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PRE 2010 DOCSDate: woo ..... _4— 'i Owner: Address -City of Fridley, Minn. BUILDING PERMIT N? If Builder Address Olei No. Street Lot _w_ Block Corner Lot ____ I Sewer Elevation ___ _ _ Foundation Elevation DESCRIPTION OF BUILDING T-' Used 'A, + Front Depth Height _ Sq. Ft._ Cu. Ft Jr at Depth He�ht _ Sq. Ft. Cu. FtType of Construction&Iaal 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 viola f any of the provisions of said ordinances. .01-% .. ►. ? is s ._ .ir':if M4 IT7� s NOTICE: This permit does not corer the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEYt MINNESOTA owner's Name Builder 1< Address Address .� ldfwr•^� 1�.�I No. � �r3q LOCATION OF BUILDING �,art of Lot Lot Block Addition or Subdivision _.___.r A,% 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. DESCRIPTION OF BUILDING To be used as: - """' `-P- -t�L s-'-9 ,Front Depth Height Sq. ,Ct. Cu. Ft._ Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. f DATE '-,> -- -'e -(. — SIGNATURE (Schedule of Pee Costs can be,found on the Reverse Side). 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.grain elevator, or for the erection of any fire-p400f addition, for similar occupancy, to any existing building shall be at 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 ing other than a garage, warehouse, factory or non -fireproof addition, for similar occupancy, Permit $1.00 for each one thousand cubic feet. GARAGES any non -fireproof build - grain elevator, or any to any existing building. 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 six (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. 22..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. N? 4905 Original PermitFITTING41,17 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit giving number of this permit., inspection shall be phoned in to the plumbing Inspector, 560-3450 I{'� DESCRIPTION OF WORK II Number, Find and Location of Fixtures ,StOrle9 f Q U Z K U � Q M F W Q W Xm Z to Q F D 4. O S N O .A OC U. In U m zO O C .l i Ii. U Q.1 O Q W Z Q U' K WATER HTR. GAS ELEC. Basement j 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted �Lt- C 2 % CO- - to do the plumbing and gas fitting in the building described in the statemiRt hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. az IM—"S-V City of Fridley Owner Location `S9' 7G Kind of Building AII--�- Used as To be Completed `5-3c ,19._.x. Estimated Cost $ 35o • ft Old -New. Building Permit No. Inspector of Buildings. FII. RING P7XTURE RATES: NO. RATE TOTAL Number Fixtures ...... . ...... x $2.00 $ Future Fixture Opening ......... ...... 12 New Fixture Old Opening ..... . .. x $1.50 $ Catch Basin ... ............ I.... .. x $3.25 $ qq 5 New Ground Run Old Bldg. x $3.25 $ qq.. 9 Al WATER HTR. GAS EIEC. Erase. i Lias Range to 199,000 BTU .............. x $5.00 $ f �(. 1>t 2nd - --- 3rd _ 4th -- 0 mkmra Connection Openings Connected iv 4 ` e ❑ Now Fixture, Old OpeningsI metCeesPool El FII. RING P7XTURE RATES: NO. RATE TOTAL Number Fixtures ...... . ...... x $2.00 $ Future Fixture Opening ......... ...... x $1.50 $ New Fixture Old Opening ..... . .. x $1.50 $ Catch Basin ... ............ I.... .. x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures ....... .................. x $2.00 $ Additional Fixtures . .......... ,....... x $ .75 $ Lias Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE ¢ -7Z) 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- Owner .E / D E /� Kind of Building IAO— j, -j .-&f Used as � W e- l/1:..4 e_ To be completed about — 'Z30�% Estimated Cost, $ a Sy Old—New. Building Permit No. Peaaait No. �` qe"z�— Signed.d/ By Business Phone Phone ROUGH FINAL e AppRad on for Power Plants and: Heating, Cooling, Ventilation. ReFrigeraition 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 & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 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 $ QIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule , dp GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ ' GAS FITTING FEES.--, ; NO RATE TOTAL lst 3 Fixturest.::. .................... x $1.50 $ s Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM >See Fee Schedule VENTILATING SYSTEM 1 $ ALTERATIONS & REPAIRS TOTAL FEE $ 0/44 � ROUGH FINAL 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 co t. Fridley, 'nn , 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ .09 -New. Building Permit No. Permit DESCRIPTION OF WORK HEATING or POWER PLANTS— Steam, Biot Water, Warm Air—No / Trade Name Size No - � e Capacity Sq. Ft. E.D.R ��® BTU H.P. Total Connected Load �� `� Bind of Fuel- BURNER uel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe � 2M 7-59 Business Phone No.�- A-56 7 s HEAT LOSS CALCUI ATIONS . DFPARTMENT ' OF B 1ILDINGS NNNEAPOLIS. MINN. Weatherstrips A.S.H.V,' Construction ,No. Insulation Guide; WindowsI Doors Reference- -Out. Wall Int. Wall Ceiling r Roof Floor Kind How. Applied —Yes—No Yes—No 19 ; F1.1 UVJW, Room I Leng Width q Height a Fl,� Room Length ! or Wid` i Heigh o Windows and Doors—Crackage aimilArea Windows and Doors—Crackage and Area Width Height No. of LlnBal ft,, Area No. of pane of pane lights 'of crack" sq. ft. "' Width Height No. of Lineal ft. Area No.. of pane of pane lights of crack sq; "ft. 16 2L 14 2 28 2D 50 30 1392,6 1 132 1 e•_- Or .B" ', 2100 Coef. Btu Coef. Btu InfiltrationInfiltration14 . 38 532 Glass 7 So 36 Glass B 50 400 Exp. wal6 OttoExp, wall, 70 n Net exp. VaV las 10 11850 Net exp. wall 5 10 5 30 Int. wall Int, wall Ceiling Ceiling 6 10 63O Floorhap'tFloor Total Btu. 1293.0 3.3 ' ` To Btu. 29072 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I .IMM Room l Lengt i Width lilt Height p 1 FM I R.Ded Room ( Length 11, Width 13.' Height Bs Windows and Doors—Crack age and Area Windows and Doors—Crackage and Area Width Height No. of ,Lineal ft. Area No. of pane ofpane lights oP crack .' aq. ft. Width Height No. of,, Lineal ft: Area No. of pane of pane lights of crack sq. ft. 1 30 x' 15.'. ';1013 ' ' 16 30.6 ; ' 1 .0 1 32 Coef.1 Btu Coef. Btu Infiltration J. ga 39 1 836 t"Itration 1178 Glass1 Glass 50 950 Exp. wall 2019 " 3 �T Eap. wall +� Net exp. wall Net exp. wall 157 3,D 1`i� Int. wall Iot. wall Ceiling 1 : Ceiling FloorFloor 7 539 Total Btu. 4 47f Total Btu. °a44 Required sq. ft. E.D.R. or iqo 40"1' W.A. Leader area Required sq. ft. E.D.R. or sq. ms: W.A. Leader'area Fl. Room j Length ', Width R Height „ +R 1 1.�=q t Room I Length .11' :. Width Height B M Windows and Doors—Orackage' and',AreaWiadows and Doors—Crackage and Area Width Height' Nb, of Lineal ft. Area No. of Dane of pane lights of crack '" aq. ft. Width Height No. of Lineal Pt: Area Noy - ofpane�pane of pane of crack sq..ft:.- 28, +�liights Coef. Btu Coef. Btu Infiltration 31 $18 Infiltration . Glass 20 So UM Glass; 3.$50 9.0 Exp. wall1120 Exp. wall 28 Net exp. wall Net exp. wall Int. wall Int, wall Ceiling1�Sf9 1D Ceiling ' Floor Floor 206 10 2060 Total Btu. 4,820 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. `Leader area Required so. ft. E.D.R. or sq. ins. W.A Leader area HEAT LOSS CALCULATIONS DEPARTMENT OF 'BUILDINGS MINNEAPOLIS, MINK. Weatherstrips A $ H "'E' Construction No. Insulation Guide '' Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes -No I Yes—No 19 ool Roomlenstha F1.1 a e, � 11 1 R9,f Width 1011 HeightW Windows and Doors-Craekage and Area Total Btu. Width Height No. of ; Lineal fij Area No. of pane of pane lights of crack sq. ft. 2 32 d4rE� As> 6/8 F 1, 14 IL 15 442 ICoef.1 Btu Infiltration I az lAfl// I"filtration Glass Windows and Doo rs—Crack age and Area Exp. wall Glass Net exp. wa 1 50 2400 Exp. wall Int. wall 480 Ceiling Net exp. wall Floor 10 4320 Int, wall Windows and Doors—Crackage and"Area Total Btu. Width I Height No. of Lineal ft. Area: No. of pane of pane lights of crack sq., ft. . 9• Sap 1 92 16 11S+` d4rE� As> 6/8 F 1, 14 IL 15 442 FI ( T,'all Room I Length 19 ISS Vee Coef. Btu I"filtration Windows and Doors—Cracltage and, Area Windows and Doo rs—Crack age and Area 2318 Glass 48 50 2400 Exp. wall 60v K at 480 Net exp. wall 4321 10 4320 Int, wall Coef. Btu Infiltration+ Ceiling Glass Glass Floor Exp. wall 352 ' 5 1760 Total lHtu. Total Btu. i0 0 7,98 Required sq. ft. E.D.R. or sq WillW.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI ( T,'all Room I Length 19 Height pt Fl,i; Room I Length Width Height Windows and Doors—Cracltage and, Area Windows and Doo rs—Crack age and Area 1 Width Height No. of LinealYM, Area No. of pane of pane lights D of creek", sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq"L ft. Coef. Btu Coef. Btu Infiltration+ Infiltration 77 Glass Glass Exp. wall Eap. wall Net exp. wall Net esp. °wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. $08 Total Btu. Required sq. ft. E.D.R. or sq. ins': W.A: Leader area Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Fl. Amus at Rooml Lengt a' Width 230` Height B» fl,' Room I Length Width Height Windows and Doors-�-Crackage and Area Windows and Doors-Crackage and Area Width Height No. of ilLineal ft Area No. of pane - of pane. lights :' of Brack- sq. ft. Width Height No. of Lineal ft. Area. No. - of pane of pane - lights of crack sq -:fL 4 , Coef. Btu Coef. Btu Infiltration 341 So IMP, Infiltration Glass 17 so 850 Glass Exp. wall62 2 134 Exp.,wall Net exp. wall Net exp. wall Int. wall Int. ;wall Ceiling Ceiling Floor 460 5 2300 Floor Total Btu. 50,612 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . C7 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4.7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location W j yJ6� j :� Z WATER HTR. Op0�O a F N GAS ELEC. Base C 1st 2nd 3rd 4th • Future Connection Openings Connected with I Sewer New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $�/ O Future Fixture Opening x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x Water Heater (Up to 200,000 BTTD ......—� x New Ground Run Old Bldg . ............ x 3.25 $ 2.00 $ O CI 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ —/1S Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description........... $ ...................... TOTAL FEE $/0�'. '9 .6 City of Fridley: The undersigned hereby .makes application for a permit for the work herel 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- Owne Kind of Building e Used as To be completed about Estimated Cost, $ Old—New. Building Permit Nom- Perm' No. Sign By Business Phone No ROUGH - " FINAL SUBJECTP®13031ERMIT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT COMMUNITY DEVELOPMENT DIV. L INSPECTION SEC. 7��PROTECTIVE 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6-19-75 JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1,3 1 LYNDALE BUILDERS, 7TH ADDITION SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE ROBERT -C. EIDEM, 5837 WASHINGTON ST. N.E. FRIDLEY,`MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. OWNER: 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RE -SHINGLE HOUSE 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. SHINGLES 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY, CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I GARAGES VALUATION SURTAX 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 $590.00 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTALFEE 5.50 SIGNATUREOCONTRACTO U R AUTHORIZED AGENT (DATE) WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT �v . (� . -1J to /%r' JUNE 19. 1975 -BLDG. INSP DATE SIGNATURE OF OWNER DF OWNER BUILDER) (DATE) .APPLICATION FOR -RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF'FRIDLEY, MINNESOTA OWNERS NAME: Y BUILDER. p ADDRESS: AL ADDRESS: /AAA kt- NO :. '7 STREET: LOT: BLOCK: l AD ?TION : CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant (attach to this. forty. Two. Certificates of .Survey,.of Lot and propose.' building location drawn on these Certificates. DESCRIPTION.'OF BUILDING To Be Used As: Depth: Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: _ Type of : Construction: .�� Estimated Cost: $ ��Q• To Be Completed: • The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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. e DATE: �^ SIGNATURE. 5?)Y (� '� / (See Reverse Side For Additional Information.)' SUBJECT P \ City ®f Fridley 2 6 713 AT THE TOP OF THE TWINS I PERMIT BUILDING P ' REC 0. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / 113 11386 NUMBER REV ATE PAGE OF APPROVED BY E ----1CITY HALL FRIDLEY 55432 %.e 612-571-3450 910-F15 L7/21/98 JOB ADDRESS 5837 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 ILyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jon Lilleberg 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B&B Roofing 6760 Madison St Fridley MN 55432571-0248 9042 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 Reroof house 18 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 1STALLS 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 $1501 $.75 DOESPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCT NOR THE PE RMANC OF CONSTRUCTION. $51.25 Fire SC $1.50 PLAN CHECK FEE TOTAL FEE 9 License SC $5.00 $58.50 SIGNAT OFCONTRACTOR OR AUTHORIZED AGENT IDATEI WH PROPER ALIDATED THIS IS YOUR PERMIT r BLDk INSP 1-7— ho z4 DATE SIGNATU RE OF OWNER 0F OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: JW 5 Z "S,�f /y�' l Legal Description: 2-ECJ?ZZ� V 7 L Owner Name & Address:Z �jL/ �� E2�r Tel. # Contractor: pc-oz��"r/1,t fs MN LICENSE # Address: �� /// /` S_ Tel. #,5;71—,f9,5;2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Leng Width I Hgt/Ground Sq. Ft. OTHER: Construction Type -zJ 54) l'r Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: L,9/ ZAPPLICANT: �� Y %�/ G Tel. # s 71—z9,;! y�f CITY USE ONLY Permit Fee $ x, T% ,� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r $-,2S $.50/$1,000 Valuation $ $1000 per SAC Unit $ 06 $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 [ ] It 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 $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. " , .. 0,