AF - 47758r�
City of Fridley, Minn.
BUILDING PERIVIIT
.'.� /� - �.
Date: . .... ... ............
Owaer .......................................
Addr�ss ......................................
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N°
3643
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Builder .�. . . . . . . . ���`��?i�'Y�. ��.,...,�„�, ,
Y�
Address .............. ............................
LO�ATIO�V OF BUI ING
No. � .l. l. . [ . . 3treet . . . . . . . . . . . . . . . . ✓. N'!°"B. . . . . . . : Part oP Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot . .. . /.�. . . . . Btock . . . � . . . . . . . . . . Addition or Sub-Division . . ��d!r,-P . � .��'.1��P. �� �
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Corner Lot . . . . . . . . . . . . Inside Lot .'.�. . . . . . . . Setback � �°� . . Sideyard . lQ . : �: � . . . . . . . . . . . . . . . . .
DESCRIPTION O� BUILDING
To be Us es:
/i� . . . . . . . . : . . . . . From ! . �f.'.� �neptn ���. . : I�xeight ./%�' sq. Ft. ��. � c�. Ft. �� � � `�
.................... Froirt ........ Depth ........ Height ........ Sq. F't. ........ (.is. F`t. ........
i � 6-d
Type oi Construction ��f?�-�?—�. . . . �eL Cost. .,[ � �� � : -°'`ro be Completed . . . . . . . . . . . . . . . . . . .
In consideration of �he issuance to me oP a permit to construct the building desribed above, I agree to do
the proposed work ia accordance witlh the deacription above set forth and fa compliance with all provisions of
ordinances oP the dty o4 F`ridley.
.�..�.�. .........
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In consfdera.tion of tlne payment of a fee oP $�....`. permft is hereby granied to ...................
... .... .. ........ ........ to construct the building or addition as descrlbed above: This permit ia granted upon
the express condition that the person to wham it is granted and hfs agents. employees and worlmien, in a11 work
done 3n, around and upon said building, or any part thereof, shall oonform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of sa3d
ordinances. o—�
�' ` �i��'�' ' ��'5����f% . . . � . . . . Builtiing Inspector
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NOTICE:
Thls pe�mit doea not cover the construatlon, lnstallatlon or alte�ation for wl�ing, plumbing, gae heating,
sewe� o� water. Be su�e to see the Buliding Inapeator for sepa�ate permlis for these Itema
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MINDERENGINE Qr C�.,INC.
z ENGI NEERS AND SURVEYORS
I.AND SU0.VEYiNO 301LS TESTINO
G►V,tL 6. MUNICIt�AL ENOINEERINC3 LANO Pl�ANNINO
' 6418-S�T" AVENUE N.
MINNEAPOLIS 2i, MINN.
KE T- 363T
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WE HfREBY CERTIFY TNRT TNIS 15 A TRUE AND CORItEGT 2EPRESENTATION OF A SU2YEY OF THE BOUMOARIES OF 7HE�
�AND ABOVE DESGRl6ED AND OFTHE LOGA710N OF ALL BUILD►NGS, IF A*1Y, THEREON, AND ALL VtSIBLE ENCROACHMENTS,
,F �w,r, FROM OR ON s�o �NV. MINDER ENGINEERING CO., INC.
O�TED TN�S DI+YOF :�':.� r� ¢'_ �.D.��S�' EN�it1�1�ER$ a.ND,. SURvEYOR5
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City of Fridley, Minn.
BUILDING PERMIT
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N° �� 4802 '
�£� f� _1�JCATION �� �B �,.DING
C� `�'r j���` . � .. _
No. _.-•-- �.._ _..y�Street —����.��.�'`�..._c� -l!�w- --+�-------- p� ���� - --- - ---•--.______._.
. . .__ _ . . _.-� --- -
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Lot ....---- �. ..._........ Block ✓{---,�_�..._.,��.. ....... Addition or Sub-Division���_ ���:�.,M,z.�.-•---1,,,�!.._.:r!�:��
_, ,�.; « , ,.,�• � ,:.' �"
Corner Lot ............__.........----...... Inside Lot ....._..._�. .'' ................. Setback ....,,,!'-::,,�......---.-----.. Sideyard ..---�...---
Sewer Elevation
Foundation Eleva.tion
DESCRIPTION OF BUILDIIdG
TO be U e� as:e• �,.�
C.�"'v� �"",.._�%1'..1.._ Front .-��-- Depth �.`.,,�7..'...� Height ....�%:� .. Sq. Ft: �a�..� _ Cu. F� �� ..�� �
_ ...
. _ .............._.. ..__.............:....... Front�°"�.---•----.... Depth . _. .�.,T y�ht . . . .... Sq. F� ---._.....----..._ Cu. F� •_---.. ...........
-� �. . �-.�,� �f., ,.�
Type oP Construction _.,�`�,,,►�'�.`C�----- Est. Cost:........--,�''-.-...,� r.�....�..'"--°`" To be Completed ----.--..........----•--.----..._.
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 compliance with all provisions of
ordinaaces of tt►e city of Fridley.
. .�..._...._.._..._..._.__._.__.__._..._._— _..._..._._.._....
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In consideration of the payment of a fee of $.:'.`�......._ .._. permit is hereb
� ._ . ---�----� Y �ted to---------.....--------�---..._....------.._..-�----..
..� .__...r._....___.._.._._.. 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 worlrnien, in all work
done itt, 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, repair and moving of buildings
within the city limits and this permit may be revoked at any time •upo�-�riolation o� any of the provisions of said
ordinances. �'R^ , `
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NOTICE:
This permit does nof cove� the wnstruetion, instellaHon fo� wi�Ing, plumbing, gas healing, sewer or water. BB aure te see
the Building Inspeefo� for separate permits for fhese items.
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APPLICATIDN FOR BIIILDTNG PERI�2IT
� CITY OF FRTDLEY, rtIl�1N'FSO�'A
t�nars Name g��-�. � �'� ��-,��°: :� , -� �=<�n� Bui].der .�-r� �a��.�
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.ic.i,r- , , ;�it.f.��jii+� � � � f���
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Address � ����.�- ��, ���, ,,� �u !,� �� A�ldress �-���,f��
��.r.��wr� �r �J�+ � �
LOCATION OF BUILDING
� �
No. ��' �� Stree� �;. =� .��� i�`'" � Pert of Lot
� �
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%ot. � Bloslc . � �d.dit3on or Sub.Div. �'�=� �,� ��-��:F�� - �`"��.5�
___`
Corner Lot�,Ins3de �t�_Set Back Side-Yard ~'
SEWF�t ELE'�1ATION F'aOND�TION ELEVATION
1pp13cant atta.ch to this Forn� Cer�ificate of S�rvey of Lot and proposal building
loc�.tion.
DESCRIPTION OF BIIILDIltTG
To be used as: - � �
e� � � �° �° ,� �
� �� �� Front �� � Depth � � � .�'� He3�ht � �
_. .._.�.,.=._... .
Sq. Ft.�_�� Cu. P't. �� ��=
�' —'—' '�` -
�ront Depth He3ght
3q. Ft. Cu. Ft.
�- �C
Type o� Construct3on��;a���-�� -Estimated Gost ���!'.._._._ —
To be completed ����-�� ��� .�.��.�..� � .
..r._... _ ..
The undersigned hereby makes application for a permit for the work here3.n specif�;.ed,
agree�ng to do al�.�rork in striet accordance with the C3.ty Ordinances and ruling oY
the Department of Bvild3ngs' and hereb� declares tha.t all the facts and repreaenta-
ti.ons st�,ted 3n this e,pplicat3an are truea and correct.
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DAT� ,�� � ;°-�� STGNATt�tE � ���- � �,�,�� r-°�:�._.
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(l Schedule of Fee costs can be fow�d on the Rev�erse Side.) ✓
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BDILDING PERP�RT FEE SC�DULE
�etion, 2� The Insgector of Bui].dinga sh�.l, before issuing anj► permi:t
for the erection of a�yr bu�.lding or etrU.cture, or far any �ddition to
any existing building or structure, or for any alterations or repairs
fi,a:an� exiat�.ng building or struature, upon appl�.cation therefor, require
the p�ment by the �pplicant for such perm3.t of fees to the amount here3a
beiow eet forth and in the manner herein proeided to-wit:
2.1. For any such permit %r the erection of a.ny fire-proof bu3ldin�;,.other
t�sa a garage, warehouse, factory or grair� elev�a.tor, or for the erection o€
aa�}r fireproo� addition, for similar occupancy, to any axisting bui].ding
sha17. be et the rate of .�1./�A for ea,ch one thous�nd cubic feet, or f'raction
thereof, in such oubical content�.
a.2. F'or any auch permit For the erection of �n�r fireproof �arage, wase-
� housp� factory or grain elevator; or for the ereetion of asiy fireproof
sddition for eimilar occup�ncy, to any existing buildin� ehal]. be e.t the
ra.te o�' �1.25 for eac� one thousand cub3c feet, cla�sii'ied as "fire�roof" .
by Ssetion 502 of the Mtnnee.polis Building Code.
Og QSES
2.3. For eny suoh perm3.t for the erect3on of an
othar than a garage, werehou�e, £actory or �rain
fireproof addition, for similar oacupancy, ta any
Permit �l..� for each one thousaad cubic feet.
.GA�AGE3
y nbrs-fireproof building
elevator, or any non-
existing building.
z.�. For �r such perinit for the arection of anar� non-fireproaf garage,
warehouse� factory or graiai eleva.tor, or for the erection of any non-
f3.reprooP addition, for gimilex�.occupanc�r, to any exiating buildin� wr
for each sucb building or addition. Ninety Cente for each one thouaand
cubic feet or fraction thereaf, in the cubical apntenta thereof wi�h a
mix:imum of �4.00. � .
For the purpose oi computing fees for building permits the cubical contents
of any building or addit3on to a uniform height throughout b3r multiplying
the ground area covered from a�int six.(6) inches below the floor line of
the i�aement or cellar to the avera�e height of the upper surface or to the
� average height of the roof surface oF the main gablo of a pitched roof.
2.5. For repai.rs or alterations to an exieting atructvre, the fee she11 be
at the rate of �3.00 for each F3ve Iiundred Do1].aacs (�500.00), or f`raction
thereof in the cost of all proposed work.
2.6. In no -case
Ssct�.yn-'2� be less
.> "
shall the fee charged for any permit as set forth �.n
than �4.00.
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Caity of Fridley, Minn.
BUILDING PERMIT
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OWIIP.r: �YiI'8d GI1S$B�SOI1 Builder �7.3.'h•F gOTII68� Ii36•
Ad� b71�7 deffersoa Street �T. E. Ad� _3�01 FPemont Ave. N,
N°
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'7636
LOCATION OF BUILDING
N� 67�.7 S�t Jefferaon 8treet �. T. p� oP Lot
Lot 2 _ Block �- Addition or Sub-Divisi� ��8 �eek Terrace Pla.t 5
Corner Lot � Ina4de Lot Setback Sfdeyard
3ewer IIevatian
Foimdat3on IIevatfon
To be Used as:
DESCRIPTION OF BUILDING
Front Depth Height Sq. Fk Cu. Ft
Firont Depth I�eight Sq. Ft C�. Ft
7�pe of Construct[on F�i. Cost ��9�. To be Completed
Storm dama�e repair
In considerat[on of the �lssuence to me of a permit to construct the building descrii�d above I agree to do
the proposed work in accordance with the al�scrlption above set �!'prth and in c�p�ance with af 1 proviatons oP
�dinant�s oE the dty of Frialley, / / . �� /T ,�
In ca�sideration of the payment of a Pee of � 9 ��� permit is hereby granted t�'�y A�— e� �C•
to construct the bufldfng or addition as de.acribed above. Thisp�� t is granted upon
the exAress wnditia�n that the person to whom ft is graated aad hfa agents, employees and workmen, 9n all work
done fn, around and upon said building, or anq thereof, shall canform fn all respects to the orriinances of
Fr1�IIeY, M9nnesota glac:ation, constru� alteration, meintenence, repair and moving of bufldiaga
wlthin the dty limiffi�eagnd =thfa permit may be revoked at aqq tirne up� violation oP any of the proviaions of eaid
orrliaances.
ALlen Jen�en B„�� �
� NOfl�
7hb pqeedf dou �ro1 eowr ths eeestrocHoe, tnshllNlon fer �rWaB. P���9. 6a b�1o0� � er �rafer. B� snra fo se�
da Baildlu9 I�Dor ior apntl� �/o� t6a� h�ms.
_,�71.�7 Jefferson-Conx�ad Gustafson
� � Bldr.-Qualit� Homes, Inc.-3701
Fremont Ave. No.-
Replace roofing house & garage
Replace and replace sidi.ng �here
necessary-build r�ew attached garage
Repair broken truss-Repair and
replace sheetrock �vhere neeessar�
Repai�rt outside &� inside where
necessar�
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APPLICATIpN �0� PERMIT
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CITY OF %'R�DLEY� SOTA
�
ADDRESS � AD�R$SS �7� J r ����� . _1��,�l�t,
�k LOC�TTOAI �F �t�D�NG
No. St��et
- . ��
Lot � Block (' Addit.ionr or Subd�
Coraer Lot�_Inaide %ot __,��e��sa�1c
of Lot�_,
�
$3de-Yard •
SEWER E�'QATIQAT FOUNDATION �V`�0�1
Applieane ateach to tl��i� form, Two Certificates q% Seirvey of LoC aad �ro�sed `4r�d:�
ing loca itta, d��wa o�i the9e Gei�t�ficates.
��1'� G�� � �'��� GC� �-�- � - � .
DESCRIPTiON��F BfiJII,DIPtG
Ta be used �s;
�ronC De�t� �e,ight � `
.., ._.�_ ,..._...
5q. Ft. Cu. Ft.
_�_Frant Depth Height
` Sz�. Ft._ . Cu. Ft.
Typa of Constructian Estimated Cost ��' O� �
� .
��amplete�
. ,
The uadersigned hereby makes applie�tion for a permit for G�he work hexein specified,
agreei�tg Co do ��,1 work if� str�ct accordaace with the City of Fridleq Ordf�ances and
�ulings i� t�e DepartuQezet'•of Buildings, and hereby decLares t�at aIl the f�cts and
represe�tations stated in this applicatien are true aad correct:
� � �,�. ; �, .
��1�e .4f Fee Costs caa be found on the Reverse Side).
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BUTLH� PE�iMIT P'$E SG`� �.�
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� Se�etion 2. '1'he InapecCor of guildiulgs �s�g'!t, be,�or� �iseu�,� any germit for
, Eh� erection of any buildiag or stru�t.ure,. s�r�fos aaq add�ti� ts anq exist-
, iag bui2ding or atructure, or f�r. any aj,terat�p�sr,�t'�:repairb t� any esisting .
buildi�g or structute, upon appLic�i�or�. �er;e#os, ��s�re tlte paq�peQt by �he
' appl3cant for auch permit of fee� ��b �1ie amount �tier�ip��below set 'forth._a�i
; � ia the manne= herein provided to-w�t:� �',. `� �'
;�,.
-�-.�------.2.1. F�r any auch perm�tt for the �l��.�:�OII-a�` any fire�p�� bu#l,d�pg� Qther �.
' �_;�-�ha� a gara�ge*. .warehouae, factory or� ��u' �v��� � �or. the e�ti�r �� � ;",
•' anY `fi�e-��of addi��on,. fQ�` ain,�9,lar�yoc�i�P�aaq�� ��: e�y �lci.s�t�i�g bu�.l•t'l�t� ..' .., � �.
�halY i�e at the rate Rf $1.4a for e�a�eh;.p� t�OUSend .�et�bi� feet. or�fr� .
, ��- .. : �hereof , in sucb cubical coat�n�s . � : ;• . � : ` . . . . � � . • �
�\
n . .
�'` 2 �. For aay aucti permit i�:.��e- erection o�. any fire-prcoi g�xaae..•*�°p-� '
�ory sr grain elevator, or f�•�he� �;e�tion �,f ect�• ��� � �L•.�
. fer aimiia�r occupaucp,. to any exiettng �e,tldfacig sI�TI� •be -se �e r,�
. °�-f �'��h one .thbns�d cubic .feet,'., c�La.ssi.fid �e. "fireprcW�", h�� S�
th�-Minne.npee��.io...8u.4%ding. COCLQ..:i'.yu,cKK,,-. . � . " - ,
.' ``' HOUSF.S . '. , . ' , `
. - - . q � . .
��.` ��__ 2_.� Fci� �ay su�h permi�� fot the er�etioa of -�ay nou-firep;�i b'uildiag •
. than a gar�.ge, �warehouse, factory or, grain eievator, or any �ot�-fi�pt�f���:
additivn, for aimf�d� ocCup�q, to an�► e�9.sti�g .tit�lldin,� - pe�Lt $�.� f�r .- ^
each �one thou�ap2� �c�bi� fee6.. . .
GARAGES , . . �,
�.4. For aay such pern�i.t f�r tbe erection o� aay non-�ireproaf Sazage,�, � .
w rea h use, factory or �rain el�vator, os fo�•th� erection of any aon-f�
A�t��r�..:�. e--,-.�ila�� occupan,cq, Cv asy existing build3ng, ds for esc�r sucli �
_��+���ng or addition -.niaety�ceats,($0.96j for each one thousand cvbfc ireet .
� or fz�tion thereof, ia Cbe cubical� coatenta thereof wit�i a miaimu�m �of ti44.00..f� ��
' �
, .... .
For the purpose��of com�u.tiag fees for building germ3ts, th� cubical c�itte�t�''� �
of any bufldiag or addition to a uni�orm height througho4� •'by ��,tip2ying tli�„r�'
ground aae� covered .from a point sis (6) fnche�� bel�s� the �loor liae mf �he��,,�..
ba�emant or c�11ar to the average height of the ug�per su�face-or Co�the��
average height of the rpof siirface of the maim gable of a. ��,tched raof .. • �
�. 5_•. For repairs or alterations to en exist �� . ,
iiig s rruct�:ik �t gse s�11 Ft��:--"` ;: `:
.;,aC the rate of $3.00 per egch Five �vadred Do1las;a .($�.0�'s��� or. �ractic�'_• ..
;. there�if .�:n ehe co�t of �11_propoaed work� ' : • � � .
�.6 �` �an no. case . . .. . , . ��' . . _ , .�� .4
_,._.., �hali �he . :�_ seC ft��'th � . � '� � �, •
. Section,� �be Ies�haa.-$t�...OQ:� . .. , . . .. , •
, . ��
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City of Fridley, Min.n.. �1T° 9 U 48
BUILDING PERMIT
DB�: OCTOBER 7, 1966
Owner: CONRt�D GIISTAFSON B�� STITART CONSTRIICTION COMPANY
pd� 6747 JEFFERSON ST. NE. �,d�.� _ 109 LOWRY_A� N_E_
FRID�LEY, MIN'NESOTA 55432 1�IIlQNEAppI,IS, MINNESOTA
LOCATION OF BUILDING
No. 6747 _ S�t JEFFERSON ST. N.E. � Part of Lot
Lot .r 2 __ Block 1 Addition or Sub-Division ._.�.�...SR� Tj�RRA�F.,.. 'P�'.AT 5
Corner Lot — Inside Lot Setback —� Sideyard
Sewer IIevation �� Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: NON-STRUCTURAL PANELING ON WALL • SHEETROCK CEILING IN BASEMENT
Front Depth Height Sq. Ft. Cu. Ft �8�..
Front Depth FTeight � Sq. Ft Cu. Ft
Type of Construction RTNTSU RASF.M�'NT ��, ��,$�,�,Qp.Q��O __ To be Completed
�
�
In consideration of the iasnattce to me of a permit to con�lr``u �- id above I agree to do
the proposed work in accardance with the description above set rth. d ia �n ce w�th a�l provlaiona of
ordinaaces of the dty of FridleY• !� �' , ;) 1 e� tl n A
In conafderation of the paymeat of a fee oP $ 6. 00 , p�t ia hereby graated to ��'��
�0�],�$jT�QN C0. to conatruct the building or addition as descrYbed above. Thiape rmiit fs grantsd upon
the express candition that the person to whom it is graated and lus agenta, employees and worl�en� 9n all work
done in, around and upon said building, or any part thereof, shall c:onform in all respecta tfl the ordinanc� of
Fridley, Minnesota regarding location, conatruction, altera.tion, maiatenance, repair and moving of bufldinSe
within 'the dty ]imits and thia permit may be revoked at any tirne upon violation of any of the provisiona of ea�d
ordinanc�s.
CLAR,ENCE BELI SLE B�� �
NOTICE:
'I�s penah doss net cevar t6s eoe�rncHoe, testaUaHoe tor �riring, pium6tee, ea heaNng, wwer ee wNsr. B� wn ts �e
Nw Buildine lespatoe Por aparaf� parm6s /er fhas haua.
v
APPLICATION FOR BtJILDING PERMIT
CITY OF FRIDLEii, MINNESOT�
OWNER' S NAML ,� BULLDEP
ADDRESS ,� ADDRESS
� LOCATION OF BUILDIDTG
N0, STREE'�C PART OF LOT
IAT BLOCK . ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACR SIDE•YARD
SEWER ELEVATION F'OUNDATION ELEVATI�14
Applicant attach ta this form Two Certificates of Survey of Lot and proposed
building lo at on dra on theae Certif cates. �
`/�'�S' ' — � �l�� 4 �%' " v
f
DESCRIPTIOH F BUILDING '�� �""' ��—
To be used as;
Frout�Depth �Height
Sq. Ft. Cu. Ft.
Front Depth iieight
Sq. Ft. Cu. Ft._
Tqpe of Constructio�,��.f�.. �,y,� - Eatimated Co�� ,,� �
r--�
Ta be completed������ � � %�� �
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 Degartment of Buildings, and hereby
declares that all the facts and representations stated in this app].ication
are true and correct.
DATE � �' �� � � �, SIGNATURE
(Schedule of Fee Casts can be found c
.. • ° °
,�` _ � � .,. . �
,
BIIILDIl�iG: � `PERM�T FEE 3CHEDDi�B
SECTIOR 2. The Inepector of Builc�iags aba�3, before�iasuing aaq permit for
the erection of aay building or�structure, or for anq addition to any ex3.stin�
building or structure, or for anq alterationa or repaira to any exiseing
building or structure, upon appl�.Eation therefore, require the payment by the
applieant for_such germit of fees to the amount herein below set forth and in
the manner herein provided to•wit; .
2.1. For any auch permit for the erect3on of any fire-proof building,
other than a garage, warehouse, factory or grain eleva�or,,.or for the erection
of any fire-proof �ddition, for similar occupancy, to.any"esiating building,
sha11 be at the rate of $1.40 for each one thousand cubic feet,..or fraction
thereof, in such cubical coatents. � � .. .. '
, .
2.2 For any such geranit for.the er.ection of aay fire-proof garage,,
warehou e,�factory or grain elevator, or for the erection of anq fire»proof
addition, for similar.oc.cupaacy, to any esiating building shall be�at the
raee of $1.25 for each one thousand cubic feet, cl$eaified as "fireproof" .
by Section 502 of the Minneapol��s. 8uilding" Code. � , -
SOIISES
2.3. For any auch permit� for.the ereatiori of any aon-fireproof
building, other than a garage, warehouso, factory or grain eleva.tor, or
anq non-fireproof addition, for aimilar occupancy, to any existing bui],ding -
permit $1.00 for each one thousand cubic feet.
GARAGES
2.4. -For any auch permit for the erection of any non-fireproof garage,
warehouse,.factorq or grain eZevatos, or for the erection of any non-fire-proof
addition, for similar occupancy, to any esisting buildiag ar for eaeh such
building or addition - ninety cents ($0..90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with the minimwn o£ $4.00.
For the purpose of computing fees for building permite, the cubical contents
of any building or addition to a uniform heigh.t throughout by multiplying the
ground area�covered €ram a�point six (6) inches below the floor line of the
basement or cellar to the average h03ght of the upper aurface or to.the average
height of the roof surface oE�the ma�n�gable of a pi�ched roof:.
2,5. For repairs ox a�Geratians to an existing structure, the fee ahall
be at the rate of $3,.00 per each Five Huadred Dollare ($500.00) or fractivn
thereof in the cost of all proposed work. �
2.6. . In ao case 8ha11 the fee ch�rged for any permit as aet forth in
Section 2 be lesa than $4.00. �
STORM REPAIR DAMAGE EEES;
Residential: Bstimated Coat of work up to $5nn,�� - 55.�0
Estimated Cost of wortc ovex .^.:'.��. .�:'� � Yh�„ . ��0
Coffi�r5ia1; Estimated C� of wo*?: �� � j_ �� "` :�' ,:.t�� F i;' `` b`�''�
. , ,., ,�
- Estimated Cc.,� _ of wu�:: �;��:;� ;_��+:.i3�! " 4l.I/.�.%L--
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SUBJECT
City of Fridley � 65 � �_�
AT THE TOP OF 7HE TWINS g U I L D I N G P E R M I T
�
� � RECEIPT NO.
� `y ..___ COMMUNITY DEVELOPMENT DIV
r � � PROTECTIVE INSPECTION SEC. �^�/�
� � �
( � �'��1 � CITY HALL fRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV
�"'""� � �'' 612-571-3450 910-Ft5 1/20/95 / /
108 ADDRESS
6747 Jefferson Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 1 Rice Creek Terrace Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Scott Robbins 6747 Jefferson Street NE 571-7857
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
in Cit Exteriors 9060 Zachar Ln N 0 Ma le
4 AR HITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE
%
B DESCRIBE WORK
Reside Dwellin
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOH 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 SO. 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WI7H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �7�000 �3.SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T fEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �90.00 Fire SC �%.00
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $105.50
S�GNATUAEOFCON'RACTOAORAUTHOAIZEDAGENT IDATEI WHEN PqOPER VALIDATED THIS IS VOUR PERMIT
O��J
SiGNATUREOFOWNEAiiFOWNEABUROENi IDATEI g� � P� qaTE
NEW [ l
�wDN I l
AL'TER ( ]
Construction Addr�s:
Legal D�scription: _
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Owna Name 8t Addr�:
' � � � .,«
� � � r�
I.IVING ARLA:
GARAGE AREA:
DBCK AREA:
OTHER:
Effe�tive 3/ 1/92
���v
Tel. �;�71'�
MN LICENSE #
Q�TeI. � 5%5�7�3 �
.,
A�ach �o this application, a C�atificate of �`invey �"of the
k�t, with the pr�aposed cons�uction drawa � it to scale.
DESCRtFTION OF IMPROV'E�NT
Length Width Height
Leitgt6 Wit�th H�ght
Le,ng�th Widdi Hgt/Gronnd
Sq. Ft
Sq. Ft
Sq. Ft
Cora� Lot [] Inside LAt [) Ft Yd S�k Side Yard S�cks
Type of Constcaction: ��S/� � Cost: $ � ��
Apprax. Completion Date: , f G�`%��
�
, (Cost on Back)
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DA�: /-/� -�.� app�c�v�r: Tei. ��a� y�3 7
00
Permit Fee �
Fire Sur+charge $ ��
State Sureh�rge S_ �3'S°
SAC Chazge $
License Succharge $ t�' o 0
v
Drivevvay Escrow $
Park Fee $
Sewer Main Charge $
s�
TOTAL $
STIPULATIONS:
� .�
Fee Schedule on ltev�se Sids
.�1 of Permit daluation (1/1(}th o)
$.SO/$1,0� Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Conaa�tors)
Al� "A" or Al� "B" Above
Fee Determined by Engineering
Agreement Ne�c�► [ ] Not N�essary [ )
�
�, _
, � ��:
��� /
I� ��r�5
sue�ecr PER
City of Fridley � � � �� 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� `y �_���_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. `�o�
1 � �
' ' /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV
�'"'"� � ,"' 612-571-3450 910-Ft 5
3/8/95 / /
JOB ADDRESS 6747 Jefferson Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 1 Rice Creek Terrace Plat 5 SHEET
2 PROPERTV OWNER MAII. ADORESS 21P PHONE
Scott/Betty Robbins 6747 Jefferson Street NE 571-7857
3 CONTRACTOR MAIL ADDFESS Z�P PHONE LICENSE NO
Holtan ICitchens and Remodeling Inc 5026 Morgan Ave S, Mpls., MN 55419 4777
d ARCHITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO.
929-9688
5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE � REMOVE
B DESCRIBE WOFiK
Alteration to lst floor master bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
SEP�4RATE PERMITS REQUIRED FOR
WlR'���, {�EAT8�9C, PL�!`�E3i�JG AN� SlGNS.
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 SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTHEET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �9 � ZOO ��F. C)O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OF LOCAL LAW REGUTATING CON-
STRUCTION OR THE PERFOHMANCE OF CONSTRUCTION �II.7.00 Fire SC $9. ZO
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $135.80
SIGNATUEIEOFCON'RACTOAOAAU7NOAl2EDAGENT �Dn7Ei �yyHEN PFiOPEfiLY V ATED THIS IS YOUR PERMIT
SiGNATURE OF OWNER ��F OWNER BUiLDERI IOATEI � BLDG �N P � r� TE � �
NEW
ADDN
ALTER
[l
[l
[l
CITY OF FRIDLEY
SINGLE FAMILY AAiD DUPLEXES R-1 AND R-2
Building Permit Application
Eff�tiv� 1/1/95
�� .�t��� ��-;'�
� �L �."�,,'`'
r. , e .
� � �,i �� �
� ', � - � ;� � ��-7e�Z
�` j
ConstructionAddress: lv �g? �'e F�'� �s o...�, S F. h/. E• J
Legal Description:
Owner Name & Address: S� o¢-� r�.�.. �(�e �� /� ����-i' Tel. # 3 T t r T�s 7
Contractor: f� o G'r�A% l<� 7 c(�ls �� /�.C-n-,.o A, t M c MN LICENSE # '% 7 7%
Address: S d z� lr� a i''� r�^ �„-t �S. Tel. # `l z 9' -%6 8'g'
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: --
Attach fo this application, a Certificate of Survey of the
lot, with the proposed construction drawa on it to scale.
DESCRIPTION OF IMPROVEMENT
Length
Length
r ����ZJ �L '
Width Height
Width Height
_ ,%�1i7�✓��
� - Gv�t�L �% � �o�`��s �r�'"� -
Sq. Ft. _
Sq. Ft.
Sq. Ft.
Comer Lot (] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
Type of Construction: �a�'�c-o�+. ✓<<•�.�-� Estimated Cost: $ �'� �� �
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 3r ?' 9 S APPLICANT: J��� R f7�'r � Tel. # % y�'%6��
Permit Fee
Fire Surcharge
Sta.te Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ � cr�
�
$ q,�0
$ y� �
$
$ �,��
$
$
$
$
$ 3� ��
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 of Permit Valuation (1/lOth%)
$.50/$1,0� Valuation
$850 per SAC Unit
$5.(� (State Licensed Residential Contractors)
Alt. "A" or Alt. °B" Above
$450.00 Conservation Plan Review
Fee Determined by Engin�ring
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: _
V 6 � ��
.� � �y,
13UIf_DING 1'ERMI"I' FE13 SCI{EDULI?
I�h� C;fii�t l3tiildio}; Utticial �hall, t>cfocc issuing permits for 1hc ercction of any building <>r structurc,
ur- li>r any a�iciitic>n tu any cxisting building or siructurc, or for any altcration or rcpair to any cxistin};
(�uil�iii��; ur struccurc, u�n application thcrefore, require the payment by thc applicant for such Permit
c�l� t�c;ti tc� thc; auiount hcrcin t�cl��v sci 1i>nh and in thc ntanncn c�rci� pravidcxi tc�-wi(:
"I'O"I'A L V A I_Il (:
� I to $S00
$501 to $2,000
�2,001 ta $25,000
$25,001 to �50,000 -
�50,001 to $100,000
�i00,001 to �SOO,Q00
$500,001 to �1,000,000
� i , Ot}0,001 and up
rct�s
$IS (Minimum Fee is $15 plus surcharge)
� 15 for �irst 5500 pIus $2 for each additional $100 or
fraction thereof, to ar�d including $2,000 �
�45 for first 51,000 plus $9 for each additional $1;000
or fraction thereof, to and including 525,000 �
5252 �for fust �25,000 ptus $6_SO for each additional $1;000
or fraction thereof, to. and iricluding $50,000
�41450 for first $50,000 plus $4S0 for each additional
� 1,000 or fracxioa thereof, to and including $ lIX?,040
$63950 for f�rst -$100,OQ0 plus- $3_SO for each additional-
` � 1,000 or fractioa t�eof, to and including -$500,000
$2039.50 for d� first $SQ0,000 plus $3 for each addition,al
$1,000 or fractiou the�eof, to and including $1,000,000
�353950 for the fust $1,000,0(i0 plus $2 for each additionai
�1,OOQ or fraction �t�reof -
DR[VEWAY DEPRESSION ESCROW
(Concrete Curi� Streets Only)
Alternate "A": Removal and replacement of cu� and gutter only - Driveway width plus 6 feet times
S13_SO_
Alternate "Q": Removal and reptacement of curb and gutter and instali a 3 foot �vide
approach with 6 inch depth - Driveway width plus G feet times $15_75.
VGRiFICATION OF FOUNDAT[ON
Permits tor cor�st�uctioa wiil i>e issued a minimum of 24 haurs Crom the time of application to allow
f�r prc��er review of tiie �roposed structure and of the cor�struction site_
A Ccn,itic:�te �f Sunrey of d�e tot, showing the location of die founciatian once it h�s it t�as heen
cunstn�cte:�i wiil be reyuirecl l�efi�rc proceeding with lhe framing.
0
'
new 30" x 42°
shower
set new 19"vanity
w/ raised panel
doors on , set new
access to existing
clothes chute - re-
route as needed
to connect to existing
chute
T
, �. s, , -► ji�c/'G ;���:�'
o , e���,��°� �i.�
�:�C��� �' , LC �� . ��-r � �-�=y
�� �� ��v��- ��-��°,�l".J ,�L L ��`�'�ZJ
new pedestal
sink
Bat�-�J
�- set new clad
OMarvin window
� ;.
----------- �
� '
Bath
Contractor:
HQLTAI�1
KITCHENS
i�G.
REMODELING
5026 Morgan Ave So.
set new clad Minneapolis, MN
Marvin window
(612) 929-9688
—a set new raised panel (fax) 929-8084
new 351/2" x 72" door on storage _
whiripool tub w/ hand cabinet under ceramic
held shower head tile shelf set @ 20" a.f.f.
Remodeling
For:
� S cott & B etty
Robbins
Remodeling
Floor Plan
scale 1 /4" = 1'-0
Key & General Notes
existing wood stud wall
/////////!////// ••• • .
6747 Jefferson St. NE
Fridley, MN
Z
0
� -
3 preliminary demo/remotieling
floor pian
02-23-95
sheet 1 of 1
�
cut wali down t• x 4,
remove existing clothes
chute & chimney chase
remove existing vanity
remove existing door, i'
close-up opening —�L
� �-_ =
remove existing closet
a
� remove existing door
1
•��!� �
' � Bath�
� � h��—
' � � � - I �, fcaa3e
� r-----�
� ' 30�� � ,- - , � 'IL�.
'�—�i ' , , �
, _ ;_____ � �--�-- remove gyp. bd. from
�—� I
��/ I
-=-=-=1
Bath
wall, cut existing stud
in half to create 2 x 2
�f1J
�II
���--r
�`, fFa�te-
-------
r--------------
- - - - - � i i - - - - - - - - - - - —
. � � �Afl'1(1VA PYICtlf1(7 �
Demolition
Floor Plan
scale 1 /4" =1'-0
& Generai Notes
� existing wall
- - - - - - - - - wall to be removed
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NOIlb�I�Ia3A ��tl1S GN11 Jl3NWIH�
sue�ecr p
City of Fridley � � � 5
r AT THE TOP OF THE TWINS g U I L D I N G P E R M I T _--
� � RECEIPT NO.
� • COMMUNITY OEVELOPMENT DIV
' j V _"'� ,
r � � PROTECTIVE INSPECTION SEC � `� � �
� �
� � /'��� � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED B♦
�----�; �.� 612-571-3450 9�0-F15 7/18/95 / /
J08 ADDRESS 6747 Jefferson Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCii. 2 1 Rice Creek Terrace Plat 5 SHEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE
Scott/Betty Robbins 6747 Jefferson Street NE 571-7857
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Holtan Ritchens and Remodeling 5026 Morgan Ave S, Mpls., MN 55419 929-9688 4777
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO
5 ENGINEER MAILADDHESS ZIP PHONE UCENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION ❑ REPAIR p MOVE ❑ REMOVE
8 DESCRIBE WOFiK
Remodel Bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOH ELECTRICAL, PLUMBING, HEATING,
VENTILATING OFi AIH CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. 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 CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PqOVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT g LOO �F.C)O
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OH LOCAL LAW REGULATING CON-
STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. lOH.00 Fire SC 9.LO
PLAN CHECK FEE T07A1 FEE
Lic se SC 5. 0 126.80
S�GNATUREOFCON'RACiOAORAUTMOA�2EDAGENT IDATEI WFIEN PqOPERIV IDATED TNIS IS YOUR PERMIT
— � � �-���'TC�'�'
SiGNATUAEOFOWNEF��FOWNERBUILDEAi iDATEi BLDG NSP r�aTE
NEW [ ]
ADDN [ ]
ALTER [ J
ConstrucdonAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
7� 7 �P F�,-i� r � :.t., �'�f� /�% � -
Effective 1 / 1 /95
Lega1 Description:
Owner Name & Address: Sco fi�{ �^ � �'� ��� 0 u-�-� S Tel. #.g7 (- 7� � 7
Contractor: �� L T�% (C � 1z /-l�+✓ S� D � �-�-�-o D E ��-✓ �@- MN LICENSE # � 7 7%
Address: � ° �� F� �'�'t� �q a.�� �e S _ Tel. # �� G- �� ��
�7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction dra.wn on it to scale.
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
�< � re �� 1��,�,�.e��' Estimated Cost: $ �
Approx. Completion Date:
(Cost on Back)
Sq. Ft.
Sq. Ft.
Sq. Ft
�e o ``��
Driveway Curb Cut Width Ne�ded: Ft. + 6 Ft = Ft x$ _$
DATE: 7-! Z - �`� APPLICANT: �� � � /�� � Tel. # �� ( - %6 ��
Permit Fee
Fire Swcharge
Staxe Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Cantrol
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
z
� /b�o °a
$ r9Z�
$ `%G �
$
$ o�_
$
$
$
$
��Z�. �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.501$i,� valuadon
$850 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 { ]
0
i;uu.u�rvc. E�eKMrt• r�[:I? SCIIEDULr_
i�h�: Cl�i�t k3ui(ciin}; Ulficial shall, tx;forc issuing permits for thc erc:ction of airy building or stn�cturc,
c>r tur any a�iciition tu �ny cxisting i�uildint; c�r structure, c�r for any allcration or rcpair to any cxistin�;
Iwiliiin�; c>r- siructurc, u�n ap��licatic�n tl�crclorc, rc;�uirc ihc paymcnt by d�c appiicant for such Permit
c�f� t�c;t tc> tlic; <�mount hcrcin t>clb�v sct lo�tl� aad in d�c manncr i�ercia providcxi to-�vit:
"I'O"I'A L V A LU l:
� 1 to $500
$501 to $2,000
�2,001 to a25,OQ0
$25,001 to �50,000 �
550,001 to �1Q0,000
$100,001 to �SOO,OQO
$500,001 to $1,000,000� -
$1,OOQ,001 and up
r-r_��s
$IS (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
. fraction thereof, to and including $2,000 �
$45 for f-ust $Z,000 plus $9 for each addiaonal $1;000
or fraction thereof, to and including $25,000 '
$252 for first $25,000 plas $6.50 far each additional $1;000
or fraction the�reof, to_ and including $50,000
$41450 for fust $50,000 plus $4S0 for each add.itionai
$1,000 or fracfion thPreof, to and including $1Q0,000
$63950 for fust -$100,0� plus� $3_SO for each additional-
$1,000 or fracfion thereof, to and includ.ing $500,000
$2039_SO for itie 5rst $500,000 pins $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$3539_SO for the first $1,000,000 plus $2 for each additioual
$1,OU0 or fradion thereof -
DRIVEWAY DEPRESSIOM ESCROVY
(Concrete Curb Streets Only)
Alternate 'A": Removal and replacement of curb and gut�ter only - Ddveway wid� plus 6 feet tiaxbes
S13_50_
Alternate °B": Removal and replacement of curb and guttar and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15_75_
VLRlF[CA"f(ON OF FOUNDAT[OIY
PermiLs for coruuucLion will be issuod a minimum of 24 hours from the time of application to a(low
for proper rcview of the p�oposcd structure and of thc corutruction site_
A Ccrtitic::ite of Survcy of dte lot, showing the locaUon of die founclation once it has it has becn
coiisUucte�i �vili f�e re;yuirut t�efore proceediag with lhe ftaming_
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SuBJECT
City of Fridley 2 6 6 2 2\
AT THE TOP OF THE TWINS g U I L D I N G P E R M t T
' ' RE
� � •
� �,y _ COMMUNITY DEVEIOPMENT DIV. `�� I
r � � PROTECTIVE INSPECTION SEC. �7
1 . �
� _ /'��1 � CITY HALL FRIOLE� SS432 NUMBER REV DATE PAGE OF APPqOVED BY
�°"'� � �'� 612-571-3450 910-Ft5 / /
JOB ADDRESS
6747 Jefferson st. NE
t LEGAL ��T NO. BIOCK TRACT OR ADDITION SEE ATTACMED
DESCR. Z , 1 Rice Creek Terrace Plat SFIEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
Sco tt Robbins 571-7857
3 C NTRACTOR MAIL ADDRESS 21P PFIONE LICENSE NO
Twin Cit Exteriors Co.
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PFIONE LICENSE N0.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDtTION ❑ ALTERATION �] REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Re airs on West side f house
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAL, PLUMBING, NEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTqUCTION ZONING SO. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION SUF;TAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING Of A PERMIT �SOO �.SO
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEFM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �ZI.00 Fire SC �.SO
PLAN CNECK FEE T07 FEE
License .00 $ .00
51GNATURE OF CONiRACTOR OR AUTMORIZED AGENT IDATE� EN ROP VALID T 7HIS IS VOUFi PERM
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S�GNATUREOFOWNERiIFOWNERBUILDERi IDATEi B G�NSP ryf.TE
NEW [ l
• ADDN [ J
ALTER [ J
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R 1 AND R-2
BUILDING PERMIT APPLICATION
ST
Effective 1 / 1 /97
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Legal Description: '
Owner Name & Address: ,��� aBBi S S�l�J� Tel. #�7/— $�S%
Contractor: / S MN LICENSE #��f
Address : '�'!D a � ,� �' ,�5 Tel. # �p� � c�� � �_
Attach to this application, a Certificate of Survey of the
lot, with the proposed constniction drawn on it to scale.
LNING AREA: �
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
DESCRIPTION OF IlVIPROVEMENT
Width Height
Width Height
Width Hgt/Ground
�� � �����
z�,2��1 �n,�-�
Sq. Ft.
Sq. Ft.
Sq. Ft. ,
_. J �
Construction Type:. S-�,e�� Estimated Cost: $�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE• A,PPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
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$ ��
$
$ �.� �
$
$
$
$
D�
�
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$950 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 [ J Not Necessary j]
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