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AF - 34860N° 940` �' V��B O�' �l��y� �. B�IT�DING PE811'II',� :� O�ce of IIITSPEOTOR OF BUII.DINQ�S � �� , � , �� . ��r .�_�^�. � � ,�';:-.;;�,� �- �'�� '' . �� Architect � F`ridley; Mtnn. � �' 1 '�� Bt�ilder � LOCATION OF B[JII�DIIITG - No._�� f 3treet art cp IAt ,�»� ha;� a �.��+. `i,o Bl _�,�; Additioa or b-Divlsion ��".�"�.��' , :° �+�� DESCR,IPZZON OF BUII.DING � Front _��a To be ased ae_. .�' 1� r �. � � Cost�� '�+ �.0 . _ , �.�., � . E 4 ^ N � tir`:,, .� � Permtt is hereby gtantea ',� _. a�s� �: ;`'°�'�►._;�.�; � � .�-�r �-� ,..-s.ro.��°''�.` } : the tiullasag �'"� aescribed in rbe aisove ste,tement Thi� '� permit is gtanted upon the eapre� conditton ti�at the person to whom it is graate�, and his agent�, emPiogees an@ wor�nen, in all the work done itr, arouad and u�n said buiiding, o7r aay part thereof. sY�ll conPorm in a11 respecte ta the ordi- nanc� of Frl�eq. Minn.� re�arding the constructton, alteration, �e,intenance, repair and moving of Mttldings withia fhe clty Iimite, and tbis permit ma.y be revoked aL aay t9me upQn violat[oa oP any of the provislons of said o1�93n83C�. � °�t � �S c* 1 b' � 7 � y ,i � °" ..a � . •1'� ��"°i' ' 'b°.�r. r?'::. . � d'""�wa6. .n #e'C:�RS'1CM!1'Ar Di oWivaaig3. . AGREE1V�ErTT A1dTD SWORN STATEMETTT In consideration of the issue and delivery io me by the Inspector of Bwldings of �'ridlep of the above permit, I hereby agree to do fihe proposed work in accordance � with the : description above set forth and according to the provisiona of the ordinanc�s of Fridley, and, i�iag firs�t duly sworn, I hereby state and: say that the facts stated by me and'eontaained ia the above perm,� are true a� therein stated. � � � �� ; � � ,�. � � 'g. x ,, , .� � �Snbsez�tbed swora to before me at �'ri��7'1`�`'Y.#''1��;y,��,'r�`' , thi�-;. = y- t � �� ° °�_ �, �4r : �� -r . "ses`. „��.v' "s�=-�'7ti«�:s�` - day a D. 1�_.. .��: _ • .� — �,� ' �� ,�,� ,�, ,�, �� Yillage of Fridley, Min:�.. BUII�ING PERMIT �_ � Date: �'�I {.`. . . . . ','' G' '." . -i � � , •�i-�� .'f �•�`'�' . Owner . ._. . :':�. % • : .. ` �,,..(`��R % ��G�� , �'�.�.: , aaar� . . . . I1T°`_ 1637 � �`' Builder :.�''��!�...��..". . ..... Address .. • . °��if t � ]., �C3,£AT[� OF BUILDING � Ncs, . f� 5treet .��°�.'"�'.�� '� .. . Part of Lot . .. .. .. Lot Block Addition or Sub Division . . . . . , . . . . : .. Corner Lat �nside `Lot . . . Y. . . . . . . Setback . . . . . .Sideyaxd. . , . � . .�. . . : . f. .'. :� DESGRiRTION OF BUILD[1�IG To,�be Used as: �,,"� �..�`,�,`:i`' . Front 1 �� . . Depth �'.'�: . Height . � `:� Sq. 'Ft. Cu. Ft. . . .. �. Eront .. . Deptfi . Height Sq. k`t. . Cu. Ft. „ :. .. ..... .... .. . . .. .. . . _ ,y 4 . _ . . . � . . � - �- . . � � . . � . � . Tyge of Construction':�`;��?r;�'�":........ Est. Cost .:...' ................ To be Compieted _.. '� ��°"'�`,� - - � � �,� �. � - � �''`�.�'' ,� .�� ' . �� ' � , � � ,� � ��,°.� ,,�,�. „�,�" ��-�.�.�.-`. : � � - � �f Tn co�sideration of the issuance to me ;of a permit to construet �Tne building described above, I agree to do the proposed work in accordance wi#h the description- above set forth and in c�mpliance with a11'Provls�ons of ordinances of the vii�ag�;af Fridley. � �,,. � � � � _, , . ��' _ � . r � • s�' ,'„�:�':�:�, . .l,l. . . s . ... . �,,,,�r°% . �e� - ` F .- �� , In co�stderation of' the payment of a fee' �f $. .'�: .:'."'., persnit is herehy gran`ted ta�e��'�r.�r.' .:�:. �� R � : '_ .. .'.. .. . to consiruct the building or. addition as described above. Thfs perinit is grazited upon the exPress condition that the person to whom it is granted and T�is agen'ts, emP1oYee� �el �vvarlQnen, in'ali work dane in,� around'and upoa said building, �' �3' Aert thereof, sl�all conf`orm iti all respecis tp the ardinaaces of Fridley, Minnesota regarding location, construCt�ton, alteration, ma3nterriance, repair and moving o� bu3ldings �vith= fn the village limiffi aad:this permitmay be revo&ed at any time upo�n violation of any pf the provisions of said ordinances.. _ - � ...��J � � � r� �l%�•�,�. ' Bl131diri$ IIIBpeCEOT NOTlC:E: . This permit dnes �ot Cdver the oonstenctlon,.lnstallation or alteration for wtri�g, pturribing, gas heating, . � sevKer o� water. Ba sure to see tl�'uiiding Inspector for sepa�ate penmits for r � items. � ,� �, � � � � � � p � ; 0 :� . � : N . � : � � : � . � • 0 e r f+ � 3 N G� � � � � � � � � � � �, � � � � � � • o � o . �.: � : : x O iC N N � r � O O O � {� H H � � � � � � � � �. � � ��m �� '� • � � � � �: ��: � � o�Q: �: � 09 p : : : : � . � : : ' . � . . . . . . @��i : : : : : : N . . . . . . � _ 177 � x C �e N id N N N o � W n7 W a+ t+ t�+ hd id' C�7� p C�7� O O p � i� A Q T � c z c� � C.� CO .. �. � ...� �d � � a � - �� i � ..��1 - _ �� : _ �� ■■��, � � ��: ;: : ■s��. - ��■ � .• �i a � ° � � � � � � � ., � � � . . (] t�o � � � � � m � g � I � WATBR � ua�wus e�rN TYBS BASIWS S�NKS �� DRINK. WUNT. St� DRAINS �� ewsiNs Au'ro 1N/�siiai �as nrw,. ons RANG@ GAS OPENINGS 9 • a o � � � � � �� `.. a � � � ��'� � �' a �Ss �� '� �� wy �, � ��'� � b � b o` �� p��o � � p p. � H' � � w �Q � c °' �' �' � a��M �� 8 �° � �' .. .. � � � �. � � �'o �� '�i.`9 � �d �� R. � � � x � � p � M � � • � �� ' � ', 0, � � � � � � � � �a� � ' a � A 0 � � � � � � � � � �. �y � r �� o :� ' M : �' : � �� y : t' : � • � � � � �+ .. r � 3 u � � � � � � � � o � � `° � � � �� . o: g.: �:: I I I o � � � N N � � C O � �y t' � � 8 � � � � z � � � �� °� o �° �. o�:��:�� . � : �. : � �o: :��, d,a' o : . : : � : � � : : : � : . . . . : in : : : : : : y . . . . . . n _ m o i oa �e �a �a �a �a n' W [� W �+ f+ N � C�fl p C�7� p O O � 'VJ O t" � � � � � �� ' .■.., � _ ■E��I : : ��e� � - �� • ��.a�� : �: ��v■� ----- � ►+ M � ❑ WA7ER aosers us�Nas �� ORiNtt. � f100R DRAINS �� a�sias AuTo W� Cs/lS MPL ons Rnntcae cns OPENINGS 91 • a • � �. � � i� i � ��„ � � � � a � �' � � � � � � �� ro g ��' � � o � j � � � �� . �� , � ,� �. � � � � �� p� �� 0 p � � � H � � � � � * �� i � � y �� ►� �• fD Cr co I I �� :, d �� ' o x � p M � � a � =: � O m � � � e"► � � � � b� � � '� � m � a � � e � 0 � � � � � � O �� r �� o �� x�sx� � n � O RP � � � � � � Q � '�.�i � � �� a � ~ � � � w �� b � N O „�i, :�+ O �� .•�� : �� . . �s� - • • �+q • : : : � : . . . � . � �: y � : � �' ea oa o - � � � � � y b � � � ' 0( I _ . � � � � � � � � .� � 0 �y � 0� r o w � m �. d � � � � i� b � M W �� b o� 8 0 r � b � � c° � '�'1 I w QR W � � �� o� �� V� y � : A : 1D • �: �: � � � � � � � 0 � � � �� 4 e� s � � � � M O � � �m � �. � � m � a a `D � � w N � � y 0 0° � � � si ,� R° R° y y-�i. � � ^ � �� o�� p y � F" . . � � : : � � . . o � . . � : : � � : : � : � w �a o 0 s�� .� � � � �� !� R� � � � � � � °►+� � ii� � � O . � � � ��$� � . �� a � ' ° W � . � F+ <s ,°o : : �s � $ : : S � � : : � . . . . � e+a c� a� w o �� z � � � � � tD `� O � � y � � � � o� � � � � � � � �� ro g � � Z � O p~, ;c � � � � o .. � � 0 � � � m � � �� S �m�� cg � � � ai � "' R° �' O O � � � � �� . ,`. a �' : : `�°: : ,°cq $ : : O : : : a w o� w o � �� 0 �" �.a� � � .�� V � � � "'`� �' � o�p� � d�� bo� _:'c`�i � � �° � tlp�'C� �'i' � � �. ,°., o a' ��b o�� a�� a�p i� �'p�7,o Gy`jry � �� s��W � o � �' � �. m �� D � � � �"' m H 2 m C � � M � b 0 � � � � � � �' 0 � �� .� .7� _ � � � �� a.:° A � �. � �� D � 0. �. � .. � N O � O O rx � b � r �M > �� ,,� �� *.�� R t�'n � W i�' c� �t o n x ro� � .. z � g � � m � � � � � '° � °° �' ,� ,� " ,�►� 9 r� � w w� o°or�r �.� i�e � � ►- o r» � m � K $ �t � � K o° "'� � �e m '� K � n � � o � w 'H o � o � � '� � �� m � H o �f p r �o a r� i+ n M o my C � p. O O W� � �..�.� � � �� .. � �y � . � t� � y G � _ � � i � m et x et M 4� 1�+. iA N �� n o r � • O O O O O m .n �n �n � m tn 00 W O o O v � �� 0 � � t^ �A � . � ( � � �i I ( I I I � e� a se x a x se a oe t+9 �t? i/1 N N iA N N fA � u+ , w v o u� �n N N w O O O O O Oo O d S � • tn m tn m m tA m m a� N � O � ` � - � � � � m 1 � � � � . m �r �� e � � J � � � � i J v � '° '� ^� �' stJOriea � �o � a a n e n x � Cloaets � � Urinala �� Bath 21�b.s � • � sasins 0 � � Sinke � '� W88h TISj►S w � �rinkinq `� w Fountsing ShoweLs � Floor � � CBtCh � Basins � Automatic E Washer � cas A�p�. MisC. Fixt . � � raBB R81IQ9 � � K other k �m r ��t � � I� � � g � � I � t�g � � �0 � d � � N � � � � ii y � F-' � U I--' � � � � � O � ` v � w O � H O � m �� ►� N�b b�' MM h�m Q F�+F�+�� 71M �� W O►t ►'" tAi� F+ h�q m rs ~' � `� ° � �l M m W a 1+ U7 � � � � � �y� � � p� � m F-� � � N � � m fi � ' � � � ro�� m �.w5� � S � �� F-� Ai � � M . �A p � O n�i�i'� ' ��' � � . � �a�o . �i r�+t m � � � � . � �� a .�► � s� . I $ ~� m � � ' v P�' .. A � O � '�1 • O � 'O � n b30 � � O D T Z t7 � � � a r� N �T ..�y .�.. a � • � ' a O � � ' CITY OF FRIDLEY . APPLICATION FOR HEATING REPLACEMENT J CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOPIPANY STANQ4RD APPLICATION FOR HfATING PERMIT FORM. LOCATION 7541 Alden TnTa,v NE DATE _ 11/20/80 OWNER Arne sjodin ADDRESS sair� The ur+dersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodaed within 4. Tt�t it is securely supported 5. TF�t it meets all current Code requir�nents for size and total BTU connected . 6. Total Neating BTU 8o,00Q Ail Other BTU 40.000 " � ' � �� x x X f;� x REMARKS Oil t�o cras furnace ret�lacement, add hot water Yieater new li.ner in chimney . SIGNED � . licensee HEATING PERMIT # " bY Northeast sheet Metal Address 4347 central Ave 1� Tel.ephone 781-2776 Fridley City License � 10647 � � sus�ecT PER City of Fridley 16 3 9 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � � R � `y ,___ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � ' i ' l-_-_� ��,,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APVROVED 8� i 612-571-3450 910-F15 9/16/81 � � JOB ADDRESS ?541 Al.den Way N�L''s 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Elwell's . Ri.verside H@1C�I1:"I:3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arne S'odin 7541 Alden Wa N.E. 571-?b85 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. S 3� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINd 7 CLASS OF WORK ❑ NEW ❑ ADDITION C�l ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelli� 9 CHANOEQFUSEFROM TO STIPULATIONS �f can be 2nd but no�t 3rd roof. Instatl ridg�d galvan�.zed valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, TMPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONIN(3. THIS PERMIT BECOMES NULL AND YOID IF WORK OH CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS PIOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ,' STALLS t3ARAGES AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES OOYERNING THIS TYPE OF WORK WILL BE COMPLIED $S%3 �`• SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATINCi CON- $� S].J�•OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ��c $�5. so IGNATUREOFCONTRACTORORAUTHORI � AGENT (DATEI WHfN PROPERLY AUDATED�THIS IS YOUR PERMIT e- �1 cg SIGNATUREOFOWNERIIFOWN BUIL IDATEI - -'BLDG INSP pPT CITY �F FRIDLCY Effective Aug. 1, 1981 APPLIG/ITI�:� FOf; RCSIDCf�TI/li_ I3UILQIf1G PCf��lI7S (tde�r, Alter.�tions, IlddiLions, or Repairs) . 0�liJER: IQ A1 �' V ��1 �. [3UI LDER : . ADORESS: 'f.�'� / � ��.�� w � ADDRESS: � TEL tV0 : ,�'r / • 'j (. �6' TEL IdO: • STRITyT NO: �� ST1tEET: Construction Location LOT: . SLOQC : ADDITION : Corner Lot: Insiiie Lot: Setback: Sideyards: Ap�licant attach to t}�.s foxm two Certificates of S�tzvey of lot and proposed buildi,ng location drawn on certificates to scale. DESCRiPTiOtd OF COPJSTRUCTiON �/C�a�_ Front: Depth: 8eight: Square. F�et: (�ibic Feet: , Front: Depth: Height: Square• Fept: Cubic Feet: �� . Type of Construction : Estisaated Cost: $ 5y s. Qr �' Rb Be Oor.�pleted: � 1 � �� Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $' $ . SE� REVERSE S7DE OF SHEET RRze undersigned hereby make� application for a perneit for the ��rk� hexein specified, agreeing to c� ,all work in strict accordance Y�ith the City of I'ridley Ordinances Pazd rulings of the Department of Buildings, and hereby declares that all the facts and rapresentations stated in this application are true and correct. . � DIiT�: '} ' � oi �O � SIGNATUFtE: �%ii . r . Stipulations: 1�. p� � �,� � � �. BUILDI•NG PFRN�IT FEE SCHEDULE The Inspector of buildings shall, befare issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or repa:i�Cs to any existing building or structure, upon application therefore, require the payment by the applicant f or such permit of f,ees t� the amount herein below set forth and in the manner" herein provide�3 to-wit: TOTAL VALUATION $1.00 tn $500.00 $501 t�o $2, 000 $2,001 to $25.000 $25,001 to $50,000 FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and 3ncluding $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $}., 000 or fraction th.ereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100, 001 and up $443. 00 far the first $100, 000 plus $2. 50 for each. additional $1,000 or fraction thereof P7�AN (�CR: 25 percent of building pezmit fee D1tIV'F3�1AY DEPRESSION ESQtOW: Concrete (urb S�reets O�ly Alternate °A°: Removeal and replaceiaent of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Removal and replacement of curb attd gutter and install a 3 foot wide approach with 6 inch depth � Driveway wfdth plus 6 feet .x $15.75 � VERIFICATION OF FOUNDAT�I�ON Perniits for construction will be issued a minim�a of 24 haurs fro�n the time of application to allow for proper review of the proposed structure and 4�f the c�nstruction site. A Certificate of Survey of the lot, shartaing the location of the foundation once it has been constsucted will be requixed before proceed�ng �aith: tlie framing. �,�K i ! -r� j�.�lo �o �is.�a � =- �--� _: • � Su6�ECT r p . c�ty of Fridley � � �� 91 AT THE TOP OF TME TWINS g�J � L D 1 N� P E R M i T r , � �� p�� RECEIPT NO. � `L ��'�� CQMMU�IITY pEVELOPIYIENT DIV. o V f � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY MALL fRiOLE� 35�32 NuMBEn aEV o�T@ PAGf o� �� vEO r �'----� • •', 612-571-34b0 910-F1S 6/11/O1 / / JOB ADDRESS 7541 Alden Way NE � t LEGAL �OT NO. 9LOCK 1'RAC OR ADD11'ION SEE ATTACMEO oescR. 4 2 Elwell's Riverside Heights SMEET 2 PROPERTY OWNER • MAIL AODRES:F �P PMONE Wayne Rnobbe 7541 Alden Waq NE 3 CONTRACTOR MAII ADORESS ZIP PMONE LICENSE NO Blomquist Exteriors 12601 Harpers St, Blaine, MN 55449 763-754-2501 20172580 d AfiCMITECT OR DESIdNER MAIL AOORESS ' ZIP PMONE LICENSE NO. S ENGINEER MAII AODRE$S , �IP PHONE UCENSE Np 8 USE OF BUILDIN(i �• Residential � c�nss oF woaK - O NEW O ADOITION O ALTERATION Q REPAIR D MOVE • O REMOVE 8 DESCRIBE WOIiK Reroof House (12 Sq) Tear-off 9 CHAN(iE OF USE FROM TO STiPULATIONS Underlayment must comply with the State Building Code. ' T1IPL OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE RECUIRED FOR ELECTRICAL, PLUMBIN�i. MEATIN�i. VENTII,ATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL ANO VOID IF WQRI� QR CQ�STpU�TIQ�11 jONIN(; $O. FT CU fT. AUTHOR12ED IS NOT COMMENCEO Vt(ITHIN 8Q DAYS. OR IF CON§iRUG�T�ON , OR WORK IS SUSPENDED OR ABANQON�O FOR A PE�IQ,D OF 1�Q DAY$ q7 ` ANY TIME AFTER WORK IS COMMENCED. ' NO: DW4G. UNITS OFFSTREET PARKING I MEREBY CERTIFY TMAT I MAVE READ ANp QXAMINED THIS APPUCATIQN 1 STALLS GAFAGES ANO KNOW TME SAME TO B T UE AND CORRECT. ALL PROVISI�NS dF U1W$ VALUATION SURTAX AND OR01 NCES GOVER I TMIS TYPE OF WORK WIL4 S� CfJMP{.IED @1 ZZ7 �. C)1 WITM WME MER SPECIiIE IN Oii NOT. TME GRANTING OF A PERMIT `P � DOES NO PRES M T E A�1TMOfi1T IOLATE OR CANCEL TME pEqM17 FEE SAC CMARGE PROVI O Of R T LOCAL LAW REGULATIN(i CON- @47.90.. Fire SL' �1.23 R I N R NCE OF CONSTRUCTION �P PI,AN CH�CK f TOTAL FEE � `�'v� Lice C $5.0 54.74 S�GNATUpEO� ON CTO�iOpAUTMOp�ZEDOGENT �D�tE� H Pii R VALIOAT 0 TMIS IS VOUii PERMiT - � ��,�.- S�GN4TUAE O� OWNEp��F QWNEpBWIDE�:� i•iE� . ` � p(� pyg0 ' q6Tt . N� I l Ef�ecfive 1/1/2001 ADDN [] °. CITY OF FRIDLEY (763) 572-3604 Bldg Insp �-�R [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � ) `� � Legal Description: �i7 � � LNING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # �,� �� Tel. # ��03�' !��' ��G/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Width HgtlGround Sq. Ft - / Zi '%� r47�.. �-c� Construction Type: Estimated Cost: $ L�� a� �% Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x =$ DATE: '- I�'v I APPUCANT: Tel. #%ro 3�' %�7 �' Z3 ��° CITY USE ONLY - - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ %�D Fee Schedule on Reverse Side $ �, 02 .001 of Permit Valuation (1/10th%) $ . �c�' $.50/$1,000 Valuation $ $1150 per SAC Unit $ s ��D $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 [ ] $ �7 • %y ., BUII.DING PERMIT FEE SCHCDULE The Chief Building Official shall, fiefore issuing permits for the erection of any building o� structure, or �� a�ay •:� addition to any existing building or structure, or for any alteration or repair to any existing, building or stxve;t�re, upon application therefore, require the payment by the applicant for such permit of fees t+o 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,�1 to $50,000 $50,001 to $100,000 $1�,001 to $5�,000 $5�,001 to $1,�,000 $1,OOO,Q01 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1(}0 or fraction thereof, to and including $2,0� $69.25 for first $2,000 plus $14.� for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,� or fraction thereof, to and including $50,0� $643.75 for first $50,� plus $7.00 for each additional $1,0� or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5�,000 $3,233.75 for the first $5�,� plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Q(�,000 $5,608.75 for the first $1,OQ0,� plus $3.15 for each additional $1,� 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 $15 .50. • Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for "constr�ction will l� issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � - ... ' sue�eti � RMIT . c�ty of F��dl�y 3239 � AT TME TOP OF TNE TW�NS �� J I L D I N� P E R M I T ; ;, � � REC . � `v � COMMUaIITY DEVELQRNIENT DIY. � /� r � �� PROTECTIVE INSPECTION SEC. i----� ��"' �.� CITY MALL FRIDLEV SSr32 NuM88Y� pEV a►TB PAGE Of �PnnovEO 9r L 612-571-3460 910-F15 1/16/02 / / lOB AODRESS 7541 Alden Way NE � . 1 LEGAL �OT NO. BLpCK TRAC OR AbDITION SEE ATTACMED oescR. 4 Z Elwell's Riverside Heights SFiEET 2 PROPERTY OWNER MAII AQpR�S,� ZiP PMONE Wayne Rnobbe, 7541 Alden Way NE, Fridley, MN 55432 763-574-2347 3 CONTRACTOR MAIL ADDFiES3 ZIP PNONE LICENSE NO Mar�naro Construction, 1122 241st Ave, Bethel, MN 55434 763-413-0525 4 ARCHITECT OR DESIGNER MAI AOOREB� ' ZIP PMONE LICENSE NO. MN20023644 5 ENGINEER MAIIAQORES3 . 21P PHONE LICENSENp 8 USE OF BUILDIN(i l Dwelling 7 CLASS OF WORK O NEW O ADDITIpN Cl� A�TERATIpN O REPAIR O MOVE : O REMOVE 8 OESCRIBE WOiiK Remodel existing bathroom; new window 9 CNANOEOFUSEFROM TO STiPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. `�" ' TYh d CO T. OCCUPANCYGROUR OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, MEATIN4i. VENTILATING OR AIR CONGITIONING. THIS PEFMIT BECOMES NULL ANO VOID If WpRK OR COI�STAUGTI0�1 yONIN(i SQ. fT CU FT. AUTMORIZEO IS NOT COMMENCED V�!ITHIN 80 DAY3, OR IF CONSTRUG`TiON � OR WORK IS SUSPENDED OR ABANQONQO FOR A PERIQO OF 1TR} OAV$ A? ANY TIME AFTEp WORK IS COMMENCED. ' NO. OWLG. UNITS OFFSTqEET PARKING I MEREBY CERTIfY TMAT I HAVE pEAD ANO EXAMIN�O THIS APP�ICAi1pN S7ALlS GARAGES AND KNOW THE SAME TO 8E TAUE ANO C04iRECT. ALL PROVISICN$ Oi IAWS VALUA ION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WpRK WI�L 4� COMP�.IED WITM WMETMER SPECIf1E0 HEREIN OR NOT. THE GRANTING OF A PERMIT L OOO.00 L.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAQICEL TNE pEqMIT FEE SAC CMARGE PROVISIONS Of ANY OTHER STATE Oii LOCAL LAW FEf3ULATIN(i CON- STRUCTION OR TME PERfORAAANCE OF CONSTRUCTION 69 . ZS � 2 0 Fire r,SCi P�AN CMECK FEE TOT L FEE c s S�GN4TUAE OF CON'RACTOp ON nUTMOp�2ED AGENT IOATE� MEN OP VALID TMIS iS YO�� RNJl� " 6 S�GNATUAE O� OWNEp�� OWNENBWLDER� � M �. ' �� ,pgo . � � qiTE � N� I l CITY OF FRIDLEY Effective 1h/2002 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp ��'ER � SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '-% � � � � �� Legai Description: Owner Name � Address: C,v c�.� h� l� �v� � Te�. #�Co 3- S�7C� " 2 3�! 7 Contractor. �Y1 G� �� v� a�v (.° ,.� g-� AAN UCENSE #�C�a� � Lo �{'-� Address: 1 l 2 2 � �l 1�� iA �� 1�.�. -�- i� �� VV I�Tel. #'7Co 3��-1 !�� U S" 2 S' LMNG AREA: GARAGE AREA: DECK AREA: OTHER: SS�I 3�t Attach to this application, a Ce�tficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length INdth Height Sq. Ft Length Width Height Sq. Ft Length wdth Hgt/Ground Sq. Ft .,�-. ., .., . 00 Construction Type: Estimated Cost: $ �'bo 0 �.vS/`°'...�'' % i"r/�cG�, .2"��'C�G,4'��, � � . Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ r DATE: )' i�'� "� 2 APPLICANT: Tel. #�(0_3 ��(�� C,S` 2 5- Cail (763) 572-36Q4 for Permit Fees if mailing i application or Fax to 763�571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge S#ate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � �9. �sr $ �. o� $ �..� o $ /� $ s-do $ $ $� $ $ _77. �.� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit �/aluation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ��y�� ;�,� ��T�� '��"� 3��s. �, ?, / �997 � �. � . �---'' �"�.._._ �,� ,/.r/,�.00,� � 1�� l�� ,�� BUII..DING PERMIT FEE SCHEDULE The Cluef 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 stivcture, upon application therefore, require the payment by the applica�i 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 $1,0�,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each adc�itic�nal $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,0� or fraction thereof, to and including $25,000 $391.25 for fYrst $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plu� $7.00 for each additional $1,000 or fraction thereof, to and includi,�g $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fiaction thereof, to and including $500,�0 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0�,000 $5,608.75 for the first $1,000,000 plus $3.15 fur each additional $1,OOQ or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete G�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alterna.te "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion 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 req�� before pra�ling with the fra��ing. 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T � n W � w � � cn =� C � V � � W Z m � � �� W < � N m Z Z � ,, m � m � _-I O Z v � a � � z '� � ma �O �Z 1'�i .^ a� �� O� Z� Z� v� a� �z ON vz .� v ` o _ �Z Z -i a �z °v ..u'� L� � N (� N mo �, o NZ �< J °z � �� ^ N � 0 � z � � � rn m � �- N � 7 � � � C N �G � N O O N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CnMMnN V NT� VENT GnNNECTOR AND C(�MRIISTI�N �41R RIFI _QTI(�I` When � �n acin� an eYietinA �rar, , the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obsbvctions, and is securely supported and firestopped where required. Yes () No () The venting system is plasticJF'VC and meets all current codes and manufacturer specafications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacsment unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Th@ pY�`� cer�,e�,�en air is sized and installed to meet the current codes and manufacturer's speafications: When required to ir,�tau a n_w _ome ��en a�r�it wi11 be sized and installed to meet the current codes and manufacturers specifications. Wh@n inctallin� a new ventin��y�, the undersigned hereby verifies that it is a listed assembly and meets the wrrent codes and manufacturer's specifications. This does include AGA-GAMp► Category I Central Fumacs Venting Tables for fan assisted and natural draft appliances. Is the cammon vent and vent connecto�s sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes( ) No( ) Yes() No() Yes ( ) No ( ) Yes( )No( ) �.. .� - ,.,- .�� - .��.� -� .�. -�� .��„. ��.��.�.� Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat � Appliance #3 Type BTU Input Fan Assisted or Nat Total App�ances �� Total Btu input Common Ven't'Fype Venf Height Diameter inches Appliance #1 V.�nt Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Uent Connector Height ft Length ft Diameter in Type ��r3; � r � ► ��- . .:- HEATING CO: Signed By: Date : ' " � � SUBJFGT - ' . City of Fridley AT TME TOP OF TME TWINS g u I L D I N� P E R M I T ;, .� ; �� _____ , co�w�udiTr oEvE�qa�ENr oiv. r � �� PAOTECTIVE INSPECTION SEC. 1 i • ' � �"'f � CITY MALL FiiIOLEV x{132 NuMBER qEV DATB �---•�' �•' 612-57�-3a50 9�aF�g 6/26/02 J08 ADORESS 7541 Alden Way NE t LEGAL �OT NO. BLOCK r TRACT OR ADDITION DESCR. �{ 2 Elwell's Riverside Heights 2 PROPERTY OWNEii lAAll ADDR�S� � ZIP Wayne Rnobbe 7541 Alden Way NE 3 CONTRACTOR MAILADDRESS ZIP New Image Remodeling 3013 82 Ln, Blaine, MN 55432 4 ARCNITECT OR DESItiNER MAI AODRESS ZIP Residential 7 CLASS OF WOIiK O NEW 8 Replace windows 9 CHANGE pf USE FROM / / trnin� r nv� 32731 A�11pVED B� SEE ATTACNED SMEET PMONE LICENSE NO 763-784-9797 PMONE LICENSE NO. 20201899 PMONE LICENSE NO O ADDITION O ALTERATIpN �] REPAIR O MOVE : O REMOVE TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REOU�pEO FOR ELECTRICAL, PLUMBIN(i, HEATINd. � � VENTILATING OR AIR CONDITIONIN(i. TMIS PERMIT BECOMES NULL AND VOIO IF WQRK OR CONSTRUCTION YONING AUTHORIZED IS NOT COMMENCED U�{ITHIN 80 OAYS. OR If CON$TRUCTION d OR WORK IS SUSPENDEO OR ABANQONEO FpR A PERIOD OF 120 OAYS A7 ANY TIME AFTER WORK IS COMMENCED. ` NO. DWLG. I MEiiEBY CERTIFV TMAT I NAVE READ ANO EXAIY�IN�O TNIS APP4ICATIQN �' AND KNOW TME SAME TO BE TRUE AND CO�iRECT. ALL PROVISIONS OF LAWB VALUATION AND ORDINANCES GOVERNINCa THIS TYPE OF W(�RK WI�L QE CQMP�IEO 3� SOO WITN WMETMER SPECIFIE MEiiEIN OR NOT. TNE GRANTiNG Of A PERMIT � DOES NOT PRE ME T GIVE AUTMORITY TO VIOLATE OR GAMCEL THE pERMIT FEE PROVISION OF ANY TMER STATE OR LOCAL LAW REGULATIN(i GON• $97.25 STR�lCTl01y�0 RMANCE Of CONSTRUCTION TUpE aGENT �OAtE� r c� ipqNCY (3qOUP OCCUPANCY T CU FT. OFFSTREET PARKING STALLS GARAGES SURTAX $1.90 SAC CMARGE Fi SC $�.80 TO AL FEE $107.95 Y VAI,ID -E TMiS IS YOUR PEpMIT • C�/ �� r�art NE1N [ ] ADDN [ ] a.rER Il Construdion Address: CITY OF FRIDLEY Eftec6ve 1/1/2002 6431 University Ave NE� Fridley, MN 55432 (763) 572�3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION SCf / ��o��N G✓�/ /I/� Legal Description: Owner Name 8 Address: �✓�0�"�� ivob�'e Tel. # Contrador. ��(�.�i✓ .��? 6� /��o/��l"^� ` MN LICENSE# ��' ?v� i S�S r1 Address: .� �t�13 g2� L-i4 Me Tel. # %�3 - ��-� �� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cefificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length IMdth Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: t/l� �+�� d� ��i� Estimated Cos� $ 3�� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �' ��` -�Z APPLICANT: Tel. # Call (763) 572�604 tor Pertnit Fees lf mailing in appiication or Fax to 763�571-1287 N using credit card and we wili call you tor card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ � , 07� $ $ • $ $ �•QC� $ $ $ $ $ 1l� '� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by�Engineering Agreement Necessary [ J Not Necessary [] STIPULATIONS: a BUII..DING PIItMIT FEE SCHEDULE The Chief Building Official shall, before issuing germits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterarion 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 $25,0� $25,001 to $50,000 $50,001 to $100,000 FEES $23.50 - , » . , . • • , � . , �. . i. $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $100,001 to $500,000 $500,001 to $1,000,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional w $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each add�tio�l � $1,000 or fraction thereof, to atld including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet rimes $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. . VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv . - . �, c�ty of Fr�a�,�y AT THE TOP Of TME TWINS � i L � `y �� COMMUMITY DEVEIQRMENT OIY. l � � PROTECTIVE INSPECTION SEC. � _ �"'1 : CITY MALL FRIOLEV 53�32 �.---� • •'� 612-571-34bp 10B ADDRESS 7541 ALden Way NE 1 LEGAI ��T NO. BLOCK � TRACI DESCR. !} 2 2 PqOPERTY OWNER MAIL AODR�8$ Wayne Rnobbe 7541 Alden Way 3 CONTRACTOR MAIL ADDRESS Same e AqCMITECT OR DESIGNER MAIL ADDRE88 S ENGINEER MAII AQORESS 8 USE OF BUILOINd Residential 7 CLASS OF WORK � O NEW ❑ AODITION 8 DESCRIBE WORK ' Reroof Garage (6 Sq) Tear-off 9 CHANdE OF USE f ROM STIPULATIONS �U ilQ1N�; PERMIT � e�aF�s � I OR AODITION Elwell's Riverside NE IT@ PAGE O� 6/26/02 � � 32732 � ECEIPT NO. _ 9r SEE ATTACMED g SNEET � PMONE 763-574-2347 PMONE LICENSE NO PNONE LICENSE NO. PNONE LICENSE NO O ALTEF;ATIpN C� REPAIR O MOVE • D REMOVE SEPARATE PERMITS ARE REOU�pEO FOR ELECTRICAL, PLUMBING, MEATINd. ''r� �r w•• VENTILATING OR AIR CONDITIONIN(i TMIS PERMIT BECOMES NUIL ANp VOID IF WQRK OR CONSTRUCTIOM YONING AUTMOR12ED IS NOT COMMENCED V�(ITHIN 80 OAYB. OR IF CONSTRUCTION ¢ OR WORK IS SUSPENOEO OR ABANQONED fpR A PERIOO OF 1x0 DAYS A� ANY TIME AFTER WOqK IS COMMENCED. ' NO: DWLG. I I HEREBY CERTIFY TMAT I MAYE READ ANO �XAM�N�p TM�S APP�,ICAiION 1 AND KNOW TNE SAME TO BE TRUE ANO COQREC7. ALL PROVISION9 Oi LAWS p�UAT10N AND ORDINANCES GOYERNING THIS TYPE OF WQRK WILL SE GfJMPlIEO WI7M WMETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT $643 DOES NOT PRESUME TO GIVE AUTMOFITY TO VIOLATE OR CAyCEL TM& pERMIT FEE PROVISIONS OF ANY OTNEFI STATE Oii LOCAL LAW REGULATING CON- STqUCTION Op TNE PERFORMANCE OF CONSTqUCTION �29 • 6O T•UpE�O� N' TOA �T��ORi2E0 eGENT �� w0 jED� � /A / � STALIS xCUPnNCr OfFSTREET PARKING GARAGES SU TA7f $.50 SAC CMARGE Fire SC $.64 T J L FEE $30.74 IA O TNIS IS VOUR PERMIT � � �� NEVN [ ] AoDN II n�.rER I J ConstrucGon Address: � CITY OF FRIOLEY Effsectivve 1/12002 6431 Universiiy Ave NE, Fridley. MN 55432 (763) 572�604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R 2 ' -� BUILDING PERMIT APPUCATlON �s�l �1��,-, Legal Description: � Owner Name 8 Address: � Te�. # 7�0.3 -5?Sr � .3 y7 Contractor. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: Attach to this application, a Ceraficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT L�gth Width Height Sq. Ft _ Length Vl�dth Height Sq. Fk f�(.� DECK AREA: Length OTHER: Width ,�, --� Hgt/Ground Sq. Ft �� Construction Type: Estimated Cost $ Oriveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � �� APPUCANT: Tel. # ��-3"�7� �3� Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to T63-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge �'° �'r/„ ��::;:� 4 �, TOTAL $ �C�. �y CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50I$1 �000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan f�eview Fee Determined by�Engineering Agreement Necessary [] Not Necessary [ j STIPULATIONS: t- � BUII.DING PERMIT FEE SCHFDULE 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 fee.s 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,�1 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fiaction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fracrion thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fract�on thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Street� On1Y) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. . VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv � ' �o ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 FAX: : 7541 ALDEN WAY NE : 103024120014 : ELWELLS RNERSIDE HGHTS PL2 : LOT 4 BLOCK 2 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-1287 PERNIIT NO.: 2004-01440 DATE ISSUED: 09/Ol/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAiJL, NIN 55114- OWNER KNOBBE WAYNE K 7541 ALDEN WAY NE FRIDLEY, NIN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if constntction or work is suspended or abandoned for a period of 120 da.ys at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances governing this type of worl+ will be complied with whether specified herein or no� The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERNIIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 117431 ��YAKA�l'� Y�KMl'1'S1�(2UlK�ll r'UK WU1tK U"1'ti�R 1'HAN ll�5CR1BED ABOVE. 20.00 0.50 20.50 RPR-27-2004 ii��4 rkuM -. � a � n a� � �- �� o oa � �a � .�y. A co � � � { �- � � � -� 8� � � o � c� `� � � � � O � �. 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Existing Fioot Plan 2. Proposed floor plan 3. LSst of structival m�nbers to be used �1Z F�. }�R NEW CONSTRUCTiON MCLUDING DECKS, /�DDITTONS. 8c PURCHES SUBMIT: 1. Site PIanlSwvey showing the existing sw�dues � P�P�d ProJ� 2. Two sets of con�truc�ion plans 3. �y c�� ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN� THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � o� r--. OCCUPANCY TYPE Plan Review Fire Surcharge Surcharge License Surcherge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Cherge Total Dne �� j ,��' See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ '� e3 .0005 x Permit Valuation Minimum $.50 $ _ p(� $5.00 (State Licensed Residential Con�actors) $ $1550 per SAC Unit (Plans to M�VCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) � $ Make c6ecks aavabie to: City of Fridley Attac6 THIS IS AN APPLICA770N FOR A PERMIT-NOT VALID UNT[L PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will 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 applicarion for a pertnit and work is not to start without a pennit; that the work will be in accotdance with the approved plan in the case of all work wlu uues review and approval of plans. SIGNATURE OF APPLIC �t.�.+�)� --_-- PR1N? NAME��Y/ L�— DATE U' I �'—g 7� Page 2- Build.ing Residential Application BUII..DING PERMIT FEE SCI�DULE 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 strueture, or for any alferation or repa.ir 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 providect-�wit � . • � - . " VERIFICATION OF FOUNDATION Permits for constru.ction will be issu� a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the constru.ction site. A Certificate of Survey of the lot, showing t�e location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � , �.� , . , , _� Building � I'I.,TJN.[BIliTG Pernut No. -d S� Inspections �SI�]E1oTi`IAL� AP]PLICATI�I�T Received. By: � 763-s�2-3604 CITy OF FR�LE'S� �� ' 763-502-4977 FAX �� 1-,� DATE --A�7/o� �1 /� YOUR E-MAIL ADDRESS STfE ADDIt'�.SS . � THIS APPLICANT 1S: GI OWNER �J IJTRACTOR ' PROPERTY NqME; Gl/' ,v i� 6� TENANT� ADDRESS: � C1TY STA7'E ZIP ' PHONE: CONTRACTOR y�p,�; � o T'-,i� . SUBMIT A COPY OF �.ATE LtCENS #�'�i',[� E7cp DaTH / /� YOUR STATE LICENSE. BOND AND s�'ATE �'� � � EXP DATE . CERTIFICATEOF ADDRESS: ?7d (/� h if�e✓�'"� CITY�%/oKi.� STATE�^�ZIPS�,�'�� IIVSUR.ANCE . PHONE 7� � o�.�oL -'�oZ6�[P` FAX �� '��o� -oZ.�� PERNIIT TYPE ��GLE FANIILY ❑ TWO FAMILY O TOWNHOUSE �rYrE oF wox�c: �`''' ° ��c�'r DE.TAILED DESCRIPTION OF WORK �� //�r�� . �� PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% af the total cost up to 5500.00, whichever is greater, for the improvement, installation or teplacement of a residential fixtvre, excluding the fixtwes. (This should reflect only the cost of lalior ) La.bor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR• PROJECTS WHERE 1.ABOR EXCEEDS 55�. FEES ARE BASED OAT S 10.� PER FIXi'URE. EXCEPT WHER� NOTED. FIXTURES: (1NDiCATE TOTAL NUMBER OF FACH BE1.OWj. MWIMLJM FEE $I5.50. BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPTNG — gp�g . GAS PIPING (NEED C1TY LIC) SWiMM]NG POOL WATER SOFTNER {$35) CLOTHES WASHER KITCHEN S1TJK WATER CLOSET �BACKFLOW PREV. (S15) DISHWASHER LAUNDRY TRAY WATER HFATER (S35) FOR IRRIGATION — — WATER METER _ OTHER Pemut Fee $ Alumber of frxtures @$10.00 x$10.00 =$� Surchaz e �.50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 x$35.00 =� ��) lJ � State Surcharge = $ .50 (1� $15.50 1WIMUM $15.50 Tota.l = $ THIS LS AN APPLICAI'ION FOR A PERMIT-NOT VALID UNTIL PROCESSED I her'eby apply for a plumbing pernnit and I acknowledge that the information above is complete and accurate; that the work will 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 appGcation for a permit and work is not to start without a permit on site; 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 APPLICANT Ge�� lta �✓' PRINT NAME Y�2 .�� //G�'Z� DATE o GL °� APPROVED BY DATE City of Fridley �uilding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977