AF - 35664SuBJEC7
City of Fridley
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
;�
; �L � COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC.
l, � ,
--__� ��'"" ��� CITY HALL FRIDLE� 55432 NUMBER REV. DATE
i 612-571-3450 910-F15 5/8/85
JOB ADORESS 6190 Carol brive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. g 2 Shorewood
2 PROPERTY OWNER MAIL ADDRESS
Herbert L. Ha.lverson 6190 Ca.rol Drive N.E.
3 CONTRACTOR MAILADDRESS
5ame
4 ARCHITECTORDESIGNER MAILADDRESS
5 ENGINEER MAILADDRESS
PAGE OP
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571-2196
Z�P PHONE
ZIP PHONE
Z�P PHONE
_17958
R CEtPT .
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APPROVEO BY
SEEATTACHED
SHEET
LICENSE NO.
LICENSE NO.
LICENSE NO.
8 USE OF BUILDING
Res idential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION � REPAIR � MOVE O REMOVE
B DESCRIBE WOHK
Construct a 14' x 12'.Deck
9 CHANGE QF USE FROM
TO
STIPULATIONS
Maximum spacing on x�il to �ae 6 inches.
����P��� �����1"� REQU�RE� FOF�
"�/9E�dV��e ��A`i°I���, PLIJ(i�d�l(09� A�1D SI�iVS.
SEPARATE PERMITS ARE REQUIRED POR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHOFI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OFi ABANDONED FOF 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
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-I O5Q
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTIO,N. $1.9.00
PLAN CHECK FEE
� 4e 15
SIGNATURE OF CON7RACTOR OR AUTHOR12ED AGENT 1 TEI e. � WHEN PR(
.�� �� �' ,�'�� �
SiGNATUREOFOWNERIIFOWNERBUILDERI ATEI BLDG INSP
������������
Be�are diggi�g call local ufiliti��
TELEP�dONE - ELECtRIC • �A� ���g
R��'IJIREC� gy ���'
�
STAILS
P OCCUPANCYLOAD
CU. FT.
STREET .PARKING
IGARAGES
TAX
$ . 53
I TO7Al FEE
�ZYr 2�
IDATEpD THIS IS YOUR PERMIT
A .d !h . _ ��'d�' 6 Q 9
19�1 I� City oP Fridley Effective 4/1/84
ADDN. [ ] R-1 AHD a-2
AI,TER. [ ] Building Permit Applicatioa
Construction Addresa: r� � ��
Legal Desaription
�
i �
Owner Name & Address : ✓� �� (O ��� ��"��.�c' Tel . � -�`�%�- �� � 5�
Contractor: Tel. #
Addreas:
Attach to this application, a Certificate of Survey of tihe
lot, With the proposed coastruction draWn on it to acale.
DESCaIPTIOB OF D�iPBOYEMENT
LI9ING AREII: Length ilidth Height Sq. Ft.
l3ARAGE AREA: Length Width Height Sq. Fti.
DECB IIREA: Length � Yidth ��- Hgt/Ground l��` Sq. Ft. �
��:I�?3j� .�� - U �►�
Corner Lot []" Inside Lot ] Ft. Yd. Setbaek Side Yard Setback
�
Type of Construction:
Approx. Completion Date:
Proposed DriveWay �lidth If NeW Opening Is Desired:
Estimated Cost: � ���
Il� �. C�f�
Alt. A Alt B
a a
See Back Page for Explanation
DATE: `�� °2 �`� � APPLICANT �" " Tel . # `5�?� �°Zf ��
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Nain Charge
F���
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� ���a
� .�
� �
� `�
� Q✓
a N• �
CITY DSE OHLY
Fee Schedule on Reverse Side
25� of Building Fermit Fee
�.50/a1�000 Yaluation
�425 per SAC Uait
Fee Determined by Engineeriag
Agreement Necessary [] No� Necessary [ J
STIPULATIONS: °
�'19�0 4P��u SPe� G�+ C�uv9� �'�^-
�
� � � �1
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BIIII.DING PBRMIT FEE SCASDIILE
The Chief Building Official shall, before issuiag 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 existiag building or structure, upon applicatio n
therefore, require the payment by the applicant for such permit of fees to the amount
herein belor�► aet forth and in the manner herein provided to-xit:
?qtal YaluaLioa
�1.00 to =500.00
Fees
a10.00 (Minimum Fee is �15.00)
�501.00 to �2,000.00 �10.00 Por the Pirst �500 plua �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 �6.00 for each
additional �1,000 or fraction thereof, to and
including �25,000.
�25�001.00 to �50,000.00 a170.50 for the first a25,000 plus �4.50 for each
additional a1,000 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
E433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIVEiIAY DEPRESSION ESCRO'il
(Concrete Curb Streets Only)
Alternate "A": Removal and replaeement 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 �ide
approach xith 6 inch depth - Drivevay xidth plus 6 feet times �15.75
YERIFICATION OF FOIINDATION
Permits for construction �aill be issued a minimum of 24 hours from the time of
application to allo� for proper revieW of the proposed structure and of the
construction site.
� Certificate of Surveq of the lot, shoWing the location of the foundation once it
has been aonstrueted Will be required before proceeding With tbe framing.
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OPTIONAL RAIUNGS � '�T � a
--� -. .-...n�_: . a � „yr�. `� �yfy�. P - °�, t '��; ��� � � k `i :�,�, �'� y�� .. .,
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TO � 1flC11J�A 8�if1�Aflds� 'BOii �19� T�" t�l Sll�pO� �g t0�119 f 019tS Ofl t�fA •�'
� �eeded to install a railinp around tt� three �� ,� � ��� to ����� ��� 12'
�, �e deCk with the exc�ptbn ot a tlt�e �o0t upen�g for :� �,;°_ side.s as stww� (Ra. 21� Naxt� b�t the two rall suppoR -• =
stahs. -.. s� z- c_ .� next to t� house� to the {edyer with la� boks (see
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c,e� . - . 1. �. ,.t�s �.�;, ,. �, _». . .� .
. V�/�\� �� �� �. �' ,,�;�y� �y��,._ �a�� .. ,- �`k������"+J+�,�+�..,�a �s �� �� ,�y:�,�..� a
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The post ior the slant rail raillnp slwuld be instal�d "°� .. . �'
befote the deCkinp is a�pptfed. ' -_ , Z"a 6" CAP -���,
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4�r- . �.;'�'rei � � sr -• .�'Fi ,�.�p � �`�� ��{.� � a� ����'w�.�, �' !,1iT � ��+ '�,'�R.� �� ' �' � -.: � .'� FS '� � �5 A� - : � $�.qn � �w.:sR'. � 2 �a.; . . .
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C1+ Ji A� fl8�� � r'X B"' a0C�11� b6i1A1A8�1 a1@ � , �.' n � ; ,a,�.. , .y,'F - � ==.; - s;� _sa �, - -
alo� the 12' sides of the dedc. If ycw are bulldi tl� - 4j � N s i
,-, 14' w(d@ deck one set Oi blocktnp wlll aleo be needed '�"°- . .. '��-"�°t��� ` �' '- ''�`:�-�� `� '_ - . '�' ;.,a��, �b�,= �
-, elonp the 14' atde (refer to Flp.19 fw the �o�rect " `
�i� :i � . . �;:� � ��:�� �`�.� : � �� b�.� ��,�e� � .' . �� t �:�., a; .,� x� �; �� . ;
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The stair bcatbns �e only a s�estlon anc! can b� ��� � ��'� � "'� s y = <- �>r �x . � �'
�; . ,� ,� s-
1T10V8d t0 8�1 desired locatbrt Nlake certai�. H ' ' � "�` ; � ' ' . � ..= ' ° ' � ,� ,
�+BIOCStA th8 SteIB, thSt tft@ bbCkift� ia ei80 rt10h�d. ���,,�� �� `��,., �`�` ��`'' '` �� DECKfMO � �j
� �� I� .� �'.� 'F �.��`��.a�,�„a,.'� 4:".. � ��''��y'e��,t'Rn �,�'� Tt��e a '""y.i,t-:�'°�'S.g'� =�.'� s^� , _� � � . . . . 1
- :}' .{'�.. .• ._.' . � .-. ;.>. - ��..t 3'���- �
Cut the 2"x 4" ratl support posts to �e dimen�bn� _� � • ---
shown (Fip. 2a1. � ��.,�� : :� � A:-:�,.�.�-��� �'� HI���,:� a.��.`:�.� � .. �_ `= _ � i
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�
�fi���Cr ���
A �-
, a
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
� �
COMMUNITY DEVELOPMENT DIV.
r j y • � PROTECTIVE INSPECTION SEC.
L� _ ,
--__� ��"" �,� CITY HALL FRIDLEV 55432 NUMBER aev
L 612-571-3450
910-F15
JOB ADDRESS 61�0 Caxol Dr.i�e NeE.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 9 2 �horewoc�d
2 PROPERTYOWNER MAILADDRESS
Herbert fia,l.verson 6190 Carol Drive N.E.
3 CONTRACTOR MAILADDRESS
Bu.ilders & Remodelers lhc. 3517 Hennepin Av
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADORESS
B USE OF BUILDING
Res.idential
7 CLASS OF WORK
bATE PAGE � OF
1/22/90 / �
° _20230
.3 % 9.��'
APPROVED BV
SEEATTACHED
SHEET
571-2196
Z�P PHONE LICENSE NO.
South., Mp�.s. 554Q8 827-5 8i
ZIP PHONE LICENSE NO.
Z�P PHONE LICENSE NO.
� NEW ❑ ADDITION ❑ ALTERATION �p REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install s.offit & �a,s.cia
9 CHANGE QF USE FROM
STIPULATfONS
TO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST.
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi 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 FEAD AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVIS�ONS OF LAWS VALUATION
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED
WI7H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 �800
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHEii STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PEi;FORMANCE OF CONSTRUCTION. $54.00
�
STALLS
C
P OCCUPANCYLOAD
CU. FT.
STREET PARKING
IGARAGES
TAX
$1.40
�v vnc�.n r�� TOTAL FEE
$55.40
SIGNATUREOFCONiRACTORORAUTHORI2EDAGENT IDATEI WHEN PROPERLY V I�ATED THI IS YOUR PEF
��iGNATUREOF OWNERiIF OWNER BUILDER� IDATE� � �
BLDG INSP �pT
� [l
� [ l
AL'1'F�2 (S�J
C'onstxucti� Addres.s:
R-1 AND R-2
Building Permit Application
Effective 1/1/90
Laga1 Description: C.._p i �, �-e. � , �-7--�z�lZ �,e.�����
Owner Name & n�,.�: � � � � �-� � ��Sr n l � � � r� 1� � �I�° Te1. # �' 7/ - � / ��
CbI1t,Y'dG'tAr: � r ] `s � c� � �r_c � � P th �s r1 0 1 � s- c � � � � 'I�21. # �'� %—_��P� /
�' � S 17 �-i e�� ' n (
• , �» R �° � � /s � �1 �� /� �
Attach to this application, a Certificate of Sutvey of the
lot, with the proposed con.stxuction drawn on it to scale.
i'• �ilW �� 1��1i
C�IR�GE ARE�i: Lexlgth
DDCK AREA: Le.ngth
OTI�R:
��� �«� ��%T ��� � � �y�:��,�)��JIy1.711jy
�71U 6i l
Width
Width
i1C���
Helght
Hgt/Grauld
�•. S 1..•
Sq. Ft.
Sq. F't.
Cort'►ez' Ir.�'t [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Z�pe of Construction: JD� i i q�c�C : c� Fst3mated Cost: $_��'�L�. CJ /)
Approx. Cc��pletion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
���S ��g FI 1� �J . Width + 6' See Back Page
n�: _ � i � -' ca �Pr�ca,rrr: ' z�e1. # � � '? °�� ��
Permit Fee S S�I o ��
state sumharge $ 1, t� p
SAC Ct�arge $
Driveway Escrcyw $
Park Fee $
sewer Main criarge $
• v
S'I'IPlJIATIONS:
� j
CITY IISE �TI,Y
Fee Schedu].e on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Abave
Fee Determined by Engineerirxl
Aqreement Nec,es.sary L l Not Neoe.ssaYY [ l
.�
%��� �
1
_���■ � i. .�+;���Y ��" r�:i�+� ��i+�
Zhe CY�ief Building Official shall, before issuirig permits for the erectian of any
building or structure, or for any addition ta ariy existiiz9 huil.di.txJ oY' structure� or
for arYy alteration or repair to any exist�ng buildirig or structure, upon aPPlication
therefore, require the payment by the applicant for such permit of fees to the an�ount
herein belaw set forth and in the manner herein provided to-wit:
Z�0►rAL VATITF:
$1 to $500
$5oi to S2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
��
$15 (Miniamm� Fee is $15 plus surcharge)
$15 for fizst $500 plus $2 for each additional $100 or
fraction thereof, to and isicluding $2,000
$45 for first $2,000 plus $9 for each ac�ditional $1,000
or fraction thereof, to and including $25,000 __ _
$252 for first $25,000 plus $6.50 for each ac'�di.tional $1,000
or fraction thereof, to and including $50,000
$414 . 50 for fi.xst $50, 000 plus $4 . 50 for each ac�ditim�al
$1, 000 or fraction thereof, to and i.ricl�is� $100, 000
$639.50 for first $100,000 plus $3.50 for each aclditional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each a�ditional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRZVEf@�Y DEPRF�SI�1 ESC'�mW
(Concrete Curb Streets On1Y)
Alternate "A": Remaval and replace.ment of curb and gutter only - Driveway width plus
5 fe�t �une.s $13.50. _ - --
Alternate "B" : Removal arid replac.emexit of curb arid gutter and inst.all a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
� 91' � M• •) •' � 11 I�,� �i
P�ermits for construction will be issued a min.im�an of 24 hours frc�n the time of
a�lication to allcxa for proper review of the proposed structure and of the
construction site.
A Certificate of Sur.vey of the lot, showing the location of the foundation orn� it has
it has bee.n constructed will be required before proceeding with the fxam,ing.
p a SUBJECT
c�ty Ol FI'lU�ey PERM _ ^,
ATTHETOPOFTHETWINS gUILDING PERMIT ��0��
i �
' ` NO.
COMMUNITY DEVELOPMENT DIV.
r j y � PROTECTIVE INSPECTION SEC. �� A� �
� • i /
l_-_- � ��"��,,, CITY HALL FRIDLE� 55432 NUMBER REV. OATE �AGE Of APPROVED BY
i �� 612-571-3450 910-F15 10%4/91 / /
J08 ADDRESS 6190 Carol Drive NE
1 Y LEGAI. LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 2 5horewood SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Herbert Halverson 6190 Carol Drive NE 571-2196
3 CONTRACTOR MAIL ADDRESS 21P PHONE IICENSE NO.
Builders & Remodelers 3517 Hennepin .�ve S, Mpls „ MN 55408 827-5481
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIIADDRESS ZIP PHONE LICENSENO. �
B USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reside II� Dwell.i�ng
9 CHANGE QF USE FROM TO
STIPULATIONS
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 SO. FT. CU. FT.
. AUTHORIZED IS NOT COMMENCEO WITHIN BO 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 I. STALLS GARAGES
AND KNOW THE SAME TO 8E 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 $31500 $l.']�j
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. SG3 . OO F].�.'E SC $3. rJO
PLAN CHECK FEE TOTAL FEE
6 .25
SIGNATUREOFCONTRACTORORAUTMORIZEDAGENT IOATEI WHE PROPERL V LI T T I IS YOUR PERMIT
. �
SiGNATURE OF OWNER tlF OWNER BUILDER� IDATEI INSP � fl TE
�` � � Effeckive 1/1/90
°� I � R-1 AND R-2
`�'T� � � Building Ppxmit Application
Construction Address: 6190 Carol DR NE
Laclal Description:
��& n'' �: Herbert Halverson 6190 Carol Dr NE �e].. # 571-2196
Contsactor: Builders & Remodelers, Inc. 3517 Hennepin Ave S 7�e1. # 827-5481
�= �517 Hennenin Ave S Mnls MN 55408
LI6�IItG �:
Q►,R�E AREl�i:
DF)CR ARF�:
d�:
Attach to this application, a Certificate of Sutvey of the
lot, with the proposed c�nstxuction drawn on it to sca].e.
�ESCRIPTI�T OF
� Width �?�w�:t S�. Ft.
�9� Width Height Sq. Ft.
�� Width Hgt�Gro��d Sq, Ft,
CorT►er' Io't [] Inside Iot [] Ft. Yd Setback Side Yard Setbacks
'I�pe of Construction: residing ��� �• $3500.00
Approx. (b�letion Date: 10 20 91 �
Proposed Drive�ray Width If New Is ired; Ft, $ $
DATE: 9/25/91 idth + 6' See Back Page
���'r: �. # 827-54�1
CITY IISE �Y
, \Permit Fee $ .p� •��� ��F� ��e on Revexse Side
�� ���e S_ / , `���" �' S.SO/$i, o0o vaivation
`SAC--fi,�rg-� /- ��� S �. S�C' c�$600 per sAC vnit
�3L�-a� F-�'�w $ Alt. "A,� or Alt. ��g�� Above
Park Fee $ Fee Detexmined by EingineeriricJ
Sewer Main Criarge $ Agreement Necessarl' �] Nat Ne�saxY [ 7
• v_
S'I'IF�I]IATIONS :
$ � �`
c .a��
�� �
�� 6 L�--
2. �' �
r
7 J
�
��
�
:�� � . . • �+-� � � �- : «:��+.��
The Clzief Building Official shall, before ���+» *� permits for the erectia� of any
building or structure, or for ar�y addition to any existincJ l�ildincJ or structure� or
for ar�y alteration or repair to any exist9ng building or structure, upon al�lication
therefore, r�quire the paYment bY the ap�licant for such mr+�►; t of fees to the am�nt
herein belaw set forth and in the marmer herein pravided to—wit:
'I10►rAL VAIIJE
$1 fiA $500
$501 to $2,000
��
$15 (Minimna�n Fee is $15 plus surchazqe)
$15 for fixst $500 plus $2 for each additional $100 or
fraction thereof, to and includ�ng $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and incl�cling $25,000 _ __
$25,001 to $50,000 $252 for first $25,000 plus $6.50 for each ac�itional $1,000
or fraction thereof, to and iricluding $50,000
$50,001 to $100,000
$100,001 to $500,000
$414.50 for first $50,000 plus $4.50 for earh additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $100,000 plus $3.50 for each ad,ditional
$1,000 or fraction thereof, to arid including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each ac�ditional
$1,000 or fraction thereof, to and includirig $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each a�itional
$1,000 or fraction thereof
DRIVEWAY �►EPRESSI�T F.SCLmW
(Concrete Curb Streets On1Y)
Alternate "A": Remaval arid replacement of curb and gutter only - Driveway width plus
- -- - - - �����_t�meS_ ��3.50• — -
---
Alternate "8": Remaval and replacement of curb and gutter arid install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VF,it�'IQ4TION OF F�DIII�IDATI�1
P+ermits for oon.stniction will be issued a mini�rnnn of 24 haurs froan the time of
ap�lication to allaa for proper review of the proposed structure and of the
car�.struction site.
A Certificate of Survey of the lot, shcxaing the location of the foiu�dation once it has
it has beFSi constructed will be required before pra�eding with the framing.
0
SUBJECT /
City of Fridley �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� �
; `v __��_ COMMUNITY DEVELOPMENT OIV.
r � � PROTECTIVE INSPECTION SECc
l_-__� ��"" �'� CITY HALL FRIDLE� 55432 Nu�teER
t 612-571-3460
910-F15
JOB ADDRESS 6190 Carol Dr NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 9 2 Shorewood
2 PROPERTY OWNER MAIL ADORES$
Herb & Ma.rvel Halverson
3 CONTRACTOR MAIL ADDRESS
PTL Contracting 2526 N Ferrv St Anoka.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL
6 USE OF BUILDINI
Residenti�
7 CLASS OF WORK
NEV OATE
9/15/98
ZIP
PAGE OF
� ��
P
' 2777 ?
CEIPT
���d�
ApPROVED BY
SEE ATTACHED
SHEET
J/1—G170
PHONE LICENSE NO.
'3-7400 5294
PMONE LICENSE NO.
PHONE LICENSE NO.
❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOYE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (21SQ) Tear-off
9 CHANOE OF USE FROM
TO
STI PU LATION S
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, ���'t vF ovnsr. OGGUPI
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WOFK OR CON3TRUCTION ZONING SO. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTEH WORK IS COMMENCED. NO. OWLG. UNITS
I HEREBY CERTIFV THAT I HAYE READ AND E%AMINED THIS APPLICATION STAILS
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALl PROVISIONS Of LAWS yALUATION
AND OliDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1,799.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �SC).7S
PLAN CHECK FEE
Lic C $5.
SIGNATURE O CONTRACTOR OR AUTMORIZED AGENT IDATEi ..�. ...... .....
GROUP �OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
IGARAGES
SURTAX
$.90
SAC CHARGE
Fi � SC $i.80
TOT FEE
$64.45
'T; IS�UR )��ITj
/ 4
NEW
ADDN
ALTER
[l
[l
r�
Construcdon Address:
Legal Description: _
Owner Name & Addr�
Contractor: ��
Address:,��f �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Builciing Permit Application
Effective 8/1/95
�� � �
�� �p�
Tel. # ,�%/ , � ��_
MN LICENSE # , � 29�
Tel. # �� `� D'�
Attach to this �pplication, a��rti�cate of Survey o€ t�e
lot, with the proposerl conshvction drawn on it to scale.
DESCRIPTION .OF IMPROVEMENT
Length � Width Height
Length Width Height
Length Width Hgt/Ground
� � �—._. _ _ _
0
�
�
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [] Inside Lot [] Ft. Yd tback Side Yard Setbacks
Type of Construction: �� � a� Estimated Cost: $ ���— / _
Approx. Completion Date:
(Cost on Back)
Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE; �_ APPLICANT: _ Tel. # %�?°-�`�3�,
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Patk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � .
$ /,vr�
$ Q
$
$ �- f�D
$
$
$
$
$ , �.i
CITY USE ONLY
Fee Schedule on Reverse Side �
.001 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Deter�mined by Engineering
Agreement Nec�ssary [ } Not Necessary [ )
8
BUILDING PERMI'T FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or shvcture, 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,�1 to $50,0�
$50,�1 to $100,000
$100,001 to $500,000
$500,001 to $1,000,0�
$1,OQ0,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5� plus $2.75 for each additional $100 or
fracdon 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 ea.ch additional $1,OOQ
or fraction thereof, to and including $50,000
$574.75 for first $50,OW plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100, 000
$887.25 for first $100,000 plus $5.00 for each additional
-$Y,� or-�raction thereof, to and includmg�00,000
$2887.25 for the first $500,0� plus $4.25 for each addidonal
$1,000 or fiaction 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 times $13.50.
Alternate "B" : Removal and replacement of cwb and gutter and install a 3 foot wide
approaeh wit� 6 inc� depth - I3riv�way wid�h plus 6 fe�� time�s $15.75.
VERIFICATION QF 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, showiag the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
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