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AF - 44318�, � City of Fridley, Minn. ` BUILDING PERMIT No sso� ,-�-, . .. .. � � .: fi " � '. , �� - . =� " � .._ ; i !v/ � -�/ �_.nt ._,a i s� ./ ..@ 9� : 1 � _f'.. .�� ' . � � r /, �� O TION BUILDING No. �� Street - a��.,�. P Iqt Lot ___�__ Block Addil3on or Sub-Divisia��' -��..� __� - � Coraer Lot — Insfde Lot _._.. �' Setback -.�� ,/ �._ Sideyard �� % Sewer IIevation ._ Foundal3on IIevation DESCRIPTION OF BUILDING To Used s / Front �� Depth .,¢� Height � 84. FL �ilE� Cu. F'!�'�6:�f%� Depth Ii ght! �i� �.� Sq. Ft Cu. F't. Type of Construction � n _� Est. y� � _� To be Completed In con�deration of the isauance to me of a germft to construct the building descn'bed above, I agree to do th� proposed work fn acc�rdance with the descrlption above set forth and in compliance with all prov3sions of orrlina,nces of the dty oP FrlcIIey. � In consfderatton of the paqmeat of a fee of �..�_� , pern�ft fs hereby granted to to construct the bufiding or addition as described above. This permit is granted upon the expresa candition that theperaon to whom it is granted and his agents, employees and worl�en, in all work done fn, around and upon satd building, or anypar� thereof, shall conform in all respects to the ordinanc� of Fridley, Minnesota regardiu lpcation, construct��on, alterai3on, maintenaace� repair and moving of buildinga c 0�� dtY ]irnits and per�ait may be revoked at any t�me upon violatio�of any of the provfaiona of said / 1 Buildin�' Inspector wonc� 7Ms psmsb deas eof �rer t6s coeslwcHon, IesfapaHoe ier �rlrleg, plumbtne, ea 6t�Nee, tswer ee vraler. 8� wn io +aa f6o Bu1Wiu� lesp�eto� to� a� p�r�aits fo� �has it�nn. ti APPLICATION FOR BU�DING PERM[T CI'�CY �F FRIDLEY, MINNESOTA aZ�1'Yi�.',�' S NAN� � �BUII.DER 4 ABDP.�SS 4 � �� ADDRESS ' LOCATION OF BIIII.DING � No. ��_ , Street �Part of Lot Lot %. Block . Addit3on os Subd3vision�,Q.t,e�i. �� l,�e ' Coraaer Lot Ins3de Lot� Setback �`� � S�.de Yard �, '�� SEGTER LLEVATION FOUNDATION ELE9ATION Applicant attach to this fosm Two Certificates of Surveq of Lot aad proposed l�uild- ing locaeion drawn on these Certificatee. DESCRIPTION OF BUILDING To be used as; . Front �p Depth � �� Height �,O Sq. Ft. ��0=�.0 Cu. Ft. Front Depth Height, Sq. Ft. - Cu. Ft. Type o� Construction � Est�imated Cost � y� 0� � To be.Completed The underaigned hereby makea application for a permit for the work herein specified, agree�ng to do all work ia strict accordance with tbe City of Fridley Ordinances and rulings of the Depaxtm�nt of Buildiags, and hereby declares ehat all the facta a�d representations atated in this application are true and correct. DA9.'E ('( Ca � SIGNATURE (Sctaedule o£ Fee Cost� can be found on the Reveree Side). _ � � _ '� . s , � � — ~ ` — c EUILDING YfEItMIT FEE SG`HEDULE Section 2. The Inspector of Buildia�e shall, before iasuiag anq perr�it f�r �he erection o£ any building or structure, or for any addition to any exise- in.g building or strucCure, or for any alterations or repaira to any e�iatin$ building or s�ructure, upon applicaCion therefor, requfre the paymen� by the applicanC for auch permit of fees te the amount hereia below set fosth and ia the manner hereia provided to-wit: 2.1. Fos any auch permit for �he erection o� anq fire-proof building, othe� than a garage� warehouse, factory or grai� elevator, or for the erectioa of any fire-proof addition. for si.milar occugancy, to any existing building shall ba aC the rate of $1.40 for each.one thousand cubic feeC, or fractia� Ghereof, in such cubical contents. 2.2. For anq such permit for �he-erection of anq fire-proof garage, warehouse, faetory or gr�ia elevator, or for the erection of any fire-proof edditioa, �oa� similar occupancy, to any ex3.sting buildiag shall be at the raCe of $1.25 for each one thousand cubic i�et. cla�aified ae 91ffreproof" by Sectioa 502 of the Minneapolis Build3ug Gade. h�USES . 2.3. For any such permit for the erection of any aon-firegroof buildiag other than a garage, wasehouse, factorq or grain elevator, or any non-fireproo£ additioa, for similar occupaac�, to any existiag building - permit $1.00 fo� each one thousend cubic feet. GA�AGES 2.4. For auq such permit for the erection of any aon-fireprooi garage, warahouse, factory or graia elevatar, �r for Che erection of aay non-fire�ravf add3tios�, for�similar occupancy, to �ny esistiag building or �or each ouch � t�jidfag or addition - nine�y ceats ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical coatents thereof with a minimt� of $4.00.- For the purpose of compu�iag fees for building permita, the cubical coatents Af any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inchee below the floor line of the br�semeat or cellar to the average height of the upper surface or to tbe average height of the roof eurface of the main gable of a p�tched roof. 2,5. For repairs or alCerations to an existing structure, the fee a�a.11 be at the rate o€ $3.00 per each Five Hundred Dollara ($5 00.00) or frection thereof 3n the cost of a11 propoaed work. 2.6. 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I y o � ti . , � x � o � : : � ' �A � � o � V1 W F p : N O pi a a � • � ° � q.3-, �I $�I � � � � M N L'� � a m U�1 M � '�' � .'7 w y � � � `� O N +' ir ."S w 9C ~N bA Z i/i � dii �� a � �as1 �� °a� �zxz c�d m � �+ '�" �-' � � ~ E" E" � p� H ,.UIy � W W � D� �� O� E� a � a � x z � o � t7 4 w� 4 x � a � � � a �� q�3 � � w � � 0 � � a W � r _ , ��, / �.� HEAT L�O�S C�CULATIONS �� DEPARTMENT OF INSPECTIONS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind NllNIVEAPOLIS, MIIVIV. Insulation How Yes—No Yes—No 19— Fl.� Room � Lengt Width /� Height � C' F].� Room Length Width /° � Windows a Doors—Crackage and Area Wiadows and Doors—Crackage and Area �Vidth Helght No. ot Llneal tt. Area Wldth Hetght No. o[ Lineal ft. Area No. ot pane o[ pane lighta ot crack eq. ft. No. ot Dane ot pane llghte of crack eq. ft. /� f y � PL �� *� Z 8' � � 9-- �a � � Y� �' / /' / '' ro ' -Z� Coef. Beu Inhltration � � Q � �at.p - Glass p j s' � Esp. wall � Net exp. wall � / p Int. wall Ceiling r � j �{ A Floor Total Btu. o?� 0 3� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �'1.� Room ( Length � Width � / Height �' Windows and Doors—Crackage and Area Wldth Helght No. of Llneal ft. Area No. ot yane ot Dane 11Bhta ot crack eq. ft. i ,� `%� �' rv / 3 `7 Coef. Btu Infiltration o � � Glaaa �j" 3 �' � �p. Wau - Net eap. wall E// / � Int. wall Ceiling �°jr Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room � Length <z• Width d Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal ft. Aree No. of Dane ot pane Ilghte ot crack eq. ft. � Z� �� Z 2ri / � �I Coef. Btu Infiltration � �j/ y� Glass / (p p � p � Exp. wall (o Net exp. wall (� o/� l� O � Int, wall __ Ceiling ! i�oor ' / � tt-� Total Btu: �� Req�ired �q, ft. E.D.R. or sq. ins. W.A. Leader area = _ � Infiltration Glasa Eap. wall Net esp. wall Int. wall Ceiling I Floor � Total Btu. Coef. Btu � �� / � �� //�e f� ��?s� � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �t•I [t�� I Windows and Doors—C Wldth Helght N No. of Dane ot pane I1 i � Width e and Area .Sneal tt. Area ot crack eq. tt. i� fe �� fQ Infiltration / ,� <j/� �p � Glass /Q � <j°� �p. Wau Q � Net exp. wall � ! � �(, p Int. wall Ceiling Floor Q� � � �yp Total Btu. �', �y Required q. ft. D.R. or sq. ins. W.A. Leader area �%Fl•� Room I Length / Width Height ,� Windows and Doors—Crackage and Area Wld1h He1Bht No. ot Llneal ft. Aree No. of pnne o[ paae tlghte o[ crack eQ. tt. � �a f %�ii /� �Z f � � Inhltration Glass Eap. wall Net exp. wall Int. wall Ceiling Floor Z'otal Btu. Required sq. ft. E.D.R. or sq. ins. WA. l.eader area Btu 1' J. _ '� . � - _ �' � . . Permit Fee �:... ...., � - . `., _ � __ s _: : APPLICATIQN FOR MECHANICAL VIIARM AIR HE�TING PERflA1T .- _,` . . : ; : : .: - Na. R . - ..a_. ...._. '� .Dute of isszaanoe .. .::..: . ..... '. ,..:..:... . .... ..f :..r._, 196.:.._. .Ld�ati�m......,�.. ,..: .. ,...... .._ _ . _._.. .. . .. � , - <�:. JVlinnet�polis, J{?i<rcn ... ................... .» ... ....,^�'86.. Inspeoior of .8zcitdinge �'h.e und,�rai�ned�_hereb� � cc�lication for cc persr�ii for the instctllatior�, alteratiora o�_�epaLr-of , a hQa.t�ng, air �mulitzonin€!^ or ventilatin�s sy�iefn, devi�e or eqwipsnent, as hErein spe��, cc�reein�! to do _ ccLL such zc+vrlc in �trir.t aceordanee with the Ciir� (lrcZincances ancZ rulisz�s of the Depc�'i�tme�t uf Ir�sperttionx -_ �. . and tTte speei fceaiion,s set fcrth in tT� uppli,eatior� a;� ctpproved and �'iled in tlie Depccr�ment of In�peetions. � `ti Qur�r . . ................•---......... .... . �dldre8a' af. fitv�a�r.. -, _ ..;_ �;.- � . . - . . 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BUILDING PEI�MIT Date: Aug. 3, 1967 �o �� pwaer; Jose�h Mi cha]. Gki B�� Western. Garages Addre�a 6665 Arthur St. N. E. Ad� 3017 Lyndal� Ave. South LOCATION OP BUILDING No. _ 6665 s�t A�tk�ur St _. ._... Part of Lot Lot _..�`__ Block Addition or 5ub-Div#sian Rice Creek Addn. Coraer Lot Sewer IIevation Inafde Lot _._.. Sstback � Sideyard .— — Foundation IIevation 9383 To be Used as: Garage �t 22' Front Type of Construction Frame DESCRIPTION OF BUILDING Depth 2 2� Hei�ht 1 �� Sq. Fk Cu. Ft Depth I�eight Sq. Ft Cu. Ft � �� _ $1200, __ To be Completed 10-2-67 In consideration of the �tsausnce to me of a permit to construct the buildiug descrlbed above agree to 0 the proposed work in accordance with the description above set Porth and c�mpliance a'll provSai ordinanc�a of the citq of Frfdley. �� '� � � � � � � a In conafderaiion oP the paqment of a fee o� �0 permit is hereby granted to Western Garages , to construct the buildfng or addition as descrlbed above. This�ertnit is gi�anted upoa► the expresR condition that the person to whom it is greated and hia agents, employees and worl�en� fn all work Fridley Minnesota d urega�i�ding laati� constr�uctio�n, alteistio main�tenance� repair a�ad movlag �orP b�ld�in�s wlthin the dty limits and this permit may be revoked at any time upon violataton of any of the provisions oP sa�d ordiaaac�s. C�ARENCE BELISLE �g � NOTIC� TI�S penatt doa nef eever ths eoealrucHoe, hufallalloe /er �rMa& Plumbieg, eu hatlee, aw�� ee w�r. 8� wn to sN tlro Buitdio� lesautoe /er mpsrata psrmtta fer �6�ss itees. (y��j %� � `�Y�G�-�� . !;.'>l �- �- t� - ` .L_ � i�-C c.l�C_fl d" i l. y -� �i� � �� _ ; � �P ` �� A.°��C�;a.f�'a :�'CZ �TI�i�D �PIG :�� T CZ.s`r OF r�.iil�dia ris:I�`ai�SQiA OWNER' S NAME � @ �f . 13�;�:t �t�ER � � b. � C �'C �3L ADDRESS I (�.�1 . l� ��(��I,1r,,; ;�� An�P,ESS �f1 - ��,, _ . _ _ LflCA�7:ON Or I3UTLDZ:iG I�O. � STR�ET PART 0� LOT .i, . LOT BLOCK � AD�lITIOT� OR SUBD�V3S%ON___„/�'.� �� ti��%'- � CORNER LOT INSZDE L0� SE2`BACK SIDE-YARD SEWER ELEVATION FOU�lATIOAT ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed bui].ding location drawn on these Certificates. DESCRIPTIO.I OF BUII�DIATG To Ae Used Ae: . _ . _ l� Front �.�, Depth .'� Hei ht , �T � Sq. Ft. Cu. Ft. Front � Depth Height . _ Sq. Ft. - Cu. Ft. � _ Type of Construction_ �� r� � Estia�ated Cost��'� C�� Ta Be Campleted_ � O � � (�'� - �: . - _ . The undersigned hereby makes appiication for a permit €or the work herein �pecified, agreeing to do all work in strict accordance with the City of Frid?ey Ordinances and rulings of the DeparCment of Buiidiags, and hereby declures that all ehe fac and representations st2ted in this app�.ication a�e true and correct. � � �� DATE � �� -(�� SIGNATURE �� `� � �'- �.�- '� (Schedule of Fee Costs can be found on the Reverse Side�. �� _ s � :.,. � �% � � • � ( e :__ __ BUILDtNG PERP'iIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing building:or structure, or for any alteration or repairs to any existing building or struct�irE, upon a�plication therefore, require the payment by the applicant for such permit of fees to the ac�ount herein below set forth and in the manner herein provided to-wit: Ur..iform Building Code: Type 1;2, & 4- $1.75 for each one thousand cubic feet, or fraction ther.eof, in such cubical contents. Type 3& S-$1.50 for eactc one thousand cubic feet. For the purpose ot computing fees �for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement er cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. . For repairs or alterations to an existing structure, the fee shall be at the rate of $3e00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any�permit as set forth in Section 2 be less than $5.00. � . NSSSD Connection Charges based on location- Area 1 or 2.. 0 � � f � / \ �� \ : - . �- . _ . � � � a .. s�e�ecT PERMIT NO. City of Fridley � �, � � o BUILDING PERMIT � AT THE TOP OF THE TWINS r � �� RECEIPT NO. � �y �� COMMUNITY DEVELOPMENT OIV. �� r � � PROTECTIVE INSPECTION SEC � _ � � /'�'1 � CITY HALL FRIDIEv 55432 NUMBER REV OATE PAGE OF APPROVED Bv �'""'�' �'' 612-571-3450 910-F15 5/6/96 / / JOB ADDRESS 6665 Arthur St NE t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 7 1 Rice Creek School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Robert Antil 6665 Arthur St NE 3 CONTRACTOR MAIL ADDRESS ZIP PMONE �ICENSE NO. L J Roofin 10151 Fole Blvd Coon Ra s 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO. 6 USE OF BUILDING Residential 7 CLASS Of WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Reroof House & Gara e 21 S Tear—off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION OR WOHK IS SUSPENDED Of; ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yAlUAT10N SURTAX AND OfiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEfiEIN Ofi NOT. THE GRANTING OF A PEFMIT �1�680 `P.84' DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMiT fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN. �54.00 Fire SC �I.C)S T CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $61.52 SIGNAT R CONTRACTOFORAUTHOR12EOAGENT ID TE� WHEN PfiOPERLV V IDATED THIS IS YOUR P�RMIT � / —e SiGNaTURE OF pWrvEA i�F OWNER BU4DEA� iDATE� � gzp INSP ptii NEW ADDN ALTER [l [l �l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 Building Permit Applicadon Eff�tive 3/1/96 ConstructionAddress: ; �.� �' � � ��' � ✓ /' � � N-L . Legal Description: � Owner Name & Address: �b�e�f ��j % Tel. # ° Contractor: �� o,�r�y _ MNLICENSE# �O 3 � Address: �� 1 r� �-o l�e y ��,�� Tel. # 7� 7— �,T�'% Attach to this applicafion, a Certificate of Stiuvey of the � lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height n � Width Hgt/Ground � � � � Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: o�r� �-- e�� Estimated Cost: $ �--° ��1 �� Approx. Completion Date: � �' � . , (Cost on Back) � . . � � .. ' : ? �':.{`'? �,. •, . ,. Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft.,x $ �::F =$ DATE: APPLICANT: • - Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �� oU j�Fe� Schedule on Reverse Side � $ % /a v .001 of Permit Valuation (1/lOth%) $ �3 � $.SO/$1,(�U Valuation $ $900 per SAC Unit_::. .: � -_ � $ �: � L� - $5.00 (Sta.te Licensed Residential Contractors�) $ Alt. °A" or Alt. "B" Above � $ $450.00 Conservation Plan Review $ ' Fee Determined by Engineering � � $ Agreement Necessary [ ] Not Necessary [ ] $ �/- �"� � � _, `P� .. _ , , � . .,,:e 1�-.-; BUII,DING PERMIT FEE SCHEDULE The Cluef Building Official shall, t�fore issuing petmits 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, re�uire 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,(J00 $2,�1 to $25,000 $25,001 to $50,(�0 $50,001 to $100,000 $100,001 to $500,000 $SOO,OUl to $1,OQ0,000 $1,000,001 and up FEFS $21 {Minimum Fee is $21 plus surchazge) $21 for first $SW plus $2.75 for e.ach additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,� plus $12.50 for each additional $1,000 or fiaction thereof, to aad including $25,�0 $349.75 for first $25,(�?0 plus $9.00 for each additional $1,000 or fraction thereof, to and includ'mg $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,� or fraction thereof, to and including $100,000 $887.25 for first $1�,000 plus $5.00 for each additional $1,� or fraction thereof, to aad including $SQ0,000 $2887.25 for the first $SOO,OaO� pins $4.25 for each additional , $1,000 or fraction thereof, to and including $1,000,000 � '� $5012.25 for the first $1,0�,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete G�rb Str�ts Only) ��.��::;� :�� . ,,,;.,�.; ,�, ; - Alternate "A" : Removal and replacement of curb and gt�ter only - Driveway width plus 6 feet times `$13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide -= �=� a approach with 6 inch depth - Driveway width plus 6 f�t times $15.75. . - VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours &om the time of application to allow for proper �: review of the proposed structure and of the constcuction site. _ , A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. i sue.iecr i PEtaMIT NO. , City of Fridley � 2 9 5 7 2 ��' AT TME TOP OF TME TWINS B� I L D I N G � E R M I T �� f ; � RECEIPTNO. � `v �� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� `•-_-� ��;•� CITY HALL FRIOLE� SS13Z NUMBEF pEV DATE PAGE CF APVROVED 8Y t 612-571-34b0 9t0-F15 5/27/99 � � JOB ADDFESS 6665 Arthur Street NE t LEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACFIEO DESCR. ] 1 Rice Creek School Addition SFIEET 2 PROPEfiTY OWNER MAIL AODRES$ 21P PMONE Robert Antil 3 CONTRACTOR MAIL ADORESS 21P PNONE LICENSE NO Gates Roofin 4640 Ximines Lane Pl outh 55442 612-550-0043 6793 4 ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. S ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADOITION O ALTERATION �x REPAIR p MOVE O REMOVE B DESCRIBE WORK Reroof house and garage (25 S) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST OCCUPANC� GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION IONING SO. FT CU fT, AUTMOR12ED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONE� FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTpEET PARKING I MEREBY CERTIFV THAT I NAVE READ ANO EXAMINED TMIS APPLICATION S7A�LS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yqLUATION SUR7AX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WME7MER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �2.1�12 �I.O7 DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGUlA71NG CON- STRUCTION OR TM ERFORMAN Of CONSTRUCTION $83.2,rj Fire .SCi �Z.I�F �� PLAN CHECK fEE TOTAL FEE � S-Z7-99 �� ' License SC 5.0 $91.46 5� NATUpEO�CON"�7A .OpOAAUTHpqIjEDeGENT iD�iE� WMEN PROPERL ALIOA D 7HIS IS YOUR PERM17 � � P_ � /O /� S�GNATUAE 0� OWNEp�� OWNEA BU40EAi �OAiE� BlD �NSP p�tE .+ �w [ ] ADDN ALTER Effective 5/10/99 I l CrrY OF I�'RIDI,EY [] SINGLE FANIILY AND DUPLEXES R 1 AND R 2 BUII,DING PERNIIT APPLICATION Construction Address: �J(�� Legal Description: �� Owner Name & Address: _ �1��" �� Tel. # Contractor. �� %jp01`�bIQ MN LICENSE # G �3 Address: �%6�(� Q(1Y�1 fl�U S ��I �J�i�D0U�i1 1�1W .�SY�I� Tel. #%izZ,sS(�'��i3 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �,Q� �� Estimated Cost: $ 3g� � 2 , r � �� Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: - z% � QQ APPLICANT: � �[�'�0� Tel. � Jb 9-�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS e $ 3zf $ 2, /� $ � $ $ 5�, � $ $ $ $ $ �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$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 [ J � 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 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,(�l to $50,000 $50,001 to $100,000 $100,�1 to $500,000 $500,�1 to $1,000,000 $1,000,001 and up FEES $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,OOU plus $10.10 for each additional $1,0(� 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 $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,(�0,000 $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 tunes $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applicat�on to �llow 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 �o��cted will be required before proceeding with the framing. 0 � O O O N C N � C m � O� U � W �� ! : � � � � > �m � Z O U w aW zZ �; a� J ¢ M �� ` � LL � Z �- c�� O � � M � M � N Uc�oti�i �-'� :., . � J � � H N N U N U � � � C� lp � � � N 3 �' c�� c aUi m v a �, � � N � .0 U 'a � C N � c c � N 3 0 m rn o � v `o o '� m c �'a� .. a� � � O N N � C `� 2 a � �� O N _ V l � V v.. � �� pV :\> O Z H � 4.' 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N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 18, 2002 Mr. Robert Antil 6665 Arthur Street NE Fridley, MN 55432 Re: Final Inspection at 6665 Arthur Street NE Contractor: Shiloah Water Company Dear Mr. Antil: A plumbing permit was issued on October 24, 2000 to install a water softener at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no final inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you withi.n this time to set up the inspection, we will mark the pemnit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 5'�2-3604. 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C`�1�� L��l� � �°'� � �L� MN LIGENS � �r� � �� Address: Z��t�� G�.�%7` ��/�' �G �! i� 7��%�'� �✓�' 2- S�; L� �s LMNG AREA: GARAGE AREA: � .� � �i ach to this application, a Certficate of Survey of the lot, with the proposed construction drawm on it to'scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft DECK AREA: Length ��dth Hgt/Ground Sq. Ft OTHER: � Construction Type: �l ��'� � Estimated Cost: $�� Driveway Curb Cut Width Needed: Ft + s Ft = Ft x� _� G DATE: ,�/�--c��- �� APPLICANT: � � Tel. # ��- � `� � �� Call (763) 572-3604 for Permit Fees if maiting in applicaiion. Fax to 763-571-1287 if using credit card and we will c�tl you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � � g�� $ � / I r DO � 4w � M V $ $ .0� $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contra�tors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Revievu Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �� ' �� STIPULATIONS: � �i _I 1� ' _;�1 :IB / i_ The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any add.ition 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,�1 to $25,0� $25,001 to $50,� $50,001 to $100,000 $1�,001 to $500,000 $500,001 to $1,0�,000 $1,0�,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for ea.ch 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 includ.ing $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,0� or fraction thereof, to and including $SO,OQO $643.75 for first $50,� plus $7.00 for each additional $1,0(� or fraction thereof, to and includi.ng $100, 000 $993.75 for first $100,�0 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $SOO,OQO $3,233.75 for the first $500,000 plus $4.75 for ea.ch additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,0OO,OQO plus $3.15 for each add.itional $1,OU0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and. gutter only - driveway width plus 6 feet times $20.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applicarion to allow for proper review of the proposed structure and of the construction site. A Certificate of S�rvey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Only Building PLUMBING Permit No.: �I �� Inspections RESIDENTIAL APPLICATION �� ' - 763-572-3604 CITY OF FRIDLEY Date x�'d: DATE LS I I �� YOUR E-MAIL ADDRESS S1TE ADDRESS �� /� ��, S7 %�/L'+ THIS APPLICANT IS: �OWNER OCONTRACTOR PROPERTY NpME: r, , �N�,r� AnnxESS: r crrsr n�dlo� ��?2 � `` STATF�ZIP PHONE: CONTRACTOR N,�: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE Z� LICENSE WITH PHONE FAX APPLICATION - PERMIT TYPE ��GLE FAMILY ❑ TWO FAMII.Y ❑ TOWNHOUSE TYPE OF WORK: � �W ��P�CEMENT DETAILED DESCRIPTION OF WORK �,g�e �'�� f ,,� A � �d C, � Q�» � ,�. ,� � � r/i.vas� — � �1� ��lar' Si �o �F.° �' PER MS 16B.665 the permit 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 =$15.00. 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 WE�RE NOTED. FII{TURES: (INDICATE TOTAL NUMBER OF EACH BELOVi� p BATH SWK/LAV _FLOOR DRAINS I SHOWER WATER PIPING _ BATHTUB _ GAS PIPING �o cirrircEtvsE) SWIlvIlvIDVG POOL WATER SOFfNER ($35) _ CLOTf�S WASHER _ KTTCHEN SINK i WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IItRIGATION _ WATER METER _ OTI�R ��, .� �� '' ��. � � �� .�� x � �� 5 �� . _, � ,w �__.� �,_ „�_ � �. . _ , _ .,._ . wu..... �a �� __, _._.A _..�,. . .� 4_�.. � ,>_� .. Q�,.,._ .. ...._�i:Fw� _...,_...�.w.�- ._...... T�`�'��, � ._�_ `� Permit Fee $ Number of fixtures @$10.00 � x$10.00 =$;�(� Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ 50 Tota1= $ � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCFSSED I hereby apply for a building pernut and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit a.nd work is not to start without a permit; that the work will be in accordance with the approved plan in the case of al ork which uires re�iew and approval of pl SIGNATURE OF APPLIC PRINT NAME ' DATE �� '�� "� .� �: ' � : ��. `.� � �... , � ��; e� ,� � � .�� . City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977