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AF - 35693_ T _. - S __ --_ .___... ... r� � City of Fridley, Minn. BUII.DING PERMIT Date: . . . �.�. . . � / . . `. .�� . . . . . . . . . Owner ....................................... Addre� ...................................... w� � ��d� N° 3880 Builder ����.. ............. Address .........................��....... LQC�4TIOdV OF BUILDING No. . � ��. � StrEet . �� . . . . .. . . �. �f� Part of I,ot . .. . . .. . . . . . . . . . . . . . . .. ....... Lot .�le�. .. ... BYock ... .� ...... .. ... Addition or Sub-Division /¢.���e�Ft�s..+:!.. °����T. ..... Corner Lot . . . . . . . . . . . . Inside Lot .1�. . . . . . . . .. Setback :� ��. : �.ep. Sideyazd . �LS g % . . . . . . . . . . . . . . DESCRIPTION OF BUILD[NG �T be Us as: /�r / r• �, Cy ti 9 s . . . . . Front . �� � �� �[d' � Hei.ght �(. .�� 5q. F't./�� � Gtix. F'��.-J.�.'� � � .................... Front ........ Deptb, ...:.... Height ........ 5q. Ft.�........ Cu. F`k ........ Type of Construction ................... Foat. Cost..................... To be Completed ................... ��,.�v� � �� -��'� � c�� � � �. � � �� d' '/$s , �� 6/ a7 � . .� � � � � a�° y �if� �+� � � �� p �� � � y - V' !�� � � Fi � In consideration of Yhe issuance to me of a pernoit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set and in compliance pro ons of or�linances of the dty of Fridley. � . ..��' . .. ........... .���.. ..... g � In consideration of the payment of a fee oP $. �l"�� germit is hereby granted to . : . . . . . . . . . . . . . . . . . . .. . . .. . . . . . ... . . . .. .. . to construct the bwilding or addil3on as described above. This permit is �anted upon the express condition that the person to whom it is granted and lnis agents, employec� and worlmlen, in a11 work done in, around and upon said building, or any part #hereof, shall conform in all respects to the ordinanc�s of Fridley, Minnesota regarding location, construction, alteration, maintenanee, repair and moving of buildings with- in the city limits and ihis permit may be revoked at any time upon viola.tion of any of the provisions oF said ordinances. .,� � . � .... Buildi�g 7nspec�or NOTICE: Thls permlt does not cover the construotlon, Installatlon or altaration fo� wlring, plumbing, gas heating, sewe� or water. Be sure to see the Bulidtng Inspeoto� fo� sepa�ate permits fo� thess Itema r � � �_ � � Y ��� � �� � � ;. .. .. . _ _ . .. .. . . . APPLIC�1TIOiJ FOR -BUILAING PERMIT ' ..V � � , CITY OF FRIDLEY,�MINNESOT� . � . . ,. _ . ...,. % , . � - Chmers Nam�e�� ui� Builder /Y� Q' ."' � Address �.�1 � .L�,�'���CJ,� , Address � �G`lil�CJ� . . LOCATION OF BLTILDTNG � � - .. NoY � . � Str.set �������' • f% Part o� Lot - . ` . Lot ��. �Block �'"' � �ddition or 5ub. D3.v.. ��l6fi . �� d�� � �- �o'r'rier Lat � . � . � Inside Lot �' � Set Ba.ck � +. ;,:, , . . •�^~ Ap�Y3��,nt at�ta,cYi to this form Certificate of Survey of Lot and _proposed < bui]:;ding ].oeation.. - - . � , , .. . . � DE5CRIPTION AF BUILDING - '-� �To be uaed as /�FSs/?[�/rJ eCr'- - � � � . ... F � . � � �1; . . , -Front, �� Depth - � Z Height. � � Sq .. F t. �� Cu. Ft ��:.�.GL-�C�. _ . .� . ' Front . DeptYi ' Height ' , Sq� �. . Cu, �:. . , . . . . � Type of Gonstr.u.ction ��!%J''-�� _..... Estimated Cost� �' , To' be completed � �/� ���� TI7e� undersigned. �hsreb� r�kes application for a:permit ior the, work h�rein speaified, ag�eeing to do �11 urork in strict accoxdanGe w�.th_the Cit�r Ordin�.ncea �.nd xuling of the Departr.ient of Httildings., and herr�by declar�s tYiat all the f�cts and-representations s°tated in this application are tru,e. and corrsc�G, . l�te � � � Signatur (A 3chedule of Fee Gosts can be found. I I � ,. . � Je. c n°'w � ' �q '-� ., _ .. __ .._ Bi�ILDING PERMIT F'EE S�HEDITLE � - .. Section 2, The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing bu.ilding or structure, or ior any'alterati.ons.,or repairs to an�r existing building or structure, upon application therefor, require �t,�.e :.pa�rrment by t�i.e: 'applicar�t `for such per�na.t -o£ �ees -to #.he e,raount herein below aet forth and in the manner herein provided ta-wit: 2.1 For any such pernit for the erection of any fireproof building� �� other�tharr a. gax�ge, warehouse, factory or grain el.eva�br, or��for the. erection of any fireproof addition, for similar occupari�y, to any exis�ing building sha11 be �:t the rate of �1.,4Q �or each one thousand cv.bic feet, or fra ction �thereof, in such cubical contents. 2.2 For any such permit for the erec�tion of any fireproof ga�age, ware- house, �actory or grain elevator, or`fo-r the erection of an�r fireproof __.ad.ditiort � for. similar occupancy, to ari� existing building sla�l.l be at the rate of' �1.25 for each one thousand cubic feet, classified as "fireproof" by 5ection 502 of the Minneapol�s $uile�king Godae- ,• •'`� .. . , �. . k HOUSES .. _.. ._. .. .. : . _ -.. 2.3_ For any such per�.i� ior the erec-�ior� of any non-fireproof building other than a'garage, warehause, factory o�:grain elevator�, or ar�y non-fireproof addition, for similar occupancy, to any exi�ting building. , _ . _, -.. P�rmit �1.Q0 for each one--thousand cub3c feet. - GARAGES .. . 2.1� For any such permit for the erection of ang non-fireproof garage� wa.rehouse, f�.ctory or grain elevator, or for the e�eetion of axiy non- fireproQf addition9 for si.milar occupancy,.�o any existing buildi.�g or � `' for"'each� �such� building or addition, � Nin'�ty�' Cents fbr each one thousand cubic feet or fraction ther;eof, in the cubical contents thereof ; � witli a minimiva of��4aoQ, ' __ ` . ... For tYie purpose of computing fees for building permits the ctibical contents of any building or addition to a uniform height throughout b� multiplying the ground. are�.'covered from a�pnin� six (6) 3nEhes below the fl�or line af the bASer�en� or ce?_lar to the average height of the .-... . u�pex..-surface or; -�o -�he .averaoe height, - of -�he- roo� sur#'ace of the main gable of a pitched ro6�� 2.5 For repai.rs or �.l�erations to an existing structure, the fee shall be at the rate''af �3�00 for each F_,'_ve Hundred Dollars (�500.00), or fraction ther.eof in tY�e cost of a7.1 proposed work, ` 2.6 In no case shall the ien ch�.rged fo'_ any permit as set forth in Section 2 be less than �1��00� .� � � . _ . �, � ' ; . _ � .,�� q. , � Pl'�i�` .:EG4 � # �yz t ° �.�' � '* _ ,"� Ri : is' Ja. �`x k t � ;;'a'x � @ �, - _ ,� e �Y- T � ��� 'i x± .F.;;K� .11•'".'ee. d,., � . i � . 4---� . . .. . . -�" . _ � . . �v .. a; i -. �, , - '� - �:� � � -. . ��.� . . . . 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N � � � � �000 0400 � � .� H °4 �0 � ��� � � y �O � s� �' � � � �. p��� � O (�D.p� W � � dw i� �fDO� ���� O y N � �j' p �e4 M � ��� � � � �� ���ro a `� ` i � ��op � �� �� � ���w � �'��•�. � �� � � � ��y A �� � G^7 p f+ '" P .'S' � � � � � � � �' D � r � m � 2 m C m d �. �. � � b 0 � A �P 0 � � �� � � �. �i � � 4 � � aQ �� �a o= �' w �. � yy� �� Q •�w � W � � `� �i s Q• � �o �. � �• 0. �j � ?. sus�ecr PER City of Fridley 17856 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO � `L ___._. COMMUNITY DEVELOPMEN7 DIV. r � � PROTECTIVE INSPECTION SEC. � � I ��_� 1 i � � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'""� � ��� 612-571-3450 � 910-F15 2/19/85 / / JOB ADDRESS 5851 Central Ayenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 32 � Pd:CISV].C'.W Ma.riO� SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Pineault 5851 Central Avenue N.E. 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. Panelcraft Inc. 2309 5nelling South, Mpls, , NIDT 55404 721-6628 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR � Mi�VE ❑ REMOVE 8 DESCRIBE WORK Reside and add alumix�.ua� txim to dwelling � 9 CHANGE OF 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 OH 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 $4 �500 y�2.2rJ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- yS`�jO. rJO STRUCTION OR THE P f0 ANC OF CONSTRUCTION. , PLAN CHECK FEE Tpy�T512FE�S IG TUREOFC N'RACTORORAUTHORIZEDAGENT 1DATEI WHE PROPER V A TH�S IS YOUR PERMIT � � SiGNnTURE OF OWNER iIF OWNER BUILOERi �DATEi BLDG INSP � pA7 NEW [ l City of Fridleq Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 pLTER.� Building Permit Applieation Construction Address: ���� l P� ti'�l� .1���, Legal Description: Owner Name & A ess : ��jv%°S �t°�rr�/� ��.�` �io�i� � a� 1 Tel . # � r.,�*wnnter � �G/s'lP� 1�oC� �� � � Tel . # _%� ��r�� Addresa• ���D� —s�re�� LIVING AREA: GARAGE AREA: DECB AREA: OTHER: � �._ �� Attach to this application, a Certifieate of Survey of the lot, with the proposed eonstruction drawn on it to seale. Length DESCRIPTIOH OF Il�IP�OYEMENT Width Height Sq. Ft. Length �Tidth Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard�etbaek A' � Type of Construction: �i� ���-�/� ��� Estimated Cost: $.���� Approx. Completion Date: ��-��/�--� Alt. A Alt B Proposed Driveway Width If NeW Opening Is Desired: $ $ See Baek Page for Explanation DATE: 1/ �' APPLICANT• Tel. ���5 ��'`� �'�L� C OSE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�,rer Main Charge TOTAL STIPULATIONS: $ ��.�� $ $ �� �� � � `� $ $ �� c� � Fee Schedule on Reverse Side 2596 of Building Permit Fee $.50/$1,000 Yaluation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �� � t 2� � ��° �? •�� ��� t �. c� � F � �6.A e �� � 0 BITII.DIAG PERMIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erection of any building or strueture, or Por 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 sueh germit of fees to the amount herein beloW set Porth and in the manner herein provided to-wit: Total Yaluation �1.00 to �500.00 �501.00 to $2,000.00 Fees $10.00 (Minimum Fee is �15.00) �$10.00 for the first $500 plus $1.50 for each additional $100 or fraetion thereof, to and including $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each � additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $�4.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for eaeh additional $1,000 or fraetion thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPR&SSION ESCR0I�T (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 ineh depth - Driveway Kidth plus 6 feet times $75.75 VERIFICATION OF FOIINDATION Permit� for construction Will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construetion site. A CertiPicate of Survey of the lot, showing the location of the foundation once it has been eonstrueted will be required before proceeding With the fraaning. �� � � 0 � � � a c� � � a m 0 � N c* a. n � < m � � � 0 � 0 � � m � a n � � � -n c z � a � m N » n � w rt �r � o � ro � n rr � o �• ] N � o `� a m � K � o � a� °• ro �• m � w �• � � �. 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N � r� a � � �i r�n �rt W � �' 0 tr' w � m f0 �, v � � r m c� = o �n a c -n 1— O IT7 � � 0 � m .'LJ � �� b t-� -z-1 O !n Z d � "'� � o= � y � � z � � � � N L�rt O s O ti r d � d� f� .-�. m � � � O Z � m T � G� � n --I 0 Z D e. � � 0 T T � d r � � C -m+, � � � � � � < � � � a° 1� ; `\ � � � . � � f:.'.� �0 , n s � CHIM�JEY ANJ STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) , 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () No ( ) No ( ) No ( ) No ( � 5. Meets all current Code requirements for size and total BTU connected Yes () No () 6. Has Total hea ting BTU's of All other BTU's TOTAL Rema rk s Com pa ny Signed By Da te � asua�iZ ��ta �aTpi�3 auoyda�al s saappb �tq aasua�t� � U3N�IS . � � lIWb3d 9NI1�3N � . - . s�a�w�a �^ '� � � �� � � 1b101 � ,��,� ' �� f�18 aa4�0 Ll�! ����� �� /, fllS 6u��.EaH lE�ol pa��auuo� �l8 lE��� puE az�s .�o� szuawaa�nbaa apo� �uaaan� l�e s�aaw ��. �eyl .9 .� p; �' � pa�aoddns �t�aan�as s� �� �e+�l •b .��;�� uty��M pa6po� aae s��aCqo u6�aao�. of� '£ ��, ,� uo��,�.�o�aa�ap �co �sna woa� aaa� sI •Z �� pau�w�xa �C��n�aae� uaaq se}� •� :���s ao Rauw�y� 6u��s�xa ay� �ey� sa}}�.�an �tqaaay pau�tsaapun ayl . ���� SS321aQ11 �r'�'� � �2'i�� ��J� 2i3NM0 � ��i -� �--� 31�0 �,�/ � �� �� ���„�d� ��„�.� NOI111�O1 'WbO� lIWa3d 9NI1�N bOj NOI.Ld�Ilddb a�boNy1S AP1dd�d0��1d 1StiW 4�i0� SIHl NOI11i�I,�I2i3A �I�d1S UNt! A3NWIH� 1N3W3�d�d3a JNI1d3H 2i0� N011t/�I�ddd 1�3lUIa� �0 AlI� � 9 � �._ � -�- __.,. _ �i sue�ecr PER City of Fridley ��. 3 7 9 , , AT THE TOP OF THE TWINS g U I L D I N G P E R M I C r � � COMMUNITY DEVELOPMENT DIV. i LV ������ ��� / d � � PROTECTIVE INSPECTION SEC. � _ � � ���'1 � CITY HALL FRIDLE� SS43P NUMBER REV. DATE �AGE OF APPROVED BY �'""� � ��� 612-571-3450 910-F15 6/5/92 / / JOB ADDRESS 5851 Central Avenue NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 32 4 Parkvi.ew Manor SHEET 2 PROPERTYOWNER MAILADDRES$ ZIP PHONE Jim P�neault 5851 Centxal Avenue NE 574-0349 3 CONTHACTOR MAILADDRESS Z�P PHONE LICENSENO. Panelcxa�t 3118 Snelling �ve S, Mpls.., MN 721--6628 2179 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING k�es�dential 7 CLASS OF WORK ❑ NEW �7 AODITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Const�uct a 14� x 20'•� 'rhxee �eason �oxch.inT/Wxndows; a 19� x 10' Deck 9 CHANGEpFUSEFROM TO STIPULATIONS See notations an plan, �'�ovide smoke detectvrs in existing home. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT f 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 $ S� 776 $4, 39 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE R VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1Q]..00 k'ire SC $8. %8 T UCTION OR THE PERFORMANCE OF CONSTFiUCTION. /y PLAN CHECK FEE TOTAL FEE r� /l�CP/t ��J°//`'�� 0 �r/ L7.C'.ei1.4e SL' �rJeQ� ��.�.9•1% SIGNATURE OF CON i RA OR OR AUTHORIZED AGENT (OATEI WH PR RL V LI TED THIS IS YOUR PERM�T � � V � � � G�/ SiGNATUREOFpWNER�IFOWNERBUILDERI �DATEI BLDG iNSP �aTE NEW [ ] Effective 3/ 1192 ADDN [ ] CiTY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R 1 AND R-2 Building Permit Applicadon con�ction Addres.s: 5 8�l � n� r� f��.I� � Legat nescription: 1-o t 3 0� � 1 i' � . o�_� �-� czr �c �� � P�.� a� 01^ � Owner Name & Address: _�Y� �( 1�.P, cc u,l �' Tel. # S7 ��}.� � 9 Contractor: �Ly� P l L ra �°}- MN LICENSE #�� ,�.17 9 Address: 31 1'� S� e� 1 i n 9 ,� V� s� rn� 1 S, Tel. ��a 1�� o� � Attach �fo this application, a Certific.ate of Suivey of the lot, with the proposed construction drawn on it to scaie. DESCRIPTION OF IMPROVEMENT LIVING AREA: LeFtgth Width Height Sq. Ft. GARAGE AREA: Length Width � Hei,ght Sq, Ft. DECK AREA: Length I�`' . wicith 7�� Hgticnound �3" sq. Ft. / p� oTHER: 1�'x ao' 3 seq ��r� t'�rch �i �-� ��c��r,�s ��`� Corner Lot [] Inside I.flt [] Ft. Yd Sexback Side Yazd Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: � r%r%� � (Cost on Back) Driveway Curb Cut Width Ne�ed: Ft. + b Ft = Ft x$ _$ DATE: �°' l- q oZ APPLICANT: �a�✓-�r� x/- �� TeI. # 7� l Z�s�2-� Petmit Fee $ . �� ,%o � � Fire Surcharge $ 8 , `1 � State Surcharge $ r � SAC Charge $ —� License Surcharge $ ,.5� O � Driveway Escrow $ Park Fee $ Sewer Main Charge $ �- TOTAL $ I � � �� F� Sch�ule on Reverse Side .�1 of Permit Valuation (UlOth%) $.SQI$1,000 Valuation $7� per SAC Unit $5.00 (State Licensed Residential Contractors� Alt. "A" or Alt. "B" Above Fee Determined by Engin�ring Agreement N�:essary [ J Not Necessary [] STIPULATI4NS: �` ;� ` c �>"�� �2� � � � , ��. `� � � 1�YV . BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addifion to any existing building or stivcture, or for any alteration or repair to any existing building or structure, upon applicatioa therefore, r�uire the payment by the appli�ant far such permit of €e.e.s to the amouat herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $50Q $501 to $2,(�0 � $2;001 to $25,000 $25,001 ato $50,000 . � � $50,�1 to $1�,� $10(?,001 to $5�,(�l0 $5�,001 to �1,000,� $1,OOQ,001 and up FEES $15 {Minimum Fee is $15 plus surcharge) $15 for first $SQ(} plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additior�at $i,000 or frdction thereof, to and including $ZS,Q00 $252 for first $25,� p�us $6.50 for each additional $1,000 or fra,ction therebf, to and iacluding $50,000 $414.50 for first $50,� plus $4.50 for each addidonal $1,�0 or fraction thereof, to and including $100,000 $639.50 for first $i�,�U plus $3.50 for �ch additional $1,t�10 or frac�ion thereof, to and including $500,000 $2039.50 for the first $500,0� plus $3 for each additional $1,IX10 or fraction thereof, to and including $1,(m0,000 $3539.50 for the first $1,(mQ,000 plus $2 for e�ach additional $1,000 or fiaction �thereof DRIVEWAY DEPRESSION ESCROW , (Concrete Curb Streexs Only) Altemate "Aa: Removal and replacemem of curb and gut�er only - Driveway width plus 6 feet times $13.50. Altemate "B" : Removal and replacement of curb and gutter and instail a 3 foot wide appraach 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 prop�sed structure and of the constiuction site. A Certificate af Survey of the lot, showing the location of the foundarion once it has it has been consavcted will be required before pr�ing with the framing. 'r r y,.. z rF �:�;-: �� s " �s 3 �s�"`, F a r. �s > �: � ,w ="� � f �! - �� �, `_ � � rii 1i�a: k S4 � ` * :ty s 1 ry "{� }'4+ I J � . a4 ; . . . .,. � t.. n.. .�. ii , . � �r . .�.;'_ .R„�,� .y�... . .. . . � �. . ... � , _ y `t ¢ � 7 .j�� � ��-�� i � � ; � � - •. �., ' � i 3 �e` iL''� F t. � ' !' �� ` �� � a 4 M1`�t $ I - K" F +T � �' � y. , � k�� � . � �- Y „ „ ! ., , , � '`t ' ���� � V � � � � / �h � � _��� � � � , �� . .^YY =5k= � »?p � � -� �.�" _. . ° ,. 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' ��--- r , .i • �,� . c � � � � � � �4 �, � . � � : a:. � X � � �� �� � � � O � sue�ecr PERM City of Fridley ,� ;a � AT THE TOP OF THE TWINS B U I L D I N G P E R M I T ~�� �e '� � . „ ' � R PT NO. � ; y _�_�__ COMMUNITY DEVELOPMENT DIV. ���� r � � PROTECTIVE INSPECTION SEC. � _ � �.---� �r���;-� CITY HALL FRIDLE� SS4.3Z NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/15/9 � � JOB ADDRESS 5851 Central Avenue NE 1 LEGAL LOT NO. BLOCK TfiACT OR ADDITION SEE ATTACHED DESCR. 3Z 4 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Pineault 5851 Central Avenue NE 574-0349 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Woods Construction Co 7728 Knollwood Dr, Mounds View MN 55112 786-2321 8737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION CJ ALTERATION � REPAIR � MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1,668 �,8/{ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54. OO Fire SC � 1. C)7 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �/ � PLAN CHECKFEE TOTALFEE ��! � �� License SC $5.00 $61.51 SIGNATUREOFCON'RAC RORAUTHORIZEDA ENr iD� Ei WHEN PNOPERLY LIDAT D THIS IS YOUR PERMIT - " �°���- �� SiGNATURE OF OWNEA UF OWNER BUIL�ERi IDATEI BLO �NSP pp E NEW ADDN ALTER f� [] Il ConstructionAddress: Legal Description: , CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT A,PPLICATION Effective 1/1/97 i yv Owner Name & Address: _ �Y�?���� ��� ������� Tel. # �� � ��J � � � Contractor: _ �� ,�j ���j � MN LICENSE # % � % Address:_ ' % `� � ��,g����� �i� � �,���� �,�tL/ �5 5J�/�` Tel. # 7 �'� o�,°��—. Attach to this applica.tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: . DECK AREA: OTHER: �9�1,�. � ✓Yoj� � �� DESCRIPTION OF IlVIPROVEMENT I.ength ' Length Length Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. �/� , �J n'� ) /J �/� �/�i.0�// � / V/////.�%!n /D�/(/// .� 9.{ w i A. � �//er 1 � � / �f/ � U Construction Type: �,,C ' Estimated Cost: $ `3 �--- / � � � f�ee Scl2edule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft ,— Ft?x $ _� � 1 , ' �� � � '% , . %, � 'l /, i' 1% � � i � � � � � / ' � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee . Sewer Main Charge TOTAL STIPULA"I'IONS: CI'TY USE ONLY � �`�D� Fee Schedule on Reverse Side �— � � �% .�i of Permit Valuation (1/lOth%) � v $.SO/$1,000 Valuation � $950 per SAC Unit � -� �%�� $S.t}0 (State Licensed Residential Contractors) � Alt. "A" or Alt. "B" Above � $450.00 Conservatio� Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ) Not Necessary [ ] �� , �S / E3U[LDING PERMIT FEE SCHED[,TLE "I'he Chief I3uilding Official shall, before issuing permits for the erection of any building or structure, or fc�r any addition to any e�isting building or structure, or for any alteration or repair to any existing buildina or stiucture, 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: � TOTA�L VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $i00,001 to $500,000 $500,001 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,� plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,0� $574.75. for� fiist �$54,00(} �lus $G 25 for each ad�iitional $1,000 or fraction thereaf, to and including $1�,000 � �� $887.25 for fust $1q0,0i?0 plus $5.00 for each additional $1,40D or fraction thereo���.�o and including $500,000 $2887.25 for the fiist $500,000 plus $4 25 for each additional $1,� or fraction thereof, to and including $1,�;000 $5012.25 for the fiist $1,(}00,000 plus $2.75 for. each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCRO�V {Concrete G�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter oniy - Driveway width plus 6 feet times $13.�0. 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction witl be issued a minimum of 24 hours from the time of applicarion to allow �or pron�r review of the proposed structure and of the construction site. A Certificate of Survey �f the lot, showing the iocation of the foundation �mce it has it has heen c�nstruc-_•�: ���i'1 h� reyuired hefc�re ��r�,c:�edin�� «�itla the fra�nin�i. � sue�etr PE c�ty of F��a��� 32567 � � AT THE TOP OF THE TWINS Q u I L D I N� P E R nll I T � � RECEIPT NO. ; `L __�__ COMMUMITY DEVELQPM�NT DIY. ��� r j � PROTECTIVE INSPECTION SEC. � � . , l--_. A �����,,� CITY MALL FRIDLE� SS��M12 NUMBER REV OAT6 PAGE OF APPROVEO BY L �� 612-571-3460 9iapi5 5/7/02 � � , 10B ADDRESS 5851 Centrai Avenue NE 1 LEGAL LOT NO. BLOCK � TRACT OR ADDiTION SEE ATTACHED oescR. 32 4 Parkview Mano� SHEET 2 PROPERTY OWNER MAIL ADpR�S$ Z►P PMONE James Pineault 5851 Central Avenue NE 763-574-0349 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 4 AFCHITECT OR OESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER pIAIL ApDfiE$S , ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATIQN � REPAIR p MOVE - O REMOVE 8 DESCRIBE WOi;K Replace 9 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. ��rimit InspeC�'on Car Will Be Iyai d� �Q Ho�n�n���� �ed � ���� SEPARA7E PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATINCa, tYPE` OF CO ST. OCCUPANCV GROUP OCCUPANCV LOAD VENTI�ATING OH Alq CONOITIONING. THIS PERMIT BECOMES NULL ANO VOIO IF WQiiK OR CONSTRUCTIOM IONING SO. FT CU. FT AUTHORIZED IS NOT COMMENCED Y`IITHIN 60 OAYS. OR IF CON$TRUCTION OR WORK IS SUSPENDED OR ABANQONED FOR A PERIOD OF 120 DAYS A7 ¢ ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNI7S OFFSTREET PARKING I NEREBY CERTIFY THAT I NAYE REAO AND EXAM�N�O THIS APP�.ICAiION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TFlUE AND CO�iRECT. ALL PROVISIONS �F LAW$ yAIUATION SURTAX ANO O:iDINANCES GOVERNING THIS TYPE OF WORK WILL QE CpMPl�ED WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OP A PERMIT $6,000 $3oOO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR GAMCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION Oii 7HE PERFORMANCE Of CONSTRUCTION �IZS.ZS Fire SC �C.00 PLAN CH�CK FE TOTA� FEE iicen S $5.00 139.25 -- S�GNATUfiEOFCON'RACTOQOpAUTMOAQEDAGENT IOAfE� [-.H pOP ALID� THIS I�OUR�RMIT � �� �`\ S�GNATUREO�OWNEAi��OWNENBWIDEA� �OAf�� . ' 8 G iNSP' ' p�tE �[ ] ADDN ALTER � � Effective 5/10/99 CITY UF FRIDLEY [] SINGLE FAMII,,Y AND DUpLEXES R-i AND R 2 BiJILDING PERMIT ApPLICATION �onstruction Address: Legal Description: • �UU..a... i�; �. . Owner Name & Address: ;� "� � n.e��, . J'�' }4 3�i q Tel. # ��o3•S • 6 Contractor:;�__ww\ �u A�a�e,rs�e,� MN LICENSE # o'i013098"� Address:�9 ao C.Ot,��n'�M 1c � C. l,�?,�, �.'� • t 1Y � Y1�1� S�S ll�, Tel. #� . �. Attach� to� .this aPP�cation, a`Certificate� of Su�vey. �of-t�e � lot, with t#�e:�roposeci�cvnstt�iction. dravv�i` on.it to scale. . , . I2ES.C�.i#3N UF �P-��D�Mi�;NT �. . � � LIVING AREA: Ixngth Width Height Sq. Ft. GARAGE ABE�j; Length Width Hei DECB AREA; - � Sq. Ft. Length � Widt�i � Hgt/Ground Sq. Ft. OTHER: �kZo n 4.et.r o . l�J1 � i�C, C,�,j1�(.�.�_ ^^ �i ^:.i'S� i'��. mA �i A� . COILStii1Ct10II Tj�: Driveway C�irb C�t Width Needed: ESt1II1St� COSt: $ I..QI�� Ft. + 6 Ft = _ Ft x $_ _ � _ DATE: �_ . 0 APPLICANT: Tel. �`_ 9Cj o'� •3�i,S • 10�0�{ �- Permit Fee Fire Surcliarge � State Surcharge SAC Charge Licanse S�rcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � '�v •a5 $ �o•C)O $_ � . OQ $ � �- O.O $ $ $ $ � I 39.'o�S CITY USE UN�.Y Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State L�cens�d Residential.Cou�ractors) Alt. "A" or Alt. "B" Above $450.OU Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �� �� Building Inspections 763-572-3604 763-502-4977 FAX DATE STfE � DRESS � THIS APPLICANT IS 0 PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING SIZE OF IMPROVEMENT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-I-09_ YOUR E-MAIL ADDRESS ❑ OWNER �CONTRACTOR , ! � a� ��'° STATE LICENSE # � � wrv� �..� r � � INGLE FAMILY/IVEW CONSTRUCTION TWO FAMILY/1VEW CONSTRUCTION EXP r Permit No.: ° C� 7 S= Received By: � Date Rec'd: 7< /�� � STA �L=��g��G SIZE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH �'ROOF ❑ DRAIN TILE ❑ DECK 0 SIDING ❑ OTHER ❑ SWIMMING POOL ROOFING ��7 NUMBER OF SQUARES �' � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING— -- ❑ Vinyl ❑ Aluminum ❑ Other HOME CONSTRUCTION ❑ ADDITION fTENANCE/REPAIR ❑ REMODELING � HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim � Fascia HEIGHT A � BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of siructural members to be used _ FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBIvIIT: 1. Site Plan/Survey showing the existing strucwres and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF, WWDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ y`7. ��" $ .� $ �, a t-� $ �, �� ` $ ��� $ $ $ $ $ .. See Back Page for Fee Schedule 65% of Building Permit Fee .001 rimes the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Aa_yable to: Cityo uf Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an a ' n for a permit d work is not to start without a permit on site; that the work will be in accordance with the approved plan in case of all ork quires review and approval of plans. SIGNATIJRE OF APPLICANT� PRINT NAME DATE ��7� � Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for IS` $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and . including $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1 S` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the fraxning. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977