AF - 47058City of Fridley, Mirm.
BUILDING PERMIT
Date: � �.._..t ...�._�._._.....'E'" �"/` ..._._._
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Owner: �_.� . . �. �, � ,�._���. ;�.� * der
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Address ,��.,� .-�� � Y �.�.,.�._�,;...�.�._ _ � A�iress
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N° 3�4584
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, ,,, �;, LOC�,TI�1� OF BUILDING
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No. _..5�'...�._�..,,... Street _�"�:.�"3-�:::��� °:�-�:!�►!`_� ..................----.............. Part of :Lot .-----a.._._..._..._.._.-.-____----�....____._ t�
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Lot .._..... �`�_�e"`_......_ Block ----_-----.- ------.� ............ Addition or Sui?}Diviyqion ��,,,C��""� '`� x �',�
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Corner Lot ......................._.------- Inside Lot ..__....._.. ................. Setback-�"�1:.:; ,' �.�'�d;..��eyard ....._ �_...--�-------.._..... •----------
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Sewer IIevalaon ------•---•�--•-----.._---------------------�--�•------•--�•-------..--..•-- Foundation �levation _....-•--�•--•---.._...........__ .............-.._.--•------ �
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DESCRIPTION OF BUILDING
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T� be Used,as � �r �„
'rT���',r a--- ----�---�: w� Front _;:1 __��...--. Depth .� ..� . Height ...t .- ..!�:j - Sq. F't. � -- �.�' Cu. Ft � ..���
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..._........ .._ .......... ........ ... ....... Fron .--�--�--.........._.. Depth ....._.. ... . �%ight ....... �-, Sq. Ft. ....._......_...._.. Cu. F� ....._.......--......
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� � �-��-`L-��-..... Est. Cos ........�;:'._ '�� . �T ..
Type of Construetion ...._�`.;,,�:=. . ` `--�.:.----�.._�'.^'.".�'T"o be Completed ...---.....___.._..._..---.--••---.._...._..
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In consideration 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 compHance with all provisions of
ordinances of the dty of Fridley. �r
In consideration of the payment oP a fee of $..;�-�:._.--.-----------+ Permit is hereby granted to--------.----.---------..------.._----•--.--
_._.. _.._._.___.___.._..___...._ to construct the building or addition as descrlbed above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, 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 location, construction, alteration, maintenance, re�air and moving of buildings
within the dty linaits and this permit may be revoked at any time upo��violation tlf any of the prnvisions of said
ordinancea
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r.,�,::_.,;� �..��,�� _��..�.'? � Building Ins�etor
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NOTICE:
This permit does not eover tRe eonstwction, installaHon fo� wirine, plumbing, gas heating, sewer or wafer. Be sure to see
fhe Building Inspee�or fer separete permits for these Hems.
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iPPLICiTION FOR BUILDIldG YEAMIT
CITY OF FR.IDLEY, MIlVNE30TA
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LOCATION OF BUILDING
No.____�� � St�reet ��.�-�°-�''�`'� Part of Lot_�,�, _,_._,_..,_
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�t � t� g�,ock � Ad.dition or Sub,Div._,��. �%�^°-� �-� �
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Corner Lot= side Lot�Set Back •� Side-Ya:rd «'��
SEWER ELEIIATION FOUNDATIOId ELEVATION ,�,w„
Applicant attach to this form Certificate of Survey of Lot and proposed build3ag
loca.tion. ° �
To be used asa
,�4•� Front
bESCRiPfiION OF BUILDTNG
3q; � Ft. _ �u. r�t.
._�.
Front Depth Neight .
Sq. Ft. � Cu. Ft. � �_
Type of
ted Cost
To be completsd ' �°"'�� '��"'
The undersigned hereby mekes application for a permit Por the work Yiere�.n specified,
�,gree3ng to do all work in $trict accordance with the City Ordinancea and ruling of
the Depastment of Bu3.].dings, and hereby declares that all the facts and repxesenta-
tion� stated. in this applica.tion are true and correct.
` �"
DATE _ SIGNATtJRE � °`� � _�', �-'� ,.'��,��°.
(A Schedule of Fee costs ce.n be found on the Rever�e Side.) �
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BIIII,DING PERMIT FEE 5CHEDIII�E
Section 2. The Inspector of Buildin�a she11, before iasuing ax�y perm3t
for the erection of any building or structure, or for eny addition to
�ny existing building or structure, or for any alterations or repa�sa
to any existing building or structure, upon application therefor� requ3re
the pa�ment by the applica.nt for such perm3.t o£ fees to the amount hereia
below set forth and in the manner herein provided ta-wit:
2.1. For any such permit fer the erection of any fire-proof building� other
than a garage, warehouse, iactor�* or grain elevator, or for the erection of
any f'ixeproof addition, for similar oceupency, to e.ny existing huilding
sha11 be at the rate of �1.40 for each one thousa.nd cubic feet, or fraction
thereof, in such cubical. contents.
2.2. For any such permit for the erection of any fireproof gare.ge, ware-
house, factory or grain elevator, or for the erection of ang firepraof
addition for similar occupancy, to any exist3ng building ehall � at the
rate of �1.25 for each one thousa.nd cubic feet, classif'3ed as "fireproo�'�
bg Section 502 of the M3nneapolis Building Code.
HO.�
2.3. For any auch permit for the erect3on of a.ny norrfireproof buia.ding
other than a garage, warehouse, Pactory or gra3n elevator, or ang non-
fireproof addition, for similar oceupaney, to any existing building.
Permit $1.Q0 for each one thousand cubic Feet.
GARAGES
2.4. For anar such permit for the erection of any non-fireproof garage�
warehouae, factory or grain elevator, or for the erection of any non-
fireproof addit3on, for similar occupaney, to a� exi.at3n� building or
for each such building or addition. Ninety Cents for each one thousand
cubic feet or f'raction thereof, in the cub3c�]. contents �hereof wit� a
mini�m of �4.00, �
For the purpose of computing fees for building permita the cubic�l contents
of any building or addition to a uniform height tlaroughout by multiplg3ng
the ground`area covered froa a point six (6) inches belaw the floor line af
the ba.semer�t or cellar to the avarage height of the upper surface or to the
average height of the roof suriace of the ma3n gable of a p3tchad roof.
2.5. For re�,irs or alterat�ons �o an existing structure, the fee ahall be
at the rate of �3.00 for each Five Hundred Do]_tars ($500.00), or fraction
thereof in the eoat of all proposed work.
2.6. In no ca.se shall the fee charged for anp permit ae set forth in
Section 2 be less than $l�..00.
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