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City of FYidley
R-1 AI�ID R-2
Building Permit Application
EEfective 5/L88
cx>nstruction Address: 7 l S 7 .� i Uer u1 ew ��r t� �, � E',
Legal Description•
Owr�er Na¢ne & Address : Di c�.�� j� j� C� r Jt� 5 7/ s 7 �; �.�,� f��. Tel. �
�ritractor : �h c�; l P-� �'a:� .s-f Kcc c� r' a �J Tel. ��So���� C 97
Aaare�: �al �- 1-{ u►�,�4a� et ��. �b� �a'1�1s. �1�. s-sy�a
�
� -'N•
C'' �:N� :;
� �,M; _ ; .
Attac� to this appl ication, a Certif icate o� &.irvey of the
lat, with the proposoed construction drawn on it to scale.
�S(RIPPION OP' IMIPROVII�TP
Length %` width �`�_ Height 1.3 St�. Ft. 1��
LeI1C�h W1C�1'l I'�21C�'1't �. �,. '
Length Width Hgt/Groimd St� Ft.
.
�� _
1�1��4 � �4;076. v
(brner Lot [] Insic3e Lat [�lJ Ft. Yd Set�ck Side Yard Setbacks
Type of Gbnstruction: ,�"�'��b �'�2� �.��o� �'a�'��timated Cost: S -�
1�pprox. Comple�tion Date: �a.Jy /. /9� � � ���
Proposed Driveway Width If New Opening Is Desired: S
Width + 6'
DATE :
APPLICANr:
Pezmit I�ee
State Surcharge
SAC �arge
Drfveway Escrav
Park l�ee
Sewer !lain t7iiarge
. �.
�IOI�:
0
S 2, �d
$ � �� �
$ �,
$_
$
S �
S �iy,o�'
�,,a c. 3J. ��
� 1 �5, oS
(�TY OSE �Y
Alt. A Alt. B
$
See Back Page
Tel. �
F1�e Schedule on R�verse Side
5.50/51,000 Valuation
5550 per SAC Unit
Alt. '�," or Alt. "B" Above
I�ee Determired by Ehgirieering
A�greenerit Neoessary [ l Nat Neoessary []
�/! u o , �
avc,u— 4j,uu
3x� a�.=�
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=: 1 � � . ' �+.� � M �r � `.M:1 � �. 1
The Chief Building Official shall, before issuing permits for the erectian of any
building or structure, or for any addition to any existing building or structure, or for
any alteration or regair to any existing building or structure, �on application
therefore, require the payment by the applicarit for such permit of fees to the amount
herein belaw set forth and in the manner herein prwided to-wit:
'DOTAL VALUE
FEES
Sl to 5500 S15 �linimw F�ee is S15 plus surcharge )
5501 to $2,000 S15 for first 5500 plus S2 for each additional $100 or fraction
thereof, to and including 52,000
52,001 to 525,000 $45 for first 52,000 plus S9 for each additional $1,000 or
fractioa� thereof, to and including 525,000
525, 001 to $50, 000 5252 for f irst 525, 000 plus $6.50 for each additia�al $1, 000 or
fraction thereof, to and including 550,000
$50,001 to $100,000 5414.5U far first 550,000 plus $4.50 for each additional $1,000
or fraction thereof, to and including 5100,000
5100, 001 to 5500, 000 S 639. 50 for f irst 5100, 000 plus S3. 50 for each additional Sl, 000
or fractiori thereof, ta and including 5500,000
5500,001 to 51,000,000 52039.50 for the first 5500,000 plus $3 for each additional
51,000 or fraction thereof, to and including 51,000,000
51,000,001 a�d up 53539.50 for the first 51,000,000 plus S2 for each additional
51,000 or fractior� thereof
D�V�'i� DEP��STON E�N7�1
(Concrete Curb Streets Only)
Alternate "A": Renwal and replaoement o�f curb and gutter on].y - Driveway width plus 6
feet times $13.50.
Alternate "B": Renaval and replaoement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width glus 6 feet times �15.75.
/�; ; N • � • ' ;i�.U� � : �,�
Permits for construction will be issued a minimum of 24 hours f rom the time of
application to allaw for proper review o�f the proposed structure and of the o�nstruction
site.
A Certif icate of S�rvey of the lat, shvwing the Iocation of the fovndation once it has
been oonstructed will be required before proceeding with the framing.
.
sua�ecT PE .
City of Fridley o 19496 �
AT THE TOP OF THE TWINS B U I L D I N G � E R M I T
r
' ' R N
� �
� • COMMUNITY DEVELOPMENT DIV.
� �y_---^ �
r � � PROTECTIVE INSPECTION SEC. � � �p�Y
1 �
i
' � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
4'.---�: ,,J 612-571-3450 910-F15 5/26/88 / /
JOB ADDRESS �157 Riverview Terrace N.E,
1 LEGAL LOT NO. BLOCK " TRACT OF ADOITION SEE ATTACHED
DESCR. 2 1 Riverwood Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Russell Burns 7157 Riverview Terrace N.E.
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Cowles Construction 4014 Humboldt Avenue North, Mpls . 55412 522-6097
4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAI� ADDRESS ZIP PHONE LICENSE NO.
6 US�OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 14' x 14' Three Season Porch Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
5ee notations on plans
SEPA�A rE waRN�N�
WIR�NG� H�ATI� �rs R�QU�l, ^ Befo�e digginq cal1 local utilities
�. PL�MQ�PV�-�f �:-�� �, iEf ����E - E�ECTRIC-GAS Ete.
� �I�N�� �.:_�t3a��� BY LAV1�t=-
/
�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OF; CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHtN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOfiK 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 CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $4 �1QO $Z.OrJ
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
STR CTION OR THE PERFORMANCE OF CONSTRUCTION. �72 • OQ
PLAN CHECKfEE TOTAIFEE
� �- 2. � ' �� $74 .05
NaTUaEOFCONTRACTORORAULHORIZEDAGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUfi PERMIT
< �..��
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- • � 7157 N� Riuerulc�
sua�ecr IT NO.
City of Fridley '� � � t�0
, ,,
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i J� `
r
' ' RECEIPT NO.
� �
� COMMUNITY OEVELOPMENT DIV. `.�,�
r "�
� � V � PiiOTECTIVE INSPECTION SEC. 2 j� i
� �
1 . _
� ' �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV OATE PAGE OF APPROVED Bv
�"-'�' �'' 612-571-3450 910-F15 5/20/96 / /
JOB ADDRESS
7157 RIVERVIEW TERRr-10E NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMEO
oESCR. 2 1 Riverwood Manor SHEET
2 PROPERTY OWNER MAII ADDRESS ZIP PHONE
Tom Do1d 715 Riverview Terrace NE
3 CON7qACTOR MAIL ADDRESS Z�P PHONE UCENSE NO
R' h r H '' -
4 ARCHITECT OR DESIGNEFi MAIL ADDFESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
7 CLASS OF WORK
CJ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Reroof H u L
9 CHANGEOFUSEFROM TO
STIPULA710NS
R�ofing c.an be the 2nd Layer but not the 3rd.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMiTS ARE REQUIRED FOA ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED �l�EjHO �.84
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANV OTHER STATE Op LOCAL LAW REGULATING corv- �54.00 Fire SC � 1. E7H
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
L�tl "`v' PLAN CHECK FEE TOTAL FEE
5��� C/6 License SC 5.00 $61.52
SIGNAiU�7E OF CON'RACTOF7 OR AUTH IZED AGENT IDA Ei WH �N^PAO �LIDATED THIS IS v�R PE��
(�V I
S�GNaTURE OF OWNER UF OWNER BUILDEA� �DATEi LDG �NSP D°TE
NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-i AND R-2
Building Permit Application
Construct�onAddress: �%/,S% ��v�� v� �� �� �
Legal Description:
Effective 3/1/96
�2 z �
Owner Name & Address: T�tic Dd L p Tel. #
Contractor: �. c;�, � 2.D �•9�5�� nrc S MN LICENSE #�o S/
Address: � 3 3I �, v�,� u,' � �✓ 7�E �z Tel. #_,S' 7 4� ���'�6
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certifir.ate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Zg ss, 07,� ,� ��; �-�
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks
Tyge of Construction: ��� oo � Estimated Cost: $ �� ��'
Approx. Completion Date: 6��5��6
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + G Ft = Ft x$ _$
DATE: 5� a �-r .� APpI.ICANT: � /% ��" Tel. # S 7 4l 'Y �'�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ .�� �O
$ /. �v
$ � c°� �
$
$ .�.crz,�
$
$
$
$
$ /: S��
CITY USE ONLY
Fee Schedule on Reverse Side
. 001 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$900 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 [ ]
STIPULATIONS: � "
BITILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such pernnit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,�00
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1, 000 or fraction thereof, to and including $100, 000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $SOO,OOQ plus $4.25 for each additional
$1, 000 or fraction thereof, to and including $1,000, 000
$5012.25 for the first $1,00�,(it� plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
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 tunes $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has be�n constructed
will be required before proceeding with the framing.
x } �
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City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
�a.�� �'
167
Date: September 14 1972
..__---...._.__._..._.._..._.____.___?
Owner: .Tohn Andrusko Builder Ercos Inc .
_---.------ -.---.-_..._�_......___._.____._r..___.�. __.___.. _---_�..
�3424 Benjamin Street 3231 Central Avenue
Address---------__.----.....___.•-__------.._..._.._..____��_._.�_...__......_.....__.__ Address ._.._.___.____.
LOCATION OF BUILDfNG same plan as permit �k11,390
No. .....J..7.�.7....----•--. Street _.giv�rui..��a_.T�rra:�� _._...._.___ Part of Lot
2 1 ._.._......_.._.._...._.. Addition or Sub-Division .____..__Riverwood Manor
Lot _...-------------_.._...�._�.. Block -------------------------_.
Corner Lot -•--.�...--------._._...._ Inside Lot ---._._.---X----..__.
...._._.. Setback __�...35 � .__�__ Sideyard 10 & 15 '
Sewer Elevation ....___Sgwe7;._�-_,�7'__]����_Q�____ Foundation IIevation ._.._....�oIater--..� ,
ToP. o,� .�oor.�cl� - By,3.S7
OF BUILbING
To be Used as:
_.. Ds�l 1 ing- ----- ---------- Front __� 9_, 5._. Depth _46_� _.._. Height _._..2 �� Sq. F� 125 0 �, �,
_.._.GaraSe_ ....................... Front ���_.__.._.. Depth _ 23�5 Height ---._..�Q.._. Sq. F� _�.Z.Q.� Cu. F� 4.,�700
Type of Construction ---_--••---•----.F� s'3�[1�_._._..__._._.__ Est. Cost �..._?1.,_7..3.G�....Q.Q_..__ To be Completed _ 11- �-� 2
Stipulations: Provide hard surface driveway.
Provide a verification survey.
�'R/I'1� �[.A�ci f�s '7i.S� �idE�cc�ooa i ��2/�e �.. �F2r�� r � ii .3 40
In consideration of the issuance to me of a permit to cons .- the ' g described above, I agree to do
'�he proposed work in accordance with the description above s`f rth compliance with all proVisions oE
Ordinances of the city of Fridley. --
�.
i
In consideration of the payment of a fee of $_.._ 55 .00 �� permit is hereby granted to Fr.C�, Tnn _
_.__..-...___._._......_ .......................__.._._ to construct the building or addition as described above. This permit is granted uposl
the eJCpress condition that the person to whom it is granted and his agents, employees and worl�nen, in a11 WoTk
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordin8nce8 oi`
Fridley, Minnesota regarding location, construction, alteration, maintenance, ep ' and moving of buildiIIgs
vyithin the city limits and this pexmit may be revoked at ' e upon viol io of the provisions of 8&id
ordinances.
uildin8 InsPector
D L CLAR.K
NOTICE:
permit doea not cover fhe construction, installation fo� wiring, plumbing, gas heating, sewe� or water. Bs sur� to sN
ng Inspeeta� for separata permits for these items.
APP��CA�ION FOR RESIDENTIAL, A�T�RAT�ON,
OR AllllITION BUILD�NG p���T
CITY OF FRIALEY, MINN�SOTA
r
OW�I�R' S NAME : h c' ;'� l%��i/ S� � i� BUILDER : %!�L C:�, a� �
�. w s �
.�,nn�ss : � � �n� � An�ss : �Z� i ��°�/�- c�
.
f ,,--
N4 : . � �� STREET : [ v �"72�vi �'�v" ��—!��-t� �- ,._,�..-, �..
Z.0'�: � BLOCK: % ADDITIONt �� �-'c��'o�D ���¢!�a �
CORNER LOT: INSIDE LOT:�SETBACK: �� SIDL�XA,xtI?s�� J�_
Applicant attach to this form Ttao Certificates of Survey of Lot and propoSSd
building location drawn on these Certificates.
To Be Uaed As:
S�� � �- S
�, � 3 -,��, �-�-rz-w � � J��'�c.�—
l�l�-�i�(-%�3�jv
DESCRIPTION OF BUILDING ��, � � 4���
��Z.-�.- c e�.C�-- Front : R� Depth : Lt--t,� Height : � o
Square Feet: a-.� � Cubic Feet:
�,�,�� ' Front : 'Zc� Depth : 2'3 '� Height : ��
� ... �,.
Square Feet; (� Cubic Feet: T��
i �r *e i ■ + w.w
'ijrpe of Construction: � � �-, � Estimated Cost:� �3 �
Ta Be Campleted: � �— �_`� �2/�
The undersigned hereby makea applicativn for a permit for tt�e.wp�j� '���r��,�
�pec���ed, agreeing to do all work in attict accordance with the G��y +��
F��,d�ey Ordinaaces and rulings of the Department of Buildings, and he��b�'
d�cla�es that all the facts and representations stated in thie ap�1�,�p��oti,
are true and correct.
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�IAT�; f� � �� '� � SIGNA
(�ee Reverae Side For Additioaai Information.)
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$UILDING PERMIT FEE SCHEDULE
S�CT�ON 2. The Inspector of Buildings shall, before issuing permits fox �h�
erection of any building or structure, or for any addition �o any existin�
building or structure, or for any alteration or repairs to any e�isting
building or structure, upon application therefore, require the payme�� �y the
�pplicant for such permit of fees to the amount herein below set foxth aAd i�
the manner herein prw ided to-wit:
TTNIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubi,c
���t, o� fraction thereof, in such cubical contents. Type 3& 5-�1.$� �c�r
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building pemnits, the cubical contents
of any building or addition, is determined by multiplying the ground area
Govered 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 zoof.
�or repairs or alterations to an existing structure, the fee shall be at tt�e
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any pe�it as set forth,in Sectio� 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
�1pT�; Permits for eonstruction will be issued a mini�um of 24 hours f�otp Ch@�
�ime of application, to allow for proper revie�w of the proposed structure a�d,
o� the construction site.
A Cextified Survey of the lot, shawing the location of the foundat�Qx�� q}�s�� �,�
ha�t been constructed, will be required befo�e proceedintt with the framin�,
CERTIFICATE OF OCCUPANCY
Application for a Certificate.of Occupancy shall be made ten (10) days px�c�x
to the use or occupancy of atiy structure for which a building pexcnit �t�s �►���
issued; and said structure shall not be used or occup�ed until a�ertifica�t�
o� Occupancy has been issued.
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�HEAT LOSS CALCULATIONS DEPART�IVIENT OF BUILDIN6S
Weatheratrips A� Guide � �astruction No. In�ulation
Windows Doora Reference Out. Wall Int. Wall C.eiliag Roof Floor Kiad How
Yes—No � Y�o 19_
Fl.� Room Length J Width ` Height Fl.� Room Leagtb Width
Windowa and Doors—Crackage and Ares Windowa and Doot�--Craelca=e and Area
�Vld.th Helght No. ot Llneal f. Area Width Hefsht No. ot Lla�a) tt. Ae�a
No. ot pane ot pane ��thb of c�aek �Q. tt. NO. ot Dans ot.yan� tl�hb o! Craa�[ p. it.
� , � � O � � %O.� �
�° �-D .�� / /. /_ ���/ �'�
Btu �
Infiltration 3 In6ltration
Glaaa � , ��
Exp. wall Fap. wall
Net exp. waA o � Net e�p. wall
tnt. wall Int. wall
Ceiling /� c
Ceiling •
� ���"'�
Floor Floor
Total Btu. �i� Total Btu.
Required aq. ft. E.D.R. or eq. ins. W.A. Leader area Required aq. k. E.D.R. or iq. ua. W.A. Leader atea
Fl.� , Room Length Width Height �,� '�m �(,,�� Q/�
Windows and Doors--Crackage snd Area Windows and Doon--Crackage aad Area
W1d h Hel�ht No. ot Lta�al tt. Area Wldth H�I�ht Na of LIMaI . �w
No: ot pane ot pane Iltht� ot crsck �q. tt. No. of psae oi pan� II�hN o! araok . tt.
� � �S�
� • , J 6S' � %G ,
�' �'i / t �► �.� _ .�,. - i / � D
Coef. Btu
In6ltration , Infiltration ��, �
Glau " Q� Glau �
�4__
Exp. wall C
Net exp. waU �
Int. wal�
Ceiling
- Floor
Total Btu.
Required sq. ft. E.D.R. or aq. ina. W.A. Leader area _ __�_____ _�_ ___ �_ __ _ __ _�_ �__ _. _ _ ______ __ __
l FI. Room � Length / Width / Height I �. Room I I,ength w�� 1 Hei�
Windowa and Doora—Crackage and Area Windov�n and Door:—Crackage aad Area
Wldth Helght No. ot Llneal tt. Area Width He1�At Na ot L1n�a1 t. ANs
No. ot pane ot pane Ifsht� �ot c�ack �q, tt. Na ot pao� ot p�p� Il�he� ot eraok q. Lt.
�- � �/� > �/� I �,./_ i
Coef. Btu Coef.
Infiltration , 1 c
, ''7�/St Glass � /
�p. Wau
1� �"`�— Net ezp. wall
Int. wal!
� Ceiling
Floor
Infiltration � ,-
Glasa �
Exp. wall
Nec esp. waA ,,
Int. wall
Ceiling
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or eq. ins.'W.A. Leader area
Fsp. wall
Net exp. wall
Int. wall
Ceiling
Btu
Floor _ __
1'otal Btu.
Required p. f�. E.D.R or sq. in:. WA. I.eader area
6ROOKLYN ►RINTING 8 ADV. CO.
sue�ecr P .
City of Fridley 17 614
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
' ' R
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� ' COMMUNITY DEVELOPMENT DIV. ��� �/-
' j L �""-
r � � PROTECTIVE INSPECTION SEC.
1 �
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, � /��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
� ----�: `.�
612-571-3450 910—F15 7/16/84 � �
JOB ADDRESS 7157 Ri vervi ew Te�race
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESGR. 2 1 Riverwood Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
R. J. Burns 7157 Riverview Terrace N.E. 574-9804
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
S hcll2
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW � ADDITiON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
15'5" b 10' a a e addition
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. OOd fl'�1IT�
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 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 �7
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��/'rJO •��
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- �n. CO
STRUCTION OR THE PERFORMANCE OF CONSTFUCTION. ��
PLAN CHECK FEE TOTAL FEE
30. 38
IGNATUREOF RACTOROAAUTHOAIZEDAGENT IDATEI PROPERLY VA IDATED THIS IS VOUR ERMIT
�G��r�/'G,�u� ��/e% ���f' � /�/�
SiGNATUREOFpWNER�IPOWNERBU�LDER� IDATEI y1LOG WSP DA7E
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NE�i
ADDN.
AI,TER.
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City of Fridleq
�8-1 AIiD R-2 .
Building Permit Application
Effective 4/1/84
Construction Address: 7��� � "��e�'�' ��'�'
Legal Description: ��oZ /��� .� �oJ,r� ✓n
Owner Name & Address : 2� />.�.1�5 ?�'�i2 � Tel . #.5�����
Contractor: �� Tel. # -
Address:
LIVIHG AREA:
�� GARAGE AREA:
� DEC1C AREA:
Attach to thfs application, a Certifieate of Survey of the
lot� With the proposed construction draWn on it to seale.
DESCRIPTIOA OF IMPROVEMENT
Length width Height Sq. Ft.
� '� Nidth �/�_ Height ���- Sq. Ft. .��_
Length � S .!�
Length _ Width Hgt/Ground Sq. Ft. _
OTHER:
�5 S� II ,�� 173 `�� ��
Corner Lot [] Inside Lot � Ft. Yd. Setback Side Yard Setback �
Type of Construetion: Estimated Cost: � 7`�'�
Approx. Completion Date:
� 1 �5d
Alt. A Alt B
Proposed DriveWay Width If NeK Opening Is Desired: � � -
ee Back Page for Explanation
DATE: ����'��`f APPLICANT: v`,% /�J � . Tel. #�����/
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sever Main Charg
TOTAL
STIPULATIONS•
CITY DSE ONLY
� ,�,��'"°� ��� Fee Schedule on Reverse Side
� ------ +,_ 25'� of Building Permit Fee
� 3.50/31,000 Valuation
� �.►�' �425 per SAC Unit '
• ''�'�` Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ �
�
BDII.DING PBRMIT FEE SCHBDIILB
The Chief Building Official ahall, before issuing permits for the erection of any
building or strueture� or Por any addition to any existing building or structure, or
for any alteration or repair to any existing building or strueture, 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-xit:
Total oaluation
=1.00 to =500.00
Feea '
;
=10.00 (Ninimum Fee is �15.00) �
�501.00 to a2,000.00 �10.00 for the first E500 plus �1.50 for each
additional �100 or fraction thereof� to and including
�2,000.
a2,001.00 to �25,000.00 a32•50 for the first �2,000 plus �6.00 for each
additional �1�000 or fraction thereof, to and
including a25,000.
=25,001.00 to �50,000.00
�50,001.00 to �100,000.00
�100,001.00 and up
a170.50 for the first $25,000 plus �4.50 for eaeh
additional �1,000 or fraction thereof, to and
including �50,000.
�283.00 for the first E50,ODO plus a3.00 for eaeh
additional �1,000 or fraction thereof� to and
including �100,000.
E433.00 for the first �100,000 plus �2.50 for each
additional ;1,000 or fraction thereof.
DRI9EiiAY DEPRBSSION BSCRW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times �13.50
Alternate "B*: Removal and replaeement of curb and gutter and install a 3 foot wide
approaeh with 6 inch depth - DriveWay Width plus 6 feet times �15.75
VFRIFICATIOp OF FOIINDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to al1oW for proper revie� of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, sho�ring the location of the foundation onee it
has been oenstructed Will be required before proceeding xith the framing.
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