AF - 46915�
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l;ity of Fridley, Minn.
BUILDING PERMIT rTA 7339
Date: �� � �—��
Owaer: Builder �
a�jddresB Addrese
LO TION O BUILDING r
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No.���_�_ Street 1 �° �� Part t
Lot/���lock � Addition or Sub-Divislon . �'"�'�����--���� / °�A
Corner Lot � 7ns�ide Lot ,� S.etback ����---w..- Sideyard �` .��
3ewer IIevation ��—�°�• �' / Ee�dation IIevation �'��- � l
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r DESCRIPTION OF BUILDING
T U . �, %�f�j� �J �!v
F�oat �r � Depth .�� Hei�ht !� Sq• Ft. ��:� Cu. FL o-��i��1��
t Depth I�efght _._.�.� Sc1. Ft. Cu. Ft
_C�.�...� �To be Completed
Type oP Conetructt �- Fast.
Ea conslderation of the fssuance to me of a permit to cam�the bulldiug des�Ibed above, I agree to do
'� P�P�� work in accc:ordence with the d�scription above se Porth in co , �ce with all proviaions of
ordinances of the dty oP Fridley. //
In camsfderation oE the Aa3�a►ent of a fee of $��._� � P�t fs hereby granted to
to conatruct the building or addition as d�cribed above. Thispe rmit fs granted uPon
the expresa condition that the peraon to whom ft is granted and hia agenta, employees and workmen, ftt all work
doae in, around and upon said building, or anypar� thereof, shall conform in all respects to the ordinanc� of
Fridley� P�linnesota loc:ation, construct�on, alteration, maintenance, repair and moving oP buildinga
ordinan�. dty ]imits and c ,.. ��i] ii
permit may be revoked at any tizne upoa violation of aay of the provisions of seid
Building' Inspector
Nonc�
T�s psee� does nof eorsr t6s eemtrudiee, 6�shW�loe hr vrWng. Pbmbte9. 6n 6saNae, a�ru er w�tsr. B� wn to sss
tlu &iildin� lesp�eEoe Mr aparaf� p�emib fee thas Maoss.
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0�.'.� � S �'
APPLICATION FOIt BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
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ADDRESS �Ja� � (��c�l�� LQ�2 /��� AbDRESS �/��7� C/��2� �� /id� �
LOGATION 0�' �$xLDII�G
No. �°�� � SCreet � Ys n�o- �1 Part of Lot
LoC �� ��'/ 7 B1ock � Addition or Subdivision �,� re��i �� ��S _
Corn.er Loe Inside Lot � Setback �� � Side: Yard __% �.���'� �� `�-���
SEWER ELEVATION FOUI�DATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on theae Certificatea.
To be used ass
DESCRIPTION OF BUILDING
Front 7 � � Dept� �� � Height
Sq. Ft. Cu. Ft.
Front
Depth Height
�q. Ft. Cu. Ft.
Type of Construction �����°� Lstimated CosC ��e ��� ����
To be Completed ���f'�-�j'"% 1���� -
The undersiga�ed hereby makes applicatian for a permit for the work herein spec�.fiad,
agreeing to do all work in strice accordaace with the City of Fridley Ordinances an�.
ruliags of the Department of Buildin�s,.and hereby declarea that al! the facta aau�
rep�esentatione stated in this appl3catioa a and correct.
1;A�"E � V � � �� f`�' SIGn1ATtIitE
(Schedule of Fee Costa can be found on ehe Reverse Side).
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BUILDING PEItMIT FEE S(�EDULE
Section 2. �,'he Inspector of Buildinga shall. before issuiag aay permit for
Yhe erecC3on of any building or structure, or for aay add3tion ta anq exist-
iag building or structure, or for anq alterationa or repaire to any e�isting
building or s�ructure, upon applicati.oa therefor, require the paymeat bq the
applicant for auch permit of fees to the �mount herein below aet forth asid
in the manner herein provided to-wit:
2.1. For any such permit for the erection e.E any fire-groof buildiag, other
than a garage� warehouse, factory or grain elevator, or for the erection of
any fire-proof addition, for similar occupancy, to �ny exiating be�ilding
shall be et the rate of $1.40 for each one thousand cubic feet, or fraction
�hereof, in such cubical contents.
2.2. For any auch permit for Che erece�.on of any fire-proof garage, warehouse�
factory or grain eleeator, or for the srection of auy fire-proaf addieica,
for aim3l�r oceupaacy, to any exietiag building ahall be at the rate of $1.25
for each one thousand cubic feet� clasaifiad as °1fiseproof" bq Section 502 of
the Minneapolie Building Code. �
HOUSES
2.3. For any auch permit for the erection of eaq non-fireproof buildiag otber
than $ garage, warehouse, factorq or graia elevator, or aaq non-fireproof
addition, for s3milar occupaacq, to any esiating buiiding - permit $1.OU for �
each one thousaad cubic feet.
GA�dAGES
2.�6. For anq auch perm9.t for the erection of any non-fireproof garage,
warehouse, factory or grain elevator, or for the erectian of any non-fire�roo�
addit3.�s, £o,c.s3m,ilar occupancy, to aay existing building or for each such
b�.ld3ag or additioa - ninety cents ($0.90) for each one thousand cubic feet
or fraction ehexeof, in ehe cubical coneents thereof wi.th a minitaum of $4.00.
For the purpose of computing fees for buildiug permits, the cubical contents
of aay buildiag or eddition to a uniform heighC throughout by mult3plying the
ground area covered from a poine si$ (6) inches below the floor liae of the
basemeat or cellar to the average height of tha upper surface or to the
avarage hei�ht of the roog surface of the main gable of a p�tched roof.
2.5. For repaira or alCerations to an existing etructure, the fee ahall be
a� the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction
thereof in the coet of a11 propc�sed work.
2.6. In no case shall tha fep chargQd f.or anp permit as set forth in
Sect3aa 2 be less than $4.00.
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City of Fridley, Minn.
BUILDING PERMIT
Da�: AIIGIIST 15, 1966
�: JOffi�' C. NaLIrER B�� SAME
�� 539 IRONTON ST. N.E. p,��
FRID�LEY, MCNNESOTA 55432
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N° 8965
LOCATION OF BUILDING
No. 539 g�t IRONTON' ST. N'.E. part of Lot
Lot �....�_ Sl�k � Ad�iftion or Sub-Divlsfon ��R W I S ADDTTiON
Coraer Lot _ Inaide Lot x Setback Sideyard '
Sewer IIevatfon ____ Foundation IIevat3on
DESCRIPTION OF BUILDING
To be Used as:
DE. TACHED C�R�t 18 Dep� 22 g��t 10 Sq. �, 396 �, � 3,960
Front Depth I�eight Sq. F't. Cu. F't.
�►pe of Constructton �E Faat. Cost _.�_�� To be Completed
in constderatton of the 9ssuancs to me of a permit to const
th� P�rcPosed work 9n acc�rdance with the d�scrlption above set
ordinances of the dty of Fiidley.
�� a� e I � �
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Ia co�sfderation of the �ymeat oP a fee of $ �---, �t ia hereby gran'ted 'to JOHIQ' C. N�CLLER
to conatruet the builciing or addition as deacribed above. Thispe rmit is granted upron
the espress conditilon that thepe�on to whom it is granted and 1�fs agente, employees and worlmien, in all work.
dane in, around and upon eaid building, or anypart thereof, shall conform fa all respecta to the ordivaace� oE
Frldley, ARinnesota location, conatrucifon, alteration, ma9ntenance, repafr and moving oP bufldings
witl�in the dty limits� permit may be revoked at any time upam violation of a�► oP the P�visions oE eaid
ordinances.
L°I'.ARFNCE B�ZISLE g�� �
Nonc�
7W p�emit dea eo! eewr fla ceeslruatioe, imtallatten �oe �rlriaY. P���9. Ya� 6aMno, aw�� or wabr. B� ar� to a�
th� Btdidtu� Inspa,to� ior pp�ratr � he thw Nsm�.
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APPLICATION FOR BOILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME ��c�/��9 � �"/�Ge-� ` BUILDBR �i'�7i'�/ �C
AnDxESS ,�� 9.����J�l�� anDx�SS Se�I t-=
LOCATION OF BUII,DIHTG .
N0. STREET PART OF LOT
LOT BLOCR ADDI�IOPT OR SIIBDIVISTON
CORNER LOT INSIDE LOT SETBACR SIDE-YARD
SEWER ELEVATION FOUNDAZ'ION ELE9ATIQN
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawa on these Certificates.
DESCRIPTIOR OF BUILDING
To be used as ; � Q C d- %�-� ��' �l S G� �`�' y �
/
��j�i��� Front / � � Depth � �° � Height �
-, f--_ A,
Sq. Ft. `' ��:� Cu. Ft. - -
_ _ _,_ �Front . , _ ___Depth Height
Sq. Ft. Cu. Ft.
"�_ p �
Tqpe of Construction ���/�,� � Eatimated Cost lp �� �r
To be completed /� — � — � lv •
The undersigned herebq makea application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Dep�rtment of Buildinga, and hereby
declares that all the facts and represeatations stated in this application
are true and correct.
DATE �� ��� (�p SIGNATURE
(Schedule of Fee Coats can be found c
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BU.LLDIlVG PERMIT FEE SCHEDUI,E
SECTION 2. The Inspector of.,Bti�ld3�g$ sh411i before isauing any permit for
the erection of any building or'stswcCure+;'or for any addifion to any existing
building or �tru�ture, or for any..;a�.Ce�ations.or repairs to any existing
buildfng or structure, upon appli.catiori`therefore, require the payment by the
applicaat for auch permit of fees to the amount herein below set forth and in
the manner herein provided to-wit,;.
. . ._ . . �
2.1. For anq auch parmit,for,the erection of any fire•proof building, f�
othe= tY�an � garage, warehous�:;- facto�y or gra#n elevator, or fox the erecCion-��
of any fire-proof addition, for similar occupancy, to any esiating building,
shall be at the rate of $1.40 for each oae�thousand cubi� feet, or fraction �
thereof, in such cub�cal conteats. `�
. _. _ . .
- . ... .. _. . . _ ,
2.2 For an such � -�
y permit�; f�or .the . er�c,t�on�, of any fire-procf �arage,
warehouse fa.ctory or�graia elevator, or for the erection of any fire-proof
addition, for aim3lar accugancy,.Co any esisting building shall be at the
raee of $1.25 for each one thousaud cubic f�et, classified as "fireproof" '
by Section 502 of the �Iinneapolis Building Coda.
flOIISES �
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2.3. For any euch permit,for the arection of any aon-fireproof
building other than a garage, warehouso, factory or grain elevator, or
any non-fireproof addition, for a.imilar.occupanc�y, to anq existing bui,lding -
permit $1.00 for each one thousand cubic feet. �
GARAGES
� 2.4. For aay such permit for tfie erection of any �ion-fireproof garage,
warehouse, factorq or graia elevator, or for the e�ection of any non-fire-proof
addition, for simila� accupancy, to any eaisCing builditig or for each such
building or.addition - ni�nety ceata ($0.90) for.each one thous.and cubic feet
or fraction thereof, in the cubical coritent�s thereof with the miaimum of $4.00.
For the purpose of computing fees for building permita, the cub3cal contents
of any buildin� or addition to a uaiform height throughout by multiplyin,g�the
grouad area covered fram a point six (6) inclies below the floor line o� the
basement or cellar to the average h��ght of the upper aurface or to the average
height of the roof sutface of the main gable of a'pitched roof. �
2.5. For repa�rs ar alterations to an existin�.etructure, the £ee shall
be at the rate o� $3.00 per eacl� Five Hundred Do3.lara:�($500.00) or frect3�n
thereof in the cost of alI prop4sed.wark. , . .
2�6_ In ao case a�all the fee charged for any perm3.t as aet forth in
Section 2 be less than $4.00.
STORM REPAIR DAMAGE FEES: � �
Residential: Estimated Cost of �ork up to �:}CO.L�p _$5��0
Estimated Coat of ��au�i� c•� �� :"� �;:;�_ (;� .. Y; L., i sp
Commercial;
����
Estimatec�ost o� car,�it �i�� t,��`�:,:;;,�•� .. $Z✓'a�
Estima�e� �sC of v�o�:k o�;er $��G`u.UU -$�i,,,J
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� ��.neering WATER AND SEWER Permit No.: ' U �7
'-ri��-572-3552 PERMIT APPLICATION Received By:�_
7�3-571-1287 fax CITY OF FRIDLEY ��� ��� �����
EFFECTIVE 1/1/2010 Da ' �
�- APPLICATION DATE: �-Y ° Z�i �� U YOUR E-MAIL/FAX:
THiS APPLICANT IS: ❑ OWNER �CONTRACTOR �
JOB ADDRESS: � � � �
NEW CONSTRUCTION PERMTf# (IF APPLICABLE):
PROPERTY Np,�,�:
E�� ADDRESS: :.�� � iC3 /� "�Q /� �i�,. CITY [ry 1 ��_STATF�%�ZIP�
PHONE:_ ?(�� 7l7 y ���n
CONTRACTOR Np�,�: �- , � � A � Q � � �.
SUBMIT A COPY OF �Dx�ss:� i 9 D l3 u�. c v- 2��f31��, c��r�r p STATE�%�IP .S ��Q�
YOUR STATE
' LICENSE WITH PHONE _ � C� 3 ,3 0� � a �I' (� � CELL PHONE: �l v2 � � � — �l S� �
APPLICATTON
STATE LIC # STATE BOND: EXP DATE:
1. Narrative/w�itten escrip ion: �
e �li �'a� �i7� euT� s�6 -�° �
2. Please attach sketch showing curb line, utility line, building, etc. with distances on back page.
3. Stipulations• � • � . (�
� , c,,t�d � �
� /v��'� � =7 S�Z — 3 SS Z
PERMIT TYPE
� ❑. SEWER CONNECTION PERMIT $50
� WATER CONNECTION PERMIT $50
.. �NATER LINE REPAIIt $40 � �� �
C SEWER LINE REPAIR $40
❑ ADD STATE SURCHARGE $.50 , o S
❑ SAC CHARGE @ $2100 =
TOTAL $ �o ��
OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING
NEW WATER METER COST — SEE UTILITY BILLING
SPECIAL ASSESSMENTS — SEE FINANCE
WATER TAP — SEE ENGINEERING
NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED
TMS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley. I understand this is not a permit but
only an application for a permit and work is not to start without a permit.
SIGNATURE OF APPLICANT � y�./� /.�/"� PRINT NAME: G� 1^I -s �!� �l st .f O� DATE: �`^ ��� l( J
� _.
A�PROVED BY: - DATE: 7 -�"/v
COPY G T: � UT ITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING
City of Fridley
Engineering Department
6431 University Avenue NE, Fridley, MN 55432
- 763-572-3552
FAX: 763-571-1287 �
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