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AF - 35684� ^� ; a ;"?�� s� '` ' '�� '^4.,�,s^� _ '�"�.:` � �. �-'-"� ��> a� . ;; � fY� � ��k r 1 �� t:. � * � � �� 4 �� s �� • •' � Sti; ;� ��C- Q� Ti-�� .I1Il,i - ,�� U /��` �w . �t3 V � � BUTLi�ING PER�; : �� = - � `� y � � �.,.n* � Jc { ° � - - �� ' �:._ i3ate . . � , � �� r i��i121t�P s $llltf�@� . r . � S 1' • A�i�Iress - . �: . .. '. Addres5 . � :� . :�` ;'"`� : _ k r f • y$; '`. .I � � � � �� {�� -��'. � � e�t . � ��;�.�et+`.. BC,IILT�II�fif�r � ; � � �� N'� "�' t�.�. � Str , - 3�&i� ai � . . . . . , . �;', ,� • ; ' � . =, �., � �� Lpt � :L�l�c � Addi�ioa tsr ��ula II�risfo�dt , � °.. ` ; a � , . • � � , • . . .. .� .: � cq� '� � rn�r �:ot � 7�stae r..ot , . ° : . s�tback :��":` �c%yarrcia . `'�. ;�:�'`:`� . , �- . . ' � �i ; � . �: � �' . � � � �� ; , ,_ . , _ > � , _ - - �. , ��j� .��s��Rr�� c�F �u�� ' � > � E ^'�., 'I`ti I�e: �SEfi 8S � _, - �� i� �`' ��`; `.� X Froat � ' Depth �` .� He��xri . �. � Sq �. . ; t�x, .Fi; . � � , : 9 ; �t � ' ° i � ;. `;� Front .� Depti� I�agh� .' St!•: � Gu. Ft: .:. : 3. a � ;; ' ' . . .^ . . ; � 'T��e of. Coxsstruet�n :�a°':+�..� �., . �, � To i�e Compieted � � � . .. � .� ... � ,. s . .. j , � li : ,*,�.. � - =1 �� '� _ � �� ,. Y � �� = �. ,� ` - Y e� - - � �' ; - •' , : � : ; A� , ._ • ; , - ' 'i ,f In coasider�.tiox��bf �?ne ssau�.ne� tv me �f �. ��rmit ta r,o�rstxuct the bui�din�, d�scri�aed �i�rve, I agr� to da j �tte proFosed work. in ,atweordanc� with, th� descrip�zori above; _ set farth and in coi�tgLtanc� with °a�i p?rov}s��s of _ ; or�inances c� tk�e vilIage o� Frldley, . ' -: � r _ , _, � . _A �,. ; . _. �� "..�,.. ;;, ° t 'i "'6 `�� t - . . . ..:. . .. . �. -.�. c. -� s .. r�- ji I Ytl L4219�f�ETR'�IOA O� f.� .p&y3'rit'ri� Olt £1 fEe 8� �. �� p21i;��i iSk �IEI'�bj�' gT�i£t�� 1 :�� .. . r 1 °a� - - Y . `� . . . . . ::; . ::. : #a �g�psi�aet fhe building a� adtiitia�t �as descrii�c� above. `Z'hi�: �pet�iit � � up�n ' ` �h� ex�sress can�iita4n tha� i�e p�rso�: ta v�ho� � is gran�d a�d tyis ;a�tts, employec� sit� °wo�nen; 3n �t wpr� ± do#�e 3n, srot�d and upera said b'tuldiu�,- ox �ny ParE thereoi�, .shali .�ia�iKn in a1I ` � i r�ets to: the ord#�ta,aees +� �'r,�dle�, Minrt�sbta. regaxdixig l+pcationy e.t�n`sfirfut�on, aItera.'t£an, �a�tiena�ce,: rtpair- and movi�a�.trf bufirlfn� writ%• : i� ;'�he village linsits a�c3 t.�is pez�`it may be revaked at any 4ame up,a� viola�ti,Pn af` a�r�► d�. #he �a�ovisic�ns i� "said � ortiin�ces. , � �i _ - � i� �R ' I " ?i •��'� • � �' �a,� - .,r..c �Wilg�� `'- .F s _ ' - �.,�.., - � iC' �:�_ - . i,�T�CEa � !x This permtt cPoe& nof tsoyer e cpns�ruc�i�n; Pn�taClation 6r aliera�fift�rt �o��, �iumbPng; Bas heatirtg,� , � -" � � , . �evver �r Wat�r �s- s�tre id se�utlding i�spec#ar fcrr.separate p�errr+l�ka !' e i�eaMS - , : � � ,�- � � � l � w_ �, �� 3�- .� . �,�,.. _ . _m � � t .. .. _ _�,�_.� �.�: �.... 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O . � O � .. . � O v . . . � o: : : � N��N� 00000 v� �n �n r�+ sn Q � y �1 o � � � � t�o �' Q. �� b� � � � �. f'' � � � g �. ro � � �' � � z01 O Op � � I s O m � z O C m K III� � �" �. ¢ ij � m I � �� S m �.� �� y � A R� S�' ; vi y a � � � � o o � � " '° �y° � EL � � � �� M a � � � � � . . Gt . . � O : : pp � . . O : : . N � � � � �000 p O O p Wi �► sn 0 � c�.a� � � y �t -�I-"e, H o b �, � � r,. W�v W m �°�� w � � �e o��. y do�� , �b � A+ �� p y pC9�`� M . �OQ� m�'"1� d bi�'� � �w �� py�� a�p �y0 F! (�a'�m �� A' m �. �d ~' � � ��f�DH � � C] �� G(] � ►7 F�9 ��' � �. �� N � � n � N � D � � � � 1'17 H _ m C m � � M � `� � � b � V A V O � '0 � � � � O ; ao 0 � �o d, o• d �_ �� yy� � 3 � � Q � 0.� v< �� i � �i 0 � � � � � ', � d N• � � � �r1 I-' �� i� � _____� SUBJECT City of Fridley ° 15 4 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO � i L_ COMMUNITY OEVELOPMENT DIV. 1 � � PROTECTIVE INSPECTION SEC. �� O� i � i � ��ti � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'"'"� � �`� 612-571-3450 910-F15 9/7/79 � � JOB ADDRESS 6251 Carol Dr. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Shore�ntood sHEer 2 PROPERTYOWNER MAILADDRESS ZIP PHONE M ron Kowaliw 6251 Carol Dr. N.E. Fridle 55432 571-2759 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Dod e Roofin C. 8732 entral Ave B 5434 7- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING 7 CLASS OF WORK � NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGEQFUSEFROM TO STIPULATIONS The max�miun nwinber of layers of shingles is two. This can not be the third. roof on the dwelling. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GAOUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO 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 �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�`I.s3OO.O0 �`.65 DOES NOT PRESUME TO 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. �S`�.QO ' PLAN CHECK FEE TOTAL FEE e � $9.65 SIGNATUREOFCONTRACTORORcUTHORI2EDAGE IDAT, 1/� R ATED THIS IS YOUR PERMIT „� 9-- ? -7 9 SIGNATUREOFOWNERIIFOWNERBUII.DERI IDATEI � BLDG i P �ATE n � CiTY or- r-�iiU�cY . APPLI C�TI 011 i"OR (2L- S 1 ll!_tJT I/�L BU I LD I P�G PEftf�l I TS (��LW, �LTLR/1T 10(�JS, �L�llI T I OfJS, OR RCf'/�I RS ) OW[i�R: /� �/ �� ° �'`t A- J 1rJ Aaaz�ss : -6 � ��oz.. �� . ,� , _ , � �1 ��_ y` Jr�� -_' `:�' I ; ��' �_ y � . . � _ - � .�..•, ,V f �� • .. � No. : �� 5treet: �.�� . r,p�; ` }3LOCY.: '� ADDITIOPJ: �� COi2N�R LOT: `_� It�SID� IAT: �_ 5;sTBACY.: SID�YIIRDS: RpplicanL- attach 'to i:his fozm �ao Certificates of Survey of Lot an,d proposed building locatian dra��n on these Certificates. . DESCRI PTIO�J OF �BUI LDIl�G To Be Used J1s a �� 0 � � Front s Depth : � _ _ _ Heigh°t : . Square Feet: Cubic Feet: �Front: Depth: Height: Square I'eet: � Cubic Feet: ' Type of Constiructian: �7'f �✓�`LT in f Estimated Cost: $��"�`� �' Rb Be Completed: �i /$ �� . Alt. A Alt. B Prciposed Drive��ay Width If New Opening Ts Desired $ $ (SE� R�VERSE SIDE OF SHEETj The undersigned hereby makes application for a pe�mit for the work herein specified, agreeing to do all �.ork in strict accozdance wi�h the City of Fridley Ordinances and rulings of the Department ot Buildings, and hereby declares that all the facts and re��resentations stated in this application axe true and correct. �See revcrse side fa aclditional iniozmation. DIiT�: % • SIGNATU3tE: � St3pulations: . �� . 6 5 . 9, � � �-�. �� .�� . �_ _ ,. BUILDING PER��IIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pennits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs 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: � NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic ieet. PLAN CHECK: 25 percent of building permit fee. . DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) � Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x��m�5 Alternate B: Removal and replacement of concrete curb and . � gutter and install a 3 foot wide approach with � 6 inch depth; Driveway width plus 6 feet x$17.85 �11 � =- � �� . �l� For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground axea 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 c�able of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 g�er each five hundred dollars-($500.00) or fraction thereof in the cost of a].1 propos ed wo rk . In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. � ' � 1 � 1 ►1� � NOTE: Permits for construction will be issued a mini.mwn of 24 hours from the time of application to allow for proper review of the proposed.structure and of the constraction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. ' ' � ''1 � i - Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and sa.id structure shall not be used or occupied until a Certificate of Occupancy has been issuedo e e CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) � � �,/ /_�.�. � / e/ � j_ � , � � � / — -- / ' �i/ ��/1� TEL N0: . . � � � . 1 i/.�� ` - i% . ., , _ �. � �� / � �� 1 _ ��f��[� _/ �, � 1 � r ��"'/ Construction Location ST.��T NO: 5TREET: LOT: � BLOQC: � ADDITION: � Corner Lot: � Inside Lot: Setbaak: Sideyards: Applicant attach to this form two Certific ates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOtJ OF CONSTRUCTION . - C�'//�1 Front: Depth: Height: Squ�e Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: /�/S�6'l �- �T � � � Type of Construction: /.t1�L�.s Estimated Cost: $ �� 7.b Be Qompleted: � Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the �rk herei.n specified, agreeing to � all work in strict accord.ance with the City of Fridley Ordinances and rulings of the Depari�nent of Buildings, and hereby declares that all the facts and representations stated in this applica " ' ' DATE: % SIGNATURE; Stipulations: r� SUBJECT P City of Fridley 15 9 0 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � ' � ECEIPT NO. � ' COMMUNITY DEVELOPMENT DIV. � j 1: ------ � r � � PROTECTIVE INSPECTION SEC. � , i l---_ ��,', CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �' � � 612-571-3450 910-F15 $ 25/80 � � JOB ADDRESS 6251 Carol Dri:v @ i1T.�';. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ], 3 Share�rood SHEET 2 PPOPERTY OWNER MAIL ADDRESS ZIP PHONE Myron Kowal.iw 6251 Carol Drive N.E. 571-2759 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE . LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residenti.al 7 CLASS OF WORK ❑ NEW X ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 22'.Atta,ch� Garage.Addition 8 CHANGEpFUSEFROM TO STIPULATIONS �rovide a hard surface driveway, a�r� �� d�QBiAp e�►1 iocaJ ub'�ties SEP�iA`F� l�ER1�lITS REQfiJt�EQ ��R �IIIRt . ��E • �ECT�ttC. � �� F��n�s, Pu��s�N� �� s,c�rs. � R�QurREo BY �A VtI SEPARATE PERMITS ARE RE�UIRED FOR EL�CTRICAL, 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 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 HEREIN OR NOT. THE GRANTING OF A PERMIT $4,651 yS`2.33 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 PERFQ ANCE F�ONSTRUCTION. S2I.n1.2 1 �� PLAN CHECK FEE TOTAL FEE _ „i/l� _ ` ` (sy $23.45 SiG ATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERL VALIDATED THIS IS YOUR PERMIT �,.�s � � �� SIGNATURE OF OWNER iIF OWNER BUILOERi _ IDATEI BLOG INSP p E � CITY OF FRIDLEY ARPL"ICItTIO�I FOR RESIDENTIAL QUILDIPJG PERMITS (fdev�, Alter�tions, Addil:ions, or Repairs) � OWPdER: �'�' � °�, � ?�'� ,� �- � ��'"� ADDRESS: � � % � � � 1_�� ,� � , �'F, ,.,.� �,,e TEL �VO: � �/`�� BUI LDER : . �� AdDRESS: - TEL f�Q: ' � Construction Location . . � � � � � � �-� r� � " .�-P. � ,� � STREFT NO: � STRE�T: � : r-- �P�" � „ e � �,a� LOT: � BLOQC: � ADDITION: � � !? � %�`� �� , Corner Lo�: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. OESCRIPTIOt� OF CONSTRUCTION � . ��,��, , Front: Y�� Depfh: c�� Height: �� '�� ' Squ��e. Feet: Gtzbic Feet: �'�,� . . Front: Depth: Height: Square• Feet: _ Cubic Feet: Type of Construction : � � Q� � Estimated Cost: $ '��(�,� % (�, � ?b Be Cbmpleted: _ , . Alt. A Al�o B Proposed Driveway Wid�h If New Opening Is Desired: $� $ . , SEE REVERSE SIDE OF SHEET . xhe undersigned hereby makes application �or a permit for the work herein specifiedy agreeing to c7o all work in strict accordance with the City of �ridley Ordinances and rulings of the Departmen� of IIuildings, and hereby declares that all the �acts and representations\stated i.n this applica�ion are true and corract. DATE t �-� � �' � l� STGI�IATURE : Stipulations: �1• �� - _, . Z,3 ��# � � _� �YC ' � 0 BU1 LDIldG PCRMI? f=E� SCHEDULE� . S�C`PIO1J 2. The 7ns}�ector_ ot 13uildin!,�� uhal�, befor.e issuing penniL•s tar the ereci:ion oi any buia_diny or �.:L-iuct.ux•e, or tor any addi.ti.an L•n ai►y exi,ting building or st-n�ctuxe, ciz far any alteration or repair.s Lo •any cxi�ting bui.lcling or structure, u�an appla.cation �:hCJ°eforor rcquirc Uie paymenL• by tlie ap�licanL• for. sticli pezmit of fees to the amount herein betow sei: torth and i.n Lhe manncr herei.n provided to-wiL: • NTsVJ CONSTRUCTION: Single Family iIomes and Garages : $4. 00/]., C�00 cubic teet. PL1�t� CIiECY.: 25 percent of bui.lding pexmit fee. . DRIV�j�?AY DEPRL•'SSIOtJ: (Concrete, Curb StreeLs Only j � • Alternai:e A: Removal and replacement o£ concr_ete cur.b and guti:er only; Driveway width plus 6�'ee� x��5e 75 Alternate B: Remova]. and replacement of cancrete curb and gu�tex and insta,ll a 3 foot wide approach wit.h �� 6 a.nch depth; Driveway wa.dth pZus F feet x$].7.85 ADDI T I�� I FOR�1AT I ON ror the purpose of computing fees for building permits, the cubical canteni:s of any building or addition, is determined by multiplyinq ihe ground area covered from a point six (6) inches below L-he floor line of the basement or th� cellar to the average lxeights of the upper surface or to the average height of the roof surface of the riain gabl.e of a pitched rooi. For repairs or alterations to an exista.ng structure, the fee shall be at the rate of $3'.00 per each �ive hundred dollars��($500.00) or fraction thereof �.n the cost o� all pxoposed work. � � 2n •no case sha].1. �.he fee charged for any perznit as set forth in 5ection 2 be ].ess than $7.50 plus $.50 state surchargee � ' � i � � ►1� � NOTE: Permits �or construci�ion �oill be issued a miniminn of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction s.ite. A Ceri.ificate of Survey of the lot, showing the location of the foundation once it has been coaistruc�ed will be required before proceeding with the framing. � ' � ' ► . Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a k�ui'lding permit has been a.ssued; and sa.�.d structure sha11 no� be used or occupied until a Certifica�e of Occupancy has been issued. � -,.:r 0 � � � ,�� .- � .�� " � � � ,�' `� � � � �'°� � '� � �a t� . l� � �� _ _ _ ..,_ .__ �� _�.�.�_� , �.._ �.��e�,� .� : �� o �� '"', y �, � ,. , � �. , 'f+ 1�' ,: ��. °� �-�� - i�. ��, � �. S: 9. +Y � � �; �. ! CITY Of FRIDLEY = �� A!'PLTCItTIOi�! FOR RESIDE(dTIl1i.. RUILDIi'iG PERtfiTTS �� (PJet�r, A1ter•�tions, Additions, or Repairs) . �� awr��r�: � �? o � �� .� � L � L� � t1DDRES � / ��} !c� (� � � ( TE L �IO : _ � � I � c� e�%� �`/ � sxru�� r�o : STREET: �UILRER: 11DDRESS: TCL t10: Consl:ruction Locaiion p� .�1- io y7 /) LOT: . BLOQC: I,DnITION : Corner Lot: Tnside Loi:: SetbacY.: Sideyards: Apialicani. at�ach to this form f.wa Certificates of Survey of lot and proposed building J�ocation dra�an on certificates to scale. DESCRIPTIOEd OF CQNSfiRUCTION • � Front: - Dspth: Height: Squa�e. Feet_ C�iba.c Feei:: k'ron� s Depth : H eight: Square• Feet: � Cubic Teet: Type of Cozistruction : Estimai:ed Cost: $ �b Be Cbrapleted: ' . _ Alt. A Alt. B Proposed Driveway Width T� New Opening Is Desized: �'� �( $' $ .' . SE� REVERSE SIDE OF SHE�T xRze undersigned hereby make� applicatian for a permit for the ��aork� herean specified, agreeing to �,all work in s�rict accordance wi.th tha City of I'ridley Ordinances and rula.ng� of �the Department of Bua.ldings, and hereby declares that aIl the iacts and xeprescn��tions stated in this applicat.zan are true and correct. DATE: � � SIGN�TUItE: % , � Stipulai:ions : • ��'�`�-� � � �i�� .�� " ��r2� C?e�r �'� � �v� � � � _ . IIUJLD�hlG i'CRMIT I=E� SCf�F�Dt7LE� �_n ' �;l�C`t'x41�d Z. �'J.'li� 7n�.;>>ectar. of )31ii].c?in�J�� .c}�r�l.l., bctore J_`�.`;L1111C� }�C]"tlll.�:� for i:he crecL-i.on of r��y 3�ui.l.clanc2 or :�t:ruct:ure, oz ��r an�� :.ada�.t:a.on �.:o aiiy . cr,i� L-3.n� l>uilclinc� ar s�xucLurc, . c»' f:o�' �xtiy tiJ.fi.n�atic.,n ar_ xcl�air.s i:o •any c}:a.�1�.1.I1C� })U).�_CI],IlJ or st�ructure, Uj�GTl a}��lication �i:hcr.4for,c, xec,�uzre th� i�aymeni� by tlie apz�l.i.canl: i�r. such per.ma.L- af fees L•o ihe arn�unt- h�.r.ezn }ael.orr set for.tli aiid a.n tlic �nanncr. hcrein ,�izovicica L-o-�•ri.t: • I�7l,��J CON::�I'1:UC'�IOIJ: Si�zg7_e 1amiJ.y Ilones and Gar.aqes: �4.00/J_,000 cubi.c �ect. PLT�Fy (:Ii3:C3:: 25 j�ezceraL- at huS.Zciing }�e�-ma.t .fee. , UR]:VE[;111' ll�Pi'�SSxOII: (ConcrcLq C�irb Si:rcets Only} � • • A].L-ernai:e T,: I2e�novaZ and replaccment oi concrete cuxb and quLL-er only; 17rivec��ay �•�idtii plus 6 feet x�:�,5.75 AlternaL-e I3: Removal and rep3.acem��nt o� cancrete cu�:b ancl . ' gutter and iiist�ll a 3 fooL- c•�ide approach �.�ii:h �� ' . 6 inch depth; Driveway �aidth �plus G i'eet x$17.85 � . . �DDITI��l�L INf=Of��1�1LIOtV I'or tl�e �url�se of computing �'ees fox- buildir�g permits, L-he cubical co:,i.ents of any building ar addition, i.s deL-ermi_ned by �multip].yir�g ihe ground area c�vered from a l�oa.nt si.: (6) inches belovt thc floor J_ine of L-he bas�meni. or th� cellar io the average heights of the upper surface or i:o the averac}e height of the roof surface oi the raain c�ab].e o� a pitched roof . � For_ x�epairs or a].terations to an exista.ng stL-��cture, the fee shall be at the xa.te o� $3 .00 rer each �ivc hundred do�lars �� {$500. QO) or fraction thereaf in tile cost o% all. proposed wor.k. . . In •no case sha].l the fee cliarged for any pexm�.t as se� �orth �_n 5ecti�n 2 be less � than $?.50 plus $.50 stai.e surcharge. � � \L.RIFIC�TIQ� �F f-OUf�(D�iTIOt�! 0 NOTE: rermits �or cons:L-ructian �aill be issued a mz.nimum af 24 hours f.rom the ta.me �i application to a].low for proper reeiew of ihe proposed structure and of the . cons�ruction site. A Ceriificate of Surve� of the lot, sho�aing the location of the foundation OI3Ci.' it has Ueen cons �nzc�ed <<*ill be required bef_ore pr.oceedinq �•rith the framing e Ct=RT I F�GQTE aF �C�_UP/�f�CY � ' AP�l.icatic�n for a Certificate oi Occ�ipancy sha11 be mad� ten (10) days prior i:o the u�e or �accurancy oi any stz-ucturc for �viiicii a L�uilcliiig �eimit 2zas been zssued; and said.sfixucture slzalX iiot be used oi: occupi.ed uriti.l a Ceri�ificate o� Occurancy has been issued. , .. • • n SUBJECT City of Fridley AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � � � � � �,v ______ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. i--_-� ��"" �,� CITY HALL FRIDLEY 55432 NUMBER aEV. z 612-571-3450 910-F15 JOB ADDRESS 625�. C1Y0�. Di. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. �. 3 Shorev�rood Add. 2 PROPERTY OWNER MAIL ADDRESS Myron Kowali�r 6251 Carol Dr. N.Ev Fridley 3 CONTRACTOR MAIL ADDRESS Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION 8 DESCRIBE WORK Convert the garage into living space. 9 CHANGE QF USE FROM TO STIPULATIONS DATE I PAGE OF �� a�un / / PER . _ 16036 R . /��/ APPROVED BY SEE ATTACHED SHEET Z�P PHONE 55432 571-2759 Z�P PHONE LICENSE NO. ZIP PHONE LICENSE NO. Z�P PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUP/ VENTILATING OR AIR CONDITIONING. WOOd Fr�e THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, Oii 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OADINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�i QOO. OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`%. SO PLAN CHECK FEE SIGNATUREOFCONT ORAUT ORIZEDAGENT IDATEI �<, WHEN P � �� l�z��T _ SiGNAT RE OF OWNER �IF OWNER BUILDER� IDATEI oi nr v.�ci GROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING GARAGES SURTAX $.50 TOTALFEE $8.0� THIS IS YOUR PERMIT �� nATE CI.TY c►f� ��zza�cY . � , � Af'PI.IC/17I0'J �QR (;CSIUl:t�TI11�. P,U1L.�It1G i'[:Ri�fTTS � � (tJe►��, All:cral:ions, �telclitions, or Rc�airs) i ' � � Ol�!ldER: �i'�ZC� tii �i [3UILRCR: , . � - r�Dn�;cSS: Co 2� nndncSS: • - ._�___ Tc�. r�o: --� !" �, �� T��. r�o: • • STI2.L"�T NO: �Z.�i 1 STRF'F..T: Construction Location ' . -. . LOT: . BLOQC : I�DDITI�N : Corne�: L�t: �� Insii3e Lot: Se�E}�acl:: Sideyards: Ap�lican� attach ta tllis form f.cvo Certif�caies of. Suxuey of ].ot and . proposed building 1oca�ion dratan on certifica.tes to scale. QESCRIPTIOtd OF CO��STRUCTIOPd • ' ��e Front: � CUA�uR1L,1 � 1� `.i.vl`�c1txa�e. Fee�s . 0 , �'ront : Squar.e• FeAt: �P� = Height : Cubic Fcet: .. �P�1= Height: Cubic I eet: Type of Construction : Estimai:ed Cost: $ �(�QQ. � 7.b Be Cbr.�pleted: � • - Alt. A Al.t. B Proposed Dzive��ay Width 1'f New Opening Is Desieds $- $ . . .. SEE Rc,VER5E STDE OF SFIEFT Z�i� undersigned hereby ma3:e� applicaticn for a permit fcr the �:nxk� hereizt specified, agreeing to do ,all work ir� s�tric� accordanc� �•rith the City of I'ridley Ordinances and rulings of ihe Dep�zz�.ment c�f Buildings, and hercby declares that all the i'acts and re�zesent.ztioi�s stated in this applicati�n are true and COrrect. D.'�T7S: _ f Z, �� p V SI�N7ITURE� : Sti�,�ulations : � 1� � \ i. aZ . '+ — FS. �ZJ � 2 � c � . . . u� . �u��n��c �>r�Rl�1'r rE:t: :�r.��r-.r�ut_�� . :;):�:'i'IOI� Z. � 7.'1�2� 7n�.:��ecic�r. of` 13��i.lc?in�� :::}i:�l.a., f�cf:c,t:c: �.:� :ui.iuJ }�w�niL•s for t:hc crr.cL•ion 01: .��y ),i�i]_�l.ir,�� uz :;i:�•uct:UL'L'� w: ft»: [,ily at]cli.t:a��n +.:o ��i,f cr.i�t:�.>>�J l�tiilcli.nc� pi :;tzucLur.�s, . i»' l:a�� t��iy .iJ.L•ar;.�L•io�i or. r.cl,�ia.r.:� L•o •��ny c::i. :t:S.»r� h��i.).di.�i�.I oz st�:ucturc, u��w� aT��,��.i.c:ata.o» �ttir.r�Cor.c, r.csqua.�:e t:l�� l�a}�mc��L• ?�� U�c .��,��].i.c:ar►!: fc�z- s�icl� per.mi.L• o!' fee, L•o tl�� arn�unt }�cr.�:.ire beJ.ot•► �el: f.or.th and i.�► i:lic tna»rie?_ hczcin j�rovicic_cl t�-ar:i.C; • • 11);ti•J COldt:`!'I;UC'rIQI�: aing].c l.'�7mi1.y Iloir,es and Gaz-�zqes: ;�4.00/7.,000 cubS.c �ect.. I?7.Ts:d C113:CI;: 25 j�CxC:CJi�: Ot 1)UJ:�.Q]_11�J J�CI"lltlt: ic:c. . llR]:�71:t:111' llEl'P.e:5SI0i:: (Cyncrai:q C:�i�b �i:rceCs Only) ' • Al.i:eri�at:e n: Itc:�noval "attt� rCpl.acement of concrete cuXb and quLtar only; l�riveway c•ridth pl_us 6 ieeL• x�:1,5.75 7�].tcrnaL•c F3: Femoval and rep�.accm�•nt of concrete curb and . gut�ter and iiist�ll a 3 tooL- v�i.de approach c.�itt+ �' ' . 6�.tich tlepth; Dzivca�ay �•iic:th �plus G PeeL- x$17.85 � . . ADDI T I ��/�L I1dFOR��1t1T I O!` � � I'ar the puri�se of co�c►puL-ing �ees for_ vu�.lding permits, Lhe cubical. contents of any bui.3.di.ng or. addi�ion, is dcter_:ni.iied by rnultiplying the ground area covered Trom a ' p�znt si� (G) inches below thc floor ].ine oi the basemeni� or tha cellar ta 'the . �ver.ag� hc:ights of i-he •upper surface or to ihe average height of the roof. �urf.�cce of L-iie riain gable of a pitched roof-. . For. xeFai.rs or al.terations to an exista..ng structure, the fee shall be at the rate af $3.Q0 �ier. each £ivc hundred dollars°($5�0.00) or frac�ion '.liereof in fihe cost oi' all prqposed wor.k. . . � In •no aase sha,.l the fce cliarged fc�r any pp�r..�fi ws set fori:a �.n Sectian 2 b� i�ss - than $7.50 plus $.50 state swrcharge. � ' � � � VERIFIC.�TION OF Ft1U��nnrtJ� ' NOTE: Permits �or construction cvill be issued a minim�n ai 24 hours from tt�e time oi a,��13.cati�n to a]_loc•r for proper review of ihe pro,�osect si-Yucture and of ihe construction site. .?� Certificate � of Survey of the lot, shoc,�ing the locati.on of tiie foundation once it has l�eeit c�ns�ntctcd t.*ill be required before pr.oceedinc� �rith the irarainq. �jiTIFIC,QTE �F ��c�AI�GY l+rpl.icati.an ior a Gertiii,cate oi Occupancy shall k�e mad:� ten (lOj dlys prior i:o the u�:e or accuk�ancy o� an}� stz-ucture for wliich a bui.lcl-i_�lg pe�r►it l:as been a.ssueci; and saiel stLUCt:uxc sha1� Jio� be used or occu��iecl L:iiti.l a Ceri:i.iicz�e of Occui�zncS� has bccn i.ssucd. � 0 ❑ 0 ►-� s>. � � _ '� � � 0 � _ � -_.----- --_-� sue�ecr PERMIT Nq. � City of Fridley �� 7 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � - i � � � � RECEIPT NO. � `v ______ COMMUNITY DEVELOPMENT DIV � r � � PFiOTECTIVE INSPECTfON SEC. � 1 , 1 ( ��ti � CITY HALL FRIOLE� SS432 NUMBER REV DATE PAGE OF APPROVEO BV �'"""�" �'' 612-571-3450 910-F15 11/25/96 / / JOB ADDRESS 6251 Carol Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Shorewood SHEET 2 PROPERTV OWNER MAIL AODRESS ZIP PHONE Myron Kowaliw 6251 Carol Drive NE 571-2759 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO Renewal by Andersen 1700 Buerkle White Bear Lake 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2006 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION g REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 12 windows in home with ocket insert re lacement windows 9 CHANGE OF USE PROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. Provide smoke detectors on each level of home and in each sleeping room to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST OCCUPANCV GROUP OCCUPANCV 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 FEAD AND EXAMINED THIS APPLICATION 1 STALLS GAqAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S�7L3 2,8�j DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �],12,.25 Fire SC S.%Z PLAN CHECK FEE TOTAL FEE License SC 5.00 125.83 SIGNATUAEOFCON�RACTOROAAUTHOAIZEDAGENT 10ATE1 WHEN PFiOPERL ALIDATED THIS IS YOUR PERMIT � � - ' /� ��-�C SiGNATUREOFOWNEFiiFOWNERBUILDERi �DATE� B G iNSP -�^ qFTE ITY.�F FRIDLEY N �W [ I . A]�i�N ( ] a�.�'�at f 3 AI TEL= 612-571-1287 �ar 20.96 9=48 No.0O1 P.01�.02 Effective 3/1/9G CITY OF FRIDLFY SIl�TGLE FAMILY. ANn DU�'I'.T�XES It-1 AND R 2 Building. Perrnil_ Appjica�ion � ^ s �� Ccm.structionAddress: (�'Z5 � • G�2�. OCZ�dC ' � , I�gal DcscriPtion: Owner Name&Address: M1�2tl�.1 �dwALi,,d �-z5� C.�ctoc.. �pr(.,IV� Tel. �'S'� t-215� � _ Contractor: �(Z�c.'rt �wA� rS�{ ��s�c..�J MN LICTNSE #�� 40 C�3o . Addr�ss• �`l00 6.I�1,� ►-� I� ► S'� T,�-'-n2- C.A�-�C �►'1 r� s� r I� Tel. # 4�3v � 7�' Att�h to this apPlication, a Certificate of Survey of the lot, with thc pro�s� const�ruction drawn on it to scale. n�sc�oN oF nv�ROV�NT LIVING AREA: : Length Width Height Sq. Ft. GARAGF, AREA: Length � Width , Height Sq. Ft DECK ARF..A: Length Width ___ Hgt/Ground Sq. Ft. � O�'HF.R: [�'1,�..l� C.�E l 2 h( lrt oc�r( S �►v t-�6 n�,� W IT t-� �bCJ�'�° t rv S�C,t-- �c '�-�(�Y1�'Y�" hr � r-�rClh� j . Corncr I.ot [] Inside Lot [. ] Ft. Yd Selback � Sidc Yard Setbacks Type of Construction: ,_ Estimated C�st: $_ S"1Z� `�- APprox. Completion Datc: �2 • 24 • �, � � lCos t. on . Ba ck) Driveway Curb Cu� Widrh Needcd: F� + 6 Ft = Ft x' $ —$ ..� DATE: l�• 2 l�l �. APPIdCANT: TI t�i1 S C 6-1 �►L T � , TeL .# � •ZSSr} � Permit Fcc Fire Surcharge Stale Surchar�e SAC Charge I.icense Surcliargc . Driveway T:scrow FrosioA CQnir�L Park Tee � Sewcr Main Charge TOTAL S1'TPLJLAT'IONS: P CiTY US�. OIVLY � �� "J $ �/ �� L-r�� FGC Scherlule on Revcrsc Side �� _ � �l � $_ . �', � Z .001 of Pcnnit Valuation (1/lOth%) . � _ _ _ $ � $.50/$l,�ti V'aI11aLi0II ' � � �� $ (�� j �u $900 �r SAC Unit �� _�� c�. $� �e`'�� $5.00 (S�ate Licen�d Residcntial.Conb�actors� ��?V°v �,- a A„ , j� � $_ , Alt. . "A" Or Alt. "B" .Abavc � (' � � $450.00 Conservatinn Plan Rcvicw �' . , �' . � $ Fe� �termined by Engincering $ �� Agreement Necessary [ � Not Ncxcs.sary [] $ 25� �3 � � �-__ D� �; . - ° , (�c',� l � -. � l 1,z � -� ELDER-JUNES PERMIT SERVICE ELDER-JONES PERNIIT SERVICE l 120 EAST 80TH STREET BLOOMINGTON, MN 55420 (612)854-2854 phone (612)854-2703 fax a G . �, r• � : ti• 1 J r��~� . »d' ,. . . ,� ;• We at Elder-Jones are acting as a agent for Renewal by Anderson. [f there are any questions, or - permit has to be picked up in person, please give us a call at the number above. ,If permit can be mailed back to us, I have enclosed a self addressed envelope, � � Thank you„ Tim Schenk ext. 140 Jolene Connors ext. 134 c 0 , sue�ecT P MIT NO. � City of Fridley 2 5 9 4 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;, � � R � i L__�_ COMMUNITY DEVELOPMENT DIV. �� f � � PROTECTIVE INSPECTION SEC. � � i � � /°"1 � CITY HALL FRIDLE� SS432 NUMBEN REV DATE PAGE OF APPROVEO BV �""""R � �'� 612-571-3450 910-F15 4/17/98 / / JOB ADDRESS 6251 CAROL DRIVE NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j 3 Shorewood SHEET 2 PqOPEfiTY OWNER MAIL ADORESS ZIP PNONE Myron Rowaliw 6251 Carol Drive NE 571-2759 3 CONTRACTOR MAIL ADORESS 21P PNONE LICENSE NO. Steven R Lee Contr. 9465 Irving Ave, Brooklyn Park, MN 55444 424-1198 5758 4 ARCHITECT OR DESIGNER MAI� ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILOING Residential 7 CLASS OF dVORK � NEW � ADDITION O ALTEAATION C� REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Buildi�� Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATINCi, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 QAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. 5TALlS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SUfiTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2�335 �Z.I.% 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- STRUC710N OR THE PERFORMANCE OF CONSTRUCTION. �]�}. ]S Fire SC �L.3�F � �'/�� PLAN CHECK FEE TOTAL FEE License SC S$5.00 $83.26 SIGNATUREOFCONTRACTORORAUTNORIZEDAGENT I�ATEI WHEN PROPERLY LIDAT D THIS IS VOUR PERMIT _ � � SiGNATURE OF OWNER�iF OWNER BUILDERi iDATE� BLD �NSP �) TE .> _ o .. NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ��3 �� l�� ConstructionAddress: �°L �� C a y� � /% L � Legal Description: � Owner Name & Address: � � �� v� �� C� `°� � % �" �w Tel. # � %%—� 7�� Contractor: 5�--�-�' -�, � �� MN LICENSE # -�7-�� Address:_ � 5° � � �1� v � �n, � �� ° °�k�� °�,� Tel. # �� y � �% �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECI� AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ° � � � � al-- � � �i � u.�-� �- � cs� � SZ �� g- � — Construction Type: Estimated Cost: $ �� lFee Schedule on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� APPLICANT: f�� Tel. # �� % ��' 7 � Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ %�l �� $ o� � � I� �� $ $ �� o $ $ $ $ $ �-v2 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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 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,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1(10,001 to $500,000 $500,001 to $1,OQ0,000 $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) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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 $15 .75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i • � � � i y�_�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i.-•-� ��"' �'� CITY HALL FRIDLE� 85d32 NUMBER aev L 612-571-3460 9t0-F15 JOB ADDRESS 6251 Carol Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. j 3 Shorewood 2 PROPERTY OWNER MAIL AODRES$ Myron/Gladys Rowaliw 6251 Carol Drive NE 3 CONTFiACTOR MAIL AODRESS Same 4 ARCHITECTORDESIGNEii MAILADORESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Soffit & Fascia 9 CHANGE OF USE FROM O ADDITION ❑ ALTERATION TO DATE 6/15/98 ZIP PAGE OF / / �26242 E�T�s- �� APPROVED BY SEE ATTACHED SHEET PNONE 571-2739 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. � REPAIR ❑ MOVE O REMOVE STIPULATIONS Install soffit ventilation to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATINC3, ��Pt OF GONST. OCCUP) VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV TNAT 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1 s 7OO OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �S�F.00 SIGNATUFE OF CON7RPCT�1 OR iDATEi ALIDA . GROUP CU. FT. OFFSTREET PARKINC IGARAGES $.85 SAC CHAqGE Fire SC $1.70 TOTALFEE $56.55 D THIS IS YOUR PERM�T ... � LOAD NEw ADDN ALTER [] [l [l ConstructionAddress: CTTY OF FRIDLEY SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��-��-��Y1v�- �� L,egal Description: %�� S Owner Name & Address: �'ri Contractor: Address: G� �� V Effective 1 / 1 /98 � �� b�J � Z,� �L v Tel. #.� 7 �-- 27 �' 9 MN LICENSE # Atta.ch to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECS AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: ��,c � o� � s b f f'�� Estimated Cost: $/%�J �� U(.� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �" �s' g� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: �� N�, Tel. #� -� �� 7 � � CITY USE ONLY $��J �� Fee Schedule on Reverse Side $ l s� .(�1 of Permit ValuatioII (1/lOth%) $ • �?�� $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � ,��. ��' R�.�_ BiJILDING 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 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 $25,001 to $50,000 $50,�1 to $100,000 $100,001 to $500,000 $5�,001 to $1,000,000 $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 $1 Q0, 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) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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 heen constructed will be required before proceeding with the framing. -� - � � Building Inspections 763-572-3604 DATE d-? � � l� SITE ADDRESS � ?'?-iIS APPLICANT IS: PROPERTY OWNER/ TENANT .... M.ECI�[ANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS O OWNER �i ,CONTRACTOR o.�.a Permit No.". Received By: CONTRACTOR �o�,�Y N�:_��°�derson Heating and Air-Conditioning SUBNLIT .A COPY OF CONTACT PERSON: v'"�� _ YOUR STATE STATE LICENSE # a/R� 4347 Central Ave N.E. ,, STATE ZIP, ? �c�sE wrrx ,,�D�ss: �1, Hts, Mt� SS421 � - APPLICATIUN PHO� �7��r�%_ (�S// _ .[ PERMIT Tl'PE 'T1'PE OF WORK: �INGLE FAMILY O TWO FAMILY O TOWNHOUSE ❑ J�W �REPLACEMENT ❑ ALTERATION/RE/��1- � � DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a mi � o�,a re�idential fixture�excluding the fixtu es� (Ths Oho ldlreflect onl�y the cost of labor ) improvement, installation or replacemen Labor cost under �300 =$15.00. Labor cost between $300 to $S00 = cost of labor � x•Q5 — FOR PROJECTS WF-IERE 1ABOR EXCEEDS $500, FEES ARE BASED ON 510.00 PER. FIXTIJRE> EXGEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NU}JIBER OF EACH BELOV� MODEL: SIZE/BTU � 1 l Bquiprnent Instalfed M�G� S��TU MFG: _.� MODEL: _— SIZEBTU �G: `_ MODEL: _._. FIREPLACE (GAS) $15.00 GAS RANGE/OVEN 510.00 A/C 525.00 —��pl,pC� (�rppD) $35.00 _NE�'d GAS GRILL $10.00 _AIR TO AIR EXCHANGEER S15 `� F�ACE $35.00 GAS UNIT H7'R $10.00 BOILER $35.00 �`-Gpg pR�ER $10.00 ^POOL HEATER $35.00 _CHIMNEY LINER $10.00 VEN'I'ILATOR $15.00 _GAS PIPtNG $10 00 • DUCT WORK $10.00 _ . ._.� ...._.��, _.,�.�g.�� .:��, °, _: r��; ntc�r',i?i�.`��F�'�Yff��TS�'��R�S:O . _.__ ._ . ., , ;. , . ��:.a s. ,.. ... ::,, �: .. . . _ ��EE•.PR.O.. � ; : .. Permit Fee $�(�,_ Number of fixtures @$10.00 x$10.00 —$ Surcharge $ .50 Number af fixtures @ $I5.00 x $15.00 = � TOTAL DLJE $ � �i� Number of fixtures �a $25.00 x $25U0 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota] _ $ THIS IS AN APPLIGATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge tbat the inf�rmation above is complete and accurate; that tha 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: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 requ'ues revi�w and approval of plans. SIGNATURE OF APPLICANT C G�i/�Zd.G(.Pn"�� _____ , PRiNT NAMEC �!�/Yl � T� Z/i � tC r�I Iii-' _DATE • __�_�_._ .. ....... .. ..... -- -_. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridiey, MN 55432 763-572-3604 FAX: 763-�02-4977 0 � e� !� r sua�qEin�i�� nE dn axE�aac pu� uopsn,quio� .zo3 pasn aq ��uz ax�n�os samr�apm� apo,a ��tu��ay� �.zaII� �.mm�od�a�ua� :�,I,p� Q i��L�t'EI��T •� - -- - ----------- — - -- ---- _ -- Z'£090'9b£I �J�II �d �jsaQ ��nQ •9 - � ZL9L Io OL9L apo� ��a� � iad -e . . uorxe.�Ba� .S Zi£0'91�£i �L�II IIoA�stto� �eau uo pairnba� � taool �ad p�eoj �mj000 � ssoj �eaH •� S3WOH M3N 2i0� a�2ilf1D32� �s�BatuP�� i�i �t.n� g�a�d�e� �J�II se� m� .�a�o jan3 •q s�IIartzpuatz�' l�I �?� S sa�d�ec[� �J� sa�trer�ddE s� -e ��A '£ s�ua�uP�� I�1I �?�n S Ia�c�e� �L�II `� (rao�aq a�oa aas) .ird dn-a�y� •z ` ��mP��d NL�I �� £ �;� �J3V�credoid io serJ TE�N 'q s�IIa�uP��' i�I �:� L��{� �L�I[ Ian3 P?ios io jip �e '. (nnoiaq a�ou aaS) .rr�' IIousrtquz°� ' I ' S3WOH JNIlSIX3lAA�N 2�0� a32�If1D�2i 2{Pd dfl-��W ❑ 3WOH JNI1S{X3) SN011laat//S3WOH M�N ❑ �t//lH N011�d�l�dd�! 11W�13d IHIlN3alS321 lIWZI�d SS3�02�d 0103a33N NQllt/IN2�O�N� a32�lf1b321 .y