AF - 47041City of Fridley, Minn.
BUILDING PERMIT No °`� 4 5'7 4
Date: ..�G*._.._...—•��------�� _._.._. �_------
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Owner: . a,j..�. - -r----�' -- ---� ' .� ' ��. Builder ...---��--•---.._ ___..-----------__...__...._..__..�...�_._
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Address _. ` /, �. ,� �.. • , r.�""..'""."' _.. ._
,�'�� �.�-••-tt-�'��=-�"=��-s�,' Address ----•- •4---_. __... ��-'��,r--' -�l�l��---'��_�_.
,� LO TION ,F UILDING
No. �,(....-�-----... 5treet _. ����L��...._ _._�":":"��-----___...._--- Part of Lot .-----.
' ..---- Block - - --.��..._....._......._........ Addition or Sub-Divisie on . _. ...� .......:..:..•-- �-- - y.-.._...� _....
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Lot .�• �J" _ :."� . ----• - o __:..- ---�� _.--------
Corner Lot . - -----.....----.._..._--- Inside Lot .............�'.`._........ Setback ....._�--�-'•.---_........ Sideyard .----...d..f.. � :---..._..---------��--� ------� ---._..
Sewer IIevation
T� Used ,�
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Foundation Elevation
DESCRIPTION OF BUILDING
Front !�!_..�✓ -.! Depth ..�..�_.. � Height _��,�...�._� Sq. F������ Cu. Ft��.,�G�'�
� - .............._............._...._....... _......... Front ...._..----....... . Depth ................... Height ............... ... Sq. F� ....._.....---....._.. Cu. F�
...
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Type of Construction .......��.��..'�.... Est. Cos ..,:; j�:�..��,�...._��... To be Completed ..--.---------..__...
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In conaideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provivons of
ordinances of the city of Fridley.
.--r�........__......._....___.._.._.._.. _..._..._..._.., ____._. _._._
In consideration of the payment of a fee of $..��..:�_...., permit is hereby granted to....._ ............._......._...._.
.._.__�_.......__.____._.__..___._.... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worlmien, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of buildings
withiu the city li�nits and this permit may be revoked at any time upon olation' f any of the provisions of s�id
ordinances. .!'� �'? � �
Building Inspector
NOTICE:
Thls permit does not cover the wnstrue�ion, ins�allafion fo� wiring, plumbing, gas heating, sewer or wafer. Be sure to aee
the Building Inspector for separate permks for fhese ifems.
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HARVEY A. CARTWRIGHT
ANOKA COUNTY BURYEYS
MBNN6PIN COUNTY BURVEYS
MINNfiAPOLiB" BUHVEYS
6410 PALhA BTREET N.w.
SUNeFT 4-76SS
OWNER
IN�UBTRIAt — JUDiC1AL
BUSlNESB — TOPOORAPMICAL
CITY L078 — RLATTING
A1 Wi]1�.�ns
CARZ�G�T & �O�SaH
LAND SUR �EYORS
REGIdTQRiD YNDHR 6AWS OF 6TAT6 OF MINNESQTA
LICfiN��D BY ORDINANC[ OF CiTT OF MINNgppOL18
326 PLYMOUTH BUILDING FEDERAI 8-�721
HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA
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COMBININti THE qECOR08 OF
J.-E. HILL, CIVIL ENGINEBR
68TABLIBNlD ip!
G F. SANDHOFF
CIVIL ENOINE6R
EBTABLI8NED tY08 �
JAMES NELSON
9uaveroR
EsTae��sMeo ioa�
k1ETROPpI.ITAN LAND
SURVEYpRB. EffiTA6L18MHD 1951
Irivoice 2129{)
?02/�7
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I h�rc�by cer�if�r t&at this is a�rue and co�rect representation of a surve�r o�
th e bouricisri�s� of :
Lats it� � and 6, Blocls �2, R�.vez�view Heights
As survayed by me f,hi.s Z��h day af Apri1, 1960. .
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,/� SIGNBD � . , . F n�nt '•
( � °"—� Q���'aHT A�I�.L,1L9�lN �`�
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-- � �
• APPLICATION FaR BUILDING PERMIT ' .
� ' CITY OF F'R,IDLEY, MIN�V�SOT� � �
Owners Natne .� f'� . � Builder . � �� � ,���
Addreae S �- %1 .�. ,_ Address �J �' � " I
_ • � � �LDCATION OF .BUI�DIAIG • ' .
No:., �,'� •�� Stree� . ��'�-. .. . Po�rt of Let _ ___� _
. � � S
Lot �-�' � '� Block � �ddition or Sub. Div: ,� ��,� � /� ,(/, ( L �A/ /��'✓ /`� r
Co��er:. �Zet � rnaide. I�ot Set Ba.ck �_.�.� ��
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,�•�piican� attacli to thia form CertificA.te of Survey of Let and proposed
building location.
DESCRIPTION OF BIIILDING �
To be use.d as • . � � , ..
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� � �- E�ont _, Q 0 Depth�,QrHeight
Sq. Ft. G�. Ft. . .
, ..: �;y,. � F`ront .�_,.. De�th . Height � . �
� Sq. F't. G�.t. Ft• _______.
Type of Construction Estima.ted Cost .`....�.._..
Te be completed • , . '
The u�dexaigned.hereby-i�kes application for a permit for the work
herein��:�spec3.fied.�� � agree�.ng 'to do all work 3n atrict accordatiCe with the
City �rdinances �nd ruling of the.Depa,rtment ef Buildings, and hereby,.
declare� tY�at all`the facts and��representationa stated in thia appli�ation
are true and correct. .. � �
D�a.te �/ `S /-. �� Signature
(1 Schedule of Fee Costs can be found en the Reverse Side)
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BIIILDING PERMIT F`EE SCHEDtTLE
Section 2. The Inspector of Buildings shall, before issuing anq permit
for the erection of any building or structure, or for any addition to
any existing building or structure, or for any alterations or repairs to
an�r existing building or structvre, upon application therefor, require
the pa�►ment by the applicant for such pernai.t of feea td t�e amount
herein below set forth and in the monner herein provided to-wit:
2,1 For any such perrait for the erection of any fireproof building,�
other than a garage, warehouse, factory or grain'�levator� or for the ,� �
erection of any fireproof addition, for similar occupancy� to�any
existing building sha.11 be at the rate of °�1,40 for er�.ch, one thousand
cubi�c f'eet, or fra ction thereof; in auch cubical contents.
2,2 For a.ny suoh permit for the erection of any firepraof garage, ware-
house, factor;� or'g�ain elevator, or for the erection of an�r fireproof
addition for similar occupancy, to any existing building ahFa.7.l be at the.
rate of �1a25 for each one thousand cubic feet, classified as "fir`�proofrr
by Section 502 oi the Minnee.polis Building Code. �
HOOSES � •
2 � 3 For any auch perr.iit.., for. th� erectiori of any non-fireproof building�
other than a garage, warehouse; factory or grain elevator, or any �-��- •
non-fireproof addition,•f�r:�imilar occupancy, to. any existing bu9:lding.•.
Permit $1.,00 for each one thousand cubic feet. . ��
GARAGES ,' `.
2./� For any such permit for the erection of any non-fireproof gaxage� •
warehouse, factory or grain elevator, or for the erection of any non-
fireproof addition, ior similr�r occupanc�r, to ang existing building or
for each such bui:lding or additione Ninety Cents for each one
thousand cubic feet or fraction thereof, in the cubica.l contents thereof
with a minimun of �.�,OO.o
For the purpose of eomputing fees for building permits the cubical �
contents of any building or addi�ion to a uniform he1 hi •throughout by
multiplying the ground G.rer�. covered from a point six �6) in�`hea be��ow
the floor line of the basenent or cellar to the average height of the
upper surfaca�or`�to the average,height of the roof suxface of the-main
gable of a pitched raof� . ' �
2e5 For repairs.or alterations to �.n existing structure, the fee sha.11
be at the r�.te of �3r00 for.each Five Hvndred Dollars (�500.00},�or
fraction �hereof in the cost o�f a.11 proposed worke ..
2e6 In no case shall the fee ehr�rged for any permit as set forth in
Section 2 be less than �L,.�00�
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HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ,
Weatherstrips A.S.H.V.E, Conatruction No.
Guide
Windows I Doors Reference Out. Wall Int. Wall CxJing Roof F1oor Kind
Yes—No Yes—No 19—
Fl.� Room � Length Width /y Height Fl,� Room
Windows and Doors—Crackage and Area Windows and Doora—Cr
Width Helght No. o! Llneal t. Ares Wldth Helght No
No. ot Dane ot Dane Ilghte of crack eq. tt. No. ot Dane o[ Dane t1g
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3,�„ 6,d��, / I �� co�f. Bn,
Infilcratioa n o - -� �
Glass ,� 7
Exp. wall � '
Net exp. wall
Int. wall
Ceiling
Floor
T'otal Btu.
Required sq. ft. E.D.R. or aq. ina. W.A. I.eader area
Fl.� Room � Length � Width `
Windows aad Doors--Crackage and Area
Width Helght No. of Ltneal Lt. Area
No. ot Dgne ot Dane llehts of erack W. f�
� Infiitrahon
( � a Glaas
Eap. wall
t �/ � Nec eap. wall
Int. waq
�_ Ceiling
Floor
� � Total Btu.
Coef. Btu
In6ltration /L � f g' cF a ���
Cdasa d b
Eap. wall �
Nec ezp. wall �/ /�? .� / d
Int. wall
Ceiling �� �
Floor
Total Btu. �. �
Required sq. ft. E.D.R. or aq. ins. W.A. Leader arta
F1. Room � Lengt6 ,'� Widt6 '6 r�Height
Windows and Doora—Crackage aad Area
Wldth Helght No. ot Llneal [t. Area
No. ot oane ot vene Ilahts ot crack sa. it.
Coef. Btu
Infiltration � � �
Glaas � �, O-�
�p. Wau
Net exp. wall b �
Int. wall
Ceiling 3
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�.� 4. ft. E.D.R. or sq. ins. W.A. Leader area
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FRIDLEY, MINN.
Insalation '
How Applied
Length � Width // Height ��
ackage and Area
oL Llneal f4 Ares
hte ot crsak sp. ft
�. 3 3 ��
Required sq. k. E.D.R. or aq. ins. WA. L.eader area
FI.I ' oom � Length �• �� Width �
Windows and Doora—Crackage and Area
Wldth Selgbt No. ot Llneal [t. Area
No. ot Dane of paae IlghU ot crack eq. tt
' � f-� �(0 7�. � � � eZ
Infiltration
Glaas
Esp. wall
Net ezp. wall
in�. Wau
Ceiling
Floor
Total Btu.
Kf. Bcu I
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Requued aq. f� ED.R. or aq. ina. W.A. Leader area ���`
F7.� °��i°IV Room I l.tngth Width ���' Heighc
Windowa and Doora—Crackage and Area 8' °3" x
Wtflth Hel`6t No. ot Llneal tt. Ares
No. o[ ysne ot Dans Ilghb of cracB �Q. tb
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t,�itret�on /L , a �-
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� Eap. wall
I Net exp. wall
Int. wall
ICeilin
Floor
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Required aq. k. ED.R. or aq. ins. WA. I.eader area
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3�nQ3H�S 333 ZINRi3d �NIQZInR
F. C. JACKSON � � •
LAND SURVEYOR
R[GIfTERED UMOER LAW6 OF STATE OF MINNE80TA
LIC[NB[D BY ORDINANCE OF CITY Of MINN[APOLIB -
361Q EAST 55TN STREET PA. 4-4681
�urbepor'g �crtificatc
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I herebv c4rtifv th�t; this is a t�•lio and cor^oct ��lat c�f E� sttr����,r of:
T.ot s 4, 5 nnci fi T�l��c k Q, i�:�. •TE�I` �i a�r �f�'. _;iit s.
- 11'� �^�tt� •
pnol:a (, o�.int,l, _nr. • • .. .
,
'.ith DAY Oi %►nril ..o. 14�70 �,. ffJ �
AS SURVEYED BV ME ?HIS / /
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�tED— � � �
F. C. JACKSON. MINNESOTA'ReC
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:�'�i!_'i"- `— '
awT�oH. No. 3600
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� �� Caty of Fridley, Minn.. � � �'
6431 University Ave. 1�. E., Minneapolie, Minn. 55432
BUILDIN� PERMIT
..: _ �.=. . � •
pwner; Don.ald J. Neuma.n B�d� Same
Adaress _615 I�ontqn Street N.�. Aaaress Same
LOCATIOiV OR BUILDING
No.. 6�?._..�... Street __��'onton Stree� N.E., Part of Lot
Lot 4,5,6 Block - � _�_ Addit3on or Sub-DivIsion .�Yerview Heiphts Additio�`
Coraer Lot ____._...` Inside Lot X. Setback Sideyar$
Sewer IIevatfon — Founda.t3on IIevation _..
DESCRIPTION OP BUILDING
To be Used �s:
Garage Attached �nt �_. Depth .?$� .... Height �_ Sq. F`t. �.�' Cn. Ft. 7600 �
_..._._ Front Depth Height Sq. Ft Cu. Ft
Type of Construction `_ Frame Est Cost .� $2; II00 0� To be Completed l�ear
Subject to slab elevation 18" above centerline of street. Provide a hard surface drive.
In consideration of the issuance to me of a perinit to construct the buflding described above, I agree tp do
� proposed work in. accordance with the description above se forth and in compliance with all pro �
Or�anc�es of the dty of Fridley.
�
In considera.tion of the payment of a fee of $� �� , permit is hereby granted tn rc �Ta��mnn
to construct the building or addition as described above. This permit ia granted upnn
the express condition that the person to whom it is granted and his agents, employees and worl�en, 3n sII Work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the orc�in�aCeB oi
I�`ridley, Minnesota regarding location, consfsuction, alteration, maintenance, repair and moving of buildiIIgs
�i�di�nancea �� �� �d � g�t may be revoked at any time upon violation of any oP the provis�ions of �id
� �-n--=� e
�.�g ��
CLARENCE BELISLE
NOTICE:
This permit doea not e r the eonatruefion, instaRaHon for wtrfne, plumbing, 8as heaftng� �wet or eerater. Be soro fo sas
t6e Building inspeeto� fo� aeparaie permits for these iterds.
• , � i
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APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAML :���,� � ra� a%- %I �e i.� �/r,q.�� BUILDES: _ i�� � A /ea� a� � r � .� �, �
ADDRESS: C��.� �a��� S'7'. f�9.� ADDRESS:_ C�o �S `7°���.aT� �% , s�.� .
NO • K� i � STREET • - - � �
.. I A�r�.a, I
LOT : �-.�- � BLOCK: � ADDITION c�, c� �,-- � o � ,� � � � � % �
CORNEA LOT: INSIDE LOT:�_SETBACK: SIDEYARD:
Applicant attach to this form Ttao Certificates of Survey of Lot and proposed
building location drawn on theae Certificates.
s�;���,� �� r�r� AL��qd�
DESCRIPTION OF BUILDING
To Be Used As :�Ar q C� c� -- /-�`77—AC �. ecL � y ,
A � �,
Front • �� �e�TDepth • �� �� c,-� Height • �'° P- � �-�
Square Feet; �(,�� Cubic Feet;
Front:
Depth: Height:
Square Feet; Cubic Feet:
�
1�ipe of Constructioa: l�oe+c� �„-�w,,,�_ Estimated Coet:_$�,��p �'�
To Be Completed: ��,,,� �up��,�--�„ �„ � � '�e�-f-c : I
ti
The uadersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in �tiict accordance with the City of
Fridley Ordinances and ruliags of the Department of Buildings, aad hereby
declarea that all the facte and repreaentations stated in thia application
are true aad correct.
DATE : � � I � ' / � � I S IGNAT[TRE : , S l
(See Rev�rse Side For Additioaal Infonoation ) � I . /
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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 aay addition to any exiating
buildiag or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the paymeat by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to-wit:
UN.CFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousaad cubic
feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the pu�cpose 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 below 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 per each five hundred dollars ($500.00) or fraction thereof in
the �ost of all propoaed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
lesa than $5.00.
VERIFICATION OF FOUNDATION
NOTE: 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 coastruction site.
A Certified Survey of the lot, showing the location of the fouadation, once it
hae been constructed, will be required before proceedin� with the framing.
CERTIFICATE OF OCCUPANCY
Applicatioa for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building pernnit has been
issued; and said structure shall not be used or occup3ed until a Certificate
of Occupancy has been issued. •
�- � . �.
.- Donald �1c�uman
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Sc a /e ; % "= Z a '
o Deho �e s �'rd�t
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LAND SURVEYOR
ReGI&TERED UNDER LAW6 OF BTATE OF MINNEBOTA
� LICENBED BY ORDINANCE OR CITY OF MINN6APOLIB -
9616 EAST SSTN STREET PA. 4-46B1
�urbepor'g �ertificate
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Ur. 9:i75
17Q-4 ,�,
-- 75.0 .
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I hereby certi.fv th�t; ti�is J.a a trlio and corroct i�lat of ts sur•�E�y of:
?,ots 4,5 nnd 6�31�ck Q, F;�.v���via�v He'.rhts.
Anal�a Co�ant,l,t1{nn�:s�tf�. � .
AS SURYEYED BY ME THIS �th OAY OF ��nr�'� �.D. ��7� � /`' I`,,' I
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F. C. JACKSOPI. MINNESOTA
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TION. NO. 3600
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SuB�ECT
City of Fridley 29424
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
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r � � � PROTECTIVE INSPECTION SEC.
1 = �
� �"'1 � CITY MALI FRIOLE� SS�3P NUMBEP pEV DATE PAGE OF APPROVEO BY
�""� � �'� 612-571-3450 910-Ft5 5/7/99 � �
J09 ADDRESS 615 Ironton Street NE
1 LEGAL LOT NO. BIOCK TRACT OR AODITION SEE ATTACMEO
DESCR. LF,5,6 Q Riverview Heights SHEET
2 PROPERTY OWNEFi MAII ADORES$ 21P PMONE
Don Newman 615 Ironton Street NE 784-1562
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Same
4 ARCNITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS IIP PMONE LICENSE NO
8 USE Of BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION � fiEPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear-off
9 CHANdEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORR HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATINCa, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
VENTILATING Ofi AIR CONOITIONING
TMIS PEqM1T BECOMES NUIL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTMORIZED IS NOT COMMENCED WITHIN 80 OAVS. OR IF CONSTRUCTtON
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AfTER WOiiK IS COMMENCED NO. DWLG. UNI7S OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED TMIS APPLICATION 1 STALLS GAAAGES
ANO KNOW TNE SAME TO BE TFUE ANO CORRECT. ALl PROVISIONS Of LAWS VALUATION SURTAX
AND ORDINANCES GOVEqNING TMIS TYPE OF WORK WILI BE COMPLIEO
WITH WMETMER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT Z].�}2 �1.07
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T fEE SAC CNARGE
PROVISIONS OF ANY OTHER STATE Oii LOCAL LAW REGUTATING CON• $74.75 Fire SC �Z.1�F
STRUCTION OR 7NE PERFORMANCE Of CONSTRUCTION
PLAN CMECK FEE TOTAL FEE
$77.96
,�GNGTUpE O� CON'FACTOp Op oUTNOR12E0 OGENT IOATE� MEN PFOPERLV V IDATED THIS IS VOUFI PERMIT
� �� '-�' � �� � �
S�GNa1UAEO�OWNEA���OWNEABUROEpi iDATE� �' LOG ti5o ��TE
r�w [ )
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAIVIILY AND DUPLEXES R-1 AND R-2
BUII.,DING PERMIT APPLICATION
Construction Address:
Legal Description:
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Owner Name & Address: �1%� � � e�(,e. l� �'�J — ���1 P �Tel. # `"��� — !�'� r
Contractor: � �-�, %- MN LICENSE #
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�R:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
I.ength
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
Estima.tea cost: $
�`��, --��y2.
Driveway C�rb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ �
DATE: 5�' � � � APPLICANT: � � Tel. # 7��- �,y�' �--�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ `7 , ��'
$ f
$ O
$
$
$
$
$
$
$ �. C
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed. Residendal 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 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
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,�0
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional$1,000
or fraction thereof, to and including $25,OQ0
$391.25 for first $25,000 plus $10.10 for each additional$1,000
or fraction thereof, to and including $SO,OQO
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100, 000
$993.75 for first $100,000 plus $5.60 for each additiona.l
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,� 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 addit�onal
$1, 000 or fraction thereof •
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet tsmes $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 FOUNDAI"ION
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 � been �og�tr���d will
be required before proceeding with the framing.
�[ )
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2
BUII,DING PERMIT APPLICATIOTV
Construction Address:
; 1 S .�2r�v
� � �� ��
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r �D
�"
�
Legal Descriptioa: _�� T �— S� —<o ,Q� o L!� � Kl Ue�2c� r e� /�� i 9�j l S
Owner Name & Address: , f�,� � %`�� -%,{ ��.� sr�-/�� Tel. # `���°1�=��
Contractor: �-� 7�r,� Q � ��2. � '�l (�e,i MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width � Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Construction Type: , Ese�tec� Cost: $
�-�- ° �-,
.�.-- � �, �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ./��� ��
DATE: � i — �� APPLICANT: � O oc, i�'� �(�' �! - �9- i�J Tel. � `��i`f /S��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$
$,
$
$
$
$
$
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 of Permit Valuation (1/lOth%)
$.50/$1,0� 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
Agreement Necessary [ ] Not Necessary [ ]
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or struct�are,
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 $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1, 000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$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,�30 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�ub Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Aemoval 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
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 ��n �ofl��c� w�ll
be required before proceeding with the franung.