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AF - 46596City of Fridley, Minn. BUILDING PERMIT .: : � �' , � . � � , - ,� . .a.....� <� �r++_...� _ _ .r . ' Adaress Address N° 6227 " � ��' LOCATI OF B LDING No. �� Stceet �� .,.�� Part t�„�� I i` - � � Lot ��= Block Additian or Sub-Diviaio� . ,',��...�'�'�� Coraer Lot — Inaide Lot � Setback _S�'�_— Sideyard �.� � Sewer IIevatia� � � Foundation IIevation DESCRIPTION OP BUILDING T U :r Front .,,�. Depth .�� Height ....:,�{� Sq. Ft � Cn. F't �� Fro Depth ITeight .— Sq. F't. Cu. F't. Type of Constructio � n�� Es� C �y�,�� "� _"'iro �be Completed �� ` � a r ��+"! � � Ea consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in cwmpliance with all provisions of ordinancea of the dty of Frldley. � In conafderation of the payment of a fee of $�� , permit is hereby granted to to cwnstruct the building or addition as descrYbed above. This permit is granted upon the egpress condition that the person to whom it is granted and his agenta, einployees and worl�nen, in all work done in, around and upon said building, or any �art thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiYg location, construction, alteration, maintenance, repair aad moving of bufldings within the dty ]imits and this permit may be revoked at any tlme upon violation of any of the provisiona oP said ordinancea � �� Inspector NOTICE: '11ds p�rmit doa net eeru t6s coe�rueH�, te�tallalloe �� a 't�r�a �.. �a ..�.r o. .►n.�. e� sun fo a� th� Buildieg In�e�ee for apvafr p�rmih Por t6a� tf�eu. o.r .r f.�, � :� - � w/ - --_._ Ee: =s a,�,G' . ... . . . - .. � . � s.�Ga ,.�«k'�� 5 �'d -� , . . �, . ., . .. .. , , . r . '- . ' . � . � . . � . . _�,� ..., .v:., ,m, � � . � ^`- .��'' �r K C�J v Q�u� ��i�{�. ��C i. '�r��r `� .� • �• �� a e� � �.;�� , � �� . _ �,. LAMD �iURVEYQRS <<p `' r,: Moko, Mian�a _.._ . �� CdtT1�C!►tE �F SURVEY: �� ,�� . r � . r . �a �:: Bsn �rexi�ecki 791-21�•�8 �� . 'c-'J T � . � v G.� . ��iti � - g� � , - \ � . �. __ 1 `, ,� .�. � � , 1 . � a 1 � �,` 1 _F o�_. � , � !� �� 1 � , ��1 � ., � ; , �� , . 1 1 Q ` � ��;. � z§ , , � � �!� �i`� r �; CC� � ` • �� 1, � _'� :� ... � ` , � � :. 0 � , t � �,, , . 1 „ � ` � � � � �, , a� 1 , �, � s. z s ,, 1 . � � , ~� � �, � , s �§ � ' , , 1 ► �� , ` �� , � Ri g.� � . � �� 1� �� ;' .� � ~ :^:3 . �' . , .� . . �� . . � �� P�V � . � �o ' � �. Lota 38 �, � `', of � Lot 403andwall o�'f Lo� �^ _�� , s �; 37 eacept the Weat 1Q 1'�et �.� � thsreof.. . �� RI VFR VI �i H EI GHTS _� � t . � . , �,�� z� Anok4 CountT, Mianeso�� ' � 1 i�RBY ClRT�fY TMAT TMS IS A TMlE AND CEfR�tGT I�RA1K)M! Eif Y1 �SURYEY Of T!� � O! :� � �� , `�� DlSGRI�ED [AN�, MID TN! WCA710N O� ALL WIL0�iG5. Tl1�0�, �ND ALi � WC�OAQIAAM�, If Ati1f, �lE!!M1 t� Ql��i ; j'� tAll�. 1� � dY M�,fiN.i,��t�7.:.Od1Y� .. ...........�@��el"... Ej _ � � •.... ».I�D. 19.....�-�. .. . , N. �. 1�101� IH� Q - �t r'�'�� ' � ; . � �-� .� , -: . , �, . � - � � �'� Sa b �� a. . .- �` � ... � .... .» ........................... ... .. .... .r+�u;*M".�-!#f`t�'u.Yw». �; 3��r � � �ri'�. � ' y � �'� : e � : `"�� ?�`s� �..t � f,, �� . . . � ..� ,... x _. � � 0 � � � � O :� 2 D !� 0 � �: w: N. � . v . �: . � � �1 � � M `� � � O �i � � p � �;.z � � � O � K � � � � � p � � `��i � � � H � � ° � \ . � � 4� � b � aR'• � � � �W & �. I � O irA r � � � a° ± y� R 5r �. � w � � �, ° �� 0 o �, � � Q �� . � . : � . . � . : �' : � � 0 0 � � V� ^ n ,� � � f �� a a ` o °o R � � E �� . : : . � : : ° . . ; : : P m � � � � M t � O : p � b Ro 1r � �� ; ,� � . � � � � o �� o ! � � � � p � � � � � � N � � � 0 0 0 0 0 � O NA "1� � � w � � � �� ,� o � �' o � � �,� � � � s� � � b � � �� o � � �`�. � � � �, � � N' � � � a � � o '�,� � � � O � b � . �, � � x° M b � 0 r �' � �� ' �' � � � �� R� R° � � � � � � � � G � � � a' R° � F �� o� 0 �� o� � . �, � �.�: �� : . � O � p � : ; O O 0 � : : : � N � � � N � � o 0 0 0 0 0 0 0 0 ss . .� �°�� i ��y � p� � P � � � � � �. I � �` � n � � � � � � � � r4 � m � � � �� -�' � �� R° � � � � �� o � 0 0 � �� ro�� . ° � '� a �„ • • cn . . � O : : O 0 . . O . . O • • • p . . . N��,�� 0 0 o v � � O t" �.a� � � �� 5�� a�� o � 5'`� ��o� �� 0 m � �� G°4 ��'M Ti � b��'g m ��'� �� p� �� m c�op'Op ��O � (y y P�� h! �y�� fl�yD � l�D ►�! r�� o � � � m�� B 5' � � � � � m H _ m C r m � � t�" s � M �o � � � � � � A � � O � � � . � . � � � � � � i � �Q �� • �. � _ � �� y t� y �� s O.� � � �• �. � � � � � 3 � �i. ��sa �o � y� �� t--[.��-�--��.� � � _. = �, ' L�-�` �/ / h !� 4 •,� � / 9L�C�� e�C �!P i�'^ % �% HEAT LOSS CAL TIONS ARTMENT OF INSPECTIONS � 7� 1ViINNEAPOLIS, MINN. ` Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied Yes—No Yes—No 19_ �`l.� l//°�c. Room � Length '— Width /� Height �°' �].� oom Length l� Width j z Height.� Windows an oors—Crackage and Area Windows and Doors—Crackage and Area �Vidth elght No. o[ Llneal ft. Area Wldth Helg6t No. ot Llneal ft. Area No. ot pane oP Dane itgh[s of crack aq. tt. No. of pane ot pane Ilghte of crack eq. [t. � �� .� � � �Z � � / L , y�' C --" � � � �y y. � Coef. Btu Coef. Btu ' Inhltratioa � �O ,��2 S (r, �y Infiltration � d' �c� //� Glass Cn �� 5" c'S Glass / 6 5 0 �a� � Exp. wall �/ F.gp. wall / Net exp. wall o / C� Net ezp. wall �/o � p Int. wall Int. wall Ceiling Ceiling Floor � `�' � /3 � �� b Floor Total Btu. l / / � p � �'� °z � � O Total Btu. �"�yd Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .� `{ ' Room � Length j Width /�/ Height S'f' Windows and Doors—Crackage and Area ��'�'� �-�O°m ( Length / 2- Width / 2- Height �`. Windows and Doors—Crackage and Area Wldth Helght No. ot Lineai tt. Area Wtdth Helght No. of Llneai [t. Area No: � oL pane ot Dane llghte ot crack eq. ft. No. ot pane ot pane Ilghte of crack eq. [t. � � l / ' / 2 � � � �- /� 2 / �. 2-�_ °7�i a �- �� l Coef. Btu In6ltration .i"j—� p � � Glasa �� - > q. Exp. wall r� Net eap. wall ��, � � Int. wall Ceiling Floor � (o �� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �`yl-�l. �� Room � Length / Width / 2- Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal ft. Area ' No. of psne of pane Ilg6te o[ crack eq. tt. � �<'� /l� 2 /� // l .� `� � �� i . II Coef. Btu I In6ltration � f (�, • �jl� � � 0 Glas� , � / Exp. wall Net exp. wall � Int. wall Ceiling Floor � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area �� v � � Infiltration Glass Exp. wall Net esp. wall Int. wal! Ceiling Floor Total Btu. �quired sq. h. E.D.R. or sq. ins. W.A. Leader area �7•� l Room I Length 2 Width � Windows and Doors—Crackage and Area Wldth Hefght No. of Llneal tt. Aree, ot pane ot pane tlghte of crack ep. tt. � �� `� .� /'� � In6ltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Q � Required sq. ft. E.D.R. or sq, ins. WA. Leader area �r� s a�� s,f'�/v Height Btu � �� z� ` � � 2(�d 1 � _ 1 � � Permit Fee t$----- =-----`-. ��..... e APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT � No. P---------- - -�.._ _ . � -��--�� '' �' � ,� -- Dccte of issuanee.-•-----•--••------------------------------------------ 196_..--- Location------------- ----------------------------- - ----- f-------•--•--- � --- -----• - .Minneccpolis, �Nlinn.,•---.�(li!'._`-Q:-eJ•-��-�--------, 196..2- ' . Inspector o f Buildin�s � The undersisned hereby snak-es a.pplicatior� foT c� permit for the in.stalbation, cclte�°ation or f•epair of cc hecztin�, air conditionins or z�eretilmtin� s�stefn, device or eqzri�rrzertt, as hei•eiiz specified, a�T•eein� to do all• szcch. z�+ork in strict aceorda.nee zvith the Ci.ty Orcli.iacinces an�l s�ulin�s of the De7�a�•trrzes�t of Ir�spections and t1�e ,pe�i fieutinr�s set fcrth in this appliecatior� as c�ppruz�ed and filec� in tlee D��f�artnaent of Irzspeetio»s. , `�� . Ozvner.�t�'?�-�:GO----- •'t.�c�e-zti-c=��C?'----�--�--=�--•----`.� , _g�,� ------ -- -------------- � -� -----•-�---- --------.._... �- -•-• , ICincl of Buildira .--.-� - •- - --------'�r�� -- ��--�-------------------How occunied---------• -�---'------ ------ � -- -----'-�-------•------ W'ork to be arted.-- --- `= P-- � l�---- I--------, 6--- ��'o • c conzp e e_.._ _.�!l -------------- •---, 196_.`.�' Estimate Cost �-----� --------------- �... .-----•--•-•---•---.. ._:._: ld Nera z�,ilclir�� Perniit N�------------•-------_..------•-•--•----•--- SCRIPTI N OF WORK Nofe: ert the word inatall, add, al ing to w�ieh ia to be done. Under "R arka;' itemize removala, if any, and alterations to eqw ent � ------------------•---•--------• •- -------Mechanical War ir Heating lants-- aces ...--••---- -------:•-------------------------------••--•-•-------- . - " �;l Ic� o %3. ��, .Make. � � ' ----r_2 _.. -- • ----•-�n�2.'4= -- -•- -- �•-- -- -- - --- -- -----•-•-- ' ._..�.. . � - ••-----•••- -..... ----•-•---....-- -.. Connectec� l d--------=�- ----�------- ---------------------------------••-----•--------------------Capacitz /I J - ----•-------- -------�-- ----------------------------•-•---- Ai� Condition g System: Summer — Winter — Jlll I°ear •-----•---•----•-•--•--------------------------------------- -- ----------••------ dYlake................•--•�-----..... .---------. ..-•-•--•---------....•--..._Capaci�J•--------••------•--------------•--.....Cfn2.••------------ -----...-------- VenfilatingSystem: .Mcake---------------------•-------•-...-------•--•----•--•-------------Capccci�J-------------------------------- C��•-------------- ---------•----- Remurks: � .fl pproved--------------------•------- p_Zp e a ------------------- ------------------- .... .......................-----------------------------•---• •--------------------------•-------•---------------.....------•-•-- Si�ed------------•-•-------------••-•-•-•--------------------------------•-------••---...---- B�J----•------•------ --------------•---------- i��.(�r�;:�!w�i� Fii:ATiNG---COMPAi�fY� 6NC. Z936 fQUR'Ri A�1(E. SO.__ *_. TAt_ 3-5287 ------- �----------, 196••---- ./�ddress------------------------------------•------- MINNEAPOUS � �U�I�IE$OTA �-----------------------•-- Telephone----------------------- ---------------------------------•---------- In,speetor. ------------------•---------------------------------------------- ---------------•--------------__.------------------------------•- ----------------------•-------...-•--------------••---...._..---- ��n �� / /Ca of Fridle Minn. � � � �a � ty y� ,� � / / ^ . � BUILDING PERMIT � N� 7os7 � Datg: �" � .— � '� Ovvner: Bu9lder � Adtireas Addr� LOCA N O UILDING No. �� Street � .�� --- Part of Lot Lot __ Slock Addition or S Di ____ Corner Lot � Inside Lot '� �fetback Sfdeyard - . �5 � Sewer IIevat4on ._ Fo datton IIevation DESCRIPTION OF BUILDING T as: � � Front .y�� Depth .�� Height _� Sq. Ft. �x� C�. Ft�_� t Depth ITeight ��_ Sq. Ft Cu. Ft 7.j►�e of Construct[ Faa� sy�� To be Completed In consideratton oP the issuanoe to me of a permit to conatruct the building described above I agree to do th� Proposed work in accordance with the dreacription above aet forth and in oompliance �tlbith afl provisions of ordlnances of the dty oP FrYdley. [ A /�i � In conaiderat[on of the payment oP a fee of $ , permit is hereby granted to to cronatruct the bufl or addition as d�cribed abave. This t is granted upon the esPress c�ndition that the person to whom ft is grautsd aad his agents, employees an worlmien, in all work done �ln, around snd upon said huilding, or anypa,r� thereof, shall conform fn all reapects to the or�inance� of FridleY� Minnesota regar3i�g location, conatructt�TTon, alteration, maintenaace repair and moviug of bufldinga �� dty ]iamits and this permitt may be revoked at a�y�upo�n vi�a on of any of the provfsiona of said Building Inspector i�i NOTICEs 7W pe�mh dea not eevsr ths eo�strucH�, imta�lOn fee Wirte9. P�+�9. Oa b�S. awa er rrwr. B� mn ts s» !la Buildiu8 lesp�or tor apartl� p�rmils hr �ka� hems.� �, a�o . U � � � �.�,;� '' _ , ' ,.. ' . � � . � _ . . , ��1 OW1�R � S i' ,� ,,, . „ r ._.,�. .. .,._. . ,... , : APPL�¢ATION FOR BUILDING : PE$1MI,T „,"a' , .-; 3 :_ . � . � _, � . ..� �:, s � .. . _.� � � . CI7,`Y OF FRIDLEY, � MII�TNNLSCiTAe ;:� _ •,. �,�- � ' ..�:,..° �:-�.� . � . � � • _ . . .. a:, � � ��, � � :. . ... �f �:o�, �: � � . , ' �lf� .. . t . �'.��' :,, `1. 'DBESS � . � lc� � . �/-t �r�, � ��Iil'"� � � annRwss , � � ��-� ,: �� .o ... ... y..� 0.:; ... � a � � � 3 r_�� LocA�tor� oF $t�.nzNC � . _ . . . , : . �� No.— � : � , � � .� - : . ,Street . � , .�: ,�� ' , � $art: - of Lot_��E� , . , . , . . _. � , .. . ;, Lot � .Blpck �• Addit•ion or S di�.is�on .,• � , . i,;, , � , . : _ .,. _ . r Corner Lot Iaeide Lot�_Setback w<�� Si�e-Ya�r�d :� �� SEWER ELEVATION F ATIQN ELEVATION App.lieaaG .attach...�o this forq�, Twa, Cer�Cifi�ates of Survep .of Lot �and pro.pqsed bnild- ing location •.drawn . on �theae .Certif3aates : ; . , , . , _ . ,. . . . . . . DESCRIPTION UF BUII.DING _�. �. z To be used as s — � .-� - . . � � -. -, � �'x�.ont ��, a � • � ; � ; . D,eptlr � � He3ght �� . . .. ' Sq. Ft� �� -� .Cu,. ,Ft�. V _ . r a . . . ., .. `�9: � . ' . � ... . .� . . .. _ �. ., . -. .. ' . � Front Depth Height , • ..,. . _., � . � .. _ , . _ . . Sq• Ft: ,l�:u. Ft.. , �� • �� ... _�� .: .,. � _, � .. � :..-' ��_ Type of Construction v� �� Estimated �ost ��'� �, To be Completed ... �- / "-- ';�' �` . , � , , . � _ . . ., ,..:.. _ . � r ,. . . : .,- : - .. ,,;;,: � , . , , . � . . . � The undersignecl�hereby makea applicat3on for a perm�.t f+or the wo�k h�rein�spectfied, agreeiag to do all work ia strict accordaace with the City of Fridley Ordinances and� rulings af.the Dep&rtmeat of Bu�,ldiaga, and hereby �leclares that all the facCe and representations�stated in this`�pplication ase t;-�ue,�nd,correct, DATE (� "— Z — � �/ SIGI�TATURE .� .s �Schedule of Fee Costs caa be fort`�ct �'on Che Reverse Side). �„'\ /"� �� `-' y � - � ,. 4 ,� . BUII.DING PERNQT FEE SCAEDULE Section 2. The Inspector of Buildings sh�ll, before isauin� any permit for , the erection of,ar►q_building or structure, or for any addition ta any exist- ing building or strucCure, or for any alterations or repai=a to any existing building or structure, upon application Cherefor, require the payment by the applicant for auch permit of fees to the amount herein below set foith and in the manner herein prov3.ded Co-wit: 2.1. For any such permit for ehe erectibn�of any fire-proof building, 'ather `�than a� garages warehouse, factorq or grain elevator', `or for t�e erect,ioa of ariy fire=,proof addition, for similar occupaacy, to any existing building shall be at the rate of $1.40 for ea.ch one thousaud cubic feet, or fraction thereof, 3n such cubical'coatents. 2.2. For any.such permit for "the ereeCion of anq fire-proof garage, warehouse,.. factory or grain elevator, or for the erectioa of any fire-proof eddition, for eimilar occupancy, to any existing buildiag shall be at the rate of $1.25 for �$ch one thousand cu6ic feet, cla�aif�.ed as /1fireproof" bq Section 502 of ` the Minnea.polis Building Code� �� _ HOUSES 2.3. For any such permiC for the erection of �any ncn-fireproof buildiag othex than a garage, warehouse, factory or grain elevator, or any noa-fireproof addition, for similar occupancy, to any existiag building - permit $1.00 for each one thouaand cubic feet. GAxAGES 2.4. For aay such permit for the erectioa of any non-fireproof garage� .- warehousa, factory or grain elevator, or for the erectioa of�any non-fire,proaf addit3.oa, -for-similar occupancyf to any existing building or for each s�ch � ,.._. building or addition - niaety cents ($0.90) for each one thoueand cubic �eet or fraetion thereof, in the cubical caatents thereof with a minimum of $4.00.- For the purpose of camputiag fees for building perm3ts, the cubical coatents of anq buildiag or addition to a uniform heig�it throughout by multiplying the �rouad area covered from a point six (6) inchea below the floor line of the basement or cellas to the average_height of 'the upper aurface �r to the average he�Lght of the r�of surface of the tnaim gable of a p9.tched roof. 2.5. For repairs or alterations to an esisting structuxe, the fee ahall be at the rate of $3.00 per each Five Bundred Dollara ($500.00) or fractioa thereof 3n the cost of all proposed work. 2.6. Ta no'case sha11 the fee,�_cl�arged..for.any-permit as set forth in Sectioa 2 be less.thaa $4.D0. P'�� d��,.�, �. ..°.t,, �� ,..... sue�ecr p City of Fridley _ 20082 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T� r � � RECEIPT NO � `L __�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ��/ —� f� ' 40 8�[f � ' i � � �"��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVE� BY �"""� � ��' 612-571-3450 910-F15 8/25/89 � � JOB ADDRESS 582 Hugo Street N. E. 1 LEGAL LOT NO. pt� 3 BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 38, 39�, Pt. 4 H Riverview Heights SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Ruth Cyson 582 Hugo Street N.E. 780-2122 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Res identia.l 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE �] REMOVE 8 DESCRIBE WORK Remov�e Old Gaxage and Cons.txuct a 20 � x 24 �_Garage 8 CHANGEOFUSEFROM TO STI PU LATION S �rovide a hard surface driveway . SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL 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 PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $% � OOO $3. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FiEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. tiS`�O.00 PLAN CHECK FEE TOTA� FEE $93.50 SIGNATURE OF CONiRACTOR OR AUTHOR12ED AGENT IDATEI '. WHEN PROPERI.Y LIDA7ED THIS IS YOUR PERMIT �. _ �,""d � � �lm ��9 � �1 �� SiGNATURE OF OWNER iIF OWNER BUILDEHI IOATEI " BLOG INSP �aTE � [l �� [ ] ALTIIt � � o�nst,n�ction Address: � �o� - Le9a1 Descriptica�: owr�er rrame a Cbntrac�tar: A�l AND R-2 m,� i a; 7 Piermit Applicatio� n Addres.s : " Effeckive 5/1/88 � �� . � '�� a � Z1e,1 • # Attach to thi.s applicatiaa�, a Oertificate of S�uvey of the lot, with the prq.�ased �ian drawn o�► it to scale. �'r_ �+• �• •: •�` �,,�{;.��/sY��+�l LTVII�G ARE�,: Length Width Heic�t Sq Ft. � A�: �� Width • _ ,: � Iieight _ Sq. F't. M� DDCR AREA: Lengttl Width __ �ygt/� Sq. F't. O�: Corner Iot [] Inside Iat [] Ft. Yd Setback Side Yard Setbacks ZYpe of Oonstnx,�tion: _ �;.1 �-��:,�.,n � Fstimated (bst: $ �� Approx. C�ampletion Date: ��' P��oposed Driveway Width If New C)penil�q Is D�sit�ed• ��V� Ft. $ $ Width + 6� See Back Page I�ATE: - �'oQ, APPLICANP: � '1�21. � �JBCJ ^�/ � o�. Permit Fee $ "�'/ a �tate Surci�arge $ �, �� SAC Q�ge $ Dtiveway E.��vr„r $ Park Fee $ Sewoer Main �-uge $ . v• S'I'IPIJIATI�IS: $ � n � �"�± �I�i� � ��- �- ��= �R= � CIR'Y �E QJLY F'ee Sc�edule an Reverse Side $-50/$1,000 Valuatiaai $575 pet SAC Unit Alt. nAn OZ' Alt. nBn AbOVE Fee Determiried by �i �,�i � � N�Y [ ] Not NeoessaYy [ J � r_ � ��....�� i�4' �� '�'�� '� ��.�f ..� - a� j ,i�� _ i „ � :�� f ' �'. � - :�: : •:I:n� 1 - Zhe Chief Buildirx3 Official ehall, before is�in� p�rmits for the erection of any buildinq or stn�a�e, ar for atiy atlditiaai to any existir�g building or stn�4ire, or for any alteraticn or re�aair to any e�dstir�g buildin� or stnicture, upcm aPPli�ation therefore, raquire the payment by the applicant for axii peYmit of fees to the amo�u�t herein below set forth ar�d in ti�e manner i�erein prwided to-wit: TD►rAL VA11JE $1 to $500 $501 to $2,000 $2,001 t.o $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �:�. S15 (Minimmm F'ee is $15 plus s�a�arge) $15 for fizst $500 plus $2 for each additional $100 or frdCt,iCr1 t2]ereof, to al'�d ]ilCludi.rrg $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fractiaai thereof, to ar�d inclwdirx� $25, 000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fractiaai th,ereof, to a� iriclwding $50, 000 $414.50 for fixst $50,000 plus $4.50 for each additional $l, 000 oY' fractiaa� thet�eof, to and ir►cluding $100, 000 $639.50 far first $100,000 plus $3.50 for eadi additional $1,000 or frackion thQ.reof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1, 000 oz' fractiCa'� thereof, to and including $1, 000, 000 $1,000,001 arid up $3539.50 for tire fizst $1,000,000 plus $2 for each additional $1, 000 or fractio�n thereof BtIVL�►Y �PR'ESSICB�T ESCROW (Oaa�ctete Curb Streets On1Y) Alternate ��A�� ; Re�aoval and replac�oent of ��d gutter only - DriveWay width plus 6 feet tim� $13.50. Alternate "B" : Re�val �sid re�la�ment of aub and gutter ar�d install a 3 foot wide approacii with 6 itrh de�th - D�iveway width plus 6 feet times $15.75. • �• ■- ... .. .�- -. ��,,.�._� .;,� Penaits for ooa�structica� t�till be is�ad a mini�una of 24 �s fram the time of application to allcw for proper review of the gtq,�osed str�+e ar�d of the coc�sti�ctica� site. A Oertificate of �� 1�� location of the faux�ati� a�oe it has it has been c�onn�trueted will be req�ued before pra�aedis�g with the fr�nning. °� - . .� c�. C. c�o�uc� a�d ssociates . Te�pfione 421-6340 � , r�e � LAND SURVEYORS . Maka, Mev�esoto C�RTIFICATE OF SURVEY: Ben Krdwiecki ?q1-117•58 f � ./ �-J- 't G� S�a N� �O � � � � \ � 1 1 1 � � 1 � �O 1 �S 1 ; � 1 � ` , 1 1 1 � , 1 1 ` 1 � V No � � 1 �_s-F �510 � � DENOTES �D IRONS �'rd ' . ;� � �, ^ G � v , �� 1 � �.2�`b� � 0 P�`'E`i u Lots 3�, 39, M1est 5 feet of Lot :;0 and ell cP Lot 37 eacept the weat 10 faet thereof . R I YF�t VI r'�f H EI GATS Anoka CoLmty, I�inneaotn 1![RBY CERTiFY TNAT TN,S � A T�lE AND COlRECT �SB�fTA110N 01 A StlRVEY OF Ti� tal�lDA�S OF TI� AlOV! OESCp16ED LAND. AND TNE LOCAiION Oi Atl il�,Dl�fGS. Tl�FOl� AND ML V�E 9iCROACNMBJT3. IF AN�. flOM OR ON SAID IJ1ND. AS S�ltvEll� 6Y ME Ti�S 2� t!1 a►,r or .._..... S eP teedber. �o. 19„� 2 . N. C NONM M1D ASS�M LAND SiJRVEYORS � _ ,.�� ,; , �p ��s. { g, . , - — � — - �d�` • — , q - -?'S i•� yWa�mp, nM.�. . p'"K,�,��' . - � ,: ' - �F ��3�'�'� 3"' ,' ��"'�+,� �� t,� � ' , � _ � ,..i^'�E '� r�it.�C �; ,t�,,, " - . � A � v �.. _ _ - . . �� -•� : ,y; �, s <� � ' sue�ecr MIT NO. ' City of Fridley 2 9 7 6 � AT THE TOP OF THE TWINS � � � L D I N G P E R M I T S � RECEIPT NO. � `y __.__ COMMUNITY DEVELOPM�NT DIV. f � � PAOTECTIVE INSPECTION SEC. � �� . . `-__.�� "' �'� CITY MALL FRIOLE� 35�32 Nu►�BE AEV O�TE vAGE OF �GVpOVEO Br t 61�-571-3450 g10-F15 6/24/99 � � 10B ADORESS 582 Hugo Street NE t LEGAL PtT f 37�40 BLOCK TiiACTORAD01T10N SEEATTACMEO DESCF. 1 0 8 Riverview Hei hts SNEET 2 PqOPERTY OWNER MAIL ADpR�S$ ZIP PMONE Tim Rider -11 3 CONTRACTOR MAIL ADORESS ZIP PMONE UCENSE NO Precision Roofin 200 W 8 I ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAI� ADORESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOF;K O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOpK Reroof house and ara e 22 S Tear-off 9 CHANOE OF USE FFOM TO STIPULATIONS ' Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE iiEOUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CON T. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCT�ON ZONING SO. FT CU FT. AUTNORIZED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDEO OA ABANOONEO fOF A PER100 OF 120 OAYS A7 ANV TIME AFTER WORK IS COMMENCEO. NO DWLG. UNITS OiFSTREET PARKING I HEREBY CERTIFV TMAT I HAVE READ AND EXAMIN�D TNIS APPLICA710N STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIpNS OF LAW$ ypLUATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WQRK WILL BE COMPUED WITM WHE7HER SPECIFIED HEiiEIN Oii NOT. TME GRANTING Of A PERMIT 1923 �. 96 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEFiMIT FEE SAC CMARGE PROVISIONS OF ANY OTMER S7ATE OR LOCAI LAW REGULA7ING CON• STRUCTION OR THE PERfORMANCE OF CONSTRUCTION 69.ZS Fire SC �1.9L PLAN GNECK FEE TOTA� FEE Lic nse SC 5.00 77.13 -- S�GN4TUpEO�CON:AACTOpOAAUTMOA�2EO4GENT �O�iEi WMEN PROP V VALI ATED THIS IS YO R PERMIT a t i S�GNeTUqEO�OWNEA��OWNEp9UROEp� �O�iE� � B OG �NS� � q�tE � _4 3 . r -�� . ,_ . ��,=� [�� Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII..DING PERMIT APPLICATION �� ` � � � �� 1,. � � Construction Address: � , Legal Description: Owner Name & Address : , � �••� � }G��p�, Tel. # �7`iZ— � � Contractor: ��p�, �� NIN LICENSE #_�e,i�11Z2.[� Address:�G, �'j� �T. � �'_� �-L��C:TO� Tel. # �''''`�O'`�'�' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. I.ength Width Hgt/Ground Sq. Ft. Za . Construction Type: �� x?S��C��Estimated Cost: $ , Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$, DATE;�?�-I� APPLICANT:...�+i�tt+� �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ (0 9'- o� 05_ $ l • 9 v"2 $ � 4 Co $ $ �`- � a $ $ $ $ $ ''%''"/ , /� CITY USE ONLY _$ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licenserl Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �'e ., � 9�� ; i�� 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 appli�ant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � ` TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,Q00 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, :to and including $100,000 $100,(�1 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $1,000,001 and up $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof,'to and including $1,000,000 $5,608.75 for the first $1,000,0{� plus $3.15 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 $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATIO1o1 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 �vill be required before proceeding with the framing. r= -