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� City of Fridley SUBJECT
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
; �L __�___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
, ; ,
`--__� ��'-'�,� CITY HALL FRIDLEY 55432 NUMBER
L 612-571-3450 910-F15
JOB ADDRESS �180 Ca.rol Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. ],0 2 5horewood
1 PROPERTY OWNER MAIL ADDRESS
Eggert,h 6180 Carol Drive N.E.
3 CONTFACTOR MAILADDRESS
Mi.nnesota Extexiors 295 Hwv 55, Tiam�
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
6 USE OF BUILDING
R.esidential
7 CLASS OF WORK
REV. I DATE
571-6225
PAGE OF
4 � �
Z�P PHONE
Z�P PHONE
478-
ZIP PHONE
Z�P PHONE
� 17597
RECEIPT NO.
�� ��y
APPROVED BV
SEE ATTACHED
SHEET
LICENSE NO.
LICENSE NO.
LICENSE NO.
O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
X
8 DESCRIBE WORK
9 CHANGE QF USE FROM
STIPULATIONS
TO
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 OR CONSTRUCTION ZONING SQ. 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,3Q0
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S RUC OR THE PERFORMANCE OF CONSTRUCTION. yti`44. rJO
PLAN CHECK FEE
� ° � �
SIGNATUREOFCONTRACTORO AUTHORI ENT IDATEI p ^ WHEN PROPERLY IDA
SiGNATURE OF OWNER IIF OWNER BUILDERI �
_ IDATEI � ai nr. �r,�eo
CU. FT.
OFFSTREET PARKING
IGARAGES
SURTAX
$1.65
SAC CHARGE
TOTALFEE
$46.15
D TF�IS IS YOUR PERMIT
p� [] City oP Fridleq Effeetive 4/1/8�
ADDN. I � R-1 AAD R-2
AI,TER. � l Building Permit Application
Construction Address:� � b' � � �`°`��O( �
Legal Description
"i � ` Tel. � S 7C- %�J `,� �
Owner Name & Address:
� '�Te�. #�7�-6�/
Contractor• �
Address: �9� ' � �- °�`��
Attach to this application, a Certificate of Survey of the
, lot, with the proposed construetion draWn on it to seale.
LI9IHG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTIOa OF IMPaOVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft. �
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek
� �' �� e'
•�''li� S �d �``��-- T��t�mated Cost: � � � `—
Type of Construction:� i
`� �-�-e�.� � ��-Z��a�..- (�-�_
Approx. Completion Date:
� S°l�� Alt. A Alt B
PropQSed DriveWay Width If New Opening Is Desired: $ $
See Baek Page for Explanation
DATE: �� �"' � � G� APPLICANT: � Tel . � K 7 � - b ��/
CITY IISE ONLY
Permit Fee
Plan Cheek
State Sureharge
SAC Charge
Park Fee
SEWer Main Charge
TOTAL
STIPULATIONS:
$ �1� SZ�
$
$ ���5
$
$
$
� �����
Fee Sehedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Neeessary [ ]
� � _ �°
HIIII.DING PERMIT FEE SCHSDULE
The Chief Building Official shall, before issuing permits for the erection of any
building or strueture, or for any addition �o any existing building or structure, or
for any alter°atian or repair to any existing building or structure, upon applicatio n
therePore, require the payment by the applieant for sueh permit of fees to the amount
herein below set forth arid in the manner herein provided to-Wit:
Total 9aluation
�,.00 to a5oo.o0
$501.00 to $2,000.00
Fees '
�
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus
additional $100 or fraetion thereof,
$2�000.
$1.50 for eaeh
to and ineluding
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional �1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh
° additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00 $283.00 for the firat $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up
��33•00 for the first $100,000 plus $2.50 for each
additional $1�000 or Praetion thereof.
DRIVEfiAY DEPRESSION ESCR�ii
(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 FOONDATION
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 onee it
has been aonstrueted will be required before proeeeding with the framing.
� _ _
� SUBJECT PE.� " • �
c�ty of Fridley _ 17 9 3 7
BU ILDING PERMIT "
AT THE TOP OF THE TWINS
i � REC�`fP�RO�
� �
� • COMMUNITY DEVELOPMENT DIV.
i LV ��'����
r � � PROTECTIVE INSPECTION SEC. /_Su�
� . � �r
� _ �"'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY
�""'�"� �`� 612-571-3450 9t0-F15 4/29/85 / /
JOB ADDRESS 6180 Ca.rol Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �-d 2 Shorewood SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Loyd Eggerth 6180 Carol Drive N.E. 571-6225
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR OESIGNEH MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Cons truct an 8� x 14 � Deck and add pa;ti:o doax
8 CHAN�EQFUSEFROM TO
STIPULATIONS
Use txea,ted. wood.
SEPARATE P��B�lT5 €����9lRED �'02�
�i/IRI�IG, HE��TI�9�, �LQ��r�i�;� ��u� �����.
�efvre �Q����°�g� �
�ELEPIy pNE ��g call loc�� .
EtfCr u�ilities
�������� RIC.�S�ie.
�� ���
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED 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
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT $1►2QO y�.G.O
DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $24• 5O
PLAN CHECK FEE TOTAL FEE
$ 5.13 �I�ffi $26.23
SiG TUREOFCONiRACTORORAUTHORIZEDAGENT (DATEt EN PROPERLY VALIDATED THIS IS YOUR PERMIT
� �- :�� �- ��- �� � L��,�'��°° ����
iGNATU EOFOWNER�IF Vy'�ERBUILDERI iDA E� � ° BLOG iN$P � DAiE
H� I 7 Citq oP Fridley Effective 4/1/84
ADDN. [ � R-1 AIID R-2
pLTER. [ ] Building Permit Application
Constructiott Address
s� � ��3 �
Legal Deaoription: � � lC� /��a c � � �
Owner Name & Address : , � � � d_ � �'��'� ��i - f�,X�� � a�a C. 1�2. Tel . # � - �� .� .�
Contraetor: ��,� v �}n �'� -P���o .D�s �- ouen/E nF e. B��`/� Tel. # 7�''/-�� �S
Addreas: 3�� — /d?�Zr i9a,�. /1��'. .3%>'�F
LIY?AG AREA:
GARAGE AREA:
DECH AREA:
OTHER:
Corner Lot [ ]
Attaoh to this application, a Certificate of Survey of the
lot, with the proposed construetion draWn on it to seale.
Length
DESCRIPTIOH OF INPROYEMENT
iiidth
Height Sq. Ft.
Length Width Height Sq. Ft.
Length � Width .l � Hgt/Ground � Sq. Ft. �
/f�� 1��' �a 1?�� >�. .
I ��1. x f� ��`1 `�C� 2, ��
Inside Lot � Ft. Yd. Setback Side Yard Setback
Type af Construction: �.��`,'� .Dao �� ��„J J�,�'c� k
Approx. Completion Date: ��n/� 1
Estimated Cost: � �� 0 � �_�
Alt. A Alt B �
Proposed Drive�►ay Yidth If NeW Opening Is Desired: � a
See Back Page for Explanation
DATE: �" 1� ` g� APPLICANT: Tel. � � � r � � � � "
CITY IISE OALY
Permit Fee � � J°� Fee Schedule on Reverse Side
Plan Cheek � 25� of Building Permit Fee
State Surcharge a r� �.50/�1,000 Valuation
SAC Charge � � �425 per SAC Unit
Park Fee � � Fee Determined by Engineering
Sever !lain Charge � �
r� Agreement Necessary [] Not Necessary []
?0'1'AL � r
STIPULATIONS:
�1��
.
�
BOII.DING PERHIT FEE SCSBDIILE
The Chief Building Offieial shall. before issuiag 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 applieant for such permit of fees to the amount
herein beloti+ set forth and in the manner herein provided to-vit:
Total Yaluation
51.00 to �500.00
Fees
�10.00 (Minimum 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 a25,000.00 �32•50 for the first a2�000 plus �6.00 for each
� additional �1�000 or fraction 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
including �50,000.
�50,001.00 to a100�000.00 �283.00 for the first �50,000 plus �3.00 for eaeh
additional �1,000 or fraction thereof� to and
including a100,000.
�100,001.00 and up
5433•00 for the first a100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRI9EiTAY DEPRESSION ESCRW
(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 eurb and gutter and install a 3 foot wide
approaeh With 6 inch depth - Drive�ay Width plus 6 feet times �15.75 ,
VERIFICATION OF FOIINDATION ,
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 5urvey of the lot� sho�ing the location of the foundation onee it
has been oonstructed Will be required before proceeding With the framing.
IO�w
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a . . '�
sue�ecT PERMIT NO
City of Fridley 18 9 2 7`
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i�
� � ECEIPT NO.
� �,y ______ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. � l%/����
� � ; o�
L•-__� �/'��,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE . PAGE OP APPROVED BY
i 612-571-3450 910-F15 5/6/87 / �
J08 ADDRESS 6].,HO Ca.rol Dri:.ve N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 10 2 Shore�aood SHEET
2 PAOPERTY OWNER MAIL ADDRESS 21P PHONE
Loyd Eggerth 6180 Ca�rol D,rive N.E. 571-�6225
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
S.ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER ivFAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Res identi:a7.
7 CLASS OF WORK
O NEW � ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 12 �' x 12 �- 4° x 8' Deck (�.12 Sc�u.are Feet�
8 CHANCiE OF USE FROM TO
STIPULATIONS
See plan �ox nota,tions
� � ` ���
��1i4'�E � � �DC� �'���
��� � �.������:�;�'�,
������� �� �,�
SEPARATE PERMITS ARE REQUIRED FOR EI.ECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY 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 SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFF8TREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8�Q $• SO
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. 51.5. OO
PLAN CHECKFEE TOTALFEE
$ 3.75 $19.25
SIGN UREOFCON�RAC�TO?RORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT
� 4``y� J�y �j �_� �� ,��// 1 , � � /
� �('_�-- C.//..'�/�� yt'
V
SiG TUREOFOWNER�IF N RBUILDER� IDATEt BLDG INSP �p7
%
� [ ] City of Fridley
ADDN. [ � R-1 AND R-2
AI,TER. [ 7 ' Building Permit Applioatioa
Effeotive �F/1/86
�l1 � f � d /� � �✓-
Construction Addres9: �
Legal Description: �' 7� l 6 13/� � Si'��' � ue � o d
oraner Name & Address : �o °✓ c� �9�� s2 7�� � /� �'i � Tel . # � % / - � � ZJ
Contractor: � � � �' Tel . 4
Address: S � �"i C
LIYINQ AREA:
GARAGE AREA:
DECB 6REA:
OTHER:
Attach to this application, a Certificate oP Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height 3q. Ft.
Length Width He3ght Sq. Ft.
Length � Width /� Hgt/Grouad �� Sq. Ft. ,11�
Corner Lot �] Inside Lot [] Ft. Yd. SetbaQk Side Yard Setback
� o0
Type of Constructioa: �s/=�fG� l�J���� G��?�. Estimated Cost: $ ����
Approz. Completion Date:
Alt. A Alt B
Proposed Drivexaq �Tidth If New Opening Is Desired: $ $
See Baek Page for Explanation
DATE : � �- � - � �
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Set�rer Main Charge
iOTAI.
STIPIILATIONS:
�
APPLICANT: � �i Tel. � °5 �� G�� �
CITY IISE O1QLY
A .� ,: _ ,�,
$ t' °==' `-=A'`�' Fee Schedule on Reverse Side
$ ` �; 25� of Building Permit Fee
$ ,��'� �•50/$1,000 Valuation
$ � 525 per SAC Unit
$ Fee Determined by Engineering
�
� -� Agreement Neeessary [ ] Not Neoessary [ ]
� �`� .
�
BOII.DING PERMIT FEE SCHEDIILE
The Chief Building Official sha�i� before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
for any alterat�.on or repair to any existing building or structure, upon applicatio n
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 Valuation
$1.00 to $500.00
Fees
$10.00 (Minimum 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.
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including �25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 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
including $100,000.
$100,001.00 and up
$433•00 for the first �100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRiVEWAY DEPRESSION ESCROW
(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
approaeh With 6 inch depth - Driveway Width plus 6 feet times $15.75
VERIFICATION OF FOONDATION
Permits for construction Will be issued a minimum of 2u 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 PER
City of Fridley 2 217 g
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T
i �
' � RECEIPT NO.
; �v _.�_� COMMUIJITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. �� ���
� = i
' /�"1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED 8�
�""�� � ,�� 612-571-3450 910-Fi5 10/13/93
i i
JOB ADDRESS 6180 Carol Drive NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.d 2 ShoreHrood SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
June Eggerth. 6180 Carol Driye NE 571-6225
3 CONTRACTOR MAILAODRESS ZIP PHONE LICENSENO.
Twin City 5torxn Sash. Co 10825 Greer�hrier Rd, Mtka 55305 546-8160 3090
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residen�ial
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace sa,shes & trim
8 CHANGE OF USE FROM TO
STIPULATIONS
�xoyide �poke detectors as per BUTLDTNG CODE SECTIpN 1210 adjacent to
all slee�ing axea�, and in basements Every sl.eeping room shall I�ave at least one
�indow vzith a sill hei.gfit o�£ not more trian 44" aba�e the floor and shall provide not
less than 5�7 sq. �t, o� openable area, M%nim� width 22", minimum height 24".
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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 OAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. OWLG. WNITS 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 VAI,UATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED
WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $� �gQO S3 s45
DOES NOT PRESUME TO GIVE AUTHORITV 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. yS`9Q.QQ Fire SC F).9O
PLAN CHECK FEE TOTAL FEE
License SC $5,00 $105.35
SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT �DATEI v�P PER ALIDATED THIS IS YOUR PERMIT
�B �
SiGNATUREOFOWNERUFOWNERBUILDERI �DATE� � 8 G r�piE
�.... .... ........ . ....
c�" >
NEW [ ] � ��Q / Effective 1/1/93 �
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 �AND R-2 �3���
Building Permit Application
Construction Address: � % �'�'
Legal Description:
�n�
Owner Name & Address-��L�_ _ �p�11�,2.�-�, Tel. #��y� ��,�a�
71M�GCiiST�RAI .
Contractor: �,pg��GREENB�lER R�?A� � � MN LICENSE ���
Address: MINNEI'ONKA, MN 55305 _ Tel. #����-�l �
Attach to this application, a Certificate of Survey of the
Iot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: I.ength Width I3eight
DECI� AREA: Len Width . Hgt/Ground
OTHER_ �i�� �i n n i� /iS. v,�
Corner Lot [] Inside Lo �[ j Ft. Yd. Setback
Type of Construcdon:
Approx. Completion Date: �
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Sq. Ft.
Sq. Ft. T
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ . �� ,��� •
(Cost on Back)
Ft x $ _ $
DATE: - - APPLICANT: � Tel. # u
Permit Fee $
Fire Surcharge $ O
State Surcharge $ . ,�
SAC Charge $
License Surcharge $ ,�
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL ' � $_ lbS . � �
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/Si,(?d0 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above � ,
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
a�
�
� �c cze�4
p Every xleepin� roa� sh�,il h�a�e �ti I�ast an�
arin�ot�d with � asfl h�i�h�, s6R r��t mor� th�n �-�"
I ��9��� *he fi�ar �n� zh�ii �+r��6,�e not 9ess tn�rt
' �•� s,�, ut. �� op�nabt� at��� �u�i�. �oia�hh ��°�
� � �en. h�i�t°�i �'�", , _
► i � , � �i
. ,�� � .
� _.
SUBJECT T
City of Fridley 2 7 2 6.0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
;,
,�
' � COMMUIJITY DEVELOPMENT DIV. ���� �
i LL ��'•
r � � PROTECTIVE INSPECTION SEC.
� _ �
� /'�'�1 � CITY HAIL FRIDLE� SS432 NUbIBER REV OATE PAGE Of APPROVEO BY
�---•� � ,'� 612-571-3450 910-F15
8/18/98 / /
J06 ADDRESS
6180 Carol Drive NE
1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHEO
DESCR. lO 2 Shorewood SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lo d E erth
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Ri ht Wa Roofin Inc. 1200 E. 79th St. Bloomitt ton
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and ara e 20 S Tear-off
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comgly with the State Building Code.
SEPARATE PEHMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED 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 APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFiMIT $1668 .93
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRU ON OR THE PERFORMANCE OF CONSTRUCTION. �S�F.00 Fire SC �]..GG
��v� PLAN CHECK FEE TOTAL F E
�� License 5.00 61 59
SiGNATURE OF CON'RACTOR OR AUTHOR12ED AGENT IDATE p pE IDAT IS IS YO F P MIT
SiGNATUREOFOWNEFlUPOWNERBUILDERi �OATEi BLD � SP q E �
rr�w ..
ADDN
ALTER
[]
Ll
[l
�
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: LOt�o (�,C�UI' p �
Legal Description:
Effective 1/1/98
� � ��
�
Owner Name & Address: Lp� (� �C�G,p� Tel. # `�j�[ — �2�
Contractor: �JlC4�fl�- 1� �� �o0�r r� G MN LICENSE #
� �00 qC�Q
Address: 'f�t {- Tel. � �S3�UG
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlV�ROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
o�R: �DC�n, r�.o cwL� 2p (1�1� �
Construction Type: Estimated Cost: $ l��o �
.- -
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � I q� APPLICANT: � p G�� (�,1,�, Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��.D�
� 1.��
$ � .�
$
$ �.Q�
$
$
$
$
� � /. �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$100Q 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 [ ]
...,
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 pemut 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 $500,000
$500,001 to $1,�0,000
$1,000,001 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 $25,000 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
$1,000 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 tunes $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.
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, NIN 55432
�63) 572-3604 FAX: (763) 571-1287
: 6180 CAROL DR NE
: 143024440025
: SHOREWOOD
: LOT 10 BLOCK 2
: BUII,DING
: RESIDENTIAL
: ADDITION/ALT'ERATION
_ �.
PERMIT O.: 2004-01335 '
DATE ISSUED: OS/16/2004
VALUATION : $ 500.00
NOTE: SEE NOTATIONS ON PLAN.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. BATHROOM REMODEL.
LAURIE HARMS
6180 CAROL DR NE
FRIDLEY, MN 55432
LAURIE HARMS
6180 CAROL DR NE
FRIDLEY, MN 55432
APPLICANT BUII.,DING PERNIIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
TOTAL
OWNER
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and l�ow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor}
will be complied with whether specified herein or not. The
granting of a permit does not pre ume to give authority to
violate or cancel the provisions o y other state or local law
regu ' s tion o e e o e of construction.
Apph �t Date I ,
r
: �_ �. ��� � � �. -� � � ►
SEPARATE PERMITS REQUIRED FOR WORK OTI-�R THAN DESCRIBED ABOVE.
23.50
15.28
0.50
0.50
39.78
�� ���
NEW [] CITY OF FRIDLEY Effective 4/1/2004
ADDN [] 6431 Universit�r Ave NE, Fridley, MN 55432 (763j 572-3604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fa�c
BUILDING PERMIT APPLICATION ��
�c��� � d� i� _� �:
Construction Address: �P L �b CGI,� ` �� -
Legal Description:
Owner Name & Addr�ess: ��� �- �Of.(' if�'l.5 Tel. #
Contractor. ���%1 MN LICENSE #
Address: Tel. #
LMNG AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
► I
Length r1 Width � Height Sq. Ft.
GARAGE AREA: Length
DECK AREA:
OTHER:
Width Height
�dth �� Hat/Gr
Sq. Ft
Sq. Ft.
ce�
Construction Type: (1��C'� �1'�vnt� Estimated Cost: $__�b •
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$
DATE: � � � � t � � APPLICANT: �-�� �— � 0.-r rY1 � Tel. � l ' � ��/
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� .`�.� --� �
� ���
$ , ��
$ `��
$
$
$
$
$
$
� � � �� �
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
STIPULATIONS:
ADDRESS
PIN
LEGAL DE5C
CITY OF FRIDLEY
6431 UNIVERSITY AVENiTE NE
FRIDLEY, MN 55432
57Z-36U4 l+'AX:
: 6180 CAROL DR NE
: 143024440025
: SHOREWOOD
: LOT 10 BLOCK 2
571-1Z87
PERNIIT NO.: 2004-01336 � D�
�
DATE ISSUED: 08/16/2004
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT I5SUE DATE. BATHROOM REMODEL - 3
CIRCUITS.
# INSPECTIONS 1
LAURIE HARMS
6180 CAROL DR NE
FRIDLEY, MN 55432
APPLICANT ELEC PERMIT FEE - MIN (RE5n
ELECTRIC FORM FEE
STATE SURCHARGE, ELEC FLAT
TOTAL
,�
I LAURIE HARMS
� 6180 CAROL DR NE
FRIDLEY, MN 55432
OWNER
AGREEMENT AND SWORN STATEMENT
This permit becomes null a.nd void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
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 provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
onrr�� i r, rntuvu 1 J tc��( u itcr,i� t'viC W Vtui V 1 t1�1C 1 riA1V LbJl:Klli�ll AIiU V�.
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,
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�
� : .
PERMIT NO.: 2004-01663
� _
DATE LS5UED: 09/23/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 6180 CAROL DR NE
PIN : 143024440025
LEGAL DESC : SHOREWOOD
: LOT 10 BLOCK 2
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 0.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL THREE FIXTURES.
# ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0
# NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0
# GAS DRYERS 0 # GAS RANGES �
# OF NEW FIXTURES 3 VALUE (FOR NIINIMUM CALC) 0
# VJATER TRMT APPLIANCES 0
APPLICANT PLBG PERMIT 11�IINIMUM FEE 0.00
LAURIE HARMS PLBG FIXTURES (NEW OPENINGS) 30.00
6180 CAROL DR NE PLBG FIXTURES (EXIST OPENINGS) 0.00
FRIDLEY, MN 55432 WATER TREATMENT APPLIANCE 0.00
WATER HEATER - ELEC 0.00
WATER HEATER - GAS 0.00
GAS RANGE FEE 0.00
OWNER GAS DRYER FEE 0.00
LAURIE HARMS PLBG REPAIR/ALTERATIONS 0.00
6180 CAROL DR NE STATB SURCHARGE, PLBG FLAT 0.50
FRIDLEY, MN 55432 TOTAL 30.50
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws 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 provisions of any other state or local law
regulat tructio or the performance of construction.
App '� Date
Bldg Insp Dat
" SEPARATE PERMIT5 REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
BUII.DING PERMIT FEE SCHEDULE
The Chief Buildi.ng Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,OD1 to $25,�
$25,001 to $50,0�
$50,001 to $1�,000
$100,�1 to $5(�,000
$5�,001 to $1,000,0�
$1,0�,�1 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional$100 or
fraction thereof, to and including $2,000
$69.25 for first $2,�0 plus $14.Q0 for each additional$1,�0
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional$1,000
or fraction thereof, to and including $50,�
$643.75 for first $50,000 plus $7.00 for each additional
$1,� or fraction thereof, to and including $1(�,000
$993.75 for first $100,0� plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,0(}0
$3,233.75 for the first $5�,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,(�0,000 plus $3.15 for each additional
$1,�0 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the loca.tion of the existing foundation will be required before
proceeding with the framing. New Houses Onlv