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- 35637BUILDING PERMIT Village of Fridley, Minn. N� 2 5 7 3 Date ��•"'•.V•O . ........................ Owner �4"!y�•.. Builder ........................................... Address ��'� . . . .". . . .! ..� Address ......................................... LOC TION OF BUtLDWG . No. . . . '� �i s' . . . . Street . . . �i ,��. . . �l• • . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Loi . . . . � .. . . .. . Block . . . .� . . . . . . . . Addition or Sub-Division .�(.�. � � , , Corner Lot . . . . . . . . . . . . Inside Lot . f� . . . . . . . Setback �. �,' Sideyard f j"f � �,�t *, , , , , , , , , , , , , , DES�RiPT10N �F' BUILDING To be Used as: . .. . Front .k+7� . Depth .'�� . . . Height �.�.. .. Sq. Ft. .�j%!�,�►. Cu. Ft, . . . . .. . . V � .��r�...... Front ��. Depth .�,.. Height ......... Sq. Ft. .��(. Cu. Ft, ... ... Type of Construction .............. Est. Cost d �',`� � . �. . . . . . To be Complet� �. . In consideration of the i5suance 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 �'ridley. . T7. In C nsifler�tion of the payment of a fee of $ ��► permit is hereby granted to . � to canstruct the buiidin�b� ad dition as described above. This ermit is granted upon e ex res�s con i' t the person to wham it is granted and his agents, employees and workmen, in all work done in, around d u on said buildin or P g, any part thereof, shall conform in all respects to the ordinances of �ridley, 1Vtinnesbta regarding location, con�truction, 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 � � r , �` i �, . R � i I , Uece�bar 10, i96S Ndr . Jahn Fc�� ter 62$5 Ab1� Stree� �1. �. �'��'.��.e�. �I��t� 554Z1 ��r ��r. �'��•��r; '�t�� ani1:::�; �rt��.�:�.�:�� .�: t�� .�g* c�f �`rr�� SZ�e��.��i.t� ��n�es a� ��e ba�u�.eva�c�. i'c��s �:�� .� �*3.cs9.�tics� af ��:�.� �rc3�r��,:�c�. ��.sox far qpc2� �rwn �taod, �.t ��cr,�1d Ese b�t��r �r� �sve the �aYaee �s �he �u�c,�a g�c�ws �aill d��tro� � � w��n �1�aning the s�reets . I�rcnzlc� sppreca�t� imr�d�.ete s��ion in ��.n� �c�ug fe�ce b�ctc to your pxc�perty lin�. AG3': ��.s S inaerei3': �.� �. .t�s�rt ��1a�.�� s��t�� iCy of �ridiey City of Fridley, Minn. BUILDING PERMIT Date: _..._.. October_ 14, 1970 _..._._.�__.._____..__ 53731 086 r Owner: _..JQixn_Fo.�_Gfi�._._._.____....__._____..M._ Bufider _....Eisl.em...,S�..�To.]..t.ex.s..._Gnn.s�tru,cz.ian�.__...._ Address .....62$S...Able_,Street.N�E...._..,..___.._...._..._.._.._ Address _..Route _��5.,m.Osseo......._._._. _._._.__._._._.__._ LOCATION OP BUILDING 6285 Able Street N.E. . p� of Lot .�._.._._.___.______....__......_.___� No. .._._._._......_._..__ Street ._._.._.__._.._..._.._.__._..._..._.___......._._.__....._ ......................_. _. Lot _._.P_t.,..._13..___ Block ___.._..._....2...._.._._..._._.__. Addition or Sub-Division ....._.....MSL4.��_..��}.c.�._H].gh�.d,�_.._:_.....�.._ CornerLot ..__....:._.._._.._ Inside Lot .._._....._ ............._..----..... S.etback _..._.._..._._.._......_.._....... Sideyard _._......__.r..__...._.___._w._._._.._.._...._.._ Sewer Elevatio� Foundation Elevation DESCRIPTION OF BUILDING To be Used as: .,,�.d.l�..�'.,�.�,on to. Iious�.ont _..._..16_��. DePth ....._16.�._. Height ._13.�._.._. Sq. F� _._a._256'Cu. Ft _.3840! _...__._.____.__...,......_.___..._.. Front _....._........___ Depth _.___ Height .___...._..._._.. Sq. Ft. ._.___�..._ G�. F'� _._..._...._._ Frame $4 000.00 November 1970 Type of Construction _.._......_.__.._._.._......_..........__.. Est. Cost _...----._�._............_.._._...._......_ To be Completed .._._._.___..__.__..._.._..__.._._ In consideration of the issuance to me of a permit to c et the building described above, T agree to do th� proposed work in accordance with the description e se�t rth and ' com��vin� ons of ordinances of the city of Fridley. In ca�sfderatfon of the payment of a fee of $....._._ 1� �4.._.._.., permit is hereby granted to Eidem & Wolters . to construct the building or addition as descrlbed above. This permit is granted upoa 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 safd building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and movSnS of buildings within the dty limfts and this permit may be revoked at any time upon violation of any of the provisions of said ordinancea .. �_,�.�!'�L� _L��u_..��..� Buiiding' 7nspecto� HANK MUHICH . �- � �' NOTICE: 'I'bis p�m�M dea not eov�� Na eonshuelioe, insfallaHon fe� wietn�, plumbiny, oas h�Nina, sww� or watu. B� sun to tN tl�� Buildte� Io�p�ewr fo� ap�nh p�emirs for th�a h�ms. � � 0 r . x �. � APLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' ��S_ �7� � OWNER' S NAME :�C�/•�l t" D S T� %� BUILDER :�./ r.� �/i'/ � C.tJc� � T�2 S C�Q.cI � T /rVC ADDREa S : � � � S �v�L � �T �v � ADDRES S : �T S �-� S� �/ �.�ci NO•. r� a� s STREET: Sr--,� � � T- .r� � LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT:�X SETBACK: SIDEYARD: Applicant attach to this form ltao Certificates of Survev of Lot and proposed building location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As : �� i i� � C � -- � ,� dY� /C. ;� /Td �,,c/1 l / �O Front • / !� Depth : � 3 Height • Square Feet :�-� ,S � Cubic Feet ; �,� j�C� Front: Depth: Height: Square Feet; Cubic Feet: 'l�pe of Construction: t�z,� �� Estimated Cost: $'7-Uv � To Be Completed ; //- � S- 70 ' The uadQrsigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Qrdinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. IaATE : l D —� "-` 7 d„_.., S IGNATURE • �L-'�=�'`� (See Reverae Side For Additiortal Information.) l.� �� '� � � '� � � � �` �y �+ --- � � n �! � � / ` �'''�'i �^ f � ;�'' �' ..� .. � :, �,> � `i,,,�i r� �� "YY'�� v �4� r: � � � , ''g� '°� �i' �/ � �%� � ` Cr?`71 1�'1 � � �� 'P°"' � � (j �� 'r':��`� i/� / Ci I l #` "�y A� .__.�--�",.•"'°"'., � �� ...� � , 'r` �+8� � � �+� � ::t.. ;:.:�.� . _...��'�„'�.�.�." �` �,.�. � _, ; i / �. / C. � __ BUILDING PERMIT FEE SCHEDULE c��_ / � ; __._. - --� s-- e., SECTION 2. 'I'he Inspector of Buildings shall, before issuing perniits for the erection of any building or structure, or for any addition to any existing �J � building or structure, 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 /� b � the manner herein pravided to-wit: Z�� UIQIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic ��. ,� feet, or fxaction thereof, in such cubical contents. Type 3& 5-$1.85 for ._..-r each one thousand cubic feet. '°""�µ� �� . � _ _ _ _.. � . _� _ . ADDITIONAL INFORMATION � '"-w � l ��F .,i _, _:._.. � _..... . ...�..��_...�.. For the purpose of computing fees for building permits, the cubical contents � a�f' �'� :% of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or 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 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. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. V�RIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours fram the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it haa been constructed, will be required before vroceedin� with the framing. CERTIFICATE,.OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) da,ys prior to the use ox occupancy qf any structure for which a building pexmit has been issued; and said structure shall not be used or occup�ed until a Certificate of Occupancy has been issued. • � . . 4 • � w � s � & p ��ec�r�c M�p3� i�a�,�. ��s�a�€ :t�� S�.�s : D �� N�v�� 1�7� R� � �.��t:��:c.a�. �� 5 �.�Eal� ��z�� .�. �� c�3,�a�r�.�� i� c€�� : ��:e �Iec�r�.�,��. ��.t ��r �� bc�re �d:��: �erv�.�e i- � tl Qut 3et� %� ��t �'�� r �i+�f }�Mi t: i� $E'i.gE� 3. ti0 � �i.�.. ��, �� V:4LfV i+irklJ�i/ ��iM .,�1tf�. .. � . �' �.��.C�3� �.TL�',��."GCC�� L_ � � ' ,;_�f, Aaxgus�t �� .5��2 ��+e�t & t�To1��s� Gcrnst��ican i��. �� s�a,� �.t.��ai.�, �s� fa�� l�bl� �C�� N.�w �� i� : l�x �.nsp��tion c��,s m�c� �sr� �;ugu�� 8, i+�7� a� �h� �.t�d�.t�cs�, yoc� �c�n�st�v.+��ed at th� ��ov� �,c�d�� . A��c�ir� ess �s.� �m��, you i�u� mb�e�r�d �cr�of' l�k� �t t� �his c'�rell�.x� t�� r� r�s��t �f �� add�.t�.�r�, �'1�� a� t;�+�� th� cso;��i,ar�s � me�� fo� �a� ebt�� u�k� �i�. �a far ass iz�p�ti� T��r�o� �h� �9��Iai�� r� �rnr+��dd ��. 7C� �*�s �i�sr+� ��r �u+��,r:x�:�, p%ac�� e� �� i�. ua�. �� ,�c�xn Ft� ��t ��' �� tx��Z�`* . _ ..� -'�-- _ �.-�-, _ _� . �.� < _ r`Y_.... _ �� u�.�;di� �n�3p��o� sua�ecr PERMIT NO. City of Fridley _ - � 6 - � � ATTHETOPOFTHETWiNS gUILDING PERMIT r � � , � RECEIPT . � • COMMUNITY DEVELOPMENT DIV. � ;.: ----- � j �, /�'� r � +� PROTECTIVE INSPECTION SEC. L � � /'��1 � CITY HA�L FRIDLEV 55452 NUMBER � REV. DATE PAGE OF � APP O E�V � �'""'� � �'' 612-571-3450 9�0-F15 9/25/81 / / JOB ADDRESS 628rJ j�le S'�22� �•E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 19 2 Moore Lake Highlands sHEer 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 3ohn F'oster 6285 Able Street N.E. 571-3516 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCH�TECT Oii DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING R�Sl.Cll'1.e'tldl T CLASS OF WORK O NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK S� Install free-st.a.nding fireplace 9 CHANGE QF USE FROM TO 3TIPULATIONS S�PFRATE PER�1T� R�t�u1RE0 FQR ��#7t�iG. ��`��iNGt;��LU�1�31Nt� .ANp SMG�l�. 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 SQ. FT. CU. FT, AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCE0. NO. DWLG. UNITS OFFSTREET PARKING f HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7HIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROYISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $]_�OOO $.SO WITH WHETHER SPECIFIED HEREIN OR NQT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL 1AW REGULATING CON- y�`l�j.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK fEE TOTA$EE.E. SO 15 5 7 OFCONTF CTOR�QAU7HORIZEOaGEN7 lDA7Ei WHEN PROPERLY VAUDATED THIS IS YOUR PERM1� �y ��T; r iGNATUAEOFOWNERIIFOWNERBUILDERI �IDATE�. � BLOG WSP DATE CITY n� FRIDLEY Effective Aug. 1, 1981 kf'PLIC/lTIO'd FOR RLSIDLiVTIit� QUILDIi1G PCRi�ITS (tJei•r, Alterations, Additions, or Repairs) OtJf�FR: (...f �� 1�, �� S 7�� 6UILQER: � ,---- . � ADDP.ESS : � � �� .5� � i� S" �T. %� .�, ADDRCSS: TEL N0: ,�` 7/ —� ��j TEL fd0: Cansi:ruction Location • STRI�T NO : � �� STREET: �' � F� � Lo��: �% s�oac: �-- AnnzTiorr : �'I tf� �� L/� f�/� c H 1.� x/ D . -r--- Corner Lot: Inside Lat; SetbacY.: Sideyards: Ap�licant atta.ch to this form two Certificates of Surv�y of lot and proposed building location drawn on certificates to scale. OESCRIPTIOtd OF COPlSTRUCTIOPd � Z'ront: Depth : Height: Squane. �'eet: Ctiibic Fcet: �'ront: Depth: Height: Squar.e� Feet: Cubic I'eet: �� s�ANDtn►� - Type of Construction :�/ R� �� %�(� Estimated Cost: $��• � Zb $e aor.�pleted: Alt. A Alt. 8 Proposed Drive�•ray Width If New Opening Is Desixed: $� $ � SE� Rc�VERSE SIDE OF $HEET _ T'iie undersigned hereby make� application for � perntit fcr the �:vrk hexein speci£ied, agreeing to c3o ,a11 work ir� strict accordance with the City of I'ridley Ordiiiances 2aid ruling� of �tlze De�k-�rtment of Buildings, and hereby declares that a11 the facts and re�resenta ions stated �n this application are true and correct. D.'�TE: �,� SIGNRTUFtE: ✓ SLi�ulaL-ions: • ��. � . � ' sa t�,�, �� ,. . . • BUILDII�FG PE•RMST FEE SGHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting buildinq or structure, 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: TOTAL VALUATION $1.00 to $500.00 $501 to $2,000 $2,001 to $25.000 $25,OO1 tio $50,000 $50,001 tc $100,000 $100,001 and up FEES $10.00 Minimum Fee $15.00 plus surcharge $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 each additional $j.,000 or fraction th.ereof, 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 $283. 00 for the first $50, OOO plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $443.00 ior the first $100,000 plus $2.50 for each additional $1, 000 or fraction th:ereof PLAN CHECK: 25 perCent of building permit fee DRIVF�IAY D�EPRESSiQN ESQ20W: Concrete Curb S�reets Oa�ly Alternate "A": Removeal and replacezaent of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Reaovai and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Drive�way width plus 6 f eet x$15. 75 VERIFICATION OF FOUNIIATI�ON Permits for construction will be issued a minimum of 24 hours froaa the time of application to allow for proper review of the proposed structure and 4�f the construction site. A Certificate of Survey of the lot, shawing the location of the foundation once it has been oonstructed will be required before proceed�.r�g with. the framinq. ` � . � . CITY OF FRIDLEY INSPEC710N OIV, 6431 UniversiFy Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Etfective On January 1, i993 _ Jc�b 3�� APPUCATI�N FOR POWER PLANTS AND HEATING, COOLING, VENTILATION� REFRIGERATION AND A(R CONDITIONING SYSTEMS AND DEVICES Residential Fumace Shell and Duc# Work, Burner - Also Replacement Fumace Gas Piping (Needed with new furnacej Gas Range Gas Dryer *Air Cor�ditioning - Aq Sizes All Others/Repairs & Afteratlans (LIST ON BACt� 1% ot Value of Appiiance or Work Cammerciat/lndustrial 1°/, of Vafue oi Appliance or Werk Rate T�TAL $ 2p.00 � 20 .00 $ 10.00 $ � i 0,00 $ $ 10.00 $ S 10A0 $ State Surcharge TOTAL FEE JO$ F,DQRESS 6285 Able Street NE i he undarigned he�eby makes application far a permit fer ihe work herein snecift� agr�eing to do a!i werk in strict accorclance wiih the City Codes and ntlirgs af ths Building Division, and hereby declares that ai) the facts and r�presentations siated in this application are true and correct. 09/20/93 ,1993 OWNER John & Ma rgie Fos ter BUiLDING USED AS Residence : ESTIMATED COST 1750.00 PERMlT NO. �l�C� �ESCRIPTION OF FURNAC� AND OR BURNER $ No, of Heating Units 1 Circl� One (Steam) {Hot Water) arm Air Trade Name Carri�r S(ze No. SXC80/80,000 BTU BTU 80,000 Hp EDR � Fue( Nat. Gas 1'otal Connected Load �-- .__—�__50 � 20.50 MINIMtJM FEE FOR ANY HEATiNGICOOLiNG1VENTiLATiON REFRIGERATlON/A!H CONDtTt�NlNG PERM(T IS �15.00 PLUS iHE t.50 SiATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be piaced in a side yard without written permission from adJoining property owner. ,� 8urner Trade Name Size No. � BTU HP EDR . DC�ENDABIf i�D04� ��R ��JA�.l3Y.1NC. HEATING COMPANY 2619 CQON i��ei�:�' �3��Ui_�V�,Rp COQ RAPiUS. :�:;'� 5�=�,�� . ,��; Signed E3Y"'IT"".. . . o. �.5 �- 5� � ��.�`�- omas ouin , .� �Appraved By ��_ Raugh-In Date Final Date � F1LL OUT BACK SIDE FOR STACK VER1FtCATION ON � REPLACEMENT FURNACE J ��♦ CHIMNEY AND STACR vERIFICATION The undersigned hereby verifies that the existing chimney or stack: ].. Has been carefully examined Yes �j No O 2. Is free from rust or deterioration � Yes � No O 3. Has no fareign objects lodged within Yes � No O 4. Is securely supported Yes � No O 5. Meets all current Code requirements for size and total BTU's connected Yes � No O 6. Ha�"'tiatal n�ating TTU's af All other BTU's � � TOTAL BTU's ' List Alterations Beinq Done:_ ,, ��- �a.��taz� . HEATING Signed B Date � . �. _ . . . ....,., nnn►,� nnc+:r�c: :a<��ia ;",int-��'n _ . � . � - � � � ��. . su9�ECT .. � � , P . City of Fridley 2 8 28 � AT THE TOP OF TME TWINS 6 U� L D I�� P E R M I T r � ` RT N � • COMMUNITY QEVELOP��NT DIV. LV �"�� r � � PROTECTIVE INSPECTION SEC. 1 � � � �"'1 � CITY HALL FRIDLE� SS�32 NUMBEA �""�"� �'' 612-571-3450 9t0-Ft5 J08 ADDRESS 6285 Able Street NE ' 1 IEGAI �OT NO. BLpCK TRACT OR ADOITION DESCR. i9 2 Moore Lake � 2 PROPERTY OWNER MAII ADOfiES$ John Foster J CONTRACTOF MAIL AODRESS Gates Roofin� 4640 Ximings Ln Pl �, I�IA 1 AFCHITECT OR OESIGNER MAIL AODRESS 5 ENGINEER MAtL ADDRESS 8 USE OF BUILDING Residential 7 CLASS Of WORK O NEW 9 DESCRIBE WORK Reroof house and ga� 9 CHANGE Of USE FROM STiPULATIONS OATE 10/15/98 EI O. �� PAGE OF AGVpOVED 8Y � � SEE ATTACHEO SHEET ZIP PHONE 571-3516 ZIP PHONE LICENSE NO � F,79� iIP PMONE LICENSE N0. ZIP PHONE UCENSE NO O ADDITION � ALTERATION � REPAIA O MOVE O REMOVE ff Underlayment must comply with the State Building Code. rvPE oF cons�. viceuPi SEPARATE PERMITS ARE FiE�U1RED fOF EIECTRICAL, PLUMBING, HEATING. VENTII.ATING OR AIR CONDITIONING. ' TMIS PEiiMiT BECOMES NUIL ANO VOIO IF WQRK OH CONSTRUCTIpN 20NING SO. FT AUTMORI2ED IS NOT COMMENCED VR!ITHIN 60 OAYS. OR li CONStRUGtTION •� OR WORK IS SUSPENDED OR ABANQQNEO FOp A REF:IOD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED. ` NO DWLG. UNITS I HEREBY CERTIf V THA? I HAVE READ ANQ EXAMINEO TMIS APP�ICA7IQN STALIS ANO KNOW THE SAME TO BE TiaUE AND CORRECT. ALl PRpV1SlQNS Of �AWS VAWATION AND ORDINANCES GOVERNING THIS TVPE Of WQRK WILL B� CpMPtilEO WITH WMETHEF SPECIFIEO HEREIN OA NOT. TWE GRANTING OF A PERMIT 2,313 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE Op CANCEL THE pERMIT fEE Pi70VIS1 OF ANY OTHER ATE OR IOCAL LAW REGUTATING CON- STR 10 OF TME PERFOii NCE OF CONSTRUCTION P�AN CNECK E —•--�-- �GN�ruQEO�C " .OQOAauTMOAiZEDaGEtir � � i0�i-� � WHEN ROPE�� itOwtiEA8u�l0ERi � �� iD�iEi . � NCYGROUP OCCUPANCVLOAD CU FT OFFSTREET PARKING GAFAGES SUfiTAX 1.16 SAC CMARGE A� IS vOUQ PERMIT � � �iiF � . . r NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � �� S %`� � Legal Description: Owner Name & Address: Contract� Address: � Effective 1/1/98 Tel. # ��r' 3 �! y � ENSE # G 7 �7 3 Tel. # �� `- a ° �i3 LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the tot, with the proposed conscruction drawn on it to scale. I.ength DESCRIPTION OF IMPROVEMENT Width Length W idth Length W� Height Height Sq. Ft. Sq. Ft. Sq. Ft. .., .,� . - Construction Type: �- �stimated Cost: $ `� ' � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �. DATE: d ( � APPLICANT: Tel. # � �� `f� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ _�,� Fee Schedule on Reverse Side $ •.3 � .001 of Permit Valuation (1/lOth%) $ . � $.50/$1,000 Valuation � $ $1000 per SAC Unit $ j 1� $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 [ J $ 3. �� 1 � � � BUILDING PERMIT FEE SCHEDULE 1 � � 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 t0 $500 FEES $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 ��n for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,OQ0 $25,001 ta $SO,QOQ $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 0 $349.75 for first $25,000 plus $9.00 for e�ch additional $1,OQ0 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 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 $1,000,001 and up $5012.25 for the fust $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRNEWAY 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. Su9JECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i� � � � • COMMUNITY OEVELOPMENT OIV. � ; V �"�� , � � � PROTECTIYE INSPECTION SEC. 1 � � � � �'�'1 • CITY MALL FfiIOLEY 55�32 NUMBER NEV �""�� ' 612-571-3450 9t0-Ft5 JOB ADDRESS S2g5 Abl e Street NE 1 LEGAI �OT NO. BLOCK TRACT Ofi ADOITION nescR. tg 2 Moore Lake Hi ghl ands 2 PROPERTY OWNEFi MAIL AOORESS Nancy Foster 3 CONTRACTOR MAIL ADDRESS 0'Keefe Roofing 826I Knollwood Dr. Mounds View MN 1. RCNITECT OR OES�GNER MAIL ADDRESS 5 ENGINEER MAIL AODiiESS 8 USE OF BUILDING Residential 7 CIASSOF WORK 8 DESCRIBE WORK 9 CHANGE OF USE FROM STIPUl.AT10NS OATE 5/24/99 21P 55112 612-7 ZIP vAGE Oi � � ERMIT NO. — 29533 ��1 AVPNOVED B� SEE ATTACHED SMEET PHONE 576-3516 PHONE IICENSE NO -4480 20179101 PMONE LICENSE NO. PHONE LICENSE NO O NEW O ADOtTION ❑ ALTERATION X� REPAIR O MOVE O REMOVE Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE FiE0U1RED FOp ELECTRICAL, PLUMBING, MEATING, 'r� vr v'�••J• VEN7ILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING AUTMORIZE� 1S NOT COMMENCED WITMIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED fOR A PER100 OF 120 pAVS AT ANV TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS 1 HEREBY CERTIFV THA7 I MAVE REAO AND EXAMINEO TMIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORfiECT. ALL PROVISIONS Of LAWS yq�UATION AND ORDINANCES GOVERNING THIS �YPE OF WpqK WI�L BE COMP�IED WITH WMETMER SPECIFIEO HEREIN Ofi NOT. TME GRAN7ING OF A PERMIT $1714 DOES NOT PRESUME TO GIVE AUTMOpITY TO VIOLATE OR CANCEL THE pEqMl? FEE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGUTAT�NG coN- �63.I�J STRUCTI�TM PERFO MANCE Of CONSTRUC N � �r � �� PLAN CMECK fEE Lic G S�GNAtUpE O� C ••CTOA OA �UTMOA�ZEO AGENT � ATE� MEN ( � S�GN4TU�7E O� OWNEp �i� OWNEA 8Uil0Ei1� �DI�TE� p� A �r..CP OCCUPANCVGROUP OCCUPANCVLOAD SO. FT CU FT. OFfSTREET PARKING STA�LS IGARAGES $5. $. 86 iAC CHARGE Fire C $1.71 rOra F E $ . 2 � � fE NEW [ ] ~ ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMIIrY AND DUPLEXES R-1 AND R-2 BUII.,DING PERMIT APPLICATION Construction Address: Legal Description: 6 a �.� ��/< s�= �� (,�J �1 � � Owner Name & Address: _�/�� e�s�-,� ��ks' ��/, 5�,, Tel. #� 7�-� 3�! � Contractor. D�� ,� ,� MN LICENSE # 20/ 7 y/v/ Address: ��/ �ro/��,,,a�� ,�� Tel. # 6/� - �.�� d LNING AREA: GARAGE AREA: DECK AREA: 01'HER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height- Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � —�7/y, a.o Construction Type: �oa-�� j Estimated Cost: $ 3 ve � Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ - DATE: o� � CI APPLICANT: �1. #��2 7S ��l �lJ CITY USE , ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 3 �s $ I $ �� $ $ $ 'S._ � $ $ $ � 7�� 7� Fee Schedule on Reverse Side .001 of Pennit Valuation (1/lOth%) $.50/$1,000 Valuation � $1050 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 [ ] 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 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the fust $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof . DRIVEWAY DEPRESSION ESCROW (Concrete Ciub Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION n Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. ' A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Receiv ��8� 8 763-572-3604 CITY OF FRIDLEY vat��c d. DATE YOUR E-MAIL ADDRESS N,�VIL�C/l(�� I v, �Zti� I"'C/KdL�L3 �f /2�1 . Cd/Zt SITE ADDRESS J � THIS APPLICANT IS: ❑ OWNER �dCONTRACTOR PROPERTY OWNER/ N�: � � TENANT �D�ss: '� crrY STATF�(j ZIP��3Z PHONE:%(�L�SU7� �7%� CONTRACTOR NAME: �h �j�(% � �� g �� r � SUBMIT A COPY OF STA'I'E LICENSE # EXP DATE YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION pHONE FAX PROPERTY TYPE � S�GLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERNIIT TYPE � �DITION ❑ GARAGE/SHED f�WINDOWS ❑ BASEMENT FII�IISH 0 ROOF '�� DRAIN TILE ❑ DECK ❑ G ❑ OTHER ❑ MIvIING POOL TYPE OF WORK: � �W ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DE�RIBE WORK BE1NG DONE: O� � U SIZE OF INIPROVEMENT ENGTH WIDTH HEIG T S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑'HOU5E & GARAGE BASEMENT REMODELING SUBMIT: GARAGES , ❑ ATTACHED GARAGE 1. Existing Ftoor Plan , 2. .' Proposed floor:plan � � PRO SED SIZE: ' � DETACHED GARAGE 3. ; List vf structural memhers to b� ,Vsed PROPOSED HEIGH'I': . , . , ; ,: � . : _ _ . SIDING _. � ' FOR NEW GONSTRUCTIQN INCLLiDING DECKS, O Yuryl ., _ _ , ❑Soffit _ _ , ADDIITONS. & PORCi3fiS 5�11�T: O`AluFrriniun ❑ Trim ' 1. Site Plan/Survey�s�ba� t9�e existirtg structures ❑ Other ❑ Fascia and pmposed project. ��WS 2. Two sets of construction plans IN EXiSTING OPEI3INGS �,1Yes ONo LOCt1TTON OF WINDOWS 3. Energy Calcula�ions OR FOR NEW OPEIVINGS-DESCRIBE SIZE OF �� 1 1 U'��C� �'Y!^ �-L�i��'�'�X �/� OPEN�TG CHANGES 8c ' TYPE OF WINDOW TO BE INSTALLED S NUM$E1C �OF ,WINDOWS ALL FEES ARE BASED ON ALUATION, INCLUI�ING THE COST OF LABOR AND MATF,�IALS: TOTAL JOB V Permit Fee Plan Review Fire Surcharge Surchazge License SurGi�arge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due (USING THE 1997 U.B.0 FEE SCHEDULE) AI,UATION $ OCCUPANCY TYPE �*.rl�-�- $ ��'?j ,�"�-, See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .(� .001 times the total job valuation $ . � .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �n „�� Make checks pa_yable to: City of Fridle_y Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED .� I her� ap�ly %r a build"mg permit and I acknowledge that the information above is complete and accurate; that the , vKQrk: will be in conformance with the ordinances and codes of the' City of Fridley and with the Minnesota Construction Godes; that I understand this is not a permit but oiily an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the c�e of all work which requires review and approval of plans. SIGNAT[JRE OF APPLICANT ��Q� PRINT NAME 0/ /1 �� V� %Si/I1 DATE ��Z�� Q