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AF - 46730City of Fridley, Minn_ BUILDING PERMI7C N° 5'797 nate: �.."" ,�p ..�.- �-�' � owner: ' Adclresa � Address f . LOCAT �NG � No.'�� Sfreet .-� �' � ��.�i P Lot Lot -� Block ...—. Addition or Sub-Divisi� .� .. ._._. _ J� Coraer Lot Inside Lot Setback �, Sideyard _� � Sewer IIeval3on � _. Foundation IIevation DESCRI �TI N OF BUILDING To vsed : � +�%j,� Front � Dep - Height ''"�_ Sq. Ft 1�� Cu. F't ��l� Fro Depth � Height �...�y� Sq. Ft. Cu. Ft. .r � �ri� To be Completed Type of Construction Est. Cost .,�r In cons�tderation of the issuance to me of a perrmtt to construct the buflaiag described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with ell Provlsiona of ordinances of the dty of Fridley. � In consideration of the payment of a Pee of $��-, P�t fs hereby granted to to construct the buf��ding o'r addition as described above. Thfs permit ia granted nPon �he express conditioa that the person, ta whom it ie granted and his agents� employees and worl�en, in all work c�one in, around and upon said builchng, or anY Part thereoP, shall coffiorm in all respects to the ordinanc�.s of Fridley, Minnesota regarc]ing locatioob„ construction� alteralalon, :naintenence� Tepair and moving oP buildinga within the dty limits and this permit may be revoked at. an3' time�u On viol� aay of the Provisions oY said ordinancee. ,� Suilding Inspector NOflCE: This permi� d°oes not �ovee ths construeHon, 6�staQation fo� wiring, plumbing. 9as heaHng, aewer or watar. Be snre to �ea !hs Boildieg laspaefor fo� aparats permNs for f6ao tiaen. �� +��. �� 'A 4 � �� i �.ri-1 APFLICt�TION FOR BUILDING PERMLT CZTY OF FRIDLEY, MINNESOTA Owner' a Name C��/,�S %/=J(�' /�2 � Co � S�� k' Builder '� f� /�?. �: Addres s � ,3 � G� �/ / N � Y !t A/_ _ Address ' � � LOCATiON OF BUILDING No. ��/ Street /� f/ L f� Part of Lot Lot�O B1ock�Addition or Sub�ivision j� � l�� 1P �/�� BV 1�� l�//T� Corner Lot Tneide Lot � Setback Side-Yard %�� ,% e% r SEWLR EI�EVATION FOUIIIDATION ELEVATION' Applicant attach to this form Two Certificatea of Survey of Lot and proposed building location drawn on �hese Certificates. To be used asc DESCRIPTION OF BUILDING FronC � � Depth� eight � � sq. Ft, 9�[� _ cu. Ft. 1�,.� d-o Front Depth I#eight Sq. Ft. Cu. Ft. Type of Construction /- f��f /� �' = Estimatted Gost / � _ To be CompleCed % � � �'f.ie undersigned hereby make�s apgTication for a peraii.t for the work herein specified, a�reeing to do all work in.strict accorda�ce with the City af Fridley Ordinances and ruliags of the Depar.tment of Buildings, and hereby declares that all the facta and repreaentations �tated i� this application are true and correct. ' DATE � ,� ' SiGNA1'CT.RE e (Schedule of Fee Coets can be found on the Reverse S3.de). ��._ � n w -. � � � , . ':'s r BUILDING PERM[T �EE SCHEBiTLE Sect�on 2. Z'he inspector of Buildinga eha11, before iasuing anq permit for the erecCion o� eay bui�.ding or �tr+ucture' os for any add�tion to any euist- iaa� building or etructure, or for any alCeretioas or repa3ra to any.e�iating buil,ding or structure, upori application therefor, xequire th� paymeat bq �he a�plicant £or auch permit vf fees t� tha amount herein below set £orth and in �he ma�sne� �herein provided �to-wit: . 2.1. F'or a.ny such pezm�tt �or Che erection of �ny fire-proof building, other than a garage�, warehouse, 8acto�y or grain elevator, or for the erection of aay fire-proof addition, for similar occupanay, to anq existing building ehaTl be �t the rate of $�.4�°for eacti one thousana cubic feet, or fractioa thereof, in such cubical conteats. 2.2. For aaq such permit fox �he exectioa of aay fire-proof �erage, warehouae, factory or graia elevator, or for tlie erectioa of any fire-proof addition, for similar oceupancy, to.eay exiatiag building sha1Z be at the rate of y1.25 for each one'thousand cubic feet; classified as 9ofireproof'° by Section 502 of � the Minneapolie. Buildi�ng Code. 130_ US�S 2.3. For any such permit for�the erection of any non-£�Lreproof buildiag other thaa a garage, warehouae, factory or grain elevator, or aay noa-iireproof additioa, for similar occupencq, to any existing building - perm3t $1.00 for each one thousaud cubic feet. GARACF:S . 2.4. For any such permit for the erectioa of e.ny noa-fireproof garege, warehause,'factory or graia elevator, or for tlie e�ec�ion of any non-fireproof addition, for similar occupancy, to any.exiating buildiag or for each such building or additibn - niaet�y cents ($0.90) for each oae thousand cubic feet or fractioa thereof, ia the cubical conteats thereof with a minimum of $4.00. For the purpose of camputing fee� for building permits, the cubical conteats of anq buil�ing oa addition to a uniform height throughout by multiplying the ffiroun�d.area c.oyered from,a point sig (6) 3nches.below the flvur liae of the basemeat or cellar to the average heighC of the upoer surface or to the average height:of the roof surface of the main gable of a pitched roof. 2.5. T'or repaira or alterations to an exi�ting structure, the f�e sha11 be at the rate of $3.00 per each Five $uadred Dollars ($500,00) or fraction thereof in the cost of all proposed work. 2e6. In no case sh�11 the f�e charged fos any permit as set forth 3n Section 2 be 1,esa than $4.00. ^ �"`� r�- -° _ �:� � ,.A ��^ ��. ,. . � _ - . . _ „b � - i�` } . °�"'�'2"r.� ss � ' � rwi+ f ��$��g ,� -fr�� s t . . . . .. . . . . . - '� �'�� ? �' ' $�� . i � r� .� �� ^ � .� s`: �,`..." ,�.°�f µu� P'' . y ° i� "�` ., �r r � �;� �. .� � ,�� `, �" : 4 t �x s:�� '+ T �-,+� �i` ��hM�� 1 �,�4Mi�� ` �,, iY� ��y� ♦ ' 'i -� 5' . �'r ' d„ �,. � > �. : �'i.�.�,�s�'� . . . �: ' .-. .^ ,�, x - _ . , � . �, .�w, ' �, � � v .. . : . . . . . .-<-. , ' - - . , , , . .. �. � � . . . . .. . . . �:!. .5�., +ti : .;� . � - - _ • Q y�. ' ri cs � � � . . .. . . 7��•�� i�'�'��r#'��:� � t ;. �r �. � , � � � � ; °� . -. ' . . �' � . - v� . . " . . . . . _ 'uw""`rr,� `+ � (� y � .. - �. .. . . . � �� 'T'� �� v �W+ �?°w�., ,�ii l�� . . . . . 3 . �} M �,� r �� . � ' �Tlf�TE O� SI�RYEI(s - � :; ,� � { � � Che�ter Mac�a�ze� _ �,�g�;��„7�? � {�'; -`. , : � � :,— 50•0 — : �:� � : . . i � ,�� ', , . • 1 r,�t � � �� '"�. .. �. �� , : � 1 {� " . ±J � - �- i � .� . . .' . � • - � � - __. --sf . _:.�.. __. _� �-�__�.:�-- _,-. -.�.�..-�. ;�� , . , .: . _ __ r . ,. .,_ � � —. ,j , , �,. , = . , � �' . r- i { � � �� f iS� �� £' � A' �"� i �x�`� � � �t � x� ,� t��.�to-r�.,s iRO� ' , p , - 0 � �� 4 � � _ a/ ,. � � � . . � �. � ; � ' � . � ( .. � : ..� . . . y...� � �' � � : r-s-F I c�s-F � � � �� , * ��, ��t �: _� _ . ��`ti I � :z � '.��. � ' ,; o � � w ��° : � � � � �� _ � � "� � _, _ - .��_ _----_ _- _! - n - - - : �..-.�,._...-� �,. �� ;. � __ _� _� �.,�Y— �= _ . _ . . a _ _ .__ �,�,. _. ___ __ _ _ _ _ . , . r. . .so+--a.��u..:-. __.a:_.�.. ..--�_..-..... . �. .. . . .3 t � .� . . ` �. � � . .. .�. � i . � ��:� .. . . . . . . Y� .. . � . . � � - ;:, � `- _ _5a�,o'-- ' �� _ ��-.�. Lnts 9�nd 1�? �-�1 U60 J T;2E�T �,�,� : B1flCk R , �: R'�vervi ew Hei�hta �� Ano'�a Co�in*�,�, rqinn.esota ; . . � �� . i!�Y CLRTIFY T1iAT tNS IS A�UE AND G�RECT RE1r�E5B�l�At10N OF A�t1f Of f�i1Q{M�.Q� "�'� � - f, r�;r 'DESC� LAFIDs �MID THE LOCk110N � Ay#1 WLLQ�iG3� THEREON► AJiCI Ati V{$� 11#C�?JIICMMEKf� � A�i l,� Q�,�s� - ��f� y; LR14D: �. - : t .�,. � � AS St#�WEYRD �Y ME TiOS 2 :1. �?.+... DAY Q! ..... � 8 T'MC�;1 . .. . .... .. ................ ... ..... ... A.Q .19. .�'.�:• •' ~ `�� : .�� F , l�1. G ttQ1UM��D � . , , ��S `�� ,�� ,. � � 4 � . . � . - � . . .. _ _ �.: .: - . . . . . . +� �.. _ •. � �, t � � `Mx ��'S ' � ... . . • �� • � �� ` ` �� , �. .. � ... ... ..... ..... ' s ........, .N�• "f+"'�' �^�,�ltiifii�f�` ��. Y� � � �.i` �w.��'+L�e�wn' � j,`"^a t.� . . . � taN� L.rr � - . � .,. .. . . -:` .: . .. . . . . . : ... . . ... . -. . :: - . . < � s 'q. '� � . . . . , . � , . . . . M1z: - ^;,; . . . . . . . . . .�4.. ~:.(� � . � � - � . •;F'�• � a � � 0 � � � � � � N � � z 0 H � �' N 3 � 0 � x �xx'° �"�� °z~'" � � � o �r � � z �� y �.. t� ¢ w ''� p � � `° ~ � n�i o � � y N � � o � o � O � • O • � . . � : : � � � � x � "�p ro O � 0 0 0 0 O � �� . . . ; � : : : : � : y � : �, m �a �a �e o : � � � � N � � 0 o e � a �fl fA �fl � <!� y G� 0 � r �� m w `,Q � � � I � �� 0 0 r � � � x C � M I W 04 � w � ;� �'. � �! � �' y O � y O � � � . � � � �: p' : E: �� a a 0 0 � � ',� ',�' � � x� o � $ � M ' . t� � � � f�! ~ �° x I � O � H ' R° � I � � � � O �0 _ � � � eb � � � �N�� 0 0000 �n �» &s r» �n O � y � I � � � P� � � � � � � � � � o R. y � � � � d � � �\ � €�o 'd � � O ` x ° o� � � b� � D� � � .°. bd �' � � o � _ �z � � � � _. � O � z � � � � � � � cbo � � � 11 � 1 m � z 0 � � � 0 o' N � � � � g �- � ��o �x � b � � �� t� t� � � � `� ��'�'� � � ° � R° � 00 � � � � n Q �'r � � � ' vr � � � y� o a, � : G •• � O . . o � ' O 0 ' O o . . . � o _ . � . % . . N��N� 00000 i!! bf � � �� a � t�A � � � � .- . - � n � � � �y m r� �; �` �C � y � n m 8 ��pp � ��°�� i.� � M A3 A;, g'° A p O � � � � � � � �' : �i � a�': : � . . e�i� ° ' : O p . . Cp . . O . . . ��,�� 000 p O O Q � � H H � o p �� ew} r � R' O+ n `C y �� w o � �� p �� S"V G�p� �4 � �oa °� �° � �. _� �b o � ��-o � 1 � p � '< �� o � �p�� yPi � �� ' ��a ,� OyM� p�mo ��Op �' �, o �y y / ��m N a � �, � �� y �� O � �y � � r N p� m� � �� --a N- - ��.�-- -- -- � � r � �"� m y 2 m C m d ro M � `� � � a � � V O h �-. M' � � • � � � a� � � 0; ,� �,a ._ �� h ' , �. � v� e. � �I • � � 70 � � � 0. �<�� 115�Jd -y9 -- - - - - — _ _ — -- - - - _ - _ -- -- -- �--- � - - -- = - HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINCS ��, //�'�S MINNEA►P01.IS. MINN• Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19— % Fl.� �(� i�i Room � Length Widt Height FI.� Room Leagth Width � Height Windows an Doors—Crackage a d Area Windows and Doors—Crackage a d Area �Vldth Helght No. of Llneal f. Area Wldth Hetght No. oE Llneal ft. Area No. of pane of pane lighte oP crack eq, ft. No. of pane oY pane 116bte ot crack eq. ft. � 0 � l0 � � �P � � � o� � �.? / Btu ) � � Glass ,,j—..S � � ,T� Exp. wall � /� Net exp. wall � 2i� � Int. wall Ceiling Floor (� ,S D Total Btu. �i`� � � Required sq. ft. E.D.R. or sq. ins. W.A. Le er area F7.� Room ( Length Width � Height Windows and Doors—Crackage and Area Wldth Hefght No. oY Lineal tt. Area No. o[ pane of pane lighte ot crack eq. tt. Coef. Btu In6ltration � `� � 2� � Glass � � Exp. wall Net eap. wall a� 0 Int. wall Ceiling Floor / o Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Lea er area Ft. Room � Length Width l� Height Windows and Doors—Crackage and Area Wldth Helg6t No. ot Llneai ft. Area No. of Dgne of paae Ilghta ot crack eq. ft. � 2 � �— � l Coef. Btu �'i Infiltration 2 � � � `/ 2 ' � Glass � ✓'� � �T� �p. Wau l Net exr�. wall / � � � f� '� � I Int. �all i Ceiling � �lo"or � ��' � ' Total Btu. � � '� Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Infiltration Glass Egp. wall Net egp. wall Int. wall Ceiling Floar Total Btu. ef. Btu �� Za � �Y � � � Z� s� � o v Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� Room ( Length Width � Hei Wiadows and Doors—Crackage and Area Width Hefght No. o! Llneal ft. Area No. of pane of pane lfBhte ot crack eq. Pt. � a /_ s � � / / �' Infiltration Glass Eap. wall Net esp. wall Int. wall Ceiling 0 � � i Floor / � `T i � Z � Total Btu. L �!� Requued sq. it. E.D.R. or sq. ins. W.A. Leader area F1.� ' d/ oom I Length / Width Height Windowa and Doors—Crackage and Area WIdCh Hetght No. of Lineal ft. Area No. ot pane ot �pane ❑ghte ot crack eq. tt. � . � � � / � z L �- / o rJ �� Coef. Btu Inhltration (� ,�' t3 O � I� Glass Exp. wall Net exp. wall Int. wall ICeilin Floor �� Total Btu. � � �' v � uired sq. ft. E.D.R. or sq. ins. WA. Leader ana � � M d � � � O � p � : � : °x : � . � ; M : o � a . � 0 ' � : � • � � � C �'; �; � � •� H � � W � � � � N � o �° � � � o � o � o : o . O . � . . � . . � 9E 4d N �a � � o q O � ga tf! H O � � � � � � N S � � � m � � � x 8 � � $ � � � y� � � . � � "� � �,� �� '��+ y : O � � P ii ¢' O N � ,� � : � O a G�+ N : A � ; P/J � O ; �� . � � � . . . , Q . ' W : : : : : � : : : : T � p4 pQ p4 >E DC >d w n� ca � r � 5d c�i� P C�n o O p � tn tn tfl tfs �n t�s � y H � � i � 0 � x �. � c►3 1 � � �� p � 0 �J Q � ,;,, � � �� D � r � m �^ `J 2 m C r m � • �P w p r. h7 � sz p, `� � 8 � � �� o � a' � e � '� � � �� r�+ �1 i � ° � �� $ R' °� l7d a� y � � � � a u�a � �' w � g � I _ o WATER C�osers URINALS enrH �� e�siHs SINKS � wnsH TRAYS DRINK. FOUNT. sr+was. FLOOR C DRAINS CATCH B/151 NS nuro WASHER G0.S APPI. GAS RANGE GAS OPENINGS � • z • N D A � � n �o �� a �" y �� H R' V y � � i� � 4� � � �� n om5'�' � y � � � v1 " � � c�o � O y N � � �i � ��$�` � � �� . � �� \p' � � p \��a� H � � �E � � 'C �� t�. a�� '� a,�+y� y r"3� {�' f'' fD 'J. I � M 3 '� r• � � � � � �' d � Ay 'O w� Rx � �°n p � M � � � m � � 0 � � �� i � � � � � � � � � � d a � b » � � M � � :� �. o � � A b � � � ` � � � �1 � � �� / Caty of Fridley, Minn. N° 9343 BUILDING PERMIT Date: ._ June 28,1967 p�el; n�}� M. Stenber� g�� Owner l,ddres� �. �. Hu o St . N,, ral. ,�d�gs Same - LOCATION OF BUILDING No. 641 Street Hug o St . N. E. __._. Part of Lot �,_,_9&10 __ gl� R Addition or Sub-Division .� �IIerview Heights Corner Lot — Inside Lot � X Setback 85 �—_ Sideyard 3� Sewer IIevation �— —. Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: Garage �t _16' �p� 22' Height 12 � 8�� Sq. Ft, 352 ` �y � 3278' Front Depth fTeight Sq. Ft Cu. Fk 7.j►pe of Construction Ti�a�p� F�� Cost ��O.A...BA__ To be Completed ca.,t- 7 i cati� In cons�tderal3on of the 3sauance to me of a permft to construct the building describ¢d above I agree to do the proposed work in acc�rdance with the description above set forth and in compliance wlth a'll prwlafons of ordtnances oP the dty of Fridley. � � ,> Ea consfderatfoa of the payment of a fee oP $ 8• �� , permit fa hereby granted to �onald M. S t enb er� to construct the building or addition as de.acribed above. This��mi t ia granted unon the express condition that theperson to whom it ia grented and hia agent�, employees anc� worlanen, fa all work done in, around and upon said building, or any►p�r� thereoP, ahall conform in all reapecta to the orainancee oE Fridley� Minnesota regardfYg local3on, conatruct�Ton, alteration, ma3atenance, repair and mcv7a� of buildfn�e within the dty ]imits and thia pernait may be revoked at ar�y time upon violation of any of the p�viaions og aeid ordinanc.�. CLARENCE BELISLE Builain8 Ina�ct�r Nonc� 'I�s peneM doas not eovsr �6s eo�trnetioe, Ie�aQadoe �ee wiriag, plumbtne, �a 6aNng, awu oe wah�. B� wn to s» t6o Bnildiu� Inspeetor fo� wparat� parmib Por t6�a t�s� A.�MI.t.��i�rL�d.i�J:`1 !�'I.i:� �i.�T1�StD �FiC7 D..r'+ :t� �T c�� o� ;�iw:��:�, r��.;�sc�a OWNER' S NAME 1� (�/y c�`��.� ��,�fit�s��.•DER� �/ ��i��.�"� �r' � . ADDRESS �' AJ�P.ESS� / LOCA�ZQN QF BUi�,DI:+G N0. ��/ STREET �� PART 0�' LOi o �_ � LOT 9c., ,� 0 BLOCK � AD��TiOV OR S J��VIS��t� �,� e�� e w H� e� �a �,� CdRNER LOT INSIDE LOT X_____,SETBACK _o� S�33E�YARD ___,? _��-,�- SEWER Ei,,EVATibN �OL�T��E�.ffi�Q2d �I,EVA��ON Agplicsnt att�ch to this form Z'wo Cextific�tes of Su3cvey �f i�ot ar�d proposed bnilding location drawn on these Certi£ic�tes. DE5�CRiPTZO�I OF BUILDIt3G To Be Used Asi : s �� g/�� Frant� CP l�epth Height /� � Sq. Ft . � , � Cu. Ft . � ,�,4? �' Front � Depth Height Sq. Ft. -Cu. Ft. Tppe of Construction �/��,L � �Estimatecl Cos� � �� Ta Be Completed � �.�� ,� a ! � �, � The undersigaed hereby makes appiication for a permit far �he work herein specified, agreeing to do all work in strict accordance with the City of Frid'!ey Ordinances and rulings of the Depaxtment of.Suildiags, and hereby decis�res that all the facts snd regresentations at2ted in this app:icatio� are true a�ad correct. DATE 6 �,��,� SiGNATURE (Schedule of Fee Costs �an be found on the Reverse Side}. � , � �� ,�. � �-� �� .�� _ �� . :�s - .� �..�- � P BUILDING PERT�'IIT FEE SCHEDULE SECTION 2. The Inspectar of Buildings shall, before issuing permits for the erection of any building ot 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 arid in the manner herein provided to-wit; Ur..iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic f2et, or fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each one thousand cubic feet. .. : � � - �. . For the purpose of computing fees��for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches beloc� the floor line of the basement or cellar to the average height of thz upper surface or to the average height of the roof surface of the main gable of a pitched roof. , Fcr repairs or alterations to an existing structure, the fee shall be at the rate oi $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed coork. ° In no case shall the fee charged for any�per�it as set forth in Section 2 be less than $S.00e 1VSSSD Connection Charges based on location- Area 1 or 2. 0 � - � � `�i � � • . . . �, -� .�_,�,s - � .� --r City of Fridley, Mirm.. � 1 �, . 6431 University Ave. N. E., Miiu►eapolis, Minn. 55432 BU�LDING PERIVI[T ��; _ June 27, 1972 p�a�; _ Donald M. Stenberg B�� Same ,�,d�.�s 641 Hu�o Street N.E. Ad� Same — LOCATION OF BUILDING No. 641 �„ g�t Hugo Street N.E. • p� op �� Lot _ 9� 10 __.__ Block _ R �__ Addition or Sub-Division Rive?rvi ew Ne:j,ghta Addi ti on Corner Lot __�.�� Ins�ide Lot X Setback Sideyard Sewer IIevation _.._. . _ Foundation Elevation ___ DESCRIPTIOIV OF BUILbING To be Used es: Garage ��nt 16 � I?epth 22 � Height 10 � Sq. Ft, Cu, Ft, _._.__.._...._ Front Depth Height Sq. Ft Cu. Ft. Type of Construction Wood Frame �� $1, 250. To Ix Completed 1 month Stipulation: Provide a hard sur�ace driveway In considera,tion of the issuanoe to me of a permit to construct the building deseribed abovG I agree to do the proposed work in accordance with the description above set forth and in compliance with a]1 provLsions oY Ord3nanexa of the city of FSridley. �.L��i ,,t � _ .62 State Surcharge . In consideration of the payment of a fee of $�...��_..., permit is hereby granted tb '�on 81�:� Stenberg to construct ihe building or addition as described aUove. This permit is granted upDri the express condition that the person to whom it is granted and his agents, employees and worlunen, in s11 Work done in, around and upon said building, or any part thereo% shall c�nform, 3n all respeets •to the orciinanCea oF Fridley, Minnesota regarding location, construction, alteration, ma3ntenance, repair and moving of bwlldiagB }qithin the city limits and this permit ma.y be revoked at any time upon violat3on of any of the provisions of �id NOTICE: . This permit do� aot eover the wnstruction, insfallation fo� wirins, plumbing, gas heeting, �en►e� or wafer� Be son fp ses ths Buildine Inspaeto� fa� separate peemits for theae hems. �.. s.r- �� ti . ti AP.P��CATION FOR RESIDENTIA�, A�T�RATIO�, OR AllDITION BUILD�NG p��IT CITY OF FR�ALEY, MINN�SOTA OW1�IIi � S �TAME r �' . ��'��,;�.� ILDEB : ,�j1y��/ e e s� � 17 �nn�ss : ,�� ,� �� A �/�„� A Annx�ss : „��.��.�' . __�__ �to:�� „�J s�E� N ° �A I+O� : � �' � BLOCK : � ADDITION s �1 .��.�►�''��"°�� ' � ,�'��,^,- ,��- � CORNER LOT: INSIDE LOT: �/ SETBACK: SIDEXARDo �...�.�. i�pplicaat attach to thia fo� 1�o Certificates of Survey of Lot aad propA�ad buildiag location drawa on these Certificates. HESCRIPTION OF BUILDING �o Be Used As: ✓ �� 6" �� Fr�nt:_ / � Depth: �� fleight: � � Square Feet: Cubic Feet: ' Rront; Depth: Height; Square Feet; Cubic Feet: '1�►pe of Constructioa: �ll�� ✓ ��',�.��3,� Estimsted Coet: $ /� �� e�s�r@}�Ie m �!!� To Be Comple+ted: � ,.� � , / `� �,� � The undersigaed hereby makes applicativa for a peslmit fos ti�e .wQ�c1c '��iC��'1 spec�#�,ed� agreeing to do all work in ettict accordance with the cit�►► �►� F�r�,dlery� 0=dinaacee and ruli�ge of the Depart�ent of Buildin,ge, aad '�e�� de►cla�es that all the facte and repreaentations etated ia thie ap�i�,g��,� a�re true and correct. ��.il i � O i�., �/ �� iVl�llYi�Ca : i•.;�"'a"�� !°.� i �%r,� � � i r �� 6.r�.�+.�d�e.�fs.e.W� � (9e� �everee Side For Additioaal Information. ) s�%� c� � � �l -� � S � � ( U� �i r �� , A � � -�'i� � � —Q � r� t� S� r�. c f� a,�� ---� I r ,� q � w ''L ., $UILDING PER�IIT FEE SCHEDULE S�CT�ON 2. The Inspector of Buildings ahall, before issuiag pes�ait� fox thg exection of aay building or structure, or for a.ny addition �o any exist�n� buildiag or structure, or for any alteration or repairs to any ex�.sting buildiag ox structure, upon application therefore, require the payme�,t by �ii� app��.�ant f4r such permit of fees to the amount herein below aet forth and ii� �he manner herein provided to-wit: UNIFORM BUILDING CODE: �ype 1, 2& 4-$2.15 for each one thousand cubi,c ��t, ox fraction thereof, in such cubical contents. 1j►pe 3� 5-��.$S �4r each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computiag fees for building pesmita, the cubical contenta o£ aay buildiug or addition, is determined by multiplying the ground area covered fsom a point six (6) inches below the floor line of the basement oY 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. �'or repairs os 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 ia the cost of all propoaed work. Iu no case ahall the fee charged for any permit as aet forth in Secti,p� � be le8e than $S.Op. VERIFICATION OF FOUNDATION 1�TpT�; Permits for eonstructfon will be isaued a miai�um of 24 houxs fro�p Che� �ime of applicatioa, to allow for proper review of the proposed structuse ati� of the conatruction site. �A Cextified Survey of the lot, ehowing the location of the foundat�p�A p�a� �,t kaaa been constructed, will be required befoxe aroceeding with the fxan�a�• CERTIFICATE OF OCCUPANCY Application for a Certificate.of Occupaacy ehall be msde ten (10) days ��,s�� p the use or occupancy of any structure for which a building permit k�as 1��s'� ieeued; and said structure shall not be used or ocoupied until a Certificat�t o� Occupancy haa been isaued. .� . (,�• �• C�o(,(J�.��1 a,�� ,� �ssd�;c�,��s 'C'1c. Tefephone 421-6340 � � LAND SURYEYORS Anokcr, Minnesota CERYiFICATE OF SIiRYEY: ' GnestEr �:�i' � �i92��: F� ?�' ' 17 _7c. -- 50.0' _ 1 3' • •, r' ` � ` Z Z�Ga r, 3' I i ! � �i �.� � f ,'` � ;. ��: � .; •t' I �' r I 1 V 4' • � ''c. � � � � � � r OENOTE : (�c�N .� �° � G � � �. � o , � �° - � � � � � �.11�� , , ,�r� , �-s-F I ' • � I- �- c . �s ag 7 � I � `# � F� ,, ,� � �` ` ` � a � • s I Q jI , I — � f s Y�j . "' �D 'I�i `" f �r� � ` ,�� t Ir � . �� -. _ _�,D,O -- ' Ld7'� Q Gr.r: �d I'—+ i� G� v; Li =. ¢'i _�. •.,t - , r_.,a.t __�e , j r„a • !1 ;' . . n. . _ - , •� ` � 1 HEREBY CERTtfY THAT THfS iS A?RUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOl'NDAP,IES OF THE ABOVE DESGRiBED LAND, AND TME LOCATION OF ALL BU!LDIWGS, THEREON, AND ALL yISIBtE ENCROACHMENTS, If ANY, FROM OR ON SAID LAND. -. _ ; , .. AS SURVEYED BY ME TMIS _, ;:, ., �� .. DAY OF - � ' ,, . A.D. 19 '- . .......:......... ................................................... _........ • N. C. HOIUh4 AND ASSOCIATcS, !NC. �pND Sl1O.VEYORS � i� � . � .�� ,�—:j...l.... / ��, �r- °r� '� •a. . _. , m � . - -� . �.. . R....................... .. ................ . . . .. ............................�.................................. b � 1. S�B�E�T P - 16119 City of Fridley � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � RE NO. � • COMMUNITY DEVELOPMENT DIV. � � �: ------� r � � PROTECTIVE INSPECTION SEC. �� 1 � CITY HALL FRIDLEv 5S4$2 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,�' 612-571-3450 910-F15 / / 4/15 81 JOB ADDRESS 641.i�go �t.:N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g,�0 R Kj„V@Y'Y].eW Heights� SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE L� Scr ins 641 K�a o St. N.E. Fridle 55432 786-1178 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Rite-dirTa Tniat rao�in 7337 Lake Dr Lino Lakes 786-0550 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 'd 7 CLASS OF WORK ❑ NEW �1 ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE O REMOVE e DESCRIBE WORK II15 9 CHANGE OF USE FROM TO STIPULATIONS The s;}unp piunp can not be connectec3 to the sanitary sewer, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONI G SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�- ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I. HEflEBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S3 �OOO.00 �`�.. SO DOES NOT PRESUME TO GIVE AUTHORITY TO YIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. y��.B.00 PLAN CHECK FEE TOTAL FEE e � �- / S- �� $19. 50 SIG ATURE OF CONTRACTOR OR AUTHOR12ED AGENT IDATEI R�: � N PROP L I ATE HIS IS YOU PERMIT � SIGNATURE OF OWNER �IF OWNER BUILDER� IOATEI BLDG iNSP n/ TE , , . . _,,,_, � . CI7Y (l� FltIDLCY • APPlIC�TIO:d FO�Z RESI[)Li�aTI11L BUII.DIi1G PERt�fITS � • � (�Jc►l, Al Lerations, Adclitions, or Repairs) Ol1tdER: �ee� cr�� ih S �UiLDER: ��e � j�la� y,��,;.��°�, - 11DOF;ESS: G� /�u� �i%�A AODRESS: � 33 7 �Q �e 1�� 1�:�c ��.�s TEL �0: 78'G ll 7� TEL tJO: ��_s, s'�� ' Consi:ruction Locaiion ' STIiI�T NO : ��% f STREET: � /f u a n 5'7�� %�^ �• I,OT: BLOQC :� ADDITION :�;ya ✓ v �' c L.� �°�L� `�S Corner Lot: Insicle Lat: SetbacY.: Sideyards: Ap�lican� at-tach to this form two Certificates of Survey of lot and pzoposed building location drawn on certificates to scale. . � � DESCRIPTIOft OF COF�STRUCTIOPd � � � Front: � Depth: Height: Squa�e. Feet- C�tbic Feet: Front_ Depth: Height: Square- Feet: � Cubic Feet: �1 . �6'O v ��•— Type of Construction: Y�r,,i��; l,e 5�9��,.� Estimated Cost: $� Zb Be Oonpleted: 4�- / � - � ( � � Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $' $ _ � , . ., SE� R,c.VERSE SIDE OF SFIEET . T'ite undexsigned hereby makes application for a pernti.t fcr the �vrk� herei.tt specified, agreeing to �o .all worl: in strict accordance �•rith the City of Fridley Ordinances aitd ruliizgs of the Department of Buildings, and hereby declares that all tlie i'acts and zepresen t.ltions stated ; n this application are true and correc�. D..TE: �I ^ I S - �`( SIGNATUF.E: / .. Stii�ulaLions : � . 0� ° ° � �_,,..� . _ . • . _ �,,, � � �,.� , - " . ! /�. �v � _. � � ; .. • . � • IIU) Li)Ih1G i'C1tI�11T Fi:t: S{:ilrT)ULE� � , 57.C'rI01�� 2. �'1'l�L 7.n�.��cctc�r. ot l�ui.ldi�,r�:; ;;}1,11.1, ?;cfal:c: i..•,•r;ui»g -pcnnits for lhc arc:cL•S.on bf .��iy i�u�.].�Li.i�� ar :;i::.-uct:urc, or tar uny �adcli.t:S��n L-o �try cr.i,^,i:i.�iq },tiilclincl or �tzucL•ur.r., . ciz i:a1- r,�iy �i�.t.r_rat•ioi� or. r.clr�irs L-o •any c:•.i. .tin�� hui.)_di.n-.� or sL�.ucturc, uZ�an ar�p�i.cat.ion �ilicr..:for.c;, zequ.i.r.c Ui� r�,ymc�►L• l�y t]ic aJ�p].ic:ant: fc�r. :;ucl� per.mi.L• or Lee;. to tlic arn�unt - hczuit� ?�cJ.cn�� sat for.fih �uic1 i�i tlic manricz hcrein provicic:ci tci-�:a.t: � - . 1S1:1•J CON�TI;UCTION: Sing].c Fa�nil.y Ilomes and Ga�-�zc�cs: Y4.00/].,000 cubS.c tca�. • PLAlJ CII):CI:: 25 ��x�eT�t: or »uz.�.a�»�� -,ni�: iee. URIV�I•:n�' D�1'P.L•'5520t•i: (Cqncrete CUxb �L-rcet-s Only) � �' ' Al.tcrnat:e n: Itc:inoval at�d re��Iacement oi concrete cuzb and yutter only; llrive��ay t•riclth plus 6 iee� x$13.50 Aliernat-e II: Removal and rep3accm:�nt of concrete curb and • guttcr and iiist�ll a 3 Soot v�ide approac:h cti�ith •' � ,� 6 inch depth; DrivcV�ay ti•�ic:th �plus G feet x$15..75 • . �DDIiI��f1L I��FOR��it�TION For the puri?ose oi conctputing tees for building permits,. L-he cubical contents of any buildi.ng or. addition, is detcr_mi_iied by rnultipt}�ing the gr�und area covered L-rom a Zwint sa.s: (G) inches below the iloor line of tlie basement or th� cellar to thc average heights of ihe •upper surface or to the average height of the roof surf�cCe oi tiie nain gable of a pitclzed rooi. � For ze�ai.rs ar alteratio:�s to an existing structure, the fee shal7. be at the xate .. of $3 . QO rez cach five hundred do].lars -($500.00) or fraction thereof in tiie cost of all proposed wor.k. . . • In •no case sha3.l the fee charged fc�r any p�it as set iorth a.n Section 2 be less • than $?.50 plus $.50 state surcharge. � • ' • _ VERI F I CATI 0�! �F FOU,dDt1T T Ofd NOTE: Permits �oz construcL-ion will be issued a minimtun ai 24 hours from tlze time of aYplication to a].lotv for proper review of ihe proposed siructure and oi �he . cans�ruction site. � l A Ceriificate � of Survey of the lot, sho�,►ing the location of the foundation 021C4' it has been constnicted t�rill be required be£ore proceeding ��ith the ira�nting. ,.�f�TIFIG�TE �F �CGUPAI��CY ' ' ��PPlication tor a Certificate oi Occupancy shall be mad� ten (ZO) days prior to the u�e or accug3ncy oi an}► stivcture for ��hich a i�uilcliiig pexmit l2as been issu�d; and s��ad structure siiall iiot be used or occupied �itil a Ceri;ificate ot' Occui�Zncy has bcen �ssued. 0 0 � � � c .� . • • ' � � � sua�atr • pERMIT c�ty of Fr�a�ey ._ AT TME TOP OF TME TWINS g � I L D I N G P E R M I T 3 0 5 6 0` ` r � � ECEIP . � `v __��_ COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. 7S�L� � i--_. A;�'�� '� CITY NALL FRIDLE� SS�32 NUM9EP REV OATE VAGE Oi APPRpVED B� L �� 612-571-34b0 9/0-F15 12/3/99 / / lOB ADDRESS 641 flugo Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED oescR. g,10 R Riverview Heights SHEET Y PROPERTY OWNEi; MAIL ADDR�S$ ZIP PMONE Mark Carpenter 641 Hugo Street NE 783-8042 3 CONTRACTOR MAIL ADDRESS ZIP PFIONE LICENSE NO Midwest Cedar Timberoof 1001 E Cliff Rd, Burnsville MN 55337 808-1149 4 ARCNITECT OR DESIGNER MAIL AOOqESS ZIP PMONE IICENSE NO. 20147336 5 ENGINEER MAII ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WOfiK O NEW O ADOITION O ALTERATION �] REPAIR O MOVE O REMOVE B DESCRIBE WOFiK Reroof House & Garage (18 Sq) Tear-off 9 CHAN(3E OF USE fROM TO STIPULATIONS � Underlayment must comply with the State Building Code. ��rmi� �n�pection Cards l�IIiIB R� Mailed �'o Hom�owner To Posi SEPARA7E PERMITS ARE REOUIRED FOF ELECTRICA�, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING THIS PEFMIT BECOMES NULL ANO VOID IF WOFK OR CONSTRUCTION jONING SO. fT CU FT. AUTHOR12ED IS NOT COMMENCEO V�ITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANOONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DW�G. UNITS OfFSTREEI PARKING I HEREBY CERTIFY THAT I MAVE READ ANO EXAMINED THIS APPLICATION ]. STA�LS GARAGES ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WpqK WILL BE COMPLIEO � WITM WHE7HER SPECIFIED MEiiE1N OR NOT. TNE GFiANTING OF A PERMIT �1,573 �.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEpMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STA7E OR LOCAL LAW REGUlA71NG CON- STRUCTION OR TME PERFORMANCE OF CONSTRUCTION �S%.•OS Fire SC �1.5% PLAN CHECK fEE TOTAL FE License $5.00 4.41 - S�GNGTUAEOF�pN'(7ACTOpOpAUTMOp�ZE�OGENT �Oa7E� N P OPE LIDATE IS VOUR�=RM1T � 6 OL � S�GN4TUAE O� OWNEQi�� OWNEp BUILOER� �OATE� BLD �NSP ' p6fE M -_ i +-�[] ADDN [ ] ALTER [p�' Construction Address: � L,egal Description: Owner Name & Address: Contractor. � Address: �0 B / � �� ,�� . �I�I�� ri Effective 5/10/99 CITY OF FRIDLEY S.Pi TGLE FAMII.Y Ai�TD DUPLEXES R-1 AND R-2 BUII,DING PERMIT APPLICATION � � f f �'/�'� d �� i' � � � (�.,j � � Tel. #� � � ��-� � � � �-- MN LICENSE # �o / y ,� �. �'L Tel. # �/�-�'�$- I� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I�aSCP�'d'IOl�d OF IMPR��1�1'�'r LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTI�R: ( 1573� De�� .1 Construction Type: „�iy �/!,� Estimated Cost: $_ � d l�i�j, o� � �� / Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ . DATE: I I � APPLICAI�IT: ��, ,�� ,. Tel. #_� a I�-�C��'" ��_ `-� � Permit Fee Fare Surcharge State Surcharge SAC Charge � License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 5 i, c�� f. s� .p e �� $ $ 5• (S� $ $ $ $ $ v li � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuadon (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering tlgreement Necessary [ ] Not Necessary [ ] w a 0 BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein I below set forth and in the manner herein provided tawit: , TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,041 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $S00 plus $3.05 for each addidonal $100 or fraction thereof, to and including $2,000 _$69.25 for first $210�1_ plus �14�94 for �a�ch add:tioa�l �1,0�0 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 fust $50,000 plus $7.00 for each addidonal $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $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 $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb 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 FOUNDATION Pemuts 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 constcucdon site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �