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AF - 35629_, SuBJECT - �HQ.• _ City of Fridley �� 2 6 4 2 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � �• COMMUNITV OEVELOPMENT DIV. � RECEIPT NO. � � """', r � v � PROTECTIVE INSPECTION SEC. �� 7 � � � _ � � ��"1 � CITY HALL FRIDLE� 55432 NUMBER pEV DATE PAGE OF APPROVED 8V �""'� � �'' 612-571-3450 910-F15 7/1/98 / / JOB ADDRESS 6290 Able Street NE t IEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Shorewood Addition sr+eer 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Steve Klimek 6290 Able Street NE 571-6157 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Tabor & Sons Inc 3716 St Francis Blvd, Anoka, MN 55303 789-1902 20014248 d AHCHITECT OR DESIGNER MAIL A�DRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential � c�ass oF woRK ❑ NEW ❑ ADDITION O ALTERATION C� REPAIFi O MOVE O REMOVE 8 DESCRIBE WOHK Reroof House & Garage (20 Sq) Tear-off 9 CHANCaE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE FEOUtRED fOii ELEC7RICAL. PLUMBING, HEATING. VENTILATING OR Alii 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 OAYS AT ANV TIME AFTER WORK IS COMMENCEO. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO 8E TRUE ANO COHRECT. ALl PROVISIONS OF LAW$ VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIE� HEREIN OR NOT. THE GRANTtNG OF A PERMIT �1 �66H �.83 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �S�F.00 Fire SC �I.G9 PLAN CHECK FEE TOT L EE o� �G���yZ• Licens $5.00 61. 52 ,-.. SIGNATUAE OF ON7RACTOR OR AUTNOAIzED AGENT IDATEI p pp V ALIDAT D IS IS YOUR RERM T ) G ✓ w� �_SiGNATUF7EOFOWNEAi�fOWNEABUI�DER1 IDATEI �g� iNSp� r�aT �w � � Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY �AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION ��� �� � �� ConstructionAddress: � � � 6 .��,���� �1 � Legal Description: Owner Name & Address: � Tel. # 5�� /— �1.� � Contractor: � p� i�..o ,�-e MN LICENSE # �ocr � �`� �� Address: 3 �/G �Fi�� �.� � :� 1g�,��'�.�. �� Tel. # 2� 1 �ya � • � 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: DESCRIPTION OF IMPROVEMENT Length Width Height Length Wiath Height Length Width HgdGround Sq. Ft. Sq. Ft. Sq. Ft. OT'HER: �� 070 �c�3. �� / c Construction Type: Estimated Cust: $ 3.�.d�'" ��v �d d>�� (Fee Schedule. on Back) Uriveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: � - / — 9 � APPLICANT: ��.� � � �� Tel. # � S� 5� l �4 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �' � r -$ $ • $ � ��-� $ $ $ $ � l,�Sy- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.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 j] Not Necessary [ J ,M a ♦ ♦ , 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 $i to $500 $501 to $2,000 $2,001 to $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 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 $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 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 first $1,000,000 plus $2.75 for each �dditional $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. 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 construcdon 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. .. .. „� �« - ��.._.�,� sue�ecr ERMIT NO. c�ty of Fridley 2 7 4 9 6 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � ` RECEIPT NO. � ` _______ COMMUNITY DEVELOPMENT DIV. r � � � PROTECTIVE INSPECTION SEC. � ��� � � ( � /"'1 �� CITY HALL FRIDIE� 55432 NUMBER REV DATE � PAGE OF APPROVEO BV �.---�: �.' 612-571-3450 9t0-Ft5 1 � � J08 ADDRESS 6290 Able Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 1 1 Shorewood Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Klimek 1-6157 3 CONTRACTOR MAI4 ADORESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAII. ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDPESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Re 'dential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION X�7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside house 9 CHANGEOFUSEFROM TO STIPULATIONS ' Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sd. fT. CU. FT. AUTHOqIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDfO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPUCATION STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1�{OO . 7O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CMARGE PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUC I N OF THE PERFORMANCE OF CONSTRUCTION. �FS.7S F1Y' SC I.�FO .�C� � � �_ `.. �� PLAN CHECK FEE TOTA � EE .85 SIGNAiUAE OF CON'RACTOA OR AUTMOAIZEO AGENT IDATE� EN R P VALID THIS IS R PE M �� � SiGNATUFlEOFOWNEA��fOWNEABUILDENi �OATEi Bl WSP qp1E � NEW ADDN ALTER � � �] �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND �R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � � � � Legal Description: ��L� �j � � Effective 1 / 1 /98 �a � �� Owner Name & Address: s��U'�/✓ �%L //�%�� Tel. # s�� — � �� � Contracto�: � ���� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Leng Width Hgt/Ground ,��-.s1�� ,yavs� Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ �7d� � a 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: '" � �' �C� APPLICANT: Tel. # ���' �O /s � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �15'� �s' � /• yv $ . �d $ $ $ $ $ $ r $ ' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 [ ] � � 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 $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 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 n $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereaf, 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 $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.