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Seiaaiae ou�-!3� m�nhole- expose serv� �,o �ta�i.pe tnp of ,
£ra4tin9 elev���a. �
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CITY
OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWl7ER: L� J r g R le R � BUILDER:. �-7 �/Z� q C Co �s%. Co
Address: Address: �o �l„. � � � C/�MBR( D�F ��k�
T�l. �.: � 8 4 �Zaao
No.: %yZ � street: I�AC6 l�
IATr� J� � BIACK: ADDITION: A�D�ToRr S'�J� m�vi.r�vu ?x'(.2`T
CORNER LOT: , INSIDE IAT: _� S:iTBACK; SIDEYARDS:
Applicaht attach to this form 7Wo Certificates of Survev of Lot and proposed
building location drawn on these Certificates.
- DESCRIPTION OF BUILDING
To Be Dsed As:
%"�� M�R Front: a(o Depth: �(t ' . Height: 8 r
Square Feet: ���ic Feet: �d p2/ ��Q'
F 0a' � Ir�
�fI �i?CF_ Front: ,2 Z Depth: 02 2- Height: �
Square Feet: �� bic� � 0 Q
Type of Construction: r/Z�v-mQ Estimated Cost:��°
so se Completed: ,J U N2 �
/Alt. A Alt. B
�Progosed�Dr.iveway Width If New Opening Is Desired �� �$.
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side fo additional information.
DATE:3' 9' � % SIGNATURE:
Stipulations: ' �
�) �1,C°�.d Q�+�y ea�-�'�-""
d � N e.�.r.� �ea�� D
.�) � � �,.�..,
3rri0" ���COE.f i.J �95��•✓T
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S�C 3 i S. o°—
`� �S��a9
'
BUILDIN� PERMIT FEE SCHEDULE
SEGTION 2. The Inspector of Suildings shall, before issuing pesmits £or the erection
o£ any bvilding or structure. or for any addition to any existing building or structure,
or for any alteration or repairs to any e�sisting building or structure, upon application
therefore, require the payment hy the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-witq
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PI.AN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete . rb Streets Only).
Alternat A' Removal and replacement of concrete curb and
gutter only; Driveway width plus b feet x$11.75
Alternate 8: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with .�p
6 inch depth; Driveway width plus 6 feet x$15.}�
; 11 � 1 �: � �►�
Far the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or tha cellar to the
average heiqhts 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 $3.00 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 $7.50 plus $.50 state surcharge.
: ' • • � ��G �1
NOTE: Permits for construction will be issued a miniminn of 24 hours-from the time
of application to allow for proper review of the proposed struct�re and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
. Gf=RTiFiCATF OF OCCUPANCY
Application for a Certi£icate of Occupancy shall be made ten (10) dags prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued. ' .
m
�; x��r�iei�r��r�.�rw��
��TY OF FRIDLEY
.� 8451 �UNIVERSITY AVENUk N.E., FRIDLEY, MINNES07A� 56432 ���� .
� . .. �. . � � � - � � �. TEIEPHONE (�612}S71-S�50 � . . .
74ugust 19. 1477
Nordberg Electric
216 5outh Adams
Cambridge. tIIz. 55�06
Ret Electrical Correction at 7420 Bacon Drive N.E.
: . -� Deax Sirs: . . . . � � . �
An inspection on August I9, 1977 at the above address noted that the
light has not been installed in the crawl space. We will expect this
tm�rk-to be done by August 29, 1977 and a reinspection called for.
Zf you have any questi.ons on this, please feel free to contact me
at 571-3450 between 9e00 a.m. and 10:00 a.m.
Thazik you, .
LEONARD EICHMZLLER
&2ectrical Inspector
I.E/mi►
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�e�ty of Fr;ai@y
AT TME TOO OF TME TWINS �
`«
� COMMUMITY pEVE�QP#M�NT 014.
�V _��� WIQTECTtVB INSPECTION $EC.
!¢ , � i � �
i,.. . ♦� ' , . �.
' � �'S � CITY NA�L FRIaE� ��Z
BUIIaiP�l� PERMIT
�".".�• •.� 612-57t-3450 � 9t0�Ft5 I � 714102
�—
�oe �onP�ss 7420 Bacon Dr NE
t IEGAL'� �OtNO. BLOCK ��� �. iRAC OAAbpT10N .-
cEsC�." 11 Auditor's Sub. 4f129
z naCS►etFrrowapn . MM��qonESS� �
Bruca fi Pam So�er, 7420 Bacon Dr NE, Fridley, MN 55432
J CONTNACipR'- � MAILADORESS ��
Bruce S Pam So�er (same as above)
� ANCNItEG70ROE31GNEN � MAILADDilESS � ' i
Residential
7 CIASS�OF WORK � �
C� NEW
6 OESCRIBE WORK $ & G ' �
Re-roof (tear-off)
9 CNANO£ OF USE fROM
/ /
2762
�
SEEATTACHED
311EET
vHONe
763-780-9688
PHpNE LICENSE NO
NO
O AD�ITION � ALTEflATiON ❑� REPAIR � O MOVE �❑ REMOVE
- 24 squares
F'tlW1TIONS: ��� .
Underlayment must comply with State Building Code.
nre oF cvnar.
SEPARATE VERMITS ARE REOWNED:OA EIECTHICAL, PIUMBING, NE�TIN6. .
VENTI�ATING OR A18 CONDITIONING. � ' ' � �
TNIS PEAMIT BECOMES NU�L ANO �OIO IF WqNK OR GONSTRUGTIOM ZONING �
AUTMORQEO iS N07 COMMENGED V�!ITHIN 60 OAYS. OR IF CON$iRUCT10N }
OR WORN IS SUSPENDED OR RBANOOMEO fON A PE91Q4 OF A7q D�A�S AI .� �.
ANY TIME AFTEN WORK �5 COMMENCEO. ' NO: LYW4G�. UNI'
� . � �� . �. � . . . ..
I MEAEBY CEFTIFV TNAi I XAYE PEAD AND E%AI�INQD iH15 AVP�IGAT�QN �
4NOKNOWiHESAMETOBETqUEA�NDCOPRECT.A��PFipVIS10N90fLAW$ A UATI �
nND OFDINANCES GOYERNING THIS TYPE OF WOAK W4� BE COMP�IED �� 5�.3�.�00
WITM WNETNEF SPECIFIEO MER£IN ON NOT. TME GR�NTING Of � VEAMIT �s
DOES NO7 PRESUME 70 GIVE AUTHORI7r TO VIOUTE OR ��NCEL TMk eEWMiTFEE
PROVISIONS OF 4NY 07NER STATE OR LOCAI LAW REGUL�TING LON• @ p
STiiUC710NAP THE PEpFORMANCE OF CONSTAUCTION � WSy.Z�
��L
iO�iE�
i/4�a�_
y f�
pGGVP�NGTGNOUP OGGUPANCY�OAD
50. FT. CU FT.
. OFFSTREET GAPKING
STA��S GARAGES
SURTA%
$1.29
� . �SACCMARGE
Fire SC $2.57
TOT FEE
.� $ .:1
NEW (]
ADDN (]
,a�reR [ 1
e
Construction Address:
legat 0escription:
Owner Name 8 Address:
Contractor. _
CI7Y OF FRIDLEY Eftective i/1/2002
6431 University Ave NE, Frbley, MM 55432 pW) 5723604 Bldg Insp
SINGLE FAIYpLY AND DUPLEXES R-1 AND R-2
BUIIDING PERMIT APPLICATION
�
Tel. # � �-�]BD•-`il�B4�
MN LICENSE
Addr955: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this applicaUon, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length VYdth Height Sq. F[
Length Wdth Height Sq. Ft
Length Vlfidth HgqGround Sq. Ft
/��<uGr� /��r---�'� rG� or7 /9Fd � �
Construction Type: mated Cost: S v o�.S%J�, --�
Driv�way Curb Cut Width Needed: _FL + 6 Ft =_Ft x$ _$
DATE: �'I� 6 APPLICANT: +R'*� � Tel.#��•7$0-'�JL�'Q
Call (763) 572J604 for Permit Fees 'rf mailing in application or Fax to 763571-1287 if using credit eard and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY-
$ .� ZS"' Fee Schedule on Reverse Side
$ - S 7 .001 of Permit Valuation (1/10th%)
$ /_ Z-9 $.50/$1,000 Valuation
$ $1200 per SAC Unit
$%` $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
S �% ��
, �
STIPULATIONS:
BUILDING PERMIT FEE SCHEIDULE
The Chief Building Official shall, before issuing permits for the erection of any building or siructure, or for any
addition to any existing building or structure, or for any alteration or repair to any e�sting 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 prrnided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,Q01 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
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 $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction ther�'of, to and including $I(30,000
$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 $1,000,000
$1,000,001 and up $5,608.75 for the fust $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete G�rb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the praposed 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
: _ . .�
a�
.,�-�
� ti
� � Department of Administration
��.:. �
July 1, 2003
Bruce Sommer ���
7420 �flr. N.E.
Fridley MN 55432
RE: Chair Lift
Residencer Sommer, Bruce Reside�ce
7C4-2,J0I�fDr. N.E. �ny�
- _.._ __. _. _ .._ __.._.. _t�I�QIB�p..SJAO'£JG_--_. .. . .
l
Dear Sir/Madam:
- Elevator ID# -09397PT03-28R
Minnesota Statutes Chapter 166 provides that the Department ofAdministration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the
Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990:
Sincerely,
BUILDING CODES A D STANDARDS
��
_.:_ _----- MarkA.�lo nsDn _ _
State Elevatorinspector
maj/rkr (CE-2)
c: Julkowski, Ronald, BO, City of Fridley
4ability Inc.
ElFormCE2R
— _: . _ -- .--. A
Building Codes and Standards Division, 408 Metro Squaze BuIlding, 121 7th Place East, St. Paul, MN 55101-2183
Voice: 651.296.4639; Fax: 651.297.1973; TTY; 1:$00.6273529 and ask for 296.9929