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AF - 43898,�'+. City of Fridley, Minn. �``, BUII�DING PERNIIT N° 3 3 2 3 �� te: ..........� ........................... owae�r ....................................... suilaer ............................................. Ad�r�s ...................................... Address ............................................. . . • `I�N OF BUILD(NG No. �. � � �'��`� �� I�. street ....1� .. ., .............. r I.ot .............. ............ , . .....�... Lot . P.t�. .. . �. Black . . . .. .. `. .. ...� Addition or Sub- 'on . . . . .[�� "'`°' G"�"�J ... E �e � C�r�r Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback . . . . . . . . . . . . Sideyard . !. � . . . . . . . F. .� o. . . . . . . . DESCRIPTION OF BUILDING To Uaed as: . ��; .�.'�. . . . . . . Frarrt . . . �� Depth . � Height . . . . � . Sq. Ft. �� .,�. . Cu. F� � � 7 �'' � . . . . . . . . . . . . . . . . . . . . Frorrt . . . . . . . . Depth . . . . . . . . Height . . �� . Sq. Ft. . . . . . . . . F't. . . . . . . . . 1�►pe of Construction ��'Z .d�.. . . .. �st. Cast. ,�1� .�'. .�� . :.'� To be Completed . �%f�C�. .�. :. . . . 4.�� '� � �, ' � s �� e '� � )'� � i-�' "'� e , � o,,. In consfderation of i�e iss�ance to me of a permit to construct the building desribed above, I agree to do the propa�ed work in accordance with the descrlption above set fo and in compliance with a]1 provlsions of ordinances of the dty of Fridley. � . . . . . . . . . . . . . . . . . s:��'� . . . . . . . . .. _ _ .._ _. _-- -. . . _-- -----_ . /t .e a � � ' In consideration of the payment of a fee o! $� �.. .. .�eranit is hereby granted to ..: . �'.. � . .. .. .. .. .. .. .. .. . . . . . . .. to construct the building or addition as described above. This permit ia granted t�on the express condition that the penson to whom it is granted and his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform fn all respects to the ordinances of Fridley, Minnesota regaxding location, construction, alteration, maintenance, repafr and mov3ng of buildings with- fn the dty limits and thfs permit may be revoked at any time upon violation of any of the provisiona of said ordinances. � 0 _'�r�s�� . . i�'�4�1: . . Bui�etor NOTICE: Thls parmit does not cover f3�e construt�tlon, Inatallatlon o� alteratlon fo� wl�inp, p�umbing, gas heating, sewer o� watar. Be su�e to sea the Bulldin8 Inspecto� for separete perml� fo� thase Itama. Su8JEC7 City of Fridley AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T � � • i �• COMMUNITY DEVELOPMENT DIV. � ��: ------� r � � PROTECTIVE INSPECTION SEC. 1 i � qEy, bATE PAGE OF � i-"1 � CITY HALL FRIDLEY 55432 NUMBER �•---� � �'� 612-571-3450 910-F15 11/14/89 / / JOB ADDRESS 5763 Central Avenue N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 1 Parkview Manor 2nd Addition 2 PROPERTY OWNER MAIL ADDRESS Z�P Michael 'I"hompson 5763 Central Avenue N,E. ZIP 3 CONTRACTOR MAILADDRESS J�MRF. 3700 Annapolis Iane, Plymouth, MN 55447 ZIP 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS Z�P 8 USE OF BUILDING R@S1C3.2Tltl.al 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION � REPAIR 8 DESCRIBE WORK Reside Dwelliz�g TO 9 CHANGE OF USE FROM STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZOI THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 WOFiK IS COMMENCED. � NO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION vA AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. o' SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT IDATEI �DATEI Vi,nyl IN(3 DWLG. UNIT; 1 ATIO $4�SQ0. 11T FEE yS` %2 e Q 0 '20195 3 y��9 APPROVED BY SEE ATTACHED SHEET 572-0649 PHONE LICENSE NO. 553�-0020 PHONE LICENSE NO. PHONE LICENSE NO. ❑ MOVE ❑ REMOVE PANCY CU. FT. OFFSTREET PARKING STALLS GAHAGES SURTAX $2.25 1L F.EE �74e25 IIS IS YOUR P �� // LOAD > �. �� - �' - r Prepaid Plan Ctieck $ Effective 5/1/88 Esti.tnated Cost $ CI'1'Y �' FRIDLEY Receipt # I�3, OQ�IAL & II�IDUSTRIAL m,; ldi� Pe�it Application Construction Addre�� l�'� �� / �r /�J�' � � Zoning Legal Description `,�-� p� p�r�p,�� lr l� Ct �'� -!_ L� G�i� �n7�. Tel . # �� 7 QOI�TIi�AC'NR & ADDRESS � C� -� y�o ��t.° � 'Del. # �J� � �s2 � p,rchitect & "aa, � ,�a-✓a�e��"��g. # �gineer & Address Reg.# TYPE OF WoDRK New Addition �lteration -Describe � �'��.-�� l� � /�� Il Ll � Applicant signa�� .� Tel �c��.�i.J Date �l ' ��°�� HUILDIIaG DIl�S6I@�S Iength Width Heic�t Sq. Ft. # of Stories OFC. ARFA: Length Width Height Sq. Ft. WHSE �,REA: L�ength Width Height Sq. Ft. � AFtEA: Iength Width Height Sq. Ft. `TAI�TAR'I@T Sq. Ft. x$ Cost/Sq. Ft. _- Valuation $ -) sq. F`t. x$ oost/sq. F't. _ Valuation $ ) = S �� Sq. _Ft_ - - - -- -� $ .�tL�I- �• _ _ Valuati.on— � - _ _ _ -- -•1 - To►rAL V�u1E Building Use �Cbnstnictian Type ��Y ��P Air Conditionitig L]Yes L]No Fire Protection Provided []Yes [JNo Performanc� Bond Amount $ See Reverse for Schedule -� R,eceived []Yes []No P�ermit Fee $ °�� See Fee Schedule on Reverse Side plan �� $ In F�ccess of Prepaid Amaunt - See Rever'.� Side �� qe $ �� / $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Q�arge $ $575 per SAC Unit Park Fee $ Fee Deternuned By �gineerinq spec. n��++�^ts $ Ag�e�t N�Y L l Not NecessaxY [] Drive�ray Fscrow $ // feet x $13.50/foot ,� if� '!�►I'�iL � ADDI'PI�L STIP'OLAT'ION.S aN itEVIItSE SmE �/ Z� �.. �{�.�o i�' „ � .� �� ti SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � � ` ___��__ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r � ; � . , � _ �"'1 � CITY HALL fRIDLEv 55432 NUMBER aEv �""� � �'� 612-571-3450 910-F15 JOB ADDRESS 5763 Central Avenue NE t LEGAL LOT NO. BLOCK TRACT OF ADDITION DESCR. 2 1 Parkview Manor 2 2 PROPERTYOWNER MAIIADDRESS Mlke/Mary Thompson 5763 Central Avenue 3 CONTRACTOR MAILADDRESS Concrete Contractors 8510 Park Ave S. Bloo d ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential DATE 5/17/94 ZIP 55 ZIP ZIP PAGE Of � � PE RM IL.latO-.--_, _ _��` . RECEIPT NO. ._. � �� APPROVEO BV SEE ATTACHED SHEET PHONE 57�-0649 PHONE IICENSE NO. RR 1—fi,29$ PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Rebuild garage wall 9 CHANGE OFUSEFROM TO STIPULATIONS TYPE OF CONST. SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID iF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHiN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNIT; I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3 s 900.00 DOES 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. �C3.00 PLAN CHECK FEE X�� SIGNA E OF CONTRACTOR OR AUTMOfiIZED AGENT IDATE� �Ey� OCCUPANCY GROUP OCCUPANCYLOAD S0. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SU RTAX $1.95 F' FEE IS850UR PERM� � narE IvEW ADDN ALTER �) fl �l Construction Adciress : CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application c��, Effective 1 / 1 /94 �j�a� Lega.l Description: Owner Name & Address: ��, `� CAK� }�cw' y� ��ocn��_ Tel. #��_c-['j_ jo r-T{c:� Contractor: �.pv�� e��n � �9-�,�,. ��v°- MN LICENSE # Address: � S CO �%ca,�c-�- �� ' . Tel. # �j � L-- 62�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction dra.wn on it to scale. DESCRIPTION OF IIVIPROVEMENT Length Length �1�� L �) Width Height Sq. Ft. Width t a` � Height _�_ Sq. Ft. Width Hgt/Ground Sq. Ft. � -- f-�, � i�l C- c� � C':�-� L Corner Lot [] Inside Lot � Ft. Yd Setback Side Yard Setbacks Type of ConstruCtion: v.�c� ��PU'1Q°�� Estimat� Cost: $ �� 40 rO C� , Approx. Completion Date: � ��`'� � �`� `� � (Cost on Back) Driveway Curb Cut Width Ne,eded: Ft. + 6 Ft = Ft x$ _$ DATE: S l 9 APPLICANT: ��- �� Tel. # g�1 �� Permit Fee Fire Surcharge State 5urcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 'Park Fee Sewer Main Charge TOTAL STIPULATIONS: ('ITY USE ONLY $ �� . C'�'� Fee Schedule on Reverse Side $ � . �iC? .001 of Permit Valuation (1/lOth%a) $ ;�• �'� � $.50/$i,(�0 Valuation $ $800 per SAC Unit $ ��-�"`� $5.00 (State Licens� Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.� Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary ( ] Not Necessary [ ] � ��,� � <- � _ r� � , c �; C, .�� __ _ - ____. � . - - � _�, �, - j�E � _ - , ;, BUILDING PERMIT FEE SCHEDULE The Chief Building Official shal(, before issuing permits for the erection of any building or structure, or for any addition to any existing building or stcuctvre, or for any alteration or repair to any existing building or stiucture, ugon application therefore, require the payment by the appiicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALiJE $1 ' � to $S00 $501 to $Z,Opp FEES $15 (Minimum F�e is $15 plus surcharge) $15 for first $SOp p1�s $2 for each additional $100 or fraction thereof, to and including $2,000 �,�1 � �,� . $45 for first $2,00p plus $9 for each additional $1;000 � . or fraction thereof, to and including $25,000 . $25;001 to $50,000 � $252 for first� $25,000 pl�s $6.50 �ar each additionaI $1;000 . or fraction thereof, to. and inclading $SO,OQO -- $50,001 to $100,000 $100,0p1 to $500,000 $500,001 to $1,000,000 $I,QOQ,001 and up $414.50 for fiist $5p,ppp plus $4.Sp for each additional $1,000 or fraction th�eof, to and including $100,000 $639.Sfl for fust �$100,000 plus $3.50 for each additional $1,OQ0 or fraction thereof, to and including �$500,000 $2039.50 for the first $SOp,00p pius $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.SU for the first $1,OQ0,000 pius $Z for each additional $1,000 or fraction �thereof - DRIVEWAY DEPRESSION ESCROW (Concrete (�rb Streets OnIY) �1lterna�e "A": Removal and replacement of curb and gutt�x anly _ Driveway width plus 6 feet times $13.50. Alternate "B": Removal a.nd replacement of curb and gutter and install a 3 foot wide. approach with 6 inch depth - Driveway width pius 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for consh-uction 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 loca6on of the foundation once it has it has been constructed will be required before proceeding with the fcamirtg. .�_ �. sue�et� PE City of Fridley 05 8 2 AT THE TOP OF THE TININS g � � L D 1 N� P E R M I T r � ` R . � • COMMUNITY DEVEIOPMENT OIV. � � n� � � V � �/ r � � PAOTEC7IVE INSPECTION SEC. � � _ . � �'�'1 � CITY HALL FRIDLEV 'fS132 NUMBEP REV OATE oAGE OF Aovf�OVED Br �""� � �'� 612-571-34b0 9/0-F15 12/14/99 / / 10B AOORESS 5763 Central Avenue NE t LEGAL �07 N0. BLOCK TRACT OR ADDITION SEE ATTACMED oescR. 2 1 Parkview Manor 2nd Addition SHEET 2 PROPERTY OWNEfi MAIL ADDRF$$ ZIP PMONE Julie Morin 5763 Central Avenue NE, Fridley, MN 55432 3 CONTRACTOR MAIL ADORESS 21P PNONE IICENSE NO Aztec Roofing & Construction 11583 Rupp Dr, Burnsville, MN 55337 895-0040 4 AiiCNITECT OR DESIGNER MAIL ADORESS IIP PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O A�DITION O ALTERATION �] REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Reroof House & Garage (22 Sq) Tear-off 9 CHANOEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. �ermlt Inspection C��s lNill �e Maile� To Homeo�n�r To Po�t TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAO SEPAFATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MEATIN(3, VENTILAT�NG OR AIR CONOITIONING- TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CpNSTRUCTION 20NING SO. FT CU FT AUTNOR12ED IS NOT COMMENCED VtIITHIN 80 DAYS. OR IF CONSTRUCTION Rl OR WORK IS SUSPENDED OR ABANDONED FOR A PERIO� Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFfSTHEET PARKING I HEREBY CERTIFV 7MAT I MAVE FiEAD AND �%AMINED TMIS APPIICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ VAIUATION SURTAX ANO ORDINANCES GOVEflNING THIS TVPE OF WORK WILL 8E COMPLIED @ � WITH WHETHEfi SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT W 1 f 923 �• 96 DOES NOT PFESUME TO GIVE AUTMOqITY TO VIOLATE OR CANCEI THE pEqMIT fEE SAC CNARGE PROVISIONS OF ANY OTMER STATE Oii LOCAL LAW REGULATING CON- @ STqUCTION OR THE PERfORMANCE OF CONSTRUCTION �y6.Q..2S Fir SC �Z.9L PLAN CNECK F TOT EE Lic e C $ . $77.13 S�GNATUAE OF CON'AACTOA Op oUT110A�ZE0 AGENt iDaTE� H p Y- ALIO E MI� IS VOUR PERMI � �i r S�GNATUAEO�OWNEp��OWNEABWLDEA� iO�TE� LOG �NSP' ��'tE JUN—c4-1998 11�48 FROf9 CITY OF FRIDLEY TO 8959962 P.01/04 V� W l 1 �...�.... .. .. .. ... �DDN (] Lj Qv2 CITY UF F�tIDLEY 4LTER ()��fl SXNGL� FAMIiX AND DUPLEJCES R-1 AND R-�17Y OF FRfDI.EY � BUILDING PERMTT APPLICATION 6431 UNlVERSITY AVE. N.E. ��•�q�' � ��3 FRIDLEY, MN 55432-4384 ' �,,�0,-, �`,Q � � l� � �ons,tru��' ss: [,e al D _�~ tion: g escrip hvner Name & Address: �'�,\� �- {�-�� Tel. ll � � �oatractor: Z 1-� � "l� , � , ,. �, � �.St� -; c�� d�� MN LICENSE 1! � f �/ � Address: 1► 5 �' � S? �,�,� �� ] � , ��`_ - ��. � o, ��, i � � ��, s- � � � �1 _Tel. !{ � �.� - �'�i� - �� r�� „- ��,'�r�-s� f:�C= I�e',c�,A�_y vv��-. Attach to this applicadon, a Cectificate of Survey of the loc, with the proposcd construction drawn on it to scale. DESCRIP'TYON OF IMPRO'VEMENT . . �� LIV'Il�IG AR��: �xs�gt�tr ��'Jidth - 3�cig�e Sq. Ft. �ARAGE AREA: Length � Width Height Sq. Ft. DECK AREA: Length ___� Width � HgUGround Sq. Ft. OTHER: � _ ' �a 14 a3• Estimated Cost: $ � � ° n" ;onsavction Type: _ � � 'Q � � � r• � ,--T° � �— � (Fee Schedu.Ie on Back) �riveway G�rb Cut Width Neede�: Ft. + 6 Ft � Ft x$ _$ �ATE: I 2 ��;� - �< <� A.PPLICANT: 1� Z �� . C= �. � , � �i�L.c 1� �, �-� Tel. � ,g i.5 � �-� �� '�`� , 'ermit Fee �ire Surcharge �ute Surcharge :,�.G Ci�ge .icense Surcharge )riveway Escrow ;rosion Concrol 'ark Fee �ewer Main Charge TOTAL �TIPULATIONS: $ , �s� $ / `�Y $ s 9GO $ �� $ ..�: �o $ • $ S $ $ � 7• �-3 CITY USE ONLX Fee Schedule on Rcverse Side .001 of Pennit Valuation (1/IOth�) $.50/$1,000 Valuation $1000 pe� SAC i�n:t - $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Cornservation Plan Revicw Fee Aetermincd by F,ngineering Agreement Necessary ( � Not Necessary ( ] r� � � SuB�ECT .'�°� City of Fridley 3 0 8 45 AT TNE TOP OF TNE TININS � � ��, D I N G P E R M I T � ` RECEIPT NO. � • COMMUNITY OEVELOPMENT DIY. �� V � r � � PqOTECTIVE INSPECTION SEC. � i , � /'�'1 � CITY HALL fFiIOLEr 53132 NU4BEp REV O�TE VAGE O: �hPROVED Bv ��"�"� �'' 612-571-3450 g�aF�S 4/19/00 / / �oe nooRess 5763 Central Avenue NE 1 LEGAL �07 N0. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 2 1 Parkview Manor 2nd Addition SNEET 2 PROPERTY OWNEFi MAIL ADDRES$ 21P PMONE Julie Morin 5763 Central Avenue NE 571-3663 3 CONTRACTOR MAII AODRESS 21P PMONE LICENSE NO Lloyds Home Improvements Inc 1012 42 1/2 Ave NE, Columbia Heights, Mn 55421 d ARCNITECT OR OESIGNER MA1 ADORESS ZIP PMONE LICENSE NO. 788-5602 1798 5 ENGINEER MAII ADDRESS tIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK p NEW O ADDITION �] ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows in existing openings; replace 3 daors; tub surround, sheetrock pa c ng 8 CHANGEOFUSEFROM 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. SEPA�A�� R�� REQUtRED FOR: �� n�i�W� TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING. HEATING, VENTI�ATING OR Alp CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OF CONSTRUCTION 20NING SO. fT CU FT AUTHORIZED IS N07 COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONE� FOii A PER100 OF 120 DAYS AT ANY TIME AfTER WOfiK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY TMAT I MAVE READ AND EXAMINED THIS APPIICATION 1 STAILS GARAGES AND KNOW TNE SAME TO 8E TRUE AND COfiREC7. ALL PROVISIONS OF �AW$ yALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILI BE COMP�IED � @ WITM WMETMER SPECIFIEO MEREIN OA NOT. TME GRANTING OF A PERMIT �6�879 `N3.44 OOES NOT PRESUME TO GIVE AUTMOFITY TO VIOLATE OR CANCEL TMfi pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTMEFi STATE OR LOCAI LAW FEGUTATING CON- TR CTIO R TME PERFOfiMANCE OF CONSTRUCT�ON $139.25 Fire SCi �6.88 � • d PLAN CMECK FEE TOT FEE � (R_�v Lice C $5.0 54.57 SiGNATUAEO CON•AACTOAOpAUTMOA�2E 0 ENT IOATE� NE pqpp VALI T TMIS IS VOU PEpMIT I �� $�GN4TUAE O� O�NNEp�� O�NNEA BU�LDEAi �O�TE� B �NS ��TE NEVV [ ] ADDN [] ALTER [ ] Constru�tion Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION 5763 CENTRAL AVE� NE Effective 1/1/2000 612-572-3604 Idg Insp V� � " �J- c�� Owner Name & Address: JULIE MORIN Tei. # �ti�_s» _�� Contractor. LLOYDS �OME iMPROVEN�NTS, INC,., MN LICENSE # 0001798 Address: � n�� Q e,�F_ u� Tel. # LMNG AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF il'�PROliEE�iIEnBT Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER' zNSTALL REPLACEMENT WINDOWS,1 STORM DOOR, 1 STEEL DOOR,1 FIRE DOOR � TUB � � � Construction Type: Estimated Cost: $ �M �� _ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: 4-19-2000 APPLICANT• /C.�' Tel. # 763-788-5602 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge Call (612) 572-3604 $ $ $ �� r� Permit Fees if mailing in application ee Schedule on Reverse Side .001 o�F Pe�rr�it Valuation �1/10th%) $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ ��o $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $. Sewer Main Charge $, TOTAL STIPULATIONS: a Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] / � �/- �s� (.v - c�v° �-yy � _10 /��5� BUII,DING PERMIT FEE SCHEDULE The Cluef 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 applicarion 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,Q00 $2,001 to $25,�Q $25,001 to $50,000 $50,(?O1 to $100,000 $1QO,Q01 to $500,000 $500,�1 to $1,Q00,000 $1,000,001 and up M�� .�' $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 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 $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,�0 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,OQ0 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�urb 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 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 S�uvey 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 �uiiciin�� i �i15177 e ��t10I1S � , %�7J-�I:-��J�L 7b;-�02-=-! 97:� F;�� DATL-: �` Z� d� SITLADDRESS J.-7 tv,2 C,1 THIS APPLTCANT iS: ❑ OWNEP. PROPE�TS' NAML-: �� ADDRL-S, TIN.c�.�TT CO1Vi�iCTOR SUBMIT A COPY OF YOUR ST'ATE LICENSE, BOND AND CERT�ICATE OF INSURANC� PEktNII'T TYP'E �� ' + i� � �� _�:.��'�:��.�� y'�� STATE LICIIVSE # STATE BOND # ,_ ADDRESS:� PHONE � J" TYPE OF'WORi�: � �NEw �,�'� ��' �� FFEC'i7V� I-i 7A YOURE-�VIAIL �DDRESS n F��7C FANIILY ❑ TWO FAMII.Y � TOWNHOUSE ►: • x• � «� �� Permit Rec�ived B�T�! I�a�e� � P Z �YP DATE • ._..,.,....-,�'"' L.YI' DATL sTa��zu� � �Z DETAII�ID DESCRIPTION OF WORK �,�� (L �� 0-F Y�li�(�!C"r.�i��" �N�"� �'��E9�P�'' . PER MS 168.665 the permit fee is a minimnm of �15.D0 or 5'/o af the to1�I eost np to �SOO.DO, whichever is gr�ater, for the impmvement„installation or replacemeat of a residential ftxture, excludir�g the fix-�ues. �(This should reflect only the cost of labor ) Labor cost under $300 =�15.00. Labor cost betwesa $300 ta 5500 = cost of labor x.05 = � pius SO surcharge � OR FOR PR07E�T5'�RE LABOR EXCEEDS $5Q0, FEES ARE BASED ON $] 0.00 PER FlxT(JRE, EXCEPT WHF�tE NaTED. FIXTCTRES: (II�TDICATE TO'PAL NUNIDER OF EACH BELOV�. NIININILTM FEE �1550. BATFlSII�TK/LAV ' Fi.00RDRAINS _5FIOWER _WATERPIPING —gq,Tg�g GASPIPING(NEIDQTYLIG� SWIIvIMINGPOOL _WATERSOFTNER(S35) CLOTHES WASHEIt KTTCi�N SINK WATER CLOSET ,_,BACI�LOW PREV. ($15� DI9HWASI�R LAUNDRY ZRAY '" _WATER HEATER ($35) FOR IRAIGATION — — WATER ME'TER _ OTF�R Permit Fee $ . Number of fixtures (cr� �10.00 x$10.00 =$ BurchazQe .50 Number af fixtures �� 15.00 x$15.00 =� TOTAL DUE $ �R Number offixtures @. $35.00 I x�35.00 =$ �r5•C� � . � State Surcharge = $ .50 fMUM �15.�0) ' � • � (MINIMUM �15.�0) Tota1= � So THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED [ hereby apply for a plumbin� permit and I acicnowledge that the information above is complete and accurate; that the worlc will be in conformance �vith the ordinances and codes ofthe City ofFridley and with the Ivlinnesota Construction Codes. that i understand this is not a permit but only an application for a permit and woric is not to start without a permit on site: that the rvork +�vill `be in :iccordance t:vith the a.oproved plan in the case of atl ��aric lvhich re4uires revietiv and approval of plans. ::IGiaATZJP.L• P ;1PP .'1N �� °RllNT � IAA4� N � �iL' �b /�v►� DA7'L• / ' !�l`l 'tPPP,dVLD 131' �'4�' �� .°;,R:-`I�:?E:�IutI7':;�.�I{E'^'L�1i�IR�L• P�?R 3.1.(TI:i.+l.l�IC:. �:i'T 'Dl[ .�'�.;ffl��r jefllftCER'�.1� YII5i3�'��UI1S �J�.'�3.:ik'..`:'.1�°�t �u� i -=:11V8:'�-,i�r .-..��enue ..�L-. -�•+.dle�� .•:�ii••I :�--__ "��.; - . -_-� "ci�. - ..,. ':;_-:ii=--�,- ;�i�1D �•-�1�C'-�'f�[�iTC.1L..•.'vi�Rl� d"�-`��`�`� . �-�� "w.= � -r�-- ,., ..5� ` ` 1 (;. . . . `?'�' , � . C:� :� L��4�� / w . t��.E'yv /rl�sv� ' �.�tcrlvt� .9�0/ �'`iv� . _ _ . . � , . _ f ,.,:r . ,, fi . :lm�'(Kl�1�wt � . � . C � V '�.. � � i"� r�twrnwo r i1+us r,ueM wRVess : , �� LAND SURYEVC�R uK�iw+o�c , �!o�CiRN!Ntc Mw►r1NS ` !�[AlSTER�D,.{�lIpER GAMtS OF fTAT� OF MINNlfpTA �uo�Ct�L � ' . LIC[N#�ii �I 011DIMANCi Or GRY Or NIlfNtAlOLli . 3300 LYNL?1►i.E AYE. SO. MIIVNiJIFOLIS 8. MINN. TAYLOR 4-0870 �� ESvRrfr Fo� .9RVi� t` l.ttsa�v �.S��v �'�'.+�c �ac'e �h� � SG'•9Lf' � ��`.30 � �1�' `' � ` ^ . 0 �' `.-� _ / � � � ' � , P . . ,� - � ; ,�h ,�. 3 , � �r r ' � � y � to � � ,� J � �� s IG � ae � / o � °�` ar� _ . � � ' p��e`'�a . �a L O �� f. , � 2 . : �s. � �y s►� . c� �`� , � /�� r, / �a � �� '� a � %� /�: _ � �,� °`e, � I b _ / hars y certify that the above is a true a�d correct plat of a sarv�y of: Lat Two ( 2), BloCk One (1) .�PARKVIEiN MANOR SECOND �4UDITION, /l�ckS Co�nty � i�dinnesota. As aurvey�d by ae this 2'l�h day of Augt�st 1958 A, D. Sigx��d • nr�e�ota eg s ra� on o. a��'�red by Buildin � � , � ns eC��: i —.�:�. ' p _ � . � .�� , . .._X , _ �, %x ry. .. . . . . . . . . j_ � t ,� , .e.'t , n r. � �, �� j L �� `5 ��