AF - 35522sue�ecr PERMIT NO.
City of Fridley � 18601
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
� �y-------� �1/ �a/
r � � PROTECTIVE INSPECTION SEC. �
1 � �
l--_- � ���`�,,� CITY HALL FRIOLEY 55432 NUMBER REV. OATE . PAGE Of AVPROVED BY �
i 1� 612-571-3450 910-F15 8/15/86 / /
J08 ADDRESS 6225 Able St�eet N. E.
1 LEGA� LOT NO. BLOCK TFACT OR ADDtTION SEE ATTACHED
DESCR. P't. 17/18 2 Moore Ix"lI{@ H].C3r11a71C�S SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Donald Barrows 6225 Able Street N.E. 571-1127
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAiL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Res.idential
7 CIASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12� x 16' Shed
9 CHANGE QF USE FROM TO
STIPULATIONS
Shed must be located 6' from highway and 5' minimum side yard.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATWG OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOF; A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I HEFEBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO OFIDINANCES GOVERNING THIS TYPE OF WORK Wlll BE COMPLIED $ SOO S• 50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR 10CAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $I.S.00
PLAN CHECK FEE TOTAL FEE
$15.50
NATUREOFCO � ACTOAORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V IDATED THIS�IS VOUR PERMIT
� �-- t � .. : �- � �' �
SIGNATUREOFOWNER�FO BU4DER1 �OATEI BIOG wSP 1/.TE �
N�r [ 7
ADDN. [ ]
pLTER. I �
Construction Addre
Legal Description:
�
i
O�fier Name & Addre
City of Fridley Effective 4/1/8G
�R-1 AND R-2 j
Building Permit Application
Contractor: Tel. #
Address•
Attaah to this application, a Certificate of Survey of the
lot� With the proposed construction draWn on it to scale.
DESCRIPTIOP OF IMPROYEMENT
6 N}-�,,vy-
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width __ Height Sq. Ft. `
DECR AREA: Length Width Hgt/Ground Sq. Ft. __
OTHER: � . �
•
Ft. Yd. Setback ��n'� Side Yard Setbaek r��''v
Corner Lot [ ] Inside Lot [ ] �
Type of Construction: �¢� �`R-'�"�`�L- Estimated Cost: $ ����
Approx. Completion Date: � r"i1Ul..�`TI�S __
Alt. A Alt B
Proposed DriveWay Width If New Opening Is Desired: See Back Page f lanation
� Tel. � — z 7
DATE: (• �� APPLICANT:
CITY IISE ONLY
Permit Fee � f�i�V Fee Schedule on Reverse Side
Plan �heck � """'� 25x of Building Permit Fee
State Surcharge � .�� �.50l�1,000 Valuation
SAC Charge $ �475 per SAC Unit
Park Fee $ Fee Determined by Engineering
SeWer Main Charge � _
� j`` Agreement Necessary I 7 Not Necessary L)
TOTAL � � U
STIPULATIONS:
� - • � ,
BDILDING PERMIT FEE SCHEDIILE
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 applicatio n
therefore, require the pay►ment by the applicant for such permit of'fees to the amount
herein belox set forth and in the mann�r herein provided to-xit: "
Total Valuation
�1.00 to �500.00
�501.00 to $2,Q00.00
32,001.00 to $25,000.00
525,001.00 to $50,000.00
�50,00�.0o to g�oo,000.00
�.
�100,001.00 and up
Fees
�10.00 (Minimum Fee is �15.00)
$10.00 for the first �500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
�32•50 for the first �2,000 plus �6.00 for eaeh
additional $1 ,D00 or fraction thereof, to and
including �25,000.
�170.50 for the first �25,000 plus �4.50 for each
additional �1�000 or fraction thereof, to and
including �50,000. 4
� , ��
$283.00 for the first 350,000 plus �3.00 for each
additional �1,000 or fraction thereof, to and
including �100,000.
��33.00 for the fir5t $100,000 plus $2.50 for each
additional �1,000 or fractiom,.thereof.
�.
DRIVEWAY DEPRESSION ESCRO'W
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway �idth plus
6 feet times $13.50
.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot �wide
approach xith 6 inch depth - Driveway Width plus 6 feet times a15•75
VERIFICATION OF FOUNDATION
. �.
Permits for construction will be issued a minimum of 2u hou�rs from the time of
application to allow for proper review of the propqsed structure and of the
coastruction site. '
A Certificate of Survep c,f the lot, shoWing the location of the foundation onee it
has been constructed Will be required before proceeding xith the framing.
sue�ecr MIT �
c�ty of Fridley 25 F 71
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
� • RECEIPT NO.
� �
COMMUNITY DEVELOPMENT DIV. /���
r � v � PROTECTIVE INSPECTION SEC.
� �
� _ �
� �"'1 � CITY HALL FRIOLE� 55�32 NUMBER pEV. DA�E PAGE OF APPAOYED 8Y
�""'�� ,�� 612-571-3450 9t0-F15 3/26/98 � �
JOB ADDRESS 6225 Able Street NE
t LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oescR. 17 2 Moore Lake Highlands SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE
Don Barrows 6225 Able Street NE 571-1127
3 CONTRACTOR MAIL ADORESS ZIP PHpNE LICENSE NO.
Steven Lee Contr 9465 Irving Ave, Brooklyn Park, MN 55444 424-1198 5758
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MA�L ADDRESS ZIP PMONE UCENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION I� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) Teax-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY CaROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE REQUIRED FOR ELECTR�CAL, PLUMBING, HEATING,
VENTIIATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK Op CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OH ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFV THAT I HAVE fiEAD AND EXAMINEQ Th11S APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PFOVISIONS OF LAWS VALUATION SUiiTAX
AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIEO @
WITH WHETNER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT � l a 751 �p . HH
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. �SC),%S re SC �1.75
� � P�AN CHECK FEE T T � FEE
Lic C 00 $64.38
SIGNATUREOFCONTRACTOpORAUTMOfi1ZEDAGENT IDATEI EN R VALI D THIS IS =UR PERMIT
1 � o
S�GNA7URE QF QWNEf7UF OWNER BU1lDER� iDATEi 8L0 iNSP �iF1E
NEW
ADDN
ALTER
[]
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
Effective 1 / 1 /98
�\
�r,� ���
�
ConstructionAddress: �� °Z � �h G-�
Legal Description: -
Owner Name & Address: ��o h�a, � ��o .N -� Tel. #�7 %- � �a 7
Contractor: S'%-� ��_ L�--` MN LICENSE #-3` 7��
Address: l �/ 4� � .�� � ,� 1�-� -, /1 v.�.fl %�y y, , yr-,-,� Tel. # C%�. � - % J 9 �''
Attach to this application, a Certificate of Survey of the
iot, with the proposed constructian 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 H Ground Sq. Ft.
OTHER: � � o� � � � G �-,
Construction Type: �-�e-�- ��� �'�-'� � � Estimated Cost: $ `� . � l ���
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$
DATE: .�_ 02"�'' �1 �APPLICANT: ��-P-�,-E� �� Tel. # Yo�,y—�% 91�'
CITY USE ONLY
Permit Fee $ � ln. �% Fee Schedule on Reverse Side
Fire Surchazge $ �.� .001 of Permit Valuation (1/ lOth %)
State Surcharge $ � � c� $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ �� �U $S .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 $ , ,��
STIPULATIONS:
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
$1 to $500
$501 to $2,000
$2,001 to $25,000
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000 -
-$62.25 for first $2,000 plus $12.50 for each additional $1;000
or fraction thereof, to and including $25;000
$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
$100,00I to $500,000
$500,001 to $1,000,000
$1,000,001 and up
$574.75 for first $50,000 plus $6.25 for each additional �
$1,000 or fraction thereof, to and including $1�,000
$887.2� for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the iust $1,000,000 plus $2.75 for each additional
$1,400 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 `fdr 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 eonstructed
will be required before proceeding with the framing.
.�---�
sue�ecT RMIT :"°-
c�ty of Fridley 2 6 418
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T --� ----�-
�
� ` RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
' ; L _ �/"
r � ' � PROTECTIVE INSPECTION SEC. a�
� � �
( � �"'1 � CITY NALL FRIDLEV 55432 NUMBER i1EV DATE PAGE OF APPiiOVED BY
�'"""� � �'' 612-571-3450 9t 0-F15 7/ 1/ 98 / /
�oe aooRess 6225 Able Street NE
1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHEO
DESCR. 1] 2 Moore Lake Highlands s►+EET
2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE
Helen Barrows 6225 Able Street NE 571-1127
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNEH MAIL ADORESS . ZIP PMONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING �
Residential
7 CLASS OF WORK
� ❑ NEW O ADDITION O ALTERATION �1 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Soffit & Fascia Repair - STORM DAMAGE
9 CHANGE OF USE FROM TO
STIPULATIONS
Install soffit ventilation to meet the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIREO fOR EIECTRICAI, PLUMBING, HEATING,
VENTI�qTING OFi AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONS7RUC710N ZONING SO. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFV TNAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOO �.SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEfiMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULAT�NG CON•
STFUCTION OR THE PERFORMANCE Of CONSTRUCTION. �Z1.00 Fire SC �.SO
PLAN CHECKFEE TOTALPEE
�22.�0
SIG A UREOFC 'RACTORO AUTMORIZEDA ENT IDATE� H P LV VALIDA THIS IS�OU�ERMI�
G �
SiGNATUAEOFOWNER�IFOWNEABU�LDEQ� 10ATE� - �(� ry$ � qiTE
NEW [ l
ADDN [ ]
ALTER [ ]
ConstructionAddress: ro
Legal Description:
Owner Name & Address:
Contract�
Address:
Effective 1/1/98
CTTY OF FRIDLEY ,
SINGLE FAMILY �AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �j p�(� � � � .
_ ,�
Tel: # � ,� i //.� �
—T
ENSE #
Tel. � .
� �"`' Attach to this application, a Certificate of Survey of the
lot, with' the proposed construction drawn on it to scale.
DESCRIPTION 4F IMPROVEMENT
LIVING AREA: Length Width , Height
GARAGE AREA: : .�° Length Width Height
DECK AREA: Lengtli � Width �� HgdGround
01'HEgi: ,;
Sq. Ft. '
Sq. Ft.
Sq. Ft.
�j��G�l� DT/-�� T � .�z�'
Construction T . � Estimated Cost: $ �d . � �
YPe
..., °:. ... (Fee Schedule, on Back) ;
_ _
Driveway Curb Cut Width Needed: Ft. '+ 6 Ft = Ft x$ _$
DATE. — ,APPLICANT: �1.���� _ Tel. # � /� `✓/�
�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
: . CITY USE ONLY
$ j pb Fee Schedule on Reverse Side
$ , `��} ' .001 of Permit Valuation (1 / l Oth %)
$ , S-U $.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 [ ]
$ �� �O
a • F .
s .
, BUII.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
$1 to $500
$501 to $2,000
$2,001 to $25,000
,
$25,001 to $50,000
FEES .
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each addidonal $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
. .,.: . :
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $IOO,U00 . $574.75 for'first $50,004 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)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "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 tune 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.
. . . a,.