PRE 2010 DOCS0:
V31Mage of Fri mey, Minn.
BUILDING PERMIT
Office of INSPECTOR OF BIIILDINGS
Architect Fridley, Mian.,
t�
Builder
�Oc"
ATION OF BUILDING
I!
No, `.' E , . Street' Part of Lot
(Block
Lot ,uw' Addition or Sub -Division*
DESCRIPTION OF BUILDING
Front ? +' Dept} ' w height Stories ? Manner of Construction
I
To be used as " ° t. To be completed* Estimated Cost
it
J
Permit is hereby ted to_ u"- to `¢
the building _ter described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city lima ', and this permit may be revoked at 'any time upon violation of any of the provisions of said
ordinances. j
vm
Inspector of Buildings.
In consider,
the above perm
above set forth
sworn, I hereby
true as therein s
Subscribed and
day
AGREEMENT AND SWORN STA'T'EMENT,
m of the issueand delivery to me by the Inspector of Buildings of Fridley of
I hereby agree to do the proposed work in accordance with the description
d according to the provisions of the ordinances of Fridley, and, being first duly
ate and say that the facts stated by me and contained in the above .permit are
ted.
,worn to before me at Fridley, Minnesota, this k t'
A.D. 19 -
f i't
ryi^f.
�_l
City ®f Fridley, M]Im.
BURDING PERMIT N® 7188
Date: — -- Z
Owner: az Builder
Address Address —
e,�,JLOCATIO F�UILDING,
No. _ Street ,: V. C Part Lot
Lot Block _ __ _ Addition or Sub -Division . •
Corner Lot Inside Lot a� Setback _ � —_ Sideyard l 2 B
Sewer Elevation -- Foundation Elevation
DESCRIPTION OF BUILDING
T Used Front, - Depth Height -:2-40Sq. Ft. Cu. Ft
Front � –y = DepthHeight /i?� Sq. Ft. Cu. Ft
Type of nstruction _. Est." Zo 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 in compli th all provisions of
ordinances of the city of Fridley.
�A
In consideration of the payment of a fee of $ �� , permit is hereby granted to
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 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, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances
Building Inspector
NOTICES
" pent does not cover the coastrocNon, Inda& ion for wlrhng, plow g, gas hoatisg, sewer or water. Be sore to we
the BethBng Inspector for soperate penehs for these itean.
City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ ZC21 -5-40
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin .... ....................... x 3.25 $
Water Heater (Up to 200,000 BTU) ......, x 2.00 $ �d
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $ ` 5 -
Additional
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $
Dept. of Bldgs. Phone SII 4-7470
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 19!V
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old ew. uilding Permit No �V� Permit No.
Signe
By
Business Phone No
ROUGH
FINAL
�yz_
o7j��
<3
,
�U' °d
7U'
0
i
•
F
•
N
WATER HTR.
GAS
ELEG
c2
i��
Sri
Sa
C"90
Base
1st
2nd
3rd
—
4th
Future Connection Openings
Connected With
• New Fixture, Old Openings
Sewer
Cesspool []
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ ZC21 -5-40
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin .... ....................... x 3.25 $
Water Heater (Up to 200,000 BTU) ......, x 2.00 $ �d
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $ ` 5 -
Additional
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $
Dept. of Bldgs. Phone SII 4-7470
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 19!V
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old ew. uilding Permit No �V� Permit No.
Signe
By
Business Phone No
ROUGH
FINAL
U r
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alteratians—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ A e-0
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace .:........................... 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour ---See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ o
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
DOUGH
FIN111
See Fee Schedule
TOTAL FEE $
Dept. of Bldgs. Phone SU 4-7470
s
Location 7w1 ®®
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn 19 6—Y
Owner o
Kind of Building
Used as
To be completed about
Estimated Cost, $ e�
Old ew. uiiding Permit No. Permit No. �C
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, arm Air=4No
Trade Nam Size No III
Capacity Sq. Ft. E.D.R- S /J1� BTU H.P.
Total Connected Load Kind of Fu , a
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signed —HF-ATING END AIR"
2M BusineE MINNEA12011S Jr, MINN
920-3800
City of Fridley, XkaL
BUR DING PERMIT
Date: 7L6/67
Robert D. Henderson
Builder Same
Address 7600 Stinson Bllyd. Address Same
LOCATION OF BUILDING
No. _ 7600 Street Stinson Blvd. Part of Lot
Lot — 4 --- Block ___ ._ 1 _ ..— Addition or Sub -Division . Sp
Corner Lot --- Inside Lot —.. X— Setback 571 _ Sideyard - --y2'
Sewer Elevation
To be Used as:
@ ARAGE
Foundation Elevation
DESCRIPTION OF BUILDING
11To 9348
Front ___2!4! Depth 24' Height 10 Sq. Ft. _57.6' cu. Ft R. 64n
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Frame Est Cost ^ $950.00 __ 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 com ance with a& provisions of
ordivaaces of the city of Fridley. — - 't. '0
In consideration of the payment of a fee of $x.00 , permit is hereby granted to Robert D.
Hendera cm 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 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, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building Inqxdw
NOTICE:
This permit does not cover the consfroctton, installation jer wiring, plumbing, gas heeling, sewer or wafer. Be euro to no
the Building Inspector for separate permits for these items.
APPLICATION, FOR BUILDING PERMIT
CITY OF FRILDLEY, MnML SOTA
OWNER'S NAME hobe-it- P 77f -A er.5®O $J LDER
ADDRESS /.��6' ADDRESS
��/�/ �QCATION OF BUIL�lIP1G
NO, L.�� ._...�STREET ✓ f®�a��/��� FART OF LOT ,
LOT BLOCK % ADDITION OR SUBDIVISION SP pkef fl' S® Q�
CORNER LOTS INSIDE LOT? SETBACK . SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
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 Ad:
.Czar�Front a _Depth � Height
� '
Sq. Ft . _5 Cu. Ft.
Front Depth Height
� °ne. Sq. t. - IX Ft.
em -77Type of Constructio Z timated Cost
To 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 Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE 4/ SIGNATURE
(Schedule ofee Costs can be found on the Reverse Side). *°
t g
e
BUILDING PEMUT FEE SCHEDULE
SECTION Z_, The Inspector of Buildings shall, before iesuing permits for the
erection of any building or structure, or for any addition.to any existing
building or structure, or for any alterations or repairs to any existing building
or structure, upon.application therefote, require the.payoi nt.by the applicant
for. such permit of fees to the amount herein below set forth and in the manner
herein provided to -wit: ;..
22.1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse,•fact6ry or gr iain elevator, or for the erection
of any fire -proof addition, for similar occupancy, to any existing building,
shall be at the rate --of $1.40.for...each one thouq.and'cubic feet, or fraction
thereof, in such cubical contents..
j 2wu For any such permit for the erection of any fire -proof garage,
warehouse, factory or -grain elevator,_ or for the erection of any fire -proof
addition, for similar.occupancy, to 4ny existing building shall be at th4 rate
of $1.25 for each one thousand cubic�leet, classified -as -"fireproof" by Section
502 of the Minneapolis Building Code',,
HOUSES
2.3. For any such permit for the erection of any non -fireproof building,
other than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building permit fee $1.00 for
each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the -erection of any non -fireproof
addition, for similar occupancy, to any existing building or for each such
building oryaddition - ninety cents ($0.90).for each one thousand cubic feet
or fraction -thereof, in the cubical contents thereof with the minimum of $4.00.
a
For the purpose of computing fees for -building permits, the dubical contents of
any building or addition to a uniform height. throughout by multiplying the ground
area covered from a point six (6) aloinches bw the floor line of the basement or
cellar to the average height of the upper surface or to the average height of the
roof surface of the main gable of apitched.roof.
2.5. For repairs or alterations to an"existing structure, the fee shall
be at the rate of $3.00 per each:Five Hundred.Dollars ($500.00) or'fraction
thereof in the cost of all proposed work.
2�.6_. In no case shall the fee charged'for any permit as set forth in
Section 2 be less than $4.00.
i
Y 11��®,��
La _'-6 L f- *'°�,. �� � AMA
r
w
i
�� r
�..
r � � r
i
SUBJECT
PERMIT NO.
_ City of Fridley
AT THE TOP OF THE TWINS
B U I L D I N
G PERMIT
27902
r
RECEIPT N
T • COMMUNITY DEVELOPMENT DIV.
____
VV
PROTECTIVE INSPECTION SEC.
6625-3�
r
I ,
NUMBER -
REV
DATEPAGE
OF
APPROVED By
= CITY HALL FRIDLEY 55432
612-571-3450
010415
9/21/98
JOB ADDRESS
7600 Stinson Blvd
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADORE"
ZIP
PHONE
Robert & Alice Henderson
4-3980
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Seal Guard Systems 9199 Central Ave NE Blaine
55434
717-0700 20093688
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION
REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
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 12Q DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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
$1,714.00
$.86
WITH WHETHER SPECIFIED 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-
$56,.75
Fre SC $1.71
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
Lice
C $5.
$64.32
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iOATEi
S R R T
EN O K ALIDAP THIS Is?
BLD
AIr
-NSF'
041E
SIGNATURE OF OWNEROF OWNER BUILDERi (DATE,
i
.�.,. L J
ADDN [ ] _ .. CIT -SOF FRIDLEY - v
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstcuctionAddress:
Legal Description:
irl"CGave u "Ya-
Owner
Ya
Owner Name & Address: Mic
Tel. # 7n+3%90 --
Contractor:Sea 6 km 6 MN LICENSE # :280q 3 a�
Address: q I q 9 C.f nj rC - I A-yI F 'B I CL i n t, 5%3>Ll Tel. # rl l 'rl — 0 r7 W
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: Estimated Cost: $ d
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: fi Tel. #
TOTAL $ & Lt 2-
S1IPULATIONS:
CITY USE ONLY
Permit Fee
$ Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ tsC5V
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ & Lt 2-
S1IPULATIONS:
BUR DING PER 411' -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 FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $�.W tur each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,00,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 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.
Alternate "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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allowJor 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 been constructed
will be required before proceeding with the framing.
7
SUBJEtr
PER M
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PER1•,IT
r
' ,
R
____ COMMUNITY DEVELOPMENT DIV.
1 V
� PROTECTIVE INSPECTION SEC.
r �
o 1
NUMBER
REV
DATE
PAGE OF
APPROVED BV
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/28/98
J08 ADDRESS
7600 Stinson Blvd
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
IS-Dring Lake Park
Lakeside SHEET
2 PROPERTY OWNER MAIL ADORE"
ZIP PHONE
Robert & Alice Henderson
55439 7R4-3980
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Seal Guard Systems Inc.9159-Central Avg NF
Maine MN 55434 73 21I 3682
4 ARCHITECT OR DESIGNER MAIL ADDRESS
--1700
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW Rx ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Add 10' x 13' deck; porch enclosure and door
installation making
into door entrance to home
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
WUND-If-
3*re digging call for
all Utility locations
ARS 'E PERMITS REQUIRtDI FOR454-MO2
"ING, HEATING, PLUMBING AND SIGNS.
REQUIRED $Y LAIV
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
MOT
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
1 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$15,000
$7.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TH AN OF CONSTRUCTION
237.25
ire SC 15.00
PLAN CHECK FEE
TOTA FEE
OZ '�
7
SIGNATUR NTR OR OR AUTNORiZED AGENT 1DATEi
N P OP AL DAT IS IS P T
f
81DG .NSP Q tE
S.GNATURE Of OWNERdv OWNER BUILDER. tOATEi
7
NEW, [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,�Aa
BUILDING PE T PLICATION
�
ConstructionAddress: 77 &,,/FatA-,WV41J
Legal Descri tion:0Q)V 0
Owner Name & Address: v iw�cw. ,_ °?t�e��S�.,, Av4. Tel. #
���MN LICENSE # ��� 01�A 3�
Contractor: '%J�;�� Sd�,��s
Address: 171 R q iro Ave,AZ-7- ,,s- , 3 � Tel. # 271-7-0-100
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length 1 10' Width Hgt/Ground Q/ Sq. Ft. 150
OTHER: avn^ 6�e C- V ' U !zr 6&
pveov" :n'%> 4v*4rr -W � w�
Construction Type: Qat,= �b _ �- Estimated Cost: $ �a 0 0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: w'z�� APPLICANT: Tel. #
Permit Fee
$
Fire Surcharge
$ j.06
State Surcharge
$ �..
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
BUH,DING 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 permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 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.
Alternate "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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
INDUSTRIAL fi�� l} HO ce-1 l O / SURVEY$ INS
COMMERCIALANOKA,ANOKA,
CITY LOTS��40 , hCf 18A TI'
TOPOGRAPHICALLAKESHORE SHffRBURNE
PLATT NQ
. LAND SURVEYORS COUNTIES
ANOKA, MINNESOTA
@8- HARRISON 1-6340
Harold Hilden Gi�,� � ���539-122-
1662 .---z-?
F^r-m5 OSBQRNE RD.
CV
• _
o Q
S
r
--� OENOTE5 �J O
Zc
`J r AT ,
,o
LoT . 4 _ i
*760C) paacH �
J�
The SouthG
feet o"
Lot 1,
Block
1, _.
SPRING LAKE
PARK LAK
1_1�
Anoka Cotmt.
Minne
gots
o
I HEREBY CERTIFY THAT THIfi
THE ABOVE DESCRIB6t LAND. ANI:
i
C
-
F A SURVEY OF THE BOUNDARIES OF
--• AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM, OR ON SAI
D LAND. i�
AS BURVQY6D BY UK THIS
..Sd. l DAY O#p%,_ALi&Ua..t ..: ...
:. . ......... A.D. 19.,.. �..
}pMAm
OCWP,.
- LAND SURVEYORS
s'+" -
... ...._...... _.......
M
rf" �.
70
4- rlW-
-t i�4- -4J 1
p- Ep 0 -
4o
;6
IK
Tip
VI
70
4- rlW-
-t i�4- -4J 1
p- Ep 0 -
4o
V
1
's
v
J
IN
vi
k-
�6i
r
J
l�
� Q
� Q
PTzMIR QOM
Ia ma=Y
PAM ;-8 cP isos
LEAD -TO UNITS -
4" ROOF PANEL
LOAD CAPACITIES (L/80)
(PSF)
SEE ALSO
DIFFERENCE IN HEIGHT BETWEEN
NEXT SHEET
BACK WALL AND FRONT WALL
(IN INCHES)
HORIZONTAL
DISTANCE
36"
30"
24"
18"
12"
6"
FROM WALL
Pc v-
47.76
49.12
50.29
51.24
51.95
52.38
9'-6"
61.96
61.98
62.00
62.02
62.03
62.04
32.86
36.10
36.53
40.23
44.55
49.71
52.67
54.23
55.76
56.94
57.80
58.34
9'-0"
69.23
69.25
69.28
69.30
69.31
69.32
32.69
35.97
36.44
40.17
44.53
49.70
58.34
60.38
62.16
63.62
64.71
65.38
8'-6"
77.82
77.85
77.87
77.89
77.91
77.92
32.50
35.82
36.34
40.11
44.49
49.69
64.93
67.47
69.71
71.55
72.92
73.77
88.07
88.10
88.13
88.15
88.17
88.18
32.27
35.63
36.22
40.03
44.45
49.68
72.64
75.84
78.67
81.03
82.79
83.89
7'-6"
100.44
100.47
100.51
100.53
100.55
100.56
32.00
35.42
36.07
39.94
44.41
49.67
81.72
85.79
89.43
92.49
94.8
96.24
7'-0"
115.55
115.59
115.63
115.66
115.68
915.69
31.68
35.16
35.90
39.82
44.35
49.65
1. MAX WIND UPLIFT
2. MAX GROUND SNOW LOAD TYPICAL
*3. MAX VERTICAL WIND LOAD
*MAX VERTICAL WIND LOAD = VALUES SHOWN HERE OR VALUES FROM
4" GABLE POST CHART - WHICHEVER ARE SMALLER.
..�...-_,,.�..r-----
.77
7. ,.
T
5 s
k moi'
W
O '
k •n
N�
m
•
o
�
O
•
a
I
n
p m A v o
A
s a
3
P
v
m
�4
0
v
y
O
� O
t
0
�s
x
emAn
W
(V`
p T.
T
5 s
k moi'
W
O '
k •n
N�
m
•
o
�
O
ZZ apqp1,
I
Q
m H Di
o
3
v
m
�4
� O
t
�s
(V`
p T.
s1
vmi m
D
A
OT m C
D
�
ri
A
i D
T
5 s
k moi'
W
O '
k •n
N�
�
ZZ apqp1,
Q
m H Di
o