PRE 2010 DOCSCity of Fridley, -Minn.
BUILDING PERMIT C4,
Date: ..... !° ..._".`._. _'`..':.._4�._�✓
t
Owner: - X Builder . ---- ............._...I..._......
Address_ :_.+ V' ._. _ ..w . _.. 1...._. Address .........:...... ....... ,.............. ..f ......................................... ... ... _
� 7 LQ ATION OF BUILDING
No. - Street .. .:�'.W..-- ` _.... ...---- Part f Lot
Lot .... .................. BIock.....................:.................. Addition or Sub -Division ..,..... .:: �r
Corner Lot ...... •.......- .............. Inside Lot .....__ `........... ,// 'f
_Setback ......- _........ Sideyard .....�+'-•-.......... _.
SewerElevation ........... _..................... -......------.............---....._...._....................... Foundation Elevation ..... ............................... ... ................
+) io` 0 a l '4u_ ;!7,'3�2 � 0IPTION OF BUILDING
To be sed as:
- - Front1_...--.. Depth .. P ieight ....._.. Sq. Ft. Alf Cu. Ft. /...1..Jd
ro
..... ........................ .............. Front ..... _................. Depth ................ Height ...............G ... Sq. Ft. ....._................. Cu. Ft.........................
Type of Construction ..........:. .. lP... Est. 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
ordinances of the city of Fridley.
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. -.-I A1#7
Building Inspector
NOTICE:
This permit does not cover the construction, installation for .wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
City of Fridley, .
BUILDING PERMIT N° 5755
Date: _ .1...
Owner: rM"11-C65 Builder
Address
Address
LOQ TION OF 6J1 D �G
No. Street f= �' Fart of Lo
Lot .� ..._ Block Addition or Sub -Division,
Corner Lot Inside 'Lot _ Setback
...��_..._.,.._._._ Sideyard f
Sewer Elevation _ __ Foundation Elevation _
DESCRIPTION OF BUILDING
Front ! Depth Height Sq. Ft Cu. Ft
Front Depth Height_ Sq. Ft . _ Cu. Ft. _
Type of Construction s. Fit. 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
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ o , 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 uponviolas of any of the provisions of said
ordinances. -r-%A A
� Building Inspector
NOTICE:
This permit dog not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to we
the Building inspector for separate permits for these items.
AJW4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner Is Name ��_Builder =
Address - •. • c .
LOCAT OF BUILDING
No. ,� J ^/g Street Part of Lot q --
Lot Block Addition or Subdivisio j
Corner Lot Inside Lot Setback,Side-Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location,
To Ise used as
DESCRIPTION OF BUILDING
Front ..� Depth Height
Sq. Ft. 71, 6 Cu. Ft.
FrontDepth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost.,z ?_
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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correc;c. _
DATE__;Z
(Schedule of Fee Costs can be found on the Reverse Side).
L L A'
r . • .r
y r 'd
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any
permit 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
therefor, 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:
2.1.., For any such.permit for the erection of any fire -proof building,
other than a garage, warehouse, factory or drain elevator, or for the
erection of any fire -proof addition, for similar occupancy, to any
existing building shall beat the rate of $1.40 for each one thousand
cubic feet, or fraction thereof, in such cubical contents.
2.2. 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 any existing building shall
be at the rate of $1.25 for each one thousand cubic feet, 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 build-
ing other than a garage, warehouse, factory or grain elevator, or any
non -fireproof addition, for similar occupancy, to any existing building
Permit $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 or addition. Ninety Cents for each
one thousand cubic feet or fraction thereof, in the cubical contents
thereof with a minimum of $4.00.
For the purpose of computing fees for building permits the cubical con-
tents of any building or addition to a uniform height throughout by
multiplying the ground. area covered from a point' sink (6) inches below
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 a pitched 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 tW 1 $4.00.
I*. P J^ .l .-
Application for Power Plants and. Healing. CooUng, Ventilation, AeMgerarm and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
tiK . �h,'
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU ... _. ................. .
Replacement of Furnace .............................
Repairs & Alterations up to $500.00 ... ............ .
Repairs & Alterations each add. $500.00 ...............
RATE
TOTAL,
8.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
8.00
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
2.00
$
R.00
$
5.00
$
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 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH—
OUGH
FINAL—
FINAL
Dept.
Dept. of Bldgs. Phone SU. 4-7470
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
Owner r7l 4-A-4.0 115 d -D JZ3
Kind of Building '(Zp
Used as
To be completed about
�d
Estimated Cost, $ d!�
Old a Building Permit No. �� Permit No. U
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name ® Sizes e No. )Q P
Capacity Sq. Ft. ED.R BTU H.P.
Total Connected Load , r 5 �Kind of Fuel A
BURNER —Trade Name _p ®� �d� t S)FVize No 4 P. A.
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
.1 4% 7
sign' d
By
�tCw
. gw ,az 7M 7-59 Business Phone No- 1wr
Windows and'' Poore—Crackage and ' Area .
�DEPAR�TMEN�TPF
Aw? ` wr
HEST LOSS CALCULATIONS
BUILDINGS MINNEAPOLIS. MINN.
Weatherstrips
Guide
`
Construction No.
Irmoation
dows` M rs
I,
Reference
Out. Wan
Int. Wall Ceiling Roof I
Floor Kind How. Applied
Ye No Yes : No
19—
s)
' Fl.1,° j7p . Room I Length Width
. Z- Height 10
! , Fl.I
� : "Room I Length cW Width 'Height
Windows and'' Poore—Crackage and ' Area .
Width Height, No. of Lineal ftj Area
N91# of pane; of pan, : lights of . t.
k} �
Infiltration ;�;
_-
Glass
Exp. wall k Y ,y
Net exp. wall
Int. wall
Ceiling
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft Area
No. of pa a of Pane lights of cra a It
9
Infiltration
Glass A00 em
Exp. wall a
_
Net exp. wall
Int. wa
Ceiling et
�Floor
I
'�"'
City of Fridley
Apprication for Plumbing and Gas Pitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ...... .....................
x 3.25
$
y
rc
$
New Ground Run Old Bldg. ............
��Jnl
$
S �,
Y
NO. RATE TOTAL
K 2
Z
u�i
Additional Fixtures ....................
dew
2
•
R
•
N
WATER HTR.
GAS
ELEG
r�i
<
�p
m
Base
l
'
1st
2nd
_
3rd
4th
Future Connection Openings
Connected with
I
Sewer R
New Fixture, Old Openings
Cesspool a
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ...... .....................
x 3.25
$
Water Heater (Up to 200,000 BTI)
...... x 2.00
$
New Ground Run Old Bldg. ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................�
x $1.50
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $1V, 57- 0'
Dept. of Bldgs. Phone SII 4-7470
Location 6
City of Fridley:
The undersigned hereby makes application for a permit for the work here!
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 facl
and representations stated in this application ar/e% true and correct.
Fridley, 1VGnn
Owner
Kind of Building
Used as -
To be completed about
Estimated Cost, $
Old New. uilding Permit No- -:!�� � e Permit No.
Signe
By
Business Phone-
ROUGH
hone
ROUGH ei' S ' & 2 -
FINAL FINAL
az 2M
7S -
City of Fridley, Minn. No 10,385
BUILDING PERMIT
Owner: Donald S. Johns Builder SaM
Address 6359�r an Buren Street N -E Address Sarre
LOCATION OF BUILDING
No. 6.359____ Streetvan _n 'p1 e'�'�_sStreat- N.F,. Part of Lot
IA SeeBGloUblock l Addition or Sub.Division .Florence Park Addition
Corner Lot ._ Inside Lot .._._-X Setback 35.2' _ _ Sideyard 6 1
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
garage Front 20 ° Depth 22 ° Height 10 Sq. Ft. 4¢0 cu. Ft. 4400
Front Depth Leight Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _0� 6 2 . _0 � _ To be Completed ept • 31 1970
North 1.0' of trot 26, All of Lot 27, South ;I of Lot 28
leaved Hardsurfaced Driveway
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
Mgproposed work in accordance with the description above set forth and in comp� ce all provisions of
ordinances of the city of Fridley. In _ e / I itit
In consideration of the payment of a fee of $ 7 _ CCpermit is hereby granted toDQn41C1=J=ns
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 buil�n
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. 4
CLARMCE Bi+"LlcS
NOTICE:
" permit does not cover the construction, installation for whin®, plumbing, on hostine, sewer or water. Be sure to see
the Building Inspector for separate permits for these Mems.
s�
APPLICATION FOR. BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME G,c2 � Y ' BUILDER e
ADDRESS�ADDRESS
LOCATION OF BUILDING
NO o el,3 `` STREET Ll 2, s Bit rry S7� /i/
4Xo oFAot2e
LQT/�4G ®� �6 $LOt. CK ,/ ADDITION OR SUBDIVISION Z6 CC z' i
CORNER LOT INSIDE LOT ' SETBACK 3S -.a SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
a / /
Front ® Depth Height`
Square feet Cubic Feet°`
Front Depth Height
Square feet Cubic Feet
Type of Construction La �.b' 9 Estimated Cost e, �� � � rk-
To Be Completed
The understgned 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' SIGNATURE
e
(Schedule of Fee Costs can be found on the Reverse Side.)
BUIBDING PERMIT FEE SCEFD3ULE
SECTION 20 The Inspector of Buildings shall, before issuing permits
for the erection of any building or structure; or for any addition to any
existing structure or building, or.for any alteration or repairs 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:
Uniform Building Code: Type 1, 2, & 4 - $1075 for each one thousand
cubic feet, or fraction thereof, in such cubical contents.* Type 3 & 5 -
$1050 for each one thousand cubic feet.
For the purpose of computing fees for building permits, the cubical
-c-O tents' u tform hei rt -t rM1 t-ty-- -
multiplying the ground area covered from a point six (6) inches below.
the floor line of the basement or the cellar to the average height of
the upper surface or to the average height of the roof surface of the
main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be
at the rate of $3.00 per each five hundred dollars ($500000) or
fraction thereof in the cost of all proposed work.
In no case shall the fee charged for any permit,as set forth in Section
2 be less than $50000
NSSSD Connection Charges based on location _ Area 1 or 20
MlNDEnFN(GlN-RRlZRiG COG
9 INC0
ENG) NEERs AND SURVEYORS
LAND SUPLVEYINO SOILS TESTING
'CIVIL &. MUNICIPAL ENGINEERING LANG PLANNING
G418-56Tw AVENUE N.
MINNEAPOL.15 'Ll', MILAN.
KE 7- 3E3ff7
s
Aa
13x.4 L
J..f
WE HERESY CERTtFY THAT 7x15 15 A TRU£ ANp CCRRECT PEMESENTATZM OF A SURVEY OF- THE 5ouN0PSZ. E5 OF THE
LP,NO ABOVE JE5CR13ED AND OFTKE LOCXFIOPl OF ALL 5WI-DINGS, IF NMY, TNERE.0P1 , ANO ?.LL VISIBLE ENCROP.CHMEmTS,
IF ANY FROM QR ON SVO t..AP:p.
' "�r►1NDER t1Gl\HEEfZN-1 CO., INC.
pnTED N15 C)s e m s - ,— AO o!' EFlGtYtc R`, A+rp 5i RVEYORS
`10
r
a
_
J..f
WE HERESY CERTtFY THAT 7x15 15 A TRU£ ANp CCRRECT PEMESENTATZM OF A SURVEY OF- THE 5ouN0PSZ. E5 OF THE
LP,NO ABOVE JE5CR13ED AND OFTKE LOCXFIOPl OF ALL 5WI-DINGS, IF NMY, TNERE.0P1 , ANO ?.LL VISIBLE ENCROP.CHMEmTS,
IF ANY FROM QR ON SVO t..AP:p.
' "�r►1NDER t1Gl\HEEfZN-1 CO., INC.
pnTED N15 C)s e m s - ,— AO o!' EFlGtYtc R`, A+rp 5i RVEYORS
SUBJECT
P
City. of Fridley
2010"
AT THE TOP OF THE TWINS
BUILDING
PERMIT
REEkRT-�-
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
�
NUMBER
REV.
DATE
PAGE OF
APPROVED By�.j
612-571-3450
910-F15
9/7/89
JOB ADDRESS 6359 Van Buren Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
27,28
6
Florence Park Addn.
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Kathleen Prust 6359 Van Buren Street N.E.
571-9769
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO,
Inter City Builders 773 Thrchwood Drive, New Brighton,
MN 55112 633-7389
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
Construct a 301 x 321 Detached Garage; Remove existing
20' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
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 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
1
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
$14,035
$7.02
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-
CON-
$162.00
STRUCTION OR E PERFORMA CE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$169.02
IGNA RE OF CONTRACT OR AUTHORIZED AGENT (DATEI
XERVqV
BLDG )NSP
LIDATE THIS IS YOUR PERMIT
NA E
SIGNATURE OF OWNER )IF OWNER BUILDER) (DATED <
NEW [ ]
ADDN [ ]
ALT [ ]
R-1 AND R-2
Building Permit Application
Effective 5/1/88
Construction Address: _ 3 5 V1q /7/ 3 a11V, JF -
legal
Legal Description:
Owner Name & Address: �� � ��'' v S Tel.
Contractor: �� f _ - c 7-t/ 3 < I,/- S, G 33 - 7 3 fr q
Address: �Z % 3 �e^ G `i z.�,� �� �� 3 �'� �i Ta �✓ �,✓
Attach to this application, a Oertificate of Survey of the.
lot, with the proposed cons xucticn drawn on it to scale.
2 Acio" IPrI01ii OF ROVEMEM
LIVING AREA: lexqth Width Height Sq. Ft.
GARAGE AREA: Length -'3 d Width 3�;z Height i 2 " Sq. Ft. � o
U= AREA: length Width Hgt/Ground Sq. Ft.
OTHEt•
Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks
Type of Construction: _ 19-„g,-” Estimated Cost: $
Approx. Completion Date: o c T, is 1,55 1'4163410
Prcposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: APPLICANT:4-=;J2 - -,4 Teel. # G 3 3- 73 F- t
if
C TY USE �Y
Permit Fee
$
State Surcharge
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
Usc
s'rIPUTATIMS:
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. 'B" Above
Fee Determined by Engi*arin
N [ ] Not Necessary [ ]
s
�: ofd f DI 1I to 7r 40 a s_y:
The Chief Building Official shall, before issuing permits for the erection of any
building or struch=e, 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:
$1 to $500
$15 (Minna Fee is $15 plus m=tzrge)
$501 to $2,000
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
EMEMY SIFT E9CWJW
(Concrete Cuzb Streets Only)
Alternate "All: Removal and r+eplaoement of curb and gutter only - Driveway width plus
6 feet ti mev $13.50.
Alternate "B11: Removal and replao®ent of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
Permits for construction will be issued a m; ni m n of 24 hoaxrs frcm the time of
application to allow for proper review of the proposed structure and of the
cm is 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.
s
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l
SUBJECT
PE
City of Fridley
23372
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
° •COMMUNITY DEVELOPMENT DIV.
>v: ------
a9
r PROTECTIVE INSPECTION SEC.
lJ
1
NUMBER __jR
EV
DATE
PAGE OF
APPROVED BY
/'--1 CITY HALL FRIDLEY 55432
�''
612-571-3450
910-F15
May 15, 199,E
/
JOB ADDRESS 6359 Van Buren Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Pt 26, 27, 2
6
Florence Park Addn to Fridley
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Richard/Kathleen Daggett 6359 Van Buren Street NE
571-9769
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Panelcraft of MN 3118 Snelling Ave S,
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
8 DESCRIBE WORK
Reside Dwelling; Soffit & Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
1
ISTALLS
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
$7,000
$3.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$90.00
Fire SI^, $7.00
PLAN CHECK FEE
TOTAL FEE
°
License SC $5.00
$105.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
13LOC INSP
DATE
()5q 3
NEW [a
ADDN [ ] CITY OF FRIDLEY
ALTER 141*� SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: (�56 9 �0-n&-uyn 5 Yy
Legal Description:
Owner Nam Address./2)xc d 4
Contractor: - H
Address:
Effective 1/ 1 /94
Tel. # 57 I - 9`7 Le 9
MN LICENSE # (aX)3jj c'
Tel. # Lim
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
t.DECK AREA: Lengthav-,'i
Width H-,1gt/Ground Sq. Ft.
OTHER: �0�� , , Q� S`(1, C�" ( C�1 �YlSG 0
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ 70C)Q
Approx. Completion Date: 0
(Cost on Back)
Driveway Curb Cut Width Needed: F + 6 Ft = Ft x $ _ $
DATE: APPLICANT: -r G? Tel. # � -(p b
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ pct'
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractors) f7 - Z�
Alt. "A" or Alt. "B" Above 3 5o S�e
$450.00 Conservation Plan Review
Fee Determined by Engineering -=—
Agreement Necessary [ ] Not Necessary
BUILDING 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 $15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $252 for fust- $25,000 plus $6.50 for each additional $1;000
or fraction thereof, to. and including $50,000
$50,001 to $100,000 $414:50 for fust $50,000 plus $4.50 for each additional
.$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first -$100,000 plus - $3.50 for each additional -
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000- - $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 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.
��
SUBJECT
,.;;:%
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
-
23463
Ir?
• COMMUNITY DEVELOPMENT DIV.
I PROTECTIVE INSPECTION SEC
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/19/95
JOB ADDRESS 6359 Van Buren St NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
t 26, 27, 28
6 I
I
Florence Park
Addn to Fridley SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
R. Daggett 6359 Van Buren Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Advance Home Products Inc 3770 W Broadway, Robbinsdale
55422 521-9211 2332
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
6 DESCRIBE WORK
Siding & Trim
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,200
$3.10
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION OF Y ER STATE OR LOCAL LAW REGULATING CON-
$6.20
F,STRUCTI R E P RMANCE OF CONSTRUCTION
$90.00
Fire SC
PLAN CHECK FEE
TOTAL FEE
License
$5.00
$104.30
IG OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN PROP RLY LI DATED THIS IS YOWR PERMIT
BLDG N
f1A E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
��
NEW
ADDN
ALTER
Construction Address:
Legal Description: _
13
Owner Name & Address:
Contractor: f QYPYA/Q
Address: 3'x'10 - W
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Li�
Tel. #
Effective 1/1/95
X310
MN LICENSE # ;--3 3 1-'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: _
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:�j Pe",; Estimated Cost: $
Approx. Completion Date: -7 — /52f 5—
(Cost on Back)
Driveway Curb Cut Width Needed: F1 6 F Ft x $ _ $ 9
DATE: Cp APPLICANT: Tel. #�z,
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ 6 , ,� O .001 of Permit Valuation (1 / 10th %)
State Surcharge $ 3. / 0 $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ U U $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 $ '30
STIPULATIONS:
BUILDING I'L'RMIT FEE SCHEDULE
The Chi;;i Building Official shall, tx:fore 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 Ices to the amount herein below set firth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000
or fraction thereof, to and including $25,000
$25;001 to $50,000 $252 for first'W,000 plus $6.50 for each additional $1;000
or fraction thereof, to. and including $50,000
$50,001 to $100,000 $414.50 for fust $50,000 plus $450 for each additional
.$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000. $63950 for fust $100,000 plus -$3.50 for each additional.
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000- - $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fractidn thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the fust $1,000,000 plus $2 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
S13-50.
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 consWuction 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-
_5/1- -3 K-5--()
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Ra ige
Gas Dryer
Rate TOTAL
$ 30.00 $30.
( i
$ 10.00 $
$ 10.00 $
$ 10.00 $
*Air Conditioning - All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
$ a!5 -OD
$.50
$ 55.50
MINIMUM FEE FOR ANY HEATING[COQIINGLVENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On August 1, 1995
JOB ADDRESS 6YA VOwl &urs S4- 10C
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
9-4 -I57 ,1995
OWNERF,1Ch0,✓4 !tUQQe+—
BUILDING USED AS a Ute-« i nJ
ESTIMATED COST 3300, C PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (St
Trade Name &PgPrn- -
BTU 6o, 00 HP
am) (Hot Water) ar�S&o
Size No. 3SO01AnNO&0
EDR
Fuel &A r co Pr S. Total Connected Load 56-, TOO
Burner Trade Name Size No.
BTU �HP�g g��y `� EDR INC.NAM /Hit liM AfC q INC
MIN VCifi f:AL AVIL I
HEATING CFI�PA ` N SM
// •
Signed. By_JA" N el No. �S'i - (o;LDQ
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE coLt "�-o
X19
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CHIMNEY AND STACK VERIFICATION
The
undersigned herebwerifies that the existing chimney or
stack:
1.
�a
Has been careexamined
Yes ()
No ( )
2.
Is free from �F r deterioration
Yes ()
No ( )
3.
Has no rei sects lodged within
Yes ()
No .( )
4.
Is secu su Wed
Yes (
) No ( )
5.
Meets current leode requirements for size
and to 's connected
Yes (}
No ( )
6
Has to BTU's of
All otW,,13TU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Al MEHEATING AIR CONDITIONING HOUSE HEATING TEST RECORD
AND ELECTRIC. INC.
ADDRESS_ 6:a 51 \ VJ� S7
OCCUPANT
HEAT LOSS DATE HTG. INST. - J
SOLD BY ? l -iia -A
Electrical Work By tICL I r k
TYPE OF HEAT GA FA' HW STEAM SPACE HTR.
MAKEnatj
GAS DESIGN
Model
Serial
Iraq LIM 1L)
INPUT
CONTROLS
THERMOSTAT 14,4,J Heat Plug
Valve �
Limit
Limit Setting O
Fan Setting
Pilot Type to
Pilot Make
Pilot Model
Pilot Timing
L. W. Cut Off
Pressure Percent CO,
Input CFH fa ®1® 0-V Percent 0,
Stack Temp. L Q S O Percent CO
Form 235
APT. \_FLOQR C r) SUBURB
OWNER ' ti
INSTALLED BY
Gas Line By
UNIT HTR. OTHER
1-9 To]
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
vent Size O2 JJ P 1/C
KIND OF LINER SIZE e 1 NONE
Draft Hood Regulator
Filters SizeNumber I
Chimney Location Inside -k Outside
Chimney Construction
Smoke Bomb
Draft
Door Pressure
Wiring ✓ '
Test Tag
Lighting Inst.
Date Tested 9
Company Testing
Name at Tester
T*
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
P E R M I T
2 7 2 3 2
I `
COMMUNITY DEVELOPMENT DIV.
f � � PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
' 612-571-3450
RECEIPT NO.
®y
NUMBER
910-F15
REV
DATE
8/17/98
PAGE OF
APPROVED BY
JOB ADDRESS
6359 Van Buren Street NE
1 LEGALLOT
DESCR.
NO.
�t.26S27,281
BLOCK
6
I TRACTOR ADDITION
Florence Park Addn. to Fridley
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Richard Daggett 6359 Van Buren St NE
571-9769
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Four Seasons Roofing & Remodeling LLC 7930 Univ.Ave.NE Fridley
795-9410
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 Rx REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (28 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$2335
SURTAX
$1.16
DOES NOT PRESU TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF Y OTH LOCAL LAW REGULATING CON-
STRUCTION O E PERFORMANCE O CONSTRUCTION.
PERMIT FEE
$74.75
SAC CHARGE
Fire SC$2.33
r �� ��
PLAN CHECK FEE
License S
5.00
TOTAL FEE
$83.
�IGNATURE OF CONTRAC� OR AUTHORIZED AGENT IDATEI
PR
�BLDSP
ERL VA
ATED T I�UR RMIT
E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI -
�.:-tructionAddress
e-scription:
Mame & Address: ;-
Effective 1/1/98
Tel.
----- --- -- r
actor:_, <>r r r }+ �� LC G MN LICENSE # `
Tel. //
Attach"to. 'this application, a Certificate of Survey of the
lot, with the proposed construction drawn on , t to scale.
DESCRIPTION OF rMPROVEMENT
t
N AREA: Length 'Width Height Sq. Ft.
;. �.0 +Z1;Ac Length Width Height Sq. Ft.
BECK AREA: Length ,d -Width, Width Hgt/Ground Sq: Ft.
HER:
f n S
Type: lClt� Estimated Cost: $
t (Fee Schedule, on . Back).•
:y Curb Cut Width Need t�� ���"�Ft. + 6 F, ��� � — $ -
1'1. —% APPLICAW -7o' TeI. # 4''I'L
P <
CITY USE ONLY 7
_...�:,
Fee $ _w} Fee NSchedule on Reverse Side ''
:..:rchar-le $ f,Nn:00i' of Permit Valuation (1/10th%)
3c:ti: Surcharge $`$ 50/$1;OQ0 Valuation
SAC Charge ,� $ F t x$1000 per, SAC Unit
T
�
Lic nse Surcharge $ C� $5 00 (State Licensed Residential Contractors) f
�r:veway Escrow $ ¢ Alta, A or Alt. 13 Above h ,
onion Control $ ,x: n `,$456:40 Conservation Plan Review
$ Fee Determined by Engineering .
Maki Charge $ Y �r�� Agreement Necessary [ ], Not Necessary] j.. �
'..y
TOTAL $ .* r. s t a d
G
S`rfPULATIONS
rN
t Y(ry { dyi
A Y #
ti ;�fl
CITY; OF FRIDLEY
'RVJ<IiY AND DUPLEXES R -LAND R-2
nF BUILDING PERMIT APPLICATION
;a3 x ,
yi�s.su�l�hd If
' §� �' �"����� ..', �1` 35..1•
�.:-tructionAddress
e-scription:
Mame & Address: ;-
Effective 1/1/98
Tel.
----- --- -- r
actor:_, <>r r r }+ �� LC G MN LICENSE # `
Tel. //
Attach"to. 'this application, a Certificate of Survey of the
lot, with the proposed construction drawn on , t to scale.
DESCRIPTION OF rMPROVEMENT
t
N AREA: Length 'Width Height Sq. Ft.
;. �.0 +Z1;Ac Length Width Height Sq. Ft.
BECK AREA: Length ,d -Width, Width Hgt/Ground Sq: Ft.
HER:
f n S
Type: lClt� Estimated Cost: $
t (Fee Schedule, on . Back).•
:y Curb Cut Width Need t�� ���"�Ft. + 6 F, ��� � — $ -
1'1. —% APPLICAW -7o' TeI. # 4''I'L
P <
CITY USE ONLY 7
_...�:,
Fee $ _w} Fee NSchedule on Reverse Side ''
:..:rchar-le $ f,Nn:00i' of Permit Valuation (1/10th%)
3c:ti: Surcharge $`$ 50/$1;OQ0 Valuation
SAC Charge ,� $ F t x$1000 per, SAC Unit
T
�
Lic nse Surcharge $ C� $5 00 (State Licensed Residential Contractors) f
�r:veway Escrow $ ¢ Alta, A or Alt. 13 Above h ,
onion Control $ ,x: n `,$456:40 Conservation Plan Review
$ Fee Determined by Engineering .
Maki Charge $ Y �r�� Agreement Necessary [ ], Not Necessary] j.. �
'..y
TOTAL $ .* r. s t a d
G
S`rfPULATIONS
rN
t Y(ry { dyi
A Y #