AF - 46924City of Fridley, Minn.
BUILDING PERMIT
Date: - April 1,� 1970
pwner; _ Lyn.n S. Lars on g�� Lynn H. Lars on
Address 570 Ironton St. N.E. Ad� 570 Ironton St. N.E.
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LOCATION OF BUILDING
No. S 7 Q Street Ir ont on S�. Part oP Lot
Lot 4�& �_ Block G Addition or Sub-DivYsion $?�iLerv�ew Tiei�hts
Coraer Lot _ Ins�tde Lot R Setback � Sideyard 10.5' 19 .5'
Sewer IIe�Btion -- _ Foimdaation IIevat3on
DESCRIPTION OF BUILDING
To be vsed as:
$ac m nfi A i i pSY�OIIt �..� Depth ZQ_ HP.3ght 8 Sq. F't, �+00 (:U, FL 320�
Front Depth ITeight Sq. F't. Cu, Ft
Type of Construction Masonry & Frame �, ��1, 000. 00 To be Completed Sept . 30, 1970
�j.
Ea consideratfon of the fseuaace to me of a permit to construct the building described above I agree to do
the proposed work fn acc�rdance with the description above set forth and in compliance with afl provIsions oP
orSinances oE the dty of Fridley.
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In ca�nsfderation of the payment of a fee oE � 6. 00 ,�t � h��, �� � Lyna H. Lars on
to construct the building or addition as described above. Thiape rmit is granted u�n
the exp�s,s crondition that the peraon to whom it is granted and his agents, employees and worl�nen, 9n all work
daae iq around and u�n safd building, or any part thereof, shall c�nform fn all reapects to the ordinancee oP
FridleY� Minnesota regardiag local3on, conatruction, alteration, maiatenance, r+epair and. movin� oP buflainge
within the dty limits and thia permft may be revoked at any time upon violation oP any of the provis�iona of eaid
or3inaacea.
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--���`�� suilatn8' Tnspectflr
M[THICH
NOflCE:
'lids psemtt d�s aof eorer t6e coesh�odioe, imtall�len ior whiee, plum6tee, ea 6eaHeg, aw�r er watse. B� sun to �
tln Bnlldiee Inspaetor hr aparaf� parmds Por fhess tt�ms.
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APLICATION FOR RESIDENTIAL, ALTERqTION,
OR ADDITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
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xo : . �5 7b s�T : ��,t�-�.,�, �:
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�,pT ; 1/ 3 - 1/ l{ BLOCK • C� ADDITION : _ �/�� �, .
CORNER LOT: INSIDE LOT: SETBACR: T�►yr��♦�T p � /n` �
� Sia/i'iltf►W i / Da / 7 �J
Applicant attach to this form 1�to Certificates of Sugve�r of Lot and proposed
building �ocation drawn on theae Certificates.
HESCRIPTION OF BUILDING
To Be Used A�:
��n�a,m7'. �,��.�e�,ti,J Front :_ a?D , Depth : a d Height : � --
_�
Square Feet : j/GY Cub ic Feerc ° 3� a O
.��..-.,--�,.
Froat• Depth° Hefghta
Square Feet; Cubic Feett
�pe of Coastruction: �Yj�,��.c, �� Estimated Coat: $�.�-Q��� ..�
To Be Completed: ��, 3D / 9��
�� The uadereigaed herebq m�alcea applicativn for a permit for the work }aerai,n
epeci�ied, agreeing to do all work in etiict accord8ace with the City of
Fridley Ordinances aad ruliu�gs of the Depar4mnn� of Buildings, a,nd hereby
declarea that all the facts and representatione atated in thie application
ase true and correct.
nATE : i� /. / 9 7� SIGNATURE :��s � D, a,... i Q�°��s�� zJ
(See Ravesae Side For Additional�ormation.)
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Building� shall, b�fore �ssuing permita fox the
erection of any building or atruc�ure, or fo�c any addition to any exieting
building or atructure, or for �.ny alteratioa or repairs to any existing
building or sCructure, upon applicatian thereforea $equire the paym�ent�by the
applicant for such permit of fees to the amoun� herein belaw set forth and ia
the manner herein pravided to-wit:
UDTLFORZd BUILDING CODE: �►pe 1, 2& 4-$2.15 for each oa�e thousaad cubic
feet, or fraction thereof, in such cubical conten�s. Tqpe 3� 5-$1.85 for
eaeh one thoueand cubic feet.
ADDITIONAL INFORMATION
Far the purpose of ca�puting fee� for building permit�, the cubical conteate
of any building o� additimaa, ie determined bp �altiplyin� the grouad area
c4wered fram a poin� six (6) inch�e belora th� fioor lin� of tiie b�s�t
a� �� cellar to th� e�vsaeag� h�i.�htcs of �h� up� su��e or to �h�� averageK
�height of the roof �urface of th� �in gabl� of a pitched rvof.
For repaire or altex�tions to au eac�..sti.t�g �truc�ur�, �h¢: f�se a�all b� at tthe
rate of $3.00 per each f�ve hundred doll�rs ($5�0.00) or �r�ction th�zeof in
the coet of all proposed work. .
Ya� no cae� ehall the fee charged for any �e�i� �� se� for� ia Section 2 be
lese th� $5.00.
VARIFICAT�ON OF FOUNDATION
D1D1�: ,Parmits for e�an�struction will be ieaued a miaim�m of 24 boure from ths
tt�e of applicatioa, to allaw for proper review of the proposed e�ructura and
of the coaetsuetion site.
A Certifi4d Susvey of the lot, ehawiag the location of the fouad�tion, onca it
iw-�beeu constructed, will be requirad before t�roa��diaa with th� framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupeacy Bhall b� made ten (10) days prior
to tine uae or occupan�y of au� atructure for which a building permit ha� beea
,, �.seu�d; and eaid �tructure �hall not be ueed or occu�l�d until a Cartificnte
of 0ccupaiicy has bmea ieeued.
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` ���ie �r��ur�t�ce �o�c��r�p of �ittr�e�ota�
� �inr�e�ori�, �i�t�e�ota� ` �
�i�er
To be attached to and become a pacrt of Policy No. g'�• , of Title Insurance Cosnpa�y
o f Minnesota. � �
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nThe plat above shown indicates correctly t�' ize and location of the improve-
ments on premises herein insured; also th buildin�e now located on premises in
question are entirely within the lot lines and the bu3ldinga on adjoining preat
ises do not encroach on the premises herein insured.�
Nothing herein contained shall be construed as extending or changing the e f f ective date o f sasd
policy, unless otherwise expressly stated.
Th%s Rider shall not be valid oT binding u�til countersigned by either ara f�ssistant T�ice President,
Assistant Secretary, Title Officer or Validating OfJ'icer.
Sig�zed and sealed th4s ,� ��`� day o f ���U%L. , r y 5�:
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Count ign d:
By'' �
- - =`�� A �
�itCe �(ngurance �om��anp of �inne�ota
By .
� President
Attest:
Secretary
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SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T,
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� • COMMUNITY DEVELOPMENT DIV.
r � ~ � PROTECTIVE INSPECTION SEC.
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� � i"'1 � CITY HALL FRIDLEY 55432 NuMeeR
�----� � �'� 812-580-3450 910-F15
JOB ADDRESS �70 �.onton Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
oescR. 43, 44 G Riverview Hei
2 PROPERTY OWNER MAIL ADDRESS
Mrs. E. Johnson 570 Iron,ton Street N.E.
3 CONTRACTOR MAILADDRESS
Brothers Const. 3531 - 170th Lane N.W.
4 ARCHITECTORDESIGNER MAILADDRESS
5 ENGINEER MAIL ADDRESS
6 USE OF BUILDING
Residential -
REV. I DATE
ti.
ZIP
ZIP
ZIP
PAGE OF
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f° 13942
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APPROVED BY
SEE ATTACHED
SHEET
PHONE
PHONE LICENSE NO.
753-1778
PHONE LICENSE NO.
PHONE LICENSE NO.
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof part of structure
9 CHANOEOFUSEFROM
TO
STIPULATIONS
Call for inspection before sta.rting re-roof (after re-decking)
SEp�p'� PERI►AI7S REt�U1RED Fi7R WIRING�
NEAtlNG, PLUMB�I�G AND S1GNS. -
TYPE OF CONST.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphalt
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED. $`],�],OO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $]_2.00
STRUCTION OR THE PERFOR ANC OF CONSTRUCTION.
PLAN CHECK FEE
�C 3 �7- � 7
SIGNATUREOFCONTRACTORORAUT ORIZEDAGENT IDATEI WHEN PROF
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STALLS
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GROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SURTAX
$.55
SACCHARGE
TOTALFEE
$12.55
TED THIS IS YOUR PERMIT ^�
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CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING E'ERMITS
tNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) .
owrrER: /11 ��1 S �,� D 1�`�I �/� D� BUILDER: �; �r� ��'�i2 5 lrr�s �
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Addres s: . 7 0 �� rv / b�1 /V � Addres s: ��j 5� 3/ � 7 G/� �
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Tel . No . : � �3 �/ 7 7 �
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No. : � % C� Str�t • 1 /<� e -'� J ° ^� s i � ,. t.- -
LOT: `� J� ��' � BIACK: l7 ADDITION : ��l? c/': (J i f�> /� ? t 1 �i Li % 5
—7
CORNER LOT: INSIDE LOT: �_ S�TBACK: SIDEYARDS:
Applicant attach to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
/�� �� �r %T�'v�v�'£ Front: Depth: Height:
�a c !� F I.,T ,a�c r �'��
Square FePt: Cubic Feet:
Front: Depth: Height:
Squa.re Feet: Cubic Feet:
Type of Construction: ,5, � ,�--I s�'"/�A �� Esti.mated Cost: $,��/Jv ��'
Zb Be Completed: ��� � Gz C!� /�, / 7%% /Alt. A Al't. B
Proposed Driveway Width If New Opening Is Desi�ed $ $
(SEE REVERSE SIDE OF SHEET)
• The undersigned hereby makes 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 Department of Buildi.ngs, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side fQr additio ]�,information.
,- 1
' DATE: � %- % % SIGNATURE: `_ ��,
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Stipulations:
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BUILDI(JG PERMI�" FEt SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing pexmits for the erection
of any building or structure, or for any addition to any existi.ng building or structure,
or for any alteration or repairs to any existing building or structure, upon application
therefore, require the paya►ent by the applicant for such permit of fees to the amount
herein below set forth and in the manner hE:rein provided to-wit:
NEW CONSTRUCTION: Single Family Homes and Garages: �$4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Drive��ay width plus 6 feet x$15.75
�11 • � � �' � ��
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a,
point six (6) inches belaw the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 pier each five hundred dollars ($500.00) or fraction thereof in the cost
of all proposed work.
�
In�no c°ase shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
� , VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a mini.mum of 24 hours from the time
of application to allow for proper review of the proposed struct�re and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
: : � � ':1
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued. .
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City of Fridley _ 1786
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; ;, CEIPT
� �� �.�___ COMMUNITY DEVELOPMENT DIV. � 1C=,'�""
r � � PROTECTIVE INSPECTION SEC. N
� i �
� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BY
�""� • •�� 612-571-3450 910-F15 2/22/85 / /
JOB ADDRESS 570 Ironton Street N.E.
LOT NO. BLOCK TRACT OR AODITION
1 LEGAL SEEATTACHED
oescR. 43,44 G Ri.verview Heights SHEET
2 PROPEHTY OWNER MAIL ADDRESS ZIP PHONE
Harley 7.`urner St. Anthony 789-6140
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO
Keith Brask. 710 Old Highway #8, New Brighton, NIl�i 55112 636-1655
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADORESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW �gl ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOHK
Const�uct a 32'6" x 20'6" Addition and.a 7'6" x 12' Entry o�f Kitchen
9 CHAN(iE OF USE FROM TO
STIPULATIONS Must meet present Energy Code ceiling R-38, Wall R-20. Provide
products of combustion alarms (both levels). One window in each bedroom must
meet egress requirements.
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° ��T� ��' lA°�:�
TYPE OF CONST. OCCUPANCY GHOUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEiiTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`4.00
WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT S81OOO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`FiS. SO
,�, p-��,¢,v�C.- 1 cySY'�� F�S Z 2� PLAN CHECK FEE TOTAL FEE
� � $17.13 $89.63
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATE� WHEN PFiOPER VALIDATE THIS IS YOUR PERMIT
�
a;� J- S � —
SiGNATUREOFOWNERiIFOWNERBUILDERi �DATEi BLDG WSP � D E
_r.� .. _ �e i
p� [� City of Fridley Effective 4/1/84
ADDN. I 7 R-1 A�D R-2
pLTER. I 7 Building Permit Appliaation
Construation Addreas
Legal Deseription
� ror�°�o
I�l` i CJ'�P
owner N�e & Address a _ �� /P�°��'� �� �`�_ lQk�lo�� _ Tel. � P%8Cf -fo !� o
Contiraotor s P i'� _� ��, s� Tel . i� 3 G�`G 5 S'
Address: `%/O C��cQ ��Y � �%�� �a i°e�i�c� ��/ / `�
LIVING AREA:
GARAGE AREA:
DECH liREA :
OTHER:
Attach to this application, a Certificate of Survey of the
lot, t�ith the proposed construction draWn on it to scale.
DESCRIPTIOH OF IMPaOYEMENT
Length 32� �� Midth 2 f� �� Height � P Sq. Ft.
Length Midth Height Sq. Ft.
Length iTidth Hgt/Ground Sq. Ft.
'Z � � �' ?e ! 2 �h °��'y � � F eL°. i�e �e� �'d �oG � ° -��¢4°L
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side 7ard Setbaek
�
Type of Construction: �C ��� � Estimated Cost : a�0�4. o�
Approx. Completion Date: � %���c� � O
Alt. A Alt B
Proposed DriveWay Width If NeW Opening Is Desired: � �
See Back Page for Explanation
DATE: �e.� 2 � APPLICANT: _ Tel . � � 3G"°'`� �S�
CITY II3E ONLY
Permit Fee � � Fee Schedule on Reverse Side
Plan Check � 0�1.0� 25� of Building Permit Fee
State Surcharge � ��� �.50/�1,000 Valuation
3AC Charge � —� a425 per SAC Uait
Parlc Fee a '—" Fee Determined by Engineering
Sever !lain Charge � �
_�� � Q� Agreement Necessarq [] Not Hecessary []
STIPOLATIONS: ,
di` � � � t � u �" � f �_ � �� ''� -, ' �, � �aL �-��'
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��� V'��,Q�i �'%��'� �"'t �;=`'� ;,, eJ�? _� `� ;=�F '`�' _1`. �',,�_a' . �' � .ao,: ��t�-�F'�F`�—_FE�, �� y' '!+,�r.���,:(- � {, " �'�,� � i
. ;
� ,�'� � � ��._ "�,� ^ r,� •� r� �� � ►�i ���: � _ �.�-- �,_;:a � �i'r � r ,,� a.� �
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BIIII.DING PERMIT FEE SCHBDIILE
The Chief Building Official shall� before issuing permits for the erection of any
building or structure, or Por any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure� upon applicatio n
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein belo� set forth and in the manner herein provided to-vit:
Total Yaluation
Fees
=1.00 to =500.00 �10.00 (Minimum Fee is a15.00)
�501.00 to �2,000.00 �10.00 for the first �500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
�2�001.00 to a25,000.00 a32•50 for the first a2,000 plus �6.00 for each
� additional �1,000 or fraction thereof, to and
including �25�000.
�25,001.00 to a50,000.00 �170.50 for the first �25�000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
including �50,000.
�50,001.00 to �100�000.00 �283.00 for the firat �50,000 plus �3.00 for each
additional �1,000 or fraction thereof� to and
including a100,000.
�100�001.00 and up 5433.00 for the first �100,000 plus �2.50 for each
additional E1�000 or fraction thereof.
DRIVEiiAY DEPRESSION ESCRON
(Concrete Curb Streets Only)
. Alternate "A": Removal and replaeement 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
approaeh With 6 inch depth - DriveWay Width plus 6 feet times �15.75
11ERIFICATION OF FOIINDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to a11oW for proper reviev of the proposed structure and of the
coastruction site.
A Certificate of Survey of the lot� shoving the location of the foundation once it
bas been aoastructed Will be required before proceeding With the framing.
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SUBJECT PERMITe,.�V.!g,-���-- ����
City of Fridley 210 0 7
.
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
„ .
� � COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC. �����
i V -��-
r � " ;
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� /"'1 � CITY HALL FRIDLE� SS43P NUMBER REV. DATE PAGE Oi APPROVED BV
�'""'�"� �'� 612-571-3450 910-F15 8/13/91 / /
J08 ADDRESS 570 Ironton Street NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescp. 43,44 G Rivelcview Hei.gh.ts SHEET
2 PROPEF;TY OWNER MAIL ADDRESS ZIP PHONE
P�ark Hillstrom 570 Ironton Stxeet NE, Fridley 786-0084
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PMONE LICENSE NO.
6 USE OF BUILDING
Res iden tial
7 CLASS OF WORK
❑ NEW � ADDITION O ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a, 12 � x 36' Ca,rport a,nd a 1Q � x� r Foyer
9 CHANOEOFUSEFROM TO
STIPULATIONS See notations. an plan, �royide a hard sur�'a,ce dxivewaX by 6/1/92,.
Carport must rema,in o�en on at least two sides ar open�,ngs into house must be
1 hour �ire rated. Variance granted 6/3/�l.
�������
Before digg�Rg C��f yar
ell te�►Fefy to�cati��g
SEPARAT� PEP,IV1fTS �E�1�9R�p F�R ��-��
v���r��r��, �—���ro��, Pi�i�A�3i��� �,���� �r� ��4������ �� �
NS. �
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
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 ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $���-5Q $2,Q8
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $72 • OO Fire SC �`4. �.'rJ ,
PLAN CHECK FEE TOTAL FEE
_ .23
SIGNATUREOFC N'a�R R � i aGENr �DATEi WHEN PROPER Y V I S IS YOUR PERMIT
,�' � r l f � �/� +t
SiGNATURE OF OWNE �IF OWNER BUILDER� IDATEI ¢ iNSP �IATE
� ��
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ALTIIt � �
o�i� �: � ��
_�: �� w •
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Effectiv+e l,/l,/91 •
R-1 l�lt�ID I�2
Buildit� Piesmit l�pplicatian
�,-o �, �-o �• 51� N E, ��- �� l� y, i'l�lS��3�
0
I/ t/ I , /
owr�er Na�e � -y'•� �: /�la ✓�� �I/G S7'r6 /�'i J�7D �ro�/ ��1 J��1. � � SG ' �� � T
�ac�ta�• � �
.
Address: �
rr"OY�Cw
7�1Ya1G ]1i�'E'A:
� 71�:
�G'dC 7�lRE�i:
O►�tt:
Attach to this applicatian, a Oettificate of �vey of the
lat, with ti�e p�cpo�ed ooc�sttvctian drawn an it to ecale.
�R�1'I�ii CfF II�AOIoH�Tl'
Iength l� width � Seight sq. F't.
I�th Widrh H�e,ic�t Sq. F't.
Iex�gth Width Hgt/C,�aur1 Sq. Ft.
!�, �r � �� �'� �'1� t�'l��l_ ' � 4�a � 1C`"? _�e z Z a G.tiJ` � n .
i— / _' �. � Iz (�_ V`'i� � � Y t I�`�e� �'� � 1 �
o�rner rat �� Inside r�t � Ft. Ya setba�x �/ s�ae Yara setbacxs '
Zype of �c.�tiaai: 4� �� �,� ��. Est.i.mated Oost: $ � / �
Appr�x. o�letiar� Date: �,, �Ji�,� � e ,��r
Propoe�d D�iveway Width If Netia Opening Is Desired: Ft. S S
@ i + 6' See Back Page
DAT�: ° ���6� APPLICANr: - '
'I�e1 • #
,
Pie=mit Fee $
Fire Sur��azge $
State Surci�aurye �
sAC � s
�iveway F�c.row $
Park Fee $
S�' Mdl.11 Ct13rC�E $
. �.
_yM.�, ; M •��
�
$ ,�3
«�� � _,_ . ,�
Pbe Sci�ed�le an I�eveise Side
.001 x Ppsmit Valuatian (1/lOth $)
$.50/$1,000 Vsluation
S65o per sAC unit
Alt. "A" Os Alt. "B" Above
j� i]a�ter�ni r�ar� � Fl�i r�ri *rr
� 7
Aq�e�t Ne�sa�z]� � � NOt Neo�ary � �
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�:_�1■ ���, c i .;•,,� 1 .,; ; •:i -� u :
�e Chief Builciing Official ehall, befa�e 3ssuirg peimits fos ti�e erectian of any
building a� etz�a.�e, a� fa� any adclitian to any e�dstin3 building a� str�re, or
for any alteratian a� re�ait' to anY �.�in9 buildin9 0� etruct�e, u�'► aPPlicatiaai
therefo�e, require the paymesYt by the applicant far eur� pe=mit of fees tc the aaoount
here3t► belu�r e�t fa�t21 eT�cl 3n t2�e �*+�+ar t�eiejss p�wi�Cl tro-wit:
'1�D�iL V�TifF.
$1 to $500
S5oi to S2,000
$2,001 to $25,000
$25,001 to $50,OQ0
$50,001 to $100,000
$100,001 to $500,000
_ ��
gl5 (M3ni�n F�e 3s Sls psus m„*�,?*��
$15 fcor fitst $500 pltts $2 faac each additiac�al S100 or
fract,ion thet'eof, to et�d it�ltr]3.r�g $2, 000
$45 fa�' fiist $2, 000 plt� S9 for ea� acYiitianal $1, 000
C�' fractian tirreef, t� et�d inCluding $25, 000
$252 fC� lit�t $25,000 plus $6.50 far euii additianal $1,000
ar fractian tbeieof, t� ani inciudirg S5o, o00
$414.50 fc� first $50,000 plus $4.50'for each ax�iitio�al
$l, 000 C�' fract3an thereof, to ar�cl iT�cludinJ $100, 000
$639.50 for fixst $100,000 pltis $3.50 fcr each additioTal
$1, 000 or fractian th�reof, to ai�d iricludin3 $500, 000
$500,001 to $1,000,000 $2039.50 for the fi�'t $500,000 plus $3 for each additional
$l, 000 C� frdCt�iCn thereef, to eT�d 3 ilcludi,r►g $l, 000, 000
$l, 000, 001 ani up $3539. 50 for the fizst $1, 000, 000 pl� $2 for eaci� �ditional
$1, 000 ar frackirn thet�eof
nilV�lit �Pl�87:C�T F8C=iORi
(Oancrete O�b Streets at�lY)
Alternate "A" : R�o�ral ani zeplaoe�ent Of au�b ar�d gutter anly - Driveway width plus
6 fe+et t3mes $13.50.
Alternate "B" : R�oval ar�d replae�ert Of ancb ar�d gutt�r and install a 3 foot wide
appYOach with 6 inh depth -�iveway width plus 6 feet times $15.75.
'/-,: � ��'4MT� �(•i�i�_�',��': M � ,
Permits for ernstru�ctian will be iague�d a minim� of 24 houzs fram the time of
applic�tirn to allow fa� p�oper review of ti�e p���ed stnic4ire ar�d of the
�cst�vction site.
A Oertificate of SZuvey of the lot, Bhowing �e locatian of the faanlatian a�oe it has
it i�as been a�nstn�cted will be required before p�ooeedirg with the fr�in�.
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s�e�ecr PERMIT N
City of Fridley � � �, �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f -
i l R Q.
i Ly �'����,
COMMUNITY DEVELOPMENT DIV
r � � PROTECTIVE INSPECTION SEC.
, �;���
� _ ,
� �"'1 � CITY HAL� FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVED Bv
�.---� • •'' 612-571-3450 910-F15 5/27/97 � /
JOB ADDRESS
570 Ironton Street NE
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
oescR. 43,44 G Riverview Hei hts SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mark Hillstrom 570 Ironton Street 786-0084
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
� reroof 7.2 S Tear-of
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE FEOUIRED FOR ELECTNICAL. PIUMBING, HEATING,
VENTILATING OR AIH CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAL�S GAHAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED �594
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �. SO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEf±M1T FEE SAC CHAHGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �p23.%S Fire SC �.59
PLAN CHECK FEE TOTAL FEE
$24.84
SiGNA7UREOFCON�AACTOROAAUTMO�:�ZEDAGENT IDATE� WHEN PqOPERIY AL ATED THIS IS VOUR PERMIT
���'������-.� -�-2 �-�� � .� ���'%'�%
SiGNATURE OWNEAiiFOWNERBUILDEiii IDATE� - � K D �NSP OuTE
NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: � �D �,�-� v� -� z vi .� %� �,� �
Legal Description:
Owner Name & Address: /1/f� ✓/� ,�/,
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
��--� �t
Effective 1 / 1 /97
Tel. #_ %�� �- � � d��
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length
Length
I.ength
��'�0--�1 L ` v� �
Tel. #
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Driveway G�rb Cut Width Needed: Ft. + 6 Ft =
� +(ic� 7 ..r
EStuIISted COSt: $ �� r d �
(Fee Schedule on Back)
Ft x $ — $
DATE: .� �` 7 - `% �� APPLICANT: /�`%a i�< �� %�S �✓v v�l Tel. 1� 7g� - � a � Z%
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �
CITY USE ONLY
$�} �, 7� Fee Schedule oa Reverse Side
$ � � .001 of Permit Valuation (1/1(hh%)
$_ . s�U $.50/$1,000 Valuation
$ $950 per SAC Unit
$ $5.00 (State Licensed Residential Contra.ctors)
$ Alt. "A" or Alt. "B" Above
$ � $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ y
�� .
(�UII,DING PERM[1' EEE SCHED�:t.,l,
"I'lic Chief Building OfCcial shall, beforc issuing permits for the erection of any building or structure, or t��r
any addition to any existing building or structure, or for any alterativn or repair to any existing buitdinQ or
stiucture, 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
$SOl to $2,000
$2,001 to $25,000
$25,001 to $50,000
�50,001 to $100,000
$100,001 to $500,000
�500,0p1 to $1,000,000
�1,OOO,Q01 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5(?0 plus $2_75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for fust $2,OQ0 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 ��0,0�
$574.75 for first $SO,OUO plus $6 25 for each additional
$1,0(3fl or fraction thereof, to and including $1(�,IX�O
$887.25 for first $1�,000 plus $5.00 for each additional
$1,OUO�or fraction thereof,_to and including $5(?0,000
$2887.25 for the fYrst $500,000 plus �4.25 for each additional
$1,000 or fra.ction thereof; to and including $1,000;�0
$5012.25 for the first $1,�O,OQO plus $2.75 for each additional
$1,000 or fraction thereof
DRI"VEWAY DEPRESSION ESCRO�V
(Concrete G�rb Streets Only)
�lternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.�0.
�Iternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet tirnes $15.75.
VERIFICATION OF FOUNDATION
'crmits for construction wiil be issued a minimum of 24 hours from the time of application to allow �or pro�::r
�view of the proposed stcucture and of the construction site.
� Cet-titicate of Survey of tlle lot, showing the location of the foundation � mce it has it has becn c��nstruc° _•• i
�? h� reyuircd hcfc�re ��r�,cc:cdin� ���ith ti�c framin�*.
� , _ . :�
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