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AF - 36549ISuBJECT -� City of Fridley 2 6'13 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i • ' � REC IPT NO. ; ; V _____ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �/�� C/ (.--. A;��;,� CITY HALL FRIOLE� . 55132 NUMBER REV. OATE PAGE OF AVPpOVEO BV i '� 612-571-3450 9t0-Ft5 6/3/98 / / J08 ADDRESS 6715 Channel Road NE 1 LEGAL �OT NO. BLOCK TfiACT OR AD�ITION SEE ATTACHED oescR. 4L Second Rev. Aud. Sub. 4�'21 SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PNONE Mrs. Harmon 6715 Channel Road NE 571-4343 3 CON7qACTOR MAILADDRESS ZIP PHONE UCENSENO. William Woods Construction Co 7728 Knollwood Dr, Mounds View, MN 55112 786-2321 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 8737 5 ENGINEEF MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS Of WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [� REPAIFi O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Gar 9 CHANGE OF USE FROM STIPULATIONS (22 Sq) Tear-off TO Underlayment must comply with the State Building Code. SEPAqATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OP CON VENTIIATING OR Alq CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID If WORK Oi; CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PEii100 Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. I HEREBV CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION ]. AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VA�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1,834 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMI? FEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERF RMANCE OF CO TRUCTION. � �rj9.SO G PLAN CHECK ' �'�'� �� Licens 51GNATUFEOFCO ACTOROAAUTMpqIZEDAGENt 1DATE1 � iiFOWNERBWLOER� . IDATE� � OCCUPANCY GROUP SO.FT. OFFSTREE STALLS SURTAX $.92 PANCVLOAD CU. FT. f PARKING GARAGES Fire SC $1.83 TOT L FEE 5.0 $67.25 �L ALIDAT THIS IS OUR PER �� t'".� NEw [ ] ADDN [ ) ALTER [ ] ConstructionAddress: � Legal Description: Owner Name & Address: y- Contractor: Address: 7 %�rQ` %! LNING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: � CITY OF FRIDLEY SINGLE FAMILY AND DLTpLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� a� �o Tel. #__'�✓%l �3 �� MN LICENSE #_ � � 3 % � Tel. � 7�?' � � f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 7 DESCRIPTION OF IMPROVEMENT Length Length . Length Driveway Curb Cut Width Needed: ��F� , , Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/�ro nd Sq. Ft. � G (�/ � �� ..¢ . .�� Estunated Cost: $ � ��, ��-� � (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$ ` , DATE: ;� � APPLICANT: �� Tel. #�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �%S.--- a _ �} Fee Schedule on Reverse Side $ �, �� . 001 of Pemut Valuation (1 / l Oth %) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ S. C�(� $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 [ ] $�� u BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permi�s for the erection of any building or structure, or for any addition to any_ existing building or structure, ox foi., 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 $50,001 to $100,000 $100,001 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 $25,000 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) Alterna�e "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 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 been constructed will be required before proceeding with the framing. ._ _ ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 6715 CHANNEL RD NE : 133024210009 : AUD SUB NO 021 (2ND REV) : LOT 4L BLOCK 0 : BUILDING : RESIDENTIAL : WINDOW/DOOR REPL PERMIT O.: 2004-01298 DATE ISSUED: 08/10/2004 VALUATION : $ 600.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. INSTALL BASEMENT EGRESS WINDOW. MICHAEL JOHNSON 6715 CHANNEL RD FRIDLEY, MN 55432 MICHAEL JOHNSON 6715 CHANNEL RD FRIDLEY, MN , 55432 APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 1536 OWNER AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if consriuction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of wor} 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 provisions of any other state or local law regulat�g construction or the performance o� co�}struction. Bldg Insp .� SEPARATE PERMITS REQ�JIRED FOR WORK� OTHER THAN DESCRIBED ABOVE. 26.55 0.60 0.50 27.65 ` N� I l CITY OF FRIDLEY �� `�� `�ff ct e 4 1/2004 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (?63) 5T2-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APRLICATION Construction Address: � � GJ ct � �� o � � �/� � � Legal Description: Owner Name & Address: i c:� ��c� �I1.v1 S�� Yl — �� Tel. # 7��5�� `%S�f'� Contractor. ��.�hp�1�Q0�C� "' �i.c� h� MN UCENSE # Address: � Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft � � Construction Type: Estimated Cost: $��Q� N Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �' APPLICANT: �� n �nJ� Tel. #%G� �j��- �� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL �. CITY USE ONLY - � � � i i .i'S�1 �, ,. —=-� • , :� ii�±�; o� �, (PS' Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "6" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: � _ T � ` ,.�:C r it..� � _ !`' ��, : �� -�-�'� ' � �'` ;'� /, �`. ;��,, ,� , 1'� BUILDING PERMIT FEE SCHEDULE i The Chief Building Official shall, before issuing permits for the erection o� Te a'� 1 to�anyr ex stingebu lding or addition to any existing building or structure, or for any alteration p 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 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 $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $50�,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,OOU,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CUgg CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate , ermits for construction will be issued a minimum of 24 hours from the time of application to allow for proper P review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv � _ � fi�-�� -�' �.w � �� , �� ._�_ �� yM_._ �_... v `�` � � f _ V� , � ; � C� � � � � . � �" . �_ � i, � � ' _____�- r . _ _ _ _ _ __. ____� � .�_------T , � �Ro�(�'` � f i r, __j ._ � ,-�- ��PfZO� � 3 b v,_ � , � _ __ _-_� . � �-� � � c� �N�J� +- �o�� - .._.,_- �,��'..�X ��C.-� ��, � � �� ; ,� „ ` ''',�---, i r�sc�� cor�-E w�t,t_. �o� � ---� ' . `°`"� ' + ( � ' -�d--- - '---�--�----____ __��'�'j� .2`�-�,v� ,t-� _ �" _._--__ . -�� ----� � �'RU� . `� �T � �