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AF - 47881r-�, � � r"� City of Fradley, Minn.. BUILDING PERIVIIT � .: _ a ;� � ,� /. _� / �, • • • � a ��/ ``-' �' �i�:..! � �.r ...:aC �� : s . - � .�.Li.,�,+LL._ ;/ �� .. � � i� N° 6�393 , L .��NG No. ` S t Part of �t � Lot `' a` Bl�k Addition or Sub-Divisian ��°�d"�� s � Coraer Lot _ Inside Lot ._.._ r� Setback _��,��_ Sideyard �� Sewer IIevatlam � _ Foimdation IIevation c DESCRIPTION OP BUILDIMIG T U Front _!� Depth a� Height ..�-� Scl. F't. ��=�" C�. Ft �� t Depth ITeight � Sq. F't. � Cu. FL Type of Conatruction F�t. .a,C c, � c�s.� �� To be Completed �0�/�1�. I T� Ea�deratlon oP the issuance to me of a permit to construct the building described above, I agree to do th� propo�ed work ffi acc�ordance with the description above set f� and ia com�ce�th all dprovisions oP or�iinanc�a oY the dLy of F'rldley. /( F, Ea consideration of the �yment of a fee of $.�.L.:_ , permit fs hereby granted to_ - - to construct the buflding or addition as deacribed above. Tbis �►ermit is granted upon the expresa condition that the person to whom it fs granted and his agents, employees and worl�en, in all work 8oae in, around and upon said building, or anypart thereof, shall cbnform in all respecta to the orainancx� oP Frldley, Minnesota location, conatruct�on, alteration, maintenance, repair and moving of buildings within the dty lfmits and permit may be revoked at any time upon viol�tiQn oP aay of the Proviaiona oi esid ordinancea � ., o) � l Buildiug' Inspector � NOflCEs � 7W p�e�t doa rtot �evsr �hs eoestrueNoe, tmtalldion te� rrMefl. P�b+e. 6a h�aHog, a�ru or �rah�. e� wro te ss� fla Baildiu8 ins�aetor far apnab p��6s fo� t6as (t�. �1 y ` � . � � APPLICATiON �'OR BUIZDiNG PERMIT C3TX OF �'RIDLEY, M:i�lIESOTP, owrier's Name �'�' � �Bu�.lder 1�-�►�� Ad�aB�_ � I � � �R � N'�'`�1! � �� LOCATI4N OF HUIT�DING � No. � � � _Streat � _„ �' art of Lot Lot ��' �� 1`� C �lock I Addition or Subcliviaion ` Corner Lot Tnside Lot�,_ Setback � S3de-Yard �d SEVJ�� ELEVAT�ON �OUNDATION ELEVATI011T Appl3.cant a�tach to this �orm Cert3iicate of Survey o� Lot and proposea building locat3.on. DE�CRIPTION OF BUILDING i o be us�d � as o A'I �- �ront� epth �. � Height _ s�. Ft._ f�� c�i. Ft. Front_.______ DeP•�h �_ �eight St,� . Ft . Cu . Ft. Type o� Construct�.on �� Es�imated Cos� �� ° � � To be Completed -�►1- , ._ �. . ---- The undersigned her� makes application for a permit �or the work herei� speci�cied, agsee�ng to do all work �n strict accordance with the City og' Fridloy Ord�.nances and ruling o� the Deparicment o� 8uilcl- ings, and hereby declaros that all the facts and �epresen�a�ione stated in this application are true and correct. D�TE � C° � 1 � SIGNATUL�E � � � ' . �l (Schedule of Fee Cosfis ca� be found on the Reverse VSic1e) . . �1 4 i rp �; �� . s-., M � � �.': _ �UYLD�IVG PEl@NLIT � SCIiEDULE �ec��o� 2. The Inspector of Bu3l.dings shall, before issuing any pe�:�i•� �or the erec��ion -o� any 1�uilding or structure, or for any addition to any ox�sicir�� building or s�t-ruc�ure, or for any alt�rations or �epairs �o any axisic�ng building or atructu�e, upon appl3cation �h��e�or, require the pay�nent by the applican� �or such perrnit oi :cees �o �the amount here3.n below set �o�th and �in the maruaer herein provided to wi�to 2.1. Por any such permit ror the erection of any fire-p�coo� building, of;he�c than a garaga, wa�ehouse, factory o� g�ain elevator, or �or �he erec�ion of any f�re-�;coo£ addition, for similar occupancy, to an�r escis�i ng bu�.lding s7�aZI. be at the rate of $1.40 for each on� thousand cu�ac �eet, or �rac�tion �hereof, in such cubical contents. 2e2. �or any such peran��t �or the erec�3on of any f�.re�proof garage, vaa�.^ehouse, �ac�tolcy or grain elevato�c, or �or �he erection o:c any rire� proo� ad�i�ion, io� s3xngla�c occupancy, �o any ex�.sting building shall be at the ra�ce of $1.25 �or each one thousand cubic feet, classixieal as "iireproo�" by Sec�ion 502 0� the Minnea�olis Building Code. I30USES 2.3. For a�y such permi,t for the erecfiion o� any non�fi.reproof build- ing o�her than a garage, vvaxehouse, �'ac�ory or grain elevator, or any non�rire��coo�E addi�:�on, for similar occupancy, to any existing building Perznit $1000 �o�c each one thousand cubic feet. �c�s 2 sa. �'or any such �ermi�t for �the e�cect3on of any non�fireproo�E gaxage, warehouse, �ac�co�y or grain eleea�or, or for the erect3on of any non-fireproo� add�.�3.on, ior similar occupancy, to any existing bui�.ding or �or each such louilding or additione Ninety Cen�s �or each one �housand culoic fee� or fract3on ichereof, in thQ cubical contents �the�ceof wi�th a mi�iznum or $4,00. For i:he purpose o� compu�ting �ees for building pexmits the cubical con- te��s o� any building or addition to a unifo�cnt height throughoui: 7oy multiplying iche g�cound a�cea covered f�om a poin� six (6) �nches Ioelow �he �loor line o� �the �asement or ce�lasr to the average height of the upper sur�'ace or �o 'che average heigh� of the roof surface of the main gable of a pi.tched roor. 2.5. Fo� repa�rs o�c alte�ationa to an exis�t3.ng atructure, the �ee shall be at ithe raice of $3.00 pe� each F�ve fiundred Dollars ($500.00) or �ract3.o� �tY►ereor in �the cos� o� all proposed v�ork. 2, 6 a Tn �o case shall th� re� c%arged for any pesmit as a�fi �orth in Sec�ion 2 he lesa tl?-�} $4.00. � ^ � . ,. _ m., , -_i_� � _ _ . �. c. ocu CERTI�iC/�TE OF StJRVEY: Rnlph L�nd � � UU� a�OL v�SSOC�GtteS, �U�C. LAND SURVEVORS Anoka, Minnesota �, � � �VV � a`��, � �0 , � � O O �O 85�''�' � ON��36 , � �'� • ° / . � � `ct� . . � � � O �O � ` ` �: 1 � r� \ �'''� � \ r� No 15 •� P �� Telephone 421-6340 �55- i2�-s3 � DENOTES 1 aoNs Lots 39, 4o nna 41, Block P RI�IERVIEW HEIt�HT3 Aa�oke Count�P, Minnesot� 1 HEREBY CERTiFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OP A SURVEY OF THE BOUNDARIES OP THE A80V8 DESCRIBED IAND, AND THE LOCATION OF Alt BUtLDWGS, THEREON, AND ALL VISiBLE ENCROACHME1dTS, lF AMY, PROM OR ON SAID LAND. AS SURVEYED BY ME THIS ...�.�,.t't},� DAY OP ................�'..�i�X�Ic��:�:'.Y...-....................... A.D. 19..4�..• N. C. FiOIUlV1 AND ASSOCIA7E5, IN, . LAtdD SURYEYORS � P w � � t � ............................................. . .............:� ................................................ j............... 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FLOOR DRAINS CATCH BASINS AUTO WASHEii GAS MPL G�S RANGE GAS OPENINGS a • Z. �y Vi > A m n p �� a� � �:a� �� p ro� � fS ""�..� � �.'. �� °� � �� p. `e �'+ ��O � � � p b � �'i3 O �'� � � � p � m o 1 � ¢ � p ]' o ` � � � M \�� w �� o��" ��ti � �� 8 ~ � M �aa' � �� n � � M � � G $d �� w0 A � C� �°n a � � � �, �i � � � -S. �. �� i � � I � � "�7 � � r o p. �- � b m � � � � M � �. � b ' o� �� a �A � A O �� w � �� _ � Date: Owaer; Adarea, �� Ca.ty of Fridley, Mirm.. BUILDING PERMIT Buil Address ��Q �� N° '7014 L�O 10 F IL I, G No. '_� Street - Part of Lot Lot �.. __ Block Additfon or Sub-Di ____ Coraer Lot , Inaide Lot _. �tback �Sideyard g�� Sewer IIevatfon — `. Fo tion IIevation DESCRIPTION OF BUILDING 0.,� . y� d� � � � - ��} - � �� 'C�?" � ��.._,-� � i <� ia � - � ..isl,' • � � � `i7�" � ' � � ' i ..�� • � .• �� , / �/d .. ��. �' .ic� e� ��..ii..liz ,'/� � � �� I • �i�� . � the proposed wor�k�in accc�rdance wi�th the drescrip�o�n ab ve set�fo �� above I agrpe to do orclinances of the dty oP Fridley. � P��ce with af 1 provis4ons oP In conafderation of the payment of a fee oP � , permft is hereby granted to to cronstruet the buil or addition as described above. Thia permit ia granted upon the 'express condition that theperson to whom ft ia granted and hia agenta, employees and worl�nen, in all work done fn, around aad upon eafd building, or any �art thereof, stxall conform fn all respects to the ordinance� of Fridley� �2inaesota regar8fag loc�tton� eonatcucti�on, alteration, maintenance, and movin� oP bufldinga within the dty limita aad tl�ta permit anay be revoked at any� vio on o any of the Provisiona of said ordinances. / �➢�v s� � NOTICEs 1Ys p�mdt doa not eora� �6s eomir�eHoe, kutalltlion %r vrMng, plumbine, ea htMieg, aw�r e� wate�. B� wre to ae Ha &dldte8 le�dee for aparaf� ps�mlb /or tkas heea. SUBJECT City of Fridley / AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � i �• COMMUNITY DEVELOPMENT DIV. � VV �� r � � PROTECTIVE INSPECTION SEC. ' � � � � /'�'\ CITY HALL FRIDLEV 55432 NUMBER REV. OATE PAGE OF �-"'� � �'' 612-571-3450 910-F15 7/15/82 / / JOB ADDRESS 64� K]IClbal]. S'��E,+t N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oESCR. 39,40,41 P Riverview Heights Addition 2 PROPERTY OWNER MAIL ADDRESS LaVonne C. Broberg 646 Kin►ba11 Street N.E. 3 CONTRACTOR MAILADDRESS Steve Derrig 11712 - 4th Street, Blaine, 1�Il�i 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USEOFBUILDING ��7s$�I$ Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION 8 DESCRIBE WORK Reside Dwellinq 9 CHANGE QF USE FROM TO STIPULATIONS ZIP ZIP ZIP _ .16681 RE • � ��' APPROVED BY SEE ATTACHED SHEET PHONE 784-8084 PHONE LICENSE NO. 757-5349 PHONE LICENSE NO. PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE TYPE OF CON57. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. HEATING, Vinyl VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 3,g50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �4.50 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE � �a SIGNATURE OF CONTRACTOH OR AUTMOR12 AGENT ID EI WHEN PR . . _ _- -- -....._.....,.,.,.,�e e�� ncm IDATEI .. . BLDG WSP OCCUPANCY GROUP OCCUPANCY LOAD S�.FT. CU.FT. OFFSTREET PARKING STALLS GARAGES SURTAX $1.93 SAC CHARGE TOTALFEE $46.43 D THIS IS YOUR PERMIT CITY OF FRIDLCY Effective Aug. 1, 1981 APPLICIITI�J FOf; RCSIDC(dTIAi. I3UILQIi1G PCRi�fITS (t�c��, Altera�tions, Additions, or Repairs) ONlNER: ,�, d /1 � �� o �e�' ADDRESS: � �� c �q /� � TEL N0: �� — �' �J �� l3UILDER: ��e �e �Dee�rr,`S , AODRCSS: �/��02 Gf �' S� /� �c %� � TEL f�0: �5 � �S � Y� Construction Location • STItITT NO: U1 ( � STItEET: /�� U � �( 5 � � AU �-� LOT: � � ^ 7 O " �� BLOCK : � ADDITION : � l �� f U [ �' �- l� '� Corner Lot: Inside Lot: V SetbacY.: � Sideyards: /d l Ap�licar�t attach to tliis form two Certificates af S�rvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOfs OF COPJSTP.UCTIOW �� [ Front: Depth : Height: S� Square. Feet: Qibic Feet: Front: Depth: Height: Squar.e- Feet: Wbic Teet: 1 • -� . Rype of Cor,struction : �, � Estimated Cost: $�C`�� '— Zb Be O�r.�pleted: ��?=.�� Alt. A Alt. B Prop�sed Drive��ay S�idth If New Opening Is Desised: $' $ SE� REVERSE SIDE OF SHEET 95ie undersigned hercby ma};e� application for a pexmit for the �aork� hereisi specified, agreeinq to c'+� ,all work in strict accordance ��ith the City of Fridley Ordinances Paid rulings of the Department of IIuildings, and hereby declares that all the facts and repr�s�tatiens stated in this application are true and correct. D.�T�: / % �dZ SYQJp►TL1It£: Stipulations: �� ''�� b•� � � � ,_ � BUILDING PERN.FIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or`repairs to any existiag building or structure, upon application therefore, require the payment by the applicant f or such permit of iees to the amount herein below set forth aad i.n the manner herein provided to-wit: TOTAL VALUATION $1.00 to S500.00 5501 to $2,000 52.001 tc $25,000 $25,001 to $50,000 $50,001 to $100,000 FEES $10.00 Minimum Fee $15.00 Plus surcharge $10.00 for the first S500 plus $1.50 for each ndditional $100 oz fraction thereof, to and inclndinq $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283.00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 a�d up $443.00 for the first S100,000 plus 52.50 for e�ch additional $1,000 or fraction thereof PLAN CHEQC: 25 percent of building permit fee DRIVF�ntAY DEPRESSION ESQtOW: Concrete Curb S�reets Only Alternate "A"s Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Renoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x S15. 75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimwa of 24 hours from the time of application to allow for proper review of the proposed structure and of the constru ction site. A Certificate of Suzvey of the lot, showing the location of the foundation once it has been const:vcted will be required before proceeding with the framing. - � !