AF - 44243� _ • � ,,�--�
y y SUBJECT P� i3304
Cit of Fridle
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� � COMMUNITY DEVELOPMENT DIV. R �'��
� � ~ � PROTECTIVE INSPECTION SEC.
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'l � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV- DATE PAGE OF APPROVED BY
L"-'� � ,`� 812-560-3450
910-F15 11/10/75 � �
JOB ADDRESS 6481 Arthur Street N.E.
1' LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 24 4 Harris Lake Estates SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
LEO K1S2�.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Erco, Incorporated 3231 Central Avenue, Mpls.
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK '
� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 26' x 41' Dwelling and a 26' x 22' Garage
9 CHANCiE QF USE FROM TO
STIPULATIONS
Provide a haxd surface driveway. Provide a verifying survey before
capping. Provide sod in the front and side yards.
SEWER LOCATION: (Approx. 10' Deep) 68' 5outh of Manhole (Inv. 882.00)
WYE ELEV: 881.39
TOP OF FOOTING: 884.39 Minimum � � � � ' � �
WATER IACATION: 11' North of Sewer Service
�A����� —��I�'�R�AiVT— �����OPJ SAFETY COWTROL ZONE"
Dp� PIOT PIJINT OR PLACE ANY•
Before digging call locel utilitte� NOTIFY 7HE FRIDLEY ENGR, YHING IN 7HIS AREA W11'HQl�7 F+P•
DIVISION REGARpING CURB PROVAL QF THE ClTY 0:- rR�;�= :�r.
TELEPFtO(VE - ELECTRIC - GRS EtC. REMOVAL AND REPWC�MENT
REC�UIPED BY LAW AT DRIVEWAY OPENINGg
SEPARATE PERMITS ARE RE�UIRED FOH ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOCI Fia,IIle
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. 1138+500 13, 656+5, 000
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.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $34,300 1%.�.5
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING CON-
STRUCTIO OR T P RFORMANCE OF CONSTRUCTION. ' $5O.G2 $325.00
PLAN CHECK FEE TOTAL FEE
f0-�-��'� $392.77 �
SIGNATUR FCONTRACTORORAUTHORI2EDAGENT (�ATEI N PROPERLY VALIDATED THIS IS YOUR PERMIT .
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S{�NA7UREOFOWNERUFOWNERBUILOERI IDATEI BLOG INSP DATE
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Soils �e�ting � Tetephone 784-006a
Civil Englnse�inp Areo Code bli
AAunlcipol E�ins�rio� Eagineere & �l�1TVBy0I'�
Certificate o
f Survey for ����-� _;� �_����'.
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���IPORTANT�
�����( THE FRIDLEY ENGR.
plVlalON REGARD�►� CEMENT
��,1�ry�1tAL AND REPLA
� DRIVEW�Y OPENINGS.
135�00
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��pte digging call local u�i8iiti��
���.��HONE - ELECTRIC - GAS E�.
�� ��RED BY LA1�V
2� � OCK �
l�lT ,
Ha � 15 �S�A'T'ES
— A�� ca���Y
1 h�rebr s�►tilr tl�ot �I�is b a trv• �d tor��et �opt�.�e�lofion f a �YrvEr of tl�e boundar�e+ o� the obo��
d�fc.ibed Io�d, aed ol tMe (otoflOrt Of oll b�rilding tl+tr�qe+� ° A D'I'q isible encroach�++ents� �f anr, /rom c► o*�
�aid loed. A+ �urveretl by ms !l�Is _ dor ol_� __ _i
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O ��TES 1�N �NT SU�t�RdAN f�NGINEERING, INC.
[n�ln�e�s Su.vero.+ �
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----- �?iE9 DRP11� �r UTIt,ITY �� �r�s' � � � ` ' � � —
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� � � , . .APP'LICATION POR RLSI�DL'NTIAL., ALTI:P1lTI0N,
, , OR AllllITION. BUILDI\G PLR�I�IIT
' CITY OF FRIDLEY, NiINNESOTA • �.
OWN�R' S NAr1E : �p ����i _ BUILU�R : �2�� �� ��_ � .
, ADDRESS : � ADDRESS : �1 � � I ��'f � �
. . . .
N0: . � � � � STREET : ���/�U%�---- ' -
I.OT : � BLOCK : ADDIT�Ol� : l ��� �•r �1�-��` �5���-�
. ��pg�g ZpT ; INS IDE LOT : SETSACK : � 3_ S� SIDLYAP.D : �� � � � .
. ___.�,� .
�.Applicant 2ttacr. to this foraa ��o Certificates. �f Surve ..of�Lnt and.proposed .
buildino location dra�an. on these Certificates. ,
0
HESCRIPTION OF BUILDING
0
. � • � . � .
a Be Used As : ' . . �
, � . � . ! � .
� �c"i_�.•i � Cr- Front • � Depih : L� Height • /
. - . Squaire Feet : � 3 � � Cub3.c . Feet :_, � �� �O ��
, ' . � � . 0 " �
��.�� �' Front : � 2 Depth : . 2 �� Height • � : .
�
�. . , � Square Feet; ��� Cubic Feet: � � �� � '
.� Zjrpe of �Construction: � rc'� Estimated Cos�: ��� .
,
To� Be Completed: � " .' � � � � . � � . .. ' , .
�� The undersigned hereby makes applicativn for a pezmit for the work herein
speciiied, agreeing to do all worlc in strict accordance �aith the Cit}• of
'� Fridley Ordinances and rulings ot the Department of Buildings, and her�by
declares that all the iacts and representations stated in this application
are'true and correct. � .
. � / . � .
/
� � nATE: I 6 - ��L � % SIGNA ItE • - � '
• ee I�everse Side For Additional Information.)' . . ,
�C ` � C'N/a �v 6 rt I! A�'Trt'1� �tS�`aJ � � �
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� ,• BU1Lll1N{i L'.L•1U�I11 r�:L Jl.l�iuuLC `"".'"�' r_; I
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� S�CTI4N 2. The Inspector oi Buildings shall, betore issuing permits for the
exec�ion of any building or structure, or tox any addition to any existing
� buildin� or structure, ox for any altcration or repairs to any existing
building or structurc, upon application thereforc, require the payment by the
agplicanC i•oi such pennit of fees to Ehc arr.ount herein below set forth and in
the manncn c�rein provided to-wit: . . • .
e •
�.� UNIrOr1�i BUILDII�G COD�: �►pe 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. • �• �'
� � ADDITIONAL INFORl�1ATI0N
For the purpose �f computing fees for building �ermits, the cubical contents
of any building or.addition, is detexmined by multiplying�the ground area
. covered from a point six (6) inches below the floor line oi the basement •
ox the cellar ta the average heights of the upper surface or to the avQrage.�
: height of the•roof surface of the main gable of a pitched roof.
. . . .
• For xepairs•or alterations to•an existing structure, the fee sha11 be at tlze
• rate of $3.00 per each five huridred�dollars ($500.00) or fraction thereof in
the cost of all �roposed work. . ' .
� �%�i no case shall the fee charged for any permit as set forth in Section 2 be
. � less than $5.00. �. � ' , '
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� � VERIFICATION OF FOUNDATION �
. . � . �
NOTE: Permits for construction will be'issued.a minimum of 24 hours from the
ti.me of application, to alloca for proper review of the proposed structure and
af the construction site. . • • , �
A Certi£ied Suivey of the lot, showing the location of the foundation, once it
has,becn constructed, will be required before proceedin� with the framing.
CERTIrICATE OF�OCCUPANCY '
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a buildin� permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy h�s been issued.. . . e �
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ANOKA COUN7Y
6431 UNIVERSITY AVEIVUE NE March 16, 1976 FRIDLEY, MINNESOTA 55432
Erco, Incorporated
3231 Central Avenue N.E.
Minneapolis, Mn. 55418
Re: Final Inspection at 6481 Arthur Street N.E.
Dear Sirs:
A final inspection was made on Ma.rch 16, 1976 of the above address. The
foZlowing items F,vere noted and must be completed before the construction
can be finaled out; ,
1. Patch firewall where �russes pierce by April 2, 1976.
2. Provide joist hangers on canted joist.by April 2, 1976.
3. Provide joist hangers by_ fireplace by April 2, 1976.
4. Provide joist hangers under_foyer by Apri]: 2, 1976.
5. Post address on house by April 2, 1976.
6. Sod front and side yards by June 30, 1976.
7. Provide a hard surface driveway by September l, 1976.
8. Complet�e garage floor and back s�.ep by Ju�.e 30, 1976.
If any problems arise that will prevent you from completing these items
by the appointed d,�,:es, please contact us. Reinspections will be conducted
on or about the appointed dates to determine campliance.
Sincerely,
DARREL G. CLA
Community D2velopment Adm.
DGC/rnh
____�
sueaecr PER .
c�ty of Fr�aiey � 14
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T��
�
� � RECEIPT NO
� ; L __�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. i1 �;�
� S � C1•✓
� /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�.---� • ••' s�2-sso-saso 910-F15 9�8�78 / /
JOB ADDRESS 6481 Axthur St.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2L.� 4 Harri.s L3�{E E3't8'tPS SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Leo M. Ka.sel Same � 571-5228
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Finish basement; add �alls C2) for bath.; 2 for utilitg area, 1 closet, 20 outlets,
. ,
9 CHANGE OF USE FROM TO
STI PU LATION S
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 ANO CORRECT. ALL PROVISIONS OF LAWS VALUATI0�5�0 SURTAX O. SO
AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 pEFMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- %. SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �
PLAN CHECK FEE TOTAL F��• OO
SIGNATUREOFCONTRACTOR RAUTHORt2E0AGENT fDATE) U\VHE P OPERLY VALIDATED THIS IS YO R PERMIT
+f��� '� +�
- %. � ' O � �a.�'�,�J`I. , . �
SfGNATURE OF OW IIF OWNEH BUILDERt IDATEI - BLDG INSP ' pA7E
LtA�[GT
" �i�� �f �rIIdley
Pezmit No.
�r T►� ro► or n+e Tw�wc BUI LDING PEf�MIT APPLICATIOf�
f�
. �
�
• ��: --�°°� COMW1NITr pEVlLOPNEMT WV.
� 1 i PROtECTrve Wt�+ECT10N D�!'?
1 � .
� � r•��� i CIiY NALI. iRIDIQY 'JOQ$
���r.,��♦ �.! `12� �60� �460 raJ6tlER REV.
' • 91Q-F14 1
Job Address : � ���,f ������ �� �� • _
Legal Lot No. Block Tract or Addition
Descr. 2 � �i° � � �-
Prapert}� Owner ,� Address ,
.�. e� ' � ,�. �'� �`� '� :.�� ���,:� � �" �?
on4racCor Address
�'�� � �� � ��
r itect or Desisner Address .
se
cr
�
s
Receipt No..� ,
7/8/76
�� -`�'�i�'! G'l.� � s„�c,�
� See Attached
�' Sheet
� ��.�� �A
Zip �� Phone ,�,
,� ��"� �'.��'� �. �-� ,�� �°`� �
Zip Phone License �io.
Zip
Zip
,ilding � .
S�l����° ����'��`�?=�%'=�% �,�,��i'
Wo:k � �
❑ rew � Addition ❑ Alteration � Re
idork '
�/�'�.�� .�� ������� � �����%°f���e_�'�� � �� �
9 F��''�,,��. ��� �'c�'d� �� G������ i� �-�,�;,, '�='�'_��. �
se �°rrom
To
F�
Pnone License No.
.,
Phone I,icease Na.
8 Remove
�air riove
�SPECLaL ASSESS2�z�TS : • •
If late?-a1 assessments have not been placed on this property, an agreement nrist be
signed, agreeing t� assuma such lateral assessments before a permit will.be issued
�� Agreement Necessary: � � • �
� Agxeement Unnecessary: Finance �irect�r
� QUTSIDE UTILITI�S: • •.
Z Sewer Elevation: Water Elevation-
O �.
Stub Location: Stub Location:
w
�
= BUILDIi1G IASPECTION : • •
} '
I— Plur�bin� H.V.A.C. Electrical Fire Insp.
•V Signature & . �
Datc Approved
o[' .
O
u Registered Engn. Stamp. Legal Description Check
��terior Devel. Check Perforniance Bond Check �
Easements, R/W, Special Agreements "
. Final Approval Date
.CcrCificate of �ccupancy
• _ Da�c
� . � ��
��i�l� `�/,�
�—
0
��
�
��
DIM�rSIONS•
Lcn4th; Height; Cu. Ft.
��'idth: Sq. Ft.
Accessory Buildings: �
LengtU: � Neight: Cu. Ft.
Width: Sq. Ft. •
���
VALUATTO;J • �
Sq. Ft. X Cost = Valuation )
_ _.. � Total -.
. ) �aluati�
. � _ ,�o _
Basement X Cost = Valuation )
� - . ) :_
. )
PEP.MIT FE�: Commercial and Industrial
Total Cubic Ft. X $2.15/1,000 G�. Ft.
- X
AL�P,��TiONS and ADDITIOiJS or REPAI:2S
$3.00/$500.00 or fraction up to $50,000 Valuation
$1.50/$500.00 for each addition $500.00 over $50,000
SEt�'ER A��AILA3II,ITY' CHARGE rSAC7
� �
PL.A� G]I�CI:• �
a
�
Permit Fee
.� � �
G5 percent of perntit fee . _
STATI ; SUfiC1iAFG� : •
Valuation X $.SO/$1,000.00 = ' � �
P1ilZr0i'.'•'�1,�CE BOiJD VALUATIO�
Glac%top �1.50/sq. yd.
Curbin� 3.50 lin, ft.
Sod O.SO sq. yd.
F��ncing `5.00 lin. i't. '
�iUSj1C5 a111C� TXCCa �c�a .. q(��[i
,,
�
TOTAL FEE �� o d
5� 6k of Total val.ue = c 8anci F'ae__
sue�ecT PER
City of Fridley 2 0 9 0 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i � RECEIPT NO.
� � COMMUNITY DEVELOPMENT DIV.
' LL �—�" Q
r � � PROTECTIVE INSPECTION SEC. �� �� /
' i '
� /'°1 � CITY HALL FFiIDLEv 55432 NUMBER REV. DATE PAGE Of APPROVED BY
�----� • •,� 612-571-3450 910-F15 7/2�g1 � �
JOB ADDRESS 6481 Arthur Street NE
t LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED
oescA. 24 4 Harris Lake Estates SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Joanne Satalino 6481 Arthur Street NE 572-2Q57
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADORESS ZIP PHONE LICENSENO.
5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW �J ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 148 sf Deck.; Remave existing deck
9 CHAN(iE OF USE FROM TO
STIPULATIONS See notations on plan.
WARHING
Before digging cali for
all utility Iocations
REQU�REp BY
LAW
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED POR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORRED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PEiiIOD OP 120 DAYS AT
ANY TIME AFTER WORK IS COMAAENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-PiOO S.Cr'J
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $Z % e OO Fire �C $Z . ZO
STRUCTION OR THE PERfORMANCE OP CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$28_.75
�' si� trtUaEOFCON�RAC?ORO THOR12EDAGENT IOAT i WHEN PROPERLY A D IS IS YOUR PERMIT
�.c��� �" , �
� °la- � �>
:_' !; iGNATUREOFOWNE WN RB ILDERI ID EI — BLDG iN naT
�_,
.b
� [ ]
� L ]
�� [ ]
I�l ATID i�2
Building Piermit Applicatiaci
Effective l,/1/91
..�: t .: . .► =- , ! i � �'�� � _ 1
_. . . w « . . • � — � /' -✓i "i� i
• - _i�� - � .. - /i � i � - �� � /
•.� •� ��//
• ...� w y j �r � � _ �
Attach to this applicatian, a Oertificate of Suxvey of the
lot, with th�e pznpo�sed oac�tructiaai drawn an it t� scale.
�IPTI�T �' II�ROVS+�TP
I1VII� �i: Ie�gth Width �%ic�t Sq. F't.
� 7�EA: I�gth Width Heic�t Sq. F't.
DDCR ARE�i: IP��1 Width �a- Hgt/C��a�url `71,� Sq. Ft. ��
ORi�R: �PE/Yl/J t�L- �X/_S Tir✓l .D�G�
� ,:
� "a �c�.��6�i����-
Oorner Lot [] Inside Lot [] Ft. Yd Setback Side YaYd SetbacJ�s
Typ� of Qoa�structioaz: ��or�� F.stimated Oost: $ /�D � p��
Approx. �letiaa� Date:
Pt��osed Driveway Width If New Opening Is Desired: Ft. $ S
Width + 6' See Back Page
DATE: �� CJ/ APPLICANr: 'Ip1. # S�7o�- � s%
P+ermit Fee $ �'�' � -�':�
��
Fire Stiirc�arge � ��
state s�aYge S � �
SAC Q�arge $
DriveWay Esctvw $
Park Fee $
Sewer Main Q�axge $
TO►I'AI, � � � `� ��
STIPUTATI�iS:
�
GI'PY U�B Q�II�Y
F7ee Sc�edule ac► Reverse Sic�e
.001 x Permit Valuatian (1/lOth $)
$.50/$1,000 Valuatiaal
$650 pez' SAC Unit
Alt. "A" oZ' Alt. "B" AUove
Fe�e L)etP77117 -„eA � �r; mpr; rr�
�m� [ ] �� [ ]
' � ��
� �
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M'
C.j'� I �
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a�
s
:�1 � � �. C 1'i�'r�41 .�:�:. _�.C1=w� 11
�e Chief Buildin,� Official ehall, befa�e i�uinq permits for th�e erection of ar�y
,; i di�g as stnicture, ar fos any adclitian to any e�aistin3 buildin� or stn�cture, or
for arty alt�ratian os x+epaiY' to anY ��4 �1�n3 �' �, �l ePPlication
therefore, require t2�e payment by the appli�ant for su�d1 peYmit of fees to the a¢ao�uit
�*�+P; n belvw set forth at�d in the mat�r i�erein pzwided to-wit:
ZOr!'AL VAIIJE
$1 to $500
$501 to $2, �0
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
� a.
$15 (Mini�n Fee fs $15 plus e�ci�a�ge)
$15 far fitst $5� plt�s $2 for eaci� a�dditioa�al $100 or
fractia�"► t2�ereof, to at�d includir�g $2, 000
$45 for first $2,000 plus $9 for each additioa�al $1,000
or fracticri therecf, to at�d includirig $25, 000
$252 for first $25,000 plus $6.50 for each a3ditianal $1,000
or fractiati thereof, to ar�d itycltrlirg $50, 000
$414.50 for first $50,000 plus $4.50 for each additiomal
$1, 000 or' fZaCtiori the2eof, to aT1d iT�cludiT�g $100, 000
$639.50 for fiist $100,000 plus $3.50 for each �dditional
$1,Q00 or frackian therecf, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1, �0 ar' fi3ctiat'� th�s+eof, to and iT�cluding $1, 000, 000
$1,000,001 and up $3539.50 for the fitst $1,000,000 plus $2 for each additional
$1, �0 or fractiaai ti�ieof
�tIV�IY �P�SIC�T ffiCSiOW
(Oonct�te Qni� Streets �lY)
A1ten�atQ °p,�� ; ROnoval ar�d rePlaoe�rt of an� ani gutt�r anly - DriveWay wicith plus
6 feet times $13.50.
Alternate "B" : Re�oval ani re�lavesoent of curB� and gutter ar�d ir�tall a 3 foat wide
approac'h with 6 it�ch depth -�iveway width plus 6 feet times $15.75.
.�� �. �� �. . ..
Pexmits for aaaLStn�ctiaaz will be iss��ed a minimm� of 24 i�ours fr� the time of
apQlicatiaaz to allcw for pmoper review of the proposed str�cture ar�d of the
co�t�ctiaaz site.
A Qertificate of �vey of the lot, shoaririg th+� locatioci of the fau�datioai oa�ce it has
it has been a�cted will be Y+equired before prooeedirg with the framin�.
land Planning '
Land Surveying
Soils Tasting
Civil Engineerieg
Municipol Engineering
Mortga,ge
D
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su(+i'�,'`•Z�'�72 �; � � � 6875 Highway No.6S N:E.
� J- M(�neapolis,
!'y21�'fjlPPl�lj'Z�!� tY'i2C. M���. ssass
Telephohe 784-6066
Engineers & Surveyors a.eo Code 614
. �
Loan Survey . for �R CO .� NC•
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Marta�s L�kE �STATES
Ana� �'QUr��y
This is a true ond correct representafion of a survey of the boundaries of the land nbove described and of the
locafion of oll buildings� if any� thereon� and oll visible encroachments� if any� from or on said land. This survey is
made enly in connection with a mortyoge loon now being placed on fhe properfy and no liability is assumed
except ro �he holder of such mortgage or any olher interest acquired by fhe reason of such mortgoge. It is
u�deratood and agresd ne monuments have been ploced for the purpose of establishing lof lines or boundary
corners. Doted this �y�day o1�A. D. 1�
SUBURBAN ENGINEERING, INC. �� �
� E�9i�@ Sral�� I =40
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Attached Deck
* 6x8x8 concrete Qier block
�Y � * �4..Codar or Redwood posts
� * �ouble 2x8 treated for beams
* 2x8 treated r�m ioist
* 2x8 treated floor �oist 16" oc
* 5/4 x 6 Cedar or Redwood deckina
* 2x2 Cedar or Redwood vertical rail system
* 2x4 to� rail Cedar or Redwood
* 2x12 treated stair strinaers
�ail System; ,�
Sail spacing not to exceed 6� on center
To� of rail 34-36" from to4 of floor decking
sue�ecr Pff RMIT NO.
City of Fridley 21 g 2 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� . .
� �
COMMUNITY DEVELOPMENT DIV. G{
r � L � PROTECTIVE INSPECTION SEC. �`J l
� �
i � �
� � /�"� � CITY HALL FRIDIEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""� � �'� 612-571-3450 910-F15 4/3Q/93 / /
J08 ADDRESS 64F31 ARTHLTR ST NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 24 4 FTARRIS LAKE ESTATES SHEET
2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE
JO ANI�TT SATALINO 6481 ARTHUR S.T NE FRIDLEY MN 55432 572-2057
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D& D HQME IMPROVEMENT 74Q1 CENTRAL AVE NE �'RIDLEY' MN 55432 784--7543 4840
4 AqCHITECT OR DESIGNER MAIL AODHESS 21P PHONE LICENSE NO.
5 ENGINEER
MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
RESIDENTIAL
7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION � REPAIR
8 DESCRIBE WORK
���'/i�GY�,fb�' Reroo� Dwelling (18 Squaxe
9 CHANGE aF USE FROM
STIPULATIONS
ro
TYPE OF CON57.
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG
AUTHORIZED IS NOT COMMENCED WITHIN 80 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. UN�
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP4IED �72a�Q
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE
PROVISION ANY OTHER STATE OR LOCAL LAW REGULATING CON- 2�9�
STRUCTI OR THE PERFORMANCE OF CONSTRUCTION.
� PLAN CHECK FE
❑ MOVE ❑ REMOVE
� 2nd
OCCUPANCV GROUP
STALLS
� ���� Lzcn.vsE sc s. ao
S GN TURE Oi CONTRACTOR OR AUTHORIZED AGENT IDATE� �� �(yH�F�I PF�PERLY �/Al
P OWNER BUILDERi __ IDATEI
CU. FT.
IFFSTREET PARKING
GARAGES
iU RTA X
, 4 , a�C�
iAC CHAfiGE
F�RE. SC , 37
LOAD
31. 46
iIS IS YOUR PERMIT
� "5� ��
ria7E
/,r
NEW [ ] Effective 3/ 1192
ADDN (] CITY OF FRIDLEY 4��� (�q 3?°7
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: __ ����� e'�%��� �%� ,/��.
Legal Description: �d � ��� ��0c,� � ��c�� �a��'� �A,�'t � gT�'7-��
Owner Name & Address: _ � ���'�1 �-�,�/�'� Tel. # ..� �1� ��..5�'
Contractor: D& D Home Improvement, Inc. MN LICENSE # 4840
Address: 7401 Central Avenue N.E., Fridlev, MN 55432 Tel. # 784-7543
Attach to this application, a Certific,ate of Survey of the
lot, with the proposed constivction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [) F� Yd Setback Side Yard Setbacks
Ty� of Construction: .;� .r/'�� — '�ii ��r c�it, Estimated Cost: $ �% �-
Approx. Completion Date: � �� .�l�i��
(Cost on Back)
Driveway Curb Cut Width N�ed: Ft. + b Ft = Ft x$ _$
DATE: � APPLICANT: TeI. #
Permit Fe,e $ ��� � t�
Fire Surcharge $ ,� , ��
�
State Surcharge S ,�'���`
SAC Charge $ �`�-` °
License Surcharge $ �,�� � �"
Driveway Escrow $
Park Fee "'
$ �-
Sewer Main Charge $ -�`-�-_�'
TOTAL $ � � � � �
STIPULATIONS:
�ITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.501$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement N�essar�► [ J Not Necessary []
�
BUII.DING 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 boilding or structure, or for any alteration or repair to any existing
building or structure, upon applicatioa therefore, require the paymem 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 $5�
$501 to $2,0�
$2,001 to $25,0�
$25,001 to $50,000
$50,001 to $100,0�
$100,�1 to $5�,�0
$5(30,001 to $1,000,�
$1,(10U,001 and up
FEFS
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fiaction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1,OOQ
or frdction ther�f, to and including $25,QU0
$252 for first $25,�0 plus $6.50 for each additional $1,000
or fiaetion thereof, to and including $50,�
$414.50 for first $50,OOQ plus $4.50 for each additional.
$1,000 or fraction thereof, to and including $100,000
$639.50 for first Si�,000 plus $3.50 for each additional
�1,000 or fraction ther�f, to and including $500,000
$2039.50 for tb.e f rst $5�,000 plus $3 for each additional
$1,000 or fraction thereof, to and iacluding $1,(�l0,IX10
$3539.50 for the first $1,�,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gut�er only - Driveway width plus b fe�t times
$13.50.
Alternate °B": Removal and replacement of curb and gutter and install a 3 faot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for constiniction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the propos� structure and of the constivction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
R
sue�ecT PE . .�
City of Fridley 21915
AT THE TOP OF THE TWINS g � I L D i N G P E R M I T
r
� ` RECEIPT NO.
� � COMMUNITY DEVELOPMENT �IV. � (a. � �
� LV ������,
r � � PROTECTIVE INSPECTION SEC. `��
1 . i
� � /"'1 � CITY HALL FRIDLEv 55432 NUMBER REV OATE PAGE OF APPROVED BY
�'"'"� � �'' 612-571-3450 910-F15 6/16/93 / /
JOB ADDRESS 6481 Azthnr Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 24 4 Harris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Joanne 5ata.lino 6481 Arthur Street NE 572�2057
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
New View Remodeling 16116 E�chanted Dr N, Andover, MN 55304 421-6091 2838
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION O REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Change-out one patip doo�; chanc�e ane windo�,r to patio door
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smok.e detectors as per U$C 1210 - adjacent to all sleeping areas
and in basement.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOpK 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 SUFiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIL�. BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4 � 690 $2 � 35
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-
S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�J2. QQ k'1x@ �SC $4. G9
PLAN CHECK fEE TOTAI FEE
"16'� � ' License �C $5.QQ 84 04
SIGNATUREOFCONTRACTORORAUTMORIZEDAGENT IOATE� WHEN ERLY IDATED THIS IS YOUR PERMIT
. v' � � `/�-G �
SiGNATUREOFOWNERpFOWNERBUILDERI IDATEi BL iNSP �pTE
NEw � �
�D�t Il
A�-� [ l
c�.e .000e,ew,.,»....,.......... .. ..�.._.,,._ .��.. . ,.. . .
CTfY 4F #�RIDLEY
SiNt�LE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit A�licati.on
EffCL'�1V8 SlT.�I �
�j��%
�� � ��� � �.� �� , � � , / �
1:�, r � � �
�� i' .n' � �,u:, �� � i � �
i '
����,«�i � < yi ' .% �.
• e•�i :, f i i� ��� � /i ��_ r:�t .� �I[ ��� � �
Auach to this appGcation, a Certificate of Survey of the
lot, witu the proposed construction drawn on it to sc�le.
DESCRIPTIUN OF Il1�PROVEMENT
LI�iING A�.tEA: L�tgth Width Height Sq. Ft
GARAGE AREA' Length Wi�tt Height �. Ft.
DECK AREA: �g#h Wicith Hgt/Grouad �. F�t.
o�: �' �y,�s� - ��-��� r���- - /� �i,�l�� v o �r�-�c��a�
Corner Lot [ I �inside Lot [] Ft. Yd Setba�ck Side Yard Setbacks
Type of Con��: �. t'a� �,;,iD�,v (�S Estimated �: $ � � 9U ��
Approx. Co�letion Date: % ��- �_
(Cost � Back)
Dtivewa� Curb Cut Width N�d�: Ft. + 6 Ft = Ft x$ _$
DATE: �,�� `� .a►PPLICANT: � � F Tel. # y� I• ��i`'lI
Permit Fee
Fire Surcha�ge
� Surcharge
SAC Charge
License Surcharge
Drive�vay Escrow
Erosion Control
Park Fee
Sewer Main. Charge
TUTAL
� r� o�
�----�=�''�
$ v��,�.`�
$
$ � , 00
$
•LM_l�. ' � .�1 _
Fee Schalule on iteverse Side
.�1 of Permit Vaivation (1/I�h�)
$.SQ/$1,000 Valuation
$750 p� SAC Unit
$5.00 (State Lic� Residential Contractors)
Alt. "A" or A1t. "B" Ab�►e
$ Conservation Plan Review $450.00
$ Fee Det�mined by Engineering
�
� ' �l�
Agreemeat N�ty [ 1 Not Necessazy [ l
STIPULATIONS:
BUII.DIN(� PERMIT FEE SCHLDULE
The Chief Building Official shall, before issuing permits for the erection of any building or st�ucture,
or for any addition to any existing boilding or structare, or for airy alteration or regair to any existing
building or shvcture, upon application the�efore, require the payinent by the applicant for such permit
of fees to the amount herein lxlow set forth and in die 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 $100,0�
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for fitst $2,000 plus $9 for each additiona! $1;000
or fiaction thereof, to and including $ZS,Q00 -
$252 for first� $25,000 pl�s $6.50 fc�r each additional $1,OOU
or fraction thereof, to. and including $SO,OOQ -
$414.50 for first 550,000 plus $4.50 for each addition�l
$1,000 or fraction thereof, to and including $100,000
$10(?,001 to $500,000 $639.50 for first $100,00U plus $3.50 for each additional
$1,�0 or fraction thereof, to and including $500,000
$500,001 to �1,000,000
$1,OOQ,001 and up
$2039.50 for the first $500,000 plus $3 for each additi:oaal
$1,000 or fracbion thereof, to and including $1,000,�
$3539.50 for the first $1,OQ0,000 plus $2 for each additional
$1,0� or fraction �thereof �
DRIVEWAY DEPRESSION ESCROW
(Concrete Cbrb Streets Only)
Alteruate "A" : Removal aad replacement of curb and gutter only - Driveway width plus b feet times
$13.50.
Alternate "B": Removal and replacement of cin�b arid gutxer aad install a 3 faot wide.
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Pennits 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 constiuction 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 fiaming.
•..
sue�ecr IT N O.
City of Fridley 2 215 ��
AT THE TOP OF THE TWINS g U I L D I. N G P E R M I T
� _-_ �-
� ` RECEIPT NO.
COMMUNITY DEVELOPMENT DIV. � , % �e o
y T �
r � � � PROTECTIVE INSPECTION SEC. �
I = �
� /"'1 � CITY HALL FRIDLEr 55432 NUMBER REV. DATE PAGE' OF APPROVED BY
�'"'"� � �'� 612-571-3450 910-F15 10/6/93 � /
JOB ADDRESS 6481 Arthur Street NE
t LEGAL LOT NO. BLOCK THACT OR ADDITION SEE ATTACHED
oesca. 24 4 xarris Lake Estates SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Joanne Satalix�o 6481 Arthur Street NE 572-2057
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
New View Remc�deling 16116 IIzchanted Dr NE, Andover MN 55304 421-6091 2838
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL ADDHESS 21P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
New kitchen cabinets and countertops; one window over sink
9 CHAN(iE OF USE FROM TO
STIPULATIONS See notations on plan. Provide sutoke detectors as per UBC 1210 adjacent
to all slee�ing areas and in basement.
TYPE OF CONST. OCCUPANCY CiROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONIN(3 S0. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOAK 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 $� r SQO $4. �O
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHOiiITY TO VIOLATE OR CANCEL TNE pEqM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $117. OO Fire SC 9. SO
STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $136.70
SIGNATUREOFCONTRACiORORAUTNORI2EDAGENT IDATEI V�1H ROP VALIDATED THIS IS YOUR PERMIT
� ��` �
SiGNnTUREOFOWNEA��iOWNEPBUILDER� �DATEi ,,i LDG INSP �p7
�
ADDN
AI.TER
[l
[l
[l
CITY OF FRIDLEY
SINGI.E FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Cons�ruction Address: lr, �I ��'�' �1 v� �� ��
Legal Description:
Effective 5/26/93
Owner Name � Address:`�t�� �'r�.v �( ��MP _I Tel. #,�%- �l�'`7
Co�ractor: ��I �� �.� M�,�{� � �� MN LiGENSE a
Address: ����6 �v►cl��r�-t��(�/� /�U ��n,(�l�e� J`'11/Id/ .�_S3o� Tel. # ' �l�
Attach to this application, a C�rtifir,ate of Suivey of the
lot, with the proposed consdn�tion drawn on it tp s�ale.
DESCRIPTION OF 1MPROVEMENT
LIVII�TG AREA: Lengtl� Width Height Sq. Ft.
GARAGE AREA: Length Width Hei�rt �. Ft.
DECK AREA: Length Width Hgt/Grouad �. Ft.
OTHER: K.��-c�nP� C�i�lne�-i c�" C(xe�tc��-�u�����,/LQ W�`h��a� /JIO�P �'j�1�
Corner Lot [] Inside IAt [] Ft. Yd Setback Side Yaid S�tbacks
Type of Conslruction: Fstimafied Cast: $����=
Approx. Con�letion Date:
{Cosi � Back)
Driveway Curb Cut Width Need�: Ft. + 6 Ft = Ft x$ _$
` � C
DATE: `(� � � APPLICANT: � ���� � Tel. # ^
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� (/ 7�
$ ��
$ y li
$
� � �
S
$
$
�
� /3���
K. .11. ��' � �l_
F� Schalule on Reverse Side
.001 of Permit Valuabion (1/lOth9�)
�.50/$1,000 Vaivation
$750 pe,r SAC Unit
$5.00 (State Licensed itesidentiai Contractors)
AIL. °A" Ot Alt. "B" AboVe
Conservation Plan Review $450.00
Fee Det,ermined by Engi�teering
Agreement N�ry [ ] Nat Necessary [ ]
STIPULATiONS:
�� .
BUII.DING 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 bnilding or structure, or for atry aiteration or repair to any existing
building or structure, upon application therefore, require the payment by the applicant for such permit
of fces to the amount herein l�low s� forth and in the manaer herein provided to-wi�
TOTAL VALUE
$1 to $500
$501 to $2,�
$2,001 to $25,�
$25;001 to $50,000 �
$50,001 to $1�,0�
$10(?,001 to $500,(H;0
$500,001 to $1,000,0� .
$1�,OOQ,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $S00 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for �ch additional $1;000
or fraction ther�f, to and including $ZS,Q00
$252 �for first $25,tro0 pl�s $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$414.50 for first �50,� plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,0(�
$639.50 for first $100,000 plus $3.50 for each additi.onal
$1,000 or frac6ion thereof, to and including $500,000
$2039.50 for the first $500,000 plus $3 for each additional
$i,000 or fiaction thereof, to and including $1,(100,000
$3539.50 for the first $1,000,0� plus $2 for each additional
$1,000 or fraction �thereof -
DRIVEWAY DEPRE.SSION ESCRO�K
(Concrete Curb Stre�ts Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alterna.te "B" : Removal and r�lacement of curb and gutter aad install a 3 foot wide .
approa.ch 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 consnuction site.
A Certificate of Survey of the lot, showing the loc�tion of the foundation once it has it has been
consbructed will be required before proce�ding with the framing.
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sua� ecT P,�Ft1�'fT- N O."'�_
c�ty of Fridley �- 2� s o 2�
AT THE TOP OF THE TWINS B U I L D I N G � E R M I T ��
r -
; � RECEIPT NO.
� • COMMUNITY OEVEIOPMENT DIV.
i ; V ����� �
r � � PROTECTIVE INSPECTION SEC. �� �
� _ �
, /"'1 � CITY HALL FRIDLEV $5432 NUMBER REV OATE PAGE OF APPROVED BY
�----� • •�� 612-571-3450 910-F15 2/13/98 � �
JOB ADDRESS 6481 Arthur Street NE
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEE ATTACHED
DESCR. Z�F 4 Harris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Maggie Rendall 6481 Arthur Street NE 571-8764
3 CONTRACTOfi MAIL ADDRESS ZIP PHONE LICENSE NO
Lee's Construction & Remodeling 4633 Camden, Mpls., mN 55412 969-2663
< ARCHITECTORDESIGNEH MAILADDRESS 21P PNONE LICENSENO.
20035159
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
T CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Remodel existing lst floor bathroom (Drywall, Flooring, Fixtures)
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
SEPARATE PERMITS AFE REQUIRED FOR ELECTfiICAL, PLUMBING, MEATING,
VENTILATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OF WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEFTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORqEC7. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT �4sO1S �L.OL
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS F ANY OTHER STATE OR LOCAL lAW REGULATING CON-
STRUCTIO THE PERFO ANCE OF CONS RUCTION �g9.7S Fire SC ��F.OL
PLAN CHECK FEE TOTAI FEE
License SC $5.00 $110.78
5� ruaE CO CTORORAUTHOR12EDAGENT �DATEi WHEN PFOPERLY A DATED THIS IS Y UR PERMIT
— ��
SiGNATUAEOFOWNEAiiFOWNERBUILOERi IDATEI � BLD �NSP fiqTE
NEW
ADDN
ALTER
[l
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CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: � � � J ,t� U R'� �✓► �'� -�j'�� .�U �c. ,
Effective 1 / 1 /98
�0�
�� ���
Legal Description: � o �-- = �{- � � � C � �'} �-( /� /I 2 / S L r91� �- � � �� � � %
Owner Name & Address: M 1� (r (r � �'- � '� N I� �9 �- � Tel. # -� 7 ) � � ! 64
Contractor: L��.� C. DNS�2 tJc �% a� � �2 ��oDet��G� ,;,N�N LICENSE# ZGO 3�/��
� — Z ��
Address: �i d �3 3 C /� M /J � � , ,�,�j��'� S �'1 %.�:' � S�`7 /� � Tel. # �I � % J�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER•
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.
Length Width Hgt/Ground 5q. Ft.
. , �e �� � L , GZ I S f- /�C�o2
.(�)l�.t-��L�,"�-� "� YL(. C��-r N'� ', i X f LC�� � S p, �
Construction Typ�: Estimated Cost: $ � i�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 1.� 9 � APPLICANT: � � %Z � Z � -e � �j Tel. # 9 % g r / �' � d
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
$ `f r' �5.�
$ C`" �
$ :�' _ � /
$
� �� �:.�_;
$
$
$
$
$ �/� . �
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 Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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
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
$SO,OQ1 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
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,OQ0 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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will' be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
� aun�c�� . �
c�ty of Fridley
AT THE TOP Of TME TWINS g�J � L D I N� P E R M I T
;,
� �
� ; v __���_ COMMUNITY DEVElOP11M�NT OIV.
r � � PROTECTIVE INSPECTION SEC.
1 . .
i.---�; /'�' �'� CITY MALL FFiIOLE� SS�32 NU4BER REV D�TB vAGE OF
� 612-571-3450 g�ap�5 6/19/02 / /
IT NO.
�32707
RECEIPT NO.
��� �
AGPROVED 8�
lOB ADDRESS 6481 Arthur Street NE
t LEGAL �07 NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 24 4 Ha.rris Lake Estates SNEET
2 PROPEiiTY OWNER MAIL ADpR�S$ 21P PMONE
Maggie Re�dall Fi481 Arthur Street NE 763-571-8764
3 CONTiiACTOR MAIL AODRESS Z�P PHONE LICENSE NO
RenewaZ By Andersen 1920 Co Rd C W, Rosevili.e, MN 55113 651-264-4777 20130983
a ARCHITECT OR DESIGNER MAIL ADORESS 21P PNONE LICENSE NO.
5 ENGINEER
8 USE OF BUILOIN(3
Residential
I CIASS OF WORK
O NEW ❑ ADDITION � ALTERATION
B DESCRIBE WOHK
Replace 2 windows within existing openings
9 CHANOE OF USE FROM
TO
PFIONE LICENSE NO
� REPAIR O MOVE • � REMOVE
STIPULATIONS •
Provide smoke detectors in aTI sleeping rooms and on all �evels of the dwellir.g
per Sec�ion 310.9.1.2 oi the 1997 Uniform Building Code.
�ermit inspection Cards
INi10 �e Mailed
To Homeowner To Po�t
SEPARATE PERMITSARE RE�UIRED FOF EIECTliICAL. PLUMBIN6, NEATIN(i, ��r��• w••�.
VENTI�ATING OR AIF CONDITIONING
THIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTAUCTION ZONING
AUTMORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS, OR IF CONStRUCTION
OR WORK IS SUSPENOED OR ABANQONED fOR A PERIQD OF 120 DAYS A7 ''
ANY TIME AFTER WORK IS COMMENCEO. ° NO DWIG. UNITS
I HEREBY CEiiTIFY THAT I NAVE AEAD AND EXAMIN�O TMIS APPLICA710N 1
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of LAW$ ypLUATION
AND ORDINANCES GOVERNING THIS TYPE OF WpRK WILL BE CpMPl,IED @
WITM WHETMER SPECIFIEO HERE�N ON NOT. TME GRANTING OF A PERMIT W 1� 7OO
DOES NOT PRESUME TO GIVE AUTMOfiITY TO VIOLATE OR CAMCEL TME pEqM17fEE
PqOVISIONS OF ANY OTHEH STATE OR LOCAI LAW REGULATING CON• @
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION �P6O. LO
PLAN CMECK f EE
License S
S�GN4TUAE OF CON"AACTOp OA 1UTMOAIZED OGENT IOATE� u e e
OCCUPANCY GROUP OCCUPANCV LOAD
SQ. fT CU FT.
OfFSTpEET PARKING
S7A��S IGARAGES
$5.
$.85
SAC CMARGE
Fire SC $1.70
TOTALfEE
67.65
Iq�ED HIS IS YOSJR PERM17
� . ` Bl3G i�SS� � ' qi r
v
�[ ]
ADDN
ALTER
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[]
Effective 5/10/99
CITY OF �'RIDLEY
SINGLE FAMII,Y AND DUPLEXES R i AND R 2
BIJII,DING PERMIT APPLICATION
�onstruction Aadress: �C.o�1.�1 A��nv�' S�' . tU.� • .
Legal Description: �
Owner Name & Address: Yr,q,��..Q,, k-l:x�(�,�.�.Q ' Tel. # a' �0 3� �'� •$�'��i
COIItI'dCtOI: ; �WA� �jV► At�� xG� n� � ��$E # � 1 �uCl $ �
�
Address: 19 a o Co�,n� �,ao►d G w�e,s�. �� �: �k, m� s�s � 1� Tel. #�,5► • al� • 4�-1-�
Attacli� to� this application, a� Certificate' of �Su�vey: of-t�e �
lot, with the:�rop�se��constc�ctina� drawn-on��it to scale.
,
LIVING AREA:
GARAGE ABEA:
DECK AREA:
01'i�R:
. DES.CItI�.ON` QF ��!b��NT _ .
Length Width Height Sq. Ft.
I.ength Width Height Sq. Ft:
Length � Widtti � Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $ ����% v
Driveway C�rb C�t Width Needed: Ft. + 6 Ft =_ Ft x$ -$ .
na�: ]y�•3cm� • oa �PLiearrr:C�°�..�. Tei. � 9Sa •34�5•l�l�-
CITY USE ON�.Y
Permit Fee
Fire Surcliarge �
State Surcharge
SAC Charge
License S�rchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ L�p ��
$ I }°
$ � t65'-
$
$ �.�
$
$
$
$
S
� lo �- �
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.(K? (State Licens�ed Residential.Coutractorc)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary []
� �
� /q �
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36u4 r��c:
: 6481 ARTHUR ST NE
: 133024410078
: HARRIS LAKE ESTATES
: LOT 24 BLOCK 4
: BUILDING
: RESIDENTIAL
: WINDOW/DOOR REPL
s�i-ii��
PERMIT NO.: 2004-00132 ��,�`1 �
DATE ISSUED: Ol/28/2004
VALUATION : $ 3,260.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER
SECTION 310.9.1.2 OF TI� 1997 UNIFORM BUILDING CODE WHEN ADDTIONS, ALTERATIONS OR REPAIRS IN EXCESS
OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. CAULK AND FLASH ALL EXTERIOR OPENINGS.
REPLACE 4 WINDOWS WITHIN EXISTING OPENINGS
IS APPLICANT A CONTRACTOR? 1
APPLICANT
RMA HOME SERVICES INC (20268257)
3200 COBB GALLERIA P
ATLANTA, GA 30339-
(952)345-6047
OWNER
KENDALL MARGARET A
6481 ARTHUR ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor}
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Appli Date
Bldg Ins� t a�te'�
���r��� I�������on ��r��
ill �� �a�led
�� �������erTo Po�t
BUILDING PERMIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
� TOTAL
PAID WITH CHECK # 033641
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
97.25
3.26
1.63
5.00
107.14
�' [ ]
ADDN
AI.1'ER
��
[l
�onstruction Address:
CI'1'Y OF �'RIDI,Ey ��ve 5/10/99 « E �;
. �� �
�1(,
SINGLE FAMII,Y AND DUPLEXES R i AND R 2 �
. �� � �
BUII..DING PERMIT APPLICATION ���"
����� . � � .
A � �h�Y S�
.Y�.�- � � ..
Legal Description: -
Owner Name & Address: rn0.GG i�. �r�. � l�' Tel. #�-lc3 �5} l-$� y
v�
Contractor:, � � HOME SERVICES INC. � j;j�g,jvSE #�
Home Depot Installed Sales
Address: 3200 Cobb Galleria F'kwy.; Ste. #200 Tel. #
Atlanta, GA 30339
A 763-542-8826 urvey of t$e '
jCBG2026825 �--r-,--- -..Y._�.....,� ........y.. ,JII.1� t0 SG�lle.
. . DES.CItI�3.ON OF ��!b���1�i�1T �. . � '
LTVING AREA:
GARAGE ABEA:
DECB AREA: �
r� : i '
I.ength
Length
I.ength
t _�_ _ _ �i . .
Width Height � Sq. Ft.
RTidth Height Sq. Ft.
Vi�idtli � - Hgt/Ground Sq. Ft.
��S W!� v� x; S-i; na UP�'i�J
construction Type: Esdma.ted. cost: $ 3, a Co� °—°
Driveway C�xb Cut �Vidth Needed: Ft. + 6 Ft =_ Ft x$ -$ .
DATE: a(�-�G�-Oy APPLICANT: �('��o.•v� r,�� Tel. � 9sa -��{S� (OOy �
Permit Fee
Fire Surcliarge �
State Surcharge
SAC Charge
License S�trchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Mai.n Charge
TOTAL
STIPULATTONS:
$ �.`�5
���l.rz
$ 1.�3
$
$ .,�:5.0 C�
$
$
$
$
$ � � �y
CITY USE ONLY
Fee Schedule on Reverse Side
.001; of Permit Valuation (1/lOth%)
$.50/$1,OQ0 Valuation
$1050 per SAC Unit
$S.QO (�tate I,xcens�d Residential Goutractors)
Alt. °A° or Alt. "B° AboVe
$450.p0 Conservation Plan Review
Fee Determi.ned by Engineering
Agreeinent Necessary [ ] Not Necessary [ ]
� � ���
CITY OF FRIDLEY PERMIT NO.: 2004-02141
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 11/19/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 6481 ARTHUR ST NE R 6�(.l 8
PIN : 133024410078
LEGAL DE5C : HARRIS LAKE ESTATES
: LOT 24 BLOCK 4
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 8,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE.
APPLICANT BUILDING PERMIT FEE 153.25
SKYLINE EXTERIORS (20215480) FIRE SURCHARGE 8.00
6491 ARTHUR ST NE STATE SURCHARGE, VALUE 4.00
FRIDLEY, MN 55432 TOTAL 165.25
PAID WITH CHECK # 2883
OWNER
KENDALL MARGARET A
6481 ARTHLJR ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null 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 governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not p sume to give authority to
violate or cancel the provisio of any other state or local law
regulatingconstruct' n or perfo ce of construction.
Applicant Date
Bldg Ins Daf� /
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW []
ADDN []
ALTER [ )
Construction Address: _�
GITY CJF f KIULL-Y tttecnve gi u�uu4
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address: �z�-e � /'��� z i � �Dya � �ff�"'� �'� Tel. #
Contractor. ��y���'� � x���f� MN LICENSE# �°��J y��
Address: !� S�% / �4�/� � c,./ S� �� �� �/'� Tel. # x,3 S'7S� i.r3 �
LMNG AREA:
GARAGE AREA:
DECK AR�A:
OTHER:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
�
DESCRIPTION OF IMPROVEMENT '
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
�-e �i � � ��o �,I-e. 7� �?/�' � ° ° �' �
Construction Type: s�stimated Cost: $ �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: ��" `� ° � � APPLICANT: X/--�i7 �� �" Z,�/S � r. Tel. # �� 3 :3�7l� � /l 3/
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee $/✓L 3. �; Fee Schedule on Reverse Side
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ �°�-�
$ .ir, r�
$ °�, G�
$
.�
$
$
$
�
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ )
TOTAL $ (�✓� - �-5 STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building OfFcial 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 b�ilding or
sttvcture, upon applicadon 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:
$1
TOTAL VALUE
to $500
$23.50
FEES
$501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000 x
.
$2,001 to $25,000 $69.25 for first $2,�0 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,00O,OOU
$1,000,001 and up
$391.25 for first $25,�0 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 $1�,000 plus $5.60 for each additional
$1,�0 or fraction thereof, to and including $5(�,000
$3,233.75 for the first $500,000 plus $4.75 for each addidonal
$1,000 or fraction thereof, to and including $1,�0,000
$5,608.75 for the first $1,�0,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annuallY determined
rate
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
04/02/2004 FRI 1a:21 FAg -�-�-� ELDER JONES I�]001/001
. .. .. . . . ... �. .. �. � •� ��o����l���: .��...:. �...��_.::
N� �� CITY OF FRIDLEY Effective 4/1/2004
ADDN [] 6431 University Ave NE, Frid.ley, MN 55432 (763) 572-3f04 Bldg Insp
ALTER [ j SINGL.E FAMtLY AND DUPL�fES R-1 AND R 2 (763) 571-728T Fax
BUILDING PERMIT APPLICATION
ConstrucEionAddress:_ ��$� '(��(�� S�, �(�j,�,
Legal Description_ ,
Owner Name 8� Address:
Contractor.
Address: RENEwAL BY A1vDERSEN
--' 1920 COUNTY ROAD "C" WEST
ROSEVII.,LE, MN 55113
LMN� AREA:
GARAGE AREA:
DECK AREA:
oTM�:
Te[. # ��3 ^ S�- � - 8�-�Dy
MN LICENSE# o�O��JO�$�J
Tel. #_lp�J�" o��0'i' `1���
icate of Survey of the
� drawn on it to scale.
DESCRIPTION OF IMPROV�NIEN7
Length � �dth � Height, Sq, Ft
Lengti� _ Width __ Height_, Sq. Ft
�n9� �dth HgUGround Sq. Ft
���i Co ��'�Y�DwS W! i V� -�,k � S�'f�1 4�hi1�o,�U-
Construction Type: Esiimated Cost $_ �� ci�i0 �
priveway Ctub Cut Width Needad: Ft f 6 Ft = Ft x$ _$
DATE: ��tn� OS APPLICANT: � Tel. � 9sa •��� •���1�'
Call (763) 572-3604 for P�rmit Fees if mailing in application. Fax to 763-571-�(287 if �sing credit card and we wifl call
you for card number.
Permit Fee
Plan Review
�re Surcharge �
State Surcharge
SAC Gharge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer �Main Charge
TOTAL
CITY USE ONLY -
$ e1�'• aS' Fee Schedufe on Reverse Side
� 65% of Permit Fee
$ 3.9�1 .001 of Permi� Vafuation (1/90th%)
$ l . 9� � $.50/$1,000 Valuation � �
� $1350 per SAC Unit
S 5,00 $5.00 (State Licensed Residential Contractors)
$ Alt "A" or Att. "B" Above
S $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ j Not Necessary []
I lo
,
$ STIPULATIC)NS:
Building MECHANICAL Permit No.: ' � �
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY D��'�
DATE � o`� �I YOUR E-MAIL ADDRESS
SITE ADDRESS ����P iAi � � � I`�. �
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY N�; a � n
OWNER/ pDDRESS: (�t �'f+ � r � CITY lC/� ;� I�-/ STATE�ZIP�
TENANT PHONE:• %�p �— 571 � S 7!�/
CONTRACTOR CoMPANY NA�: � `�
SUBMIT A COPY OF CONTACT PERSON: __ _ �1�_�� �
YOUR STATE STATE LICENSE # d� EXP DATE
LICENSE WITH qDDRESS: 2i�`N. Pd�� CITY STATE ZIP
APPLICATION pHONE � FAX
PERMTT TYPE SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE
TYPE OF WORK: NEW ❑ REPLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK �,-, ,g � o,, �( �r..s �C �-.e /�lti Ge t n S�r'1� �+ G a..f I%.�-�
PER MS 16B.665 the pennit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. ('This should reflect only the cost of labor )
Labor cost under $300 =$15.0.0. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOV�
Equipment lnstalled MFG: 't o�tr1► n ia � o MODEL: '* �+� r� �e.. �( � SIZE/BTU ���
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZElBTU
_A!C $25.00 IREPLACE (GAS) $I5.00 GAS RANGE/OVEN $10.00
_AII2 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 GAS DRYER $] 0.00 POOL HEATER $35.00
DUCf WORK $10.00 AS PIPING $10.00 VENTILATOR $I5.00
h
��:�. ° � �a�'�„ ` ...� . ,�'. ..�, �; t �, -�,..<;' � `���������. � ,, �.� .� "��.,., �
� Permit Fee $ Number of fixtures @� $10.00 � x $10.00 = $�_
Surcharge $ .50 � Number of fixtures @ $I5.00 x $15.00 = $ �S
TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $�
Tota1= $ � • J
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclmowledge that the information above is complete and accwate; 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 a.n 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 APPLICANT PRINT NAME �G/ ll^ 1�!'.`S S� r DATE % o� �'�
._ � . . � 4 .. , . . �g,
��' -:Je _ � �, r ,',z�a� . .�`°±�1:. . ,,,�sa��"�:: ;. '�' k .??i,� +�<.
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
CiTy of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT
RESIDENTIAL PERMIT APPLICATION HVAC �
� NEW HOMES/ADDITIONS ❑ EXIS�TING HOME ❑ MAKE-UP AIR
�
� � ����
REQUIRED FOR NEW/EXISTING HOMES ��� �, �F�,
t't/t� iil11A ,+�t�iv��r,,;
1. Combustion Air (See note below) f��'�`�'�` `
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Cha.pter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REOUIRED FOR NEW HOMES
4. Hea.t loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculallons.
Building
Inspections
763-572-3604
DATE �5U(�'�' U�}-
SITE ADDRESS ��
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING
SIZE OF IMPROVRMFNT
OF SQUARES
Rs Ec
PROPOSED SIZE:
PROPOSED HEIGHT:
S[DING
❑ Vinyl
O Aluminum
❑ Other
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS �,� �d,�
�ur � ��
❑ OWNER �CONTRACTOR
��
PHONE
�
NAME:
STATE LICENSE #
ADDRESS:
� BASEMENT FINISH
D DECK
Renewal By Andersen
1920 County Road "C" West
Roseville, MN 55113
License #20130983
O ROOF
❑ SIDING
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
OSoffit
0 Trim
❑ Fascia
WINDOW.$
IN EXISTING OPEMNGS CIYes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE S1ZE OF
OPENING CHANGES &
TYPE OF WINIX)W T(1 RR iUCTAi t rn ___ _.
Permit No.: (�7-a/ y�-.
Received By:
�� T 1 OOi
STATE ZIP
ATE ZIP.
O DRAIN TILE
O OTHER
F�
$ASE FNT FMOD 1IP� S h"IT
I . Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDTNG DECKS,
AUDITIONS & R HFC ci1Rt�•rr
1. Site Plan/Survey showing the existing strucdue
and ProPosed P�lect.
2• Two sets ofconstruction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $� t I�}�-L � nrr� ro��r�.� .... ,__
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$
$
$ �bc�
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
- � a YY{HVLA
TH1S IS AN APPLICATION FOR A PERMIT-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 will be u
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not ;
pennit but only an application for a permit and wark is not to start without a permit; that the work will be in accordance with the a
P1an in t1'�e case of all work ch requir view and approval of plans, p���
SIGNATURE OF APPLICANT � �� � ��
RINT NAME__ �i'►� DATE
Building
Inspections
763-572-3604
DATE — e �.� v �
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CUNTRACTUR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
BUILDING
Permit No.:
.?� �- "
�
RESIDENTIAL APPLICATION Received By: ��
CITY OF FRIDLEY D��'�R 0 5 200
� YOU^E-MAIL ADDRESS :�jSQ`�QC� �,f.,%DI�C OC • C.UY1r'
O OWNER
ADDRESS: � CITY STATE ZIP.
PHONE: 7 lD J— S ` �-! v��
NAME:
STATE LICENSE #_
ADDRESS:
SINGLE FAMI
TWO FAMILY
Renewal By Andersen
1920 County Road "C" West
Roseville, MN 55113
License #20130983
651-264-4777 —
❑ BASEMENT FINISH ❑ ROOF
O DECK 0 SIDING
TYPE OF WORK: I o
O
DESCRIBE WORK BEING DONE:
SIZE OF
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
O Vinyl
O Aluminum
0 Other
❑ HOUSE ONLY
O HOUSE & GARAGE
❑ ATTACHED GARAGE
O DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
WINDOWS
IN EXISTING OPEMNGS DYes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
,( STATE ZIP
❑ DRAIN 11LE
0 OTHER
9ASEMFNT RFMODELING SUBMIT•
I . Existin� Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
�nITIONC & PORCHF_S SUBMIT•
1. Site Plan/Survey showing the existing svucdue
and PiePo� PT�]�-
2. Two sets of construction plaus
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING E 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ I��� � OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Dne
$
$ /� oi
$
$ r00
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 will be �
conformance with the ordinan and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not
permit but only an applicatio for a pennit work is not to start without a permit; that the work will be in accordance with the approve
plan in the case of all work ' h uires v' w and approval of plans. n^ � r� ,'
SIGNATURE OF APPLICANT AME� M. e„11�Se Y�...7 DATE I I" L
From: 7634447357 Page: 2/2 Date: 6/9/2010 8:08:21 AM
FRQM : C I TY OF FR I DI_EY FAX N0. : 7�,35711287 Jun. 08 2010 03: 8'�PM P2
Building : PLU1V.��ING _ r��itNp.:,.���(
x���a�" ' RESIDEt1TTTAL A PPLICAT�UN Received By: (�q
763�s72-3�oa CITY OF FttIDL�Y Dat� R��d:.p
763�502-4977 T ve►•�• io
DAT� �• 9" G%' vOUR G•MAiI. ADDR66S _�1�,� q S v `. GO ,_
srreann�.. _ �� �g� S,L.� . .� ... . . � -------
�fus �►PP�rc�xr ts� • i� c�wn+�K �cnvTRncT���
PROPtCXtTY 1NAMR,..,_. .k �] l �_. _ +
'�'NANT i AADR�S: .. �� / ��'...�, '�.C►Tl'. . f� i I t � 9TAT�ZIP r�' ,S .,��iL
� r�t�ta�: ��,/ ,r�- �'7s� .. � --�----..._
�� .���� � . ..�.. �. . . �..�� r � �T
SU9M1'I' A nF BTATE WC�lBfi 8_, .S' _ p. ... ...
YoTm srn�tE � --�-3�.,�--__.•-- _... �ac DAiE��3�0_.
u��tBE, AOA1D,�tuD g���'� guNn a ��.��_,. �.. �xr n��rti
G't'•RTIA1CaTE OF AAD�B�:��.,��. .i i� .,. CiTY G Qwr _. ._ 8'CA'T'� %�'�� Zp' �+ (
WSURANC`L+ txr __�p,��.•'�r � — o�!.�._ ...._ _.. � . .._
1'F1 � I% TAX g���sy .,.
�'ERMIT'IYP�
TYP� OF �VORK: � d N�
6ETAIL,�1�
FE88 ARB BASBD �N SIO,�
S,oS.Si1, �
�, HA'171 SINfC/L.AV
.... BA7Ti71.1H
, CL01i� W�sHBR i
_ ntsxw�ast� .
FAMIi.Y O'I'1�JOFAMILY d'IY_tWlVliOL44£
��''�F�1.aGL:MRrrr
P1Xit1RE.8XC�f'WIIERENC►TFD. P'1XTIIRES� (�NDI(:A'fETO'�'AGNUMHEROffiAC.HR�.()W}'M1NiMUMFN�.
_..i+1.0[)R nRA1NS
.`oas r�nao ��cro crrv i.tr,>
_„ K11'CEl6N 61idR
,_,_ LAUhIDRY TRAY
,,_ Sf�Ol4'F.R
811VfMMINC3 PU04
� wA'r�RCWBFar
WA'ffdR IIEATER ($3Sy
i WATEIL M�
,..._ WA7'Eft P1NlW(7
� WA'I�R oOFiNE1t (E35)
s,4pu�i.ow �e�v, cs�s}
� P(�R 1f{R(GA770N
,_ 0'f1iF.R
; TFII61S AN Ai+PLICATIGN FOR A PERMiT•NOT VALILI UNT1L PRAL..'Fk$ED
1 heeQAy apPIY for a pl�ftbing permit ettd I aaknowled�c 4hat tbe infoemation ubtive is comple6e and accurate: that tho work will be in
conform�noe with the inauces and caxias of the City of Fridley and with the Mtnne.scsta Cottslructlon Cades; tlutt 1 underetaod thts fa
not a permh bvt nnly epplic�n for a permit �nd work is no! to etart withaut e parmit on sitc; �hat �he wark will iu in nccor@enca
�j� ��PP� D�I ��� � o��l work which rcqulr�es raviaw end apprnve{ ot pinns.
$1t)AFA'NRE OF AI�I.JCAGNI' �--�..�--� PRINT NAM��I�..l`�_DA1'L,� "'� %0 •
, __
��iy Q'��'1'�iil@jl
�uilding Insp�ctiona Depairtment
6431 t]nivcrsitty Avenuc NL, rridley, IvLN S5432
763-572-3604
%'AX: 763-502-4477
�oll i i1 YrJ'n Yl � �'6`'.-