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AF - 35729Date Owner Addxes �� BUILDING PERMIT r� U Village of Fridley, Minn. N� 2'� � 1_ .... .��. . . . . . .. �. /9��. - . . . . �� . . � . . . Builder . . . . . � . . . . . . . . . . .0.�. . . . . . . . . . . . s ..... U/.�.�.� .....L��'�..�Ci�7• Address ...........� ........ ............. LOCATION OF BUILDING No. . . . . O.( . . �. � � Street . . . . . . . �s�i��`."i . . ��:��`�. . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Lot . � F�. . . . . . . . . Block . . . . . �Q. . . . . . . . . Addition or Sub-Division . � � �.$ .�r. � .'�. E. . . .l .�.R.� . . . /': � �' � % Corner Lot . .... .. .. . . , Inside Lot . .. . . . . .. .. . Setback . �.�. . �?�Oew Sideyard . .. .. .. ..� .. .. . . .. .. .. ..�. ' To be Used as: . . �7: . . . . s�� Front �� DES�CRIPTION OF BUILDING 7• , f / . ./. . Depth . . ��'LIeight . . . . . . . . . Sq. Ft. . �� Cu. Ft. . . . . . . . . . .. . .. . . . . ... .. . . . . . Front . .. . . . . . Depth . . . . . . . . Height . . . . . . . .. Sq. Ft. . . . . . . . . Cu. Ft. . of Construction � ,�-,�, , 1�Pe ��!�?. .�r�� Est. Cost . . . . .%� 0. . . z' . . . . . . To be Compleied . . `�. .�. /��!'�� /, � � � ,� ��e..� 07• /� �' -�C-c-> . --a' ��c.c,� � In consideratia� of the i�ssuance to me of a permit to construct the proposed work in accordance with the description above set for ot�dinances of the village of �ridley, , � � � � described above, I agree to do in compli8nce with all provisions of r n consic atio�l of he payment of a fee of $.�. .� permii is hereby granted to ..`p. ... � to construct the building or ad dition as described above. This permit is granted upon e express condiiion that the person to whom it is granted and his agents, employees and worlflnen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesot� regarding location, construction, alteration, maintenanee, repair and moving of buildings with- in the village limits and this p�rmit may be revoked at any time upon violation of any of the provisions of said ordinances. �,44f ./.! . . . BuiIding Inspector NOTICE: v This permit does not cover the construction, installation or alteratioa for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building lnspector for separate permits for these items. � sue�ecr PERMIT ___ City of Fridley . 122,�,� ' � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � REC . � �y __ �� COMMUNITY DEVELOPMENT DIV. r � '� PROTECTIVE INSPECTION SEC. ��/ / � � c�i �� CITY HALL �� FRIDLEV. 55432. NuMSea � �Rev. onTe PAGE OF APPROVEO BY � ""�' '� 612-560-3450 s�o-F�S 8l15/73 / 1 JOB ADDRESS 6370 Able Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 1,2 6 Florence Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Earl Sorenson 6370 Able Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue, St. Paul 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO. 6 ' USE OF BUILDING Residential 7 CLASS OF WORK �] NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK gg� Construct 28' x 26' Detached Garage 9 CHANGE QF USE FROM TO STIPULATIONS 12' Side yard approved by City Council on August 6, 1973 RE UiRED FOR tNtR{NG, SEPERATE P�RM{TS ND SiGNS. HEpT1NG, PtUMBiNG A TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P�UMBfNG, HEATING, VENTI�ATING OR AIR CONDITIONING. WODCl Fi31112 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R�1 728 7280 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1Z0 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG: UNITS O�FSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 COMPLIED $3 295 .$4 1.6S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $13 . SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHEGK FEE TOTAL FEE � - (�D -- /.�y � �� $15 .15 � SIGNATURE OF CON'RACT R OR AU ORIZED AGENT IDATEI � WH N PROPERLY VALIDAT THIS IS YOUF#pERMIT N SIGNATUREOFOWNEFiUFOWNERBUILDERI IDATEI BLDG iNSP. � DATE A�'PLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ,� OWNER�S NAME:_ ,�d6. ( �dheu,�Qcv BUILDER: c��'S'eQ � ADDRESS :_ ro3%c Ad� �S 1� %ii� ADDRESS : Iff`SD C�o�-+< o Av� c�'-F� P� � NO : . S TREET : ?C`� L. --Q LOT : % , o� BLOCK : b ADDITION : /�L� Q � rv C �, /�}(� � �j(jQ /lI . CORNER ZOT: �/ INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form 'Itao Certificates of Survey of Lot and proposed building location drawn on these Certificates. i°� - 'Q'��, �a� �� Uu.�� - % " �3 �ESCRIPTION OF BUILDING _To �e U�ecj-,@.s ; �,�.�.'%�c.f,.-�t 6'a.w.�� Front : �.� Depth : % � Height • l G Square Feet: Cubic Feet:��. � Q Front: Depth• Height� Square Feet; Cubic Feet: Type of Conatxuction: �fa� Estimated Cost;�S �a�F� °-s'--- --� To Be Completed: __ qd � ��S �� y The undersigaed hereby makes applicativn for a permit for the work herein epeeified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the incts and representationa stated in tk�is application are [rue and coxrect. UAT�: L� /��- ? ��T SIGNATURE • Cro ._ � .,�s.�.-,�[_---.._ � (See Reverse Side For Additiozial Znfoxm,ation. ) �` ��• ,��.«. �� r �'.� f� � ) � �,�J � � � � `� V' C� �` ,/ � ;r,�'` �" "^.�t° " �. � C� �v�-/ Q . . . ' /' �O S S � c' � � S' v ZZ G 6 �r ��v r , G � � � %� � � / / �� 1 S� � zi�� i.LTNG PER�/[ �_"1` r'��E �Cti}�D�JL�i SECTION 2. The Inspector of Buildings shall, before issuing pennits for the ex'ection of any building or structure, or for any addition to any existing building or st7cucture, or �or 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 t�anner herein provided to-wit: ' IJNIFORM BUILDTNG CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, ox fxaction thereof� in such cubical contents. Type 3& 5-$1.85 for `-;h ; each one thousand cubic feet. ,., ADDITIONAL INFORMATION �or the puxpase of camputing fees for building pe�mita, the cubical contents o� an� building or addition, is determined by multiplying the ground area covered fram a point six (6) inches below the floor line of the basement or tl�e cellar to the average heights of the upper surface or to the average heigY�t ot the roof surface of the main gable of a pitched roof. For r�paira or alterations to an existing structure, the fee sha11 be at the rate of $3,00 pex each five hundred dollars ($500.00) or fraction thereof in the cost of all pxoposed work. I�, ao case shall the fee charged fox any permit as set forth in Section 2 be less tk�an $5.00. VBRIFICAT�ON OF FOUNDATION NQTE: Pexmits fox eonatruGt�.on will be issued a min#.mum of 24 haurs from the time o� app7.ication, �o aTlav for proper xeview af the pxoposed structct�e and af �t�e aonatruction �ite. , A Cextified, Survey of the lot, showing the location of the foundation, once it has laeen constacueted, wi11 be xec�uired before ^proeeedin�t with the f7caming. CERTIFICATE OF QCC�iPANCY Appl3,catio� fox a Cexti.ficate of Occupancy sha11 be �a.de ten (10) days prior to the use or pccupancy of any structure for u�hich a building permit has been iasued� and said s�xucture shall not be used ox occupied until a Cextificate o� Occupancy has been i,ssue+d. . r i .. � t,(il i .,�/ �__.- _ __a __�__ � ..! ' ;31 L�E<:_r.ription _.____��._ � �.j��_� , � —�� _� �;il: �__ �,T-- , 1 �`�I�1'n _ .__. — -- � < < FOR OF�ICE USE Of`JLY � ; ��-jluc--- ' `�= �` — �'� ��` CONTRACTOR - � �-�'� (;} 7 v t�e Co n s t. �"�,, �,.? `>'?'" J 0 B- - Slab: ❑ In 'E1E3y Sussel SUScGi inn ;-� � �� -�-- �`nnITRAC'T =- �•Z �� j - CZ. Z-�- _ � E3y O�vner A��prox. 2-STARTINGS POINTS ONLY S.P. L. ��-- ` S. S. P. L. �� R.P.L. Alley House F. Street __ Other � Sc�ut�re Wi[h1<i?J �;�� ,..,�=- 1=i-F�crcts- � i� Mesh � �od Rem. By� ' ' ' F�-�-lL7+a� �F� Baq Mix r� ! -' "Jo Tamping �� A.B.U. ' �'� � C�! Grade Point . �. �� O.H. Dr. Offset �' � `� i j_'�. C� S.D. Location / � , �$-lOCkS ❑By�Ownci;:-�.V Sussel � . � WIII(�OWS �7 ��1 :(`-C� ' . �_ ; �� : ,,;_ .. . _.- . J03P.,1,��;_c � �.. ": � � � �--�—�_.._. ___- BLC�G C�`?= �,R� !� _ r' ._� � . �� — — _ . ._, __ ,_ � t, _, . SALES"JIAN ��°"� " •" �fi _.-CONTRACT DF?T�'�_ _�IZ.Ej ,_C, Existiny qur:tyc: No ( I � Detached � Attache�i Yes i� SizB of Bxisting:=' �,.'� x -:_.. - Existing garage will be: � Left as is � ❑ Converted to LS. - By owner -+`Z-Removed By: Owner( l SL A; ; C c�C �� Sussel„�_}�� Junk Must Be Removed By Ow r . Cj'Ji�ii� . �'�i� .. ..: � r , .. � Specify��Lremovalsrby Su - SPI � owner trees, bushes, etc �Show approx. dist. garage to house and all prop. lines Stal<es visible - I I Ycs �-I f�J Survey available - � l Yes .1!(N ,a Special instructions from owner: ` - � fY r. ° - r ,� .,- . ��'Li<-7,�'��!�7. -; i_ �_ O� fli :z-�� P . �P �. . . .. , i�., _ �_! t>? �� r R Tc. E_T� _ k � 4 PART OF CONTRACT #� � � �� P--4 REV. d .'.r' `: '�--�cwr��t. .-� - , • ��t' � i _d } X L.f r ;�'_- �` i � � 'r i i�i ,L1 � �`�''� (�::cs�,�d < �,t LovJ r �'F3 !>C-G � r c a:,V � ;,�' �t � ;� �, �� r':: ., _� < . _ .�..' U N �� "� . _ . . , . � f'�. _ � n,, � c� {` �1J:" `,}':s� � _s .. _, �'.fe /a: y�/ ��✓" —,_--___._----- - ------°--`" � i � �"� �.� � �� ; c " � � ,.. . . � . 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Y F., _ _ # � � ��i �� i � �-.' �' ' a. �' . � .e.. - Z� �- ., E� �� v,�.r �� `: �� € � �°� �� F� ' ..� h� � :� �, � ,� � � � , ��. � ��._ ��f:-� � , �� : - , �, . r,. �-.... --- - _- � : . ,� . � � -_ �� _ � .-, _ E : _ -- � - -� , - . � � ___ _R � _ _ - � - � � _ � � . _ � _ _ � � �� '�'.� g � � ;, -� ---�. ° �- ��. � -- � �, �-�.,.�.� ° ; �. - ° �� _. � - - _� � �., _ - - - �� , .. � �� . : � ,�.-�„�s.�.�, 3 �x � ��'�� `� � ��`�� `� � � �-� �. � - ¢ � � _: _ : .. �� . �! �� "�� a � � � � � � �. ��f� �� , � _� �� £ ,� 4�� -.°�_ � �� ; �� . � �, �� .� _ =§ � � _. � � . �� _, z �, �- ��-- F �, - � �, _ � .. �� r, ,_ � , . �� 4,: � f � £ � � . � , . � rt � �� _.� � � � f =�� fffi � 'E,. .�' . � � �— — . .- - : :` �-` � € ; ;_ � � °�y � � �"" �^'� �� . l � . � �"� f�+=`� � � � .. . . , . � � . . . � �. �� . �f.;. � . . � . . - - , . . � '_ e � . . � � -� �. � ' g . . . . . � � � � � ' ' _ K� _.. ` t, _ fi .' �� - �' � ` �_ � ' t= . �� s � �..�� '• �.`"� �e� '� _ _ '� � �„ _ �' � � � �,. �..�s, � _ �' E . ' � ` . — � � � � �� E � � � � �� _ �°'� � � ��'€`� � � � ��`-� �:- . � : : `' °' �v � « � �� '� � �� ` � �¢s� � � � `�ti � �� '�* � � �' � � ,� �'.: �. � � t€� � �� ,�� • - �; 4 ��"'��'� �,� ��,q , � � �� ,^ ��• ��'�'�`��'� . ��.��'; �� -� �J � � ` � � � �_ � r �� .�s� ��d�� Q�q�� +� �n� � .�. �: �`' � � � � � . _ �� ^_ — — �—_ €'� ��°�i�p��at� � �, . �� ::, � , � �; . t �� €^� ��, � � � � - � a xa �� . . . � �� . . F�-.-� `_ � � �`----.� � � � � e � � � - . ' �p �: � . � . .. - ' 1.�� . �, s . , > .. y _. . � , .. - ,� ,— -' . -� t , � - � . �.. - .. ._ .�. .' . �:.:; . . i �.�. . R Y . . " ��>�'� �� _ . . . . .. ' . _�: Y� � �� . . � ; � • n� ' � � n � �" � . -�, � � � <. � ��v �` � �`. _. � i,� �„ ��' � -_ - � �, � � �= ��- � � � �-�� ``� �� " .. �� '* ��. - ��.,, - - � �` � , , _ _ €, � � � � �. � ° � � � .F . _ " - � � „ _ - . . ��, � �. � ^.� � � , .. . e . � � - .-. : . . ' � � � � -- �... . _ ; ' � . . . >. . _ . `� �., � �; ' ' �^ _ ` �_, u �_ � _ , , " ,, . , � , _, a . . .- �_-. . � a . ,. _ ° , �, , , ,_ . , . . , . .. � , _, ' � . . . . �-:. , : �.. ,.,. .. ., .. , , , :, . . � ' _ . _ . •y �..e . . �..: _ �. . , :, . r : . ;' �.' z'�, .-u.. �. _ _ _ _ .. __:., _ .. . n, . .. _.,_ .., . . � SUBJECT . City of Fridley � 0 13240 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � , � R . � • COMMUNITY DEVELOPMENT DIV. � �y_------� �� r � � PROTECTIVE INSPECTION SEC. i � � � /�'�l � CITY HALL � FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'•"� � ,�� 812-560-3450 910-F15 � 0-3-�5 � � JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. A � � On SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Earl Sorenson 6370 Able Street N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. James P. Mathiesen 3949 Perry Avenue North Robbinsdale 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P PHONE IICENSE NO. SAME 5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO. 6 USE OF BUILDING residential 7 CLASSOF WORK ❑ NEN1 ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK chan in flat roof on an addition to a gable roof 9 CHANGE OF USE FROM T� STIPULATIONS T OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMiTS ARE REQUIRED FOR ELECTRICAL, PtUMBING, HEATING, VENTILATING-0fi AIR CONDITIONING. THIS PERMtT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION zONING Q. F. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDOMEO FOR A PERIOD OF 12Q DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY 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 COMPLIED �$900 � . 5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATtNG CON- 6.00 STRUCTION OR THE PERFOfiMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE . 6.50 .�IGNATUREOFCONiRACTOAORAUTHORIZEDAGENT IDATEI EN PROPERLY ALIDATED THIS IS YOUR ERMIT i. � `0 3 y:�' GNATUREO OWNERIIFOWN BUILD IDATEI BLDG INSP � A7E APPLICA"1'ION FOIZ IZ�_;SIDEN'1'It�L, �LT]�1ZATI0,"v', OR AllDITION I3UILDING Pl;Ri�IIT' CITY OF FRIDLEY, MINNESOTA � � �,,� �� OWNER' S N�1ME : Q �' / Sd%�'Gi ,Ol/! BtJILDER : � � �S � ��l !,C l S � � ADDRESS : � 3 �d � S/ , ,/�L' ADDR�SS : �7 % ��`'6' /�'r/� �///.. �� ( '� O!o!� / �� NO:. STR��T• LOT : � BLOCK • � ADDITION : � �G�� -C Q"� CORNER LOT: TNSIDE LOT: SETBACK: SIDEYt1RD: Applicant attach to this forn► Two Certifica�es of Sti_rve� of Lot an!� pa:�posP building location drawn on these Certificates. � To Be Used As: vESCRIPTION OF BUILDI�VG Front: Square Feet: Front: Depth: Depth : f�eiglit : Cubic Feet •_____� Height:^ Square Feet; Cubic Feet: Type of Construction:�� c��fi Estimated Cost•��DD, �G7 � ro Be Completed: C S.��S _ The undersigned hereby makes appZicati�n for a permit for the wo�k hexein specified, agreeing to do all wnrk in stxict accordance with the City of Fridley Ordinances and rulings of the Departxnent cf Buildings, and hereby declaxes that all the facts and reg:�esentations stated in this application are true and correct. DATE: SSGNtxTUI'�: �n _ �iY � ��Loi»��„�,�., (See Reverse Side For Additional Infr�rmation,) (D• �J . �� ,��,�'� .�.� �- �� , . . 0 � € _I , � BUILllING PEI'.MI'T P�� SCI�L'llULL SECTION 2. The Inspector of l3uildings shall, before issuing permits for the erection of any building or structure, or f�r any addition to any existing 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 the manner herein provided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. AllDITIONAL INFORMATION Fox the puxpose of computing fees for building pex'mits, the cubical contents 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 ox the cellar to the average heights of the upper surface or to the average� l�eight 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 woxlc. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIPICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 houxs from the time of application, to allow for proper review of the proposed structuxe and of the construction site. A Certified Survey of th.e lot, showing the location of the foundation, once it has been canstxucted, wil.l be xequired before proceedin� with the framing. CERTIFICATE OP OCCUPANCY Application for a Certificat� of Occupancy shall be ma.de ten (I0) days prior to the use or occupancy of any structure for which a building permit has been issued; and said stx'ucture shall not be used or occupied until a Certificate of Occupancy has been-issued. �� ;`i . *,� , SUBJECT P . City of Fridley o 19494 AT THE TOP OF 7HE TWINS g U I L D I N G P E R M I T r � � � � • • COMMUNITY DEVELOPMENT DIV. ; �L ------ � � �� ' � � � PROTECTIVE INSPECTION SEC. 1 . , ( � �'�'1 � CITY HALL FRIDLE� SS43Z NUMBER REV. DATE PAGE OF APPFOVEO BV �.---�� ,'� b12-571-3450 9t0-F75 5/25/88 / / JOB ADDRESS 6370 Able Street N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt. �. � 2 � F�.01^E.'riCe Pdr�C SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE Earl D. Sorenson 6370 Able Street N.E. 571-2035 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGIMEER MAIL ADDfiESS ZIP PHONE IiCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW C� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 264 Square Foot Deck 9 CHANGE QF USE FROM TO � STIPULATIONS See notations an plan - 1�IA�NI�G 8efo�� digging call focal utili�i»� i��LEPHONE - �LECTR4G - �AS �i,�. SEPARATE PERMITS REQUIRED FOR ��Q��R�p �y �,1�� 1�Vi�t�l�C, HEATl�1G, PLUMBING AND SIGNS. SEPARATE PERMITS AFE iiEOUIRED POR ELECTqICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI 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 PEAfOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEf1EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WiTH WHETHEF SPECIFIED HEREIN OR NOT. THE C�RANTING OF A PERMIT $� i8OO $.9d DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. S41.00 LAN CHECK FEE TOTAL FEE $41, 90 s N eocC N�R C ORAUTHORIZEDAGENi iOnrEi . yy�..�N PROPER� LIDATED THIS IS YOUR PERMIT 3 -2 S -�'?3 �� iGNaTUREOFO NERi WNERBUiLDER� �DnTEi BLDG �NSP q,c7E I�LV [ ] � [►�J� ALZER [ ] City of �idley R-1 ArID R-2 �,;�ding Permit Application EEfective 5/L88 donstruction Ac7dress:�o 37D /��G�.. S i .�t� � r�; ►� Descriptian: L �� 1 _. - + Owr�er Name & Address :�' L ,e t. Tel. � 571- 2 0 3 sr Gbntractor : �. # Ad�iress : � Attac� to this appl ication, a Certif icate of Stuvey of the lat, with the proposoed conskructiori dra�m on it to scale. �i��eij;Z : r;;;� :; ��«; .; • 'i�• �SGRIPPIOl�i OE� Il�ROVE ' '+� Length wic�h Height Length Width Heic�t Length width &3k /Gro�a 5�. Ft. St�. Ft. ' 9q. Pt.2�o"/ (brner Lot [✓! Insi'ade`I�t� I! I% Yd Setback Side Yard Setbacks Type a� �nstruction: Estimated Cost: S i�D tj Approx. Comple�tion Date: Prop�sed Driveway Width If New Opening Is Desired: S, :' Wiclth + 6' L�TE: -�-� 2 S—� k' APFLIQANr: Permit F�ee State Surc�arge SAC Qiarge Driveway �aw Park Fee Sewet !lSin (l�arge � SI'IPOI�IQ�1S: S O $ � S S S s t. (�TY OS� �LY � Alt. A A1t. 8 S See Back Page Tel. # F�ee Scheciu].e on R�verse Side �.50/51,000 Valuation 5550 per SAC Unit Alt. '�," or Alt. "B" Above !�e Determi.r�ed by Fhgir�eering Agreeuent Neoessary []. Not Neoessary .[ I � . . j��d ,� �'b�- f3,d� 13X Z �_?� . � e,_ y�, on : ) � �. ' �+;�� M ��1 �«:I��. 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 applicarit for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: R�OTAL VALUE Sl to $500 $501 to $2,000 52,001 to SZ5,000 525,001 to 550,000 550,001 to 5100,000 $100,001 to 5500,000 5500,001 to �1,000,000 S1, 000, 001 arid up f�� S15 tMinimun F�ee is S15 p,1us surcharge ) �15 for first �500 plus S2 for each additiona7. 5100 or fraction thereof, to and incl.uding S2, 000 S45 for Eirst $2,Q�0 plus S9 for each additional $1,000 or fractic�_thereo�, to �nd including 525,000 5252 fox first 525,000 pluas 56.50 for each additia�al 51,000 or fractio� thereof, to anc3 including 550,000 5414.50 for� €irst S5t1,000 ;aius �4.50 for each additional S1, 000 or fractioci`thereof, t�o and in�cluding 5100,000 �639.5Q �.foz f irst $100, 000 plus $3.50 for each additia�al. Sl, 000 or fractioci thereof, to and including 5500,000 �203�.5� for the first 5500,000 plus $3 for each additional S1;OOO or fractio� thereo�, to and including 51,000,000 53539.50 for the first 51,000,000 plus S2 for each additional $1, 000 or f ractioa� thereof � D TVEW�,v nE� �.GTn�� (Concrete Curb Streets Only) Alternate "A": R�novai and replavement a� curb and gutter only - Driveway width plus 6 feet times 513.50. Alternate "B": Renoval;�:and replaoement o� curb and gutter and install approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VB�FTCATTON � iXY]N�TTpN a 3 foot wide Permits for constru�tion wi11 be issued a minimum of 24 hours f rom the time of application to allaw for proper review o� the praposecl structure and of the �nstruction site. A Certif icate � Survey of the lat, shawing the location of the faindatian once it has been aonstructed wiTl be required before prooeeding with the frmning. . -AY1'Iti . - � . • � . ♦ . . � . _ _ _ _,.�. ,,.,�s, B. H. BRADLEY f GvLL Q101NaR AND fURVtYOR ��' �"/� �v SSE L�a �t2Y - 2�n� wvwut aoutM v r v �� `, � MIlMA�'OLIt. M9WOOrA �w �.-41M I 8,�o C Dt�ID ve• 0 0 �' ! v 3 � � V ss� � rt � �t'� �� :.�- ,: y ,� ba t P« s,r s �C� �t % � a .3�� w _....._._ _ ��z � �� t'q�� o � -�` /Z'� 7'� �L 133. 1` � L o1'i � � � ---- w � a � ,L�TZ `Q � l� l o Oc,MOr•s pra�et7�� cor�ve� . �h•reb c�tti�'y thar this is a► cot/-e�� h�p�cs¢�.i�d►Ticw y . o�' a s uw� y a�` � o rs 1, a��! �, �« �/�di��g ��e ��'o� f�iie V� ��r t�� /Yr�. t�i �/e �� i� �/ot �w �c t�r,� A�� t'� 7''�'t Ct�'y e � ��v*�/l� .:s �s'c.•tw�y �►� c�y./ef ��, s�prrv�'sie'w t� e!o t�' o�v /y I9 7'3. v � ��i. ��tl/� °/�- /�. /�� -�!� � � � � � � � -�1 �+� � � � S .r � C 1n � � ... S � _ �� , — — cG � � � . . .. � � sua�ecT R . City of Fridley 19902 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RE . � ' L _ COMMUIVITY DEVELOPMEN7 DIV. �y r � � PROTECTIVE INSPECTION SEC. 3oZ �/� 1 � � l•-__� ��'��;`� CITY HALI FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8V � 612-571-3450 g10-F15 5/17/89 � � 108 ADDRESS 6370 Able Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1& 2 Fi FZOY'eI10E P3Y'l{ SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Earl Sorenson 6370 Able Street N.E. 571-2035 3 CONTRACTOR MAI� ADDRESS ZIP PHONE �ICENSE NO. F& G Siding 1390 ^ 7th Street N.W., #5, New Brighton, NIl�1 55112 , 639-I249 4 ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE UCENSE NO. 5 ENGIN�ER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION � ALTERATION �J REPAIR O MOVE � REMOVE B DESCRIBE WORK Reroof Dwelling (24 Squares) 9 CHANGEQFUSEFROM TO STIPULATIONS Roof can he 2nd layer hut not 3rd. Install ridged galeanized valleys, SEPARATE PERMITS ARE FiEQUIFED fOR ELEC7RICAL, PLUMBtNG, HEA7ING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OFi CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT ANY T�ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO,OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1�200 $.6O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . $29.00 PLAN CHECK FEE TOTAI FEE $29.60 . SIGNATURE OF CONTFACTOR OR AUTHORIZED AGENT IDATE` �-+ WHEN PROPERLY ALIDATE THIS IS VOUR PERMIT . SiGNATUAE OF OWNER IIF OWNEF7 BU4DEAI IDATEI BLDG �NSP �� TE � [l � � � �� [ ] CbrLStruction Add.ress: IPCJdl D2SG71p�1011: R-1 AND R-2 Buildir�g P�ermit Application S /,�_ Y�1. �� Effective 5/1/88 i i � i- owner rrame & �ar�s : �C,.r-1 � � � r��'l. s c� �n �t . # s 7 % -� v � � c�ntractor: �� T S t c� �i/Lr'1, �. �� 3 c1 T!O� `�� S: LIVII�IG AREA: (i�►RM�E !�: D�CK AREA: Orli�[2: �� s— ,�� Attach to this applicatio�, a Certificate of Suxvey of the lat, with t2ye p��qaosed ooa�stxuction drawn � it to scale. �C�tIPPI�i � Il�liO�VHdE'Nr LericJth Width i�eeic�t Sq. Ft. I�ength Width iieight Sq. Ft. Les�gt-h Width ,� Hgt/Grrnnx�i Sq. Ft. � � � cbrner Lat [�Inside Lot [] Ft. Yd Setback Side Yarcl Setbacks ZYpe of O�stniction: Y'v c��.{✓� Estimated Oost: $ T�� /..Z�v . . - Approx. c��etion Date: S,� � G �i Proposed Driveway Width If New Openirg Is Desired: Ft. $ $ W' + 6' See Back Page �: ��: �. #� 3 g •--{ � Y l P�ermit Fee $ p� � (� state Surci�arge $ � � sAC c�arqe $ Driveway Escraw $ Park Fee $ S�wer Main Q�arge $ �, $ �r. D �s ��: � �� QTY OBE �Y Fee Sdzedule a�► Reverse Side $.5o/$i,000 valuati� $575 per SAC Unit Alt. nA�� OY' Alt. �B° AbOVe Fee Detenmined bY IIxJit�erir�g � N�tY [ ] � �. .� � / . � � :�1 � � ��_ i:i;.y�yi :�:�` : �.t��_I� :� Zhe Chief �iildir�g Official shall, before ��4>i*� peYmits for the erec.�tion of ar�y buildir�g or structure, or for atiy addition to ar�y existing building or structure, or for any alteration or repair to arYy existir�g buildirig or structure, upon application �fore, require the payment by the applicant for such permit of fees to the amaunt iie,rein belvw set forth and in the manner herein provided to-wit: • v $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 i_� $15 (Mini.n�aa Fee is $15 plus �arge) $15 for first $500 plus $2 for earh additional $100 or fractiaa'i ti�.raof, tfl arxi iricluding $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction theYeof, to ard including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for fixst $50,000 plus $4.50 for each additional $1, Q00 or fraction thereof, to arid ixicludir�g $100, 000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction ther+eof, to and including $500,000 Y $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional. $1,000 or fraction �hereof, to arxi including $1,000,000 $1,000,001 ar�d up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DItIVEf�Il,Y �PRESSI�T F�3C.'RO�i► (C�ete C�rb Streets Only) Alternate ��A�� : Re�noval and r�laoeaent of curb ar�d gutter oa�ly - Driveway width plus 6 feet times $13.50. Alte.rnate "g" : Re�nava7. and re�laoeqnent of curb arid qutter ar�d install a 3 foot wide approach with 6 irx� depd-h - Driveway width plus 6 feet times $15.75. � :�,• ■- w� .; ., -.��i r�� .. P�ermits , for ooqLStructioa�► will be is.sued a m; *+;Mm+ of 24 hours fra�n the time of applica�io�► to allaa for proper review of the prc�osed structure ar�d of ��t�e oonstructi� site . . � � � " �`' ' � A C�ertificate of Survey of the lot, showirig the location of the fwr�datio� onae it has it has been oonstivcted will be required before pY�oc,�eedir�g with the framirig. ,� � ; f � � i � � ...--.--- . _ . � .r .. SUBJECT City of Fridley AT THE TOP OF TME TWINS g U I L D I N G P E R M I T f � � COMMUNtTY DEVE�OPMENT DIV. r � V � PROTECTIVE INSPECTION SEC. i � 1 . i.--_�,��"' �,� CITY HALL FRIDLEV S5432 NuMeEA i 612-571-3450 9�0-F15 J08 ADDRESS 6370 Able Street t IEGAL �OT NO. BLOCK TRACT OR ADOITION oescR. 1& 2 6 Florence Pax 2 PROPERTY OWNER MAIL AODRESS 3 CONTRACTOR MAILADDRESS Ron Miller Construction Inc. 9 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAtL ADDRESS 6 USE OP BUILDING Residential 7 CLASS OF WORK REV DATE 8/19/98 ZIP � 27283 RECEIPT N � O� Of APPROVEO BV � SEE ATTACHED SHEET ]l1�7714 PHONE LICENSE NO. 71- 4 6�54 PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE D REMOVE 8 DESCR16E WORK Storm dama�e — West side roofin�: & Reroof detached Qaraee (6 Sa) Tear—off 8 CHANGE OF USE FROM ro STIPULATIONS i��x��x�g�sx Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, �� VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DN I HEREBV CERTIFV TMAT I HAVE READ AND EXAMINEO THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UAT AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIEO WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT ].00O DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T PROVISIONS OF ANY OTHER STATE Ofi LOCAL LAW REGULAT�NG CON• STRUC N OF THE P FORMANCE OF CONSTRUCTION 3(�. PLAN CI .� SiGNATUR nC70RORAUTNOR4EDAGENT IDA EI i SiGNnTUAE O% OWNEA uF OWNEA BU4DERi � iDATE� OCCUPANCY GROUP OCCUPANCVLOI� SO. FT. CU. FT. OFfSTREET PARKING STALLS' IGAFAGES TOTlyC/F E E NEV� � [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ' ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� ` ��` BUILDING PERMIT APPLICATION � ConstructionAddress: Cn�� %Q ��j��. Legal Description: Owner Name & Address: ,C�l/ �5�;(L��/` � Tel. #_��/–� 3�� Contractor: � � �� / �� /=S�f `/�J'j �1� MN LICENSE # lp.��- S``y� Address: �,53 i'i�C r^.�. �S� �.'i� s�. ��,��- Tel. # �S– � l'� ��% a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � LIVING AR�A: Length Width Height GARAGE A�tEA: Length Width Height DECK AREA�: Len Width Hgt/Ground x OTHER: � � 1i`�- ' � � (�t/�C � �� C C(�`G��"�%'� - �/�111� l° l � � ��r� Sq. Ft. Sq. Ft. Sq. Ft. �� Construction Type: Estimated Cost: $ � S�v �OGb " (Fee 5chedule on Back) Driveway Curl� Cut VVidth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �` — �PPLICANT: c?� r Tel. # � ��.5% Permit Fee I Fire Surcharge' State Surchargt SAC Charge License Surchalrge Driveway Escnow Erosion Contrql Park Fee � Sewer Main Charge TOTAL STIPULATIOWS: $ � � �.� � .�v $ � $ � s =�� $ $ $ $ � �'�. �.s� 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 Flan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . .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 $2,001 to $2�;�0 $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 $1,004 or fraction thereof, to and including $100,OQ0 $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 iirst $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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locat�on of the foundation once it has it has been construc��d will be required before proceeding with the framing. �� -�� vJ o-�� '�. G�, c� � , ; o-v� G'�_ ` � � � � g C�C� � �,.� `� �„� �c.,�:..� �J �9 � � �� ; ��-,� ��g � �� ;� f , . _ � � � i� _ . M sue�ecr R City of Fridley 2 848 3\ AT THE TOP OF THE TWINS g � I L D I�1 G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. , ; �------ . r�o3 f � � PROTECTIVE INSPECTION SEC. i---.�; �"' ;'� C1TY MALL f RIDLEY 55�32 NUMBEN NEV OATE P�GE Of �6oROVED Bv L 612-571-3460 910-Ft5 10/30/98 � � 108 ADDRESS 6370 Able Street NE t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED �esca. 1& 2 6 Florence Park SNEET 2 PiiOPERTY OWNEi; MAIL ADORQS$ ZIV PMONE Earl D. Sorenson 571-2035 3 CONTHACTOii MAIL ADDRESS ZIP PMONE UCENSE NO Owner � ARCHITECT OF OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. S ENGINEER MAIL AqDRESS ZIP PHONE LICENSE NO 6 USE OF BUILOING Residential 7 CLASSOFWOFK � NEW ❑ ADOITION ❑ ALTERATIQN � REPAIR O MOVE O REMOVE 8 DESCRIBEWORK Reside garage and west side of house - Storm dama e 9 CHANGE OF USE FfiOM TO STIPULATIONS Call for building wrap inspection before cavering. SEPARATE PERMITS ARE REOUIRED FOR ELECTfi1CA�, PLUMBING, HEATING, tYPE �F CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NUIL AND VOID If WORK OR CpNSTRUGTION ZONING SO. fT CU FT. AUTHORtZED IS NOT COMMENCED Vy1THIN 60 OAYS. OR IF CONSTpUCTION OR WORK IS SUSPENOEO OR ABANDONE� FOFi A PERIQO Of 120 OAYS A7 ANY TIME AfTER WOiiK IS COMMENCED. NO DWIG. UNIT$ OFFSTpEET PARKING 1 HEAEBV CERTIFV 7HAT I HAVE pEAD ANO EXAMIN�D TMI$ APP�ICA710N STA�L$ GAFAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS QF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WQFK WILL BE GOMP�IED WITM WHETMER SPEC�FIED MEREIN OR NOT. 7NE GRAN7ING Of A PERMIT 3000 1. SO DOES N07 PRESUME TO GIVE AUTMORITY 70 VIOIATE OR CANCEL 7HE pEpMIT f EE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $TRUCTiON OR TNE PERFORMANCE OP CONSTRUCTION 71�.,7� Flr SC 3.00 �LAN GMECK TOT l FEE TUpE O T A Qp �UTHOpIjEO �GENT � IOATE� � �•�� E vnUO E IS iS r�UR Pf�$M�+ ��I - LJ �G • uQ O NEa�ifQWNEpBU�ID p� � �O�TE� � � � � B�D �NS� �� rt NEW ' [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Q BUILDING PERMIT APPLICATION �6� � , � �o �� ConstructionAddress: � 3 7� �¢-�� 5 T ,�l �- Legal Description: Owner Name & Address: � �� C `7 . �,,� �,s�,J ��-Q�„1 � �S ,g-� ��Tel. # S �i — 20 3S Contractor: MN LICENSE # Address: Tel. # �2s - z.�ib Attach to this application, a Certificate of Survey of the lot, with the Qroposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length 2�� Width 2 8 Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. S. �. ,v q � XJ L-�i�i-,2..�t�, �- � �e G4ic � Construction Type: S,a(,,�a �,,� i�� r s, D� e F Estimated Cost: $,3r, o0 0� �15G— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �d APPLICANT: �,g„�L �. r..�,Q,��,Jsm,�/ Tel. # S�� — Zo 3�r Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . 5TIPULATIONS: $ Sa $ d $ /, S� $ $ $ $ $ $ r $ % .�5� 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 [ ] 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 $SOO,OOQ $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 xhereof, 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 �rst $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,OOOplus $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. � - Building MECHANICAL Permit No.: � �01� Inspections RESIDENTIAL APPLICATIQN Received By: f%'� 7.63-572-3604 CITY OF FRIDLEY ��e� � p 2 DATE 9– 6' �� YOUR E-MAIL ADDRESS �. SITE ADDRESS '� V � t c�i' ►Q. I r� TH1S APPLICANT IS: � OWNER �CONTR.ACTOR � PROPERTY NAME: � A i2. I S O�^ t� S 4'^ OWNER/ pDDRESS: �JR� � C1TY � A I � STATE ZIP S�`�1�L TENANT rxorrE:? 63 - S'� I- 3 � 3 S CONTRACTOR COMPANY N.41v�: � v• r C �� S� <<� ��-� a SUBMIT A COPY OF CONTACT PERSON C1., r i s ► YOUR STATE STATE LICENSE � EXP DATE LICENSE WITH ADDRESS: iS'�l� 0 1'�iA ► h S� N lr CITY �2 l d�� STATEM� ZIP �_1�%�.L APPLICATION PHONE '� � a-'1 S�f a31 q R FAX , PERNIIT TYPE �SINGLE FA1vIILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' � �W ��'�CEMENT ❑ ALTERATtON/REMODEL � DETAILED DESCRIPTION OF WORK .�r�s �A l( � �,o I t*- �-� �-t �- 4.�" �`-'" R'''ti'� �'`'' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.40, whichever is greater, for the improvement, installation or replacement of a residential fixtwe, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. La.bor cost between $300 to $5� = cost of labor x.OS = FOR PROJECTS Wi�RE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FA?URES: (INDICA'i'E T�TAL MJMBER OF EACH BELOV� MODEL: '� 1� 1� � V U�( � o Q � SIZE/BTU ,� o � � G Equipment Installed , MFG: �— STZFJBTU � 1vffG: MODEL: SIZE/BTU MFG: MODEL: _A/C 525.00 FIREPLACE (GAS) S15.00 . GAS RANGE/OYEN 510.00 AIR TOAIR EXCHANGEER Sl5 _FIREPI-ACE (WOOD) $35:00 NEW GAS GRII.I. 510.00 BOILER 535.00 �FURNACE 535.00 GAS UI+RT iTTR 510.00 CHIMNEY LINER Sl 0.00 _GAS DRYER S 10.00 POOL HFATER 535.00 _DUCT WORK SIO 00 _,GAS PIPiNG S10 00 VENT'ILATOR SI5.00 .�. s. �+,��,,.�� ,. ,.�... «��1�,$;� �,;; � , y _ ._... w . .. .. �. :: , � � .� " !� �'`��. r .. ,� Permit Fee $ Number of fixtures @$10.00 x$10.00 $ Surcharge $ .50 Number of fixtures (a� $15.00 x $15.00 = $ TOTAL DLJE $ Number of fixtures @$25.00 x$25.00 =$ Number of fixiures (a3 $35.00 � x$35.00 =$ 3S• v 0 State Surchazge = $ .-50 Tota1= $ 3S•S4 THIS IS AN APPLICATION FOR A PERM�T-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wiIl be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota •Construction Codes; that I understand this is not a permit but only 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 case of all work which requires review and approval of plans. SIGNATURE OF APPLICANf G� ti�-'� ✓'�j�+i�y� _P�T N'4ME �+�' t t j Z DATE Q- 3 �" V� r�"��`j�y�y �`1 /�'� �. _.. , .. � . . , h�, � �� . ... ' y�� ' A� � ��{�� u ,: L�aY'��ai"'��SS�ii�'_�i , , - �. ' �:�� . • .. . . . .. ,. � �',�.,�?l��'�'"+'t1�� w�b . .._ l:�ry o� r nu�ey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �. REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADD(TIONS ❑ EXISTlNG HOME ❑ MAKE-UP AIR REQUIRED FOR I�EW/EXISTING HOMES 1. Combustion Air (See note below) . __ a. Oil or solid fuel ]MC Chapter 7 with MN Amendments ' b. Natural Gas or PropanelIFGC Chapter 3 with MN Amendments , 2. 1vlake-up Air (See note below) _ a. IMC Cha.pter 5 with MN Amendments 3. Venting . a. Gas appliances 1FGC Chapter 5 with MN Amendments � b. Fuel other than gas IMC Chapter 8 with MN Amendm.ents REQUIRED FOR NEW HQMES 4. Heat loss & cooling load per room a, Required on new constru.ction IlVIC 1346.0312 5. Ventilation . � . �., per MN Energy Code 7670 or 7672 6. Duct Design Per 1MC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energ� Mechanical Code Guidelines sofiware may be used for comb.ustion and make up air calculations