AF - 35634BUILDING PERMIT
Vil�age of Fridley, Minn. N� 2 5 8'7
� �Date .�%•�!!'�.�,5. """.�i. . . . . .. . . .. . . .. .. . . . . .
♦
Owner :�..K,a.►•v . ;s.,•'+��:,�,.�,,8. . . . . . . . .
Addres •�� �r� • � • 4 • • !.�16*:'�,��.J�f./
Builder .::,,"'`:'��."'k'i�? . . . . . . . . . . . . . .. . . . ... ..
LOCATfON OF BU[LDING
No. . �l.vs ;%� . . Street . ��`�r�'. , , , �„�," , , , , , , , , , , , , , 1'art of Lot
�� � ...... ..... ... ........ 9F1!�"F�A!f/
Lot . . . . !'r „�. . . . . . . Block . . . . !�,►. . . . . . . . Addition or Sub-Division �/.N`!`!'�'yr,%, ,
�'
Corner Lot ............ Inside Lot ... .... . Setback ��,�t~� �� ,+s;w!i.
. �7M• •��Q Sideyard .f� . . . .. .. .. .
DES�CR[PTION OF BUILDING
To be Used as:
• ������+�� • • • • • Front .,I� . Depth .! . . Height . . . . . . . . . Sq. Ft. �I�'�� Cu. Ft. . . . . . . . .
� �
.................... Front ........ Depth ....... Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ,,r1��,pr�f.. . Est. Cos�,�. ,�?�. �.. .. . . . . . To be Completed .��9�/..
� � �
In consideration af the issuance 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 al] provisions of
ordinances of the village of �'ridley. �,...,, �g /
. . . . . .,,.,�,� . . .,� (;,r V � tr,o�,r . . . . . . . . . . .
'� Tn consideration of the; payxnent of a fee of $. ..,11.�. ., permi i hereby granted to .,�,;�.�,+
�;��� .�. :..... to construct the building or ad c�itian s escribed above. T i permit is granted upon
'�`iiie p•ess condition that the person to whom it is gran ted a is agents, employees nd workmen, ui all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this perrnit may be revoked at any time upon violation of any of the provisions of said
ordinances. /" /' /""'\ _
: Buildin� Insnector
NOTICE:
This permit does not cover the Cnnstruction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Buiiding Inspector for separate permits for these items.
- - +
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City of Fridley, Mi.n.n.
BUILDING PERMIT
��, � August 4, 1965 �
�>>�'�
N� 8313
Ovvner: KEITH A. WEEKS Builder S�
Address ..__ 6311 Ab ]. e S t. N. E. W ._.._______... Afldress ._.._.._.��._... �N_y ___..______.�
Eridley 21, Minnesota
�ocATioN aF BuauiN�
No, 6311.�. Street .�.._..�...� ABLE $T. N.B. .. Part or Lot _._............
Lot ....__.2Q_..._.�_ Block _._...__.W�...__.._ Additia� or Sub-Divisi� __._.. Moore Lake Hi�hlands
Corner Lot �_......._____ Inside Loi _..._.._.__. _..._ Setback __....____..._.._..._ Sideyard __.._._....._..__ _..
Sewer Elevatiaai .._.___._..__...._- __._—•-_ Foundation Elevation ....._.._....._..._._.� ._..
DESCRIPTION OF BUILDING
To be Used as:
�et. Garage � F�t 24 Depth _.._._22 Height ._�'�._.. Sq. Ft. _528 �� 5,280
_.. Fro�t ._.._. Depth i�eight ._._.___ Sq. Ft. _..�_....__ Cu. FL
Type of constructi� __....__.�..__._.. _.. Es� cost �1�584.00 ._...�...._.. To be ComPleted _......
���
In co�nsideration oi the isstiance to me of a pexmit to canstruct the building described above, I agree to do
tha proposed work in accordance with the d�scription above set forth in compliauce wlth all provisfons o!
ordinances o! the dty oi FridleY• i rliV JZ� �'.l
`
�, �
in c�nstderatian o! the payment oF a!ee o! �...5 . 00 .�.....,.., permit is hereby granted to RBITH A. WSBKS
to c:o�sstruct the building or addition as described above. This pexa►it is Sranted t�pon
ihe expresa coaiiditfon that thepe reon to whom it is graated and his agenta, emPloyees and workmen, in all work
dane in, around and upon said building, or any gart thereof, shall out►form in all respects to the ordinance� o�
��Y. �innesota regarding location, construcL�, alteration, maintenance, repair aad movin8 of bufl �'
withiu the dty limits and this P�t may be revoked at any time upoa violation of ar�y of the provisioas of sa�d
ordinancea
ALLEft G. JENSSN BuildinB In�ec�
NOTICE:
'lids pho�it dea aet eowr th� eensleuallos, �Nkn f� wirinY. P�W Y+� b���� s�w�r er wN�r. !� wn To s»
fla luildip M�qer for ap�raN PweN+ fer f6a� 1Nms.
Y a . .�
APPLICATION FOR BUILDING PERMIT
CITY OF FRI1i�EY, MINNESOTA
OWNER' S NAP� �� f 1�{- �• W�� ICS � BUILDHR
annxESS f` 3I l�i ��� s� �l/. �: a�n�ss
LOCA1"�OA1 OF BUILDING
N0, �c .3�� , STR�ET �"132.:,� � PART OF LOT � C�
,
LOT BLOCR ADDITION OR SUBDiVISION
.
GORNER LOT ZNSIDE LOT�,�SETBACR SIDE•YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this foran ti icates of Survey of Ldt and proposed
building ],ocation drawn on the ates.
�
� PTIOR OF BUILDING
�
�:
To be used as; /,
�fI A- rE ���A� �02LN Front o� � Depth �� Height /'�`�
--�
Sq. Ft. .j -o�- � Cu. Ft. � �-� �
Front �.Depth� Height
`
Sq. Ft., Cu. Ft.
.�.
Type of Construction���� Estimated Cost —�
To be campleted ;.
The under�igned hereby makes application for a permit f,or the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and ru2ings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
.� �- `" .
DATE��� (� S SIGNATtTRE � '
(Schedule of Fee Costs can be found on the Reversa Side),
� .. .
� Y r �., +
. .. . ,... . . � r
BUILDING PERMIT FEE SCHEDUI,B
SECTIOP 2. The Inspector of Buildings shall, before issuing any permit for
the exection of any building or structuxe, or for any addition to any existing
building or structure, or fo�c any alterations or repairs to any existing
buildiug or structure, upon application therefore, require the paymettt by the
applicant for such permit of fees to the amount herein below set fo�th and in
the manner herein provided tct•wit;
2� 1. For any such permit for the erection of any fire�proof bui2ding,
othei than a garage, warehouse, factory o� grain elevator,,,or.for the erection
of any fire-rproof addition.,�.;for similaz occupancy, to any esisting bui].ding,
shall b� at tihe.rate of $1.4D for each one.thauaead c�bic feet,,or fraction
thereaf, in such cubical cvnteats. �
2.2 For any such permit for the erection of ady fire-proof garage,,,,
warehouse, factory or grain elevator, or for the erect�i�on of any fireMproof
additiore, for similar occupancy, to any ex�sting building ahall be at the
rate of $1.25 for each one thousarid cubic feet, classified as "fireproof"
by Section 502 of the Minneapo?.i,s Buildiag �ode ,
� � .
HOIISES - _ °
��
. , , .. .. •
2_ 3. For an�- auch� permit for, �he er.ectio�. ....;�y non•fireproof
building, other the�t--a,��-agai wa�wbouaa, -€ac�er�r- aF-grs��-�avstort or ..
any non-fireproof addition, for similar occupancy, to any existing bui],ding �
permit �1.0� for e�ch ane thouaand cubic feet.
GARAG83 . Y�:. :..� _ . : _.
��� f
2.4.- i�or any such permft for the erection of sny aon-fir�qroof garage,
warehouse, factory or grain elevator, or for the erection of any non-fire-proof
additfon, for simi].ar occugancy, to anq esis�ting buiidiag or for each�such
building or addition - ninety cents ($0.90) for.each one thous.and cubic feet
ox fractiou thereo£, fn the cubicsl contents thereof with the minimum of $4.00.
For the purpose of camputing feea for building permfts; tite cubical contents
of any building or addition to.a uniform height throu�hout by multiplying the,.
ground area covered from a point six (6} inches below the floor line of the
basement or celler to the average hctght of the upper surfa:,e or.to the average
height of the roof surface:of the main ga.ble o£ a pitched roof._ ,
_� 2.Sw��� Fox xepairs or alterations to an existing atructure, the fee shall
'� be at the ra�e of $3.00 per each Five Hundred Dollara ($5t�0.00) or fraction.
thereof in the cost of all propoaed work.
�
� 2.6, Ia.no case s 1 the fee charged for-any permi�t as. set forth in
-
Section 2 be less than $4. . ' * ... , ,,
, � .
` _ _ . , . , ,
STORM REPAIR DAMAGE F�FS; �
Residential; Estimated Coat of work up to $500.0�`- $5.�00
Estimated Cost of .work- over $530.00 - $I0.00
Com�►ercial; Estimate �o�t of work up to ,$5:��.�0 -$1�0
Estimate�ost of work over $500.00 - $2�j0 _
� .
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SUBJECT . P � •
City of Fridley 216 2$
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� . RECEIPT NO.
� � COMMUNITY OEVELOPMENT DIV.
' LL �"" , �i
r � � PROTECTIVE INSPECTION SEC. � 7 p
� i
� , �'��1 � CITY HALL FRIDLE� 55432 NUMBEF REV. DATE PAGE OF APPROVEO BY
�""'�'� �'� 612--571-3450 9�0-F15 10/29/92 / /
JOB ADDRESS 6311 Able Street
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 2� 2 Moore Lake Hiqhlands SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Leo Zuroski 6311 Able Street 55432 571�-3884
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Exterior Desiqn Service 63�1 Monroe Street Fridley 55432 571-3220 3237
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO.
6 USE OF BUILDING
Residential
7 CLASSOF WORK
❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFK
Reside house and �arage
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
SEPARATE PERM�TS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCTION ZONING SCI. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONE� 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 AND EXAMINED THIS APPLICATION ' -�- STALLS 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 COMGUED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S3�5OO; $�-• 75
DOES NOT PRESUME ?O GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISION F ANY OTHER ST OR LOCAL LAW REGULATING CON-
S RUCTF R THE FOR E F CONSTRUCTION. $63.�� Fire SC -$3.'rJ�
PLAN CHECK FEE TOTAL FEE
Lice se SC - $5.00 $73.25
GNATUREOfCON'AACIOROAAUTH IZEDAGENT � �DA7E� � WHEN PRO Y A I ATED THIS IS YOUR PERMIT
C� �Q -'�g -`3 �
SIGNATUREOFOWNERiIFOWNERBUILDERi iDATE� BLDG �NSP �i�TE
. i�
NEW [ ]
ADDN ( ]
ALTER j ]
Construcdon Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
r �
_
(�,. ,� l l �-. � L� L c��' � �.,r`7� �� �- �
Etfective 3/1/92
Legal Description:
! Tel. # -s 7/- �3��'
Owner Name & Address: �
Contractor: ^ MN LICENSE # � �.3 �
Address: �' �°f / ��� Tet. #�l_ 3 ZZ6
Attach to this application, a Certificate of Survey of the
lot, with the proposed consbruction drawn on it to scale. �
LIVING AREA:
GARAGE AREA:
DBCK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width ____,�____ Height
L-eRg�h Width HgtlGrvund
Si1��
Corner Lot [ J Inside Lot (] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yazd Setbacks
Estimated Cost: $ '3•T'4�-O �"'
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$_
DATE: lO � � "� �vAPPLICANT: Tel. #
I'�' —
a¢
Permit Fee $ � �
Fire Surcharge $ 3 � "
State Surcharge $ % �� '
SAC Charge $
License Surcharge $ S"��
Driveway Escrow $
Park Fee $
Sewer Mairi Charge $
s'�
TOTAL $ � 3 Z�
STIPULATIONS:
1 � _
Fee Schedule on Reverse Side
. 001 of Permit Valuation (1 / l Oth 9b )
$.50/$1,000 Valuation �
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary j] Not Necessary []
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any buiiding 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 se� 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
$10(?,001 to $500,000
$500,001 to $1,000,000
$1,OOQ,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plas $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 pius $9 for each additional $1,000
or fraction thereof, to and including $25,000
$252 for first $25,QQ0 plus $5.50 for each additional $1,000
ar fraction thereof, to and including $SO,OOQ
$414.50 for first $SO,OOU plus $4.50 for each additional
$i,000 or fraction thereof, to and including $100,000
�39.50 for first $100,0UQ plus $3.50 for each additional
$1,000 or fraction thereof, to and including $Si10,000
$2039.50 for the first $500,000 plus $3 for each additional
$1,Q00 or fraction thereof, to and including $1,000,()00
$3539.54 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
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 faot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75 .
VERIFICATION QF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow
for proper review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the iocation of the foundation once it has it has been
constructed will be required before proceeding with the framing.
� SUBJECT P � N .
City of Fridley 2 715 6
AT THE TOP OF TME TWINS g U i L D I N G P E R M I T
r
; ` RECEIPT NO.
� • COMMUNITY OEVELOPMENT DIV. ��� `
� PROTECTIVE INSPECTION SEC. /
, -___
� i i
1 = �
' /'�'1 � CITY HALL FRIDLE� 55/32 NUMBER pEV DATE PAGE OF APPROVEO 8V
�""�' �'' b12-571-3450 9t0-F15 $/12/98 / /
JOB ADDRESS '
6311 Able St '
t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHEO
DESCR. 20 2 Moore Lake Hi 1112.riC1S SHEET
2 PROPERTV OWNER MAIQ ADDFiESS ZIP PHONE
' S71-3884
3 CONTRACTOF MAIL AODRESS ZIP PHONE UCENSE NO.
02-4777 20040630
4 ARCHITECT OR DESIGNEFi MAII, ADDRESS Z1P PHONE LICENSE NO.
5 ENGINEER MAII� ADDRES5 ZIP PMONE UCENSE NO.
6 USE OF BUILDING
7 Cl'ASS OF WORK
� NEW �' ADDITION O ALTERATION � REPAIR O MOYE O REMOVE
8 DESCRIBE WORK ,
within existin o enin s.
9 CHANGEOFUSEFROM TO
STIPULATIONS i
�I
Install smoke ,�detectors to meet the State Building Code - in each
sleeping �room and on each level of home.
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TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PEFMITS ARE RE�UIREO FOii ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING. '
TMIS PERMIT BECOMES NULI AND VQID IF VNORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLCa. UNITS OFFSTREET PARKING
1 HEREBY CERTIfV THAT I HAVE FEAD ANO EXqMINED THIS APPUCATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANU CORRECTa ALL PROVISIONS OF �AWS VALUATION SURTAX
ANU ORDVNANCES GOVERNWG THIS TYPE OF bNORK WI�L BE COMPUEO
WITH WHETHER SPECIFIED HEREIN OF NOT. TH& GRANTING OF A PERMIT 8
DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE pERMIT FEE , SAC CHAFiGE
PROVISIONS OF ANY OTHER STATE OR IOCAII LAW REGULATING CON-
STRUCTION OR THE PERfORMANCE OF CONSTpUCTION. 1T2 SC 3.65
� t,AN CHECK FEE TOTAL FEE
� S�GNaTUREOFCONiapCTORORAUiHOAi2EDAGEN, �DATEi � WMEN PROPERLY VALIDATED THIS IS VOUR PERM17
-_ S�GNATURE OF OWNEf7 �iF OWNEii BU1lOER� � iDA?E� �� BIDG �NSP OFTE
NEW
ADDN
ALTER
[�
[�
ConstructionAddress: �1
Legal Description:
Owner Name & Address:
Contractor:
Address: �i-��`'�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHF�:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION: -
� �,. n n � .,,` � , ..
0
Effective 1/1/98
�� _
. � �� 1�1.
�
. �.
�_ Tel. # ,5�% -- ��"�/
MN LICENSE #�L{[�(o3.f�
Tel. # 51��'7 % %
Attach to this application, a Certificai�e of Survey of the
lot, with th� proposed construction drawn on it to scale.
�
D�SCRil'ii�N OF YlYYPR�i�i�1E�1'T
Length
Length i
Length
Width
Width
Width
Height � ^ Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
`'�;'�v ���e�c.e.��° ' o�
Construction Type: ' Estima d,Cost: $ _�� (p �� ,-'
' (Fee Schedule on Back) �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 3� q APPLICANT�: � Tel. #�.S ���"S�
,
�, CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$$� •�'�j ' Fee Schedule on Reverse Side
$ 3.10`_� ' .001 of Permit Valuation (1%IOth%)
$ 1 � �c3� '', $.SQ!$1,000 Valuation
$ �i $1000 per SAC Unit -
$ S. U l7 �' $5.00 (State Licensed Residential Contractors) " �
$ ' Alt. "A" or Alt. "B" Above
$ I $450.00 Conservation Plan Review
$ . ! Fee Determined by Engineering
$ �' A reement Necess > , �
g az'Y. .. [] Not . Necessary . L l
$ � • -% a.- I' .
. .. _
�� R
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,Q01 to $25,OOfl
$25,001 to $50,000
$50, OO I to $100, 000
$100,001 to $500,000
$500,401 to $1,000,000
$1,000,001 and up
FEES
$21 (Minunum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and includin� $2,000 �
$62?s for iust $?,400 p:ss $12.50 for each ad�itionai a1,Q00
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 additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION F�,SCR4W
(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.
� . _,
sue�ecT MIT NO.
City of Fridley 2 7 7 4 3
, , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T NO.
r
� �
� • COMMUNITY DEVELOPMENT DIV. /7
r � L � PROTECTIVE INSPECTION SEC. �� ��
� . �
i----�; �'��;'� CITY HALL FRIDLEV 55432 NUMBER REV OATE PAGE OF ACPROVEO BY
i 612-571-3450 910-F15 9/14/98 / /
JOB ADDRESS 6311 Able St
t LEGAL �OT NO. BLOCK Tf;ACT Ofi ADDITION SEE ATTACHED
oescR. 20 2 Moore Lake Hi hlands SHEET
2 PROPERTY OWNER MAIL ADOHESS ZIP PHONE
Leo Zuroski Same 571-3887
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Steven R Lee 9465 Irvin Ave N Brookl n Park
< ARCHITECT OR DESIGNER MAIL AOOFiESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADORESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADOITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house & garage (31SQ) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOF A PERIO� Of 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2�656.00 �1.33
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMI? fEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION. �%�F. %5 Fire S�.' �2.66
PLAN CHECK FEE TOTAL FEE
� 9'�y' �� Licens $5.00 $83.74
S�GNATUAEOFCON7RACTOA0:IAUTNOR12EDAGENT iDniEi EN P OPERL VA ATED TH Y PERMIT �
y � �
S��GNnTUREOFOWNEA���OWNERBU4DERi IDATE� Bl �NSP FTE
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NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY �
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 /�
BUILDING PERMIT APPLICATION �� � \
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ConstructionAddress: � � �% �,� � JT' �
Legal Description:
Owner Name & Address: �. -e_o � �-e. ` � �- � ; Tel. # � 7/- ��� �
Contractor: ���..C.� J2 j� � MN LICENSE #.�% -rr�'
Address: � �' 6 .�' � �-- � ,-1.�,� ��:�. �y � %c /ti � ��-�1c Tel. # y°o� S° - // 9�'
—�
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 Sq. Ft.
Length Width Height Sq. Ft.
Length � Width Hgt/Ground Sq. Ft.
OTHER:
�7 / �" �a .
Construction Type: � � w��- �- Y-�r�- Estimated Cost: $ �o . — ��o-��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: c/ -`y_ Q�APPLICANT: �-e.s� Tel. # S°� j°�--�/ ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��--/. �1.�'"
$ . !o
$
$
$ ��
$
$
$
$
$��
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 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
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
$1,000,001 and up $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.
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