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AF - 35676:3� { ,� x ,i.-:. �y - � � -r.�:v. .sa -- � fi: �•*�cm: � .''� € '�'1: M� +� - — . � ��T = - - .. t � - c � �. i y, � � �� ec`� �-� a � , } � ,;k ��e �i1� ��l��y� �.11. t , , �,� �r , � .� ,, � � �� '� �� B`[JI�TNG P��t�V.i�'T' �° �� 4 , � � _ -1 - �� D�te �; . - „�`"�,.� . . �,� ;� 0:6!`vt��r Bti#1cler . �� '` A�r2ress . A$ilress .,�;�, �.� � � �i i _ , '= ; � !, ' ,: I..O '`�"I flF ; Bt.TI�ti1i�C r�� .��. :� �!� } � I\ � . , s�� . , Y ��► � p� Q�. . . . . - Lci� .±� Blt�c .� Addi�ipn t�r. Sub l�svf�ion - ` '• • ..: . � �� , ;. . Gojrner Lot .� Tnsa�de L�t Setb��k +w� .� �idey�azd " : �+'. �.� ��`.'!� - j ; t 1 :," - '� DE��iIPTt�t�1 Q�F' �3�liL�3I�[C 1 T� � us� a.� � � 1 ,�� «��; �. ��on�t �,� , �Ptn '�' �� x�nt �s � � i�t. . cu. r-�.I �, - �' �` .... : .. � _ �• -�. l :1 . � . �`ron� i7�ii1� „ �'� "Heigi�t sq• �'t . .�u Ft. � , f !` :. �' Tyi�e of Gor�stxuctao� : �''�';�' � +�, �t; �s� _ '1'0 �ae �+C�smple�ed .. ;�; �;�� ,�".�'�` j : � ,._. , __ , � _ ,� :� _ . , � �� _ . f :� �: � `� �� ' ; = k - ,' � � I� � ` ', : � � i�� ,,,': �: � ` _ �'� — f J . i _ d .i,i j� t � � I ` i' Tn �or�eration o� the is�uance tdi�! m� af a Perx�it -to cansiruEt Yt�i� b�ding +de�s�it'E�ui 'ab4ve. �, ��ree �a da 1; �h� P�P�d vv�rk ir� aerArdance wi#� :thc de�iption atanve-'set forth anc�'in coxnpii�ce v�d� a� Aitsvi�ions of -• '; �r��nces� af #he viilagc � o� �'rii�leg �s _ �,. , . ll a� � _ ?# ,�,` ' - - � - - - i� \ M ♦��• �is ♦IV.� �`�� •�• . a �,1 • ,.. . . ..� ♦t I � ,�„ � ' .n'. � .. ;. , ' ` ' •♦ I �..�� . . �. :�� _ '�� Yn �oxisidera�itsa 'o� th� pay+ment of $ f� at $,,,��,'�^ �•., A�� is �ereby to ; , , m . , ' . - � - =.t - _ _ . ,. . . ..,w .. .�._. : . .'' ° . , : to ,consiruct the fi��g or a.d�ittt� .as iTe�ibea a'bove. �'his� p�dit:is �ted ui� � t�e�;e�pres� �nditaon thai �kte.�Serson to vahom,>i�.3s graaa%d aa�his'agenis; .employees`at[ci wt�k�tiea�, ir� al� �rk done uz, srow�d and upon�said buii�cIingr_-c�r �".. '�rt therea�> , shall cc�n��tl i� a11,.r� tar" tii� �t��if�anc:es of _: �'ri¢te3'. M'innesota reg�rding Iocai�on, const�ucti�o�i, alteraatlore, mtt�ntenance. ,'r�ga3r -aad .t�so'sfiug af bufldings �wif�i `_� ir; f,�e vilkage IiYnita �td thi� �rerrn�t �nay� t� re�tii�ed at any i�ine apon viol�'Eirm af an� nf i#e provision� aP safd ordtnarts�s: i .. , ,. � _ . t t i - , 4 �; ' ' �. = � � ; �- . .' .. ; � ° ....� ,. ,.. [. .. ,, , .,:..-. _, � — — — ' — ";�=.4 3 ! �110'f14',E. ' , �� - , ' : ' �. � _ . - ; ; :e� � : �� ; 7hts.�errr�it dtoes qofi ceiv` e c+�ns�rac�lon, litstatlafion ar�atteratla� f�or .�irtg,�glvmbin�, gas Ti�ting, ; �war or v�rater. �F�s sF��e #o s��v"� E#uiicltn .•f - � r � � -� � � � rrspeEtuir fo� separate perfni'#� � e�e i�ems; � _ ;. � I ATTENTION OF• -- --_ _. � CITY OF FRIDLEY I � _. _ ___ __ , To 6431 University N. E. . �� v -- ��M� Minneapolis Minn. 55421 , , _.,...__. _._ 612-560-3450 L.._.... _ ... ._ _ _.. .. .. __ _ _ . _. ____I SUBJECT f�/�� "�'' DATE �` 0 � � _.. .... . ._.... .. . __ . _. _._ _ .. _. ___..__.. .... .. '/ _... .... ..... ......... .��_ �ty`� .�v�d.. _ . _._ _��..........��l�,�S � _ _ _ � _.r� .. . .. _..... . _ . _. G!� .....__... _ _... _... _ _ _. . . � _ .�� _ .. __ , _ __._ __ _ � ..._ _ _.. _. .._.... _.. . . _ .. ...... . _ _ _ _ _ __.... _ _ _ ..... ..... _ _ _.... _ __ _ _ . _ _._. _ _ _ _ _ _ _. ...... _ _ .__ _._ ____ SIGNATURE REPLY: _ _ _________________________ __ _ _ ................ . _ _ _. . .... . _ __.__. _...._..._. _. __ . _ ...... .. . .... _..__........ __... .. _ __ _._ . DATE,_� � �� ` 7 � SIGNATURE ., ,� � c.�, r �. � SUBJECT c�ty of Fridley � � °� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ° 12859 r COMMUNITY DEVELOPMENT DIV. EIPT NO. � � � ; �� _ �� r j ; PROTECTIVE INSPECTION SEC. i �' /�'�1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""� � ,�� 612-560-3450 910-F15 2/25/75 � � 108 ADDRESS 6220 Carol Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Shorevsood SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Hanson 622Q Carol Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair fi.re dama.ge to structure 9 CHANGEQFUSEFROM TO • STIPULATIONS ��ER�0.TE PER�DITS REQ�JIF�Et� FQR t+�iRif��°� ;--?�R�P��, PLtJM�IiVG A�f� S6GN�. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. TM1TOOCZ FY3IIl@ 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 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R]. 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 $2 � OOO �..00 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- STFiUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $I.Z.00 PLAN CHECKFEE TOTALFEE $13.00 SIGN URE FCO aAC aU oAiZEDAGEN7 (DATEt WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT + � � � C�12�.� - � _ �I ATUREOFOW ERII O NE 8 ILDERI IDATEI BLDG INSP ATE AP.PLICATION FOR RESIDENTIAL, ALTERATION; OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_�G�f Q'✓ ql h./L�B I DER: �� /�1 °� ADDRESS :�ofo�O v_�1�0 I , Y, ADDRESS :__ S�I M� N0: . �, O STREET:_1...�'�l �� I Y�° i LOT : BLOCK:_ � ADDITION : � � Y � �O o �/ CORNER LOT: � INSIDE LOT: SETBACK: SIDEYARD: Applica.nt attach to this form Zi�ao Certificates of Survey of Lot and proposed ' building location drawn on these Certificates. HESCRIPTION OF BUILDING �' To Be Used As; � � , t 1/ °�- 1� Front • Depth : Height • Square Feet: Cubic Feet: Front• Depth• Height• Square Feet; Cubic Feet: Type of Construction: Estima.ted Cost:_$ �G�-� To Be Completed: The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Departme of Buildings, and hereby declares that all the facts and represen -ions stat d in tliis a plic io� are true and correct. �^ � � � n na�: J�% sicrr� (See Reverse Side For Addi:tional Infoxmation.) � ��. �-�� /- � ,!�— �=�"��y�� w ,�: '.i 0 A � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structuze, or for any alteration or repairs to any existi.ng building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth a�nd in the manner herein prwided to-wit: iTNI,FORM BUILDING CODE: Type 1, 2� 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each ene thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average � •height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate af $3.00 per each five hundred dollars (,�500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth i.n Section 2 be less than $5.00. V�.RIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten.(10) da.ys prior to the use or occupancy of any structure for which a building permit has been issued; and said stxucture shall not be us�d or'occup3ed until a Certificate of Occupancy has been issued. , .� � � � � � d � � H � �. . �• • ,'O�i . �. • � • p . 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SNW4S. noo� OMINS UTC7� f i 6A51 HS 0 � AUTO �%AS►4fR � G r�. „�.�. '� � �� RA►dG[ ' G�S '. . OPEMINGS � o Z • �� N > z � D � N r � n" ' ❑❑ 1 � 0 iJ' � , � � y � t a. o. � � � �. x C � �C tl � � � N a 0 �� s � � � M O r. R � � � a 9� .�ro � Q � � � � � � e� �' • � � y (i� � � � ta � � � � � a � ' � � � � � O � 0 °� � �' � � y A � a ro � � o v��a� ~ e'� d ' :? �� w h� � � � �. Y � �`° oA5 ' � � � � �. a� ��,a� o ., �. � �, �. � �� ° a� " co�'� m ti€nm � �wti �� $��m p, y C 0 eia°� �'�,o I ��" . ��.�E� a �''� " a�� o ', � ~ K r � � A j`� 3 2 � .� 0 � � � � �� 0 �, � � � � � � � ,` , �' � �� 4,' �� : � �; �: � � � r :� � � �" x; �;, <u ,� ' 3 s �' � � � � � �a�� " n � 9 � � � � � � � �,e� b9' � � � � � �� a � � �"�' � � � � � � � 6 �� i � � � � � R� � � � � � � � N � N � �� I � � � O � , i� � � � _� � O A�i � � � � �. o � � � � I o-� �° � � a �� P� i � � �b � � � � � Q �._ � � � � � � �� - �� r � � � � < � I H Ce W c� � W � � � � 3 `� O � � O j F e� p � � � � ro � � � � �'i �J � I� � � � � "�9 _ � � � °� � � � � � � 0 �� v � � � p � r: �. � *' .,q: ^S � � � � �, � � � � m� a a � � � W � � �- � o � � � �- � .� e� � k° � :: � � � � d � ! � � � � o � �e� � � iA s. ��c.j] � � .f1 A d'v m ': � H ��.y � V R_s � � 0 � �� y <98 w :.a a a � � � `�' � � � w � � � �' � � � a O � � 0 � � 1 [n5 C � 3 b � � � � Q � � � � � � � �� a� � � � � � � � � � � � � � � � C7 � � � � n � � � � ' g � � � m � �* � � � ew � � � � � � � � � l� w w �.w o � � � � � � � O � � � � a � 7 � � � � � � � � � � � �� A A � � � � � � � � � � � �� os o �. �' � � � . � • � �w o. oa o � 8 � � � � � 01 0/ V1 �%. a. � � ��K� � � ... �D � � � �' a � �p�� t� A, � n ��.�. � y �� ,.v'., ti O ro�« 0.7 a�p a> � �=`� y w'�'I W �� qs G ... � 'C1 ". � q+ G: G •�7 n �' �'� � �tn f� h � p � � � � � � � � � " �'" �� . � �� T�.. � ��r� ., } _.. i� z_ � 1 3 t� �: �� J � �� °� `� � �� c: r: �� a �� r� � ��s �"; �� ' �' ,� G� �i.� �� fl3+'$@ o-d �'=� �� ;� � � �� .:� g.� �, � � �� r, � � + � � � �� ,R �'�� y�? nn �'Y 5[�N n::�9 � �, .S �� -a ca �� %i e ;� � �� '£� e� � ='f ca �'„� � � �� SUBJECT � -�° City of Fridley P AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� f i � � ` PT NO. ; i L______ COMMUNITY DEVELOPMENT OIV. r � � PROTEC7IVE INSPECTION SEC. �� , � � � �"'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVEO Bv �----�: ,.� 612-571-3450 910-F15 6/28/95 / / JOB ADDRESS 6220 Carol Drive NE 1 LEGAL LOT NO. BLOCK THACT OR ADOITION SEE ATTACHED DESCR. 2 2 Shorewood SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Ardis Hanson 6220 Carol Drive NE 571-7935 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Rsidential 7 CLASS OF WORK ❑ NEW � ADDITION []. ALTERATION 0 REPAIR O MOVE ❑ REMOVE 1i 8 DESCRIBE WOHK Change living room window to bow window; new front door• n.ew garage entry door 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB�NG, HEATING, VENTILATING OR AIR CONDITIONING. THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAW5 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z�OOO �L.00 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 S.00 Fire SC Z.00 PLAN CHECKFEE TOTALFEE $48.00 SiGN Tua FCON A 10F7 RAUTHOAIZEDAGENT IDATE� WHEN PfiOPE LY VALIDATED THIS IS YOUR PERMIT I � ��r.�� %y/ ` � r�v � • S�GNaTURE OF OWNE il OWNER BUILDERi �DATEI f B G iNSP ��h E NEW ADDN ALTER [] Ll �� Construction Address: Legal Descripfiion: Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �� a �0 LIVING AREA: GARAGE AREA: DECK AREA: C��a ✓ OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawa on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Len�th .� S� � Width �Q � H�t/Gi Effective 1/ 1/95 �S/ � i ei. � ,� // "/ �".S�S � ;ENSE # �°i+��`.3�3 Tel. # _ Sq. Ft. '� � Ft. _ �1• S�D �—°- U �v � u - - . _ _ _ __ _ . Comer Lot [] Inside Lot [ j Ft. Yd Setback Side Yard S� ks Type of Construction: ,S' ' eS Estima.t�d Cost: �� Approx. Completion Date: ° � � �� `� {Cost on Back) Driveway Cusb Cut Width Needed: F. 6 t= F x$ _$ DATE: � � � —�,�APFLICANT: r Tei. #�� 7%J � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Con�rol Park Fee Sewer Main Charge TOTAL STIl'ULATIONS: $ � . $ � a� $ la `ac� $ $ $ $ $ $ � � d� u CITY USE ONLY . � %�� r- Fee Schedule on Reverse Side .001 of Permit Valuation {1/lOth%) '�'°'% $.50/$1,�0 �7aluation � � $850 per SAC Unit --�. $5.00 {State Licensed Residential Contractors) � � �� Alt. "A" or Alt "B" Above ` ��ti� $450.00 Conserva6on Plan Review � `' - �� Fee En �� Determined by gineering Agreement Necessary ( j �tot �tec�sary [ ) c� � �, ` �, � � �G 't�� i3UtLDING PERMIT I�[31's SCHEDCII_E 'I'hc Chi�f 13uildin}� Ofticia( shall, tx:iorc issuing permits for !hc ercction of any building or strvclurc, ur ti�r any a�lclitior� to any cxistin�; building or structure, or for any allcration or rcpair to any cxistin�; I�uilcii►ig <�r- siructure, u�n aPplication therefore, require tfie payment by tt�e ap�licant for such permit c�f tccs t<� ttie 1tt►iouni hcrcin t�clo�v sct f<�rth and in thc �iianner t�crei� providul tc�-�vii_ "i�0"I�AI_ VAI,U1: � 1 to $500 $SOi to $2,000 �2,001 to $25,000 $25;001 to �50,000 $SO,t?01 to �100,000 $100,041 to �SOO,Q00 $500,001 to $I,Q00,000� - $ I,000,001 and up rr_i� $15 (Minimum Fc:c is $15 plus surcharge) $13 for ficst $500 plus $l for each additional $100 or fraction thereof, to and includiag $2,000 � � $45 foc fust $2,OQ0 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 � $252 for first $25,000 pt�s $6_SO for each additional $1;000 or fraction the�reof, t,a. and including $50,000 $41450 for first $50,000 plus $4S0 for each additional $1,000 or fiacti� t�eof, to and inclnding $iIX},OOQ $63950 for €irst -$lOQ,� p1us� $3_50 for each additional. $1,OOQ or fradion ther� to aad inciudiug -$500,000 $2039.50 for die 5rst $500,040 pins $3 far each additional $1,000 or fradioa �eof, to and including $1,000,000 $353950 for the fust $1,000,0(}0 plus $2 for each additionai $1,OQQ or fractiou ii�ereof - DRIVEWAY DEPRE.SS[ON ESCROW (Concrete C�ui� S�eets Only) Alternate "A": Removal and replacement of curb and gubter only - Driveway width plus 6 feet times �13.50. Alternate "Q": Removal and replacement af curb and gubter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15_75. VCRiFICATiON OF FOUNDAT[ON Permits for const�uction wiil be issued a minimum of 24 hours from the time of ap�lication to atlow for pro�er revicw of thc: propc�sui structure and of the conttnuction site_ A CcrUlic:�te of Su�vcy of tlie lot, showing the location vf thc founclation once it ha� it has t�een constructeei �vill be rc:yu+rexi before procc�ding with the framing_ , �� ,� e i 'J - I I .� ti� � `l � f 1 _ _,� �, . _ C�� /�'—^ � � � r'. ' . `'. �"F �/� � � �� , �� ;, �� -�-� , � ,. �� `` �� ,��C�' G��1�1 y� � ,g \J�''.g� ��'� �� ,1 � �s.��`� c�� ; " � �� ; v J�`� ;. �!f� �e /��' ` � �� -� �� 5' D�P1t�l�C�C � vT�L1_. �SMT . �J �� ' �� '. � r` ��' 1: i��' .;� �� ' , , � �,,,, �' �? �' � ��. � �� __- - • Y 6 µ „ ' � ��`� L/ ..We i�ereby cert�ly that we have made ajd'tf a�t��e(r-e�-arehno��rcroaylhmpnits-un�es�e�dica edt�the�eon:pThis �I.�t I��c�!l�on ol 1he �mprov�rnents tliereon, a . t:c�rt,f,cate are fur mart};a�e purposes oniy." 1 •� � f � .. ' � , ► � � �� --- v , . f, � f, � � � i- __—�- �r -�:�— � . � �a `� � . � i ;�� sf� � �z�� ,�. ^ �� SUBJECT City oi Fridley PERMI . , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� r � � � � O. � �y-- COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� + � � I i l---_ A��'��1,,� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV i �� 612-571-3450 9t0-Ft5 8/30/95 � � 10B ADDRESS 6220 Carol Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Shorewood SHEET 2 PROPERTV OWNER MAIL ADORESS ZIP PHONE Richard Hattson 6220 Carol Drive NE 571-7935 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Steven Lee Co 9465 Irving Ave N, Brooklyn Park MN 55444 424-1198 5758 4 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 O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF LAWS yqLUATION SURTAX AND OROINANGES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT W 1 a 6gO �, 8L} 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. �S�F.00 Fire SC �1.6H PLAN CHECK FEE TOTAI. FEE , � -jc'` �'� License SC $5.00 $61.52 SIGNATU�7EOFCON'RACTOROAAUTH0�71ZEDAGENT IOATEI WHEN PAOPE VALIDATED THIS IS YOUR PERM�T / - - � �-� SiGNATURE OF OWNEFl iiF OWNEA BUILOERI iDATEi B G�NSP qATE NEW ADDN ALTER � a Effective 8/1/95 I � CITY OF FRIDLEY I) SINGLE FAMILY AND DUPIj�XES R-1 AND R-2 Buildiug Permit Application Const�vctionAddress: 'o °2� � � � � � f �� Lega1 Description: Owner Name & Address: �� .-- � Q,,, .s � y Tel. # � �/ — � ��.5 Contractor: ��, �-� �� _ M1v LICENSE # S� 7 S`�_ Addtess: % i° 6 S ^ � � � , �� 1�•.•,-� /� , ��Tel. # �-/oZ i - // %d� Attach to this application, a Certific�te of Survey of7tt�e lot, with the proposed consbruction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. �ECg AREA: Length Width Hgt/Ground Sq. Ft. OTxER: �' �-e. � � �� t o ...�� - � � �- � � � J-. 7 '-� ��- �� Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Ty� of Construction: Estimated Cost: $ ��-��--- Approx. Completion Date: �� C� (Cost on Backj Driveway Curb Cut Widtb. Ne�led: Ft. + 6 Ft = Ft x$ _$ DATE: � ��-- iJ APPLICANT: - --- .�—`,� Tel. #�— l % �� Permit Fee Fire 5urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE OATLY $ �'`� �l� Fee Sch�iule on Reverse Side $ %- �c �° •001 of Permit Valuatian (i110t�%) $ ��``� $.50/$1,000 Valuation � $850 per SAC Unit $ �. �..`Y.� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Nece.ssary [ ] $ / � �� .. .. .... .... .........................,,•.....,.,.. K........ �......,,,.,�,,,,,,,,,,,,.,.,,,•. �.., �.,,.,.;•.,;.c.c•:,.,;•a,;,;,:.•;•;,o.�:.v..n r:»�;>., o a:: a:>;�ir::;: ;r�: u.: �n.�:,:,r,<,: BiJILDING PERMIT FEE SCHEDULE T'he Chief Building �fficial shall, before issuing permits for the erec6on of any building or structurE, or for any addition to any existing building or structure, or for any altera.tion or repair to any e�sting building or stxucture, 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�d to-wit: ` TOTAL VALUE $1 to $5� $501 to $2,004 $2,001 to $25,000 $25,�1 to $50,0� $50,001 to $100,Q00 $100,001 to $500,(�IO $500,001 to $1,�,� $1,0�,001 and up M�•� $21 (Minimum Fee is $21 plus surchargej $21 for first $5(� plus $2.75 for each additional $1� or fractian thereof, to and including $2,(�0 $62.25 for first $2,i}OO pins $12.50 for each additional $1,(�l0 . " or fractio� thereof, to and including $25,� �349.75 for first $25,000 plus $9.00 for each additionat $i,000 or fra.ction th��f, to and including $50,000 � $574.75 far first $50,000 plus $6.25 for each additional $1,� or fiaction ther�f, to and including $lOQ,000 $887.25 for first $100,�0 plus $S.OQ for each additionai $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $i3O�} or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,OOQ,� plus �2.75 for each additional $1,�0 or fraction thereof DRIVEWAY DEPRESSION ESCRUW (Concrete Curb Streets Only) Alterna.te "A" : Removal and replacement of curb and guttea only - Driveway width plus 6 feet times $13.St3. Alternate "B" : Remoeal and replacement of curb and gutter and install a 3 foat wide approach with 6 inch depth - Driveway wicidi plus 6 feet tim� $15.75. VERIFiCATION OF FOUNDATION Permits for construction will � issued a minimum of 24 houts from the time of application t,o allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showiag the l�ation of the foundation once it has it has �n constructed will be required before proceeding with the framing. � D � � m (�D -' Z � O � � m � � � '� O u' m Z . � � m o � � � Q � N o m � � -a = cQ � � v � o � � � . �o � N o m � � m Q � 3 O � .: u .. ►� � � D n Z � Z � v Z Z Z n ` -1 Cn 'o O O � m r u� �z � ; � � m �- -i � C/� � m � � � rr- m O � � c� �� a m � � � � � � � � � rn � \ n m � � o r � `� S � I � n � '-_� N � Z � � Z z 0 _rt � a� � � `� ¢•'. � m t � � d �� !. � � � Z _ � z � � � Az -< C� 0 � � 0 � � � � � �. m Z 3 .(D 2 � rn 0 � � fND z 0 � n N � \ � o � c � m � o � v � .� �. N� � � m 0 0 �- ��D o p O � < c 7� m � o �, D �,. '� i� � � l� � m o �''• -. o � o � � � -� O Z D � � Efl 69 � � � o m — �- o �� z � � m � c� c � N _ o � � � ci m o � 7 � 7 (�D � ❑. (n A�i � � � °' � o j� 0 � m O -, � � �-? r • .. � n O q 0 � �' � I D U� m � � � � m � � N � w � tc7 m � t4 � .CNJ1 O O O O O cti � D � � �' `��a � � �7 n �D co �D n� � ~; a� ��`n � 3 �, Q � � � � � C � � O � � �' �, n m W �D � � � c � OD � � � � � m. `� I � � o �o � O O �r (D b9 t� Efl <-fi � 0 O � � m � � � n 0 � � O �� D rn � � � z O �� C 6 � C � m 0 � 0 O � � � m c -o � � � � � �N�= � o � � r. � � N W �, � ��.� Q � Q-� � � � O � •o� �' �v�-,'�"� N a � � su � o m n•Q�� o � � � � fD .-�•. � `� n � " c�p O O N pj � tu -. a � � � � o �'. � � s � 3. m s � � n `° '� � `� ° � o � y � n�p- N � fl. fn (�D 7 � Q � � n 2 m v C m O � 0 0 � m � � � . CAIlVINEy AND STACK VERIFICATION The undersigned herebY venfies that the existang. chimney or stack: 1. Has been carefiilly examined Yes (i�No () 2, Is fr� from rust or deterioration Y� ��° �� 3. Has no foreign objects lodged within Y� ��"O �� 4. Is securely supported . Yes (�No () 5. Meets all current Code requirements for size Y� ��'No () and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been pmvided for water heater Yes (/�No () 8. Has combustion air been provided for water heater Yes (�No () Remarks: List ALTERATIONS Bein� Done: HEATING CO: Signed By: Date: � _ CIIYOF FR[DL�,Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Richard Hansen 6220 Carol Drive NE Fridley, MN 55432 Re: Final Inspection at 6220 Carol Drive NE Contractor: River City Sheet Metal Dear Mr. Hansen: A mechanical permit was issued on September 24, 1998 for the installation of a gas furnace for your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspe�ction shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAV ENSEN Bui ' g Inspector DJ/mh 3uilding :nspections 763-572-3604 {(� P � [ � V �IT'E ADDRESS � iHIS APPLICANT IS: PRO�'ERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON �� EUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER �CONTRACTOR i_ �9.5 i�11!/I'�L7!% ann�ss: �ZZC� C�-of l�l�/f/Q /V�' PHONE: %� � �%/ ��L.� STATE LICENSE PHONE FAX ❑ TWO FAMILYMEW CONSTRUCTION pERMIT TypE ❑ ADDITION O GARAGElSf ❑ BASEMEIVT FINISH ❑ ROOF O DECK 0 SmING � SWIIvII�RII�IG �E oF woRx: DESCRIBE MORK BEING SIZE OF NIJMBER OF SQUARES _ GARAGES PROPOSID SIZE: PROPOSED HEIGH'T: SIDWG ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE & GARAGE 0 ATI'ACHED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fescia EXP DATE WIIVDOWS IN EXISTAIG OPENING Yes ONo LOCATION OF WINDOWS � OR FOR NEVd OPEI�tING DESCRIBE SIZE OF OPENWG CHANGES & .� � TYPE OF WIIQDOW TO BE INSTALLED NUMBER OF WINDOWS ° Pernut No.: Received By: � �'� J U Date ' � 18 2001 '_ ��/�ea s�ra,� zrn S� yt3� Cb DRAIN TILE ��R /G��LL� WIDTH HEtGHT 'P��LIP �✓ 7'Z� ,� leVf�D LG� BASEMENT REMODELING SUBMIT: 1. Existing Floor Pian 2. Proposed flaor plan 3. List of smictural membecs to be used Ft FOR NEW CONSTRUCTION lNCLUDING DECKS, ADDITIONS. 8c PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structwes and prop�sed project 2. Two seta of construction plans 3. Energy Calculations � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ING �� B�.C�EE SO �D �� PE J Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ .`� $ � $ � $ � $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuaxion .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $155Q per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pemut and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ardinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. � SIGNATURE OF APPLICANT ��b� ��!/I�� C��%�1 pRINT T(AME_��°�� .�Q`/j �j� DATE (� ` 1�° D�% Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing perm.its for the erection of any building or structure, or for any addition to any existi.ng building or structure, or for any alteration or repair to any existing building or struct�ue, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and i.n the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued. a m;n;mum of 24 hours from the time of applica.tion to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showir.� the location of the existing foundation will be re�uired before proceeding with the frazning. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-5?�604 BUILDING RESIDENTI�.L A.PPLICATION CITY OF FRIDLEY �q� O��z,�� 7 YOUR E-MAIL ADDRESS 3ITE ,4DDRESS fo 2,2D C.C¢{�' �` �;J2 IV � ^�'� ( e� �1l I'HIS APPLICANT IS: �QWNER OCONTRACTOR PROPERTY OR'NER/ Nq�: � �S �C�n S� (� TENANT .�nxESS: Lo2?.�c� �t 2.a �� R.. N�,� Ctr� PHONE: �% � � °�%/ � �T�,�� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: Permit No. Received By: SScl3z STATE LICENSE � EXP DATE ADDRESS: CTfY STATE ZIP PHONE F. SINGLE FAMILY TWO FAMII.Y/NEW CONSTRUCTION O ADDTI'ION ❑ GARAGE/S ❑ BASEn�NT FlNISH ❑ ROOF ❑ DECK 0 SIDING ,_�L ■ ADDITION � DRAIN T[LE �OTHER DESCRIBE WORK BEING DONE: C��-C�O � Sk� s� Si d�. W o� ' : SIZE OF IIvIPROVEMENT. LENGTH ��s� F� NUI�ER OF SQUARES ❑ HOUSE & GARAGE AASEMENT REMODELING SUBMIT: GARAGES � ATI'ACI�D GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DEfACHED GARAGE 2. Proposed fl�r pfan PROPOSED HEIGHT: 3. List of strucbual members to be used g��G FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vmyl �Soffit � ADDITIOAIS. & PORCHES SUBMTf: ❑ pluminum ' �'frim 1. Site PIarJSurvey showing the existing strucwres ❑ Otiier . � ❑ Fascia �d P�� P�'oJ� WINDOR'S 7. Two sets of conshvction plans 1N EXLSTING OPEI�iINGS �Yes ONo LOCATION OF W WBOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WAIDOW TO BE INSTALL�D NUMBER OF�WWDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIA.LS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $.,?��10 ,�6 «a---� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge S�.rcharge License Surcharge SAC Chazge G�.vb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �� ,�� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ „7 .� �.001 times the total job valuaxion $ .0005 x Permit Valuarion Minimum $.50 $ $S.QO (Sffite Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary { ) Non Necessary ( } $ � a,O` Make checks payable to: City of Fridley Atfach THIS IS AN APPLTCATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a pemnit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a11 work whic equires revi and approval of plans. SIGNATURE OF APPLICANT �/�`�Q ��/%� PRINT NAME .MS� DATE �� Z�/ Q 7 Page 2- Bui.lding Residential Application BUII..DING PERNIIT FEE SCHEDULE ; =�, � The Chief Building Official shall, before issuing perm.its for the erection of any building or stn�ciure, or for any ad.dition to an.y existing buildin.g or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applican.t for such permit of fees to the a.mount herei.n below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be i.ssued a m;n;T„um of 24 hours from the time of application to allaw for proper review of proposed. structure and of the construction site. A Certificate of Survey af t�e lot, showing the location of the existing found.a.tion will be required before proceeding with the frami.n.g. New Houses Onlv City of Fridley Buildi.ng Inspections Depardnent 6431 University Avenue NE Fridley, MN 55432 763-572-36d4 Fax: 763-502-4977 ) -� rn�-�c 5��2 �is� g� -� ��N S�} Q�`' F v �i Q�► _ �� L� ,�c.. l � �_ REVlE�VED �ri �nDY,t�nn e- '1 _ `_ �_ �� ,�`` � � -�- � �� ( ��IS �� . � ��N �� ,, � � --`�'°c�. ��c°�"�, s-�v � w �'c� , , - �� S -��.5 ` ! ��` � .�� A ; . � . � �� _