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
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NEW
ADDN
ALTER
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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.