AF - 35529BUILDING PERMIT
Village of Friclley, Minn. No
vate . . . �j'�i� . iR;�".•�. . . 4..�'rd� ' J �'�.,.�► •�i� � ,
•,,� Builder
Owner . . . . �G.�It.i��. . . . �..�l:�-!�!� . . . . . . . . . . . .
Address......................................... v� . �. �.'w`.,e
Address ' . . . . . .� j .` .� �. �,
2369
���i�+bG • �=I .
.. _ .. �� .
LOCAT[ON OF BUILD[NG
No. . . . ,,I. � �.� Street . . . . . . `��� ,/. ��� . . . . 4 . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
V ���L
Lot ........�.... Block ........ �...... Addition or Sub-Division ...... �����......l,l,,
a..i���
r
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ..........................
.
DES�CR[PT[ON OF BUtLDiNG
A� sed as:
/j /
J/`� �``�, .
'�. .... Front ..,.,f.� Depth ...�.�r2�ieight ......... Sq. Ft. ...... Cu. Ft. ........
g► a
............... . Front ........ Depth ........ Height ......... Sq. F't. ........ Cu. Ft. ........
Type of Construction . . . .. .. .. .. .. . Est. Cost . .�. . . . . To be Completed
.j;`:�''rJ'' '� � �''i�",�':�l,' ;i��i"?
In consideratian 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 village of Fridley.
In consideration of the payment of a fee of $. .. ermit is hereby granted to ...
�!� � ��' . .......
� ..
. . . . . . . . . . . to construct the buildin d� itian as described above. This �rmit'is� �i�'Q
tl�����ff�t�..��dnditi�"�lYat the person to whom it is granted and his agents, empioyees 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
nrdinances.
� �l�r. ... .��. �� Building Inspector
� � • 1 r /"'1
NOTICE: r/" � ��
This permit does not cover the cnnstruction, instailation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
` i
SUBJECT PER 13114
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� ; y _��___ COMMUNITY DEVELOPMENT DIV. �''/
r � � PROTECTIVE INSPECTION SEC. ��a��(
1 . � O
1 1 /'��1 � CITY HALL FRIDLEY SS4$2 NUMBER REV., DATE PAGE OF APPROVED BV
�----� � •'� s�2-56o-3a5o 910-F15 � a9 � �
7
JOB ADDRESS
6270 ABLE STREET N.E. FRZDLEY MINNESOTA
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 ]. S�10Y'GWOOC�i SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dan Webbe� 6270 Able Street N.E. 55432 571-8962
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Dan Webbej� 6270 Able Street N.E. 55432 571-8962
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUIIDING
House
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repairing of Roof
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. R2pd.lY
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS,-0R 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 APPIICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION ` SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED y
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT e_��� a D ���
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 PERFOFMANCE OF CONSTRUCTION. � S.00 �
- PLAN CHECKFEE TOTALFEE
5.50
� SIGNATUREOFCO///NiRACTORORAUTHORIZEDAGENT IDATEI EN PROPERLY VALIDATED THIS IS VOUR PERMIT
� �SI�AT�OFOI WNERIIF`~�BU�I . � �f� �� e�INSP. , ��7E �
sua�ecr PER1V�1 NO.
c�ty of Fridley ` 2 5 4 3 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
; ` RECEIPT NO.
• COMMUNITV OEVELOPMENT DIV. y '
r � v � PROTECTIVE INSPECTION SEC. j�`
� , \.f .J
l---- A ��'��;'� CITY HALL FRIOLE� 55�32 NUMBER REV. UATE PAGE Of APPROVED BV
i '� 612-571-3450 9�0-F�5 8/25/97 / /
JOB ADDRESS (j2]O Able Street NE
1 LEGA� �OT NO. BIOCK TRACT OF ADOITION SEE ATTACHED
DESCR. 3 1 Shorewood sHeeT
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Stephanie Focht 6270 Able Street NE 571-1926
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Same
d ARCHITECT OR DESIGNER MAIL AODRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL AODHESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WOFK
❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOfiK
Reroof House & Garage (20 Sq) Tear-off
9 CHANGE Of USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAp
VENTILATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOI� IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCE0. NO. DWLG. UNITS OfFSTREET PARKING
I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI 8E COMPLIED � l, 668 �.$4
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �54. OO Fire SC � L. GJ
PLAN CHECK FEE TOTAI FEE
$56.51
SiG TUREOfCON'RACiORORAU7NORIZEDAGENT �OATEi HEN PFOPERIV ALIDATED THIS IS VOUR PERMIT
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S NATUR FOWNEFUfQWNERB LDERI IDATE� BlD �NSP • D�.TE �
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: (��` 7(j �j�� � % , -��"Q%.� �
Legal Description:
Effective 1/1/97
Owner Name & Address: �,�`j,n r'e ����� _ ��7D ��� Tel. # _ � 7 / lcj r
Contractor: _ � � /� � MN LICENSE #
Address:
L:IVING AREA:
GARAGE AREA:
DECK A,REA:
OTHER:
;
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il�IPROVEMENT
Length Width Height
�ng� Width Height
�n� Width Hgt/Ground
� �i0� �- S �/�
�° �o c� � � � g
�� c�c ��� �a -
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
— ��ar � �'�
Construction Type: Estimated Cost: $ �� ��
(�'ee Schedule on Back)
Driveway Curb C�Zt Width Needed: Ft. + 6 Ft = Ft �x $ —$
DATE: �lo� / �t APPLICANT: . �f�lil� Tel. . # .�" % /— � (,
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTA L
STIPULATIONS:
CITY USE ONLY
$ �'7• C� t� Fee Schedule on Reverse Side
$ �_� .001 of Permit Valuation (1/lOth%)
$ � C� $.50/$1,000 Valuation
$ $950 per SAC Unit-
$ $5.00 ($tate Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Deterrnined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� ��. � /
. t
_..
t3UiLDING PERM[T FEE SCEiL+'DE1[.,[:
"1'he Chief I3ui(ding Officia( sliall, before issuing perniits for the erection of any bui(ding or struccure, or tor
any addition to any existing building or structure, or for any a(teration or repair to any existing buildin�� or
stiucture, upon application ti�erefore, require the,�ayment by the applicant f�r such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE FEFS
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
�
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $lOd,000
$i00,001 to $500,000
$SQ0,001 to $1,000,000
$1,000,001 and up
$21 for first $S00 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $i2.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349. 75 for first $25, 000 pl�s $9. 00 for each additional $1, 000
or fraction thereof, to and including $50,0�
$574.75 for first $SO,OUO plus $6.25 for each additional
$1,000 or fraction thereaf, to and including $1Q0,0p0
* �-- � � �
$887.25 for fust $100,00U plus $5.00 for each additional
$1,OOO.or fraction thereo��.to aad including $5(�,000
$2887.25 for the fust $500,000 plus $4.25 for each additional �
$1,000 or fraction thereof; to and including $1,(�0;000
$5012.25 for the fust $1,000,000 plus $2,75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION FqSCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only = Driveway width plus 6 feet times $13.�0.
Aiternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depih - Driveway width plas 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permitsfor construction will be issued a minimum of 24 hours from Lhe time of application to ailow �or pro�er
review of the progosed structure and of the construction site.
A Certiticate of Survey of Ci1e lat, showing the location of the foundation ��nce it has it has been construc:��..i
u�i':I�i,i; reyuired hc(�c�r-e l�i-ucecdin�� «�it� �the framim�. � � � �
w`,e. _ v
�;
sue�ec. �RMIT NO.
City of Fridley 339 S 4�
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
i
� RE �IP�-N6"
� .
� �
� • COMMUNITY OEVELOPMENT DIV. �•' ` �
' `�: ----- �C%�'
r � � PROTEGTIVE INSPECTION SEC.
� � �"'1 � CITY MALL FRIOIE� 55,32 NUMBER pEV O�TE o�GE Oi •PVpOvED Br
�'""'�� ��' 763-571-3450 9t0-Ft5 10/20/03 � /
JOB ADDRESS 6270 Able Street NE
t LEGA� L07 NO. BLOCK TRACT OR AOOITION SEE ATTACMED
DESCR. 3 ], SYlOT2WOOC1 SHEET
2 PROPERTY OWNER MAII ADDRESS Z1P PHONE
Ste hanie Frocht 6270 Able Street NE 763-571-1926
3 CONTRACTOR MAIL AODRESS ZIP PNONE IICENSE NO
David Schweich Construction Inc 21716 Kenrick Ave Lakeville MN 55044 952-469-322
1 ARCHITECT OR DESIGNER MAIL A�DRESS ZIP PNONE LICENSE NO.
202b2622
5 ENGINEER MAIL ADORESS tIP PHONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASS Of WORK
O NEW ❑ ADDITION O ALTEAATION �] REPAIR p MOVE � REMOVE
1i
8 OESCRIBE WOfiK
Install e ress window
9 CHANGEOfUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all �evels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
����i� �nspection Ca�d�
�1ili Be Mailed
To No�eown�r To Post
SEPARA7E PEfiMITS ARE REOUfRED FOR ELECTRICAI. PIUMBING. HEATING, tYPE OP CONST. OCCUPANCV GROUP OCCUPANCV LOAO
VENTILATING OR AIR CONOITIONING.
TMIS PERMIT BECOMES NULL AND VOIO �F WORK OA CONSTRUCTION 20NING SO. FT CU FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, Op li CONSTRUCTION
OR WORK iS SUSPENDED OR ABANDONED fOR A PERIOO OF 120 pAYS AT
ANV TIME AFTEF WOpK IS COMMENCED. NO DWIG. UNITS OFfSTFEET PARKING
1 MEREBY CERTtfV THAT I HAVE REAO AND EXAMINED TMIS APPLICATION I. STA��S GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TVPE OF WOFK WIIL BE COMP�IED
WITM WNETHEF SPECtF1ED MEREIN OR NOT. 7ME GRANTING Of A PERMIT �1,950 $.97
DOES NOT PFESUME TO GtVE AUTMOAITV TO VIOLATE OR CANCEL ?HE pEqMIT FEE SAC CMARGE
PiiOVISIONS OF ANY OTHER STATE Oii LOCAL LAW REGUTATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION �G9.ZS Fire SC �1.95
PLAN CMECK FEE TOTAL FEE
' ns SC $5.00 $77.17
S�GN�IUAEOF�QN'FALtOpOp�UT�OA�ZED�GENT �DATE� N PROPERIV VALIOATEO TMIS IS V UR PE �MIT
V
S�GNYTUQEO�OWNEA���OwHEp8W�0Eii� iD�TE� , G �hSp �1�.�E
NEW
ADDN
ALTER
� � CITY OF FRIDLEY Effective 1/1/2003
� l 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
� � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: ��a"��%_,c�hCe �-r2P.�-
Legal Description: -
Owner Name � Address: �f� � Pnc�.�-, , F�,� f,, -l- Tel. #�7�,� -S"�? I- tq Z�
Contractor: Dce�rid Sch�,,.Q;,�., Ccr�,t
� ci�+�r * l n� MN LICENSE #�a6 2�lo'a�-
Address: al� l� K� �r-c te q-ue �I� �n l Le i MN s SZ>�{ � Tel. #_°t 5'-Z-�-t 6� - 3 ZZZ
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this appiication, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
,
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width HgUGround Sq. Ft.
Construction Type: ��.��.n �.����� Estimated Cost: $�/ ��
Driveway Cu�b Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
... .
DATE 10• (`7 • � � APPLICANT: �
Tel: # �o/a - aar -O�{<-j
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571- 287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �t. 25
$ _ I �[ `�''
� q�
$
��o
$
$
$
$
$ .
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
-.y� �
$1275 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 [
•.