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AF - 44133�-�-is��� I � . , ,�,._.. Number Fixtures �� x $2.00 � Future Fixtures 3 x $1.50 �'� New Fixture-Old Open. � x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU / x $3.00 �e� � Ground Run Old Bldg. x$3.25 E1ec. Water Heater x $2.00 Gas Fitting Faes: lst 3 Fixtures / x$2.00 � 6 E� Additional Fixtures __ X $ .75 Gas Ra,nge-199,000 BTU x $5.00 Repairs � Alterationa See Description; Code State Surcharr�e .50 TOTAL FEE $ �a • O O The undereigned hereby makes application for a permit for �he woxk herain specified, agreeing to do all work in atrict accozda.nce w ith the City Ordinances and rulin� of the Department nf �uildinge� and hereby declare that a1��th� �acte and repxesentatione atated in thie application are true and correct. , 13 -� t � • �\ � ' �a� �� Cl 1'Y �F FR.IDLEY �. 426 Application for Installation of Water a,nd Sewer 8ervice This form to be completed before a ta.p is made to any existing water or sewer line. . • /j Lot --�--.a._.------- Block -----�-------------- Addition ----------------------- -'G*�.�(�C1r_�_n Address Owner Plumi�r _...._:�..1__�(,-�-?–rt./__�`�•- ----- (this portion of form to be completed by on requesting ta.p) CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSIVV�NNT HAS NOT BEEN LEVIED AG.�TST PR,OPERTY Sewer Connection fee �Sfreet patch ._._ water connection ree Meter deposit Materia]s used '�Street patch -- � `; d'� � � �.. �' Where appHca.ble d ' The above applies for all regular residential aize services IF LATER.AL ASSESSMENTS HAVE BEEN T•�n AGAIN5T THE PROPER.TY, TF�R,E WILL BE NO CHARGES OTHER. THAN CONNEG'1`ION PERNIITS AND N�°rER. DEPOSIT The City will furnish materials for water service and the plumber will bill the City for sewer, not to exceed $3.00 a foot or a masim� of $60.00. ASSESSMEIVTS TO BE LE�TIED Water Lateral Credii for material Total assessment S2W@P L3�T81 Credit for material ��-----....._.__.._....._._... '$------°----..�..�...._ 60.00 'otal assessment $__._.._...__ Clerk's signature _----------- ---- - --- - _ .__... -- . ---. ------- -------..._ I hereby authorize the above tap lst copy—Public Works Director of Public Works SUBJECT , City of Fridley � 12108 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � � RECEIPT NO. � ; y __ __ COMMUNITY DEVELOPMENT DIV. r � � . PIiOTECTIVE INSPECTION SEC. ��� �� /„ 1 .1 � 5v �� 1 /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----� • •`� 812-580-3450 910-F15 4/27/73 � � JOB ADDRESS 7481 Central Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO oescR. 2 1 Jim Lund Acres SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Ja.mes Lund Construction Inc. 7709 Woodlawn Drive N.E., Mpls 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK fS NEW O ADDITION � ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction 44' x 24' Dwelling and 20' x 22` Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard aurfac e driveway. Provide a verifying survey before framing. ���$,[fdQS SAC charge paid. $275.00 S�WER LOCATION: 25' West of Property Line. MUST BE TAPPED WATER LQCATION: 10' East of West groperty line of Central. MUST BE TAPPED (A1so can get service off £rom 75th) SEPERI�TE PE�l�f��'S� F�EQt�tI�El� �OR �'VIFtIN�. �lEA�Tl��� P�.�l���9�� Ai�D �!��iS. TYPEOF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. R-], THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT Wood Frame L�.� �.LO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �19f99$ 9.99 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- $/,�,$.00 $L7S.00 STFUCTION OH THE PERFORMANCE OF CONSTRUCTION. � �/ PLAN CHECK FEE TOTAL FEE e-- /�.��� '' y7� $332.99 r,SIGNATUREOFCONTRACTORQbY��UTHORIZEDACaENT ID TEt WHEN PROPE IDATED THIS IS YOUR PERMIT � ' - �a�rr��.e � y a 7-t?.� SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLOG INSP DATE _" n �.'� : �.� : �. . •'y' V;,s• : � '`"s ;;Nt 3"P f ,�� �'� _ `�' - z�- - �y .:� #: . � � . � ,. _ x'.�. _1"� r Y `' ` �,� ,:�. yte"�� eg�•� 1 r ,� �+ �y. .� t ^� � � : �°''$^�ix� � �, � � � ,� �.,� � � - i �. �-} �� '3 , r R� e . � �' . � �, fi � � � [ y "� �},. K r � * ,� �ry f.P _ . . r -i.a c .G` . .'�-.� ... � LYI . . , . . �y' ��i df � K �, �''�r Y } �!� d} x+,t {� `�',`��,1 w .G5'` p ' � ,. +Y'�� " 7� � � �'&.$ F `�".� �"� �-$* TM< '�. � ���a .i � � � �n� � r�� �} Y '` , � ^ c ' ' ;<� t' r:1 t�_� 1 ` �✓ � .�'' . >� .a �,. :F-...: � .� v+ 4 ya+ "� `� � �. , � 'f"y� �. : �. $r r , } � � � �: �� ��� �a �8: � � - � � � �; ,�r n - 4 X v^,Y 1^ . J�: dA.' . , C: ".. .� .. . - AP.P�����IQ� �Q� �E�IDE�����, ALT�R,�T���, Q� ADA�TIO� ��z�DTNG P�RMT� CITY 4F PRT����s MINN�50T� 0 ��,�� �;James Lund Const.� Inc. BUIL�ERs Same � . ,. � ,ADD�SS s 7709 tiNoodlawn Drive N.E. Mpls ,�pq�Sg; Same ,_ �p�� 7481 � $�� Old Central Ave N.E. �s 2 $��; 1 (��$OAIa Jim Lund Acres �;�g �; �� �; XX , SETBACR� 35' SIDEY�IRD:N-�,6�33'1e„ S-11,67' .��.�,�a� ��ad3 �o, ��+�.�ia, Certificates of Susvex o� I�qt a�d propp�ed �d,��� ��cat3,t� dr�R s�+ t#�� Certific�tes, � ,�� f °:f t .� , � � �E���tIPT�pN OF �UILD�AIG -s� � �� � ; Residential housing House � 44' �+i�: 24' �i�t: � -g'�° ;�:-�`' s��aAr� �'+��: l o s�c� f tcubi� �'�e�3T. °��e,� +, � r h � Attached Gara�e �'ra��t 20' Dep�h; 22' Sei.ght: -=8� � d�`"� �qyia��a �'get ; 440 Cubic Feet S �_=� ` -� A' �� � �� og �o�,�q�,��„�; frame $atis�tred Coat; $ 24�000.00 �-,—_ �-� �---- �t# �i ����.�; � Au�_� 1973. �.. � .���;.w� � _, ��c���i�a�d hereby ��es a�l�+c�tirna �or, a pe�Lt fa� tlte wp�k b�erei.a� �g�$,�� a.$�eeira� t+a do a�.l �Q�k i.n stt�.ct acco�daxsce with Xha �ty �£ $�,�i��' �!#�d��� �d �+t�,�� i►� �S Def�ar�ten� Af Bui.�d�8s �i �ae=eby dl�3a$� i� all �he+ �acta �d ��reseata�3.ons stated i� C�is appl�,catiau �� �,� aad �prxec�.. . ��? �° �,'�aw 4/26/73 $�{;NA ; - , � _a- �s �t�►�s� S�.�e Fog ,Add�l�Lona�. .A � � . ; � ' � ,;� , ,� ,, ,� . ��� � ',. , �,, , �fv' z � � . , /-'r ` l. � �� � � Infos�stioa., � '� C ' �r �� ,E��- �� � �� a. � � � ��f �/ � � � _ _'" . � !i I -1? ,' �� i9 ?y � 6� f � �' �' � � �f°° �� � � � � ��� �� � � � � � � �1 � � y���� - � ' gf F,' ° � .. t s � ____� BUT�ATNG P�RMIT F�� S�H�AU�E �F,��QN �. The IAepecto� pf �u�ldi�gs s�a11, befoxe ��suing �enuit� for �he ����t�on o� az�y bu�lding o� etructure, ox for any addition to any p�cist��g ����d� ox str4t��ure, ox fo� any altaration ox xepairs to any ex��ti�g ������� o� stxuc�uxe, upon �ppl��ation theref�se, requ�re tbe pa�nt by �hs ����i��t €a� �uch per��t p$ �ees �o the a�tount herein below set ��r�h �d �� ��� �n�� h�x�:in p��vided � �o4wit�: ' U1�F4RM �i7�LDTNG CODEs 7.'ype ls 2�!� -$2.15 for each c�ae thous�d cubic ,�e��a �� f�action th��cea�, 3.n �uch cubical coatents . 3�rpe 3& 5���. s 85 �oae �etcb �.e� �ouasad �ub��.c ��e�. . A�piT�fl�1Ai� jNF1)�T�ON F�� �� puxpo�a of C�npu�� iees for building penaits, the cubical contents oi ex�y building or addition, i� det�rmined by muitipiyi.n� �he �aund area �T�� ��m a poi�� �$.�c �f�j ine�kes below the floor line of the basement �1,► t�+� ����a� �o �he average �eights of �.he uppeT surface or to the averag�* �3,�i� �€ �e �oe�� �a�face o� �he uiaiA �able pf� a pitched xvo�. ��i�:s o�c al�����io�;�s � aa exist�.n� $�tt�#reg �Ya� fse shall. be �� �h� �,r�,�e v� $3.{i0 � �,+r,� ��ve h�dsed dollars ($3QQ.00) � f�'��tian th�x'so£ ��n �t� e+a�� o� a�.� p�q�sed Wo�kc� %� ca� s�a�l ��t� �ee �d fo�c �r ge�i� as se� f�� �n Se�tioa 2 b� � �aA $S.I�Q. � V������TiQ1�1 OF �t,�tINAATIQN �� �'e�ts f�� �3v�s��t�.oa� wi��. be �.��ued a�in�m a� �4 �c�urs f��► ths � o� a��licat#.c�, �a a�$a�r �o� PrQ�r review oi t'he p�ropo��d a�xu��re aRd �� �he �t�u�tian �i�e. ' � �C$���i� �5u�r�y o� fi,�� ].��.,, �a�ia� t� ioca� �F Ith� �QUudatia�u, �s�e �,t h� �� ����t.�d� wii� #�a ge�uir�d be€ore proceedin� w�h � fr�ai�, C�1�iI� � �Ai� QF (��i�PAN�Y k��i.+aa�i�a fsr� a Ce��.�;��a� �� Oacupancy �i�a�ll bs uiade� tea (iQ) �� p��.or �p th� �t�se o�r �c�upa�c� o� �ty �E�ect�ure for whiah a, bui.ldi.n� pex�i,� haa b�s� isstaed; � sa��d at�y�ktt� ��al�, pot be used eg occupied uatil a�sxtifi.cate of tk3�up��y h� b�eit �ssu�i. � .s • . _� � e � � O � � � �'� N �� � � � � � �' a� O � � W _ H W � J � � � ��� �uM 'cZ 6r � � O �V� o�� M � �3b� ���� ��,"�� � s���� � ` q� ay�� ��'aa � ,x pq `° ��..� � Q� .� w $��c �.° w8 � '��Q y ���o ��� � � � ��o� v � ���d w �'° a � ��� � I � � i ~ I �i � 8 8 8 3 �� m � � '� . : : 8 . . g .� � b � • � � � � a Q ���� � w� � � o � � �� �4a � � � � � � � ���a� � � � � M� ( Mo ,�I � �� �.Y- 'D � � - �f J�I � I I ��i � �� � ; z �� m � � i � ! � a, � � � � � � � N N 8 � 8 $ 8 �.�mm� � . � : g S ' � � � ; w � � s� �� � s���v �$��o � � � � � � � ��~aa � � •� � � � a � � �� �a� � � .� � � � �° i � � a .� ;� � � U � � � z � b w o I � I � I I tA � rb 8 8 � $ a � � � � � � � « °o � � �, �� Q 'a" � � d °x �' o � � � � � � � �x A�W �� � �' �� � � �� W� 0 w 0 O A � � � � � o � � c z � � � � � � � � � p � � �l � � � � � � � � w '� � 6 �' �o � � ,� � � o °' �Q I � � ~ o 'O V U p�, � � u H �w � 8 d 3 � � Gp �Y � M � � � o � a �� �, °° s "' � � � 0 a � a 0 � � M 8 F� F4 � � I M M 04C $ � � O � �a M � .� : � � � �� �� �� � � � . � ., Q� � � 3 � a � � �� �; M�� � � � v � � � � \ �� � � � � � ` � `\•; O � � � � w �.... � � �� ���� � � � o � � � � � �� � � & � �� � � �I� 6:J � � � � � � � , , � � � � 0 � � � < � W � sue�eci .'� c�ty of F��a��� � 3 2 5 5 � � AT TME TOP OF TME TWINS g u i L D I N� P E R M I T � ► RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. �� � VV � r � � � PROTECTIVE INSPECTION SEC. i . � `.-_. A��'��,'� CITY HALL FRIDLEv SS�3i NUMBER pEV OAT@ PAGE OF APPROVED BY � �� 612-571-3450 910-F15 4/30/02 / / � J06 ADDRESS 7481 Central Avenue NE t LEGAL �OT NO. 6LOCK TflACT OR ADDITION SEE ATTACMED oescA. 2 1 Jim Lund Acres SNEET 2 PROPERTY OWNER MAIL ADDR�S$ iIP PMONE Todd Rennedy 7481 Central Avenue NE 763-786-5528 3 CONTRACTOR MAIL ADORESS 21P PNONE LICENSE NO Same 4 ARCNITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL AOORESS IIP PNONE LICENSE NO 8 USE OF BUIl01NG Residential 7 CLASS Of WORN ' ❑ NEW fR7 ADOITION O ALTERATION � FiEPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK Construct a 26' x 12' Deck 9 CHAN(iE Of USE FIiOM TO STIPULATIONS See notations on plan. , � ' _ �efore digging call fo� ai� utility locadon� �54D002 RE�IJIRED �1� ��W SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATINCi, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING Oii AIF CONDITIONING. TMIS PEFMIT BECOMES NULL AND VOIO IF WQRK OR CONSTRUCTION 20NIN(3 SC. FT CU FT. AUTHORI2E� IS NOT COMMENCED VjIITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANQONE� FOR A PERIOD OF 120 OAYS A7 '` ANY TIME AFTER WORK IS COMMENCED. ' NO DWIG. UNITS OFFS?REET PARKING I HEREBY CEFiTIFV THAT I HA4E REAO AND EXAMIN�O TNIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TAUE AND CORRECT. ALl PROVISIONS Oi LAWS yp�UATION SUqTAX AND 01iDINANCES GOVERNING THIS TYPE OF WORK WIIL �E COMPUEO @ @ WITM WME7HER SPECIFIED MEiiEIN Oli NOT. TME GRANTING OF A PERMIT W3s588 `P1.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CAMCEI TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PEFFORMANCE OF CONSTNUCTION �9%.2.5 Fire .5'�,' �3.56 PLAN CMECK FEE TOT f EE oz.6a SIGNOTUpEOFCON:FACTOpOAAUTMOA�2EDAGENt iD�TE� �EN ROP VALIO T TMIS IS V��RMIT '. � v `-C .J�/^ l� Po � ��� S�GNOTUAE O� OWNEA ��F OWNEN BUROEf�� iOATE� � ' BL �NS� � � ����E NEW (� CITY OF FRIDLEY Effecctivve 1/1/2002 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION Construction Address: `� `� s! C�Z�-- ��- N g. Legal Description: Owner Name � Address: ��� �� Tel. # 763 - 7�°-�s 2� Contractor. �� MN LICENSE # Address: °�`f 87 G�l ��� � w� Tel. #�G3� 7�� �2� LNING AREA: Attach to this application, a Certificate of Survey of the C��� � ez �-z �1 s— �7 � � �� lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: OTHER: Length �__ ro�.�__ Wdth I Z HgUGround � Sq. Ft 3 f Z-- --�� Construction Type: �Ie-r�ll 7�' �'!�0 �E� Estimated Cost: $ ��7�� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: Q���`i-�- APPUCANT: �'OD ��'U� Tel.# 7G�- 78� SS2� Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you to� card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - � 1 �� $ � ��Sic $-; :T9 $ / $ $ $ $ $ � Da - �Q� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: - ����C �%����D��' �r, �o���v BUII.DING PERNIIT 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,(�1 to $50,000 $50,(�1 to $100,000 $1�,001 to $5�,000 $SOO,QO1 to $1,000,000 $1,000,001 and up FEES $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,Q00 plus $14.00 for each additional $1,Q00 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,(�0 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet -times $17.00. 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 been constructed will be required before proceeding with the framing. New Houses Onlv ^�t' q1C(_ �.1 N � �. _ _ .... � � � � � � � d � .1 -� -' � — ��� ��� � '' � � : � � � c . j_ �. � • r- . � f ! i � r � � . . _.. ._• ' � � V . � � i J � � C � b � 1-� � 0 $ L!' .� � � � �.. �. � � � � � y � �� . U �� ` \ �, N ` � ` � � � �� U � ��� � ` � � O � � ��,' �, � �� � � � �� � �o� � o�Q � �n x ' 1' �� ��. , � Y / � • -V \ � `_�Y\\ \ � � q � :� � C� ~ �� �p, � � � i +t .° 'i' � `' *s �:. ;, . �.�, j..] gr •9 � r� .v- `, ... •r �� � �� � �� � �jc8 � 4� 3 ,, ,� �ad � 45 � i �� v tl1 � + �i �r �, ,,• ,a� v � t� t��. u .,r �. v � � � v7 c P. r- t t :'�i N a- . ��� xx � co ... _.. K � xasv o , .- � � v -V �[VN u N B R Y N � .^rtN- •-QO X ^ p 2tX}f � W ^m..n.« f� 0 ` � �J � i �