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AF - 47055� �� City of Fridley, Minn. BUILDING PERMIT N° 3� 7 4 ��: ..:�' ..� � .:'�. .�1........... . o�� ...... .... ..... . ....... s�a� . ... .. ......................... .... Addre�ss ..��..��........ .,� . . � Address ............................................. ATI OF BUI�DINC No.. ' �` � 6� .�� Street ... ........... .. ......�... � �art of Lot ................ . .......... Lot �,�: 7.� ��: ��ock . . . . . . . . . . . . . . Addition or Sub-Division ��e�&�4�'�f t.�'� . d��!�4� . . . . . . . . . . . . Caraer Lat ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPT[ON OP= BUILD[NG To Used : , � s � ., . ,�. . "� � ,�� % /� . .. . . . , . . . . . Froat °� � . . . Depth � T.�'.� Height I �.`� Sq. Ft.�. .. . . Gw. Ft /. .� /J'� �... . .. . . .. . . . . .. . . . . . . . FrOnt . . . . . . . . • .Depth . .. .. .. . Height . . . . . . . . Sq. F't. . . . . . .. . F'k . . � ...... ' � J.�� Z�pe of Construction . . . . . . . . . . . . . . . . F�t. Cost. /�j � ��. . . .-�� To be Completed . . . - Ea consideration of i�e issuance to me of a permit to construct the bwllding degribed above, I agree ta do the proposed work in accordanoe with the description above set forth and in cbmpliance wifih all provisions of ordinances of the dty of Fridley. . �.. .......�. � .aa��.��...�... i-............ % � ," In consideration of the payment of a Pee of $. /. . � : . . . ., permit is here y gr ed to . . . . . . . . . . . . . . . . . . . ... .. .. .. .. .. .. .. ..... .. . to construct the buildiug or addition as described above. Tivts permit 3s granted upon the eapress condition that the person to whom it is �anted and his agents, employe�es and worl�nen, ia all work done in, around and upon said bu�ding, or any part thereof, shall coonform in all respects to the ordinances of Fridley, Minnesota. regarding location, construction, alteration, maintenance, repafr and mov3ng of buildings with- fn the dty limits and this permit may be revoked at any time upon viola.tion of any of the provlsions of said ordinances. :�: •'•:�F�`i� .°� . _Buflding Inspector NOTICE: This pa�mit doea not cover the construatlon� InsEallatton or aiterat(on tor wiring, �bing, gas heating, eewe� o� water. Be su�e to sea the Bullding Inspecto� fo� saparata pa�mlts for th� Itema M� / F�� WILLIAM D. SCHO£LL REGISTERED GIViL ENd1NEER MINN. NO. 8289 so. owec. �ae W�B. NO. E•6179 �LORIDA MO, OII71 SCH�ELL and MADSON ENGINEERS AND SURVEYORS 2628 LOU181ANA AVBNUE MIIVNEAPOLIS 28. MINN. NtBeT Y•0444 CERTIFICATE OF SURVEY FOR• /Y/•� �L��iN_S YOUJY .r9 � ,�� IRONTON .ST,�'£ET Fov�d /ron � � 0 O � 1 , , , , Fou��, /r-o/! .- ---�iiao --- --__ Pf " � 2S ' i 2.s' ' I 25" I I � � � I I I � I I � � I I I � � I i � � I � i I J��L%��( .i �.�.�'� ✓ �'!' � �i�.��' ,P ,/ � .! ;� � .f �i I � ,,/ �►� � �{ �I I �P / � ' I ' I I 1 1 i 1 1 I /�,*i�i s979s i7? CARLISLE MADSON RHGI6TEItED LAND SURVEYOR MMN. NO. 1l7� fp. CAK. 7�1 WIB. NO. 4074 IOWA NO. S7bs F�nd /�or� ► � � i � C � � , � Fo and /rnr� � iQ��D' WE HEREBY CERTiFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION QF A SURVEY OF THE BOUNCARIES OF: �off ,dl. �2, �3a�d �.�, �/oc1< R, �Qiver'visw f�eighf-,r. ANO OF THE LOCATION OF AI.L HUILDINGS. IF ANY. THEREON, AND ALL YISIBLE ENCROACHMEN7S. IF AAlY. FROM OR ON SAID LAND. ��+ ,q-p A5 SURVEYED BY US THIS �3�h DAY OF f��'�y ��g,—� ,�/1 �� v/ 8' � • � Thif f-a�vey it ba�d �pon /'��uRVevoR. MINN. REO. NO. 4374 ��n_> � exirfii�� rnu�urne�fafir"`•� . � ruwco s� a•ss r .. 0 � � N L� � � � �� l.�� O \ � �\1 � i � C � �, � � � � t� � b � �� o � N � a � xxz� �n�c�o � � � � �� W v-- M � 0 � � � m � � � � :; � y �� y � 1�1 � " � �� ' o �� N�� o� p ' O y • o • � : : � : : � � � x oa „ �a o N � °o 0 0 � �» f» -� � O Fi r � � w � `Q � � � � � � � � Q k � � n � N � r. � � � � � � ° � � . � � � � � � w bd � � b � � b� � � � "� 0 0 0 O O 0 � � 0 0 r� O r � � �� y O W w �� M ��p `S �! �y O �� . �: �. �: �. � � � �� 0 0 � � � � � � 0 � i V3 � I� � � i m I 0 � � e� � m �'' a' ¢� 0 0° � � �� x� �� ,� M � o � y �� r"o' � � � � � cn en o 0 0 0 0 0 � � � � � °x M � � ��j�j � O � � � w � 0 zr � O m � � � ` � �� b � � � �� '�'�� ° �t�ao 00 � �� Wn C � O � R' 'd : �J P�i' � � � � � � � : . � � S : : o S $ : : Q $ : : : � � � � N � 0 0 0° °o °o �, .�s, �, � I ¢ � � ta y � � � � � • ., «_ � G� �' �' �' S , b�7� �¢? ro � � (d N � � �� R° R° � � y � � � � � � � �, � a o G � �� . � � `� ��.. �, . . �•°: : o g : . o . . o . . . o . . . ��o�� 'v� c o 0 0 0 0 0 � O t" �� a,a� "� � O y �� M �oq�� '�� o � �'� � do� � �, �� W�p y C � p� � �� H � � � ii'i ��b � ��b � �.� p�� m �y�np � � R, O „y � H W p� �� R,a�� 0 n � �y �'�A� �.� � ��o � �' � � i � m H _ m C m d ro r � Cr0 � � � b i► A O � c� a � � 'g; �. �i � � � �� : �r 3 �' 0' � _ D �i� .cy t�! 0 � 0.� � � e, n �. � 3. � � � � �7 � I � �' �� I �, � � � � �2 �' ��,.y ��;:�� . n-ss,x z. ,�s �; .� �EAT �LOSS C�LC LATIONS DEPART-NIENT OF BUILDIN S - � FRIDLEY, MINN. Weatherstrips '4�•H•V�• Construction No. Insnlation Guide Wi owa I. s Reference Out. Wall Int. Wall Ce�ing Roof F1oor Kind How Applied es o e o 19_ � Fl.� �� v Room Length /7 �"' Width ��'' HeiBht �' e� °" Fl.� �� Room Length � e°Width ° � eight �� Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Hetght No. o[ L1aea1 f. Area Wldth Halght No. oI Llneal ft Ares No. ot Dane of Dane Ilghte ot crac eq. it. No. ot Dane of pane Ifghte of crack ea. fL ,�s'o �"•„1'° � / �; � �e� � �' � �' i' � �' � � i'' � ' l�'� � e� � � � �� s� Glass Eap. wall � � � � Net eap. wall �, /� � Int. wall Ceiling ,� � .�( � Floor '/Z,� Total Btu. ° � Required sq. ft. E.D.R. or aq, ias. W.A. Leader area F7.� A?'° Room � Leagth �'" Width /� Heu Windows and Doors—Crackage and Area Wldth Hefght No. oL Llneal tG Area �To. o[ pane ot pane Ilghte o[ cra k sQ. ! � �� . �i f�' _. , %�� ' uf. Bill In6ltration : � Glaaa �-� � .� Exp. wall �� a� � -,, p Net eap. wal) ; ° � 0� Int. waU Ceiling ,� � p,� �(' A t; Fl_oor � � �� Total Bm. Required sq. k. E.D.R. or aq. ias. W.A. Leader ana �. � � �� c�� /�� w�a� � °� Windows and Doors—Cracl�age and Area In6ltration � � � Glaaa � �p. Wau - � � � � Net eap. wall �� , �. � iA�. w8u Ceiling �� f� re�: _- p /� Floor `� v c`� P � --_ � Tbtal Btu. Required aq. k. E.D.R. or aq. ina. W.A. L.eader area In6ltration Glaas EaP• wa11 ��.�`'', � Net eap. waD InG wall Ceiling �,�,� ��, Floor 0,�?� (' �' Total Btu. � Required sq. k. E.D.R. or aq. ins. W.A. Ixader area Fl.� `��? i��? � Room ( Leagt6 �� e�n Width `� Windows and Doora—Crackage and Area Wldth Helght No. ot Llneal tt. Area No. ot pane ot yane Ilghte ot crack eQ. ft �, �� c� !` f� � .� �_ II In6ltratioa � r.�A�. Fap. wall ,� Net eap. wall Int. wall G � Ceiling m � � Flcor ► ! � d� Total Btu. � r� A� A� -�� s� �� . k. ED.R. or aq. ins. WA. Leader area � , �. �� A � � �, r.� �.I ' �.�; ,� t�m � �� '�a^ w�a� � � H�� Windowa and Doora—Crackage and Area Btu �_ � � O Infiltratioa � � � Glasa �. Wau � N�t �. Wau �� v � �% Ceiliag � � � Floor � � Total Bta �� , � ` ,�'' ;, � ,,,� _� , ft. E.D.R. or aq. ias. Q/A. Leader area e� B�, .� � ��O �u l ��c i�� •� i�a S d c.� T�° w�J �� , ��n � �' � . a-c, �.exa� o� a��a a•' , � s� sa O f r _0 r � � , o � �Z,o, k � � �� G � ° ��' �`� -- � � �� .. . ��, � � � P � � � �- � � N ��.�� :� ` . ��c� _� � .�- a � �---- - _ r _ �.- N � � � - � ��-�.t_.� -� ; . - , _- -� � �_ �� _ � � ' . — �� ., �� d � �� - � . � L �Q k�o d t, � - I- � � � � � � � C � � �C N -�- _ f � - �# . � "� - Q � L r � � _ z . � N � N ��°� � � �� r � �� , � �� . �_ �.. s � b-� PROJECT:— QUOTATION NO. DATE- ^ I�RICED BY CHECKED BY, QUANT. � �� C08T' �� UNtT PRICB II GRO88 � � a �� 1 _ `{_ � ^ — �—� City of Fridley, Minn. BUILDING PERMIT N� 5 5 4"� �� Date: �-:- ;�-,� �'- � ;� Owner: �. � � `,��i��^�-�"��*�1�� 'F�� .�,,,._ Builder Address .._. Address � �,, � ��'- :��-`�,�TIO�� rro. � s � .�. � .r.�% , Lot'�.=!�"�.j= ]"3tri.�ck __�� Ac�dition qr Coraer Lot � Inaide Lot —� �tback Sewer IIevation ____ Fal g IIevation I.ot .. � � �' U DESCRIPitON OF BUILDING To � v �: � � ;� � � `' - Front �� Depth '.,��Height � Scl. F�k .�� Cu. FL j� Front Depth - H �.,.�_ Sq. FL Cu. Ft Type oP Construction ��:j�� Fast C'� a'� � To be Completed In con�ideration oP the fssuance to me of a permit to conatruct the builcliug described above, I agree to do �he proposed work in accordance with the description abwe set forth and in compliaace with all proviaions oP qrdinaacea oP the dty of Fridley. � In considerat3on of the payment of a fee of $.�"��, permit ia hereby granted to to construct the building or addition as described above. This permit 3s granted upon e express condition that the person to whom ft is granted and his agents, employees and worl�nen, in all work done 3n, around and upon said building, or any �art thereof, shall conPorm ffi all respect� to the ordinanc�es of Fridley, biinnesota regarding location, constructiion, alteration, maiatenance� repafr and moving of bufldinga within the dty limits and this germit may be revoked at any time upan violation of any of the proviaiona of said ordinances. � _ �a .o� , � �� ^ . r�` �� 1 "'� � Bwtldin8 Inapector � NOTICE T61s peemit do� aot eover the eonstrneltoa, 6utaqatton Por wiring, plumbing, eas heaHng, searer or water. Ba sure to ass f6s Butldiag In:peefar fer separate pere�s foe theae hema ,�"� � � :. 4 �'�`� - - _ r:..,,_ ,;.,, _ 4wner's APPLICATIOi�i FO� SUILDING PERMIT CiTY O� FRIDLEY. �NNESaTA � Addreas � �,� � � �.; �: � �,�.,..,.__, Address � �=�, � - �� e�� Loc�,T=o�v o� Hua�n�� of Lot Lot Slock Addition or Subdivis�.on � s Corner Lot znside Lo�t � �tback ide-Yard � � SEVTER ELEVATION I'OUI�IDATaON ELEVATYON Applicant attach to this form Certi�icate of Survey of Lot and proposea building locat3,on. To b�used �^ f e r� DE�CAIPTION 0� BUTLDING Sq . Ft . � �� ,�,,, Cu . eight_ / �__ �......� � � Front________Dep•�h 8eight Sq. Ft. Cu. Ft. D �ype of Construct3on � � � ; ____,�,_ Estimated Cos�,,,,� � lo be Completed ._.___ _� The unders�.gned hereT�y mak�s application �or a permit tor the wo�k haicein speci.%ied, agroe�.ng to do al]. work in strict accordance with the City oi �ridlay Ord�.nances and ruling o� the Department of euild- 3ngs, and hereby declare� that a13. �he facts and represenicatatons sicated in this ap�licat�,on are true and correct. � Da�TE SIC;NATT)RE ' - � . (Schedule of Fee Costs can be round on the Reverse Side). /"^� � , _ , �''� _. _. �. * - �UILDING PERNtIT FEE SGHEDULE Sec�3on 2. The Inspector o� Buildin�s shall, before issuing any pe��n� � for the erec•�ion of any �u�.ld�ing or stxucture, or �or any addi�ion to any ex�s��nc� building or af�ucture, or for any altora�tions or �epairs ico any exis�cing building or struc�u��, upon applicat�.on �here�or, require �he pay�nent 1oy the applicanit �or such pe�ffiit o� iees �to the amount herein below set forth and ir► the maruaer herein pxov�.ded to-w3to 2.1 e �'or ar:y such permit for the erect�.on of any fire-p�coo� building, o�lner �than a garago, warehouse, factory or grain eleva�tor, or fog �he erec�ion o� any i��e-p�coo� addition, for similar occupancy, to any ex�.s�c��g bu3ldinc� s�al,i be at the rate of $1.40 for each on� thousand cu�3.c �eet, or ��action thereof, in such cubical contentse 2a2. For any such p�rm�t �or �he erec�cion of any gire-prcoof garage, wa�ehouse, :�acto3cy o� gra�n elevator, or �or the erection or ar�y fire� proo� additi.on, �ox si�nilaP occupancy, �to any ex�.s�ting building shall Ioe at the ra�e o� $�..25 �or each one thousand cubic feet, classi�ied as "�iseproo:�" by �ection 502 oi the Minneapolis Building Code. I�OUSE S 2.3. For any such perm�tt for the erec��on o£ any non-fireproofc build- ing o�her than a garage, vaarehouse, fac�ory or gra3.n elevator, or any non-:cirep;coo�E addi��.on, for aimilar occupancy, to a�y exis�ing buildingo Permit $1000 fo� each one thousand cubic feets Gl�GES 2a4. For any such y�e�mi� for �the erecicion or any non-fiaceproof ga�age, wasehouse, yactory or gra3n eleva�tor, or for the erection o� any non-fireproo� add�t3.on, :�or sim.i.lar occupancy, to any existing building or fo� each such building or add�.tione Ninety Cea�ta �or each one �housarid culoic �ee�t or fraction �hereo�, in th� cubical contents �h�eof wi� a miniYnum o� $A� 000 0 �or �he pur�ose o� computing fees ror build3ng permits the cubical con- �en�s o� any building or add�.tion to a uniform height throughou�c by anulti.plying �he ground area covered from a point six (6) inches �Oelow �he floor line o� i.T�.e basement or celiar to the average height oiE the up�er surface or ico 'che average Yaeigh� o� the rcoof sur�ace of �he main gable of a pitched �roo�. 2.5. Fo� repairs or alterations to an exis�ting s�ructure, the �ee shall be at �he rafie of $3.00 per each F3ve Hundred DoZlars ($500.00) or �raction �zereor in �the cos� o� all proposed worl�a 2.6e In no case shall the �ee chargecl ior any pesm3t as �et €orth in sec�ion 2 be less thr'1 $4.00. __��. . r"� _ -� � �. . _ q - •. � RTp 11rtLti t7s,��,�� , f � . � �Tr7L� �,��+. L:.i � � �_ ' . l�CL:dCJ '� .i�l��Cir� � BLOC$ ��D -gr'SS l� � � �� '`'� � �� -�r:� �C� �_-� ''_.,� � . �� ^ iT9LII�TI�1 � -� � � �...� ADD. __ ��sd�c,.��_�� TYP_E .�''�'��-�r,�.�. ......... .............. ....... ... .. ......... ...... .................................... .�.�... �...�`.... �.....".' v�� .�t'..'�.-�......., . � r � -�; �°� + ��,:: � � � ° �� R ; � � � �� * . �{ ��,� t � �� 1 � , � ; � � � �? 0��..__: � � � . � ! = �.? � e+✓'� 4� � � �� . . c � � � ,� �S : . 1, , � � < � �1 � � � _sPRg l,l f�lr'�' ,. � ,'�� .�� 'i� b � ��a� t,;r�/ s 7— /� �i�' ri t/S� [� ��G.�' � �" / 7/ � � �� ........... ................................................................................................................... a� _ ',� r i� � � _ . i i ........ ............................................................................................................__: I'� � � ,.,, � � � � � � r � z � x � Q � z � y�� w 8� �� C Ca f• �+ o � 4� '' � �,! � �y � � a � x�� s �� „ � � � � �+� � p „ � � : 0 "� � �� b a o � � : ��: � �°Q �� a �- : ��: : m�: �. a Q � ; � �; . � a � .-.: : : di : � v� : : � . N . . ; W. . : , � . . . . . . . . . Oq � N , � : � : � � � � ;% Q 01 C4 CO M aQ pC �C k k iC 8 C�+ 8 � g � $ �i+ o � $ �' � � '� Q� q tA M tA tA � N � � o Q � � I � � O r � �l � � , � � � � i zd z z � ° 0 � y � � � � � � D "'� rii �^ � / � � r P17 � � z � � � a � d � � N ro a �� g �'�. 0 i I I m � w 0 0 � O � � a g � � � � v F� �O �� 0 � "� � � I� � � a, a, m � �' �• � � I � � � � � � ' � � �D C a. � � a � � N � M �i+�d- � � y � I I w��+-�a �,� URIPIALS �� SINKS w�, rrars oaiN�. wuNr. �. ORAINS UTCM BASINS AUTO WASM� GAS MGL. 6�S RM1GE c�s OPENINOS � � i • N ; y A T � T n 8 � � � a� a ��1 � � � � °s �D y OQ W � M � � � � a IcD o � �q ; � ��ii b co° � � � ° �+ � � � �� . W � b � �b C b � o�� p � m o � �� r ��ti � �� o �� [� � ��7h f.�' a'' wr f0 � �' I � � � e� w � � d � �� R °y p � M � � a � � , : � -�i� � � a � � � � � 1 � � . � � � . � ,� � � � � c+ • � w 1 OD � � � � SUBJECT P � , c�ty of Fr�aley � 14410 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • r � � IPT . � ; y _.�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � �( � /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'�'� ,�� 612-560-3450 910-F15 10/11/77 � / JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 786-9423 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ AUDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct a chimne for wood burni,n stove 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR 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 FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �C ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`%OO y�`.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�`%.SO PLAN CHECKFEE TOTALFEE 8. SIGNATUREOFCO TiiACTOfiOR THORI DAGENT �DATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT 1 L/ °��/+ � � Pl ! � / � SIG TUREOFOWNERII OWN BUIlO RI � IDATEI '^ � , BLDG INSP pATE � CITY OF FRIDLEY �' ' APPLICATION FOR RESIDENTIAL BUILDING PER��IITS � i�VEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWPIER: • � .• BUILDER: �(� . J . Address : ��S � ��,, � �� Address : l � • Tei. No. : /C+� - �y� � No.: �5�,� Street: � LOT: - BIACK: �_ ADDITION: ��,a,pn,��,�p ., �- v`� � CORNER LOT: INSIDE IAT: SLTBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING To Be Used As: l�+'"l i�'rY1 Y� Fron t: r� �vd� lj��' Square F•eet: D �,� Front: Depth: Height: Cubic Feet: Depth: Height: � Square Feet: Cubic Feet: ' Type of Construction: Estimated Cost: $ Z�� o e� Zb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all ivork in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: /2yL_Z� SIGNATURE: , D Stipulations: p�r��,; f �. � � �� "��.o� yw�} A 0 BUILDI(dG PERt�IIT 'FEt 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.exis�ting building, or structure, upon application therefore, require the payment by the app].icant for such permit of fees to the amount herein below set forth and in the manner herein�pravided to-wit: � NEW C�ONSTRUCTION: 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; Driveway width plus 6 feet x$15.40 �DDITIONAL INFOR�IATION 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 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 �ier each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee eharged for any permit as set forth in 5ection 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIO� 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 construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceedinq with the framing. . : : • � '11 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. � �- . ,� _ �.�� ,��.�� d�� STATE OF MINNESOTA DBPARTMENT OF MUMAN SERVICES 444 LAFAYETTE ROAC �� ST. PAUL. MINNESOTA S8f01 Date � �/r _�. � � �1 .� �/_, - - — / i � • • .� c Street Address City State Zip Code RE: ZONING 1VOTIFICATION OF APPLICATION FOR LICENSURE Sub j e c t: Q,�� Name o Day Care Home Ap licant �� Street Address L �� City State Zip Code -�� -� �� DHS-2722 (9-85) PZ-02722-02 � �� Type of License: Family Day Care Group Family Day Care � Licensed Capacity % /'.-� Phone No. �� This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 3, a licensed day care facility serving 12 or fewer considered a permitted single family residential use o purposes of zoning. Subdivision 4 of the same section licensed day care facility serving from 13 through 16 considered a permitted multi-family residential use purposes of zoning. 245.812, Subvision persons shall be f property for the indicates that a persons shall be of property for If we do not hear from you within 30 days after receipt of this letter, we will consider the above-mentioned day care home to be in compliance with your local zoning code. �OAAMt1R91i"9r ��`i ¢B � �OCBAV� Sincerely, ��RVICES DEPARTIW�!►1'f � / /' �' � �!�«��/� - - - • • - � � � Street Address co�HTr ow �NOicn eOIiRTMOUBB. FOURTN P100R ?+Pd09CA. A7INMBgOTA 88909 Name of Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER O ID— � m m � � � � co � c n � � � � � � 0 � 'a v < � a m � � 0 c ta � I � � � m ...� r � r � � O .� -� �'m� � � � � D � � Z m T � A � � N � m o o v = D D v � �j Z � v � � m � 0 Z � � � Z m v m � I � --I m r �, z 7 0 A1 v � � ; =�r-. � ,, ,� �r ,f �� r� � ao G� L� ��n �o c) oo ao O z -� c�i ai vp', Q* m pj 3� �°� a i -�p '� v 7o c� c�n �.o �. � 0 0-n m T� � 2 S-i � m�� rn c�o �. co -o � c � * (�D N. .-��• �. (��D � y. � �p � (D � • * f� (-�i � z. � ' N y (� N � � � � 7 pt 7 � Z m co a � � v � � � � uwi � �°-. j �l 1 � • A � � C .n m � c. m a � m .-. I�I I I I I I I I I I I I � � � � y � � � � � H � � U1 O O O V p V V V V�71 A�I °o o° °o o° o °o °o °o °o °o °o °o o° � r C � � z � n O � � D Z � ( N � w. . � a n 0 � � 0 � m � � � Z O � '(. SJ �1 � c a � � c m' a D H � f � m f� � �1 t0 (O O� N --� fD fD g � o � a a � w �, m � m c� � � o. � � O � fl. � O .� w 3 o m 7� y _. A1 7 'O � � ^ �. � w. n� o o � 0 0 a �, � v m � 3 f. � � o •'f 1 � ry m �- A � � O A � O a � N �^ (D 7 'D C � � Z � � X C � m � m � � � -� m -� O � � 0 � v v � m � � 0 � �N 7 ' v � A � iv a w � I � w � C o � O A � � � z � � A � 0 N C � � Z z m � n � O Z 0 < �. . r � m Sl <' � O 7 �..� m 7 C �w � � j U � � � sue�etT PERM c�ty of Fridley 0887 AT TME TOP OF TNE TWINS � U I L D 1 N G P E R M I T r � COMMUNITY DEVELOPMENT OIV. RECEIPT NO. ' j y _ � r � � � PFOTEGTIVE INSPECTION SEG. � /� � . , i--_-�� "' �.� CITY HALL FRIOLEV �j1�2 NUMQE:1 NEV DATE PAGE Of AVPROVEO 8Y L 612-571-3450 g�ap�g 5/1/00 � � JOB ADpRESS 658 Ironton Street NE 1 LEGAL �OT NO. BLOCK TRACT Op AODITION SEE ATTACMED oescA. 41-44 R Riverview Heights S►IEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PNONE Chris/Tammy Doege 658 � Ironton Street NE 780-2715 3 CONTRACTOR MAIL ADDRESS IIP PHONE LICENSE NO Pheasant Run Construction LLC 1109 141 Ave NE, Ham Lake, MN 55304 862-2106 a ARCNITECT OR OESIGNER MAIL ADDRESS 21P PMONE LICENSE NO 20193061 5 ENGINEER MAII ADORESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE ❑ FiEMOVE 8 DESCRIBE WORK Replace 9 windows/1 door 9 CHANOEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMI7S ARE REOUIRED FOR ELECTfiICAL. PLUMBING. MEATIN(i, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION 20NING SO. f7 CU FT. AUTHORI2ED IS NOT COMMENCED V�1ITHIN 80 DAYS. Ofi IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOFI A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PAqK�NG 1 HEREBY CERTIfV TMAT I HAVE READ ANO EXAMINEO THIS APPIICATION 1 S7ALLS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yp�UAT10N SUR7AX AND ORDINANC S GOVERNING THIS TVPE Of WORK WILI BE COMP�IEO WITH WMETH PECIFIEO M EIN OA NOT. TME GRANTING OF A PERMIT � 11 � lO8 ` �S . SS DOES NOT P UME TO G E AUTMORITV TO VIOLATE OR CANCEL TME pERMl7 fEE SAC CMARGE PROVISION ANY OT p TATE OF1 LOCAL LAW REGULAIING CON- STRUCTIO THE PE O ANCE OF CONSTRUCTION �2OJ.ZS Fir SC �II.LO PLAN CNECK F E TOT L f EE J~ B� Lice C$5.0 230.90 S�GNGTUAEOF�pN'NCCTOpOAOUTMOp�2EDAGENT � iEi NE PRO VALI T THIS IS VOUR P RMIT I � S�GNATUAE O� OWNEp�� OWNENBU40EAi iD�tE� � B G�h5� ' qpTE NEVV [ ] ADDN [] ALTER p(� Effective 1/1/2000 CITY OF FRIDLEY (763) 572�3604 Bldg�sp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 t� � 0 BUILDING PERMITAPPLICATION �� \\n ``F' Construction Address: �� 1� � (�� Legal Description: Owner Name & Address G� � �i � Tel. # � �' °-� � 71 � Contractor. �i ��- �� l,'L.L MN LICENSE # � � ` / � � � ,] Address: � °- � ' A Tel. # 1��%�� —) ) (� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Suroey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft �� 9 ira�� ,!�i 1� � �1T�,�►' N�'�?r��- cao Construction Type: 1�'�� ' �- t�{ 't�iEstimated Cost: $ 11 , I �� . Driveway Curb Cut Width Needed: Ft. + 6 = $ _$ 1 DATE: � � APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ aC� �aS Fee Schedule on Reverse Side Fire Surcharge $ �%, �� .001 of Permit Valuation (1/10th%) State Surcharge $_ � -�� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ .'�.00i $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 [ ) $ o�-��. �� BUII..DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein 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,OOlto $50,000 $SO,OA1 to $100,000 $10U,(�1 to $5�,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 $50,0(� 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 $SQ0,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,00� or firaction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�.rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alterna.te "B": Removal and replacement of curb, and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a nunimum of 24 hours from the time of application to allow for proper review of the proposed s�tructure 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. New Houses Onlv nvrri. �.uy u� ri�vioy 1 V. f VJ! IL IC7J�! rqL,G. Ift LJGIG. VlGO/tN4/ J.LJ.W 1 IVI Building BITILDING P�'t ��.: Inspections . RESIDENTIA►L AFPLICATIC�N R�"� Br 763-572-3604 �� F ��E�- ��t.�� R 2� 2008 DATE 3''L C� YOUR E-MAII. ABDRSSS �C��%i ��I_ Lrn �:... i,ofi ..✓t� STfE ADDRESS li� � oN �a�/ ST THIS APFLIGANT LS: ❑ OBUNER OCQNTRA("fOR PROPERTY OWNER/ �,�; [�AV� Y1c LAe�a�G► I ��-T TENANT �nt�ss:�5 �3 Teo�d�o�v 5T ct�r5r F,�iD� ✓ sTaz�zrn rxorrE: 7(e3 - 2�41- 9115 � , CONTRACTOR ��: ;t[t / � wi SUBMIT A COPY OF sTATE LICENSE # ERP DATE 3 3 Q Y�UR. STATE LICENSE ADDRESS: ")RC2��3�b IIaC CiTYG_ � u4uTI�.✓ STATF,y�/'LIP y/ 9TlTHAPPLICATTON pgp� 7 3-11 - b'7 ') FAX ' 1 �Z � 1 PROPERTY TYPE STNGLE FAMIf.Y1NEW CON9TRUCIZON s� o �vo F�.ynvEw co�.ucTTON s�ox�s PERNIIT TYPE ❑�DITION O t�ARAGFJS�D o vvIl�IDOws O BA3EMENT FINI3H �OdF ❑ DRAIN TII.E . ❑ DECK O SIDING ❑ OTHER ❑ 3R�J(3 FOOL TYPE OF WORS: � � � ��N O 1bfAINTENANC:F/REPAIIt ❑ REMODII.ING DESC.RTBE WORK BEING DONE: /Zt �e: SIZE OF IlYIPROVEMENT LENGTH WIDTH HEIGHT . Ft ROOEIPTG ❑ OUSE ONLY . M7M9EROF SQUARE3 s�� fiOtJ3E & GARAGE BASE�iT REMQAELING SUBMIT- G.ARAGES ❑ ATTACHED 4ARAGE 1. E�sting Flo� Flan PROPOSID SIZE: � DETACFIED GARAGE Z' �0�� PROPOSII� I�IGFIT: 3. List of �radwal membas to be �sed SIDING � FORNEW COATSTRiTC'170T3 INCLLIDING DEGKS, 0 Virry1 OSwf6t .ADDTfIONS. � FOAGH�S SUBMTf: ❑ Alumir�►m ❑ Ttim 1. Site Piant3urvey s(mwing the e�ia� �ructnres ❑ Other O F�scia end F�'�F� P"o.l� �Oy� 2. Two s�iis of construction pta� IN EXISTING OPENINGS QY� CIl�To I.00ATION OF WINDOOpS � 3' ��' �� OR FOR NEW OPENINC�S-DESCRIBE SIZE OF OPENIl�TG CHANGFS 8c TYPE OF WINDOW TO BE INSTALLEII NUMBER OF �irINDO�ti3 ALL N'LL5 � BASLL OlV dALUA'1'tO1V, ilV[:Ll]DllVG THE COST OF LASOK �4Y�]ID 1d1A1`l'L.tt1AL5: ° (USING TSE 1997 U.B.0 FEE SCHEDULL� TOTAL JOB YALIIATION $� L.DOb .°—° OCCUPANCY TYPE Pernut Fee Plaa Review Fire Surchatge Surcharge License Swcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sawer Main Ghazge $ � � See Back Page for Fee Schedule $ 65% of Build'mg Permit Fee $ C�°y .OQI times the total job valuation � / . .S� .� x Permit Valuation �inimum $.50 $ v�.CZ'7 $5.(at1(State Licensed Reside�ial Cornts�ctars) $ $I 675 g�r SAC Unit (Plans to MWCC for determination) $ ft+6�= ftx$21 =S $ $454 Conservation Plan Review $ Fee Deter�nined by Engineering $ Agreement neceasary () PTan Necessary i) $ _ O � � Malce ehecks a�avable to: Ciiv of Fridlev Atl�cit THI3 I3 AN APPLICATIO�N FOR A PERMIT NOT VALII7 UAITIL PROCESSED I hereby apply for a bu�dsng permit and I acImowled�e that the mfrnmation above is complete and accurate; that the work will be in conformance with the ordinancas and codes of the City of Fridley and �aith the Mi�esota Conshuctiom Codes; that I understand this is not a p�r►nit but only an application far a permit and vaork is not to start withrnrt a permit; fhat tha work will be in acxardance with the epproved plan ia the case of all �orl{�hich reqy�ires r,eview agd,gpproval of plans. ' SIGNATURE OF m ��Z��,,y nA� 3o3,ea�