AF - 44233SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M T
�
� �
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� ; v _____ COMMUNITY DEVELOPMENT DIV.
� � � PROTECTIVE INSPECTION SEC.
� _ �"'1 � CITY HALL FRIDLEV 55432 NUMBEH
�"'"� � ,�� 612-579-3450 910-F15
JOB ADDRESS 6476 Arthur Street N. E.
1 LEGAL LOTNO• So 8O BO�Kthe N. ��. (��DDITION
DESCR. ]_ 1 Spring Val]
2 PROPERTY OWNER MAIL ADDRESS
Wallace ?�arson 1482 Mississipp�
3 CONTRACTOR MAILADDRESS
W. F. Bauer Construction Co. 16`
4 ARCHITECT OR DESIGNER MAIL ADDRESS
�, ENGINEER MAIL ADDRESS
8 USE OF BUILDINC
Res�
7 CLASS OF WOF;K
8 DESCRIBE WORK
REV. I OATE
Addition
�eet N.E
° 15993
RECEIPT I�LO
PAGE OF APPROVED BV
0 � �
SEE ATTACHED
SHEET
ZIP PHONE LICENSE NO.
seville 55 i 633- ti'
ZIP PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
����i���F ��iaP9fi��`, F��$�tt���-� : ,.:,
HE�TING, PLUNI�ING AIVD SIGNS9 �r���
't131.
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
� .. nnt
9 CHANGE QF USE FROM
TO
� .. �n�
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side
yards. Provide City with copy of verifying survey before capping.
Paid $500.00 Park Fee. Paid $800.00 Sto� Sewer Escrow. Lot Split approved
#79-07.
NO EXISTING SERVICES
Sewer Location: Sewer Main 33' E, of E. line of Lot.
WATER LOCATZC3N: 6" Ma.in 15' E. of E line of Lot
DRTVEWAY DEPRESSION COST: N/A �������
a1`�� �1' (?� FRlD1EY ppES �OT �����a�� s�p sef at� di��ing call local u�ili�l��
i t:CURd�C�'' OF lt°►1117Y (OG47�NS AND ELE1�'�4�IG�:;.,
Y'":+ i9+1iA IS FOR INFORM�,�IpN PURPOSE5 ONLY q�,�;, ���'�����E - ELECTRIC ��a� ��
� -�RSa�vs u� rt sHOV� v�� n�� iNro�,w�no� � �'� � 1 �� � �� ���'�
4.t�! TFiL SS'��.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAfiKING
I HEREBY CERTIFY THAT I HAVE READ ANO 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 $53,850 �26.93
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT
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- $124.16 $425.00
STRUCTION R HE PERFORMA E F CONSTRUCTIO
PLAN CHECK FEE TOTAL FEE
� � � �., `� $31.04 $607.13
S ATUREOFCONTR O RAU H IZEDAGE �DATE� K_� .� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
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(tde�•�, !il t;e•r�ations, 11dc37�Lions, Gr I:e�airs) �� 1l'
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. OtltdER: ��4Ge..�+cc� L L�4�s�°f-.-� [3UILQER: lit�,. �'. .��?�,r�����': �
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{iDQRESS : �� TF-1�. � s�; �tt� • 11DDRCSS: � /��".S`S'!s�'�'��v�,� /,�,iG �
1'EL �0• ��� ��SS/SSi�Oi `�l'r�✓ .
. Tc� rao: 6'33--.���,.Z,.,.
. �(° ���L • � .
Construc�ion Location '
. ' �`�`Z .
. STRI�T NO : STREET: �T�'% Lt A2 J�. l� E� ,
. ,.—
- c°
L07.': � BLOCs:: �� �DAITIO� : �J�i2 / eV � ��1 G t�l J�� '
Corner Lot: Inside Loi:: y' SetbacY.:. Sid�yards:
Ap�licant attach to 1.2iis forrte L`:vo Certificates cf Survey of lot and .
proposed builcling location drawn an certifieates to scale. .
� i DESCRIPTIO�d QF C�PIST�tUCTIOPd - �
� � � �� �
' t�S l�ront: �.� Depth: �d I�ieight:
Sc�ua�e. Feet: Ct�bic Feet:
� � �
����%O �%�''��'ront: �� � Depth: �� Iieight: �D �
. ---*---- .
� Squaxe• Feet: GUbic I'eet:
� � a ��
/�� � v�,
Type of Con ,truction : (/Z/cT�"''L� ��;�^�--C EstimaL-ed Cost: $
7b $e Oor,�pleted: � /, / ��� . . .
� Al.t. A A].t. B
Proposed Drivewa�T �,Tidth If New Opening Is Desired: $' $
� . , S�� Rx.VERSE SIDE OF SHEET
9iie unc�exsigned hereby mat:es application for a permit fcr the taork� herein specified.
agxeeing to �o ,a17. work in s�trict accordance ��ith the City of I'ridley Ordinances and ---
zulings oi i:lie De2?artment of Buil.dings, and hereby decZares that all the iacts and
represent.-�tions stated *si this application are true d correct
.'�T � - / Z� GNR itE • �� ' �� • � .
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StipulaL• ions : �'� � � Q� .
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�I::CTx01�7 2. 7.'1�L 7n�.:��ecL•c�r. of 1�uS.lc?.inc.� :;:firi7.7., t,cf.or.r. i.t; ,uiu�� ��cnniC� tor t:he crc:cL•i.on a�
uf .u�y i�u�.l.cl.ii��� ax e;i:ruct:urc, oj- fc»: ��t.y ��eleli.t:i��n t:o ai�y :�r.i;;t:S.»c1 1,11i.leli.ng o1 :;L•zuc(:ur_es,
i�r. l:c�r cu;y .i1.t:cr�L•ic,�i or. r.cl,��i.r.:; l:o •zny c::3.:t:inc� }���i.l.ai.n<.; or. st�:ucturc, uJ�c,n a�;,pli.c:at.i.oJ�.
iticl:�[or.e, r.cqu.i.r.c tl�� 1�aymc��L ?�y Clic ar�pl.i.c:ar�t: L�r. :;ucl� ��cr.�:�i.L• of fee:, ta tl�e a�n�unL-
hcr�ii� bcl.c��•r sc:l• for.t•h ��xl ii� thc �nanricr. hcrcin �,�:ovic]!�cl t�-a::ifi: .
1�7E1•� CON�:�17:UC'�IOI�: �i�ig].e Famil.y iloir,es and Gar.�ZCres: ,�4.00/1,b�0 cu}�ic fea�. •
PLA;�l C:II):Clti: ?.5 i��r_ce��t: ai bu�:lclincJ }�sezaniL fee.
VI2IVr�•dAY llEL�P.L•'SS�Oi•:: (ConcrcL•c Cli�}� �LzceCs Onlyj � '
' Al.t-crt��-�t:� ]�: lu:�noval aT�d rej�l.ar_cment oi concrete curb and
qutt•er only; l�rive4�ay �fidtli p].us 6£eet x�:�,;�75
1�tternat-e 23: Removal and rep�acement of concrete curb and
• � guttcr and iiist� li a 3 fooL- e�ic�e approach �t�lUl �'
. 6 a.nch de�th; Drivcway ��ic:th �plus G feei: x$17.85 �
• . ��Z �� onn� r r��r-or�,fnT r orr�
For the purlbse oi compuL-i.ng �ees far building perm�ts,. L-iie cubical coiztents oE any
buildi.ng or. addition, is detercni.iied by muli:iptyu�g :he ground area covcred fro:u a
p�znt si�= (G) inches below th� i'loor ].ine oi i�lie basement or the cellar to the
averdc�e hcights oi fihe •upper suzface or i.o the average height of the roof surf:ace
oi i.he raain ga}�J,e of a pitched roof . '
Fox re�ai.rs or a�terations to an existing structure� the fee shal� be at the rate
.. of $3 .00 Pcx each fivc hundrea. dollars -($500. 00) er frac2:ion tliereof in fihe cost
oi all prpposed wor.Y.. .
In •no aase si�a..l the fee cliarged fctr any pena�.� �� set iorf: : i.n Section 2 bc �.�ss •
th�.n $7.50 plus $.50 state surcJiarge. - .
_ VERTFICATION OF FOUt�nllTIOf�
' NOTE: Permits �or cons,t-ruction �aill be issued a minimenn ai 24 hours fr.om i:he time
�i akplication to aJ.locv for proper re��iew of ihe proposed structure and oi the
construction site. '
� �
li Certificate � of Suzvey of the lot, shawing the location of tiie foundation once it
has been constnictcd ���ill be required befare proceeding with the i'raminq.
. .�FRTIFICATE OF � _�UP/���C,' ' '
� hPplication �or a Certifiaate oi Oceupancy shall L�e madt� ten (1�) days prior io the
ii_ e ox occurancy of an}� sti�ucture for �rhich a liuilrling permit }:as been issued; and
sa.icl s�ructure shall not l�e used or. occuyied tuitil a CerL-xticate ot Occurincy has
bcen i,ssued.
, • .
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����
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EXTERTOR EPItilELOPE F►VEf?AG� "U" COi�iPUTATiOP�
Ol�1i: E R �/9LL /J-C.� �C . � S1�/ /'� L E �f /� �,��,5 � /V .
SITE EiQORESS �e� �-(�'fily Gt � .� �-� '��,�'j1�`�
COiJTRACTOR ���' � �-� � c0/11S � D�TE /� '��- �� PHO`�E �0 3 � � � � %
Determine t,�orking square foo�aye of each.
1. 7ota1 exposed ►�all area �. ..... 1 f Z r � sq. ft. x
.17 =
2. Total roof/cei 1 i ng area ..... � 2�� sq _ ft. x .05 -
a.
b.
c.
d.
e.
f.
9-
Total exposed �•rall area above floor = ���(�.. "
Total wa11 window area........ .................
Totaldoor area .... ...........................
Total slidirig glass door area ...................
Total fireplace t�all area....... . _..........
.. ...
Total wall framing area (average l00)...:........
Total net ��ta11 area above floor ..........:......
7ota1rim joist area ...................:........
z2z
�..�.—
y � �
�
/ 33
�f�9
�,S z
` Tota1 exposed foundation area = //'� �
� S�
h. Tota1 foundatian window area .....................
i. Toa1 nefi foundation area above grade ............ �/�---
Determine "U" value of each a1a11 segmznt.
a. � 2 2-2 X ��U„ . �, 3 -- /%�. � �
b. � �5'� X „�„ , �a� _ �. �9
c. � � X �,�„ , .ss� _ d� �5-
d. --� X ����� .—
e. ��.� X ����� ./�y
f. //i� X„�„ ��G7
9. ! s Z x„U,► m���
,
� X �.�,� � .��
h. _
; . / / � X „�„ o / 9 =
3 ......................... ...........Tot,:l =
a
/ .S, �.3
�D. 3 3
ea, s� �
a.��
� �-�
���
,3
�
If ite�n �3 is the s<�m2 as, or le3s than it�m ; 1, you h�v� r:^t th� intent
of SaC 6006(c)2.
0
..
.�
,
0
Total exposed roof/ceiling area = ��.��
total gross roof/ceiling area = � Z if°�„
J- 7ota1 skylight area '
k. To�al roof •-•• ....... ..... ......
] . Tata�1 net insulate� f roof/ceil in . � � � � � � "'
g ar�a.._ •• —r �==
Determine "U".value for each roof/ceiling se��en�.
J• --• X �� � �� . ._._
� .
k. % Z 9' X nUn � //9 _ � s' .
, �•S-
1- // 5 7 X��U�� , b 3� J7 �1
' � �/ �I�
4 ..........................
. ••.....Total = �� 3 �
� .. � .
If totaT of �4 is the same as, or ]ess than �2, you have m� o•
. SBC G006(c}Z. t �h.. intent
,7o utilized the total envelope�system method; the �
sum of items �3 and �4 shall not be greater than t}��usu� stablisf�ed by
of �te�s �] ar
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N° - - 59 3
� CITY OF FRIDLEY /� -�3 -�m
0 �.�
PUBLIC WORKS DEPARTMENT
TAPPING APPLICATION AND PERNIIT
FOR INSTALLATION OF WATER & SEWER SERVICE
I) This form to be completed before a tap is made to any esisting water or
��� �� ��'� i�''' , . - -- - �,P.�r. � / �� 00�.
Address ` . o
Owner ���� �
Plumber
CHARGES TO BE PAID BE RE TAP IS MADE — WHEP
ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY
II) Water & sewer connection permit must be registered before this Tapping
Permit can be issued.
City supplies all material and labor for 1" or under watet tap. , Con-
tractor supplies all material and labor for water tap over 1", and all
sewer taps.
WATER TAP:
Materials Used: $ f `� 4'�
Street Patch: . $
}�XXXXXXXXXXXXX
SEWER TAP: Street Patch: !�: $/� a D`�
III) If this property has not paid a full Lateral Charge for its share of the
water and sewer system, additional charges will be placed against it.
This will be in addition to the normal connection and tapping permits,
meter deposits, etc. �,�r• $ � a�—, � `,
�`
Water
ASSESSMENTS TO BE LEVIED: Lateral:
l �,�Q,(�g.,�j�� ��G. C� G Sewer Lateral:
���,t,,,,,, ,�c�� � TOTAL ASSESSMENT:
� . �i�� ,s�
Supt. of Public Works
$ �� /. S—%
$ /os�• 9�
$ .�/�. �
M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber
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8431 UPIIVERSITY AVENU•E N.E., FFi1DLEY, I�IINNESOTA b6432
', TELEPFOONE ( 812)b71-3450
�,���;�;,f ,��� January 16, 1980
�� �'F
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� Mr. �Jallace Larson
� ;f ��'� 1482 Mississippi Street N.E. .
r � Fridley, Nu� 55432
Re: Heating & Plimibing Perm3.ts for 6476 Arthur Street Pl.E.
Dear Mr. Larson:
We h�ve been unable to contact you by telephone concerning the above
noted permits. We can not process them as they are incorrect.
Please contact this office to arrange an appoi.ntment to go over the
permits. We will also need a"heat loss" submitted with the heating
pernlit application. �
We will appreciate your prompt attention to this matter.
Sincerely,
� �
� ;z.c'�i: s�f1��� .� 4, �.�-►�-�—
WILLIAM H. SANDIN
Plbg.-Htg. Inspector
EHS/mh
P.S. The inspeators will be gone fr� the office on the 21st, 22nd,
and 23rd of January and no inspections will be made during this
time period.
�
_�
�__.
L .
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_ �..� ,,
�_! :
. ,� �j,
�' �} .'`;' 1 May 4 , 1981
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6431 UidIVERSIYY AVEfdt�E Rl.E., FRIDLEY, RAINPIESOTA 55432
TELEPNONE ( 612)571-3450
W. F. Bauer Construction Co.
� 1655 Stanbridg�e �
' �Roseville, MN 55113
Re: Final Inspection at 6476 Arthur Street N.E., Fridley, MN
Dear Sirs:
A final inspection was made on May l, 1981 of the above noted address
and the following items were noted which.must be completed b_efore the
structure can be finaled out;
I. Provide sod in the front and side yards by June 30, 1981.
2. Provide the City with a copy of the verifying survey by
June 30� 1981.
We will expect the above items to be completed by the scheduled date
when a reinspection will be made to detennine compliance. If you have
any questions on these items, please feel free to contact me at
571-3450.
Sincerely,
DARREL G. CLARK
Chief Suilding Ofticial
DGC/mh •
CC: NIr. Wallace Larson
6476 Arthur 5treet N.E. �
SUBJECT
c�ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i�
� �
' j V �����'�
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i.-•-� ��"' �.� CITY HALL FRIDLEV 55432 NUMBER REV. DATE
i 612-571-3450 910-Ft 5 6/27/86
JOB ADDRESS 6476 Arthur Stree t N. E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. pt. 1 1 Spring Valley Addition
2 PROPERTY OWNER MAIL ADDRESS
WALLACE LARSON 6476 Arthur Street N.E.
3 CONTRACTOR MAILADDRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRE$S
5 ENGINEEFi MAILADDRESS
aAGE OF
� �
5�1-53 22
Z�P pHONE
ZIP PHONE
_ 18522
RECEI O.
�� � �
APPROVED BY
SEE ATTACHED
SHEET
LICENSE NO.
LICENSE NO.
Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
C� NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 16' Shed in Rear Xard
9 CHANGE OF USE FROM
STIPULATIONS
TO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBIN(i, HEATING, 'r` v` ���•°�. vvv�r�
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STAILS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 / 7�
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS`3S . SO
IDAJIEI '
/
�L 7
� g
ICY (iROUP OCCUPANCY LOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SURTAX
1.37
SAC CHARGE
TOTALFEE
$39.87
DATED THIS IS YOUR PERMIT
PRti,,INiriVAr�� SURVE�r F��: s�+82 P�NSSiS��! �T., FRIDI.EY`� NiiiVNESOTA 4
LS #79-07
. ��� � � Wallace L. �arson
� M
DE�CRiPT�V: LOT 1, 9LK.1, SPRING VALIEY ( DC. TH�- S. t05� li�REO� )
NORTfi
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"��'���'��`�k �- 1 HEREBY CERTIFY THAT TNiS SURVEY, PLAN, OR
�et��e �G�;�`?'�� °"�� _ . �" REPORT WAS PREPARED BY h7E OR Uh�DER P,�Y DiRECT
�������`�.r;;- -.'.�`:-`? ' SUPERVISION AND THA7 I AM A DULY REGISTEftED
; , � , ,-�, �':'° � � � � � LAND SURVEYO UroDER THE LAWS. OF THE STATE OF
' n � a. � �' ` MINNESQTA. ��
;:
, � .
�0o MERLYN . "S " ANDERSON
�
R� --�' DATE 9l�25 %� REG. N4. 135�6
` ��
��y
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N� �� City of Fridley Effective u/1/86
ADDN. [ ] �R-1 AND R-�
pLTER. I 7 Building Peranit Application
Construction Address: � ��� d�`�G� v`�A�- �T � � � , / - —
Legal Deseription• �� / ��% ��p���-d������' �0 . �/VO _ �SS 7�
Owner Nam & Address r.� /�s° ��. `'¢� 5D'" � Tel .�,Q/- S3 ��
� ��� °� �j.� U:..n � L �- .�
Contractor: �� � Tel. �
Address•
Attaeh to this application, a Certificate of Survey of the
lot, with the proposed construetion drawn on it to scale.
�t�'�
� �
GARAGE AREA:
DECR AREA:
OTH--------
Corner Lot [ ]
DESCRIPTION OF IMPROYEMENT
Length � Width � Height Sq. Ft. o��
Length
Length
./�--`L��r .6�Y.
Inside Lot [�
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft. _
�
Ft. Yd. Setbaek l ��
Estimated Cost : $ lo dz �-- � `��� �
Side Yard Setbaek
Type of Construction: �« � �i� �� c- --
Approx. Completion Date :'% - � S- '��°
Alt. A Alt B
Proposed DriveWay Width If New Opening Is Desired: $ $
See Baek Page for Explanation
DATE: �
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
Seaer Main C�r°&e
TOTAI.
STIPULATIONS:
APPLICANT • �-- Tel . ���' ��ZZ-
CITY IISE ONLY
g �,,Sb
�
� ( d � /
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$
$
� ��'-87
Fee Schedule on Reverse Side
25`� of Building Permit Fee
��50/$1,000 Valuation
�1� 75 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [] Not Necessary [ 7
h !�
� - �
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BIIII.DIBG PERMIT FEE SCHEDIILE
The Chief Building Official shall, before iseuing permits for the ereetion of any
building or structure, or for any add3tion to any existing building or structure, or
for any alteration or repair to any existing building or atrueture, upon applicatio n
therefore, require the payment bq the applieant for such permit of fees to the amount
herein belo� set forth and in the manner herein provided to-Wit:
Total oaluatioa
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for eaeh
additional $100 or fraction thereof, to and including
$2,000.
�32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
ineluding $25,000.
$170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or fraetion thereof, to and
including $50,000.
�50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional �1,000 or fraction thereof� to and
ineluding $100,000.
$100,001.00 and up
$�33.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRI9EfiAY DEPRESSION ESCROiI
(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
approaeh With 6 inch depth - DriveWay width plus 6 feet times $15.75
VERIFIC6TION OF FOONDATION
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 gocation of the foundation once it
has been eonstrueted �aiZl be required before prc��eeding with the framing.
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SUBJECT - ���:_.,
City of Fridley � �, � �o
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
r
� � RECEIPT NO.
� ' COMMUNITY DEVELOPMENT DIV.
� � ---__.-, � �
r � v � PROTECTIVE INSPECTION SEC. o
� �
� �
� � /'��1 � CITY MALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPqOVEU BV
�"""'�" �'� 612-571-3450 9t0-F15 / /
12/22/95
J08 ADDRESS 6476 Arthur Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. pt 1 1 S rin Valle SHEE7
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wallace Larson 6476 Arthur Street NE 571-5322
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECTORDESIGNER MAILADDHESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW C� ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 23' x 16' Gara e Addition
9 CHANGE OF USE FROM o TO
STIPULATIONS
Provide a hard surface driveway. See notations on plan.
��� � ����
�efore dipg+n? cz:� �or
all uiility loc3tions
454-OJ02
REQUIR�D �Y L��l
SEPARATE F���^:��'�9�� 6���� ar��� FOR
WIRING, HEATIr'�G, �Ll��,��,ifVG A(�'D SfGNS.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK 0R CONSTfiUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEFEBY CERT�FY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `P6 f S2O $3. ZC
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
STR TION OR THE PERFOFiMANC CONSTRUCTION. �12�1.75 Fire SC �E).SZ
PLAN CHECKFEE TOTALFEE
$134.53
I AT P� FCON' AC RO OAIZEDAGENT IDATEi yy N P ERLV V LI ATED THIS IS VOUR PERM�T
� �� 'i f0 ( �
S�GaaTUAEO O N R��FO i D Ai � iDAT i �OG iNSP DaiE
• ' � \
NEW [ ] Effective 8/ 1195
ADDN [ J CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application .:� � �(� �
�
Const�uction Address: � y 7 ,� /���� �� S�s �I1 � � _
Legal Description:
Owner Name & Address:
Contract
Address
Tel. # �%- ,�`s 2-�
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
Attach to this application, a Certific�te of Survey of the
lot, with the proposed coa�ruction drawn on it to scale.
:ENSE #
Tel. #
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length �,� ` Width _ /6 , Height � Scl- Ft. � � °�• � �
Length Width Hgt/Ground Sq. Ft.
Comer Lot [] Inside Lot� Ft. Yd Setback Side Yard Setbacks
Type of Construetion• �j(�[��0 �iE�v� -� Fstimatsd Cost: $ � � ��
Approx. Completion Date: � — � �-��
Cost on Backj
Driveway G�rb Cut Width Ne�ded: t+ 6 Ft c =$
DATE:1 -��APPLICANT: r✓i--` Tel. 1����a 2�-
Permit F�
Fire Surcharge
state Surcharge
SAC Charge
i.icense Surcharge
Driveway F.scrow
Erosion Control
Park Fee
Sewer Maia Charge
TOTAL
�TIPULATIONS:
� l � ��
� �', ���
� �oZ�
$
$
$
$
$
$
$ , �3
CITY USE ONL�
Fee Schedule on Reveise Side
.001 of Permit Valuation (1I1Qth�)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed R�idential Comradors)
Alt� "A" or Al� "B" Above
$450.00 Conservation Plan Review
Fee I�ermiaed by Engineering
Agreement Ne�sary [ j 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
siructure, upon application therefore, require the payment by the applicant for such �rmit of fees to the amount
herein below set forth and in the manner herein provid� to-wit: '
TOTAL VALUE
$1 to $5�
$SOl to $2,000
$2,�1 to $25,000
$25,�1 to $50,000
$50,001 to $100,U00
$100,001 to $500,000
�SW�Wl � �I�VW9Vllll
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $S00 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,(�0
$62.25 for first $2,000 pins $12.50 for each additional $1,000
or fraction dieaeof, to aad including $25,000
$349.75 for first $25,000 plus $9.� for each additional $1,000
or fraction th�eof, to and including $SO,OQO
$574.75 far 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 fiadion theaeof, to and including $SW,000
$2887.25 for the fnst �SS00,000 plus $4.25 for �ch additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for t�e first $1,�D,�O plus $2.75 for each additional
$1,000 or fiac�ion thereof
DRIVEVUAY DEPRESSiON ESCRUW
(Concrete Curb Str�ets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet tim� $1350.
Alternate "B" : Removal and replacement of curb and gutt,�r and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feex tim� $15.75.
VE1tIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 homs from the time of application to allow for prap�°
review of the propos� structure and of the constraction site.
A Ce�rlificat�e of Survey of the lot, showing the location of the foundation once it has it has been constiucted
will be required before proceeding with the firaming.
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sue�ecr
c�ty of Fr�dley
AT THE TOP OF TME T1N�NS � � I L D I N� P E R M i T
;,
,�
� ; v _.��_ COMMUNITY DEVELOPM�NT DIV.
r � � PROTECTIVE INSPECTION SEC.
`-_-.� ��"' �'� CITY MALL FRIDLE� SS132 NUMBER
i 612-571-3450
910•Ft5
JOB ADDRESS 6476 Arthur Street NE
1 LEGAL �OT NO. BLOCK TRACT OF ADDITION
oescR. Ft . of 1 1 Spring Valley
2 PfiOPERTY OWNER MAIL ADpR�$$
WallY Larson
3 CONTRACTOH MAII ADDRESS
Roof Ma.x 10638 205th Ave NW F.lk Ri
4 ARCNITECT OR DESIGNER MAI� ADORESS
5 ENGINEER MAIL ApDRE$S
8 USE OF BUILDING
Residential
7 CLASS OF WORK
10/14/99
ZIP
ZIP
ZIP
PAGE OF
/ /
PNONE
-Fid'�S
PFIONE
PNONE
30407
��
Br
SEE ATTACFIEO
SHEET
LICENSE NO
'�473
UCENSENO
LICENSE NO
O NEW O ADDITION ❑ ALTERATION 7c� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and �ara�e (33 Sal Tear-off
9 CHANGE OF USE FiiOM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATINO. �'r� v vv•�•
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NUIL AND VOID IF WOiiK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCEO VfIITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OF ABANDONED fOR A PERIpO OF 120 pAYS A7
ANV TIME AFTER WORK IS COMMENCED. NO DWL,G. UNITS
I HEREBY CERTIFY 7HAT I HAVE READ ANO EXAMIN�O THIS APPLICA710N
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIpNS OF LAW9 VAWATION
AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMP�IEO
WITH WMETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 288Q.
DOES NOT PFESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEWMl7 FEE
PROVISIONS OF ANY OTMER STATE OF LOCAL LAW FiEGULATING CON-
STRUCTION OR TME PERfORMANCE OF CONSTRUCTION .�'R'S_2ri
S�GNATUpE OF CON'aACTOA OR sUTMOr+�ZED AGEN1 IDAip�
��GNATUQE 0� OWNEQ ��� OWNEp BWLDER� IDAfE� �
OCCUPANCY GROUP
SO. fT
OFFSTR
STALLS
OCCUPANCYLOAO
CLL FT
T PARKING
IGARAGES
MARGE
e SC
FEE
•57
i IS VO
v '
rrEw [ ` � °
ADDN
ALTER
Effective 5/10/99
I l CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2
BUII.DING PERNIIT APPLICATION
Construction Address: '�C�� 7 � �TH�- �
�
Legal Description:
Owner Name & Address: _�,¢ LL�' �,�.� Tel. #
Contractor:
Address: l D � 38
f �
I�P���y°�
MN LICENSE # ��/ ?3 �%7,�
Tel. # �p I �v ° � ���
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �'��,Q l� '���
°`�— �' //
Construcdon Type• �L= �t�� Estimated Cost: $ — � ��y
Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Ft x$
_$
.
DATE: I f� I APPLICANT: Tel. #�/ 6''� ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ :�� ���
$
$ 1a�i�
$
$ �e�"�
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.so/$1,000 valuation
$1050 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 [ ]
$ ����
_,._.
BUII.DING PERNIIT 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 tawit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,�0
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,OOO,Q01 and up
����.y
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction 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 fraction 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,Ot� plus $5.60 for each additional
$1,000 or fraction thereof, to and including $SW,Q(?0
$3,233.75 for the first $500,0(� plus $4.75 for each addirional
$1,OQ0 or fraction thereof, to and including $1,0OO,OQO
$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)
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 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.
CITY OF FRIDLEY
, 6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57Z-36U4 l+'AX: (763) 571-1Z87
PERNIIT NO.: 2004-02192
DATE ISSUED: 11/29/2004
ADDRESS : 6476 ARTHLJR ST NE �
PIN : 133024420054 � � � � "�"
LEGAL DESC : UNAVAILABLE
: LOT 1 BLOCK 1
PERMIT TYPE : BUII.,DING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOW/DOOR REPL
VALUATION : $ 18,370.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317
OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE.
CAULK AND FLASH ALL EXTERIOR OPENII�TGS.
APPLICANT
WELLINGTON WINDOW & DOOR CO
3938 MEADOWBROOK RD
ST LOUIS PARK, MN 55426
(952)933-6300
OWNER
�, JOHN&BARB RUSHACKO
! 6476 ARTHiJR ST NE
FRIDLEY, MN 55432
BUII.,DING PERNIIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # 75542
AGREEMENT AND SWORN STATEMENT
This permit becomes nu11 and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances goveming this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other sta.te or local law
re la ' construction or the performance of construc on.
Applicant � Date���_
Bldg
�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
307.25
18.37
9.19
334.81
f�UV-16-2004 10�25
N�VV [ 1
ADDN [j
ALT�R { J
�'� 707� o
CITY OF FRIDLEY F, �_�` ��_�
VI I 1 V{ 1 I\ILLLI �.���vx�� .. ..��' '
6437 University Ave, NE, Fridiey, MN 55432 (763) 572�604 Bldq Insp
SINGLE FAMtLY ANp DUPLEXES R-'i AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLlCATION
Construction Address: �p y' �(o � Y' �" � u�'" S'�`.
Legal Description:
Owner Name & Address: J V� `�,�a r h � 1� S h q C'i D Tel. #% 3—S Zl ' �✓r�]7
Cor�trador. �e I I H tD k�% � D W MN LICENSE #
Address:���- N'�£a�clv. w�v�DOk- R Sf. %OLtI S I�iLTeL��2-933 -6 3 00
LMNG AREA:
GARAGE AREA;
DECK AREA:
oTM��:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scate.
pESCRIPTION OF tMPROVEMENT
Length Width H�ight Sq. Ft.
Length Width Height Sq. Ft
Length 1N�rdth • HgtlGround Sq. Ft.
re� 1 a c�.n�.��,-� o� /r7 �i It��l_�w c 9
Construction Type: �stimated Cost: � I 0�,.310 • D D
Drnreway Curb Cut �c[th Needed: �t + 6 Ft = Ft x$ _$
DATE: APPLiCANT: ' TeL #
1^5
Call j763) 572-3604 for Petmit Fees if rnailing in apptication. Fax to 763-571-9287 if using credit card and we wil! cal�
you for card number.
Permit Fee
Ala� fd�vi�w- -
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Controi
Park Fee
Sewer Main Charge
TOTAL
$ 307.25
$ —
$ �g. 1
$
$
.$
.�
$
$
$
$ 33 . �
CiTY USE ONLY -
Fee Schedule on Reverse Side
�5°� o�Permi�i�� - - --. - --
.009 of PermitValuation (1/1pth%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$�.00 (State Licensed Residen#ial Contractors)
Alt. "A" ot Alt. "B" labove
$450.00 Cons�rvation Plan Review
Fee Determ�ned by Engineering
Agreement IVecessary [ ] Not tVecessary [ ].
STIPULATIONS�
NUV-16-2�]�4 10 � 25 C I Tl' �F FR I DLE`�'
BUILAING YLKMi'1' 1+'.t.� ��.n�lru�
F'. t=t� �_�-
The Chief Bui,�ding Officzal shall, before issuing peruvits �for the erection af any building or structure, or f�� �r.
addition to amy existirng buildiz�g oz s�ructure, or for any alteration or z'epaiu� to amy existing buildin� �:�.-
structure, upon application tb.erefore, xe�uire the pa�►ment by the applicant fox sucl� germit of fe�s to the anic�u:-
h�erein below set forth and in the manner herein provid� to-wit:
TOTAL VALUE
$1 to $5�
$5Q1 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 t�1�,000
�
100,001 to $500,000
$5�,001 to $1,000,0�0
$1,000,001 a�:d up
FEES
$23.50
$Z3.50 for��'i�rst $500 plus $3.05 for eacl� a�lda�ivn�1$100 or
�raction thereof, to and includi.ng $2,(X10
$69.25 for first $2,Q00 plus $14.00 �ar each additiot�al$1,000
or fraction rhereof, to and including $25,000
$391.25 far first $25,000 plus $10.i0 for each addit�onal $1;000
or fraction t�ereaf, ta and inciuding �50,000
$643.75 for �irst $SO,Q00 plus $7.00 for each additional
$1,000 or fxaction thexeof, to and in+cluding $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,�00 or fia�txon �ereof, to and 'uicXuding 550�,400
$3,233.75 for the first $500,000 plus $4.75 for each addiuonal
$1,000 or fraction thereof, to a� iucludiang $1,004,000
$5,608.75 fo� the fust $�,OOO,OQO plus $3.15 �ar each additional
$1,000 or fraction thereof
CURS CUT ESC�tOVV
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only � driveway widt]a plus d f�t, tino�es tlie am�uallY deLerm�;:t
rate �
Per�ni�s fQr co�stntc�zon will_be issued a minixnurn of 2A� hours froxn the time of application to allow for pr, :::
review of the pmpos�d structure and of the const;uction site. _
VERIFiCA'�.'ION OF FOUNDA,TION
A Cea�tificat,e of Sw�vey of the lot, .showin$ ihe locatian of the existir�g foundation wiu be re.c�uvred berc�
proceeding with ttie framir�g. New Houses 4nlv �
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