOUNT. SHWRS. FLOOR DRAINS CATCH &\SINS auro �/✓� GAS APPL GAS RANGE GAS OPENINGS � • 2 ! N � A n � �� aa�a� ° � ��`° � � � � �o�� o � � � ;� � � oa � �� oa �� .o � ' � ��e� , � �� A � y� �� s �� .w ' p � w o R. � p J� ��.� M � � � � w ' � '4 N .d �� o�� - ��$ � `'�w� ��Q8 �"! y � � �+ F+ � � r7 � I I� �� ' d �� a0 �x � p � M � � � m � � �• � � � � � � � r v � � � m � � � O O� �b° �ii � �. m �g � � � �� 0 l� - J e `�+_ ��a City of Fridley, Minn. BUILDING PERNIIT N° 268 nat�: � `�;' � . , G ,�►+� �s ,, �. �' � . f� : � �WII@l : - � r ll�fiPS ..._�� _ 1 � AfifIrCS3 �p'"� � — ACi(�re93 LOCAT OP BUILDdNG N0. ��'� �741�ct '�y �'�� Part of Lot Lot � Slock Coraer Lot ._ In�ide Lot Sewer IIevation Adc�ttion or Sub-Division Setback Sideyarc� _..—. Foundaf3on IIeval3on To 1� Used as: DESCRIPTION AF BUILDING Ft,ont DeP� Height � Sq. Ft Cu. Ft Front Depth �_ H� t� Sq. Ft Cu. F't. � Type of Construction ��.. �� Est. Cost ��.�" "' ��» To be Completed — In cansideral3on oP the iasuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance wlth the description above set forth and in compliance with all provisions oE ordin�nces of the dty of Frldley. � Ia consideration of the payment of a fee of $`�--�--, A�t � hereby graated to to construct the building or addition as described above. This permit is granted upon the express condition that the person, to whom it is granted a.nd 1�is agen'Fs� e�►Ployees and workmen, in aIl work done in, around and upon said builduig, or any part thereoE, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, meintenance, repair and moving of builclinga o�� dty limits and this permit may be revoked at any time upon violaticsa-of aay of the provlsions oE said .�".�"`�i/'� � Buildin8 Inapector NOTICE: This parmit does eot wvee ths eoe�trueNoa. Guiapetfon for wiring, plumbtee, gas heaNng. aewer or water. Be sure to sse t6s Buildin8 lespeetor fo� separate permhs for t6ase it�ms. /'�"�, 4 �°'� _ - �„�` �,�►, � � � � APPLIGATION FOR HIIILDING PERMIT CITY OF FRIDI�Y, �SOTI �t+rae�r's Name Clarence Nc Murtrie Builder Commuxiit� �ii in� Products� S� �tldress 530 Hugo St. N. E. gddres$ 3q2L Hen e;il3..,�ve��_.,._i LOCATION F BIIILDING No. �_� d 3tree�'`�� r Part of Lot Lot Block `� Addition or Subdiv3sion � Corner Lot ,+Inside I,ot Setback Side-Yard S� ELEVATION FODNDATION ELE1tATI0N �.pplicant attach to thie form Certificate of Survey of Lot an@ proposed building location, DESCRIPTION OF BUILDIPIG . . � � ' :a--�� To be "ed as. e��-� F`ront_ Depth Height Sq. Ft. Cu. Ft. F`ront Depth Height Sq. Ft. Cu. Ft. Type of Conatruction Rsaidin� Estimatsd Coa`t �750.00 To be Completed The undersigned hereby m�kes appl3cation for a permit for the work herein specified, agreeing to do all �rork in strict accorde.nce with the City �rd3n�.nces and ruling of the Depastment of Buil.dinga, ancl hereby declares that all the facts and representations stated in this appl3ca.t3on are true and correct. Communi�y Building Products, Inc. (A Schedu7.e of Fea Caste can be found on the Reverse Side.) % 1 .-� r i �.� � z,s= :-°= - e . BUILDIlVG PERMIT FEE SCHEDUIE Sect3on 2. The Inspector of Build3ngs ehall, before issu3ng any permit for the erection of a,riy building or structure, or for any addition tc aqp existing bu31d- ing or st,ructure, or for any altera�ions or repa3ra to any existing build3ng or structure, upan applica.tion therefor, require the payment by the applic.ent for such permit of feea to the amount herein below aet fo�th and in the m8�ner herein provided tc-w3t: 2.1. For e.ay such permit for the erection of any fire-proof building� other than a gare.ge, warehquse, factory or grain elevator, or for the erect3on o� an�r fire- proo� addition, for- �s3.m3:1:a:� occupanc�r, to any exis�ing bu3.l.ding shal.l be e.t -�he rata o£ �.1�0 for e€�csh one thousand cubic feet, or fraction thereof, in such cubical cont�ents. 2.2. For any such permit for the erection of any fireproof garage, w�rehouse, factorg or gra,in elevator, or for the erection of any fireproof add3tion, for aim3lar occupancy,-to a.ny existing building sha7.1 be at the rate of $1.25 for each one thousand cubic feat, classified as "fireproof�� by Section 502 of the M�irieapolis Building Code. HOUSffi r 2.3. Far ar�y auch permit for the than a garage, warehouae, factory addition, for s3milar occupan��, each one thousand cubic feet. GAR�, AGEB erection of any non-fireproof buildin� other or grain elevator, or any non-fireproof to any existing buildiag. Permit $]..00 £or 2.L�. For any such perm3.t for the erection of any nor�fireproof gara�e, wareh.ouse, factory or-gra.i,n elevator, or far the erection of any non-fireproof addition, for similar ocGUpa�cy, to a.n� exiating bu3lding or for each such building or addition. Ni.nety Cents %r ea.ch one_thousand cubic feet or fraction thareof, in the cubical conients thereof with a min3.m�n -of �:OD-. � - - For the purpoae of computing fees for build3n� permits the cubical contents of aay building or addition to a uniform height throughout by multiply3ng the ground area. covered Prom a point s3x (6) inchea below the floor 13ne of the basement or cellar to the average height of tYie upper surface or to the average height of the roof surface of the ma,in ga,ble of a pitched roof. 2.5. For repa.irs or alterations to an exist3.ng atructure, the fee she�ll be at the rate of �3.00 for ea.ch Five Hundred Dollars (�500.00), or f5raction ther�of 3n the cost of all propoaed worls. � 2.6. In no case shall the fee charged for any permit as set forth in Seetion 2 be Iess than �4.00. �s d _w � �� -iyi SUBJECT P:RM12843 � c�ty of Fr�aley AT THE TOP OF THE NVINS g U I L D I N G P E R M I T � ; � ECEIPT NO. � � COMMUNITY DEVELOPMENT DIV. , �,; ------, �y � �� r � � PROTECTIdE INSPECTION SEC. 1 i � � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•---� � �•� s�2-58o-sa5o 910-F15 12/30/74 � � JOB ADDRESS �30 N. E. Hu o Str'eet 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5�-54 W Riverview Heights SHEET 2 PROPERTYOWNER MAIIADDRESS ZIP PHONE Clarence ��gi6XXX McMurtrie 530 Hugo Street N.E. 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASSOF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 10 x 15 bedroom addition 9 CHANGE qF USE FROM TO STIPULATIONS 1. Provide frost footings ��i��l�X and underpin .. �„a �t,� q r �''r_�;e':�a��:� �;�ea��l�=?�� F%.i� �"�g��r�`�4 A, :��.;�� pq ��5�6� Y ��id� 1 I:��.I��1�0�91.0 TD�� LO��M TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINCi, HEATING, Wood frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORI2ED 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 HEREBY CERTIFY 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 WORK WILL BE COMPLIED. $3 OOO �.'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- � L�.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 15.50 � SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI -� HEN PRO ERLY ATED THIS IS YOUR PERMIT J ,y ,a � � � . � � � °� ,� � iGNAT RE OF 0 E 11 � OW ER BUILDERI IDATEI BIDG INSP Darrel Clark �ld APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA �� .S N� : ��'Z � a .�cv � 1 �D ��''" t°�E'u,6-� �� ILDER : ann�ss : �;� � J � �o �� ..7�- annx�ss c � NO ; . ,� ` .� % STREET : (��- �� LOT:.�7~f '� �.•-' �' BLOCK: � ADDITION: ,��;�-r'� `�'�`'t-e�— CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: Applicant attach to this form ltao Certificates of Survey of Lot and proposed building location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As : ��z�e�.e;,-,�- Front : i'� � � Depth : l � ` Height • � � Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: �rpe of Construction; �'��°c� Estima.ted Cost: $ ,� � '�� To Be Completed: `3 1�2,�-�`�c.� The undersigned hereby ma.kes applicatinn for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �J"`� � ✓ SIGNATURE: (��iZ�v._z .�,�1 � �1�e�f�--�.(..� y ^ ° � (See Reverse Side For Additional Information.) �� -;� � � � � � � �i1 � � (� -P /Z �'--r' '� 7' �, �� L �� -�-��T v ,�` � S�' c, �.! c�� C' � i N � I �1 0 � �� c � ■ , BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing peYmits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs 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: UNIFORM BUIZDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �ipe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) i.nches below the floor line of the basement ox the cellar to the average heights of the upper surface or to the average� •height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before uroceedint� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) da,ys prior to the use or occupancy of any structure for which a building perm,�t has been issued; and said structure shall not be used or occup3ed until a Certificate of Occupancq has been issued. .. . �, . �.. � sue�ecT PERMIT�� City of Fridley 1 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RE . � • COMMUNITY DEVELOPMENT DIV. � � � j y �� , � � PROTECTIVE INSPECTION SEC. 1 ; � i_-_. � � "�;,, CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY L � � 812-560-3450 910-F15 �- � � � � JOB ADDRESS 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. 331 RI RVIEW TERRACE 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUIIDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CXXREPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK RE-ROOF 9 CHANGE QF USE FROM T� STIPULATIONS . TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. HINGLES THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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 tS 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 OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED . SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2'rJO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � y�S.00 PLAN CHECKFEE TOTALFEE - �- ��s.ad.�-�.a ��/�i..� $5.50 � ` SIGNATURE OF CONTRACTOR OR THORIZED AGENT 1DATE1 WHEN PROPERLY ALIDATE THIS IS YOUR PERMIT � � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI � BLDG iNSP TE �: p t- ,. . . � - s-� •► •. . .APFLICATION rOR RESi'DL'NTIA�, ALTL'RATION, OR /�llllITION. BUILDI�!G ��RI�iIT • CITY OF FRIDLEY, htINNESOTA • ' ' e o��E�� s � ru�r� • ��_ 1�, � �,�,� BUILDER : /��,�`�-,� �' . ' ADDItESS : �.�� !d-u� .�,1' . ADDR�SS : 6 �3 r , "'`�'�- . e. � NQ: ...5.� � STREET : 7t k� o � J,p� ; I3LOCI: • ADDITIOI� : CORIv'ER LOT : _ INSIDE I.OT :,_ SETBACK: _ SID�YAr.D : Applicant attach �o this forxa Zt•lo Certificates. �f Surve .of�LnC an3.proposed building location driwn on these Certif icates. � , . To Be Used As : c HESCRIPTION�OF BUILDING 0 0 c . . . • Front: Depth•. , Height• ,. . Square Feet: � Cubic.Feet: _ ' • ' Front:� _-Depth: •� Height• . .. , � � Square Feet; Cubic Feet: � � •� Zjrpe of �Construction: 2� �do�F �PA�t� A�� Estimated �ost: $ �Sv ��o , �o� Be Completed: �l�f Si7 5 • ' . ' .. • . . The undersisned hereby makes applicativn�for a permit for the work herein speci.fieci, agreeing to do all �oorlc in stiict accordance with the Cit}• of Fridlcy Ordinances and rulings of the Departrnent of Buildings, and her�by declares �that all the facts and representations stated in this application 8xe true and correct. � •• • p��: g � ' � sictv�lvr.E : � /� (See I�everse Side For Additional Information. )� . . . . '�� C' U `�� t� • • • ,.��/ �.�� . �L �. t 1. �- `-' � I �J , . � � � . _ � -� . . �. . .a , . . � . � . J3U1Lll1Nli L'.L•J�I�'111 rLL' J1.�11:uu1.� o . � S�CTION 2. The Inspector oi Buildings shall, bef•.ore issuing permits tor the cxection of any buildin� or sCructurc, or for any addition to ariy exisCing buildin� or structure, or tor any alCeration or repairs to any cxisting building or struc.ture, upon app�.ication therefore, require the paymenC. by Che applicanC ior such permit of fees to the a�rount herein below set forth and i�t the manner herein provided to-wit: � . , • UZiITO1tM BUILDII�G CODL: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or �raction thexeof, in such cubical �ontents. Type 3& 5-$1.85 for � eaci� one thousand cubic feet. �• �• 0 ADDITIONAL I;�FORI�IATION .For the purpose nf computing fees for building pe�mits, the cubical contents �- of any building or addition, is determined by multiplying�the ground area . covexed from a point six (6) inches below the floor line of the basement • ox the cell.ar ta the average heights of the upper surface or to the averages height of the�roof surface of the main gable of a pitched roof. • . . • . For repairs .or alterations to�an existing structure, the fee shall be at the xafie of $3.00 per each five hundred�dollars ($500.00) or fraction thereof in . t1�e cost af all Proposed work. • In no aase shall the fee charged fox any permit as set forth in Section 2 be � less than $5.00. . � • � '� VERIFICATION OF�FOUNDATION . i I�OT�: Pexmits for construction cvill be issued.a minimum of 24 hours fxom the tiane of application, to alloca for proper re�iew of the proposed structure and, of the construction site. . . A Certified Survey of the lot, sho�aing the location of the foundation, once it has been constructed, will be required before proceedin� with the framirig. . . CERTIPICATE OF�OCCUPANCY Application for a Certiiic�te of Occupancy shall be made ten (10) days prior . to the use or occupancy of any structure for which a buildin�; permit has been issued; znd said structure shall not be used or occupied until a Certificate • � of Occupar►cy has been issued. . . . • • d � ., . . � ' ' _ o ' bn ' _ • � i. ' • � � 1 i i s i sue�ecr PER City of Fridley 16361 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T �� r ; � RECEIPT NO. � `y _ _ COMMUNITY DEVEIOPMENT DIV. .^�O r � � PROTECTIVE INSPECTION SEC. �. � � � � � /�"1 � CITY HALL FRIDLEY 55432 NUMBER qEV. DATE PAGE OF APPROVED BY �'"""� � ,�� 612-579-3450 910-F15 $/2$/$� / / JOB ADDRESS 530 Hugo Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. 'rj�-54 H Riverview Hei hts SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Thomas L. Frenn 530 Hu o Street N.E. 55432 786-3261 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. sarr� as above 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING 7 CLASSOFWORK � NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re-roof house and a 16x18 ft. room addition 9 CHANGE OP USE FROM TO STIPULATIONS provide products of combustion fire alarm TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOO�I 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 ABANDONEO FOR A PERIOD OF 120 DAYS AT �9�L ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING I 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6400.00 �3. ZO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VtOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $6'z.5O ST CTION OR THE PERFORMANCE OF CONSTRUCTION. ECK FEE TOTAL FEE �_ $1 63 $81.33 NATURE OF CONiRA OR OR AUTMOR12E0 AGENT (DATEI W EN PRO Y V LID E T IS IS YpUR PERMIT e � �� m � ��'�/ SIGNATURE OF OWN tIF OW ER BUILDERI IDA El BLDG iNSP �ATE r. �v D ------------------.__ ...�------ -------------•--_ -- - - ---- ..�.----•._.._- --- ---- � . ----------_ __.�►��.�t?.S� �N��_�S __.�.t� _ _ � buS�- ---. .. _ _ . _ � - ---- �i��' --��..� T'--------� �-----------_____------- --__ -- . ___ _ ._. _. _ . _. _ ---- - -------___ _..-- - _ _- --- - _ __ --- - - �4 ,, � � 2 � i� �� . --- -- - --��- � --� ------ --- -��;c---� -_---� --_ _ _-- - -� -- - - ._ __ _._ . - �-- �---- �� p�� ---- � �-- � _ -.._ ._.. _. _ _ - - --- . _ - --- —�'I�d 41 �4.1.� �c� J� ��v , % � �, �.NT, ---- �- - --� -- - - - - — - --. _ :� 51 '� � 'C- - -- __ . _ _ __ _ ; �_--.�o� � �� - _ US�. v��`�-- - -�-� ---.. __... .._�..._.. _. _. -----------._._..__�.____ __ _._ . . � � S�ig�T��k� L''\� � /z �,,�r• - -______ � -- -----------. ---.---.-- .------_.__ - ------- - � � @_ !�- -- - - � - --------__---- _.__ - ---- .- � �� ' . . _� . �� R __ --- -- - - --__ _.�, . ._ -------- ---- _..___ _ .._ _ __ _._ __._ _ - - ------ ---_ _ ___ _ _ P�� "7 R��ITR,�47 ----�- -- _-_. _ _ � ------- -- ------ --.___ _._. __ --�----- ----- ._ _ _. --- -.--� - � - , _ . � !�c � S r7`c1 �K� � `� - --... . ------ --- - -- - - ___ ___.--_.--------�-- -- — ----.�__ --- _ _.___... ��a c � �a �� Td S" `� - - Dw� �q-7iN9 ._ _ __ . . _. . _ _ _ _ _ - - - _ _ . _. ._ . . - . - _ . � N y� � S � .S/ �� -- __ 5 �d�--- ------ __ ---�------.__—_._------�-�--- � ------ - -- _ -- ------ -- -- ____ __.--�-----._�_-- �-- -- ---._ .__� ___--�----- - ---. _------------ . �.o�_ 6r�t,� � 6 J . � --� 6�'I tl _. _ _. 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T� --------- - - - -- ------.- --- - --- -- - ----_.__-----.------------- !.:_- --- ----------------- -- . f ' '_ + �J' / . . , . � `1�1 � �, \ , � ��.''� . - - -- . - _ �----- - - ---- - - _ -- - .- -- - -------- - - -�� -- ---- - � �ti . � . -- � - - -- -- i1 � . _ __ .----- - --- . _ - - --.- - - _ f ---- , � - . _ _ --- -- _ __ - � -- - ---------- _.---- ; _ _ � _--------- - - - - - _ � - - - - - --- ---- ---------- . � .__ ,� _ --- - - - - _---- -- - - - - -- - - - - - - -- - __ _--------- � . , � -- . � --- _ - -- ---- ------- - �� ------- - -- ----- -- - - - -- . -- - --- -- - ,�-- --- - --- -- ---- `` i - -- - -- _ ___ --_--- `( `_ _ -- - �- -- - -- - -- �� .�.- , � �----- -- - __ � � � �,,,00 --�- ----- -- _ ---- - --- - � _ __ -- - _ ----- - - --- -- ------- - -- - - -- y . ; 1 . - -- � - ---- - - -- --- _ --- - . _ _..__' _ . _' _' _ ' _, ._ . ' t '_. _'______'__ -- _.. � �_� --__ .__'___.."__'___'__" . _' . __. . _ + . I 1 . '_" "-__'_ " "._. '._._' . . - _�._ _'._. ._._�_ _ _ ' _' _ _ '.' '_'-'.__ __ .. _ ... .' ____"_.' ._'_"__' _ _ �_ "_ . " ' _ "_"_ I I- .-.____. _ '.___'. __._.. . �.. _'_____.. -�'"__'_. -'_ '__'__._'__" .-'_.'_ '_`_ ___.-. � -_ ' ' � � __.�_'.. �_ .� _' __ "_. .. __�_..- t � � Q �' . I �� c - --- - o __ - -- ---_ ----- - _ _ � � � ----- ---- -- _ ---------- _ . __�,� _._ -- - ` - � - , � 9, . . � I �M . - - - -- -- - -- - � ---- -------- _----------._-- --;- - - ------ --- --------� — _... �,�. ` � � . . - --- ----- - -- - -- _ . --- ---- _ j - •.. . � ' � -�.:' �b, I � � � _ , �----- —��:_. ------ _ _.. . -- --- - -- � -- } - . � 1 � "�'c# � - - - - -- ---- ----- . ---- -- - -- Q� � ��a' � .__ --.- _. -- --- -- _ __ _ _ l�l � � _ _ _ � _- _ � , ---- ------ ,� r----- _—._ ------- --- - ---- - ._ __. � ; . �&- - � i , . ------ - -- r - . 1 - - - -. ------ ------- ------- CITY nf" F-RIDLEY Effective Aug. 1, 1981 APPLIC/1TIa,� �Oft RCSIDL"i�TI11L QUIL�Ii1G PE�f�fTTS (��e►�r, Alter.�tions, AddiLions, or Repairs) Ol�JtdER: F,, /�`i,7 � c7� : ��/�/� [3UILDE.R: � ��/%� di_ ;� ADDRESS: ,� � � /�� S T �Il�, ADDRCSS: �.a � �%t/�{ C� � � %I� �. TEL �f0: f��% ^��,CDI TEL FdO: �%�(p P`� �(Q j Construction Location STRt�T NO: �� STItEET: ��1 �P C� � � /V ; � LOT: . �� 5 �% BLOQC: �_ ADAITION : �/ 1� �/Q Id% �t' � �P�,�1 T �S Corner Lot: Insicie Lot: �_ SetbacY.: Sideyards: Ap�licant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. OESCRIPTIOf� OF COt�STP.UCTIOfJ ,�� Il Ua�� Front: �� Depth: �� r Height: �/ Square. �'eet_ ` fZ� Cubic Fcet: �' �--� � Front: DePth: Height: Square� FePt: Nbic Teet: �� 2� J 3'�Q� a' ��'i. I�.� � �l� i�� d C� � Type of Construction : �� (,�� 1 �.� Estisnated Cost: $ `�� Zb $e Wx�pleted: � " �� /� Alt. A Alt. B Proposed Drive��ay Width If Ncw Opening Is Desired: $� $ _ , SE� REVERSE SIDE OF SHEET . T'iie undersigned hereby ma};e� application for a penait for the �:ork� herein specified, agreeing to do ,all worl: in strict accordance ��ith the City of I'ridley Ordinances �zd rulings of tlte Depart�nen� of IIuilc3ings, and hereby declares that all the facts and rapresentations stated in this application are true and correat. D.3TE: � - �Z �%'- �/ SIGNATUFtE : Stipulation : P �. � � �a.� ��.c�� 2� � � '� � ► ry � ' 'r , ,�� ' ., r e ' P �/ 1 - I �� \ SUII,DING PE�RMIT F�EE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or repairs to any esisting building or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUATION $1.00 to $500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100, 001 ar�d up FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,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 $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including •$100, 000 $443.00 far the first $100, 000 plus $2. 50 for each. additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building peYmit fee DRIV�VAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replace�ent of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Renoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNIIATI�OrT Permits for construction will be issued a minim� of 24 hours fraaa the time of application to allow for proper review of the proposed structure and 4�f the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constxucted will be required before proceedi with. the framing. � �0� � �� - 3 � .�--� �� ` �°�� .. �� , ,�. �, °�- � ?J ,-� � �� ' J�� V � E 5� y �• ;' � c'�o o � � � � N � r� �' � o ° r• y x y � C r• � n O rn a o � � � � � m � r�* o' � a � M o, ro o �• a � � � E w � �• � w y N �r r� N n � a n a � a � r� Y M � �� C '" rr � � � m az CA H � � o '�J H� L'�+'J '.tl cz n `� �� z 4] ro t� � H H � � c�, O 0 w 0 �• � ti �a � rt N W O p ~ � ro �' o °' � • �p � i U'I b� W V � y C cn � � O � N � ct �� x ro o � � � n ro � � O 1-a+ � C � � � N VI � o ro ro ft ro n � �- a i w rt � � � � ( 0 � � � � Cir b � � � � a a a � r n m '� � ,� zp� � �� N H � � z °' n z A� �D a H � ~� C7 y � y � � �pt � m 9 M rtx °z M t�T M � w �C rr U7 rt '� w N � fD a � m a ayo � � � O M C � R7 M � G � ~ O A� � r+ N z � � tn '� m O rr w O � � m � � N � 0 0 H CA � rt m � � G M 0 � w cD tn t� in O O o � i �x � C H � � � � H 0 M � H H O � � � � H H � C O y H n � r x � � n C � C �}� fD Z 0 t°+, m � � ro �r � n N +°i O ff x � � rr~-� h , w Nro.ai �n C �no � e ro ro �� z rt' O i-t �� F•• i-t n H r°i, �u w � w a ro m Ct�n rt � fD ��pw �� N � a O I�-� �a � �, ��' m r°n i' `Q � m o. u, r. o � a � � cr � a ~ � cGi M firt � � ro c�i rt � � � �°s o a "� °. � :`. :�. H fi o� n � •, v, tn v, vs tn r �r r N n� � O O O O O 0 0 0 0 0 ly 0 0 0 0 0 tn t� tn tn t� tn m y N O O � O � M � O � H � �U r� ° Gtl C H O z L� � � .`� r+ �• F-+ o n w� m y r c~r �o � N G M� aa O� a� a a �� M m a r�1 w w rr �"3 F'pi M f�D tq O(D M � N W N � %�. H �° ��q a r � � � °' r� o n � � o a a � y, w n o k m tn m i�-+ 2�, w � M � R ~gg i� t' 0. W Mk,�N � "c �G y C w N � F'• .`7 F� � � .'F+7 M W � � w w � � � � . �r �aa+o w � � rs z �mwro � 5 t�o � fD • h7 w�Cm �. � �o °' �. ti, �a,, � � w � � � N mrtrtrt, � c+ �mc�o�' N a cr n E cn 0o n a M n � o cr •c x w . hS N F'{ W [� .7� � n �a.n rt � �o c°oo mN5 0 b' a k m N N u-i W O � �+ � m � c� x d � m y � -o r c� A � 0 z -n 0 z � 0 � m � D "O � A z o v�i G D -i G O S � D � � Z � � � � N �-r1t C") 3 � O y r D Z C7 � m m C Mf� m � y � 0 Z ."7. m � � � m � a .�-� O Z � z C7 SuBJECT City of Fridley WI�ECKING AT THE TOP OF THE TWINS P E R M I T �� r ; � RECEIPT NO � ' COMMUNITY DEVELOPMENT OIV. �' PROTECTIVE INSPECTION SEC. � � _�__ , r , '; � � , � /�"1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVEO Bv �'-"� � �'' 612-571-3450 910-F15 5/15/96 � � JOB ADDRESS 530 Hugo Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED oesca. 51-54 8 Rii�erview Hei hts SHEET 2 PROPERTV OWNER MAII ADDRESS 21P PHONE Fridley HRA 6431 Universit Ave NE Fridle MN 55432 2- 3 CONTRACTOF MAIL ADDRESS Z�P PHONE UCENSE NO Herbst & Sons Inc 2299 Co Rd H New Bri hton MN - d ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTEFiATION ❑ REPAIR O MOVE O REMOVE % 8 DESCRIBE WORK Wreck House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Clean site of all demolition debris. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT AUTHORI2ED IS NOT COMMENCED WITHIN BO 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED N/A WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMIT FEE SAC CHARGE PROVI S OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- �NO Fee STRU TI N OR THE PERFO NCE OP CONSTRUCTION � PLAN CHECKFEE TOTALFEE No Fee siG aru E FCON'A CTORORAUTHOR12EDAGENT IDATE� WHEN PqOPER VALIDATED THIS IS VOUR PERMIT � � �� 1� � S�GNATURE OF OWNEPUF OWNER BU�IDER� 10ATE� �-g G iNSP qpTE CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 572-3604 � MOVING [ ] OR WRECKING [Vj� EFFECTIVE 3/.1/96 PERI�IIT APPLICATIO�N Job Address : �3O d-4u�v�o S-IMe�2.�- Nl.� . Legal Description: ~ owner & Address : �'r�-� d I-e -�-� Tel . # ��2 - �9 � Contractor : _ �-e✓bs-E- � � � �'v,e, . Tel . # "�i$�— Pl510 Address : 22°�°l �+� Rol .�-�- State License # N�"' �'"� �� c� � �Z. DESCRIPTION OF BUII,DING HOUSE: Length Width Height Sq. Ft. Cu. Ft. GAR.AGE: Length Width Height Sg. Ft. Cu. Ft. OTHER: Length Width � Height Sq. Ft. Cu. Ft. Estimated Cost $�,5��. OO Approx. Completion Date T►^2 l� (°19(p IITILITIES City Water/Se r Minnegasco� / N S P U S West ✓' NOTIFIED: 571-3450 [� 372=4720 [`�J �r�� __= � [� 663-6000 [ ] .�3�-ss-�v Water Bill Paid: Yes [� or Collect [$ ] Signature , � Moving Route: The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing , to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representadop� stated in this application aze true and correct. �- l�-°l(p Date Signature Moving: Principle Building into Fridley .... $300.00 Accessory Building into Fridley .... $ 42.00 Through or within the City ...... $ 20.00 Move a building out of City ...... $ 80.00 Wrecking: For each 1,000 cubic feet or fraction ..$ 1.25 For structures wluch would be impractical to cube the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: TIONS: � .� � _ � Minimum Fee: $20.00 Minimum Fee: $15.00 sue��eT PE City of Fridley 3 i 5 24 ' AT TNE TOP OF TME TWINS � � I L D 1 N G P E R M I T r REC O. � � COMMUNITY OEVELOPMENT DIV. ; .�_ _ l�i�! r � � PROTECTIVE INSPECTION SEC. i.-_.�; �'�',.� CITY MALL FFIIOLEV SSIJP NUMBEFi REV DATE PAGE O� ACPqOVEO BY L 612-57�-3450 s�aF�s 10/25/00 � � JOB ADpRESS 530 Hugo Street NE t LEGAL ��T NO. BLOCK TiiACT Ofl ADDITION SEE ATTACHED oesca. 51-54 H Riverview Heights SFIEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PMONE Scott Olms�ead Builders 10734 Hanson Blvd NW, Coon Rapids, MN 55433 763-755-0300 3 CONTqACTOR MAIL AODRESS ZIP PHONE LICENSE NO Same 1292 4 ARCHITECT OR DESIGNER MAIL ADDFESS 21P PHONE LICENSE NO. 5 ENGINEER MAII AOORESS 21P PHONE IICENSE NO 8 USE OF BUILDINC3 Residential 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 46' x 25` Dwelling and a 24' x 27' Attached Garage 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. Provide the City with a verifying survey before capping. Provide sod in the iront and side ya.rds. Provide a hard surface drivew�.y. ��f � SEPARA�'� �ERMfT� �efore digging call foP REQUIRED �OR: a�� tiiity oocet�or� WIRING HEAYiNG 4�540002 . PLUMBING� AND StG�14S REQUIRE� �� AW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING THIS PEFMIT BECOMES NUIL AND VOIO IF WORK Ofi CONSTFiUCT�ON ZpNING SC. FT CU iT. AUTHORIZED IS NOT COMMENCED V,IITHIN 80 OAYS. Oii IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 1,20 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OfFSTREET PARKING I HEREBY CERTIFV TNAT I MAVE READ ANO EXAMINEO THIS APPLICA710N 1 STALLS GARAGES AND KNOW TME SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF �AW$ VAIUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO i1O,306 � y�SS.1S WITH WNETHER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT � DOES N07 Pf;ESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMITFEE SACC RGE �l ],OO.00 PFlOVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- @1'O.'r�S.3.rS F 2 SC 1�0.30 STRUCTI R THE PE FiMANCE Of CONSTRUCTION W PLAN CMECK TO A� FEE Lic e C $5 $2,325.80 S�GN4TUpE OF CON'AACTOp OA AUTNOpIZEO AGENT �OaTE� E p . VALIO T D 7H1S I$)/Q�' P RMIT �\ �/ 1 � SGL/ ] C/ � i�% S�GN4TUAE O� OWNEA�� OWNEABU��DEAi �D�rEi �fi � 1NSP ' �1bTE a UCT-1b-2�0b 14�21 FROM CITY �F FRIDLEY T�� 31 763757�2FU3 F'.01%b� ADDN j� �'� �� Effective 7/1/Z0� ALTER ClTY O� FRlbLEY (763) 5723�04 Bldg lnsp � � SlNGLE �ANULY AND DUPLp(E$ R.9 qND R-2 gUILDING PERMIT APPLtCATIpN Constn,ction Address: �.egel Descripfion: f� Owner Name & Addre, LMNG AR�A: GARACE AREA: D�CK AREA: OTHER: Construction MN LICENSE # �� o� �r�4y��- � �� "�� Attach to thts apptiC�tion� � CertifiC�t� of Survey of th� lot, witFt the proposed construction drawn an it to scafe. nESCwPt�oN o� in�rtovEnn�vT Leng� W(dth �� H�ight Sy. Ft� ��s�— Length Wtdth �°�� Height,�, gq• F�, � Length � VVldth Hgt/Q�round Sq. Ft Driveway Curb Cut IMdth Needed: Ft + DAT'�: ! � /� d pppLlCANT; � � _�Ft X � /�??.Qi.v �'L �s— . e Cos� !� �d�o4Z�� • _$ C(�� (�� I� CITY U5E ONLY - Call (T63) 372-3604 for Permit fees it malTufg in application yy � ,, Permf� Fee �_/C'3S ..3,$�Fee Schedule ou� Rever� Side Fire Surcharge $�l�j.�� .001 of Permif 1/aluation (1l90th%) State Surcharge $ �r,�: /s" �.g0/$1,000 Va�luation SAC Charge $_ /lOo .�O $1100 per SAC flJn� License Surcharge �_ _ d_D $5.00 (State Lic�nsec� Resldential Cvntractars) Drivewey Escrow $ Alt. °A,� or Att. ��g�� Above Erasion Cont�ol $ $450.00 Consenration Plan Review Park Fee $ —'� — Fee D�termined by Engineering Sewer Main Charge $ �� Agreement Necessary [] Not Necessary j] TOTAL $ ��';grs � �, 3 �s - 8 � STIPULATIONS: � /� � QCT-13-00 FRI 11:05 AM HOME PLANNING ASSOC, FAX N0, 612 757 9755 P. 1 MNCtiioO� COMBLIANC& RBPaR'i' 3�nneaota Eaergy Code �Tchec�k Boft�are Vers3.on 3.0 cGt�TTY: �ck� BTA2'S : Misic�a�t7ts ZO�iE : 2 CaN$TR[ACT*CN TYPE: Singl� Fa�nily QP,TE: 1Q-13-2OOD DATE OF FY�DlS: 1t7/12/00 TITLE: C00317 PR�JEC�' I�iFOR�►TIONs RA�N At� BENAD2! Dl+tAGOD1JIC Ct�J11i1Y INE'pRMATION: sco�r oz�MS� svt�.DEits C�+�Y,IAb10E a FASSES Ra�uired i]A a 415 You� He�13 � 324 aZ . 0� 8ott.�r 'P!'iaa CodQ i t i i � �*..*�; t # I � i ( � ( Choakod b!f/Da�s 1 i � Area or Cavity Cont. G1��ing/Doar Perimeter R Vait3� R-v�}.ue U Valu� �Iy�7G,g 11�1 44.0 0.0 AALL� : Raod Srellle. Z 6'* O. C. 1 S 65 19 . 0 2.� B�iT: Conc. a. 5' h�/2 . 8' b913. 5' 3.a+�ua- �39 11. 0 t� . o GLAZINCf: Windpwe os Door�, Above Grade+ 332 0.350 app,� b6 0 .120 b'7.t�0iit�i s Ov�er Qu�ida Air 32 30 . 0 0. 0 sLAB FLOORS: [Tnheated, 42.Q^ insu�, 51 10.0 HfTAC SQLTIPA�NT s Furrtae:s, 90 . 0 Ab'�J8 --------------------------^-�-------------------------------------�------- Cp�+y=Ai�iCE gTATEMEI,TT: Th� p�opaeed. ?^��; ld3.ng design d��ribad h�ar� ie consistesit with th+e buildinQ pl�ns, sgaaiPi��ioxrs� and. c►thor aaloit].ations svY�.tted with the p�it etpp3-ic�ation. Tho propased bvilding has been deaxQriad to maet thv r�quire�eernt esf o Minneaota Snergy Cado. t7�� 31 110 24 116 7 i 35 - . - - - ��.//��.�` `i . - - .. �.�___ __ .� -�� JAN-22-01 MON 12:37 PM SCOTT OLMSTEAD BLDRS FAX;763 757 8208 PAGE 1 � � fi� �/�Q ,..., � � �, HY--LAND SURV�YING, P.A. LAND Si3RVEYORS �,. g°� rea � e�eoti �,� wa 8700 Jslfaraan NlpAwaY SG1LE i� esu caaqe roowy p� „ti,,,�,u ss�eo ,6�4�7 la.ast Faetirp (7a�wrsro� o oanots �roe ue�w+nent Typs of BuIMA�Y — ��81°S a{�`�'� � F�Faea�etbn OrdyS�t �0 Oanetes Exbt6ip Eleallon � � °AS—BUIIT° � °ino1ae rropoua os.ovon i �- o�,oea swroee oiatnaas � ._s'3C� H V G o 5TREET r.--�--- - � — ioo.00 — zs.o i za.o i �s.o � zs.o 1^ 1 I I � 1 I j P 1 ' I I I � � 1 I I I I � I I e � I � Zi � � I O n � 1 � Y 1 I a I � � � O ; N ; � i � � � i � � i � � � i v I � �.IL � �.�1/ � �� h ' � � ' � { I ( � I �.o � 2s.o i sao � zs.o _- t00.OD - �ors ed n�. a�eu. �oat w mvahnEr N�rs nr e.tr•� �"y" ��°w e'�' �a rseti a�y s� b� 1 M�61 � m0 Il� 1��e d(11bWtNO 19�E � YM le�a U O� 3�ed N IdlTOOlo 00 �� M�0�1 y,rveyed !r w 1Me . Hn{ ao� e} No40MBFA . n! ev. niwi aeo �Q�� e�. �-zz-:�w ZO'd £00'oN VT:ZT ZO'ZZ uBf ' a''[8LS-£6b:131 9NIAal1?Il1S rttiN�-1u n W C � z D � � D r r W m -o � O v m O � m z c � n � n � O z � � D Z v D � r m � .D n 0 � z m � z � O O z D C� � � v m 0 D r T m m � 0� � � � rn � c �- d � m 'O �o °< a � ��m � � O� o,Sc�i � � � c � � m o z� �v� �OV c � o � � o o m3� -o v � v � °� D �v � -�I m � 0 z � � � Z m v � o ` � 0 � � � O � m � � °1 0 v m � �e � � cWi d d�� c w m 0° m�� y y m m m 3 9 ci g�°' ¢ -o � v � -, � -, � � p v -� � � o � � 2 2m � � � W � �; m �� c�p °: �;, c�i c�i m u�i, pD ��. � � � � c'�� • � � ?, � � uc�i ce , � cc � Z � N � � � m � � � g > >c ',�. � � m �. .. � N � Z o I I � I I I I�I I I( I � � � � � � � � � � � � � CJ� O O O� O�I �I V�I C7t �. : J 0 0 0°o 0 0°o °o °o °o o°o °o s � � � c 3 � z �ii n 0 � D z .� � � J�' � � � �I f N C � � � a � � m a C n y N a �` y � y1 � 4 � e � � � � m � � � � � 1 � � N I � Ns a a � c�n m 2 �; � m co a m N y N � N � N � o m � °- y c o � �' a fl- a � � o � a � — � � � � � � v�: ,°�� , � > > � � Cl y �. - a g � a� o o � � � c� � � � � � o m � � � � � �' � � vNi � �: a ,.r+s � O 8 1 �°'�� A p O � p'�'j Q- � N N (�p 7 � r c � W Z � � C � m � m � z 0 � m � O D r � W v v � � � � �� n N O: W � o�� ,A. . �t Z rn 'T� w�� wDr N C � m zz m� � m � 0 z v < a � � r a � O Z � O � � r C � z �i a Z v D � � z c� -o m 3 � � m � < W 0 _ � m � � N O O O COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets ail current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the cutrent codes and manufacturer's specifications. When required to install a new combustion air it will be sized and installed To meet the current codes and manufacturers specifications. Yes ( ) No ( ) Yes( ) No( } Yes ( ) No ( ) When installina a new ventin4 svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input � Fan Assisted or Nat Total Appliances _ Total Btu Input ,_ Common Vent Type Vent Height _ Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING CO: Signed By: Date : � * � D � o �� 0 Y� � � � o � 3 7 a � O N� � -o co c�'i -a a o � -o Q, m � N O lD �� Q � � � � 0 Z � m Z � rn � 0 z � � 3 � � < Q. � O co � I � v � � �/ � � � Q � � Z I � 0 � � v �. � m ,� v � � � +�, � � � O � r rn � s � �. m � � � � co � � � � � � � Q � Z � _ � m� v �II Z 0 � n N � \ � o � w � m a o � � � A1 A m 0 0 �- � O 0 o � c � �� o �, a� � fl� 7 � A m m � O � � o o � �- C � � O Z D � 3 t� � C � 1 Q � g m O o�� p �! � � � � cQ C � � � ca ` � _ o � n � n � o � > > ��p m A (��„�/ � � � � � � Qmz � � o � �m � �. � G � �� D � � a � � co I v_ N � w a�i w D � ��i, `� `� �' a � � � � � � � � • Q -o m � � � � m � � � . �� -• 3 � � � o � � a 1 a O � v � ? A A S � n C � � � � O m � c� �' � j � � � � m � _ � � � j � Q � � t� t� � 0 a � � � Z � v c n �O �� a � � � S � m � � -� z 0 � � � � 0(� 0 ,�S'' � V V � � � t� tfl o O � o � D o � r � c�O 2 � � � � � � N � � � o � � N W � � c � a Q. s �� o � � oo� � v'�i' °_' � � O � � o m � v � g � v � o m � � � � � 0 1 � n � � r► n" O O � � � ,Jc��,�p' � � c�i � a ,.. m �o �� - -- o�� m m • m n � � O � o � � Tj� � Q V! � � ' � a � n _ v C � � /O� W g � m � � �� n ` v T � � e N � Ci) � � c O � Z m � �n � v Nn� �D z z �„ rn -o n -_I O z v � � � O .� Z C ma ?� o � Z � � G � Z � � v� � � 8� Zg v �v z= z� � Z N `/ � � � O � C Z � -n v [� �� m� N O � Z � m 0 � � A�i z � � � l� A CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within � Yes () No () 4. Is securely supported Yes () No () 5. Me�ts all current Code reyuirements for size and total BTiT's connected Yes () No () 6 Has total heating BTU's of � All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: � .� ��. ` �. ,., �; 4�� • � `_ , - - FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 29, 2001 Scott Olmstead Builders 10734 Hanson Blvd NW Coon Rapids, MN 55433 Re: Final Inspection at 530 Hugo Street NE, Fridley, MN Dear Mr. Olmstead: A final inspection was conducted on January 29, 2001 for the construction of the house & garage located at the above noted address. It was determined that the construction complies with the approved plans and the structure is approved for occupancy. The following items were noted which must be completed before the building permit can be finaled; 1. Provide sod in the front and side yards by June 18, 2001. 2. Provide a hard surface driveway by June 18, 2001. We will expect the above items to be completed on or before the scheduled date and a reinspection called for. If you have any questions on this matter, please feel free to contact me at {763) 572-3602. Sincerely, RON JU Building RJ/mh ��`. � _ C[1YOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 1, 2001 Beli Mortgage 100 Shelard Parkway STE 500 Minneapolis, MN 55426 Re: 530 Hugo Street NE, Fridley, MN To Whom It May Concem: The City of Fridley will accept lawn seed in lieu of sod in the front and side yards of the above address. If the yard is seeded it must be established by June 18, 2001. If you have any questions concerning this matter, please contact me at 763-572-3603. Sincerely, :NSEN Inspector DJ/mh F � -- r F � � c .• /r• IS/,� ��i �� t� ��a �� -� �,�� , ,- �; �� C�� i � I . � / �� s s , JAN-31-2001 15�11 -.., . BELL MORTGAGE BELL MORTGAGE MORTGAGE BANKERS S1NCE 1880 612 591 9060 P.02/02 1000 SF�l,aRD PAEtKWpY, SUI'TE S00 • MpV►�lEpppWS, MN 55426 •(952) 591-1880 � MINNEAPdUS S(cYVVAY •(61Z� 370.4305 7650 EDWBOROUGH WAY • 9LOOMWGTpN, bAI 55433 •(95Z) 893-0865 � Z99 GOON RAP1p6 BLVp, N,W. • OOQN RAPIDS, bW ii433 •(163) 785•2355 4je POND PROiNIIVADE • CT-WIVHASSFN, MN SS317 •(953) 934-Z355 � 480 WB:,'T HL(3HWAY 96 • SHOREVlEW, MN SS l26 •(651) 484.1321 2500 W. OOIINTY ROAD 42. SU1TE 108 • BIJRTtSV�LLB. MN 55337 •(952) 808-4788 • � • > > .�, � , . . TOTAL P.02 JUN-� �i �� m � � �' Q 3� a � � 0 � � � 0 3� a � O o� � � �� f � ,`� a � � 0 c rr 'v b � a � � � m � � � t 9-' 14�6� � � � r O d z � m � rn y � n �� C Y �� r � � a _ � z a � \�\ � � .� , �� \ � � �� , 1\. \ � � CITY OF FRID�Y ��N �3 �� m � � �. 0 a � m � � 0 O p y 7� � � � c A m = m w � A � rn � � � +� �i "1 \� a�� Q �°��'� .. � j��. � �� o � � � �� SQ!1 �� W O � � m ? t w � 3 �� Q 3 a 'Lr.�'�� T� � mm�o � � � � m�� Q 3 s ��'�^ � �y � � � .� � 7� w �r�� A A -a i�C � � O � am Q'. � a > > D r � 8� O o � �� c`� m a.� � � m� eaS m o � 7r � O Z A � � m� c3 m � � m z � � i v � Z 0 v a -t � � � � � � cNn � � � � � A979249 P.02iO3 � � m �c � � � a� $ � � � 'D��m m � � i3`. v' � � '� . m � �A �a► �� $�mm � Q- �. �. � �-��O � �.p`� � m s � � f� ��m�Q � h � � � �� W c � � � ew � � o�q p� a � o O ti p m � � � � O � m �� o —Cq' m -� z�m � I� c 3 � Z � � � � � O � � � @ � �� m�� °°� � � � � 3 3 � � � m O O � � �1 l� �� m � � a 0 � C r- v a � C � v � 0 a� � w�� r �_ � o �z�� , � � v �A,,a� N� N z� �� O 2 v_ < N A � 'p Z � � �a �Z a� � �. �� - VZ� a�� ON �a 0 Z� 0 � z �fl 1� �C z so v� �� y � - � � m � � 7 L � C m � � 0 � � 5 � �uilding BUILDING Permit No.��' — ��s� I Inspections R�+ SIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY Date Rec'd:�— �\— �`� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE I�� —.V Gr YOUR E-MAIL ADDRESS st� �D�SS � 3 r� �� D S i'. jV � THIS APPLICANT iS: ❑ OWIVER �'iCONTRACTOR PROPERTY OWNER/ NfwtE: � � I\ C TENANT qDDRESS: �� D �� 4= CITY �� Q STATE�ZIP J S 4 3� PHONE: � (o � ^ � I ? ^ (J � NAME: — /� CONTRACTOR ADDRESS: 5'Y V CITY �i�/� 5�2 STA �. zIP �s 33R SUBMITACOPYOF pHONE �So2' ��b�� '� � � FAX �g �^ �{61 - aSi � YOUR STATE LICENSE �5 � Q�� EXP DATE �� 31- � �0 8 STATE LICENSE # PROPERTY TYPE L�SINGLE FAMILYlNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ WINDOWS O BASEMENT FINISH �ROOF , ❑ DRAIN TILE ❑ DECK ❑ SIDiNG ❑ OTHER ❑ SWIlVIIvIING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION � ADDITION ❑ MAINTENANCFJREPAIR ❑ REMODELING DESCRIBE WORK BEIIVG DONE: ^Q C7 �PDD SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S F1' ROOFIIYG n ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0�-� ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor pian ' PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGH'f: � SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the e�cisting structures and proposed project. ❑ Other ❑ Fascia 2. Two sets of conswction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS , OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINBOW TO BE INSTALLED NUMBER OF WINDOWS ALL NP;P;A' AKL IfA.�'L+'ll U1V VALUA"1'lU1V� 1NC:LUllllV(i "!'kiL�' (;U.�"1� UN' LASUK ANll MATER1Al.5: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ `� �,�. ?� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ � .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ � , c�( � $5.00 (State Licensed Residential Contractors) $ � $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �7 ,�� Make checks payable to: City of Fridley Attac6 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the infortnation above is complete and accurate; that the work will be in canformance 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 and work is not to start without a permit on site; that the wo�will be in ance witty app ved plan in the case of all work which requires review and approval of plans. SIGAIATURE OF APPLIGANT� � � PRINT NAME � v� �l �� i.� DATE I� I �� f'� ,-; ,: APPROVED BY �� ,�'�.� O��L� ,��'°�A ! DATE��°i%� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha.11, 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: 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 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 Fag: 763-502-4977 MIMNESOTA DEPT. OF LABQR 8� INDUSTRY Construction Codes and Licensing Division 443 Lafayette Rcad N. St. Paut, MN 55155-4344 �OHLMAtVN ENTERPRISES fNC BOHLMANN EXTERIORS 18567 331 ST AVE GREEN ISLE, MRI 55338 �w�;��5;{?��:,, State of Minnesota ��,:`� }'" �, Departrnentof Laborand Industry � � � �`r`''��; 443 Lafayette Road Id. ��,�.u��.� � St Paul, MN 5515r4344 ' `� *i85TS'�� Construction Cndes and Licensing Division Telephone: (651) 284-5065 E-mail address: dG.c�ntractor@state.mn.us lAl�bs`ite address: www.doli.state.mn.us Resideniial Building Contractor License Legal Name: BQHLMAN[d ENTERPRISES INC �:= Address: B�HLMAHfN EXTERIORS f 85fi7 331 ST A�fE GREEN ISLE, MN 55338 License Identification Number: 20519641 License ExpiraGon Date: 3/3112008 Business Structure: CORPORATION Qualifying Person: DAVlD DORIpOLD BOHLMAN ' Continuing Educafion: 7 hours due by 3/31/2oQ6 _. _