AF - 35273sue�ecr PE
City of Fridley . 14'724
AT THE TOP OF THE TWINS g U I L D 1 N G P E R
r
� � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
� ; a: ------� �
r � � PROTECTIVE INSPECTION SEC.
1 �
�� � /���1 � CITY HALL FiiIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
'°'� � ,'� 612-560-3450
910-F15 5/24/78 � �
JOB ADDRESS 6389 Bak.er Stxeet N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. PdY'C@ %OQi P't. O 14 Allf�. Sltb. #SS SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE _
Melvin Eells 6389 Baker Street N.E..
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Gorco Constructiari Cbmpany 3384 Brownlow, Mpls. 55426 929-78b8 �''
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
•
5 ENGINEER MAILADDRESS ZIP PHONE � LICENSENO.
6 USE OF BUILDING
Residential �
7 CLASS OF WORK
�i NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Qonstruct a 24` x 24' detached gara e
9 CHANGE QF USE FROM TO
S�ULATIONS
Provide a hard surface driveway . �����G
� � Ut�l�ti�v.
Be�o�� dig��n� �a1��,C.�Et�•
EL�C
�'E�ATE p�RM1 T �tEtEe�a�E��,p gY �,�►V�1
��� PLt1M81NS REQUfREp �p� w�R1N�;. R'ti�V�
� AND SIG�„
SEPARATE PERMITS AfiE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONOITIONING. WOOC�{ FY'd�2
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 R-1 576 5760
AMY 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 TNE 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 $4�170 S2. O8
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROV IONS OF ANY OTHEfi STATE OR LOCAL LAW REGULATING CON-
U TfON OFi TH ERFORMANCE F CONSTRUCTION. � S2�.O4
� PLAN-0HECK FEE TOTAL FEE
�� � $25.12
SiG n U OF CTOfiORA Ho I EDAGENT A?E EN PROPER Y VAUDATED THIS IS VOUR PEFiM1T
�1 (aQ��..J �=o��/� 7c�
iGNATURE OF OWNEF IIF OWNER UI DERI IDATEI LDG. �NSP DATE �
.�
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CITY Of� 1=1ZI1)LLY ,
�'!� l�PI'LICl,rIUi� f'0(Z (ZCSIllf:tdTt/1L Pt11LD1h�G f'C1tNiIT�
�j�' � y (j`�L"ti�f, I1L?"L(��T 1 U(��, /�I)llI T I Oid�, OR �L�'/11 fZS )
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J3UILUI.it: � . .•�L�M `�,
hdclr.ess: ��`�'j � Y�4st�_ ISs�� �o
Te 1. 1Jo . � a.Cj — � e5 tG � � � .
310. U� �j �j 1 Street: �d�L��J1... � '� . .
• ' �T. o�� r�l� .
� ��9-�..�� - �.� � � c�-�
r,oT: ��' HrACr.: nnDZ�r. zor1: �
COi21�ER LOT: IIJSIDE TlJT: � S; T13RCY.: SIUL•'YI�RDS:
Applica'r,t attach �to L-his f�rm ''i�•.o Cert-ificatc� of 5�irvey of Lot and proposed
bui.lding location dra.rn. on these Certificates. .
DESCRIPTIOh� OF �3UI�DIIdG • ' :
To J3e Used As: � '
� /
�• Front: � � Deptl� : (!� � Heiqht: __��__
��� Squ�re Feet: rj7Ca Cubic I'eet: J�%�4
I'ront: �
� Squar� I'eet:
Depth: Height:
�
C�ibic P'eet:
�
T= oi Cons*ruction: �---
��e 'T�L.C,wv�.:Q Esta.mated Cost: $ �
7b 13e Cois�nteL-ed: � ����� �y
` Alt. A'� Alt. B
Pronose� llrire�aay t,Tid'ch If l�ew Opcning Is Desired $ $
(S�r 1'.T;VEI'.SE SIDF O� SHEET)
The un��ersiR:�ed here�y makes applicatio:� f.or a pe�mit foz the ��or}: lierein
_s,�eciized, agr4ei»g to do all �.•ork in stricL- aeca�:dai�ce �vi.i_}; tl�e Cii-.y of
Fxicile�' OY.G�1;:ul1CCS ar:d r�:li�igs af the Dct�artr,icnt of l3uildi�:gs, and hcreby
declares th�t ajl L-)ZC faei:s and reL�resc»L-ai_ic�ils st�zt-ed i�i tl;is ap��licat:ic�ti
are true and corrcct, See xe��cr�e sid for acldiL-ional �nioz�;iati .
D11TE: � ��O �70 SIGI��ITURL•': ,�
Sti.pulations:
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BUILDI(�G PER��II3 FEL SCiiEDULE
S�CTION 2. The Inspector of 33uildings shall, before issuing permits for the erection
of any buildiny or structure, or for any addition to any existing bui2ding or structure,
or for any alteration or repairs to any er.isting building or structure, upon'applicatior>
therefore, rcquire the paymcr►t by the applicant far such permit of.fees to the amount
herein below set forth and in the manner herein provided to-wit:
NiW CONSTRUCTIUN: Single Family Homes and Garages: $4.00/1,000 cubic feet..
PL1�I�] CIiECK: 25 percent of building permit fee.
DRIV�WAY DEPRESSION: (Concrete Curb S+.:rcets Only)
Alternate A: Removal and replac.men� of concrete curb and
gutter only; Driveway width plus 6 feet x$14.50
Alternate B: Removal and replacem��nt of concrete curb and
gutter and install a 3 foo t wide approach with
• 6 inch depth; Driveway width plus 6 feet x$�-�• 20
��j�I T IONAL I NFOR�IAT I ON
�.�.� ________-______
For the purpose of computing fees for building permits, the cubi.cal contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line c�f the bas�nent or th� cellar to the
average heights of the upper surface or to the ave�age heigYit of the roof surface
of the �ain gable of a pitched roof.
Far repairs or alterations to an existuzg structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($5U0.00) or fraction thereof in the cost
of all proposed ti�ork.
In no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
YERIFICATIG�� OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the time
of applicati.on to allow for proper review of the proposed structure and of the
construction site:
A Certificate of Survey af the lot, showing the location of the foundation once it
has been constructed will be required before proceedir.g with the framing.
CrRTIFICATE OF �CCUPANCY
Application for a Certificate of Occupancy shall L�e made ten (10) days prior to t:�e
use c>r. occupancy or" any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
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sue�ecr P IT N O.
City of Fridley �T - 7584
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
' ` RECE
' ' COMMUNITY DEVELOPMENT DIV. '
� ��: ----- � / � �!O
r j ' PROTECTIVE INSPECTION SEC.
1 '
� �
' —_ � �����;'� CITY HALL FRIDLEY 55432 NUMBER qEV. DATE PAGE OF APPROVED BV
� J` 612-571-3450 9�0-F15 6/27/84 � �
JOB ADDRESS
6389 Baker A
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. part of L t 14 Parc 1 700 A. �b. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Melvin Ellis 6389 Baker Avenue N.E. 571-6151
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
J. T. Williams 8439 West R'
4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MA�L ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
t n �
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PERir►�iTS REQUIRED FOR WIRIN'B�
H��TING. P�.UlM�It�� A�Q SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOd
THIS PERMIT BECOMES NU�L 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 3OH
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 WOf;K WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 5� 350. OO `Z, 68
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERM1T FEE SAC CHAHGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING �oN- 56.50
STRUCTI�,� THE PERF M NCE OF CONSTRUCTIO
��� �� PLA ; �HE; �FEE TOTAL FEE
. �'* � 73.31
SIGNATUREOF ONTRACTORORAUTHORIZEDAGENT DATEI N PROPERLY VA DATED THIS IS VOUR PERMIT /
— .• � 4 �7 /�
SiGNATUREOFOWNERiIFOWNEFBUILDERI � IDATEI �� BLDG iNSP � Da7E
NEW [ ]
ADDN. [ vJ
pLTER. [ ]
Construction Address:
City of Fridley
R-1 AAD R-2
Building Permit Appliaation
�� 3�' � Ati
Effective 4/1/84
Legal Description:
� �' (�,z�r�
Owner Name & Address . ' Tel . # S� / - �f �/
Contraetor: � f . f.v�c.L�,c�ms �� 8�/3�j s� ���-.e .Pa. � • , Tel . # ��O- ��7�?
Address•
Attaeh to this application, a CertiPieate of Survey of the
lot, with the proposed eonstruetion draWn on it to scale.
DESCRIPTION OF IMP80YEMEN'f
LIVING ARBA: Length Width Height Sq. Ft.
GARAGE AREA: Length width Height Sq. Ft.
DECS 1►REA: Le th Width Hgt/Ground Sq. Ft.
oTxER : 3 5��� �o�.c-c�-� � �'� `� � � 2 ; -�� '�
`���`��,�3 - �3����'� = �3�
Corner Lot [ � Inside Lot [] Ft. Yd. Setbaek Side Yard Setback
Type of Construetion: ��� fl Estimated Cost: ��
Approx. Completion Date: � `� v
Alt. A Alt B
Proposed DriveWay Width If New Opening Is Desired: $ �
See Back Page for Explanation
,
AATE: .����'�8 APPLICANT: � • �� "`-' i L,�. (`�"�'►�LS Tel. # ��PC�' � �J �
Permit Fee
P1an Check
State Surcharge
3AC Charge
Park Fee
Seiter Main Charge
?OTAL
STIPULATIONS:
CITY IISE ONLY
� �o � Fee Sehedule on Reverse Side
� 25� of Building Permit Fee
$ •�D O �•50!$1,000 Valuation
� $425 per SAC Unit
_._.--,
� Fee Determined by Engineering
� —
�� Agreement Neeessary [] Not Neeessary L l
$
,, __ ..
BIIILDING PBRMIT FBE SCHBDIILE
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 exi�ting building or structure, upon applicatio n
therefore, require the payment by the applicant for such permit oP Pees to the amount
herein below set forth and in the manner herein provided to-wit:
Tota1 Yaluation
a�.00 to �500.00
Fees
�10.00 (l�Iinimum Fee is �15.00)
�
�
,
�501.d0 to �2,000.00 �10.00 for the first �500 plus �t .50 for eaeh
additional �100 or fraction thereof, to and including
�2,000.
�2,001.00 to $25,000.00 a32•50 for the first �2,000 plus �6.00 for eaeh
additional �1,000 or fraetion thereof, to and
including �25,000.
a25,001.00 to �50,000.00 �170.50 for the first �25,000 plus �,�1.50 for eaeh
additional �1,000 or fraction thereof, to and
including �50,000.
�50,001.00 to �100,000.00 �283.00 for the first $50,000 plus �3.00 for each
additional �1,000 or fraction thereof, to and
ineluding �100,000.
#100,001.00 and up
��33.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIYEiiAY DEPRBSSION BSCRO�W
(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
approaoh With 6 ineh depth - Drive�aay wfdth plus 6 feet times $15.75
VBRIFICATIOp 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 strueture and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been constructed will be required before proceeding with the framing.
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sue�ecT ERMI
City of Fridley ° 17 6 61
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
i �
� � REC
' ' COMMUNITY DEVELOPMENT DIV.
' j L �-��� , �.
r � � PROTECTIVE INSPECTION SEC.
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i
` -- � �����;,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPROVED 8V
�� „ . 612-571-3450 910-F15 8116/84 / /
JOB ADDRESS 6389 Baker Avenue N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. pt. �.4 Parcel %00 Pi11C�. $�llb. #$8 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Eells 6389 Baker Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
J. T. Williams Const. 8439 4Zest River Road 560-7752
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUI�OING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION G� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE pF USE FROM TO
STIPULATIONS
Roof can be the.2nd layer but not the 3xd. Tnstall xidged galvanized valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. k'].I?P.X�JI3SS
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. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT S�-i3OO �S`.65
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR L CAL LAW REGULATING CON- c�
S RUCTION OR THE PERFORM C� O ST�UCTION. YZZ.00
PLAN CHECKFEE TOTALFEE
$22.65
NATUREOFCON'RACTO R UTH RIZEDAGENT t T WHEN PROP ALID TED THIS IS VOUR PERMIT
- C! � G
SiGNATURE OF OWNER IIF OWNEfi BUILDERI IDATEI `! B�DG iNSP ATE
NEW [ ]
ADDN. [ ]
u,T�t. I J
Construction Addreas:
Legal Deacription:_,
Owner Name i A�res :
Contra�tor: �
Addreas•
0
LI9II�IG AREA:
GARAGE AREA:
DEC1C AREA :
OTHER:
City of Fridley
�R-1 A1fD R-2
Building Permit Application
. � � �,2 �v�,c.)�
� �—. / �
� �' ���i �
�.. --� < ti �
Effective u/1/84
�
� ?el. �
�_Tel . # -�� ' �7'iS o�-
Attaeh to this application, a Certifieate of Survey of the
lot, with the proposed construction draWa on it to scale.
Length
Length
Length
DESCRIPTIOA OF IMPROYSI�NT
liidth Height Sq. Ft.
ilidth Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
Type of Construction:
� stimated Cost: �
Approx. Completion Date:
Alt. A Alt B
Proposed Drive�ay Width If New Opening Is Desired: � �
See Back Page for Explanation
�-
1
DATE: APPLICANT: Tel. #��C �? 2 y 2--
CITY IISE OpI.Y
Permit Fee
Plan Check
State Surcharge
3AC Charge
Park Fee
Seirer Nain Charge
?OTIIL
STIPULATIONS:
� c�. �D
_
� �_
a
a
�
� �,�. �S
Fee Schedule on Reverse Side
25i of Building Permit Fee
f.50/�1,000 Valuation
=425 per SAC Unit '
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� � ,
�
BIIII.DI�G PgRMIT F8E SCHBDIILB
The Chief Building OfPicial ahall, before issuing permits for the erection of any
building or structure, or Por any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, upon applieatio n
therePore, require the payment by the applicant for such permit oP fees to the amount
herein beloFr set forth and in the manner herein provided to-xit:
Total Oaluation
i1.00 to =500.00
Feee '
►
�10.00 (!�linimum Fee is =15.00) �
�501.00 to =2,000.00 =10.00 for the first �500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
�2,001.00 to �25,000.00 =32•50 for the first �2,000 plus a6.00 for each
additional �1�000 or fraction thereof, to and
ineluding �25�000.
;25,001.00 to ;50,000.00 =170.50 for the first �25,000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
including �50,000.
Z50�001.00 to a100,000.00 =283.00 Por the firat �50�000 plus �3.00 for each
additional a1,000 or fraction thereof, to and
including a100,000.
�100�001.00 and up
�433.00 for the first a100,000 plus �2.50 for each
additional �1,000 or fraetion thereof.
DRIVEHAY DEPRBSSION ESCROiT
(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 replaeement of curb and gutter and install a 3 foot wide
approach With 6 inch depth - DriveWay �►idth plus 6 feet times #15•75
VBRIFICATION OF FOONDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to allox for proper review of the proposed structure and of the
construetion site.
A CertiPicate oP Survey oP the lot, ahoWing the location of the foundation onee it
haa been oonstructed Will be required before proceeding with the framing.
__ . �,
sus�ecr pE
City of Fridley �$ 8 � �.
AT 7HE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� � REC O.
� ; V _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. � y 3d �
1 ,
i
l.--. �; ��� `.; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
L J\ 612-571-3450 910-Ft5 4/13/87 � �
JOB ADDRESS 6389 Baker Avenue N.E.
1 IEGAL �OT NO. BLOCK TRACT OF; ADDITION SEE ATTACHED
DESCR. Pt. 14 AL1CZ. Silb. #HS SHEET
2 PROPERTY OWNER MAII. ADDRESS 21P PHONE
Melvin Eells 6389 Baker Avenue N.E.
3 CONTqACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUIIDING
Res iden tia 1
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE
8 DESCRIBE WORK
Reside Garage and Enlar e Overhan
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. Cgdar
THIS PERMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHOAIZED 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 HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION L STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WI�� BE COMPUED
WITH WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A PERMIT S2�OOO $Z.00
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 532. SO
PLAN CHECK FEE TOTAL FEE
$33, 50
.$I TUR OF CON'FACTO OR A T D AGENT �DATEI
-� �✓ Y W N PFOP RL I A THIS IS Y UR PER IT
J �SiGNaTURE OF OWNERI�F OWNER BUILDERi IDATEI �NSP �
�1FTE
x�t [ 7
ADDN. [ ]
AI,TER. [ ]
Construction Address:
Legal Description:
City of Fridley
�R-1 AND R-2
Building Permit Application
� �� Q �►� 0-�r� '� .
Owner Nau►e & Addr�s�, � �
Effeetive 4/1/86
il,
Tel . #�� �- �� � )
Contractor: � Tel. �
Address• � � �
Attaeh to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF II�IF80QEMENT
LI9ING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECR AREA: Ler�gth Wi� Hgt/Ground Sq. Fi.
oTxER: ;�C � �. ����.�� �4��
Corner Lot [� Inside Lot [] Ft. Yd. Setback Side Yard Setbaek
/ �
Type of Construction:
� � �i�
Approx. Completion Date:
Estimated Cost: $ � � �U � •��
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
� � v� APPLICANT: �� ' �"" \ � �/ Tel. # �% - �[
DATE: __,�
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAI.
STIPULATIONS:
CITY IISE ONLY
$ �a-�� Fee Schedule on Reverse Side
$ 25X of Building Permit Fee
$ r+ 0 Q $.50/$1,000 Yaluation
$ $525 Per SAC Unit
$ Fee Determined bq Engineering
�
Agreement Necessary [ ] Not Necessary [ ]
$ .�3..5�
.� y . _
BIIILDING PERMIT FEE SCHEDULB
The Chief Building Official shall, bePore issuing permits for the erection of anq
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or strueture, upon applicatio n
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-wits
Total Yaluation
�1.00 to �500.00
Feea
$10.00 (Minf'4num Fee is �15.00)
$501.00 to $2,000.00 $10.00 for the first �500 plus $1.50 for eaeh
additional �100 or fraction thereof, to and ineluding �
�2,000.
_ -- _- _ ,
- _- ��-._- ., r-- __ .�__ - —
. ._ _ _-- �. _� _ , � _
�2,001.00 to $25,000.00 �32•50 for the `first a2,000 plus $6.00 for each
additional �1,000 or fraetion thereof, to and
� including �25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
ineluding �50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional �1,000 or fraction thereof, to and
ineluding $100,000.
�100,001.00 and up
$�33•00 for the first �100,000 plus $2.50 for eaeh
additional #1,000 or fraetion thereof.
DRIVEiiAY DEPBSSSION SSCROii
(Conerete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 �'eet times $13•50
Alt�rnate "B": RemQVal_and replace�►ent _of curb_and_gutter and install a 3 foot wide
- - - - --
approaeh with 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOONDATION
Permits for construction �ill be issued a minimum ofw24 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, shoxing the location of the foundation onee it
has been constructed will be required before proceeding with the framing.
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SuBJECT
c�ty of Fridley
AT THE TOP OF TFIE TWINS B U I L D I N G P E R M I T
r
� �
� �
• COMMUNITY DEVELOPMENT DIV.
� 1 V ������,
r � � PROTECTIVE INSPECTION SEC.
l•--_� ��"'�•� CITY NALL fRIOLE� 55132 NUMBER
i 612-571-3450 9t0-Ft5
JOB ADORESS
6389 Baker Ave.NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION
DESCR. Pt.14 (Par. 00) Aud. Sub.4�88
2 PROPERTY OWNER MAIL A�ORESS
Eells
3 CONTRACTOR MAIL ADDRESS
Gates Roofing 4640 XimineG LN P1 0� h� M
4 ARCHITECT OR DESIGNER MAIL ADORESS
5 ENGINEER MAIL AODRESS
6 USE OF BUILDING
Residential
7 CIASS OF WORK
REV DATE �'� PAGE OP
�/i��oQ � �
ZIP
ZIP
6613
�a3�
APPROVED 8�
SEEATTACHED
SHEET
PHONE
PHONE LICENSE NO.
ssn—nn�� 6793
PHONE IICENSE N0.
PHONE LICENSE NO.
O NEW ❑ ADDITION ❑ ALTERATION �] REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and earage (24 Sal Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Build�ng Code.
SEPAqATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, ''r � v �v�•�•
VENTILATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OF; CONSTRUCTION ZONING
AUTHORI2ED tS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO.FOR A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION
AND ORDINANCES GOVERNING THIS TVPE OF WOFiK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Z,OOL.00
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMiT FEE
PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGULATING CON-
STRUCTI N OR THE PERFO ANCE Of CONSTRUCTION. �L�.]�j
PLAN CNECK FEE
�'' -�- `�-��" �S'
icens C
SIGNATUREOFCON�RACTO AUTMOR�2ED/GENt IDATEI EN RC
SiGNATURE.OF OWNER UF OWNEA BUILDEAi IOATEi pl� , �NSP
OCCUPANCY GROUP OCCUPANCYLOAD
SQ. FT. CU. FT.
OFFSTFiEET PARKING
STALIS IGARAGES
❑
S� 2.
EE
IS VOUR PERM
i/ i
f)4 T E
NEW
ADDN
ALTER
�]
Ll
[J
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
��� �
� ���
�
ConstructionAddress: Cn� � �1 �G-l�-�-'�- �'Y , N - �
Legal Description:
Owner Name & Address: z� �-�- S Tel. #
Contractor: �o--�i �-s �:�,,,,.�',.;,, MN LICENSE # �� � 3
Address: �%o �C� �^- ►.� t � �..v-- Tel. # S�'D � �°`� 3
Attach to this application, a Certificate of Survey of the
lot, with the praposed constxuction drawn on it to scale.
LIVING AREA:
GARAGE �AREA:
DECK AREA:
�THER:
Length
Length
Length
0
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
� � � �v✓. � �
Construction Type: %��- �� �- K.T. �-7L Estimated Cost: $� �� ��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � � « APPLICANT: ` Tel. # � 2 r �G 4 /
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
�
$'��_
$ �av
$ l� dv
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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 [ ]
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158095
INSPECTION REPORT
CITY OF FRIDLEY MINNESOTA
17631572-3604 A
ADDRESS
OWNER
BUILDER C I/f ,t � �'�/7� �
If no corrections are listed above, approval is hereby given to proceeds. You will be in
violation of the ordinance if you do not call for the proper inspections and make j
corrections as catled for. �
1