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AF - 35633�. t BUILDING PERMIT Village of Fridley, Minn. Date . . . r,�%t%/,�,�,+i . . 4�' 9 _ . . .�T�� Uwner . . . .�.ii�wG�,� . . . . . . Address . .�� e� . . . . � ��f��;�',/G� . � �'Tr�( + N° 2538 Builder.......�� .. ............... Address ..... LOCATION OF BUILDING No. . . .��..I,. Street . . . .. .. .��16�Lr,�.�,'r' .. . ��T�'a" .' . . . l, Qnyart of Lot . . . .. . .. . . .. . . . . . .. . .. . / Lot ..... .��Block . .:�I' .. ... Addition or Sub-Division .��,��/, �/M�,�� 7 . Corner Lot . . . . . . . . . . . . Inside Lot . . . .� . . Setback . . . . . . . . . . Sideyard . .��'.� .�� , �. DESCRIPTION OF BUILDWG To be Used as: • �� : Front . . • �/ ?;I I�h , �},�+P ght . . . . .'� . Sq. Ft.��. . Cu. Ft. . . . . . � ! �"�: ��, �( ,• /y��r/_ . �,.. . . . . Front . . .y. . Depth . �A!�eight . . . . . . . . . Sq. Ft.�.��.�. . Cu. Ft. . . . . .. . . �/�^� w/f„''�'�"" f�/'� Type of Construction st. Cost : .y��,t. �: �. . . , , To be Completed . .%. .�r� F . ' � �� / •�r� /�L��'� rlfir% ��'� I�'"'�."�►+H�.�� G�""�" / f� � � �r'"'�a.r� �►. �� s�� In consideration of the i�suance 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 brdinances of the village of Fridley. . . �. . �'' . . . In c ide ion of t payment of a fee of $. ...� permit is hereby granted to ....� .. ... ••••••..... ..... to construct the buildin or ad dition as described above. This pc�r � i��ed upon the e the person to whom it is granted and his agents, employees and workmen, iri all work cione in, around and upon said building, or any part thereof, shall conform in ail respects to the ordinances of �'ridley, 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 ordinances. � � . . . .�.�'.•'• �1�!'. . . Inspector .� NOTICE: � This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. � � , � Date: Owner Addres � City of Fridley, Minn. � BUIIIDING PERMIT N•° 312 S ...%:�./.,./..:':�............ - ..� �� ... . .... Builder ... ............ ....................... s ...�.�./. �..��%0!:4�C�............ Address ............................................. LO�CATIOIV OF BUILD[NG No. . �.�/ b�G Street . ................................... Part of Lot .......... ... . ^ Lot�� 3-�r � ?� Btock . . � . . . . . . . . . . . . . Addition or Sub-Division . . . ..7. . . . . . . . . . . . . . . . . . .Q'�� s+a: Corner Lot . . . . . . . . . . . . Inside Lot . . .`.� . . . Setback . . � '��. . SideyardG��i�A� � . � � ,. � y To be Used as: . . . . . . . �iP?�[✓Front .................... F1D�nt 7�pe of Construction �i DESCRIPT[ON OF' BUILDIN(9 /�/ p/� � ��'�/� . . . . Depth . �/ . . Height . . . . . . . . Sq. Ft. �-. . : Cu. F`t. . . . . . . . . Depth . . . . . . eight �0 Sq. Ft. . . . . . . . . Cu. F't. . ' ' ' �/� — � �� / � :'�`:�"�. . Est. Cost. . . . . . . �� . .�� . . . To be Completed . .. . (. .°Z:��'� . .� i � / i / � / � � � /� � � i � i� � / In consideration of tlie issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set for d in complian with all provisions of ordinances of the city of Fridley. � O� In consideration of the payment of a fee of $. . � . . . . , permit is hereby granted to . . . . . . . . . . . . . . . ... .. .... .. .... .. ... .. ... ta construct the building or addition as described above. This pernut is granted upon the express condition that the person to whom it is granted and his agents; employees and worlanen, in all work done in, around and upon said building, or any part t,hereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at a^ny time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, sewer or water. Be sure to see the Building Inspector for separate permits for these items. sus�ecr P MIT NO. City of Fridley a- � � � 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � rvo. � � � • COMMUNITY DEVELOPMENT DIV. �y '/ ' j L — / / r � � PROTECTIVE INSPEC710N SEG � 7 �l � �"'1 � CITY HALL FRIDLEV SS4$2 NUMBER REV. DATE PAGE OF APPROVED BV L.��i �.J 612-571-3450 9� 0-F� 5 6/7/83 � � JOB ADDRESS �lO A}��.e Street N.E. t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 13,14 6 Florence Fark sHeer 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ruth 011ila 6310 Able Street N.E. 571-6997 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S 3Il12 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGWEER MAII.ADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ' 0 NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE � REMOVE X 8 DESCRIBE WORK `Aiter ara e to enclose orch atio 9 CHANGEQFUSEFROM TO STIPULATIONS +�pERA"�� PERM �Tc ct�nUIR�D FOR WIRI�t�, w�AF ING, PLUM�ING AIV� StGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE fiEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL 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 ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCE0. NO. DWLG. UNITS OFFSTREET PARKING I HEtiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAfvlf T0 $E 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 PERM17 SSOO �. 'rJO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE ' PROVISIONS Of ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�.S.00 PLAN CHECK FEE TOTA� FEE $15. 50 � � SIGNAT EOFCONTRACTORORAUTHORIZEDAC�NT 1DATEi yyHEN PROPERLY ALiDATED THIS IS YOUR PERMIT — m G�,�o�C'�. � 3 � �( � J SiGNA .�OFOWNER�IFOWNERBUIIDERi � ATE� BLDG WSP � D� E � CITY OF F(tIDLEY f�PPLIC/1TI0'1 FOft RCSIDL"idTIAL BUILDIi�G PEFL;ITS (t�e►•t, Al ter•�Lions, AddiLions, or Rc�airs) Ol•� NE R: ��t �`��` C.��l /��' IIDJRESS � �/D �l� J��`- /Y. � TEL n0: 5�l � 9"� � Effective Aug. 1, 1981 � �t3UI�DER: Sa� nonr�css: -� 3��d1� S� � TEL I10: �7� : ��'r � , ConsLruction Location STRIiGT NO: ��310 sz��rT: �"�/e �57: /1�� LOT: �.3 0� � � BLOQC: (p ADAITZON: ��o�c�� ' �C Corner Lot: Inside Lot: l/� SetbacY.: Sideyards: Applicant attach to tliis form two �Certificates of S�zvey of lot and p_oposed building location drawn on certiiic�tes to scale. _ DESCRIPTIO�� OF COi•1STF:�JCTIO�J �� c�nt: ��j � Depth: � �%�- 1 Height: ��,1� � ��,Q.¢� Squanc Feet: Clibic Fcet: �� Front: Depth: Neigl�t: Squar.e Fe�t: GUbic Teet: Type of Construction : �C�c� Esiimated Cost: $��d . • , Zb Be Ot�r.�pleted: Alt. A Alt. B Proposed Drivec�ay tr'idth if New Openinq Is Desised: $ $ __ __ , S�� P.c,VER�.si SIDL OF SFIEET . 95ie undersioned hereby mal:e� applicaticn for a permit fcr the ��ork herein specified, agreeing to co .all worl: ir� strict accordance with the Ci�y of I'ridley Ordii�ances aiid rulin�s of tl�e DeZhzrtmcl�t of Buildings, and hereby decl�res that all the fact-s and rcpresent.ztiei2s stated :n this applic4tian aze true and cozrect. . D.:TE: `40��'�� SIGNATUF� : �.�� Stii�u3ations : 1�'` �� , ,�,� �� ' ` �. . ., �� J� �1.. � }' c Mn � a� - The Chief Building Official shall, before issuing permits for the ereetion of any building or strueture, or for any addition to any existing building or structure or Por any alteration or repairs to any existing building or structure, upon application therePore, require the payment by the applicant for sueh permit of fees to the amount herein below set Porth and in the manner herein provided to-xit: • : - = •, �1.00 to $500.00 �501 to $2,000.00 �2,001 to �25,000 �'�'T� �10.00 (Minimum �15.00) $10.00 for the first �500 plus �1.50 for each additional $100 or fraction thereoP, to and including $2,000 �32•50 for the first $2,000 plus $6,00 Por each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to �50,000 $170.�50 for the first a25, 000 plus ��1.50 for each additional �1,000 or fraction thereof, to and including �50,000 #50,001 to �100,000 � $100,001 and up �283.00 for the Pirst �50,000 plus �3.00 for each additional $1,000 or fraction thereof, to and including �100,000 �443.00 for the first $100,000 plus �2.50 for eaeh additional �1,000 or fraction thereof Plan Cheek: 25 pereent of building permit fee. Drivexay Depression 8acrow: Concrete curb streets only. Alternate "A": Removal and replacement oP curb and gutter only - Driveway Width plus 6 Peet times �13•50 Alternate "B": Removal and replaeement aP curb and gutter and install a 3 foot wide approseh �ith 6 ineh depth - Driveway width plus 6 feet times �15�.'i5 �- .. � �. �•_ .� Permits Por construction Will be issued a minimum of 2�1 hours from the time oP application to a11oW for proper review of the proposed structure and of the construction site. A Certifieate of Survey of the lot, showing the loeation of the foundation once it has been construeted Will be required before oroeeedina with the Praming. � ! • ;-• � � • =� ! � i • • • � `i • � •:� � ! � _ _ �- � - . - = -- �- _� �_ �as Y+�a �9 �.'S, .v�..�.-y+ p (' � k J r � � f ;� P .__ � . _ , _- , , _ . r � • • � � � � � � r� � � � ' _ � � � • � � � � . , .. � ' � sue�ecT PER1�7 N�,..,__ City of Fridley '� ; AT THE TOP OF THE TWINS _.;,� +a_� �� _� � BUILDING PERMIT � �- � ; � HE�ETP'T NO. � ` COMMUtVITY OEVELOPMENT DIV. r � y � PqOTECTIVE INSPECTION SEC. �� ' �J/ � 1 /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PnGE O: nPPROVED Bv �'""'�"� �'� 612-571-3450 9t0-F15 10/18/95 � � JOB ADDRESS 6310 Able Street NE t LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 13,14 6 Florence Park Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Ruth 011ila H$%�X��X 6310 Able Street NE 571-6997 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Ron Williams Const 600 Janesville St, Fridle MN 55432 784-64 7 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE �ICENSE NO. 5 ENGINEER MAIL ADDHESS Z�F PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CIASS Of WORK ❑ NEW ❑ ADDITION O ALTERATION �I REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement windows in sleeping areas must meet the State Building Code.' TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PEFiM1T BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oq ABANOONED FOR A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDtNANCES GOVERNING 7HIS TYPE OF WOiiK WILL BE COMP�IED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3, 000 $1 . 5O DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM�T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. �74.75 Fire SC �y.3.00 � �� PIAN CHECK FEE TOTAL FEE ~ License SC $5.00 $84.25 4 S�GNATUFE OF CON'RACTOA OA AUTHOR�ZED AGENT iDATEi WHEN PqOPERL VAL.IDATED THIS IS YOUR PERMIT F � _ la —r��-�� $�GNATU�7E OF OWNER iiF OWNEA BU�LDER� IDATEI BlD �NSP ��FTE � ,� . .. NEW [ ] Effective 8/ 1 /95 ADDN [ J CITY OF FRIDLEY _. - ,__ __ . ALTER � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 _y= Building Permit Application ''`f�GJ�� Construction Address: � % �s ,e. S 7` _ Legal Descripdon: _ Owner Name & Address:'�� fi�{ Q% �J -�,�/O ��% Tel. #.�'7� � 9� Contractor: o n/ fv /' %i �¢/x ��n ,✓ S 7— MN LICENSE #� 3�4 Address:�o ��}-�d� .�� r S'� � ,%%,v ,��3y Tel. # `7� (v Zi �� Attach to this applicadon, a ertificate of Survey of the lot, with the proposed construction drawn on it xo scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width � Height � GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: � � �/� Sq. Ft. Sq. Ft. Sq. Ft. � Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estima.ted Cost: $ ,�D oo "� _ Approx. Completion Date: (Cost on Backj Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /d —1 �-9'� APPLICANT. i��0�� Tel. #%�i/—G y� Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � % ; ��' � 3.� $ /, ,� $ $ � , �L� $ $ $ $ s 2 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuadon (1/lOth%) $.50I$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Canservation Pian Review Fee Determin� by Engineering Agreement Necessary [) Not Necessary j] ,_ . . �� ' h� i'�� UILDING 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,Q00 $lOQ,001 to $500,000 $500,001 to $1,000,000 $1,0�,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 $Z,OOO plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,OQ0 $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 $i00,000 plus $5.00 for each additional $1,000 or fractian thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each add.itional $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 Sireets Oniy) Altemate "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 howrs 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�ecT PERIVI17TI0: - City of Fridley AT THE TOP OF THE TWINS �+�� BUILDING PERMIT �4� � ;, - i �• COMMUNITV DEVELOPMENT OIV. RECEfPT KC6� r � � '� PROTECTIVE INSPECTION SEC. 3 a+' Y i � �.r� (J i _ � � /'��1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE UF APPROVEO B� �----�•� �•' 612-571-3450 9�0-Ft5 7/8/96 / / JOB ADDRESS 6310 Able Street 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 13-14 6 Florence Park Addition s►+eeT 2 PROPERTV OWNEH MAIL ADDRESS ZIP PHONE Ruth 011ila, 6310 Able St., Fridley, MN 55432 571-6997 3 CONTRACTOR MAIL ADORESS Z�P PMONE UCENSE NO. Richard Hastings, 6831 Riverview Terrace, Fridley 574-9966 4051 d ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION [J� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Soffit & Facia 9 CHANGE OF USE FHOM TO STIPULA710NS Ventilation must meet State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOFi ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF CONDITIONING- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING SO. fT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFPSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z � OOO � L.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERMIT FEE SAC CHARGE PiiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �fj2„ 2rj Fire SC �Z.00 STRUCTION OF THE PERFORMANCE OF CONSTFUCT�ON. �'/�9 � 1�� PLAN CHECK FEE TOTAL FE License SC $5.00 �70.25 .lL�G/ SIGNA7UFEOFCON"RACTORORA HOR�ZEDA.GENT iDATEi WHEN PAOPERLY ALIDATED THIS IS YOUR PERMIT �i, �_ �-° t- SiGNATURE Of OWNEA i�F OWNER BU�LDEFlI �DAiEI BLD � INS� f�ATE NEW ADDN ALTER [� [� [l ConstructionAddress Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 6� 3l � /-�Q L�. �� Effective 3/1/96 Owner Name & Address: � cc�i �LL r� �e4 Tel. # Contractor: �� c�,,41�D j��qS'j' i,�t GS MN LICENSE #�o S j Address: � 3 3 1 t`Z � �� ` � kJ 7`c�' tZ Tel. # S7 5/ � I`' l`-� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIYING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width HgtlGround Corner Lot [ j Inside Lot [] Ft. Yd Setback Side Yard Setbacks Sq. Ft. Sq. Ft. Sq. Ft. Typ� of Construction: Sof'F' �' � F�c i` � Estimated Cost: $ Z o o a Approx. Completion Date: 7�� a/g.� (Cost on BackJ � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: 7�' �I.L APPLICANT: Tel. # S 7�( �- Q�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Gharge TOTAL STIPULATIONS: � 2: 25 $ C� � /. � $ �_�',� $ $ $ $ $ Z� CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuation (1/10th%) $.50/$1,000 Valuaxion $900 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 $349.75 for iust $25,000 pius $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 $1�,0� $887.25 for first $100,000 plus $5.00 for each additional $1,400 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,0� 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 w�,ith 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 be�n constructed will be required before proceeding with the framing. � - � sua�ecr PER City of Fridley 2 6 44.4 ' , AT THE TOP OF THE TWINS B U� L D� N G P E R M I T R IPT NO. f � l � ' COMMUNITY OEVELOPMENT DIV. /�/�/} r � v � PFOTECTIVE INSPECTION SEC. �7"1 Xi �9t � ' VV V � � �'��1 • CITV HALL FRIDLE� SS4,3j NUMBEi� FEV DATE PAGE OF AP�ROVEO BY �""�' �'' 612-571-3450 9t0-Ft5 7/6/98 / / JOB ADORESS 6310 Able Street NE t IEGAI LOT N0. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 13,14 6 Florence Park Addition s►+eer 2 PROPERTY OWNEFi MAII ADDRESS IIP PHONE Ruth 011ila 6310 Able Street NE 3 CONTRACTOR MAIL ADORESS • ZIP PHONE UCENSE NO. Richard Hastin s Contr 6331 Riverview Ter NE, Fridle MN 55432 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZtP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION � REPAIR O_MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 S) Tear-off 9 CHANGEOFUSEfROM TO STIPULATIONS Underlayment must comgly with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PEHMITS ARE REOUIRED FOR ELECTRICAL, RLUMBING, HEATING, VENTI�ATING OR AIR CONDI?IONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING SO. FT. CU. fT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEfiEIN OR NOT. THE GRANTING OF A PERMIT �1�918 $.96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERMITFEE SACCMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. �62.25 Fire .S�', �1.92 � „�_ PLAN CHECKFEE T FEE ' � ? G g� Lice $s. $70.13 S�GNATUREOFCON'fiACTOAOA TMOA�ZEDAGENT IDATEI E►.� R P VA�. A D THIS I�UR PER � � S�GNATUREOFOWNEAUFQWNEABUILDEAi IDATE� � B G�NSP � OaTE NEW ADDN ALTER �l [l �� CITY OF FRIDLEY SINGLE FA1�IILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective l/l/98 � �p �� ConstructionAddress: � .3 % U �( !3 � � �"" _ Legal Description: Owner Name & Address: �u'7`/ �L(. i�, � Tel. # Contractor: �� c��i �F iZ D �¢�Sfi ��! 6� MN LICENSE #�D S/ � Address: (� 3� I � i V�� c7 i � �,.i '�� tZ Tel. # S 7�-/ '�' � G� 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: DESCRIPTION OF IMPROVEMENT Length Length Length Z� s�� Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:7E,4 2 of=t�- � R� iZvo 1�- Estimated Cost: $ %g/� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: ? 6 9 APPLICANT: �, 1�4�� Tel. # 5' 7�-- � y,�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ , c�� Fee Schedule on Reverse Side $ �• g� .001 of Permit Valuation (1/lOth%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ �, �j(� $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 [ ] $ � • t� .,�, BUILDING PERI�IIT FEE SCHEDULE The Chief Buildina 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,OOI to $50,000 $50,001 to $100,000 : $100,001 to $500,000 $500,001 to $1,000,000 $1,OOO,Q01 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 thereaf, 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 Certi�cate 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. ! �; i V { CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE - �c.�-�--�-� �� , .��L.��--�-� ,�� , --_._. , Effective On January 1;' � ssa Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repai�s & Alterations (LIST ON BACI� 1% of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ �o.G'l� $10.00 $ $10.00 $ $10.00 $ 25.00 State Surcharge TOTAL FEE $ JOB ADDRESS � (.� �Z� �,� � ��1� The unde�signed hereby makes application for a permit for the work herein specified agreeing to do all wo�C 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 cor `Z�� ,1998 OWNER (�! L� i� BUILDING USED AS �� ESTIMATED COST $ �s:ov PERMIT N0. 1�� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $ $ .50 $ �S'S� MINIMUM FEE FOR ANY HEATING/�OOUNGNENTIlAT10N REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. 6�1 HP EDR HEATING COMPANY ``j � �� Signed By Tel No. Approved By Rough—In Date Final Date -"�� FILLOUT BACK SIDE FOR STACK VERIFlCATION ON !�''y REPLACEMENT FURNACE CHI1�IlVEy AND STACK VERIF'ICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O No O 2. Is free from rust or deterioration Yes O No O 3. Has no foreign objects lodged within Yes O No O 4. Is securelY suPported . Yes O No O 5. Meets all current Code requirements for size No O and total BTLJ's connected Yes O 6 Has total heating BTiT's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes O No O 8. Has combustion air been provided for water heater Yes O No O Remarks: . List ALTERATIONS Bein� Done: n HEATING CO: ' Signed By: Date: CITY OF FRIDLEY INSPECTION DIViSiON 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION ANO AIR CONDITIONING SYSTEMS AND DEiIICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes AllOthers/Repairs & Alterations (LIST ON BACln 1% 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 Effective On January 1; 1998 JOB ADDRESS � �J � �J � �c�=� � \ v � The unde�signed he�eby makes application for a permit for the work herein TOTAL specified agreeing to do ali work in strict accordance with the City Codes and C�� rulings of the Building Division, and hereby declares that all the facts and $��— representations stated in this application rue and c�or_ . �_ " � ,1998 $ c ,� j 01NNER � �/ �.� � � �1..__� 1�.� $ $ $�-C� $ � �� •c� $ .50 ��5.� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRlGERATION/AIR CONDITlONING PERMIT !S $25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr �, *Air Conditioners can not be placed in a side yard without •�written permission from adjoining property owner. BUILDING USED AS \�" — � � � ESTIMATED COST PERMIT� `! ss� � � �,. �.. DESCRIPTION OF FURNACE AND OR�B�R -�- � '� � . No. of Heating Units l Circle One (Steam) (Ho W�ter) �Varm Air) Trade me Size No. �� ( d�C� BTU G HP EDR ��' � " Fuel ��5-- Total Connected Load .� C�} Burner Trade Name Size Na BTU HP EDR KRAEMER HEATlNG tNC. HEATING CAMPANY_ 7441 pqt 1 p.S Cp�pT MAPLE GROVE, MN 55311 Signed By (612jr��871 ' �. � 1 ez�' � y� o--�C1 Approved By Rough—In Date �inal Date �� FILL OUT BACK SIDE F STACK VERIFlCATION ON REPLACEMENT FURNACE CHIlViNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or sfack: 1. 2. 3. 4. Has been carefully examined Is free from rust or deterioration Has no foreign objects lodged within Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6' Has total heating BTU's of �J All other BTU's ��J 7. � TOTAL BTU's Has a liner been provided for water heater Has combustion air been provided for water heater Remarks:. � � � �1�TA � �S , Yes� \ No ( ) Yes �� No ( ) Yes � No ( ) Yes � No ( ) Yes (� No ( ) Yes No ( ) Yes (;)O No ( ) \ � W ✓ F List ALTERATIONS Being Done: �� ,,,. . :,R >:; „ �:. .� ,, _ �.. � � -� ��:' � KRAEMER HEATIN� INC� . � ,. 7441 DALIJ�IS.COURT ': :� : MAPLE GROVE, MN 55311 . . . (612) 420-6871 . � ., HEATING CO: c � Signed By: Date: