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AF - 35250, City of Fridley, Minn. - BUILDING PEI�.MIT N� 5 3� 7�' Date: .... �' -�.�,-,�' � •, � y � � Ovvaer: � � � '� � Builder ' r �� Address � � Address }'� �` L { CATION F BUILDING No: ,���a.��• �' Sfreet �� • u�.. Part of Lot _ �t _ Block , Addition or Sub-Division �____....` Coraer Lot .� Inside Lot Setback Sideyard Sewer IIevai�on . To 'be Used es: Founda,tion IIevation . DESCRIPTION OF BUILDING Front Depth Height � Sq. Ft � Cu, Ft Front Depth eighi � Sq. Ft Cu. �'i. ....� Type of Construction Est. Cost �.���"'To be Completed _ In consideration of the issuance to me of a permit to construci the building descrlbed above, I agree to do the proposed work in accordance with the description above set forth and ia compHance wifih all provisiona of ordinancea of the dty of Fridley. � In consideration of tbe payment of a fee of $...�!L_'�r , permit is gere}ry gra.nted to to construct the building or addition as descrii�d above. Thispe rmit is granted upon ^the express condition that the person to whom it fs granted and Yris agents, employees and workmen, in all work done in, around and upon said building, or attypa,r� thereof, shall conform in all respecis to the ordinances of �'ridley� M3nnesota regarding location, constxuctfon, alteration, maintenance, repa.ir and moving of buildiaga within the dty limfts and this permit ma.y be revoked at any time upon violatio� f any of the provisions oP said ordinaac�s. • :r+' .��/�� �� � --- Bwtic7ing Inspector NOTIC� ' Thb permit does eo! eover the eoastruetfon, instapatioa fo� wiring, pluen6ing, eas beating, sevrer or watsr. Be wre to s� ths Bufidieg Inq�eetor for asparate permils fo� these items, ��\ 4 �\ � "�`�" -�' , .. � - � APPLICATION F�R HIITLDIl�IG PE�MIT CITY 4F FRIDIEY, MQNNESOTg Owner � s Name ° ,� � r Bui].der � lcldress � ° `�' ` _t'_��� ��--r�°--�� _ Address ��� � ° LOCATION OF BUII,DING No. St�reet Pa;�t of Lot Lot Block Addit3on or Subdiv3sion Corner Lat � sicle Lot Setbaak Side-Yasci SEWER ELEVATION FOUNDflTION ELEVgTION �pplicant attach to thie form Certi�'lcate of Swcveg of Lot and proposed building loca.tion. To be used as: Type of To be Gompleted OF' BOILDING �`ront� pth Height �. Ft. Cu. Ft. Fz��t Depth Helght Sg,. F't. Cu. Ft. � � � ted Cost �� .S°' � ____ � The undersigned he%eby makes application for a permit for the work herein apecified, agreeing to do all work in s�t,riet acicordanee with the Ci�g Ordinances and ru�.�.ng of tbe Department of �uu31d3n�s, and hereby declarQ� th�.t all �he facts and repreasn�tions� stated in this application are true and correc'�. DATE � ,,» .� i � _ �° � SIGN1TtIR� -- � (A Schedule of Fee Costs can be found on the Reverse Side.) �� A� � _ �"� BUILDING gERMIT FEE SCHEDIIIE Section 2. T°he Inspeetor of Building� ehall, before issuing any permit for the erect�.on of a.� building o� structure, or for any addition to any exist3ng bu31d- ing or s'tructure, or'for any alterations or repairs tfl any exiat3ng bu.i�.d3.ng or structure, upon application therefar, requira the payment 'by the applicant for euch permit of fees to the amoun� herein below aet.'forth aad in the msane� here3a proeided to-wit: 2.1. For ar� such permi.t for the erection of any fire-proof bu3lding, other tbs,n a garage, warehouse,,factory or grain eleeator, or for the erection of eng fire- proof ac]dition, for similar occupancy, to any exiating build3.n� shall '� at tbe rate of �1.40 for each one thousand cubic Fest, or f°raction thereof, in such cubica]. contsnts. 2.2. Far any such permit �or the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of sn�y fireproof �ddition, for aim;ilar occupanc3r, to any exist9.r►g buildin� shall 'be at the rate of �1.25 for egch one thouaand cubic feet, classified as ��fireproofn b�r Section 502 of the M�.nneapolis Bu31d3ng Cade. HOUSE.S 2.3. For any such permit for the erection of �.riy ao�fireproof build3ng other tha.n a garage, warehouse, factory or grain elevator, or ang nori-firaproof addition, for s3.m�tl.ar occupanc3r, to any exiatin� building. Permit �7..Q0 %r � ee.ch one thousand cub3o fee�. GARAGES 2.L�. For an�r such permi.t for the erection of an�r norr-fireproof garage, warehouse, factory or gra3.n elevator, or for the erection of any non:�ireproof addition, for similar occupancy, fi,o any exist3ng building or for ea.ch such building or add3tion. Ninety Centa for each one thousand.cubic feet or fraction thereof, in the cubical con�enta thereof with a minimum of �1�.00. For the purpoae of comp�.�,irig fees for building permits the cubical contents of sng building or addition it� a:uniform height throughout by multiplyin� the ground area covered from a poi.nt six (6) inches below the floor 13.ne of the basement or cellar to the average height vf the upper surface or �to the average hei,ght of tha rooi surface af the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rete of �3•a0 fflr each Five Huncli'ed Dollars (�500.00), or fracti.on thereof in the coet of all propo�ed work. �-• 2.6. In no ca.se shall the fee chaxged for any permit as set forth i�n Section 2 be less than $4.00. .."1 r"� . . t. T _4 � ��.. sus�ECr PERM City of Fridley w�cxzN� _ � AT THE TOP OF THE TWINS P E R M I T °_ 17 4 6 9 ; , � � RE � `v _.____ COMMUNITY DEVELOPMENT DIV. � r j � PROTECTIVE INSPECTION SEC. / Q� � � (0 U � . , � l--_- �����`'� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY i �� 612-571-3450 910-F15 4/20/84 / / JOB ADDRESS 6315 Baker Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 2 Moare Lake Highlands: 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Manuel 6315 Baker Avenue N.E. 571-7208 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Re5].dP,Il'�l.d,l. 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE C� REMOVE e DESCRIBE WORK Remove 14' x 22'. Cza�rage & Breezeway 8 CHANGEqFUSEFROM TO STIPULATIQNS 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 OA CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfl 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 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 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTR CTION. /��/�J PLAN CHECKFEE TOTALFEE ,Ay � /l ,. �S`�.5. OO SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT �Dn7E� WHEN PROPERLY V rb�DATED T�IIS �S YOUR ERMIT // SIGNATUREOFOWNER�IFOWNERBUILDER� (DATE1 "0 " �'� ��I�� �A J � � BLDG INSP �q7 Effective Aug. 1, 1981 � � wrucr Permit No. City of Fridley aT r� roP w rwc rwa+i • �� WRECKING PERMIT APPLICATIO�J Receipt No. r r�.--"---� COMMYNIT� 0l1i[LO�M�NT DIY, � �! S riIOTECTIY! Mfl►�CTION OL►T, � i r__�� i pTr MAI.L fIqOL�r Hqi • �,��„J�,� .� �-6Ap�aMO ' M�iN7t N�V. pATE �AYE OR A►PROVED Br Job Address � �� /,5� �/� ,�� h � �� o " . Legal Lot No. Blcck No. Tract or Addition Desc. � DA/TJD�✓ /�//t��rsp.�' � Property Owner Addre s Phone Yh c r�� � L ��'l �-�r� ���`' A /��� Contractor � ' Address Phone • J Fl -�y'r C _ �scription Front Depth Height Sq. Ft. Cu. Ft. of Bldg . �2 � ���G.��- No. of Dwelling Units Taxes Paid Tax Receipt No. �E�.�c�r Estimated Cost of Wrecking To Be Completed _� IItilities tfl be lJotified and c7ate Sezvices Disco:uiected 1Kpls. Gas �. N.S.P. Northwestern Bell Tel. Co. Enqr. Dept. Cust. Bus. �fc. Sus. Ofc. 372-4650 33o-5540 332-4112 D�te Date Da'te « t0rrecking Fees: $1.25 for each 1000 cubic feet or fraction For structures wh.ich �ould be impractical t�o cube, the fee shall be 5ased on t6e total oost of wrecking such structure at the rate of $6.00 �or each $500.00 or fraction. MIl�1II�liIl�i FF.E: $15.00 No State surcharge on Wrecking Permits. Approved By Water � Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to de all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that �all facte and representations stated in this application are true and correct. � ; �� '�-�� � Contractor � Date : � � � : ��� . � _ i �_ : __ � SUBJECT P IT N O. City of Fridley � r 17 4 6 8 , ` AT THE TOP OF THE TWINS B U I L D( N G P E R M I T CEIPT � � ; L _ COMMUNITY DEVELOPMENT DIV. • � r � � PROTECTIVE INSPECTION SEC. i� � . , i l---- � �����,,, CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i' �� 612-571-3450 �810-F15 4/20/84 � � JOB ADDRESS 6315 Baker Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 2 Moore Lake High].ands 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Michael Manuel 6315 Baker Avenue N.E. 571-7208 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 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 ❑ ALTERATIOId ❑ REPAIR ❑ MOVE ❑ REMOVE X S OESCRIBE WORK Construct a 24' x 24' Garaae (Removing exa:stinq garaQe & breezewav) 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. ������� �efore digging call local u�iliti�� TELEPHONE - ELECTRiC - GAS EtC. RE��6����D BY LAV1� �EPE�t�4TE PERMITS RE�tiIREi� FOR �1►�RtNL; ���i�n�r. ��_t.i�Rer�� �N[� Sic�N� TYPE OF CONST. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. j�pd ���g THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT �3 ► OOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- \TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $3�. SO SIGNATU�E O� CONT A�R OR r �� r ATURE OF OWNE IIF OWNER AGEN7 Q (DATEI iDATEt �I J 0 GROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING STALLS GARAGES SU itTAX $1.50 SAC CHAiiGE TOTALFEE $40. 00 TED THIS IS YOUR PEFiANIT NEU1 L City of Fridley Effeetive �/1/S� ADDN. ] R-1 AND R-2 pLTER. [ 7 Building Permit Applieation Construction Address: �J "� �3/� 1���1��a � � a �',�� — Legal Description: �0 �' � P��O�� � ����� �/�k'G h` f6r/<,q�vA.r' �A� /,�lJ,�� �'-��e�/d Property QWner/Address���aLIG ���f' � � ����'��� � — Tel. #��^ �°7�� � ,� Tel. � - Contractor: Address: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. LIVING AREA: GARAGE AREA: DECg AREA: OTHER: Corner Lot [ 7 DESCRIPTIOA OF IMPROYEMENT Length __ Width _ Height Length �� Width c� r __ Height �� Length _ �idth _ Hgt/Ground Sq. Ft. Sq. Ft. _— Sq. Ft. � � � Inside�L tt L7� Ft. Yd. Setbaek �/ Side Yard Setbaek � . �, �, /� ���,Q/�� Estimated Cost: $ ����°' Type of Construction: fZ/�� � r/��' Approx. Completion Date: ��' �� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Baek Page for Explanation DATE: / APPLICANT : � � �� �/�%�''� Tel . �.,�7�` 7,7�d� Permit Fee Plan Check State Sureharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY $ �•�� Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ %-_�� $•50/$1,000 Valuation � $1}25 per SAC Unit $ _ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ (�, �d �.JI � r tl BIIII.DIAG 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 strueture, or for any alteration or repair to any existing building or structure, upoa application therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total 9aluation �1.00 to �500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 �50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh additional �100 or fraction thereof, to and including $2,000. $32•50 for the first $2�000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including �50,000. $283.00 for the first $50,000 plus $3.00 for each addi�ional $1,000 or fraction thereof, to and including $100,000. $�33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEHAY DEPRESSION ESCRQiI (Conerete 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 ineh depth - Driveway Width plus 6 Feet times $15.75 9ERIFICATION OF FOUNDATION Permits for construetion Will be issued a minimum of 2�1 hours from the time of application to allow for proper review of the proposed strueture and of the eonstruetion site. A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been aonstructed will be required before proeeeding with the framing. � - � i�:�rt���-e :.ssacibtes inc, � Dr.^�?24 .._� • � . . . :�,s . . . };�:ii2—$� F. C. �JACKSON ! LAND fiJRVEYOR i� — R[GISTEqEO UND[R LAWf'OF iTATQ OF YINN[SpTA L�CiNftO /Y ORDINANC[ p�' Q�TY � MINNtA��s � '.�"`•-�L_� j tls � O � � '6fd EAST SSTM STREET PA: 4-46Bi I� �lrutbtpor'g ICtctifiratt a — - -- - ,� i ���� � � � � ��� � � rn . � � � G � ° • ���' ti � � �` � � �, , � _ , . ,, ,-;,� � ' -,: �'�:� , ; �� �a� ';, . � , � � �� � __ -� � „ _ _ a � , - 0 ' { r� ,. . •t � � � . �y 1 ( . � N s ' � ; :�.` � � �� s' 'ia� �j r ��' I r I �' 1 �_ �.. i � -� - ? , -- � � \ t � � : ¢,7 , 1 .3 4 S �1 ` '�_r i . i ro 1 MER[BV CERTIFY TNAT TM[ AOOV[ IS A TAU[ AND OORR[CT ItiAT OR A SURVt1/ Or }� �lOj't�� �d uU1".�@� � Lot t� ciloci: 2, L:oore Le�'r,e �iit;hlt�nc� zi�:: t�ocit.� �r:. r�n�ka vo;;.rit`,L:inn. � �� � � '� � 1 � r� r Af iURV[YED SY M[ TMIS- 43rd _DAY Of �PN'� •_._n.o. 1965 �,� �, � �rt � � i� C, r.?V IS ficd� 1R C'�^ .`� �^i' . ' '- . n �� .:�t�� � ;�,� �;:w G� ,• s�aNec�-- - -�- ' �� � �� - F L ..i t;�e a�..�.r T�^7 r �� + -, � e:_ Sf . 'it. ��.,�. . ` t"_ r i Y� ,r ^,i� • J ... '"� ".'- F. C. GKSON. MiNH[so 61sTRAT10N.+N0 _ _ : c_ b � .. . . 'tc m7r.'!�'�!. , '.c,h3dr �aEr, � 3600 � 3�.._ i:� 8;:.iC..Si? 1,:, t,� :tiF'S ._�� �_ ..' J>,`q It'�$ � ., d , � ; ,� �� �`h : � � � � � pIRECTORATE � oF PUBLIC WORKS CITYOF f RJ DLEY MEMORANOUM -- - ------ - T0: Nasim Qureshi� City Manager FROM: John G. F1ora,�Public Yorks Direetor SUBJECT: Sereening Fenee DATE; Mareh 13, 19� PW86-48 r ° �' - ' ' �9��� � �..�f� , �' OO v� �� �o ,� �-- � Couneilman Schneider called regarding a complaint he reeeived from 6315 Baker Street regarding a requirement for a screening fence betWeen the eommercial property to the east of the residential strip along Baker Stree t. When this area xas platted, a 40 foot planting boulevard Was dedicated as a space betxeen the commercial and residential properties. This strip is under the eontrol of the City. We have traditionally allowed the adjoining eommercial properties to maintain and be responsible Por the police and maintenanee of this area. �lithin our C-3 Zonittg Code, there is a requirement for a minimum 15 foot wide screening strip to provide for a physical space between the commereial district and residential. This is satisPied. Currently, there is approximately 130 feet additional vaeant space between the parking lot of the Maple Lanes Bawling Al1ey area and Chattticlear Pizza Parlor. There has been activity to elear this portion for possible development of the property. To date, no plans have been received for this area. With the �40 foot planting boulevard in place and the natural vegetation within it, plus the extended space from the improved property, it would be very difficult to require the commercial property to install a physical barrier with a solid fenee aloag the property lines. R�uest how► We should proceed kith this item. 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I . �' �1 �- •' ' �K•7�� - � � - a �� � � �` . . , ,y�� �: =�"f�: . . �r e� � i q ' !.}s' • ^� . _ .- . � `' •i� �7 .��.I �' ) 3 . } � i�! • • � , •�e �'� - �.' . � � ,�� . ' . ��r' ` i ''� .,. ! .f��� `:��,4} r ,�r+�'-3 � ' - 9 • ` ! I _ , ` •,• - .i'' . y, a. ..� • { :' � . , s ' �°�• ' � � �"' • � � t ' ' � a °'" =�" �' � .� � .� � �, i g. -�'- �. _ �` .: ,+. - '1 • j � �� � fif} `. �':• r `,;; .� _ � s; '�' :i ��,� Iti,' .� ��.'f.. ���� : � � � _� -: :..- -�t� - •.c � .�;', - � � ' � _ -� e _ _ `t?�•' ' > �- , i, ! ' . :�i.' ,.� 'a :a '�� T'►��`�-���'»4` . . 3,. _� .- ��''�`'' �.-f.�" �_ " �J� �- � •t' A ` ' _ � � ��s .��lt •� � � � ' . _�_ � � ' ' e ..- •�-, � �.. s ��s , ,• i4Sf� M ' .�� �� .o�� � ,.� �'-�'`� .� , a�-�� � STATE 0� MINNESOTA DEPARTMENT OF HEALTH ABANDONED IaELL RECORD � 1. LOtATION.OF WELL County Name �OKA Townsh.iD ►lame Townsh9p Namber Range Number Seetion No. Fraction FRIDLEY � E h k°f � 30 5" 23 w 13 SWNWSW Numerical Street Address and City of Well Location or Distance from Road Intersection 6315 BAKER AVENUE . Show exact location of well (iq section grid with °X"J N' Sketch map of well lotation W E T 4 �. 1 � — 1 ..i L ---� �- ° (�%(�,j,,, � 2. PROPERTY OWNER'S NAME Mailing Address if different than property address indicated above PiIKE • 6315 BAICER AVE. MANUAL FRIDLEY,MN. 55423 • HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM TO If not known, tndicate formetion log from new well or nearby well. SAND CLAY INK � 20 60 90 15 2� 60 190 215 235 , REMARKS, ELEVATION, SOURCE OF OATA - CASINGS REMpyED. CASINGS PERFORATED, ETC. GEOLOGY WAS TAKEN FROM THE WELL AT: CENTRAL AVE. & MISSISSIPPI ST.,•FRIULE WATER LEVEL IN THE ABOVE WELL: 45' D��E i�AT�lt LE�iEL Tn1A� T�IK�:IV: 3-2i-4� . MAR 2 6 1991 � According to� MN S�ate Regulations U -.� IFFICIAL ABANDOHE6 WELL NECOHD (May be used for Property Trans9er) �ORT'ANT; PSLS p�ITH DSBp MINNESOTA UNIQUE WELL N0. (leave blank 1f not known) _..___ 4. WELL OEPTH (eompleted) Date sealed 43 rt. M�_ 26� 199 5. DRILLING METHOD (if known) 1�{ Cable tool 4[J Reverse 7(] Oriven 10� Dug �` 2[� Hollow Rod 5[] A1r 8[] gpred llJ] 3[� Rotnry B� Jetted 9� power Ruger 6. OBSTRUCTIONS Weil obstructed � Yes � No Obstructions removed [] Yes d No If obstructions cannot be rertaved, contact HDH before sealing. 7. USE 1�Domestic 4� Fbnitoring 8� Heat loop ,� 2D Irrigation 5[� Publit 9(] Industry I 3[] Test Well 6� Municipal 1� Cammere4al 7[] Air ConditioM ng 1][] � 8. CASjNG(S) �dBlack 4=] Threaded 7[] 2j] Gal'v. 5j] Yelded � 3L] Plastie 6(] Stainless Steel 3 tn. to 40 ft. in. to ft. 9. SCREEN �Screened we11 from 4O ft. w.43 rt. (I' known) � Open Hole from _ ft. to _ ft. 30. STATIC WATER LEVEC DRY Pt. ]�belaw d above 3/26/91 land S�ur�ace Date Heasured 11. WELLHEAD COMPLET20N 1� Pitless Adapter � Found Buried Base�nt offset 50 Well Pit I2. GROUTING INFORMpTION 1�'Nent tement 2� Bentonite � .?_ BACS Grout material PORTI+�Q�m 43�, SU}�F'tL, yds_ NEAT GROUT 13: NERREST S�L'BCES OF CON�AN,IqATIQN 5Q feet � direction aIlY esilt� xalttype Well disinfected before sealing? �Yes 14. PUMP � Removed �Not Present Type: 1[� Submersible 3� L,S. Turb9ne 5[j Reciprocating 2�Jet 4� Centrifugal 6� ,, 15. EXISTING WELLS (Please sketeh loeations of abandoned and aetiva welis 4n remarks section or on Dack.} Other unused well(s) on propertyt � Yes No Abandoned: [] Permanent � Tem�rary � �ealed 17. WATER WELL CONTRACTORS CERTIFICATION ��'- This well was sealed under my jurisdiction and th9s report is true to the best of my knowledge and belief. 1�e00ausJALtV1S ST. 11t'� W. N0. Addre� �R MN.55330 427-6 Signed Oate 3— 2 i — smF r.rwn �,.e �_�� Name of Drilier BILL/KEVTN HOPPE 5 I 0 - 1 - 1 SUBJECT P - City of Fridley � 3 0 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M l T ;, ' � RECE_ COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. � � � ��-�� , _ , �---- A � ���,,� CITY HALL FHIDLE� 55432 NUMBER IiEV. DATE PAGE OP APPROVED BY ��� 612-571-3450 910-F15 4,/27y92 / / 108 ADDRESS 6315 Baker St�eet NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Moo�e I,a,ke Hic�hla,nds: 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Clarence iieard 6315 B�.ke� �t�eet.NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Merle's Construction Co Inc, 86D. Randolph Ave,.�t Paul 55102 291^1169 2323 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Resi den tial 7 CLASS OF WORK ❑ NEW ❑ ADOITION C� ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Remod�l I�itch�n . 9 CHANGE OF USE FROM TO STIPULATIONS See. notati.on� on plans Fxo��;de �moke . c�etectoxs:. SEPARATE PERMITS ARE REOUIRED 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AY ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 TVPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-�-riOQ. $SaSCJ DOES NOT RESUME TO GIV AUTHORITV TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE PROVI NS F ANY OTHE TATE OR LOCAL LAW REG LATING CON- ST CTIO TH PE� MANCE OF CONSTRUCTION. SI-35. QO. l.X,'E SC $I.I.. ZO � PLAN CHECK FEE TOTA� FEE � Li.cense $C $S,OQ $156.65 � S N UREOFCON' CTORORAUTNORIZEDAGENT IDAT 1 HE PR R Y V L TED THIS IS V UR PERMIT . , -2� � S�GNaTURE OF OWNER iiF OWNER BU�IDERi � v:DATE� BLDG �NSP qNTE �w � � Effective 3/1192 ADDN [ J CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �p � i� �!�- K�� �`�. �• � • Le�al Description: �c� i c�� ,�. �7 � � c�� 2 �. (�-iC� ��� �"J S ��+✓� ^ ���-' Owner Name & Address: C���fi�GG� ,� �i��L� Tel. # con�a�: G ��-�'S �,� �i , -L�c � �rr �c�vsE � ��� Address: �� ����1-�� �!/� , � �L� �� � ��D � Tel. � � °� � � % 16 �I Attach to this application, a C,�tific�te of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lengttt Width HgtJGround Sq. Ft. OTHER: �'. r�c� � �/, ��M o� � � Corner Lot [) Inside I.ot [] Ft. Yd Setback Side Yard Setbacks Type of Consiruction: ��v+�� �� Estimat�ed Cost: $ / l, �O O, °° Approx. Completion Date: �,,� [ �" - (Cost on Eack) Driveway Curb Cut Width Ne�ed: Ft. + b Ft = Ft x$ _$ DATE: 0?3 c�L ,APPLICANT: TeI. # c�°l�� ��CA � �L Permit Fee $ l.3 �� QO Fe,e Sche�tile on Reveise Side Fire Surchazge $ �%, l �.001 of Permit Valuarion (1110th°lo) State Surcharge $ , � .Sj� $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ ia< C�O $5.00 (State Licensed Residential Contracrors� Driveway Escrow $ Alt. "A" or Ait. °B" Above Park F� $• Fee Determin�i by Engine�ring Sewer Main Charge $ Agreement Necessary [] Not Neces.sary [] TOTAL $ /S�- � < 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 building or structare, or for, any alteration or repair to any existing building or structure, upon application therefore, require t3�e payment by the applicant for such permit of fees to the amount herein �low set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $540 $501 to $2,� $2,�1 to $25,� $25,001 to $50,000 $50,{)Ol to $1(�,� $100,001 to $500,000 $500,001 to $1,�,� $I,(�OU,001 and up FEES $15 (Minimwn Fee is $15 plus surcharge) $15 for first $SQO pins $2 for each additional $100 or fraction thereaf, to and including $2,000 $45 for first $2,(�l0 plus $9 for each additionat $i,000 or fraction thereof, to and including $ZS,000 $252 for first $25,000 plus $6.50 for each additional $1,0(m or fraction thereof, to aad including $50,000 $414.50 for first $50,0� plus $4.50 for each additional $1,000 or fracbion thereof, to and including $100,000 $639.50 for first $i�,00Q plus $3.50 for e�ch additional $1,(lOQ or fraction thereof, to and including $SOO,Q00 $2039.50 for the first $500,(100 plus $3 for each additional $1,Q00 or fraction thereof, to and including $1,�0,000 $3539.5U for the first $1,�,000 plus $2 for each additional $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROVfi (Concrete Curb Stre�ts Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 fcet 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 f�t times $15.75 . VERIFICATION OF FOUNDATION permits %r consiruction 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 Cerdficate 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 fi�aming• � sue�ecr PER City of Fridley 21410 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � ' � O. COMMUNITY DEVELOPMENT OIV. r i y � PROTECTIVE INSPECTION SEC. /�[f�� ✓j � _ � %/ A ' �"'1 � CITY HALL FRIDLE`1 55432 NUMBER REY. OATE PAGE OF APPROVED BY !'.---� � •�� 612-571-3450 910-F15 6/18/g2 � � JOB ADDRESS 6315 B,aker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 8 2 Moore Lake Highlands 2nd Addn SHEET 2 PROPERTYOWNER MAILADDRESS IIP PHONE Clarence Beard 6315 Bakex Avenue NE 572-0076 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jack Pixleg �eeps Tnc 4179 14�.th. Aue NfnT, Andovex MN �55304 422�-0481 5960 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residentiai 7 CLASS OF WORK ❑ NEW O AODITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOHK Replace ch.iznney linex 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR GONDITIONING. THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 6� 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION �- 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 $1�224 $�61 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEHMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $3]_,OO Fire SC $I..22 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��$� PLAN CHECK FEE TOTAL FEE License SC $5.00 $37,83 SIGNATURE OF CON i FACTOR OR AUTMORIZED AGENT IDATEI HEN RO Y V LID IS IS YO PEFM . � �e � � � SiGNATUREOFOWNERiIFOWNERBUILDERI IDATEi BLDG �NS � DATE I II �W � � Effective 3/1/92 �D� I ) CITY OF FRIDLEY ALTER [ j SINGLE FAMiLY AND DUPLEXES R-1 AND R-2 Building Permit Application Consttvctiott Address: �''..�1.�' /,�ake r Sa ve �,,.�. /�/�'. Legal D�scription: Owner Name & Address: C I o� v� c�e ��� �. r� Tel. # S���oD7� Contractor: ,. S e MN LICENSE # �96 0 Address: �I i 9 -1 � 9+�' � Al w . /-�-a► � o �r- /V�N_ r����el. # �d2� °-O �f �'/ Attach to this application, a Certificate of Survey of the lot, with the proposed conshvction drawn on it to seale. DESCRIPTION OF IIVIPROVEMEAiT LIYING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTH�R: Corner Lot [] Inside Lot (] Ft. Yd Sexbae. �— Type of Construction: o.�r �� �e'r�� Approx. Compl�tion Date: Driveway Curb Cut Widfih Nceded: DATE: �R� I � � z APPLICANT: Permit Fee $ Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $_ Park Fee $ Sewer Main Charge $_ TOTAL STIPULATIUN5: �/. (� /, �� e l� l � o cFm � �'j,-�.� Ft. + ,b Ft = Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks F..stimat�d Cost: $ � e� � � (Cost on Back) Ft x $ _ $ Tel. # `�'%� � ' ° `f��• �ITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.501$1,000 Valuation $700 �r SAC Unit $5.00 (State Licens� Residential Contra.ctors) Alt. "A" or Alt. °B" Above Fee Determined by Engineering Agreement Ne�ces.sary j} Not Necessary [] .,y _ .� BUII..DINQr PERMIT FEE SCHEDULE The Chief Buildiag �fFicial shall, before issuing permits for the erection of any building or structure, or for any addition to aay existing building or structm'e, or for any alteratian or repair to any existing building or structure, upon apPlication the,�efore, require the payment by the applicant for such permit of f�s to the amount herein t�low set forth and in the manner herean provide�� to-wit: TOTAL VALUE $1 to $500 $501 to $2,� $2,�1 to $25,� $25,001 to $50,000 $50,�1 to $100,0(� $10(},OOi to $5�,0� $5(�,001 ta $1,�0,� $1,�0,001 and up FEFS $15 (Minimum F� is $15 plus surcharge) $15 for first $SIX? plus $2 for e�ach additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 Plus $9 for each additionat $1,000 or fraction ther�f, to and inciuding $25,QQ0 $252 for first $25,U00 plus $6.50 for each additional $1,(�00 or fiaction thereof, to and including $50,000 $414.50 for first $50,� plus $4.50 for each additional $1,(l00 or fraction thereof, to and including $100,{l00 �39.50 for first $100,00Q plvs $3.50 for e,ach additional $1,000 or fraction th�'eof, to and including $50Q,t�00 $2039.50 for the first $5(�,� plus $3 for each additic�nal $1,�0 or fraction thereof, to and including $1,�,000 $3539.50 for the first $1,�,�0 plus $2 for each additional $1,t100 or fraction thereof DRIVEWAY DEPRESSION ESCRO�V (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 f�t wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for consiruction 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 Swrvey of the lot, showing the l�ation of the foundation once it has it has been consaucted will l� required before pr�eeding with the framing. .�.� r�. SuBJECT City of Fridley PER . AT THE TOP OF THE TWINS g U I L D I N G P E R M I T a�� ��� r � . � � REC � �L � COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. ��� � � � � `---- �'�����;'� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPqOVEO BY i �� 612-571-3450 9i0-Ft5 10/10/9 / � JOB ADDRESS 6315 Baker Avenue NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. g 2 Moore Lake Highlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence/Edith Beard 6315 Baker Avenue NE 572-0076 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Home Enhanced Inc 8609 L dale Ave S, Bloomin ton, MN 55420 884-6102 1949 4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION p ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct a 437 Sq Ft Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan �E��� � G Before diaging caA for all utility locati�ns 454-0002 REQUIREp BY LAVV SEPAR�ATE PERIIIliTS REQUIRED FOR - WiR�R�, HEAiIiV�, PLU�v'1�ING AND SI��S. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR Alq CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV 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 TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A pERM1T $3, 748 �].. $] DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- T ION OR THE PERFORMANCE OF 61��� �57. ZS Fire SC �3. 7S PLAN CHECKFEE TOTALFEE �� 10��� License SC $5.00 $97.87 S�GNATUAEOFCONTRACT0�70RAUTHORIZEDAGENT �DATEI WHEN PROPERLV LIDAT D THIS IS YOUR PERMIT — � � c ��r1 ; S�GNATURE OF OWNER UF OWNER BUILDERi IDATEI BLD �NSP UA7E NEW [ l ADDN [ ] �-TER [ l _...,. ..., _....... ;,.. _ ..... . . .. . . .. .. . . . . .. ,..., ,,,,,,,;;,;;,;;,,;s:;: < , �, .t,.,.,. . . . .. . . . . . . ., ,...,......, .. . . ......... . ... ..:>2i. .i;f;;, ,.. ,. r yc:: i;i�i,, ,.. .,.. . ....;<; ` n CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Pemut Applicalion Effective S/1/95 ���� Consbruction Address: ��, 3 ( � `� � ��C . Lega1 Description: � � - Owner Name & Adciress: �c��-,.� c _ � � , � ��� Tel. # 5 7a - p o ?!� _1 - Contractor: _ MN LICENSE # �'9�� Address: 8��� CYa�t�t.0 A-v� Sa � t,o�r�42� Tel. ��8�'���, LIVING AREA: GARAGE AREA: DECg AREA: OTHER: Attach to this application, a Certificate of Survey of the 1ot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROYEMENT Length Width Height Sq. Ft. I.ength Width Height Sq. Ft. �� � � Width ��q ► to' � � Hgt/Ground � Sq. Ft. 37 y� ��A � d� `%� �2. �`�r. Corner Lot [ ] Inside Lot [ ] T'ype of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Esti.ma.i� Cost: $�,' � , � % T (Cost on Back) Driveway Curb Cut Width Ne.ecled: Ft + 6 Ft = Ft x$ -$ DATE: ,� _ APPLICANT: � � Tel. # 8� � �( �,� Permit Fee Fire Surcharge Sta,te Surcharge SAC Charge Iacense Surcharge Driveway Escrow Erosion Con�rol Park Fee Sewer Main Chazge TOTAL r , � � $ � � �� $ I� $ $ �� �� � $ $ $ $ �� STIPULATIONS: , __ _ �( ' c�� GITY USE ONLY` Fee Schatule on Reveise Side .�1 of Pem�.it Valuation (1/10� % ) $.50/$1,� Valuation $850 per SAC Unit $5.00 (State Liceased Residential Contcactors} Alt. "A" or Alt. "B" Above $450.00 Consetvation Plan Rsview Fee De�ermined by Engin�ring Agreement Necessary [} Not Necessary j] �UILDING PERMIT FEE SCHEDULE The Chi.ef Building Official sha11, before issuing permits for the erection of any building or structurE, or for any addition to any existing building ar 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 provid� to-wit: TOTAL VALUE $1 to $500 $501 ' to $2,Q00 $2,�1 to $25,� $25,�1 to $50,000 $50,(y01 to $1�,Q� $100,001 to $500,000 $500,001 to $1,000,000 $1,0�,�1 and up ��.y $21 (Minimum F� is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,� $62.25 for first $2,0� plus $12.50 for each additional $1,{l00 or fraction ther�f, to and including $25,�0 $349.75 for first $25,� plus $9.00 for each additionat $i,400 or fraction thereof, to and including $50,(�0 � $574.75 for first $50,000 plus �6.25 for each additional $1,�0 or fraction ther�f, to and including $100,000 $887.25 for first $100,� plus $5.� for each additionai $1,0� or fraction thereof, to and including $5�,� $2887.25 for the first $500,000 plus $4.25 for each additional $1,�0 or fra.ction thereof, to and inciuding $1,0�,000 $5012.25 for the first $1,(�0,� plus $2.75 for each additional $1,000 or fraction ther�f DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altema.te "A" : Removal aad replacement of curb and gutt� only - Driveway width plus 6 f�t 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 feex times $15.75. VERIFICATION OF FOUNDATION Peimits for construction will be issued a minimum of 2� hours from the time of application to allow for proper review of the proposed stcuctus'e and of the construction sit�e. A Certificate of Survey of the lot, showiag the location of fhe foundation once it has it has be�n consh�ucted will be required before proceeding with the framing. ' F _ � - � � f� � ;.:rrt,,c,�e .:sscciF�tes �ric. Qr.�';2,� ' . . ' . _ „�,; . • y3 }:�;c;� — 31tt F. C. JAC KS O N - LIND SURVEYOR ----. R[GIiTEREO UHOER LAWf OF fTATE OF MINN[fOTA / _�_ LIC[Nf[D 011 ORDINAHC[ OF CITY OF MINNEArOLtf :^.�_E j ° = :c v � 3616 EAST '•SSTM STREET PA. 4•4661 ' �RL'11tpOT�lf �tttlfit�![tt �-- /` p � � � _� -t�n� ��� �,. �-� � � �. - a fi � . � 4'�2, � � ` o . • `• . �� . � . t � , ,� � ' �,iyt � • ir . i • i D' . .�9� 'i^ � i V' ., � ' - ' . � � � `� � j ` � - ` � . , � � , . . ; � 5 _ ; . 4 . � " �� ►- N ' , i? ; _.__ � --.. � __. .. � _ - , . � ``, � , --- • .foT '3 �' ` � � � % . A�i` ' ��._,.,� �` I r; I � � �1 ` i !�• • V ', `,. .� . �- :, � ` 1 � � � s � � i sp - . � _ _ ,� . �►i[H[BY CERTIFY THAT TM[ AAOVt If A TRU[ AND OORRtCT R.A7 OF A SURV[Y O� �f, }i;dl+{;LF� �� ����j..i�`r e. I.ot f� ii;.ocl: 2, l�oore L�.;�e �ii�,hli�►.ic:a �i�:� ��c�cit.i �r:. .,. tin�ka Co�iit�,L:inn. . � �� �(� - _ ' . Af iURY[YEO SY M[ THIi_ 23ru ___DAY OF �Pr•• •�.o. . 1965 !'I `. �! � ��< <: t'� °�' I£ �1�c"U�P IR C�.^., -: r. Il P. . S "1`'tF,,: ? :7�'i Di.Yv tl` 'i" SIdNCO-- - -+�-- \, _ �-�'' .1' .' _ -__ - L �..,. ' �:1N 3�..'.f :'�7:!�'� i� .' .. • `•: ._ tC � ,.y? '''�!.'.�. � t-- �• F• C. CKSON. M�N� -- • . � _ . . .'r . . : ' , . . . . . . . . �t• rn•�r..!�T=, :� �3J: h?en � . _ �� _ .,� �. , c� . . , � ,.r � . �; . . . �„�� 'r '� ' ' . SUBJECT , City of Fridley � � � � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � RECEIPT NO ' ' COMMUNITY DEVELOPMENT OIV ' ; V ����� , ��� r � � PROTECTIVE INSPECTION SEC � , i l--_-�; ����;'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV z 612-571-3450 970-Ft5 4/23/97 � � JOB ADDHESS 6315 Baker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR $ 2 Moore Lake Highlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence & Edith Beard 6315 Baker Avenue NE 572-0076 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE N� Renewal By Andersen 350 73 Avenue NE, #8, Fridle MN 55432 571-7816 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20040630 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Replace two windows in home with new windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must m.eet the State Egress Code. Install smoke detectors to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED � 1 375 �. 69 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �/�,5.%S Fire SC �1.3H STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $52.82 - SiGNATURE OF CONTRACTOA OA AUTHOAIZED AGENT IDATEI VNHEN PFIOPE VALIDATED THIS IS � R PERMIT 9 �.�ps V�/ O SiGNATURE OF OWNEF iiF OWNER BUILDERi IDATEi BL G�NSP qpT� ITY �F FRIDLEY N�W � 3 ADI�N { ] ALTTR [�- . TEL� 612-571-1287 Mar 20.96 9=48 No.001 P.01f02 CITY OF FRtDi.F.Y SINGLE FAMILY. ANn DUPT.T�ES R-1 AND R 2 Building. Permil. AppiicaEion Effective 311/9fi ��� � ConstnictionAddress: 63 l s �'SA��CZ. S� • � Lega1 Description: Owner Name & Address: C�.AC1�r(CTc '�"�OIT`� 'f��p Tel. � 2- �O—j (o Contractor. �h(�.1 � 6� �� � . MN LICTNSE # ZOO �0�3� Address:35a �'3'� A� p�1•E • S�Ji �$ j=c2i017�,^; �Yjnl S�S �-2� Tel. # Sl I•-1�16 Attach to this apptiea,tion, a Certificate of Survey of the lot. witU thc ptoposai constzuction drawn on ii to scale. -�����1�' t�F IP+�R0�IEMENT LIY�TG AREA: Length Width ,_ Height Sq. Fi. GARAGF, AREA: Lengrh � Width Height Sq. Ft. DECK ARF,A: Length Width ___ HgVGmund Sq. Ft. OTHF,R: �E=Ft-AC'rc TW� I�(�r1�AnIS �r.! d-bn1E hlrTi-� CO r►7� oYC.�.1 �J�FvGbv�rs �r�i �Sc..s�SnrrCr F�.rn�ro 6��r�rC�s Corncr I.4t [] Inside Lot [] Ft. Yd �I.back Sidc Yard Setbacks . 1'3►pe of conscFUCtio»: ._ Fstimatea .cosc- �_, t 31 S� Approx. Completion Datc: _ 66- [{� •Ct1 lCos�, on. Back1 Driveway Curi� Cui. Width Needcd: Ft. +. 6 Ft = Ft x$ . —$ . DATE: � � APPLICANT: T� m ,�C�.�(ft� : � � Tel. . # �I -.Z�S� .. Pernnit Fcc Fire Surcharge Stale Surchaz�e SAC Chargc I.ice�ose Surcl�argc ar Driveway Tscrow Frosion CQntroL Park Tee • Sewer Main Charge TOTAL STTPULAT'YONS: �� �� $ . .31 � � , 6�i $ �, $ S, $_ - $ $ ____ $ $ �2� � Ci7'Y US� ONLY �cc �t�tiuk vn R�ve�� Sa�e .001 of Pcrmit Yalualic�n (1/lOth�) . �,l $.50/$1.� Valuation j ;�'(�S"l � ��� ! , $900 per SAC Unit � S �`�� �� �� $5.00 (Stale Licensed Residential Cc�nb�aetors) � � ��`�, Ct. Alt. "A° or Alt. °B" .Above �� SL�� � �,�� $450.00 Cons�rvation Plan Rcvicw ��'� � Fee I�termi.acd by Enginc�ring � D���� � � Agreement Necessary [ j Not Ncces.sary [] �s . �� - � • ������ G�5 ► %�'� � s�,� /� � �, ��2 3%� 1 �- SuBJECT City of Fridley MIT NO. ����� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f i � � � COMMUNITY DEVELOPMENT DIV. RECEIPT NO. � . i LL_�'����, �� f � � PROTEC7IVE INSPECTION SEC. i ' i � `_-_-�'�����;'� CITY HALL FRIDLE� 55032 NUMBER REV DATE PAGE Of APPqOVED B� L 612-571-3450 910-F15 5/8/97 / / JOB ADDRESS 6315 Baker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 8 2 Moore Lake Highlands 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence Beard 6315 Balcer Avenue NE 572-0076 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Volk & Sons Construction 489 Halsey Ave SE, Buffalo MN 55313 477-4777 2062 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel lower bath 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV 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 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 READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED � lO � OOO �S . OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $162.25 Fire SC �IO.00 STRUCTION OR k,lE PERFORMANCE OF NSTRUCTION. gy � F PIAN CNECK FEE T AL FEE � . �� -= � �` Licens C $5 0 $182.25 SIGNATUREOFCON'RACTOAORA HOAIZEDAGENT IDATEI E Pq0 Y VAL ED THIS IS YOUR PERM17 SiGNaTUaEO:OWNEAUFOWNEABURDERi iDATE� •,�B G �NSP � • �7E � - � NEW ADDN ALTER [l I) �) CITY OF FRIDLEY SINGLE FAMILy AND DUpLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:_ ��/� ��q�� ��� ���� L.egal Description: Effective 1/1/97 Owner Name & Address: /��,����L� ,r�,�;�� Tel. # �; ���_��� Contractor: � ��/� �_������ MN LICENSE # ���� Address: � � ��tZ.��, �.q��� �'�' Tel. # �`� ° ��,� 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: DESCRII'TION OF IlVIPROVEMENT �nS� Width Height �nS� Width Height �n� Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:���7�Z .� ��-� Fstimated Cost: $ /"Q����� {Fee Schedule on Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ —$ DA1'E: � � � APPLICANT: ��"/�,1�` .[' ���� Tel. # �f ��� �� �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY � � � . �s — �.���r�/J��-� (oo� Fee Schedule on Reverse Side $ /�. QO .�1 of Permit Valuation (1/lOth%) `� ���C ���% G/ $ � - �O $.50/$1,000 Valuation � $950 per SAC Unit � ���� �(,�C � � � � • C�C� $5.00 (State Licensed Residential Contra.ctors) �1a��, � Alt. "A" or Ait. "B" Above $ � $450.00 Conservation Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] '� �� � ��� - ��!.�� `a a Y �� /�� � �� � [3UfLDING PERM[T EEE SCHEDLt,i; 'I'lie Chief. I3uilding Official sliall, before issuing pemiits for the erection of any building or stcucture, or i-��r any addition to any existing building or strueture, or for any alte�ation or repair to any existing buildin�� or suucture, upon application therefore, require the payinent by the appiicant fr►r such pertnit of fees to the amotint 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 $50,001 to $100,000 $100, 001 to $500,000 �500,001 to $1,000,�0 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2_75 for each additional $i00 or fraction thereof, to and including $2,Q00 $62.25 for first $2,000 plus $12.50 for each additional $1,0� or fra.ction thereof, to and inciuding $25,000 $349.75 for first $25,Q00 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,Q40 plus $6:25 for each additional $1,(�0 or fraction thereof, to and including $1Q0,000 $887.25 for first $1(K1,000 plus $5.00 for each additional $1,� or fraction thereof, .to aad including $5�,000 $2887.25 for the fust $5�,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,�;(�0 $5012.25 for the fust $1,(�0,(�0 plus $2.75 fot each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) 1lternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.>0. Llternate "B": Removal and repiacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tirnes $15.75_ VERIFICATION OF FOUNDATIOl�' :'crmits for construction will be issued a minimum of 24 hours from the time of application to allow for pro�:;z- -�c;view of the proposed structure and of the construction site. � Cei-tificate of Survey of t(le (ot, showing the location of the foundation ��nce it has it has been c��nstrue�_- i i'? h� required hefc�re pr<�cecdit�g «�ith thc framin`�. . . � ,- � * n O � � � � O Z D � � _ � r r m m � � 0 < v m 0 � m � c � C? � m n � O z � 0 � D D z 0 a � r m rn t D � z � C � � N m � � � z n 2 m cn -i � F�" "n m m � � m � c C1 � N � (D 6A 4fl °� � o � � � m �' � O � --I _ � � m � �, ao 0 � � m D' � o � m � O -p �, � N c � 7� o o � 2 D D v � v � � 7 Z � � � -ri m � 0 Z � rn � � � � � � �o � o� aJ p z -1 c�i � a, �. � � � � o � a, m �� o�� m m.a 3 i m �� � vi m r. � � �c � 2 2 � � � Q p "rl � m� m m� m� w� -Q � c x m m ¢: m � -. �'. � � • -. � * � m m ='• � � m � � w *� ���' � N y m y i� � � � � cn n � Z m � � � a � � � '• N � - 3 T * �. A1 � * � � '� �. .n ° � c m m m a '� N .-. v r C � W z � � X C � m � � � � � I I I I { I � � � � O r� �r�t��,c��u,cfl�r,vrv,�ss � tl� O O O�1 O v v�1 V U1 A V m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O � � � �� b m v m m C Z � � C � � ..� c `m v 0D ; �n a. z Q m � oo � � � � v+ m � np w � (� m � y o ,.� -n D I a � �� � �� � 0 c � S � _ 0 � � s -n -i � � '� v � � � � � � � � -i m r Z 0 �\ \ \� U� (.,` 4 'O m � � -� z S O �.� .� � > > v � � a a m m -. � c,. � � � ="• � � ' � m c� � Q � � �, � ° � cQ � 3 � m o m � a � � � 3 = o � � Q- � � � � s o � �� � ! � v � � � o m 3 V) � fA y O . pt ID ? 7 'a � � �� ���� � n Q' C� .-A1i. , m � m o m i 3 w � �. � �, � Q o m Q �, m � m � =o C o n m � � � � � m � � a. � � a ,• T o � 3 m � o �. � � o+ � m m � �°, o � � m m _ u�, � � � � � V O av v v � � � � � D � � z C � m m � O � � K � � n n -� � � n z n � � n � � � n > � [ n ) i � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � t ; `L __��� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � _ � � �"'1 � CITY HALL FRIDLEY SS432 NUMBER REV DATE �..__.11.' '•� 612-571-3450 910-F15 5/5/98 JOB ADORESS 6315 Baker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. S 2 Moore Lake Highlands 2nd Addn 2 PROPERTY OWNER MAIL ADDRES$ Z�p Clarence Beard 6315 Baker Avenue NE 3 CONTRACTOR MAIL ADDRESS Z�p Gates Roofing (6793) 4640 Ximines Lane, Plymouth MN 55442 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK MAIL ADDRESS PAGE OF / / � 26022 �� � APPROVED BV SEE ATTACHED SHEET PHONE LICENSE NO. 550-0043 PHONE LICENSE NO. PHONE LICENSE NO. O NEW ❑ ADDITION � ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Tiouse (22 Sq) Tear—off 9 CHANGE qF USE FROM STIPULATIONS TO Underlayment must comgly with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBINCi, HEATIN(3, TYPE OP VENTILATING OR AIH CONDITIONING. TNIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF; NOT. THE GRANTING OF A PERMIT � 1, 834 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �Jr9 SO PLAN CHECK FEE Lic nse SC $5. SIGNATURE OF C NTRACTOF OR AUTNORIZED AGENT �OATEI WHEN PROPERL �GNa RE OF OWN ii NER BUILDER� �'�TE' � � ,�, ! �� Ce " < NCY(3ROUP OCCUPANCVLOAD CU. FT. OFFSTREET PARKING IGAHAGES $.92 AC CHARGE Fire SC $1.83 OTAL FEE $67.25 THIS IS YOUR PERMIT _ ^ � r�piE NEW ADDN ALTER [l [l �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �� � l � �� k �-�°i-- � 9 .�� . iv� � . Legal Description: � c 2o a°� Effective 1/1/98 � � �. ��,, Owner Name & Address: �/�-G�- �-� c3 � n G,,, �� Tel. # Contractor: _��.�- z R� a F'•.�--� MN LICENSE # � 7� 3 Address: `/6 K� �j �,,,;, , ti� s C c.,.�., Tel. # S"S� - 0�°� 3 � 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: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Driveway Curb Cut Width Needed: I)ATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: $ .� $ ���3 $ �c'/� $ $ �'�� $ $ $ $ $ � 2 � Wi _ Hgt/Ground � � s�, Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ � ?"b � ° ° ��,��3, � U (Fee Schedul e on Back) =/� 3�� Ft. + 6 Ft = _Ft x $ _ $ Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1, OQO Valuation $1Q00 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 BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial 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 $50,001 to $100,000 $100,001 to $SOQ,000 $500,001 to $1,000,000 $1,0(�,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,Q00 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,0(}0 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) Altemate "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. ,. . , . � . .: . � , :. � F. : :t ,, ., . :. „ . , ,, . � � � n z � .. � � ��q � V � � � � �� p�� � =F � � � � � � � � ♦ R ! . o �' a � m � �� � � �, , ~ � � � � � � z _� tv -° � � � ° � <� �. � �; � � � � �' � � � �. �. � � ��„ ► -� a s• T v � � � � � o � � � �� � � �' ' � z° � � � � � °� M! � � � � � 6 �Z � � � c �' � v � , � � � �� � � � �'v_?.��'� �.� � g; cn a► ���� � �. ��-�v �o�� a�n � � m o � �' � �' � oa � � � i � � � � �3 g S � � '� � � � � ♦ � Y/ � � � v � � � � 0 � � � � � 0 � � � � � O � � � � � �m� � � . $� ° E — � � � v �.: �a � � ° n � c = z �o-�� � �' � P � � '� � � � � � � Q�" e � ` � � � cD � � � �a.�� � � i � � � � � � � �ar �€ � � � n ���< � � �, r � �- �w � � ry� � � b � O � Z 1 `'� 4 � ae� � � � a„� � < � � n � � : � �° � � Z o � �; : C7 C � � � � i � � �° �. �° ���i � �' � ��. � R � ��a � � e � �.�� ' � �' °°, � � _ - � �� � t �:� • �, � �� r� ;' � :; m; � '� � C � � a i � ; � D � �, '� . � �. � �C. r �r , ;. �. �� � R :� � . r • �, . » . , , � . " :.. . .: . i � � � � • �: r � �. � � t ., � �; • � . �� :�g P� I :O� �rus { ; :; :; _ , - - :�u�Q Y� xo�,�t ; s � . - ; ( ) ori ( ) S�1� ()ox()sa� { } o,� ( _ ) sa� �a1�au a�1�nn �o� papgno�d uaaq it� uot�snqcuo� s;�g '� ; ; ��l�at� ial�nti io3 Paptno.zd uaaq .�atni e�H �'L ;; � S � ti.LS 'I�'.L i .L j I S�I1.I.g �auan �iY i ; 3Q S�lI.I.H �utl�a�i ��ol ��H i 9 i pa��auuoa s,.fi.LII I�Q� �� � -- - - -�s -�03 s�uatuan�� �no� 2t�a�m� � siaa�-- -' �_ -_ ( ) oK ( ) saR palxoddns �ia�n�as si '�r � � (} arI i) SaA uttptnn pa�poj s��a['qo u�taao� aa ;��H �'£ t � (} oN {} sa� uocl�ioti�ap �0 lsni uao� aax� sI j'Z � {} oN (} sa�, paut�xa ,CiIn3al� uaaq �eH i� j , � � :a���is xo �auuz�� �utistxa au� 1�i1 Sa�tian �qa.iaq paa���i�pan y,y, . ! � ;; � I�IOIZV I3IY1 �I� Z A H� `� i i � i sue�etr c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i ` ; �v �__�_ COMMUNITY OEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. � _ � ' r'�'1 ' CITY MALI FRIOLE� SS132 NUMBEN FEV DATE ��-��� � ��� 612-57�-3450 s�aF�s 3/15/99 lOB ADDRESS 6315 Baker Avenue NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION oescR. g 2 Moore Lake Highlands 2nd Addn 2 PROPERTY OWNER MAIL AODRESS Z�p Clarence Beard 6315 Baker Avenue NE J CONTRACTOR MAIL ADORESS Z�p Western Remodelers 2520 W Larpenteur Ave, St Paul, MN 55113 4 AqCHITECT OR DESIGNER MAIL ADORESS ZIP S ENGINEER MAIL ADDRESS ��e 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW B DESCRIBE WORK Reside House & Gar 9 CHANOE OF USE FqOM ❑ ADDITION O ALTERATION Soffit & Fascia TO PAGE OF / / 29010 s � RECEIPT NO, APVROVED BV SEE ATTACNED SNEET PHONE IICENSE NO 651-645-1411 3847 PHONE UCENSE NO PHONE LICENSE NO C� REPAIR O MOVE O REMOVE STIPULATIONS Call for building wrap inspection before covering. Install soffit ventilation to meet the 3tate Building Code. SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VEN7I�ATING OR AIR CONDITIONING. THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION LONING AUTMOR12E0 IS NOT COMMENCE� WITHIN 80 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY 71ME AfTER WORK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yq�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO W�7H WME7MER SPECIFIEO HEREIN OFi NOT. TME GiiANTING OF A PERMIT �IO � OOO DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OF CANCEL TME pERMIT FEE OVISIONS OF ANY 07 STA7E OR LOCAI LAW REGUTATING CON- S RUCTION OR TME P F MANCE Of CONSTRUCTION �1(Z.ZS �/� PLAN CNECK FEE S�GN4TUAE CON'RACTOA AU N0�71 DaGENT Li C �D�rE� HEN P C S�GN4TU�7E O� OWNEp��F pyyNEA BU4DER� iOATEi e, ... ...�.. STA�LS 5 NCY OCCUPANCVLOAD CU FT. 7 PARKING IGARAGES $5.00 SAC CH GE Fir C $10.00 fOT F E 182.25 IS IS�'VQ/�J R PERMIT L��G.J — �IiTF r�vv ADDN ALT'ER [l Il [] co�au�uo�aa�s: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION j�� A.% � Effective 1/1/99 Legal Description: Owner Name & Address: C Z� %� �� I"J� � ��'��_)� Tel. #� Contractor: lJ� � S j� �� MN LICENSE � J� ���_ , Address: �, s�� W • _ � /� � t��� Z� J i, /� �� � �,�� ��1i Tel. � �SS � � �-� ��� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'I'ION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgdGround Sq. Ft. 01'HER: �i�"�/�" � ����!' Construction Type: �Z� �Z��C� S/�l JU �i—' Estimated Cost: $�� (Fee Schedule n Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� J J'" / APPLICANT: Tel. � � C� �� I Lf � CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � STIPULATIONS: $ � .� - �.S $ �p.Od $ �; Gili�' $ � � ���v $ $ 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 stiucture, 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 $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,�0,001 and up FEES $21 (Minimum Fee is $21 plus surchazge) $21 for first $500 plus $2.75 for each additional $1(Ja 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,OQ0 $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,OQ0 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 $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $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 constcucted wil1 be required before proceeding with the f�aming.