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AF - 35246� ' _ _ S, . T ; � � � � �. + _ . _ ,T �� '��`� � : . �I�#��;� : ,�'"�1�' N° 1� -� . �� . � � :.;. : p � . , _ �. � � .._ � : ; � . � � � .� A��i't� .��.�.�: � Fridley, M�. � , ��e � ` �, �, r �.. � „ � �� e �C�c'�ZC?1�1 4i�' �iI��I+fi+� _ � �," , � � �_ . , ,.x ;�� :.. � �` �''�k �` �. �`= ,. � . �� : �: ;. � , — s - � �'�-:-.�,.., ` �� Bloc��;- �a t�r �iifvistoffi ` - 1��'1'IE}� fl�` ��` ,�, £ , _ B�n�.:��.:_ ,��"� �� t4riss � �, �; � � � � _ � ''""r�. � � � ��-- To ba r TT�ti ire c,tts��et ,,�,_._ � , _ . , ;' - _.. ..,'. } , , ; � �,� �'� �` � �� . f a ,: � � , . , , , tha ; . : ; deeciibea� � t�e �sbos�s a�s�tt. '� � Ia g� : _ upau �.�t�i`�bu�t�'!t%�it'tl�it �ii+e to ar�cm it ia g;rat�#ec�, :a�td hi� 8$�eaf�; �'e�t As�d wo�y:'�slt st2i ti�e work d�e' 3�, �aro,Umid sa� � �ag, or � p�% thereof. �il ��at -3� a� r�eeE�a-:t�i �. Q�» � ai" �d1�, �Ynn� �: .t,�ts coustsiw�iaa, a,�t��on, �i�tena�ce, r� 'ss�i .�g ot � ,': wi�a i� �r �t�r. �,1�is pe�"�g be`�ced �t a�nY ti�'u.�.v�iattr� ai� �r a� th�,�ovi�raa��ad ��' � �r¢ea. > : �.. ��' i ` : _, �.. , • : . � �, �M�� Y+� " �� _�'..�.i .. -�+r.w.�:u..l �, `� �. . . . �+��,�T ANi? SSPC3�` S�'AT�.��t".� � Tn.�a�i±�►r�tit�n �� #� �wa�d +r�vesry t+� .�e b�.. #�e �pe�ta�r � �d3i��, � :�� " . , . � �� d� � p��eci w�cax�� in a��c� �: �: c�r��Zi a�ve ee� ; � �ti ; � �� of tb►� o�a�c� :v� �ic�e�� $��' ��, I �� a.t� a� �,p' i:� t#e f� �ate8 �b�r � ��i. � . �d ia � :� e ��a;� ; �r iict� �us ti� �ted. ' , . r, ' ,: * _ , �tb,�� c� �o b+et'are me at �r�*, � _ � �,�r� �r�, � . , t�r �� , �� . �; � �"�- j""`� �< � t; � �� f_ � � � �...�� 353 V" a�� o� F�aIl�.ey, � . � �G P �t= , r . n : a� �� - , , ; �;� �. 1� ` �, :f, � � �'d� � �y�` Owaier�`F`� +' " �.l 9�a��; }�� s.� � �� a ��'� ` ' Arcb.itect Fsuilder � , , �;�_ �� P yg � 0 d I N � F'ri.d'_ey, Niinn., , 18� � • • : � ., : �'i -� -1ti. No. �ac � �treet ��'`��'�' �f'�''"' Y� �'�„�� Lo� 1.��`�° ,�1� Block s .' Ac'ld�tIon or^ SuU-Dieision - :, � D��"�`�,'IPTI�I�T ��' I'i�T�..�D�$C'x '�'ront l�e�th�� gieight Sio�°ies ! B/lanner o� ( To be uaed as ` j To tr� coffipleiced , a � .� . � �� .� a� _ � __ � � _ .: S Estimaied __ _ _ � s � . . . Y� i F.. . . M1M !'�'� �,`: "P . Permit is hereby grart�d 1:0 -' � to - - ,� " +�,�^� .� �; the building ' -� �°� descrlbed in the above statemen�. This permft is granted ' upon the expre�s condi�tor�:��lie perso�. to whgxxa,<,4t is �ranted, and his a.geate, emplayees and worl�aen, in a11 '; the work done`an, azound and upon 5aid„�u�di�ig; orc �ny pa,gt thereof,: shall conform in all respects to the ordi- ; nances oP Fridiey, Minn., regarding the construction, a;iierat�on, ma3nteaance, rep�ir and moving oP buildings ' wit,k�in the city limits; and thia permiE ma,y be revo�ced a.t any time upon v3olafi3ox� of any of ige provisions of said ' ordinances. �\ . � a : , � � d� � ° Inttpector ofi Bu3ldings. - - �.G��:'�rr Al� ��7�31�T STA�NT in c�xi,sideraiion of the assue a,nd. delivery to �e b� the In�p�cio�° o� �uikdin�s of �r9.dley of the abo�e g�erffiit, Y hereby agree to do the proz�c�sed �aork in accorrdance wi�h t3�e desc�iption ��', abo�r� set fort�. and aeco�ccZing to the px�ovi.�ons o� the nrdi�a.��ces o� �ad�e�, a,�d, �be�n� ��t d�.ly sv�ox�, I hereby sta�e and say that the fa��s siated �y �e and ca�iai�a.ed ixi the above pe�.°�at az°� ' tTCUe as �herein stated, �--�.� � _ y � />'^'".,�°.�g . . ,'" .r Su'bscribed. a�d swox�. to before n�.e a�i Fradl.ey, day o '"°�'' � .�. 19� ;�"+: �, � �. SUBJECT PERMIT NO. c�ty of Fr�aley 13800 AT THE TOP OF THE TNIINS g U I L D I N G P E R M I • r � � ' � RECEIPT NO. � ; L _.�_�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 = � �' /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""� � ,�� 612-580-3450 910-F15 10/1/76 � � JOB ADDRESS 6300 Baker Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. �.1. 2 Moore Iake Highlands SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE TnTm. H. Gottwaldt 6300 Baker Avenue N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING RE5].C�@Tl'�la,�, 7 CLASS OF WORK ❑ NEW � ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO � STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. A5 halt Shin I.2$ THfS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTNORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING �"' I HEREBY CERTIFY THAT I HAVE FEAD AND EXANIINED THIS APPLICATION I, 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. �`9ZO WITH WHETHER SPEGFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ' $7 • 5O PLAN CHECK FEE TOTAL FEE �8.�� 'SIGNATUREOFCON7RAC RORAUTHORI2EDAG NT �DATE) WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT r .�� 0-n.. 1�� /�-I-��, I NATURE F OWD ER 11 O NER BUILDERI IDATEI BLDG. INSP pATE CITY UF FfZIDLEY APPLICATION FOR�f.ESIDENTT�L BUILDING PERMITS fNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER' S NAI�i� : � / BUILD�R : � ADDRESS : _ _ �Q � � � / �,e,L �/fj� ADDR�S S : _ ,�� R TEL. IJO. : - � ��^ �� °� / � . No : . G srn��x : _ ��.`'? � ��a� � ��a �� . .� � �i � - - - � j LOT:�� BLOCK:_ °� ADDTTIO:�: v ' CORN�R LOT: INSTDE LOT: SETBACK: 0 8'� SIDEYARD: � � � � Applicant attach to this form Zt:�o Certificates of Survey of Lot and proposed building location dratan on these Gertificates. � To Be Used As: Ii�SCRIPTIO� OF BUILDING , ont: � epth: Height• �Squaxe Feet; Cubic Feet: Front• Depth• Height; Square Feet; Cubic Teet: Type �f Construction: � Estimated Cost: $ C%' �B' �v �To Be Completed: �� The undersigned hereby makes applicatinn for a permit for the work herein specified, agxeeing to do all. woxk in sti:ict accordance �aith the City of Fridley Ordinances and rulings o£ tlie Department of Buildings, and hexeby declares that all the facts and representations stated in this application are Crue and correc�. DATE: • STGI�TE1TiJRE • `y� '� _ , (See Reverse Side Fox Additional Information.) �� i- �-� � �� , � � ,- � �� , - � P� BUILDING PERMIT FF� SCHEllULE SECTION 2. The Inspector of Buildings sha11, before issuing permits for the erection of any building or structure, or fox any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon applicatiion therefore, requixe the payment by the applicant fox such pexmit of fees to the amount herein below set forth and in the ma.nner herein provided to-wit: � NEW COPISTRUC�zOI�T: Si.ng].e Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFC�RR7ATION Fox the puxpose of computing fees for building percnits, the cubical contents of any buildi.ng or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface or io the average* height of the roof surface of the main gable of a pitched roof. F�r repairs or alterations to an existing st-ructure, the fee shall be at the rate of $3.00 per each five liundred dollars ($500.00) or fraction thereof in the cost of all proposed work. r In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. • VERIFICATION OF FOUiVDATION NOTE: Pexmits for construction �•�ill be issued a minimum of 24 hours frem the time of application, to allow for pxoper revie�a of the proposed structure and of the constxuction site. A Certified Survey of the lot, showing the location of the �foundation, once it ha� been constructed, will be required before proceedin� �oith the framing. CERTIFICATE 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 building permit has been issued; and said structure shall not be used or occupied until a Cextificate of Occupancy lias been issued. �t. e . V t� �"-.a z � � � � � � � H � � J � 0 r W �n N O H � � � � � M � a w r � o a . ee � �y t+ y ro W �1 W N � v � � � � ro � m � N � � ro o � o ,.�. O �..� v z � r�a� C�rfyZ� . � �-+ x n � � H � C H p ti r-� fr �� N f"' zzzy u, w� z tn G� C� r-r r• C� O �* w �;v „�< K ►Z-� O �`f [�if trf H H � � ►a-� � Ui a�� o �n .. ��I � rt� w K o� � o 00 � �,`` � y m �r �m f n � � K � � I � � � m � � . xxx w a �+nva O i-• W 000 O O O N i/) N i? N N jA fp ip � � � �� o `� -� � c � � � � `� "' ~ W x � � � r� � � ►at . m � �� z � � � a p a � � � rt � � � � � � g � ,� o � � F O O � M � � � � y ►�Dt � p►�t N � W � � R m W y O 9 � O M C � � � n � �r � � � � � � � - �. � m � M 'v z m �� k t�0 �O � �r � o m o M O �� 5' a �, � � iD � �o � O rr r W C N P a � �� a° w w �O n~ rb � M n o O r�t �S 0 r � �t m n �� r �+ a �c a � b � m ��ro °o°o°a� O � o I-• �HOH� C � C � � o 00 � O 00 01�1�PN °o o°o° °o°oo°po '(�l N iA N N N fA �p! � � O �� ` � � o C O C y � � � 0 M � H O .� d t�il � d 8 � �i � � � � . D O 0 � fo m ft � o rororo '� wN•w � m a, � w � x �' �' � � � � rt�rto a�r K K M • Rf tah fat C O p � ww� � �°ro W p0M �� x au � �o °o o°o °o 0 0 o° � � N iA.tiiJAtJ 00000 O O O O O N iA i/I iA tA ` � � M W m e a� � � � � m o+ r w � a��.�a n m a n ►hst ro m W � � � w Q' , o ,� a M a�so� ��@ � � � � W � a a ►°e � a r x �o 'WG .ti �, 'JW IN+� � � w m � � fA �R w O • b�� b' W o� O ►' y np M r�txM � �W A � � a�e�� e °� w ro � � � M � � � � � m W as�„rµ� � n�x �� I�i �� m. � � 9 r A � A � n� � �u° �o i% G �C-+ �aroro � � �•wa a � N � � � 9 R� R� � � � F+ i� r+ fD Nrt f�D M ~ 1-a-1 a�r a�f r� �' �' F'• M• H � O O � A � � a rt N W � � � ro �°�, O av 0 � O tn o o° 0 0 N �A �1JN y 000o ts� O O O O �i/1 tq 'b! i/1 H 9 r �� ro (�Jt M � i K M N H M o� � w N w m 0 CY �S m � � a � a r � m � c'� Sm C � v v � r c� a "� O z O � 0 � m .-�i v -o � � Z O V�i Z ey n -�i C o x z m� � � Z N G� � � N �-i f"� [f1 O y O C� � d m .. � n � m � � -� , O z � m � � c� m a "'1 O Z a z Cy � �C O T � � d (" i�'1 -c ,�. �._ .� , QTY � FRIU.SY .'��1 i}' !� 1 l. APPLIC.ANrs _��✓/�l/Gt � /��'j�% � l� d�U� ��1� � ls� Aaa��s ��-1�7��'' �e1.epY,one N�ber ..,•��+•� • ��- .. � � � � r, •� _ — 1�.��r� � �_ � � ��L street Adaress �r �°c�s�� ,�1/J� � S��I .3 � City, Sta e Zip Code R�CEIPT # f � �' 1 �rvk-i l�`(,/�� ,�� `" � � n� t�� . �_� 8",� F, , �� e s ��-- _� i I Id`o� n-► C'��Q.�L�-�_ � _�3d� �� L Street Adaress v5 � City, S Zip Code 28 . , - , j �- > > � • r , >-� � ,� � � �, . �� ;' � .- . - : . � - . - • .- . . . 3. LEC'�AL D�IPPmN OF PI�O�PIIt1'Y 10 BE ALR'�StID: 5. Lot Block Tract tY State �y.•• �� . . � i. � �•• . •��+•• i. Zip Code �) � 6. VAL�JE OF WC�tI� � BE PIItFOIiN�D: -� ii• � �� •• r�, �. • - - � , , .� .f, .�.� ��/ �.►i�� .11� V'��i � ��l�� , �i i, r t I i s � . �VL\ � i 9. ATPAC� (Infonnation Needed to Properly �aluate Applicatior� : �e follvwing plans, drawings, calculations, bor�3s and/or statenents will be requirec] by the Public Works Depart�aent. _ ealf section map or sketch of praperty showing all-adjacent property inciicating the exisiting buildings and/or structures. _ Grading plan showing exisiting and proposed finished contours and evaluations. _ Drainage plan showing exisiting and proposed drainage structures, stabilization walls, retaining walls, cribbing, c�aans� or other protective itens. _(�lculations for and approximate quantities of excavation and/or f ill r�!�; red. _ Sicg�ed state�t fran the p�aperty owrier acaepting responsibilty for the operation and granting permission for land alteration/mining oQeration. _ Statenent to be attached to deed advising of potential need for soil tests prior to any aonstruction on lots where additional f ill material has been plaved. _ Rioe Creek Watershed District Appraval (If Applicable) _ Soil Borings (if require� _ Other 10. STIPULAZ'IONS - RFAD BEF�itE SI(�1Il�1G APP'LICAZ'D0�1: a. A surety bond or oeritified check in the amount of S (58 of value of rrork to be oompleted) must be submitted after approval of application and prior to any work commencing. This bond or check is to ensure satisfactory perf ormance and oampliance with the belav stated stipulations. The sur ety bond or check shall be kept active until the completion of work and/or expiration of permit and can only be released by written r�tification of the City after a satisfactory final inspection has been performeci by City foroes. b. All acoess anr7 street frontage of the land alteration site must be oontrolled by a fence, a minimim of four l4) feet in height. All entrances must have gates that are capable of being locked. c. Only rock, sand, gravel, dirt, or similar natural earth f ill is perniitt�m I�to e��ret�es asphalt, or c'I�nolition wastes will be permitted as fill � a danol,�"tion landfill permit is first obtained fram 14mka County. d. Operations shall be limited to c3aylight hours and shall n�t interfere with the health and safety of surrounding residents and the preaises shall be maintairled at all times so as not to create a nuisanoe. � �� e. Any explosives used must be done so in accordance with Chapter 212.3, paragraphs d, e, f, g, of the F'ridley City Code and any other applicable standard e.g. Federal, State, Industrial, etc. f. At the end of each season's operations and no later than the lasz aay of D�ember each year, the site is to be left in a neat and orderly condition, with maximum slopes of 2s1 with no werhang or vertical b�anks and with a level bottan. g. On the Fiiday of eac� work week, or when required by the City, n�aterial from this operation that is found to exist on City streets shall be cleaned to the City's satisfaction by the applicant. h. Upon oa�letion of land alteration operations, the land must be left acoording to the plans and contours submitted with this application and planted with suitable vegetation to prevent erosion. i. Upon oampletion of land alteration operations or expiration of this permit, an inspection by the City will be made of the prenises and adjoining streets. Any damage found to have been caused by these aperations will be corrected by the applicant upon notification by the City. Applicant's Sic��ature: Pro�erty Owner's Sic�at Reoatmended For Approval By: Date: �< �2 APPROt1ID BY: Date: Pg2MIT F�Il2ATI�3N I]ATE: �l �� . ►�� i . , . � r • � . � � � E� �S � ,�� . �� • }• • � �:I?M'�1 ' ��+ 50 (�bic yarclS or less . . . . . . . . . . . . . . . . . . . . . . No Fee , 51 to 100 cubic yar� :. . . . . . . . . . . . . . . . . . . . . . . 810.00 101 to 1000 cubic yards . . . . . . . . . . . . . . . . . . . . . . 15.00 1001 to 10,000 Cubic yards . . . . . . . . . . . . . . . . . . . . 20.00 10,001 to 100,000 cubic yards - 520.00 for the first 10,000 cubic yards plus �10.00 for each additional 10,000 cubic yarcis or fraction thereof. 100,001 to 200,000 cubic yards - 5110.00 for the first 100,000 cubic yarcis plus S6.00 for each additional 10,000 cubic yards or fraction thereof . 200,001 cubic yarcl� or more - 5170.00 for the first 200,000 cubic yards plus �3.00 for each additional 10,000 cubic yarc� or fraction thereof. � �. �•. , �.,•.�, •„� -��. 50 C�bic yarcls or less . . . . . . . . . . . . . . . . . . . . . . 510.00 51 to 100 cubic yarcis . . . . . . . . . . . . . . . . . . . . . . '. S15.00 101 to 1000 cubic yarc�s - S15.00 for the first 100 cubic yards plus 57.00 for each additional 100 cubic yards or fraction thereof. 1001 to 10,000 cubic yards - 578.00 for the first 1,000 cubic yards plus S6.00 for each additional 1,000 cubic yards or fraction thereof . 10,001 to 100,000 cubic yar� - 5132.00 for the first 10,000 cubic yaras plus 527.00 for eaci� additional 10,000 cubic yarci5 or fraction thereof. 100,001 cubic yarcis or more - 5375.00 for the first 100,000 cubic yards plus S15.00 for eadz additional 10,000 cubic yards or fraction thereof. 5/L4/3 _ „ r � • �� fi-r�, �' � CITYOF Fittl�L�.Y CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINIdESOTA 55432 � PHONE (6l2) 571-3450 w►! !• 11,� _ . M • � : ;��I� �!1M «. Wi1liaQn Henley 6300 Baker Avenue N. E. FricIlEy, NN 55432 Octaber 6, 1987 On Septe�nber 28, 1987 the Fridley City Cotmcil o�ficially �eni�1 your request fo�' a lot split, L.S. �67-08� to s�].it p�ts of Lots lle 12� 18 aild 19� Block 2, Moore Lake Highlarids, all ger�erally located at 63Q0 Baker Street N.�. If you have any questions regarding the a�ve action, please call the Planning Departinent at 571 3450. Sincerely, ' �''►+R�'� . J�nes L. Ro4inson Planning Coordinator JLR/c�tt � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;, � ► � ; � _____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i = � � �"'1 � CITY HALL FRIDLE� 55432 NuMeER �---'� ' ''� e � 2—s� �—sa6o 910-F15 JOB ADDRESS 6300 Baker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION nesca. 11 & Pt.12 2 Moore Lake ] 2 PROPERTY OWNER MAIL ADDRESS 4 ARCHITECT OR DESIGNER 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK MAIL ADDRESS Gines Ln P7 oi� h MAIL ADDRESS MAIL ADDRESS REV DA�E PAGE OF s/2i/98 / / .,---^��,,� P 27348 R O. �Q � AVPROVEO BV SEE ATTACHED SHEET Z�P PHONE LICENSE NO. —SS�OOd43-6.7-93 ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ NEW ❑ ADDITION � ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFiK Reroof house and 9 CHANOE OF USE FROM 27 TO STIPULATIONS Underlayment must comply with the State x Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, r��'t vF Gvnsr. VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION pONING AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 pqYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND COFiRECT. ALL PROVISIONS OF LAWS VALUATION AND OFiDINANCES GOVEHNING THIS TYPE OF WORK WILL BE COMpLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT $2251 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANC OF CONSTRUCTION �]/�,. �S PLAN CHECK FEE � ` � Licens � SIGNATUiiE OF CONiRACT OR AUTNOFIZED AGENT IOATEt EN PRC SiGNATURE OF OWNER iiF OWNER BUILDER� �DATE� e� _�..�� T STALLS GROUP OCCUPANCVLOAD CU. FT. OFFSTREET PARKING GARAGES SURTAX �1.12 �� ° � � Effective 1/1/98 ADDN [ l CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� ConstructionAddress: (�� , %U(� � Legal Description: Owner Name & Address: }�e��/ �'�b0 �p�r �p � Tel. # Contractor. (,ct�CS ��i pV�;�► Q MN LICENSE #�%%� Address: y6�f p a',y'1►19� S�� 1 vr�o� �h r��/ s.s � u a Tel. #_ SS D"d�% �1 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: � `1 �ri Sq. Ft. Sq. Ft. Sq. Ft. r Construction Type:_ J��l�-Q� ��- ro� Estimated Cost: $�� S� .- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: g ' � APPLICANT: � / Tel. # , �% �` Li�6o� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ S $ �• �� $ %/� $ $ � UG� $ $ $ $ $ �� . �� 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 [ ] s .�, 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 $S00 $501 to $2,000 $2,001 to $25,000 $25,OU1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minunum 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,�0 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 . VER�FICATION 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 5urvey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. D 7� .. r m r � u�+' O ,� �. _ � w m ; N C � T � p� Mi � � N c � � � � 0 � > � C '�p �/1 � � �' � � to � � m � 0 Z � � � � � � � � � � a r � � � T a c � � o c "0 � r � C � � � m � Z � � � D H Iro �s � � � � v w. o � S�A v ��''\ � � � z � � � \ � � w a w a w w c w w�� -� c� ui H m� m 3� n�� -. -. v 3' p �? � o O � _ _ � � �' � � � � c � � � A U! m • � � i� � W � z. � � !A y�j t� Y�i � � � m 7 a► � c�n .2 io a � � W 'g -a � � '0 � � m » � � � � . o � � eo c � a �. � a .-. I � I I� ( I I I ( ( I I � � � � � � � w h � � � � v� o 0 0 � o v;.i v�•► u� s•� °o � � °o o � °o °o o° °o g � g � � � C � � m z a c � n m c) a a � � � � � � � � � � � � � A� � � � � O �\ V J .4�� p� � 1� � a a � � � �u 2 � � ' a a � � m � � N � N � � y m m � � � � � � a � Nmo� a fD � a m °-' 3 � � g x g � o e� �j� � o x w ? � � ' ) � � � '� � � a a � � s m o � o � o � � � n -• �1 � � $ o g��m � � � � � a $ o � � z � � o �. � �'s �� z� o � o � w � � . � � J � � '� C � � Z �ii � � � m � � Z O � m O � � "� � �) �1 '�1 '?1 �1 � tA O� O O y Q o � o 0 A W N + � � � o � a rp � � � � a+ c � Q g � s g � N . � . � � � �, w �c ? :. c O : � � v -!+ �, o � o �7 A a � � ? mg � 'v m � � � � � � w � S �� A � v � A• l'1 N Q (d � .. oW+ � � �i 0 2 A � A � N N, v A � � N < •'� s Z m � n O z C < � � s O � `w � � V � � � � � ' ' � �' SUB�ECT - � c�ty of F��a��y AT THE TOP OF THE TWINS g� � L D I N G P E R M I T i� � ♦ � ; v ___��_ COMMUMITY OEVEIORMENT DIV. r � � PROTECTIVE INSPECTION SEC. � _ , � �'�'1 % CIFY MALL fRIDLEr 53432 NUMBEP �'""'� � �'' 612-571-3450 910-F15 JOB ADDRESS 6300 Baker Avenue NE t LEGAL �OT NO. BlOCK TRACT OR ADDITION oesca. 11, Pt 12 2 Moore Lake 2 PfiOPERTY OWNER MAIL ADOR�S$ Bill Henley �`�6300 Baker Avenue 3 CONTRACTOR MAII AODRESS Windows America 7928 University Ave NE 4 ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAILADDRE$S 8 USE OF BUILDING Resident�al 7 CLASS OF WORK O NEW O ADDITION B DESCRIBE WORK Install 6 vinyl windows within exist 9 CHANOE Of USE FROM 4/3/02 MN 55432 ZIP IIP PAGE OF � � � 32492 RECEIPT NO. � �� 1PPROVED BY SEE ATTACHED SNEET PMONE 763-572-0748 PMONE LICENSE NO 763-786-8115 PHONE LICENSE NO. 20248265 PHONE LICENSE NO � ALTERATION � REPAIR D MOVE . O REMOVE TO � STIPULATIONS ' Frovide smoke detectors in all s3eeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the.1997 Uniform Building Code. er a� �nspec��on Cards lNBII Qe Mailed T� ��o�n�ow�er T� Pos� SEPARATE PEHMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, ��c �r Vy19J1. VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO YOID IF WQRK OR CONSTRUCTIOM ZONING AUTMORIZED IS NOT COMMENCED Y4!ITHIN 80 DAYS, OR IF CONSTRUCTIpN OR WORK IS SUSPENDED OR ABANQONEO FOR A PERIpO OF 120 DAY$ A7 � ANY TIME AFTER WORK IS COMMENCED. ' NO: DWLG. UNITS I HEREBY CERTIFY THAT I HAVE REAO ANO E7(At�INED THIS APPUCATION 1 AND KNOW THE SAME TO BE T13UE AND CORR�CT. ALL PqQVI$IONS QF LAW$ yp�UATION AND ORDINANCES GOVERNING THIS TYPE OF WOpK WILL QE CpMPI,tEO W�TH WHE7HER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT �2 a 41O DOES NOT PqESUME TO GIVE AUTHORITY TO VIOIATE OFi CAMCEL THE pE�Ml7 FEE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW qEGULATING CON• $83.20 STRUCTION OR THE PERfORMANCE Of CONSTRUCTION $iGNATUAE OF CON; RACTOp OA sUTMOpi2E0 AGENT IDAfEi io�re� 1 � "' STALLS �5 OCCUPANCYLpAD CU FT OffSTREET PAqKING IGARAGES SURTAIf $1.20 SAC CMARGE Fire SC $2.40 TOT � FEE 91:80 D THIS IS VO PER I7 �� tE � Rpr �3 02 04:11p Jim or Rhonda Steffes 763-786-8125 p.2 f�R-24-200@ i5:.'v9 FRQM CIN � FRIDLEY TO 7Bb81c;; f'. F72i@3 NEW �� ADDN [ ] � �F �� EP�e��re 4i112�p ALTER ( j SINGLE FJllf�,.Y AND DUPLEXES R-7 ANp R3 �7�i 572.�14 Blklg Issp BU(L01N6 PERAIU7'qppUCpnON ConstrucDan Addr+ess: Leg�l Description• .. , Owner Name $ Address; . ----� Cnn�a } //y� . T�r. � � " '� �%% 7( �� CtOr: �l�'1�wJ-QJ / ) �. �. w y / - - `� _ a� uc�[uSE �-a� �� T�.,� � �� Attac� to this applicadon, a Ce�tificate af Survey pf tft�� lot� withh the propased const�han drawn on it to scafe. DESCRIt�TIpN OF t�� YA�G AREq; �� OARAGEAREA: Let1 �t ��'—"" �� 9 Vlftdth � � 'i----'- OECK AREA: �e�� ----� SQ. Ft ,�,.- �Tt�1�R: '-----• 1l�idth---.,� �G�atlrtd�_ gq, � � l� vu�- (�a - � __ �ons6vdion TypE: Cosr � iD � Driveway Curb Cut w� rv�d: �+ e Ft =`�c X s 3� on�- Y 3� Z-. �pucA�rr: _�. Tel. � 7103• ;�'��'o � �//S Cm' USE ONLY - Permii Fee --F'ire Su��arge �. M.'. State SutCharge SAC Charge . License Surcharge Driveway Escroyy Erosian Corrtrol Park Fee Sewer Main Charge TOtA1. PAY TO THE ORDEH OF —/�E�l `UrJ 9( CaII �?'63) 6i2�6D4 tor Pennrt Fees if �ng in appikatip� $ 4�� " Fee Schedute on Rev+ar�e Side � ~� ' .�i o� Pemtit iialuatiori� �7j��th%f �� $.601�1,OOQ Valuetion $ $11�0 per SAC Unit ��-5_..,_o�$5.DO �State Lloec+sed Reside�tial Contractors� $ Att. °A° crAlt. "B" Abrnne $ $450.00 Car�senration Pl�t Review � Fee Qeterm�ed by Engineering $ Agreement Ne�ssary � I Not Necessatry � 1 • a �� WINDOWS AM��Cq 7928 - C. UNNER511Y AVE, M.E. FRIDL61'. MM 85432 � DqT� ^` � �797 ' � b6-I551/�i � � Ii'- 8 C� � �� Buildit�.g BUILDING Permit N D' � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: v � 763-502-4977 FAX EFFECTIVE 1-1-ZO10 DATE � YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: .�.OWNER OCONTRACTOR PROPERTY OWNER/ NpME: ` TENANT ,qDDRESS: �� ,�� ,tt ;�v/f�C- CITY STA � " ZIP==� PHONE: � a�'^ �%!oZ ��/a�%/ CONTRACTOR N,y�: ,�1,/ SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTlFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE F� PROPERTY TYPE `,�-SINGLE FAMILYMEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FIIVISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDI'TION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BIING DONE: SIZE OF IMPROVE��IVT LENGTH WIDTH HEIGHT S FT 1200FING p HOUSE ONLY BqSEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of stFUCtural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCI'ION INCLUDING DECKS, SIDING ADDITIONS_ & PORCHES SUBMIT: ❑ V�y� ❑Soffit 1. Site Plan/Survey showing the existing struchues �� L-v' ❑ Fascia and proposed project. '�9-Other 2. Two sets of constrvction plans WINDpWg 3. Energy Calculations IN EXISTING OPENINGS OYes DIVo LOCATION OF WINDOWS FOR WIN�WS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPINING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BAS�:D UN VALUA't'tU1V, 11VC:LUU11vli 1t1� c:uJ l lJr LanVx A1�IU 1v1A 1 r.niAl.a: (USING �E 1997 U.B.0 FEE SCHEDULE) JOB VALUATION $ � /�DD —°— OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �fj �4� See Back Page for Fee Schedule $ �� 65% of Building Permit Fee $ ,/,� � v .001 times the total job valuation $ �� U .0405 x Permit Valuarion Minimum $.50 $ $5.00 (Sta.te Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ /% , Make checks pavable to: City of Fridley Attach 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 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 and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all r whic reyuires review and approval of plans. SIGNATURE OF APPLICANT �/i/,�f Gir PRINT NAME///.� L:s� i� --- - DATE �� e Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $I,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional$1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 forthe 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1� $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. 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 City of Fridley Building Inspections Deparhnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977