AF - 46874sue�ecT P IT N O. '
City of Fridley o 1349'7
, ` AT THE TOP OF THE TWINS g U I L D I N G P E R M i T • CEIPT NO
r
� • COMMUNITY DEVELOPMENT DIV.
� �y-------�
r � � PROTECTIVE INSPECTION SEC. �� ��
1 ; i
�� � /""1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�—'�� � ,'� 812-580-3450
810-F15 6 76 � �
JOB ADDRESS 421 - 423 Iranton Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. jlp� 3� EXC P't E. %J.5 B�.00�C �.� Froid's Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Donald Sex�er 6048 Lakeland Avenue North, Crystal, Mn. 55428 535-3361
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Village Builders, Inc. Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE IICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDIPIG
Residential
7 CLASS OF WORK
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
�.
B DESCRIBEWORK ''�����v� a��'`y�
Construct a 44' x 25'9" Double Bun alow and a 26' x 24' Gara � „s ,+•:�;„
TELEPHONE - ELEC I�I�; - G�{'�� Ei
8 CHANGEOFUSEFROM T� �����R�p �� �
STIPULATIONS ' provide a hard surface c7riveway. Provide a verifying survey before
capping. Provide sod in the front and side yards. Provide truss design. Submit
sound wall design prior to i.nstallation.
5EWER AND WATER avaa.la.ble along Fa.st side of East River Road. Presently there is
no sewer wye or �aater box to serve this property.
Ti-ti� CI�Y O� FRI�L�If DO�S f�1aT CL°Af�Nt�?E� �Nc f������p+��—
ACCU�CY OF UTe`ITY �OC�'��C�i�� ��� �«����h`�' IVOTIFY i HE FR6DLEY ENGR.
T�O; pf�TA IS �04: Y�°°1����A�1�� P�i.�'��'�' ��l� ��� DIVIS�ON f�EGARDINu CURB
PERSONS USY�9G �T g���`� VE�I�°Y i«E 6�vFORMD..siObd REMOVAL AND REPLACCNIENT,
ON Th�� SI�'C. AT DPIVEWAY OPENINCS.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC�, FY'3IRC:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT R- 1133 'I' G24 23 , 552 'I' G24O
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT 39 375 �.9.69
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �jS. �.2 %OO. OO
PLAN CHECK FEE TOTAL FEE
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SIGNATUR FCONTRAC OROR U ORIZEDA ENT IDATEI WHEN PROPE ALIDATED THIS IS� R P RMIT
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A�'PLICATION FOR :RL•SIDENTIAL, ALTERATION,
OR AllllITION BUILDING P�R1�4IT
t, CITY OF FRIDLEY, MINNESOTA
. Q
OWNER' 3 NAME : � BUILD�R : �G� �(/,� .
ADDRESS : �/ ��/�'/ f��/�ADDRESS;: f„�J/,�JfJG
"� � ,_f ��.�� � � °,/�'�
N0 : . STREET : � - - - - - �r�'��
�,0 � BLOCK : � ' ADDITION : ��/,0.4 �OQ.
�
CORNER LOT: � INSIDE LOT: SETBACK: 3� STDEYARD: ��
—4--
Appli.cant attach to this £orm Two Certificates of Survey of Lot and prop�sed
building locatian drawn on these CerCificates.
HESCRIPTION OF BUILDING
To Be Used As :�p v6� �d�fJL . � � ��
�y .z� p9
��eS� Front: � Depth; Height: � �
� /J ,�3
Square Feet: .� Cubic Feet: �.J � � �
� Fxont• � � Depth• �` � Height• � �
. Square Feet;� d��_Cubie Feet: � Z`t�0
�pe of Construction: �b� �I�'m Estimated Cost: $ �
n � � ���37� —
To Be Completed: ��I/ f •
The undersigned hereby makes applicativn for a pexmit for the work herein�
specified, agreeing to do all work in stiict accordance with the City of
Fxidley Ordinances and rulings of the Departmen� of Buildings, and hereby
declares that all the facts and repxesentations stated in this application
are true and corxect. � .
� •
DATE: 7 3 �� SIGNATURE: �
(See Reverse Side For Additional Informat�) �i'��� ' ./t��'v '
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�BUILDING�PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 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 se� forth and in
the manner herein provided to-wit:
1JNZFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each ane thousand cubic feet.
0
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical conterts
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the €loor line of the liasement
ox the cellar to the average heights of the upper surface or to the averager
�height of the roof surface of the main gable of a pitched roof.
Fox repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollaxs ($500.00) or fraction t�hereof in
the cost of all proposed work.
T.n no case shall the tee charged for any permit as set forth in Section 2 be
less than $5.00.
. VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
ti.me of application, to allow for proper xeview ot the proposed structure and
of Che construction site.
A Cextified Survey of the lot, shawing the location ot the foundation, once it
has been constructed, will be required before Eroceeding with the framing.
CERTIFIGATE OF OCCUPANCY
App�.ication for a Certificate of Occupancy shall be made ten (10) days prior
to the�use or occupancy of any structure for which a building pexmit has been
. issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued. .
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Land Sun►qor � 61vU En�irt�w
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4818 C1v�rtaak l.ake CirreFe
Bloominpton, Mirtneanta 6�5437
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: CERTIFICATE OP LflCAT10N BUILDI�IG
l ��, . ,' �,
` 1' h�reby eertify that on � ��� � �'`
1 made a survey of the {ocation of 4he ' -
building� en the above deserib�d �ro�r4y `" .�,
and tltc4 the loc,ation of said buiiding Fs •
CERTIF �G/1 'E #�� 311RV�Y ��� t�� correctly� ho n on 'fl�e b6ove pla � : :
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SSCALCULATIO,� �E�'r'������ C �'������� Co. MINNEAPOUS,MENN.`;
Weaiherstrips q,$.�_�f.�. Construction No.
Insulation
W i ndows Doors ""`"�
Refer�,�e Out. Watl 1-t. Nall Ceiling Roof Floor Kind How %+ep��ed
Yes-No Yes-No �Q
FI. ' • oom � Le- p
^L%T/fs�� �n Z� Wfcfth �y �-leight �/ d��• U L�✓�'Roan I Length �, ZWidth �� Height �i
YJindows and Doors-Craci��e and Area Vdindows and Doars-Crackage and Area
.�� i W�dth Height ha. _° � L neal ft. A.ea �
� ef pane of pane �g�:< �� ef crack sq. ft. No. �5'�d*n i ^e���; I No. of Lineal ft. Area
�f pane ^` :�a�? liphts + of crack sq. ft.
c
i 2 Y�= ° �i � � Zy' YS� ! 1 � i 'zc
�Infiitration : 5-�
, ulass �
/
Exp. wall ,j( „�' �
Z��
I�et exp. wall Zy.
, Int. wall
t
� Ceiiing ��X�:% 3p�
Ftax • I
Total 8tu.
Required sq. ft. E.D.R, or sq. ins. ��.A, Leader area
:� F I.�ell% Roorn I Len� % p W i dt h
� V'dindows and Doors-Cracka� and Area
No_ owpat e of Pene N gbls �;.fi c a�ck qr ft.
� �' y � � a � C
, �
Infiftration
G lass
Exp. wa I I a C9 � g
Net exp. wall
fnt. wall
Ceiling �px(�
F I oor
B tu + I � � � � Coef� B tu
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; Z $" y � Glass
{ �. . .,�C'
Exp. wal I Z X�,
/ y�✓' � Net exp. wal I -� �
int, wali
� "�(� Ceiling
Floor Z 2,}t 1 C? ,�� -r ��
( � � � Total Btu. � `s� ��
' Required sq. ft. E.D.R, or sq. ins. W.A. Leader area ,
Neight � . FI ����y �,�?�m I Length�y � Width Hai ht
/� 9 �
VJindows and Doors-Crackage and Area
No. Widrh He��G^t No. of �ineal ft, Area
of pane of pane iights of crack sq, ft.
Z' 7 '� . `1' .` / 7_ � .� ra-
Coef B tu
y'� ' G Z
�����
a �! h �
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Total Btu.
Revuired sq. ft. E.D.R. or sq. i�_, r,..�. Luader area
1 F�L7�/�-�� j Room i, E....._ 2� Widtn
4'lindows and Doors-Crac�.�;= and Area
y., I W�drh He�qht Na �_- �,ai r,. Are3 �.
- of pane of pane ��g�;, -.:,-3�k sq. !
� 3 ` � i7''�
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'� � Glass Z�
Exp. waI I �� x �
� L= Net exp. wall
Int. wall
t'}� Ceilino I
Floor � -:�x- � ys ` �7 �
� � Total Btu.
Required sq. fL �.D.F. �• sq. ��s. '�"�.A. Leader area
-e�y!�t � �
i i { .�� �,�
�f�ltration � � ✓Z ���`�
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::lass -- -
' ( �CZ 3 ���
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Vet exp. wall �
— ;�%Z L /� � �>
! ^t. wa I i
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— '�2G`�_�_j��sg
= cor �
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�equired sq. ft. E.D.R, or sG. •; tu .�. Leader .sre=
FI. -,_.. ; Le^gth Width
�'�`indows a��o D:���;-Crackage and Area
No, � �L��•... -- ' ' � i �.�>a! �t. Area
� ot pa�� _ - ,��ytitc ;„+ c�a.:k sQ. ft.
, . ,
- i
�
lnfil!rat:or �
Glass �
_ Exp. wal! i
^iet exp. v a � °
��t. wall
--`"eii:�g ------ f
- ��rn� �
?ota; 9tu.
'+equir�i s;,. � ., . �r sti. ��s. t,. . Laader area
�
B tu
� �
!�e�ght
��
Coe' B tu
�
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CITY OF FRIDLEY
PUBLIC WORKS DEPARTMENT
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TAPPING APPLICATION AND PERNIIT
FOR INSTALLATION OF WATER & SEWER SERVICE
I) This form to be completed before a tap is made to any esisting water or
seR►gr 1'uje. ,r �� � �
dC3 ���� /�,,
intnS: S Rlnelr � _ AAAi+ir.,, //�i��� � -
• � � �'��
•,�,� .��
PIUII1bCi
CHARGES BE PAID BEFORE TAP IS MADE — WI�ERE
ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY
II) Water & sewer connection permit must be registered before this Tapping
Permit can be issued.
City supplies all material and labor for 1" or under water tap. Con-
tractor supplies all material and labor for water ta.p over 1", and all
sewer ta.ps.
WATER TAP:
SEWER TAP:
Materials Used: $ � . D`- d
Stteet Patch: x . $
TOTAL: $ / 02�. d�
Street Pa#ch: Y . $
III) ff ffiis property has not paid a full La.teral Charge for its share of the
water .and sewer system, additional charges will be placed against it.
This will be in addition to the normal connection and tapping permits,
meter deposits, etc.
Water
ASSESSMENTS TO BE LEVIED: Lateral: $
Sewer Lateral: $
TOTAL ASSESSMENT: $ —' O �
.
Clerks Signature
Supt. of Public Works
M/P 3/76 White P.W. Canary Finance Plnk Prop. Owner Goldenrod Plumber
560.3450
��� � �L�le
� . �
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE November 8, 1976 FRIDLEY, MINNESOTA 55432
Village Bui.lders, Inca
6048 Lakeland North .
Crystal, Mn. 55428
Re: Final Inspections at 411-413 Ironton Street anc: 421-423 Ironton Street.
Dear Sirss
Final inspections were made on November 80 1976 of the above addresses and
the tollowing items were noted which must be completed before the structures
can be finaled out;
411 Ironton Street N.E. ,
l. Provide door closer on door between hc�use and garage.
2. Provide non-combustible floor under fireplace.
413 Ironton Street N.E.
1. Provide d�r closer on door between house and garage.
2. Provide non-combustible floor under fireplace.
3• Repair smoke detector.
421 Ironton ;Street N.�.
l. Provide door closer on door between house and ga,xage.
2. Pronide non-combustible floor under �i,replace.
3. Provide smoke detector.
423 Ironton Street N.E.
1. Provide door closer on door between house and garage.
2. Provide non-combustible floor under fireplace.
3. Provide smoke detector.
We will e�cpect all of the above items to be completed by November 19, 1976
when reinspections will be conducted to determine compliance. If you have
any questions on these items, please feel free to conta.ct me at 571-3450.
Sincer ly, ,
� �
�:-
DARREL G. C
Commtulity Development Adm.
GEO. SEDGWICK HTG. & AIR COND. CO. ,p��
HOUSE HEATING TEST RECORD �'l�' ��(Q 4Ces
ADDRESS �� �����`��+% CITY
OCCUPAN� OWNER '°�
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY �'�' �
Electrical Work By Gas Line By �'� � �
TYPE OF HEAT GA_ FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �!�"���� MAKE OF BURNER
Model — � r� � �� Model
Serial Max. BTU Rating
INPUT � � MAKE OF FURNACE
' Model
CONTROLS
THERMOS�TAT�_ Heat Plug
Valve � � �
Limit � � �4° �'
Limit Setting � � �
Fan Setting � � � 1 � �
Pilot Type �
Pilot Make
Pilot Model
Pilot Timing ��� �
L.W. Cut Off
Pressure • � Percent CO2 ��� ��
I�nput CFH Percent OZ � `'�� '�
Stack Temp. � Percent CO � � � • �
Fo►m 235
`� f� �°
Vent Size — `�' — �
KIND OF LINE/-R SIZE ��� NO E
Draft Hood A Regulator ���i���
Filters Size 1� ' L; N 6er �
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring ��
Draft �%� Test Tag
Door Pressure Lighting Inst.
Date Tested �' �' �
Company Testing 'u�
Name of Tester
GEO. SEDGWICK HTG. & AIR COND. CO. �����/(�
HOUSE HEATING TEST RECORD
ADDRESS �� � �n-�'►� CITY �� � ,// °�
OCCUPAAIT OWNER d�-� �DJ 'J�t-J�
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FAJ� HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION ,
MAKE �'�"����� MAKE OF BURNER
Model —_ �� ` �� � �G Model
Serial Max. BTU Rating �
INPUT '� d�� MAKE OF FURNACE
Model
COIVTRO LS
THERMOSTAT � �'�� Heat Plug
Valve �` ��'�
Limit L' ! ���-' `'�"�
Limit Setting �
Fan Setting � �- e��
Pilot TYpe - - -� �
Pilot Make
Pilot Model
Pilot Timing — ��'•� � ��°-�-
L.W. Cut Off , ��
Vent Size � F�� '�
KIND OF LINER �� SIZE__� NONE
Draft Hood ��ei'�B�-� Regulator � rF=✓���
Filters Size f�'�� �k/ Number �
Chimney Location Inside �� Outside
Chimney Construction
Smoke Bomb Wiring �
Draft �� Test Tag /'�
Door Pressure Lighting Inst�
Pressure �-� Percent CO2�'4 -� �� � Date Tested �`� ° �
Input CFH �� Percent 02�� `� `� -� Company Testing -� _
Stack Temp. -��� Percent CO ��� ��� Name of Tester
Form 235
.r
DATE: March 19, 1997
TO: FILE
�'�/-- �_3� �-,�
MEMORANDUM
PLA1`�TNING DIVTSION
FROM: Michele McPherson, Planning Assistant
SUBJECT: Nonconforming Properties Adjacent to East River Road
As a result of Anoka County acquiring additional right-of-way for expansion of East
River Road, this property was rendered nonconforming. Please refer to the attached
chart which indicates the extent of the nonconformity.
MM:Is
M-97-137
EAST RIVER ROAD PROPERTIES AFFECTED BY ANOKA COUNTY RIGHT OF WAY
ACQUISITION
ADDRESS EXiSTING NEW REQUIRED SETBACK CONFORMING
USE SETBACK SETBACK SETBACK TYPE
7845 East 97.02 ft 89.1 ft 35 ft front yard yes
River Road
apartments
Apar�ment 46 ft 38.28 ft 35 ft front yard yes
garage
321 79"' Ave. 53 ft 36.3 ft 35 ft ftont yard yes
apartment
7948 East 32.34 ft 17.49 ft 17.5 ft side comer yes
River Road
132 28.38 ft 27.06 ft 17.5 ft side comer yes
Stonybrook
7950 East 34.65 ft 28.7 ft 17.5 ft side comer yes
River Road
Garage north 24.75 ft 23.76 ft 35 ft front yard no, before and
of above after
8051 East 41.91 ft 30.36 ft 35 ft front yard no, after
River Road
305 Liberty 93.06 ft 72.93 ft 17.5 ft side comer yes
440 Ely Street 79.2ft 61.38 ft 17.5 ft side comer yes
8161 Fairmont 93.39 ft 65.01 ft 35 ft front yard yes -
Circle
450 Hugo 73.92 ft 43.89 ft 17.5 ft side comer yes
8191 East 71.28 ft 40.92 ft 35 ft front yard yes
River Road
500 Ironton 55.11 ft 31.15 ft 35 ft front yard no, after
97 Craig Way 47.5 ft 23.1 ft 35 ft.-� front yard no, after
7680 East 37.95 ft 13.5 ft 17.5 ft side comer no, after
River Road 38.94 ft 23.76 ft� 35 ft front
119 Craig Way 63.69 ft 40.92 ft 17.5 ft side comer yes
50.82 36.3 ft 35 ft front
7942 East 49.5 ft 33.3 ft 35 ft front yard no, after
River Road � '
8080 East 58.74 ft 33.9 ft 35 ft front yard no, after
River Road
8100 East 50.16 ft 50.16 ft 35 ft front yard yes
River Road � -
Laundromat 31.68 ft 1.65 ft 35 ft front yard no, after
499 Glencoe 38.28 ft 8.58 ft 35 ft front yard no, after
ADDRESS EXISTING NEW REQUIRED SETBACK CONFORMING
USE SETBACK SETBACK SETBACK TYPE
8164 East 43.56 ft 94.19ft 35 ft front yard no, after
River Road
8180 East 37.95 ft 8.58 ft 17.5 ft side comer no, after
River Road .
8182 East 38.28 ft 14.19 ft 17.5 ft side comer no, after
River Road
8184 East 38.28 ft 14.52 ft 35 ft front yard no, after
River Road
8200 East 34.98 ft 9.9 ft 17.5 ft side comer no, before and
River Road after
510 Janesville 38.61 ft 12.54 ft 17.5 ft side comer no, after
421 /432 39.27 ft 8.58 ft 17.5 ft side cor�ner no, after
Ironton
461 Hugo 33.65 ft 3.63 ft 17.5 ft side comer no, after
Street
8114 Fairmont 36.96 ft 8.58 ft 17.5 ft side comer no, after
Circle
8102 Fairmont 33.99 ft 5.61 ft 17.5 ft side comer no, before and
Circle 33.99 ft 17.16 ft 35 ft front after
8104 Fairmont 35.31 ft 26.73 ft 35 ft front no, after
Circle
8027 Fairmont 21.45 ft 9.9 ft 17.5 ft side comer no, after
Circle 46.53 ft 17.16 ft 35 ft front
7899 East 52.8 ft 33 ft 35 ft front no, after
River Road 0 ft 20 ft hardsurface
7663 East 64.35 ft 34.65 ft 35 fk front no, after
River Road
Fire Station 29.7 ft�. 0 ft �.' 35 ft front no, before and
, after
7701 East 80.19 ft' 62.37 ft 35 ft front yes
River Road
8061 Ea�t 90.09 ft 78.54 ft 35 ft front yes
River Road
�'-'- EP-12-].397 �b= 24 CI TY L� FF2I.ia�EY f 42 5'71 1287 P. B�.�L�li
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SuBJECi
City of Fridley
AT THE TOP OF THE TWINS g U I L D i N G P E R M I T
r �
� �
� ; y _._._ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i i �
� �'-'1 � CITY HALL FRIDLE� SS432 NuMBER
�----� • •,� 612-571-3450 910-F15
JOB ADDRESS 421 & 423 Ironton St 1VE
1 LEGAL ��T NO. BLOCK TRACT OR ADOITION
DESCR. 3,exc E 75 5' 3 Froid's Add
2 PROPERTY OWNER MAIL ADDRES$
Ra.ndy Crowall/Paul Mursin 808 Oriole Ln
3 CONTRACTOR MAILADDRESS
Beers Construction 4208 6th St NE Columb
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL ADDRESS
8 USE OF BUILDING
Residential
7 CLASS OF WOqK
REV IDATE
9/11/98
ZIP
ZIP
PAGE OF
� �
27708
�" �d�
APPpOVED BY
SEE ATTACHED
SHEET
PHONE
949-0141
PHONE LICENSE NO.
5-7591 F,S51
PMONE LICENSE NO.
PHONE LICENSE NO.
❑ NEW O ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE O REMOVE
B DESCRIBE WOHK
Reroof house & Qaraee 127sn1 9„� T.a�a,-
9 CHANOE OF USE FROM
[I•7
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUbIBING, NEATING, �PE
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20N1
AUTHOHIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF 120 DAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION
AND KNOW TNE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yqLU
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PEfiM1T
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiN
PROVISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�� PLAN
// i �
SIGNATU OF ONTRACTORORAUTHORIZEDAGENT ATE�
SiGN4TURE OF OWNEP i1F OWNER BU D� � pTEi �� �
G. UNITS
STALLS
IN
$1,738.00
EE
$56.75
$�•
NCV LOAD
CU. FT.
�.8%
CMARGE
Fire SC $1.74
�L FE '
$ .36
+,IS =/ �P/�'f i
1
NEw
ADDN
ALTER
[]
[l
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
� BUILDING PERMIT APPLICATION
ConstructionAddress: ���/ �- yz � �� �� �,� �j �
Legal Description:
Effective 1/1/98
��� �
�l�
4'
Owner Name & Address: _� �. ,U� �, �_ �„�g�� _ ,�,� J �� � s �v � Tel. #�rf — p� ��/
�� � � a L � e r ,�b' �. �.a��',e �
Contractor: � P,�s C°' ��,Cc�?y�T�+,v MN LICENSE# � S'S%
Address: �--�-�� � � � ��: �- c�' �taC _ �o c�r^ s�21Te1. # ��,� 2s�f
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
�
LIVING AREA:
GAI�AGE AREA:
I)ECK AP:EA:
OTHEl�:
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
�
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Cc�nstruction Type: Estimated Cost: $ � ���
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: APPLICANT: Tel. #
� CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��'� /� Fee Schedule on Reverse Side
$ %• s% ` .001 of Permit Valuation (1/lOth%)
;
$ • � � $.50/$1,000 Valuation �
$ $1000 per SAC Unit
$ �- C-�' C-� $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ .��
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pemuts for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $SQO,OUO
$500,001 to $1,000,000
,
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first �100,000 plus $5.0f� for each ��idituonal-
$1,Q00 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, zo and inc�luding $1,000,000
r
$5012.25 for the first $1,0OO,Ot}0 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot-wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing. �
� _ .�
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