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AF - 35683}' , : Qvlt�rt4r. �;:.- ; Ac��dres � �� "%, ctinsit�erafias� cif ; �� , �� ■, - ��.� � �� ¢� :F'�.d�e�� . 1 , ��. ..�� ; �M::� 3ept� � ;_ "� �e o� �•�:*� - - � ', - _ �: db�`nat �vei� e,con�trttci%n, �rr�ta[l�tian ar a�fieraiiain ic � �ure `.tv s uiliii�r�g �nsp�cctar for� separata �'rr�it�s , � � _ �. �� r.�.��;� _. . __ . _ _, ._ . . _._,� �..._..� � ��m k ,� -�. . � ,.. �� .�� ._. , � _ !I sus�ecr E IT NO. City of Fridley - 15 8 9 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � , R � � �,�� i VL --��-� COMMUNITY DEVELOPMENT DIV. � � � r j � PROTECTIVE INSPECTION SEC. � _ , l---_� �r��;,� CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/21/80 / / JOB ADDRESS �j2ti], (,''d10I. Dr].V@ N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Shoreraood SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard �aster 6241 Ca�+ol Drive N.E. 574-9538 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �1.S'ta.l.�. C�1]ICITl� 9 CHANGE QF USE FROM TO STIPULATIONS 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. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $J�OO yS`. �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. 'y�`%. �jO PLAN CHECK FEE TOTAL FEE �8.0� - SIGN�E FC'/� RORA OR12EDAGENT IDATEI WHE P � LID IS IS YOUR PERMIT r� � 6� \..J � SiGNATURE OF OWNEF IIF OWNER BUILDERi l0ATE1 �' qi nr, �uco y ... .. C�TY OF FRIDLEY • � , ARPLICATION FOR RESIDENTIAL QUILDIP�G PERMITS (New, Alter�tians, Additians, �r Repairs) � . �e � � . OWf�ER: _ _ �'r' � � � r �� s,�� BUI LDER : .�f� n�l • � ._.�._. --- _. _. _.. ._ __ ADORESS : ��7 y / ��„ � � % %�� ApQRESS: - TFL iVO: _ �" 7 y- g S 3�' 7EL N0: • � Construction Location STRII�T NO: � ��I / 5TREET: _ �ti v a / � � LOT: b( BLOQC: y� ADDITION: '��'y�cS, (�.�;�j�\ Corner Lot: Insicle Lot: Setback: Sideyards: Applicant atta.ch to this form two Certificates of Survey of lot and. proposed building location drawn on certificates to scale. DESCRIPTI0IJ OF CONSTP.UCTION � � �a �� ►� Q� Front: D�pth: Height: Squa�e. Feet: t�bic Feet: . Front: Depth: Height: ° Square• Feet: Cubic Feet: . j� Type of Construction : /� 'r,�C� a t�. �, �� Estimated Cost: $ m�� 7.b Be Oompleted: � . _ �. Alt. A Alt. B Propos�d Driveway Width If Neca Opening Is Desired: $' $ . , SEE REVERSE SIDE OF SHEET Z'he undersigned hereby makes application for a permit for the w�ork�herein specified, aqrecing to c�o all work i.n strict accordanee with the City of Fridley Ordinar_ces and rulings of the Department of Buildings, and hereby declares that all the facts and reprasentations stated in this appl.ication are�true and correct. DATE: � ^ ��' �`� SIGNATURE: Stipula�ions: � �. �:� . a �?� � g.� �� ` . � 1`'�--•� C�'e- � .� �,_ . BU)LDING PER��IIT FEr 5C{�EDULE . 5�CxI0tJ 2. Tlie 7.n�:�,�ecl:or_ o� l3uilclinc�� t�a�.�, hcfoa:e- ir�;suing penniL•:; iaz the creci:ion oi any building ar .:�L-ruct:ure, or �or �ny aeldiLion to a��y er.isi�ing bu.i.lding nr stirucL-ure, , ox for any a1L-eration or repairs t.o •any cra-�tia�g bui.lding or structu�`c, u�on applic:at�.an 'thcr.eiorc, require L-hc raymen� by tlie ap�alicani: for. sucl� �?erma.t o£ tces tc�. t�lie amount }ierei.n beJ.ow seL- forth and in the manner herein provi.ded �o-wi9:: ' :"` WFVJ !CONSTRUCTION: Singl� rami].y FIomes and Gar.ages: $4.00/J.,000 cubie L-ee�. PL1�N CIiLCY.: 25 pezcent oE bui.ldinc� �exmi.� iee. , . DRIVEYJAY DEPR�:5SIOt1: (Concrete, Cur1� SLreei:s Only) • Al.ternai�e A: Removal and replacement of concrt��e curb and gutter only; Driveway width plus 6 feet x Y��o75 }Llternate B: Remova]. and replacement of concrete curb and � ' , gutter and �.nsta7.l a 3 �ooL- caide approach wit-h � . 6 a.nch c3epth; Dr.'a.veway width plus G fee� Y$17.85 j I1 f \1_.--\_•i � �► �ar the purpose of computing fees for_ building pex'mits, the cubical conteni:s of any buiida.ng or addi�ion, is detexmined by rnultiplyir.g i:he c�round area covered �rom a poa.nt six (6) inches below the floor line of the basement or th� cellar tc�� t.�ie avezage heiqhts af the upper surface or i:o the average h.eight af the roof surface o£ the r:ain gable of a pitched roof . � • k'ar re,�airs or alteratio�.s i:o an existing structure, �he fee shall be at tiie rate of $3.�0 Per each five hundred dollars--($500.00) or frac�ion thereof in the cost o£ all pxoposed work. • Tn •no case sha].l the �ee charged for any pex�riit as set forth in 5ection 2 Ue �.PSS - thar. $7e 5q plus $.5ti state su�charge. � � �(ERiFiGATIO�F FOUND�ITIOId " NOTE: Pexmits �or construciion wi11 be issued a mir�imtnn of 24 lzours fram the time -af application to allow for p�oper review.af the proposed stxucture and of .the aonstruction site. �I, Cer�ificaf.e o£ Survey of �he lot, showing the location of the foundation ance .it has been constnic�ed will be required betore proceeding with the framing. �ER`�I F I CATE QF O��iP,4NCY Agp].ication for a Certifica�.e. of Oceupancy shall be made ten (10) days prior �o �he use or occupancy of any structure for wl�ich a building �rnlit has been issued, and said structure shall no� be used or occu�ied un�iJ. a Certi�icat•e o� Occupancy has be�n i�sued. 0 0 0 !RT _ , � � . 0 . • � � . � � D m � � Z � O � � m � � -�-1 N m � Z _��.,, � m o � rn 3 � d' A1 0 N o m o � � _ � n � � � o � v � m `C N O fU � � � Q � � , � � m ,- v r O n C -v m --� -a mD °< � �� c �' �°° �' Z m �D � n � m � � -� � C � C � � rn s � � � � � v -Di m � Z O Z �1 7 � � v �' m � A\\�, \� � � m Q m m z 0 � I �I 0 _ m � z � O N -a � tD r � c m �- m cn � jo n IV "'� - cn 3 0° � � o O m ..,, a O A � y � m fCD l�D N 7 p � c. -�i. C y� � � � Q° � m a�' b � n W � n rt � CO 7 � C N 0 o �- � � � � O G � D � � 3 ��\ � � 1 � o � � `00�0 � �-�Z a� _ C � ro C � o � 3 � `° `D � 3 � (D y _ � � � �J � � m n O o � � � � � � � � � � � � A�i Z o m 3 rn� ��o = �1 � . p � m � � "'t � �' � Y n 0 � Q. 3 � � � D N fD N � tlt N v � � � A1 � � � � tQ m � � � cNr� o 0 °o 0 0 � � � m � � � m v C� O � � � � 1 � m � � "'� 0 � � � Y � c v z � c � m v D � a�i � � � y O j �^70�' � �• fl�.' � �m � � � �y N m < � 3' Z � � � m�,3�, n. � .-�i Q a�'!� p c �� ' a � oo � o � n � c � aa c�i �m � � I � � 0 0 � 0 o � � � � --1 �O �r � Q � m m z m � �. c 77 � y � Q � � S � �3m �, � W� � � �� W � O � Qm Q � � v o � �L' y � � N O � � as ? o cn �•QS� a I � tD � � � � �. �. � � � A � fl. n -.. � � O O m m � � ' � m �� N n � � � � � S 3 � o�� o � -► ' � _ � s � � n � -.� �' � o � �� j � � � � � n- N � � 3 Q � � n _ rn C O W D v v � m � � \ \ N Q W -j 1 �� W `G ? � rn- � Z � � �� rn N � � Z � rn � -4 rn c� � Q z v < � > � r m n a �� -Di O O Z Z -n Z � v -� D O � � O � � � _� Z z � zA � Z � � (n = -i �� Z v n rn p < r mZ � � C m Z -� � � � � � O O > ' D c cn � �. � 1 � � � � (O � \ 1 CJ � � � � � _ CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 ��G�. �� May 17. 1999 A� � �%" Homeowner 6241 Carol Drive NE Fridley, MN 55432 Re: Final inspection at 6241 Carol Drive NE Contractor. Dependable Indoor Air Dear Homeowner: A mechanical permit was issued on April 15, 1998 for the property located at 6241 Carol Drive NE for a new chimney liner. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, � L/ f �'�K/ Barry Riesch Building Inspector � �� ✓� // �� /��.r'?� , _ ------ — _� � _.. - �z �--�---�-� , ,�r---,_� �� < �f� >� -- - > „ � WELL oR BOR�wG LoCAT1oN MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring ri WELLAND BORING SEALING RECORD SealingNo. H ��51t�� Cou� Name Minnesota Unique No. ��r {.-; .��;+�- Minnesota Sfatutes, Chapter f031 or W-series No. ° � (Leave blank Ii not known) TownsThipp �Name ' Township No. Range No. Section No. Fraction (sm. -s Ig.) Date Sealed Date Well or Baring Constructed �� . r�,�a� ��' �� i � �e��,i� ,�,+��" ,�$<��i �� ' �� F �� Numerical Street Address or Fire Number and Ciry of Well or Boring Location � � � �, ��,l� �� Depth Before Sealing _ � ;'i ft. Original Depth � ft. Show exact location of well or boring Sketch map of well or boring UIFER(S) STATIC WATER LEVEL in sec6on grid with °X°. � loca6on, showing property Single Aqu'rfer ❑ Multiaquiter lines, roads, and buildings. N WELUBORING ^ j�Measured ❑ Estimated ' ' ' ' _ �,��°� --�--�d� �] Water SuPPty WeII ❑ Monft. Well _T_ �T_ _T- __ �_ � . �a ' ' � � . ❑ Env. Bore Hole ❑ Other �° � ft. 1$1 below ❑ above land suAace W --�- -T- -�-- --�-- E �`�`� CASING 7YPE(S) � � � � � � � � � �' - '-- - '-- - -- , , -�- �-- ^ —j �`'� �] Steei ❑ Plastic � Tile � Other Y. mife �� --; - -�-- -�-- -- -- � CASING Die�me;er� � Depth �� Set in oversize hole? Mnualar space initially grouted? S � �---- ��B—� in. from to ft. ❑ Yes �J No ❑ Yes No ❑ ❑ Unknown P�iQP�� '�R M�� in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unlmown <� �'�. . Propery ownels meiling eddress N diftarent than well Iocation address irWicated above. � in. from ---�- �-40 -- � `- ---=1E "—�'Y9S—i-� fVa-- -� Yes -- -- ❑ No-- � Q-Unknown- —� a� . A. �� f � i; �� SCREEWOPEN HOLE `�� d �'�� € �� Screen from �� M y� ft. Open Hole from to R OBSTRUCTIONS IAGE�d{�IER'S NAME � RodslDrop Pipe ❑ Check Valve(s) ❑ Debris ❑ FlO � No Obstruction .y weu rnmers meWng eddr�s m m�erem uian propeny uwners address indicated enove. Type ot obswcuons (oescribe) Obstructlons removed? ❑ Yes ❑ No Describe PUMP Type DEOLOtiICAL AAATERIAL COLOR �DNESS OF �OM TO � Removed � Not Preaent ❑ Other fORMATION Ii rrot krrown, In�cate eatimated tormaeon log hom nearby weu or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASIN�S, OR CASING AND BORE HOLE: � ��si� � � � � No Mnular Space ExHs ❑ Mnular space grout� with tremie Pipe �� ,1 �i ��} ❑ Cesing PerforadoNRemoval ��,��L�� BR��i �+�a � 1 �. rrom ro n. ❑ Pe��a ❑ aa�a �� ,. � � � in. from to ft. ❑ Perforated ❑ Remwed �� $��'`� �� Type of pertorator .�3��°�+��e �� ❑ Other �ROUTIN� MATERIAL.(S) �� aroWng Materiel from to R yardg bags from to it yards bags from to ft yards bags from m R. yarda bags RENARKS, SOURCE OF DATA, DIFFlCULTIES IN SEALINO OTHER WELLS AND BORWGS �j°r�;�,�[�'� �� q�o° Y �� . r I property? ❑ Yes No How meny? ��sis� ��s� �� w LICENSED OR REOISTERED CONTRACTOR CER77FICATION ��,'�s; [��,� e�a�� m This well or boring was seal� in accordance wfth Minnesota Rules, Chapter 4725. The IrMortnaUon coMained in this report ia true to the b�t of my Imowledge. �� .� a � . ��'+`��s'.X't +� c�� . � �.�� '._� �� , � `� CP�Iness' B Ucer�e or on l'�o. -. _ R981s6&tJ �� ' �, �`� - �'� ��a�� ,._ `� ;,� _ � _ .� a�edg{�_gg��(¢'C ��y{qR{-}p � +5q["�y [$ c} � ^�`' [ r ��v. AuthoAi�Rep J� `819��e - - Date F�6�#+b+iN�S.FNBC�. �eW t�'M1'Y�� "m"GG44 RiY��.ud@`��..Y:`_ -., p � _..-.: . .r -�w' �� - �� i �L+�Zi1cL��11LfH J.� ��id � A�` �� Name ol Person Sealing Weli or Boring LOCAL COPY H ,v 1 HE-0143403 2/87 R c�ty of Fr�dley � AT TME TOP OF THE 7Y41NS r � . � � ; `y __�___ COMMUMITY DEVE�OP�ENT DIV. j j � PROTECTIVE INSPECTION SEC. l--_�� '"" �'� CITY HALL FRIDLE� SSIJ2 i 612-571-3450 JOB ADDRESS 6241 Carol Drive NE �lJ ILD1N� PERNIIT ��'��o� IBEP pEV OATE PAGE OF 910-F15 7/25/O1 / � a t LEGAI �aT N�• 9LOCK TRACT Ofi ADDITION oescA. 2 3 Shorewood Addition 2 PROPERTY OWNER MAIL ADpFES$ ' � Zlp Derek/Amy Wallace 6241 Carol Drive NE 3 CONTRACTOR MAIL AODRESS 2IP Mark V Construction Inc 19432 Rush St NW, Elk River, MN 55330 a AqCNITECT OR OESIGNER MAIL ADDfiESS ZIP 5 ENGINEER 8 USE OF BUIIDING Residerttiai 7 CLASS OF WORK AODfiESS ❑ NEW O ADDITION C� ALTERATION O REPAIR 8 DESCRIBE WOf;K Install new egress window in basement; reside back of house 9 CHANOE OF USE fROM TO 32032 O. �� APPRpVED BY SEE ATTACHED SFIEET 574-9874 PHONE LICENSE NO 763-786-6004 PHONE LICENSE NO. PMONE LICENSE NO O MOVE . ❑ REMOVE STIPULATIONS ' Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering, Exceptions for this provision would be if sheathing is an approved weatherproof paa�el o� when the siding is a.n approved weather barrier. Vinyl siding is not a we�therproof covering unless the manufacturer states this in their appl�cation guidei�.xa�s. Call for inspection of wrap before covering. Egress windaw to meet the State Egress requirements. SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYP� OF CONST. YENTILATING Oii AIR CONOITIONING THIS PEFiM1T BECOMES NULI AND VOID IF WORK OR CONSTRUCTIOM ZONING AUTHORIZED IS NOT COMMENCED V�!ITMIN 60 DAYS. OH IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANQONQO FOR A PERIQD OF 120 DAYS AT '' ANY TIME AfTER WORK IS COMMENCED. ' NO DWLG. UNITS I HEREBY CERTIFV THAT I HAYE READ AND EXAMINEO THIS APPLICA710N AND KNOW THE SAME TO BE T61UE AND COQRECT. ALL PqOVISION$ Of LAW$ yq�UATION AND OROINANCES GOVERNING THIS TVPE OF WORK WILL Q� C�MPLIEO �4 355 WITM WHE7HER SPECIFIED MEREIN OR NOT. THE C3RANTING OF A PERMIT � DOES N07 PRESUME 70 GIVE AUTMORITV TO VIOLATE OR CAMCEI THE pERM1T FEE PROVISIONS OF Y OTHER STATE O LAW REGULATING C N- STR CTION O E P RFORMA F CONST CTION $111 . ZS PLAN CNECK FE ' � �d" �e Licen S TUAE O� C 'AACT R OR AU AGENi ATE� EN iiC S�GN4�UAE O� OWNEA i�i OWNEp �U40ERi �D�i�� . ' � m nr wen � OCCUPANCYGROUP OCCUPANCVLOAO SQ. FT CU FT OFFSTREET PARKING S7ALLS GAFAGES SURTAX � $2.16 Fire SC $4.32 TOTA FEE $5 . 00 . ` $ 22. 73 PE r AUDaT D H�S �S rOU ERM� � � I naTt �'� � `i[�� [I � .,i� i " ��.�'�.�' � j.�, . .1 �•:«t - �.� � �.- -131i � . _� :7(� Y ^.(. '�t � ,�:':�� (i It " .��j,,,,:' � •,.-.�[ ' C{ l. E' * �`..� �, _ � ` C � -�-, -.a,� �:• : � _s:.sr p..�{�.r:. •` � �_ - � _.. . _::�: .• r��, �_ � .�.{L�I�"� _ . / % .� �� C,ARAGE AR�: DECK AREA: O� �/ C,�� l ��:� � �,��- � T l�,aa� l� ��n�T�� /� oo JJ�C � � ST !�l � �� I�i v�`Y ; d I�y _� �. �5�3�-- ��... - TeL � � /`� °° �� , °s��3� T�. � -7� � C�OC�� to � a�. a o� sw�ey vithe �t, aeri� t� �o�d t;�� dr�vm on it to �_ � �.. �,�' �+r - .; i:;(- - • w�,��.. � � � -� F�i�,,._.__,..,,_ St11. Ft � __-___T..,, �� ,�.� _�. �4- Fx � � � H9UCar� 8c�- Fk i . �_, r .;; .: . = � ii :rri'ii�.�■ % _ _ ; , F � - _ � .�:, �� a�ay cwt> ctit w� ��: __,_,FC + � �c= �X $ _ � oa�: ➢ C� r a�c�►Rrrr: a� �-�-- Y�. �� I�- -� 9� ��'�� C�Y_ USF�t�A1l.Y - Gap �'163j � for Permi� �S► � maiii�g � � Pem�tt F� � �'l� �S Fee S�heotule an Re�rse Side Fire �urc�arge $- -- ,.�� .00� of P�rrmit Valu�n (9/10th�) S#�#e Sur�ar�e � .� � l (,� �.�1,000 V�ttiation SAC Charge $ $115Ci per SAC Unit i� �wcharge �_ � � � O $5.00 {Sta#e i��nsed R�s1i�r�al Can�cl�s) Dt�i�r�+vayt E.s�ra�r $ �. �A" c�r �. "B' Above �rosion �;ar+fiol � �450.00 Conserva�on Plan R�vieav Padt Fe� $ Fe+� t�tem�n�! �► Ertgi� Sevver Main Char�e � /�qr�eme�nt N�ary� [] Not N�oess�tcy I l i�TEtl. 5��.��..,,�J sri�n�r+�� , l� ��/��s �� S/�Sc.� l�i�� r'��r�°�1 ��-Af ` . ��L ��J Sle d/� 5 d� Sv F��`�S i , / l sue.ieci PERMIT NO. c�ty of F��a�� AT THE TOP OF THE TWINS g u I L D I N G P E R M I T 3 2 0 3 9 r RECEIPT NO f �� : ------� �� COMMUNITY DEVEIOPMENT DIV. � � PROTECTIVE INSPECTION SEC � i = , ' /"'1 � CIiY HALL FRIOLE� SS�a2 NUMBEF REV DATfi PAGE Of APPqOVEO BV ti.__.�1.� '•� 612-57�-345p 9�aF�s 7/27/O1 / / ,r JOB ADDRESS 6241 Carol Drive t LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 2 3 Shorewood Addition SHEET 2 PiiOPERTY OWNER MAIL ADOR�$$ ZIP PHONE Derek Wallace, 6241 Carol Drive, Fridley, MN 55432 763-574-9874 3 CONTRACTOR MAIL ADORESS ZIP PHONE UCENSE NO Derek Wallace 4 ARCHITECT Ofi DESIGNEIi MAIL AODRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAILADDFiE$S ZIP PHONE LICENSENO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION � ALTERATIQN C'� REPAIR O MOVE �❑ REMOVE 8 DESCRIBE WORK new windows (2), patio door, garage sezvice door 9 CHANGE OF USE FROM TO STIPULATIONS ' Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking attd Flashing for all exterior openings. SEPARATE PERMITS AqE FiEOUIREO FOR ELECTRICAL, PLUMBING. HEATING, TYP� OF CONST OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANp VOID IF WORK OR GONSTRUCTION yONING S0. fT CU FT AUTMORI2ED IS NOT COMMENCEO VyITHIN 80 OAYS, OR li CONSTRUCTION OR WORK IS SUSPENDED OR ABANqONEO FOR A PERIOD OF 12p DAYS A7 '' ANY 71ME AFTER WOFlK IS COMMENCED. ' NO. DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIFV 7HAT I HAVE REAO ANO EXAMIN�O THIS APPLICATIQN STALLS GAFAGES AND KNOW THE SAME TO BE THUE AND CORRECi. ALL PqOVISIQNS OR LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WpqK WILL QE CpMPI,IED WITH WHETHER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT � 1 s 2OO .00 �. C7O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OR CAMCEL TME pERMIT fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA7ING CON- STRUCTION OR 7ME PERFORMANCE OF CONSTRUCTION ��F�F.85 Fire SC �I.ZO PLAN CMECK fEE TOTAL EE 46.65 �' �ATUAEO� N'AACTOAOA4UT11 Al2EOAGENT IDATEi N P OP � LIDAT M�S IS YOUF PEI7MIT �� _ � _a � ��f0 EABULL E �OAiE� � BIDG NSP' qp1E �� [ l ADDN [ J " , ALTER [ ] Construction Address: ,� Legal Description�� Owner Name 8� Address: Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Contractor: � MN LICENSE # Address: Tei. # LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height DECK AREA: Length Width Hgt/Ground Sq. Ft. Sq. Ft. �t 3 �?y OTHER: , " / C� �� t 2 �O C1��P, L�c��2�� Construction Type:�1� .��1qC��l%S Estimated Cost: $_ �o°Z�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �.-�- .�-� DATE: � �� APPLICANT• l��— Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ L"�• �� Fee Schedule on Reverse Side - $ � oZ .001 of Permit Valuation (1/10th%) $ E (� $.50/$1,000 Valuation $ $1150 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 [ ] i � 4 BUII,,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing �rmits 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 $5(� $501 to $2,000 $2,001 to $25,000 $25,001 to _$50,0(� $SQ,001 to $100,000 $100,001 to $500,000 $5�,001 to $1,Q�,000 $1,000,001 and up FEES $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 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 $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,0(� plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,Q00,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Pernuts 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 Cert�cate 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. New Houses Onlv �