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AF - 35532SUBJECT PER . - City of Fridley 13082 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � `L �_�� COMMUNITY DEVELOPMENT DIV. �� „ �J r � � PROTECTIVE INSPECTION SEC. y i � � �/"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. . � DATE . PAGE OF APPROVED BY . �.---� � •'� 6�2-5so-sa5o 910-F15 � � 7^8-75 JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT O ADDITION SEE ATTACHEO DESCR. 2 ], SHOREWOOD SH EET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE THOMAS R. LUKE 6280 ABLE STREET N.E. FRIDLEY MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. $� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 GLASS QF WORK O NEW ❑ ADDITION ❑ ALTERATION �XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ROOF REPAIR 8 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRiCAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. SHINGLES 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 FOii 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 EXAM�NED THIS APPLICATION STALL3 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S4OO.O0 .'rJO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $S.00 PLAN CHECK FEE TOTAL FEE $5.50 TUREOFCON TOR UTH EDAGENT � IDATE� HEN PROPERLY VALIDATED THI IS YOUR PERMIT . � JULY 8, 1975 SIGNATURE OF OWNE OWNER BUILDERI � � 1 ATEI BLDG. INSP DATE � . ' t� . . . k�1 q ' - . . � � ' ' . .APPLICATION FOR R�:SI'llI:NTIAL., ALTi:RIlTION, � � - OR AllllITION. �UILDING P�I2biIT ' CITY OF FRIDLEY, I�IINNESOTA • OWNER'S N� � . BUTLD�R: � . ADDRES S : �D / ' ' � ADARES S : . � • �°�. � � STREET : ' C�C�7�-� � i/ - � - . . NO.. LOT:_ QL- BLOCK: � .ADDITION: � . CORNER LOT: � INSIDE ZOT: SETBACK: _ SIDL'YAFU: . � Applicant a.ttacr to Chis for.n Zt�o Certificates ,�f Survey.of Lot and.pxoposed . buildino location �tawn on these Certificates. � • . •• . . � �HESCRIPTION OF BUILDING � ' . . , To Be Used As : . • . . Front : Depth : � � _ _ Height : . :• Square Feet: Cubic.Feet: Front: Depth: ` Height: .. . � Square Fe ; Cubic Feet: � • :- • ` . ljrpe of Construction: Estimated Cost: $�l�� To $e Completed• . ' The undersigned hereby makes applicativn £or a.p,ermit for the work herein � specitied, agreeing to do all worlc in stxict accordance with the City of � Fzidley Ordina.nces and rulin�s of the Department of Buildings, and her�by declares that all the facts and representations statecl in this applicatian � � are true and correct. . � AATE: SIGNAT[TRE • �' • �.(See I�everse Side For Additional Information.)� • �`, a u . � ' . • � . . _ � �� ' . G�'�-�t--�-�.}--L/ ' ' l� . . . , • . } ��, .. _ . . , . ` . . � . �-� � } i nutLliiiv�, i•Liuril t rLL ��,:,�u,�r. . .� • � � . . • . : S�CTION 2. The�Inspector oi Bui,ldings shall, before issuing permits €or the exection o€ any building or structure, or for any adciition to any exisCing - building or structure, or for any alteration or repai,rs to any existing ' building or structure, upon application therefore, .requirc the paymenC by the _ applicant for such permit of fees to the amount herein below set forth and i� Che manner lierein provided Co-wit: � UIZIFORM BUILDING COD�: Zjrpe l, 2& 4-$2.15 for each one thousand cubic feet; or fraction th�reof, in such cubical contents. Type 3& 5-$1.85 for � ' �• � each one thausand cubic feet. � � " - ADDITIONAL INFORMATION . ` .. � Fox' �he purpose of computi.ng fees for buildin� permits, the cubical contents • ' of any building or addition, is determined by multiplying�the graund area covexed from a point six:(6) inches below the floor line af the basement - � ox the ceZlax to• the average heights of the upper surface or to the average� . •height of the roof surtace af the rnain gable of a pitched roof. • ' . � • For xepairs or alterations to an existing structure, the fee sha11 be at the : • ra�e of $3:00 ger each five hundred dollars_�($500.40) ox fxaction thereof in tihe cost of aIl Proposed work. ' � � In no case shall the fee chaxged for any germi� as set forth in Section 2 be .� � ].ess than $5.00. . . . ' VERIFICATION OF FOUNDATION , -. � -. . ! . N01'�: Pexmits for construction wi21 be issued.a minimum of 24 hours from the ` time of application, to allow for proper review of the proposed structuxe and, of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it � has been constructed, will be requixed before pxoceeding with the framing. i � . GERTIFICATE OF�OCCUPANCY � � � . . . � _ Application for a Certificate of Occupancy shall be made ten (10) days prior , to the use or nccupancy of any structure for which a building perznit has been , j issucd; and said structure shall not be used or occupied until a Certificate �', of Occupancy has been issued.. , � ' • ' . � ��;,--� SUBJECT MIT City of Fridley � 0 13 AT THE TOP OF THE TWINS g U I L D I N G P E R M I rt f S � RECEIPT NO. � 1 y_��_� COMMUNITY DEVELOPMENT DIY. r � � PROTECTIVE INSPECTION SEC. 1 . � �1 � � /"'1 � CITY HALL FRIDLE`/� 55432 � NuMeea REV. DATE PAGE OF AP ROVED BV •"•� � �� 612-560-3450 910-F15 5 7 76 � � JOB ADDRESS 6280 Able Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESGR. 2 1 SY101"@WOOCI SHEET 2 PROPERTYOWNEH MAILAODRESS ZIP PHONE Brett Hart 6280 Able Street N.E. 3 CONTRAC70R MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO. 8 USE OF BUlLDING Residential � 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Insta.11 patio door 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR EI.ECTR{CAL, P�UMBING, HEATiNG, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� FY'aICle 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 APPUCATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $SOO. OO . SO DOES NOT PfiESUME TO GIVE AUTHORITY TO V10LATE OR CANCEI THE pERMIT PEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $S.00 PLAN CHECK FEE TOTAL FEE $5.50 � St N TUREOFCON� ACTORORAUT R DnGENi ID E� WHEN PR PERLY VALIDATED THIS IS YOUR PEFiM1T . � � ; lr, t o � � ( S� - �- '7 (23 ' .UREOFO NEFIIFOWNERBUILDERI � 10 EI BLDG.iNSP DATE � � , A�'PLICnTION ��OR RESIDENTTAL, ALTERATION, • OR AllllITION BUILllING P�Rh4IT . ..� � CITY OE FRIDLEY, MINNESOTA . � , , . ' .'�' �"� i _ _ �, ` OWNER' S NAME ; ��,-�i�l,`� uv . . �:/�BUILD�R • -�, - �J � � f ADDRES S : /-, � ,! l-� r i.:�-� :. r . ` , �/ ; ADDRES S : ' - ' _-., _ - �_� NO : _. �� h� � S TREET • �Ck- � S '� '� � � iOT: -2 BLOCK• � ADDIT.ION• %i ��1.�' CORNER LOT; INSIDE LOT: �ETSACK: SIDEYARD: � Applicant attach to this form Two Certificatcs of Survey of Lot and proposed building location drawn on these Certificates. � � . ,.-- � BESCRIPTION OF BUILDING To Be Used As: . ' �� -v'� Front: Depth: Height: ' .. Square Feet: Cubic Feet: Front• Depth: Height• �. Square Feet; Gubic Feet; Type of Construction: o-�-� Estimated Cost: $��.6� / To 8e Completed; � �a . The undersigned hereby makes applicativn for a permit for the work herein�' specified, agreeing to do all work in stiict accordance with the City of Fxidley Ordinances and rulings of the Department af Buildings, and hereby declares that all the facts and repxesentations sfiated in this application are true and correct. . • . � DsATE : � SIGNAT[JRE t , � � (/-h� : (See Reverse Side Far Additional Information.) ., .� s � � v . � � ' . . ,, �",� " , �� ' : • i' .. .� . . . . . . vTear.v..... ..- �, ....��.� .,i . . . . . . � . -. _. .._... v ... y. ...,.. .. . . . ., y..,.. :. .. .��.� . ...... , . ....._ . .... ..� ., ., . . �.._. . . . . .._ . . . , x.M...n- .... ..a» n.. ,.:;� . "..-:.. . . . , :. . . .. . . 'A ~BUILDING 1'ERMIT FEE SC�iEllULL � SECTION 2. The Tnspector of Buildings shall, befoxe issuing permits for the exection of any building or structure, or fox any addition to any existing building or structure, or for any alteration or xepairs 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-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic teet. • ' ADDITIONAL INFORMATION " For the puxpose of computing fees for builc3ing permits, �the cubical contents o� any building or addition, is determined by multiplying the ground area covered from a point si.x (6} inches 'uelow the floox line of the basement ox the cellar to the average heights 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 sha11. be a� the rate of $3.00 per each five hundxed dollars ($5d0.00) or frac�ion thereof in' the cost of all pxoposed woxk. . Tn no case shall the fee chaxged'for any percnit as set forth'in Seetion 2 be � less than $5.00. - . VERIFICATION`OF FOUNDATION � NQfiE: Permits for consCruction will be issued a minzmum of 24 hours £rom the ti.me of agplication, to allow for groper review of the proposed structure and of fihe construction site. A Cer�ified Survey of the lot, showing the location of the foundation, onee it has been constructed, will be xequired before proceeding with the framing. . . � CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10} days prior to the'use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � , Y . °� � ., . . . ,.. . . _ ..,._ . .. ,. ..__ . . _. . _ . .-�^'�e� _ _ . _. .. _:.,.. � �: sue�ecT PERKAPT N,O: City of Fridley � �� ; �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T�''., f ' ' RECEIPT NO..- �"' � � � • COMMUNITY DEVELOPMENT OIV. - ` r � � � PROTECTIVE INSPECTION SEC. [�� i � � 4 � � /"�1 � CITY HALL FRIDLEV SS43Z NUMBER REV DATE PAGE OF APPROVED B� �""�'� �'' 612-571-3450 9t0-Ft5 12/1/95 � � JOB ADDRESS 6280 Able Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Shorewood SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE HElen Wo'ciak 6280 Able Street NE 572-388$ 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO, American Remodelin 3700 Anna olis Lane 4�145 P1 outh MN 55447 553-0020 4 ARCHITECT OR OESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 2406 5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADOITION ❑ ALTERATION L� REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WOHK Reside Dwellin 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE FEOUIREO FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITtONING. TH�S 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 PEfi100 OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILI BE COMPLIED �t WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT qP4,311 $2.16 OOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION. �99.75 Fire SC ��F.31 PLAN CHECKFEE TOTALfEE License SC $5.00 $111.22 S�GNATUAE OF CON'RACTOR OR AUTHOAIZED AGENT IDATE� WHEN PAOPE VAUDATEO THIS IS VOUR PERMIT W ' � / �� SiGNATUREOFOWNER�IFpWNEP8U4DfR1 IDATEi BL �NSP ��FTE � NCW ADDN ALTER C[TY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �" Effective S/ 1 /95 :� �y�9 ConstrucdonAddress: � �SO �`l C' �-�- , � � . � _ Legal Description: Owner Name & Address: 4��.e�� ol C� Contractor: `�F1M � � ►` Tel. �?�- 3g�'�S MN LICENSE #('�� c� 0 6 Address:�� tv►v oI�`s i� w. U Tel. # SS 3-C�D�O Atfach ro tnis appiicataon, a Ceriincate oi Survey of the lot, with the proposed construction drawn on it to scale. LI�ING AR,EA: GARAGE AREA: DBCK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length � � Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: ��Q �_v_�.�..__.r.._____. Estimated Cost: $� �.-�,�11...—�.�.�_ Approx. Completion Date: �1 � � � -�.� -_ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �'9. 7 S' $ �/ • 3 / $—.�, /_, �? $ "P� a.�. e S : c� $ $ $ $ $ � ��, a� �ITY USE ONLY _$ Tel. # Fee Schedule on Reverse Side .001 of Peraut Valuation (1/lOth%) $.50/$1,000 Valuation $850 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 [ ) STIPULATIONS: _, , .. i n j� � �, �'� � 1,�� z-1'�`� � SUBJECT PE � ��v*.� City of Fridley � AT THE TOP OF THE TWINS L I N P E R M I T �� \ � ` BU I D G IPT NO. _ � ` ��_ COMMUNITY OEVELOPMENT DIV. ^ / , /� r � L � PROTECTIVE INSPECTION SEC. ��T �� /"'1 � CITV HALL fFIDLE� 55032 NUMBER pEV OATE PAGE OF APPROVED BV � �----�; �.' 612-571-3450 9�0-F15 8/24/98 � � JOB ADDRESS � 6280 Able Street NE t LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 2 1 Shorewood sHeer 2 PROPERTY OWNER MAIL ADOfiESS ZIP PHONE Helen Wo ciak - 3 CONTRACTOR MAII ADDRESS ZIP PHONE UCENSE NO. Affordable Custom Hom - 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof house and ara e 22 S Tear-off• Re air sidin - Storm dama e 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL. PLUMBING, HEATING, VENTILATING Oii AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 2pNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR If CONSTRUCTION OR WQRK IS SUSPENDED OR ABANOONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION STA�LS GAHAGES ANO KNOW THE SAME TO BE �RUE AND CORRECT. ALl PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WOFK WILL BE COMPllEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GiiANTING OF A PEfiM1T 4834 2, �FZ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEpM1T FEE SAC CHARGE PROVISION ANY �THER TATE OR I.00AI lAW REGUTATING CON- STRUCT O THE PEfiF M NCE OP CONSTRUCTION. 99. ]S F SC �F. H � PLAN CHECK FEE T FEE Licens 5.0 1 .00 S�GNAT FCONTRACTOAOAAUTMOAQEDAGENT � 1 ATEI EN R P VAU T THIS IS UR PERMI � � � ✓ SiGNATUREOFOWNEAiIFOWNER9UILDERI iOATEI � g� �pgD OFTE NEW ,� � ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER ��] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,��L �� BUILDING PERMIT APPLICATION �� i� , h ConstructionAddress: �,� � �� Legal Description: Owner Name & Address: � /�,,, � �,�,,� Tel. # cS�oZ -.3�� Contractor: �� c,s f��, ��. MN LICENSE #�'j v�'v'�/,�_ � Address: ��j ��'4° �� /j/, � • Tel. # ��y d�7�-j Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length DESCRIPTION OF IMPROVEMENT Width Length � Length 1 U �� _ Height Sq. Ft. Height Sq. Ft. Hgt/Ground ,� Sq. F� r� � - i - - � �� 'I f�`� � Construction Type: �/�d� ��.� Estimated Cost: $ o � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 8� � APPLICANT: Tel. # %- D CITY USE ONLY Permit Fee $ �g �S� Fee Schedule on Reverse Side Fire Surcharge $ • S-3 .001 of Permit Valuation (1/lOth%) State Surcharge $ �-y� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � - C.� $ $ $ $ $ / 107. �O $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 [ ] . . • 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 betow 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 $SO,OOl to $100,000 $100,001 to $500,000 $SOU,001 to $1,000,000 $1,000,001 and up FEES $21 (Mmunum Fee is $21 plus surcharge) $21 for iirst $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 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for eaeh additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additionaI $1, 000 or fraction thereof, to and including $1,000, 000 $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. �----__-_._.. CITY OF FRIDLEY iNSPECTION DIViS10N Effective On January 1; � ssa 6431 University Ave NE Fridley, MN 55432 APPLJCATION FOR POWER PLANTS AND HEATING, COOLING� VENTILATION� 572-3604 REFRIGERATION AND AIR CONDITiONING SYSTEMS AND DEVICES RATE SCHEDUIE Resider�tial Furnace Shell and Duct Wo�C, Burner — Also Replacement Furnace (Side Vent — Fill 0ut Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer �.*Air Conditioning — All Sizes All Othe�s/Repairs 8� Alterations (LIST ON BACI� 1°h of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Wo�C Rate $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ $ 25.00 State Surcharge TOTAL FEE JOB ADDRESS ��SQ /"'/�/� ��i� The unde�signed hereby makes application for a permit for the work herein TOTAL specified agreeing to do aii 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. �-� � > ,�� $ ��-�Od OWNER C7C l Z,/'v L�i%O jl /��L, BUILDING USED AS J ��✓�L�� "��, - � ESTIMATED COST / �c.� ' PERMIT N0. + ,:� �y DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. B�1 HP EDR $ Fuel Total Connected Load $ .50 $�s.� MtNIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditione�s can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. B� HP EDR HEATING Signed By Approved By, FILL OUT BACK SIDE FOR' REPLACEMENT FURNACE �� Sharp an �r on ifiomng G °Central vg.,,N�E� '�V� {612;572-0459 Rough—In Date VERIFlCATION ON Final Date � �� CgIlViNEy AND STACK VERIFICATION The undersigned hereby verifies that the existing_ chimney or stack: L Has been carefully examined Yes (�) No O 2. Is free from rust or deterioration Yes O No O 3. Has no foreign objects lodged within Yes O No O rted Yes ( ) No ( ) 4. 5. 6 7. � Is securely suppo Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of All other BTU's TOTAL BTU's Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: . List ALTERATIONS Bein� Done: Yes ( ) No ( ) Yes()No() Yes()No() HEATING CO: Signed By: Date: ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 6280 ABLE ST NE : 143024440009 : SHOREWOOD : LOT 2 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL �.� ... . � �, .. � PERMIT : 2004-00580 \ � 1`�.,...4.. _._. ..._._..__..,�. DATE ISSUED: 04/26/2004 VALUATION : $ 2,180.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE PATIO DOOR WITHIN EXISTING OPENING STATE LICENSED CONTRACTOR 1 APPLICANT RENEWAL BY ANDERSEN (20130983) 1920 W CO RD C ROSEVILLE, MN 55113- (763)502-4777 OWNER WOJCIAK HELEN M * 6280 ABLE ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. T'he granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Q Date Bldg Insp � . Dat JCc BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 34705 Permit Ins��ction �r�s Will �e Mailed '�o �1�eowngrTo Post SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 83.25 2.18 1.09 5.00 91.52 04/02/2004 FRI 13:21 FAX �i� ELDER JONES �.� �v� [�001/001 - . . . .. . . . . . . � . .. � . � � � . � ��D�l _ .�.��-�� .. .. .. -:: N� [] CI'TY OF FRIDLEY Effective 4/1/2004 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] S1NGL.E FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUiLDING PERMIT APPLICATION Construction Address:19a� ��O%e, CJ� • �• �- • Legal Description: • Owner Name 8� Address: �.�-e.�U �jo �C � Contractor. LMNG AREA: GARAGE AREA: DECK AREA: OTHER: � �� t� Tel. # Tb� -�� j-d - MN LICENS� # � I?�S� � 113 Tel. # (pSi-a?lo�!-�(�� Attach to this applicafion, a Certificate of Survey of the Iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROV�MENr Length Wdth Height Sq. Ft. Length Wdth Height Sq, Ft Length �dth HgUGround Sq. FL Construction Type: Estimated Cost: $ a � �� priveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ . . ; � • • �.�� . i� �' ��.� � �� Call (763) 572�' 604 for Permit Fees if mailing in application. F2x to 763-577-1287 if using credit csrd and we witl cal! you for card number. Permit Fee Pian Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Controi Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $�3. aS Fee Schedule on R�verse Side $ 65% of Permit Fee $ �o . !S .001 of Permit Valuation (1/10th%) $ 1.09 $.50/$1,000 Valuation � $ $1350 per SAC Unit $ �J.� _ $5.00 (State Licensed Residenti�l Contractors) $ AI�. ��A,� or AI�. ��8�� qbove $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary ( ] �a $ �' STIPULATIQN�: