The URL can be used to link to this page

AF - 37078. . . _ . _ �y�g . . . . . . . . . . .. . . .i . � 'V�€IIR��a : Of l� l��e�, �. . , BI�I�IN�G P�;� N° 379 O�ice of IN�5SPEGT(38 01' Bi7II.il3N##� Owner� �� llidr�� Alrehitect ; P'rid'.ey, Minn., � � , 19� Bu#lder.�_!��. ' , LOCAT�ON �F BUILDING � , , 1�Fe��+� . $tree �'i�, Part of I.ot .. � ,. ` Lot /a�,��t"� f�:•1'�Block Addition or Sub-l�3vf�iou �� . � DEaCRIPTION OF BUII..DING F"r�Y"�._ Depth�. Height_ �+ 3tories ,+� Ma�ner of Conatxuction �� : : To fie w�ed aa To be com��leted� �"�: �iima�erl Co�i�.,. ; , � , _: Permit ie her8by grsnted to � ; ; . °•�.� , the bililding' �` d sCribed in, the abo9e sit�temexst. Thfa permit iR g�8�t� _ upon the expresa condition that the pereoa to wham it is granted, and his a,g+eate�, employees and wor�ea, : ii► a11: the work dqas ia, around and upon eaid buiidit�g; or any part thereof, shedl Gantorm in �ll res,�eets to f,�le' i�� nanaes of FridleY, �nn., re8ardi�8' t}ie cosstruc�ion, alteration, maintenanee, rePsir and iin�sviAg of -� :n 'ovStitin the eity l�mita, and this permit may tx revoked at any time upon vi!Dlation of �uy af the prov�sia�,s e�if �d ': .' ordinancee. ��f�6+dt'r inc�►ector of Bi�ngs. AG�,EEAi�T� AND SWOR;N STATEI�iT . In +ec�nsideratiox� af ti�e isst�e a;i�d .d�livery to: me by the �tx�pectar of Bwi:t�in�;s af I'r�.t�t�� of th� above perimit, I hereby agrce ta do` the proposed Rrork in t�ecordax�cse with the deserig�ion above set farth and accarding to the p�rovi�ions of the ordina,nces of Fric�ey, and, bei� f� duiy�; ` � sworn, I herehy state and say that tbE facts statea by me and conta�ned in the above per�riit axe. � txue as t�l�erei3dt $t$.ted. . ; , Subsc�ibed snd �worn to before me at Fridtey, �!Iir��ta, thi +� � d�y o D. 1##�� - �" �. -�-� � � _- � .-� � , ,,.�..� ;: � � _ !'�`"'�r . _ � _ , ._ .: �. ..:..,. , ": � . � . , . � ; ,. . , , - .._, . . . . .�.�:. ._ . ,..,.. . ..-._., , ..�,-�. . . �-.' ..:.. , ��s:._ z.�`:._�: .�.: ; -...:: . . '. ..i .. — City of Fridley, Minn. BUILDING PERMIT June 22, 1965 Date : ...._..__._�------- ��c� �s' N° '7989 pwner; James R. Plemel �� g�deT __ Dalberg _Builders�__Inc_. __ __ Address . 6864_ Channel Road N. E.i_.___._.._ Address � �121 80th Ave. N. E. LOCATION OF BUILDING 6864 Channel Road N. E. So. 95 ft. of N. 285 ft, Loto�to.f _nt &___. �treet .—_._...__........._ _..._..._—...-•-----------.__.._._._ Part of Lot _.._._.__ �..�..---.�.� Lot ��...�.�.a. l.� Block _.._.._._..._._�._._..._._..___.___ Addition or Sub-Division __Brookview aaa�t�on __ ___ _ Corner Lot Sewer Elevation Inside Lot •---_._.._....-----•----.._ Setback ..----._..._ .............__....._. Sideyard ..._...__.._..._.__._._.__.�_._.._----.._ Foundation IIevation .----- To be Used as: Type of Construction DESCRIPTION OF BUILDING Front ___. Depth ____� Height .__._.._.__ Sq. F'� �_____ C�. FL F`ront _.___�_ Depth _.._____...__ H'eight _._._.---- Scl. Ft. _.___._...._. G�. Ft •---....__._. _. _._. _._. _.___.. Est. Cost �5� 000. 00_........._..--•--. To be Completed ....._......__...... Storm Damage Repair In cot�sideration of the issuanoe to me of a pexmit to construct the building described aba th� propoaed work in accordance with the description above set� in compliance with ordinances of the city of Fridley. , ,.�� ,.��--% I agree to do provisions of � In caoafderation of the payment of a fee o! � 10.00 4y Dalbe�g Builders, Inc. —.., Permit is herebY granted to__ .._.._._ to construct the building or addition as described above. This permit is granted upon the exPresa c�dition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any Part thereof, shall conform in all respects to the ordinances of FridleY� Minnesota regarrling location, construction, alteration, maintenance, repair and moving of buildings within the dty litnits and this permiit may be revoked at aqy time upa� violation of any of the provisiaa�s of said ordinancea Al1en Jensen B�� ,..� NOTICE: Thb p�emit dws not eewr tM eon�ruelloa, 1sqa11Nien for v�ino. P�+�Y. Y+� �Y. �w�r x wN�r. M wn to s» th� dulWfeY �e�el�er for s�p�rah p�naiM fer tM» ihms. � � . APPLICATION FOR ��ING PERMIT CITY OF FRIDI,�Y. ��INN�SOTA ;!�� '' ! , ✓., , , �, OW�IER' S N �� / n� , BUILbER �`,�(.., ,�� -C� > .�-„�_ ADDRESS �j i� / �/ ( r�1►.':ria. � 15 � � - AbDR$SS f�,,Z � ��` �` . L ��-c ��", LOCATIQN OF B�ING No. �- --- Street Paxt of Lot .•-- �� . �- �� Block •---Additio�r or Subd�wision -��,�,��„) � // �{- i �7 C rner LiSt � Inside Lot �.--,_ _ �e��'afik -- -.- - Side-Yard . SEWER E�.E�ATIQN �— FOUNDATIUN ELLVAfiZUN -- =_ T.- -.�-_ Applicant attach to th.i9 form Two Certificates of Survey of Lot and praposed huild�� ing location c�r�c�ttu o� these �2irtificates . DESCRIPTION OF BUILDING ;�'' �� /� -t>�{ c, �. ° v....-� • �",�(��;ii- .-L,ci-vs�t4 -�.��- � ��°�i� ��" � To be used �s; /� " �r . ! "t ��'.�-�► �--w� �`� i' �,..�,,�..�^� , . C •-rc- / , ..�..-.,�.,�.�, � � �!'~. � �'ronC Depth � � �ieight ,- 9q. Ft. Cu. Ft. Front Depth Height St�. Ft . Cu . Ft . Type af ConsCruction >��. Estimated Cost � c l � . c� � ___�o..be �� _ The undersigned hereby makes application for a permit for the work herein specified, agreeing to �o a11 work in strict accordanca with the City of Fridley Ordinances and rulings if tl�e I}epartme�t� of Buildings, and hereby declares that aIl the f�cts and representations stated in this application are true and correct. �� DAT� � '''�� l� � �I� � ��'� � � ` � .�� , � �IGIZAT ' ,�c.-�C -�- /`? �..� G� ,�-y 7..� � '' t `Lt✓�..�. L � �.-� �_; �� S�h�v1.e af Fee Costs can be found on the Reverse Sidej. �-�. .-� � ... �' A . . , .;.�. �;; ��; :. �.. � X. • 4'..':,�w' ?', -; . rV� b;�•;;: . e• BUILDING PERMIT FES SCE18p�1LE � . , .. Se�tion 2. The Inspector of Buildings�s�al•�, be#ore issu,i,t�g aay permit for , Ehe erection of any building or structure, ar for auy add,it3,� ts any exiet- . ing building or atructure, or for any 'a�,teratts�ris�'Ar _repairs t� any eacisting buildimg or structure, upon applicatiou 1t�}er�for, �e��aire the pa�eat by �he applicant for such permit of feea •;b xiie amount •i�er�in below seC forth..and �in the manner herein provided to-Wi.G: � . � '-�- -- 2.1. F.er any $uch permit �or the ��$&.tion •oF any fire�p�crf bufld�pg� c�her �- •.,,.,.��n a�,ar,age� war-ehouse, factory or• g�ti�t �ev�pp�r;, � for. the erqrti4n ef ' any fire-p�ot addi�ioa, fQ�C �i��lar"o��;�ip$ncy# �a a�q exist,i�►g bu�ld�a,� ?:.� .� &hall be at the rate �f $1.40 for each o� t�ousaud �eubi� feet, or� fr�f.on ,: r . t�hereof, in such cubical aont�n�a . . - . • ; : � � � � '�. 2_„ 2_ For aay such permit f�.,��e .erection o� any firerproo� g�r$ae---w+��-"�' " � , .c factory �r grain elevator, or f,Nr� the e.tec.tion af any� �.r�px�ok f.. . f�itsimilar occupancy, to any existing i��ldl�g sha2,1 be at .t�ie ...-.� frnc` ��a�h one thbusand cµbic feet;'. Classified as.."firepzoof" hy ,S� the-•Min+uap�Lio• Hui3ding Cot�P.... ':t:Ss.n=' , , . '�. HOUSES _ 2�3. For any such permi� for the erection of any non-firepsxs�rf b'uildiag a�C� �� than a gar�ge, warehouse, factory or, graia elevator, Or suy rtou—fitepr�bf ��a`'�°� addLtion, for simii�� ocCupat�cy, to any e�i�ti�g b`u.ildiq,� - permit $�.•00 for each one thou$aint� c�bi�, fee8.. �" . GARAGES ,v 2.4. For any such peraiit for the erection of any non-fireproof �arage, warehouse, factory ox grain elevator, or for the erection of any aon�-fir�epr�f�_ 8dditioa,--€ori-similar occupan.cy, Co anx existing building dr for eecia such __��-,,;-�ilding or addition - ninety cenCs ($0.90� for each one thou�and cubic feet or fraa.tion thereof, in the cubical cantents thereof wfth a minimum of $4.QQ..�� For the purpose of camput3ng fees for,building permits, th� cubical ca�tent�� of any buflding or addition to a uniform height throug'holtt 'by muitip?�ying tii�._.- � ground area covered from a point six (6) iach�� be1�3w the �loar' line t�f,the _, J,. basement or cellar to the ave�age height of the upper surface-or to the average height of the roof surface of the maim gable of a,�itched roof. �.5. . For repairs or alterations to an existirig s�ru.ctut�-lE:y ��e �ee st�1! b��--"`�"' . at the rate of $3.00 per each Fire i�uudred. Do12er.,s .($gDb':0Q) or, iractiaa � .;. therebf in �he cost of, •all _ �ropoaed work, ,� ' . ,� � , , :. . : . , _ 2.6.' In no case shali the fe�;cb�u;ged�:f.o�r;..aay�.-p�rmi,�.la,p. seC f��'th iin � .. Sectian ._2 be Less�,�haa_$t�.p0. � �. ^ �. a r <,,..: s�e�ecr PE IT NO. c�ty of Fridley , 2� 6 3 8 AT THE TOP OF THE TWINS g � I L D I N G P E R M i T � � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. � 1 V �_��' � c� r � � PROTECTIVE INSPECTION SEC. �c7�r � � � � ' /"�� CITY HAL� FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'""�� ,�� 612-571-3450 910-F15 � � 6/27/94 JOB ADDRESS 6864 Channel Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 1( � 17 Brookview Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Debra Fink 6864 Channel Road NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. J& J Total Construction Inc. 6870 164 Ln - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI�ADDRESS ZIP pHONE LICENSENO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B OESCRIBE WORK Reside Dwelling and Miscellaneous Repairs 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUATAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OFt NOT. THE GRANTING OF A PERMIT �ll�SOO �S. �S DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pEFM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- \STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �13S.00 Fire SC 11.SO � PLAN CHECK FEE TOTAL FEE .� ''- ��-- � �' '%� =`��' � ' -`�'' � '' - '� J ',� 'cense SC 5.00 157.25 ��UAEOFCON'AACTOFlORAUTHOA�ZEDAGENT IDATEi RLY LIDATED THIS IS YOUR PERMIT � -� G- � - SIGNaTURE OF OWNER iiF OWNER BUiLDERi iDATEi BLDG �NSP ��`TE itit::'1' i i ,_i!;��;!'tic i� i,- C�DDN I I f;il�: O1� I�RtUt,�;Y �LTER � j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Buildiny; Permit A�plicati��n �� Constructic>n Address: �a g� y C/�,�q,✓�� I �or41) Legall�escri�tion: _ Ownei� Name c�c Ad�ress: fj -2 B�Q�V �r��C Contractc�r: �9`-d %�T'ar Cv.�ST�P�C7�o� Adc�ress: lof�7 a l�S� ��- rU. c-v ��.'•7�'e LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. � i�C MN LICEI�iSE # �'�� % � �,� � .�.> �z--J =--- �el. ,# _ %5 �_� �Ss � — Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length VVidth Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � .sr � %"'� , � �srs � Sc � rf=t�'A� �R-' f Corner Lot [) Inside Lot ( � Ft. Yd Setback Side Yard Setbacks Type of Construction: S�g ��ti�ce, Estimated Cost: $//, Svv� o� ` Approx. Completion Date: �� .� � �� ..<,�� e,o�� ,�,'s�- aP�,�;�5 , (Cost on Back) - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �` d'7 - r'� APPLICANT: �/l ,P;;,e l,.ak-f Tel. # 7s�t'' -- �.s'-.1'd'' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � STIPULATIONS $ $ $ $ $ $ $ $ $ CITY USE ONLY 1- >`J ��. � Fee Schedule on Reverse Side i / . � > j' .001 of Permit Valuation (1 / l Oth %o ) ,`� `'� $.50/$1,000 Valuation $800 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 r �,:7 ' ^ f �,. t*/�� j:• i ' ..G . . `!/ (j)��,t�e� 56.�rr ��-�-..i ,f.�7 .. �.�, ... . �!� .+.. .. . .. . , - � � X p� ` � � .P BUILDING PERMIT FEE SCHEDUI.E 'I'he Chief Building Official shal(, 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 buildin� or st�ucture, 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 FEES $15 (Minimum Fee is $15 plus surcharge) $15 for fiist $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,OOl to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 . or fraction thereof, to and incluciing $25,000 $25,001 to $50,000 $50,001 to $100,000 $1(?0,001 to $500,000 $50�,001 to $1,000,000 $1, IX�l,OU 1 and up $252 for fust $25,000 p�es $6.50 far each additional $1,000 or fraction thereof, to and induding $50,000 $414.50 for fust $50,OOU plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each add.itional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the first $1,000,000 pius $2 for each additional $1,000 or fraction thereof • DRIVEWAY DEPRESSION ESCROW (Concrete C�ri� Streets Only) n Altecnate "A": Removal aad replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alt�rnate "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 �roper review of the proposed structure and of the const�uction site. A�ertificate of Survey of the lot, showing the location of the foundation once it has it has been constructeci will be required before proceeding with the framing. �� D � �. m n � a m a. 3 � �• � y (D �� A O 3 � o a .." � (D �� n 'LS Q � �. � � � N o m � � m .� � Q � O c r. � m Z � � m f� � � Z m m � w 0 b O � � � ��i` 1, �� . � �''.�f� � J�. �C '�'� _ r/�, � `�� "D r ��\ O t / � m -+ m D � � �7'! Cn � � z �" D � {� O m � � D C) � C m � T n � O Z � z D [R -� �. � � � � m °' Q W m � �% '�-� :'�., ..,.� � 0 c � cn � � � Q � � � m I � m Z O � � � � � � m � � 'J �� _ rn � z � n O � � D Z � � n � 3 0 0 3 <ro � A � �. � O = � c � � � �� o-- m O � O � � � O �, D �D r � c � � m �- � � � � D � � O � AC) � � � O � � y' �a Sp �� D c�i � cD � o = � 0 � � N O �� Q Z W D n � �» c� t� C � ;o W W C � m 1 � � a � z a� � -J � � ti � � �. � Z • o m 0 � �, � � \, 1 n 1 � CA -� Z N � Q � - �, o � _ � � � � � �; � �. i � � -c � � � � , N a . ^ _ -� � C? O A. � � n Q o � � � 7 � n N � " Q � �N � �� 3 a Q O � J° ' o ► � � ; � � � �, � D D y C� o a m � 1 � � � � ! D � N' N N � 0 O � � N � w � cQ � � � �i � 0 0 0 � DTt� W fn � N N � � a �^�o� � �• fl: '�Da fD � � � � � � A .� Z � � � � � m m � � Q n. ?! � � c � O � � � � � � ao �' o � n � � `�-�' � � � � 3 � � � � � � 0 0 � 0 0 � m �n t�s � t� � � � O � � m � _i � -Ai m v O � -i °� � a�.' � rn � � -i z O "' `\. � C r= a Z � c � m � D � � � 0 Z m � <D C y � s � ti �, c N y N 3 � o � � = � � N W�.� y C. � Q Ql � � S Q.� ° m � v o � sv��,'�' 3 '�' 'o' � � w � o m � �' x y A Q � � ..�., � y+ � o `D A . � m .. � � `� (� � n � m O O � � a m � �, su � y n N a � � � �' g 3 o p.' 3 � � -� � � � o o ,� :� �- � � n m � � � � o y n � O 4. Q N t�p � � Q � � rn � n 2 � L O W D � 0 � m � � N fl. W � I � J � �� O .�p Z� '77 1 � N �� rn w D � N � Z Z m � � rn n �_-i � Z v < � D � � � � m n D � � Z O Z O Z � 0 -n D �� C� � O � � _' Z O Z N Z � Z �n v � _ � -�_i � z � � n m p < r m 2 �� < m Z � � � Z m m O <� � O � � � � c w � c,p cD W NOTE: �I1 through �18 required when using a side vent furnace. CHIMNEY AND STACI� VERIFICATION The undersigned hereby verifies that the existing chimney or stack: l. Has been carefully examined Yes (�.} No () 2. Is free from rust or deterioration Yes (�►�-) No O v� � 7—� ,�, .._ 1� N��r� ; S��ivc� d�tc°rao.��.c.4 �f ci� /° 3. Has no foreign objects lodged within Yes (v�} No O 4. Is secureiy supported Yes (�C) No O 5_ Meets al� current Code requirements for size anci totai BTU's connected I'es (� No. (} 6 Has tatal heating BTU's of 7 S o c� O_ ' Alt other BTU's �'—� TOTAL BTU'S �� d D d 7. Has a liner been provided far water heater Yes () No (Dy 8. Has combustion air been provided for water heater Yes () No (y�� Remarks: - ° �ia .�� ri u d�� %/,�� `� i�, i� I ist ALTERA.TIONS Being Done- HEATING CO: Signed By: Date: � O � � � m m � � m � c � � � cn m � � � � �� o � r c � � � m �, m 0 � cn O -� � D -I D m Z � � C � � Z m � � D � � � � 0 D � � � CD � r �• ° p cn o � v m � . C � O. � � � o D � � z � . o � x O W C p � oJ� o �� m D � � D �a � �• � � D � Z m � D r � m � D --� O Z, � D C� -° � � z o m m � a � � � � 0 c � � � 7 � � m I � m r -n z �" o w " � �. w C . m -V � \ , � �'1 � ' � � � � � � � � n � � o z C � ��' w�' s� w w �°_'. w o�D � r � � � �o m m a � � � � p � �' � � o `� � _ _ —1 1l � �] � � � x � QJ � � � �' �' � � � N � � �� c � (D (D v m m�• z. r� u°ii. v�i � N��t � I I c� �� m Z w X � � � � D � � (D � -i m �, � a n�i � � . W 7 � m � � � � �. .n m � � � c m m � c� n � �� ' m � i �� I I (� I I I I I I I I I O � c� �� E» � c� En �» tfl tfl tyv _ tfl D <" o 0 0 � o ��+ �i � cn a � t j ° o 0 0 0 0 0 0 0 0 0 0 0 ° o 0 0 o p o 0 0 0 0 0 0 � --i c�^{ � � ; � � � m w p r � c � C -' � Q � � � �• c� � Z � c c� � Q � O D � � � D Z , -< -� �? � � , 0 � m 70 � � Z O � �. ^T � w A� cn —� > > � � a a � m m c =� � -o — m � a m � � c� m �' cn �' � o � �. �, � � � � o m �� Q � � � `� W o �D � -" � w � � � m �' � `c � c° °' 3 � � � � N- o 0 , � N � 0 . A� p� ? 7 � a � � � — � . c�� o' a c,� w � � tv o o� � � � � m � � � o 0 � Q � a n, n� -' � � -a c � � m m a, CD � � m �. � � � � o � � � � o �' � � m p' � m `;�. " �- '< o m � o � � a, a � �� c� m �' � �� a�. L O � D 0 0 � m � � �; `. � D �. � Z c � W m � O � � X � c � m � � O m m z � D r r m 0 O z m D n _ T r O O �7 � � � i � � � n� a co I � � � c � o � A � < Z � � N � � � p � I w � N D . cD Z � m - a v v r n D -_i O z � O � � r c � � z � D Z � � D � �T7 � Z � v m � � -� SuBJECT _ .�...-h}f}--_�....- c�ty of Fr�aley ,, � BUILDING PERMIT � �� AT TNE TOP OF THE TWINS � __...___._-- � � -- � � RECEIPT NO � COMMUNITY DEVELOPMENT DIV �a.---"-- r � � PROTECTIVE INSPECTION SEC �(Ll� � � � � p'- i l A� ��1 � CITY HALL FRIDLE`/ 55432 NUMBER REV DATE PAGE OF APPROVED B� ►""J \�/ ,.� 612-571-3450 g10-F15 4/20/95 � � JOB ADDRESS 6864 Channel Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1(7, 17 Brookview Addition SHEET 2 PiiOPERTY OWNER MAIL ADDRESS ZIP PHONE Debra Fink 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO J& J Total Construction 6870 164 Ln NW Ramse MN 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGtNEER MAII ADDRESS ZIP pHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WOFK X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construct a 22' x 22' Gara e and re lace some dama ed sidin on house 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surfaced driveway. 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 ZpNING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi 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 CERTIFV 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 SPECIFIEO HEREIN OR NOT. THE GRANTING Of A PERMIT �8 � ZC)O ��F.OH 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- TRUCTION OF THE PERFORMANCE OF CONSTRUCTION. �LOH.00 Fire SC �8. LG L / o �� PLAN CHECK FEE TOTAL FEE ( t"�-"� License SC $5.00 $125.24 _ GNnT aEOFCOn�-aaCTOaoanUTHORiZEDnGENr 1DATEi WHEN PFiOPERLY VALIDATED THIS IS VOUR PERMIT SiGNA7URE OF OWNEA i�F OWNER BUiLDERi iDATEi ' � � �� `/ �/ �� E NEW ADDN AL�fER C[TY O� FR[DLEY StNCiLE FAMILY A1Vi) DUPLEXES R-1 AND �-2 Buitdin� Permit Ap�lication Construction Address: � �� C �✓� ��r/ �� o `9 4 Legal Description: Effective 1 / 1 /95 �/�� Owner Name 8i Address: _,t� Q,�3,�A ��/� Tel. #,�T�7d - 8'�I� 3 Contractor: �J �-� Tv T�4 / C �wS T�'✓c 7'� �� MN LICENSE #�`..�a % Address: ! F1 7 0/G <�'�y �,r� � c�� .�,v,�,fr� r�.v s-s-3�� Tel. # 7-�� -- GS� �' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length a a Width a.:� ' Height �o � Sq. Ft. y� S� DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER ,�e,D/A�� So•�,P srl��'�y o�v l✓��ls� �� 1�.t�A� e. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: �e,�,(,,�� ,8u.�,.� f�,�o,P.og .e Estimated Cost: $ � 7�o ��°`' Approx. Completion Date: �j v.rr� i9F� k/(,�, Zy (Cost on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: y- i�- g� APPLICANT: Qf.�yr�? ii"-�.,o_�� Tel. # 7.5'�3- G s��'� 7� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ U'J , , $ �/�. $ �� $ $ S `'� , $ $ $ $ � ,z� CITY iJSE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/ lOth %) $.SO/$1,000 Valuation $850 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 [ ] ltli11.U1NG f'l:RMI"1' I�E1: SCIIl:1>U1_[: �I�li�- (;hi�t� l�uilciiu}; O1liciai shall, t�ciorc �ssuing pc:�mtts for tf�c crccti��n of any huilclinf� <>r sttt�cturc, ur ��r any :i�1�1i[i��n tu :iny cxistinZ; huildi��a, <►r structurc, or for any ai(cration or rcl�air t�� any cxistin}', I�uiliiin�; �>r �tructurc, u��n af�plication thcrcf�rc:, rcquire tl�c paymcnt by !hc a��lic�in[ tor tuch �crmit c>( I�c:� tc> tlu; an�c�unt hcrcin t�clo�v sct tc�rlh and in thc manncn c�rcin ��rc�viciccl tc�-wil_ "I�O�I�A(_ V/�LUE S I tc� $S00 �501 to �2,000 �2,001 to �25,000 �25,001 to �50,000 �SO,Q41 to �100,000 $100,001 to �500,000 $500,001 to $1,000,004 $1, 000,001 artd up (�I;t:S $1S (Minimum Fcc is $15 �lus �rcharge) $15 for fust $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for fust $2,000 plus $9 for each additional $1;0�0 or fraction thereof, to and including $25,0(}0 � $252 for frst $25,000 ples $6.SQ for each addirional $1;000 or fraction thereof, to. and including $50,000 $414_50 for fust $50,000 plus $4_50 for each additional $1,000 or fracrion thereaf, to and including $100,000 $63950 for f�rst -$100,000 plus �$3_50 for each additional � $i,000 or fraction thereof, to and includiug -$500,000 $2039.SQ for tr�e first $500,000 plus $3 for each additional $1,000 or frac�on thereof, to and inciuding $1,QOO,Q00 $3539_SO for the fust $1,000,000 plus $2 for each additionai $1,OOQ or fractioa thereof - DR[VEWAY DEPRESSION ESCROW (Concrete Curb Sbreets Only) A(ternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times S 13.50_ A(ternate "E3": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Dnveway width plus G feet times �15_75. VLRIF�[CA"fION O}� POUNDATION ('errniLS for co�isl�uction will be issued a ininimum of 24 hours from the time of ap�lication to al(ow for ��ro�cr rcvicw of thc J�rol�oscd stn�ciurc and of thc construction site_ A�;crtitic;:�tc oi Survcy of tl�e lot, st�owing thc iocation of tlic founciation vncc it ha� it t�as hccr� constructe�i �vill hc rcyuirecl (�etore proceecling with li�e framin�. 0 v .� � � �. � � � w v � � ,o aS �'o.� �,��t 8�� "e� c.e r�.v ��f'aP-� �P � S� �:.� t � J � O � � W � � `�1 � �`.. ? � 3 ° ao � � 0 0 —}... � � `� < � � � �?.. � x � ,�, ,i ,' � 7- i �./ I �. � � `': . `� ,, '�; . `� `�, Q o ._ .-�_ .,� /4�: � _' ��" a � �. , ' ��' /1,�; �,✓;-:`t" / <'�, ,`t; � -7-`� / %"• /,n �!�' �.: � J& J TOTAL CONSTRUCTION INC. 6870 164th Lane NW Ramsey, MN 55303 (612) 753-6558 Gl�R�9 � �v�4 �e.�R� ��k 9 j -- ,,�� %� 'J 8 �'✓ �� LP AF �! 'I'`'j f,.�P(�.�� C°(1`� -r� �U r�•r» ,��r a �(�� -t ' � p vP�P �tR� +��0+� w� i-� oP�rt�7�'o� /- 7 �/6 � � o ,Se,P v� ce �dof� / - �� '�� W � � ri (1 ° w j/ ��$ �� f;� �E°f� � !�, a,�„�. c��ka; e ��' � i � • � / s �� N � / y �x.�—� a ,�,�,� �t ,�' �� - v r N � YYe C! N A�t �Fi �0'.} � 4f MS� %� _ '" i' ;uRAPr� so�� ff A,v � �OGK I,+t/t�['�� NOfAPe �re� �S �.�.��TL� ; � �ss ,��+�,�s — i�s S��- 1 �� , ,vR lS �� fl !:� � � �, � . ��a^S LU�'� G -5��?'�Itl,t�G-. ' J � / ,��TT? �� '��;�»'' ��T � " �C/fo� ��- T.� � � 1� �, ` � �� i%�ci�`�'�� i� "F,�� c` n, ��, �� • J l - A6RE�MENT � . _-� ,� , , .` j i I � ��-� �, � � � �� , owner of the � property loc�ted at �Sf?�� ,.<��.' %,_` � '� T ''' have no objection to the City lr��, �l ✓r��,-�._%,�^-��:-7�°-� � r ; allowing the construction ofi a/an :�� C=�•��i��e`. to be i ocated at .�S' �� y l',�/�,�� c 1 ��,�-� , wi thout the required certificate of survey that the Gity ordinarily requires for all new construction. ,� , ; � . �� _-� l �,� �, � j . /,5`1 C.��-�Z � W tness _j % � , _ !�. ___-� , � ,�'; � .-!`, .� / "� % '�� % ' G " � � �'`.G L �'� Signature %'� � ��' %;' �� a� � _ ,� � �= ,� �, Dd e � s��e�ecr PERMIT ___„ City of Fridley wxECxzNC . AT THE TOP OF THE TWINS ��g�� p E R M I T ��' � � � RECEIP � • COMMUNITY OEVELOPMENT DIV ' j �.---"'-, . r � � PROTECTIVE INSPECTION SEC /C�`� % 1 � ' � ��1 � CITY HA�L FRIDIEv 55432 NUMBER REV DATE PAGE Of APPROVED B`/ � ----�•� �•' 4/20/95 612-571-3450 9t0-F15 / / �oe no�aESS 6864 Channel Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION ' SEE ATTACHED DESCR. 16,17 Brookview Addition SHEET 2 PROPERTY OWNER MAI� ADDRESS Z�P PHONE J J Construction 6870 164 Ln, Ramse MN 55303 753-6558 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Herbst & Sons Construction Co 2299 Co R - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WOFiK Wreck fire damaged 22' x 22' Detached Gara e 9 CHANGE OF USE FROM TO STIPUI.ATIONS Clean site of all demolition debris. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMiTS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFIUCTION ZpNING SO. 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 WOf;K IS COMMENCED NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT P UME TO GIVE AUTHORITV TO VIOLATE OF CANCEL THE pERMIT FEE SAC CHARGE PFOVISI S O ANY OTHER STATE OR LOCAL LAW FEGULATING CON- S RUC ON QR THE PERFORMAN F CONSTRUCTION � IS . OO � j PLAN CHECK FEE TOTAL FEE � / /% � � / / l. / �LS.00 siG Q uaEOFCOnr cTOaO n�THOaizE QGEN� " iDnrE� WHEN PAOP Y VALIDATED THIS IS YO R PERMIT ,. � r� � �2� �� S�GNATUaFOfOWNER�ifOWNERBUiLDER� �DATE� BL G �NSP �1cTE N E�vV i i .�Dt��v I I AL�'ER � J Construction Address Legal Description: � Owner Name 8i Address: Contractor C(TY OF PRCDLEY SINGLE EAIVIILY AlYD DUPLEXES R-1 AND R-2 Buitdin� Permit A�plication Address: 2 2 9 9 C o. Rd . H LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 0 :� � � � T/'�`� r� %r,,,'`' � �--3� 3 New BriQhton, Mn. 55112 Effiective 1 / 1 /95 �"1� �7 Tel. �# ��.�'' � 5 s� MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # 784-85 ] 0 DESCRIPTION OF II�IP��IVIENT �ng�h Width Height Length Width Height ��gth Width HgtJGround ih,i�G�,/J:�%i/i /,� �V�'�;l-Q - :.�� - �-� %' � Corner Lot [) Inside Lot ( j Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Sq. Ft. _ Sq. Ft. Sq. Ft. (Cost on Back) Driveway Curb Cut Width Needed: Ft�+ 6 Ft ^ Ft � _� DATE: /� �� ArrLICANT: �. -�� Tel. #T ''� - �" G' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1 / lOth%) $ $.50!$1,000 Valuation $ $850 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ j $450.00 Conservation Plan Review � $ ' Fee Determined by Engineering Agreement Necessary [ ) Not Necessary ( ] TOTAL $ � �� C� �' � � �' ��,�.,�s� ------ _.-- ___. _-- ___ __ . STIPULATION�-��-� ��--� �� ) ��ui�.u�rvc, f�r_�in��r r�a: sc��{r:r>ur_f: 0 a l�l�c� (:hi�t� I�uilciin�; Olticiai tih<iil, hcforc issuin�; per�nits tor ihc erc;cti��n of airy huilclin�; <�r stn�clurc, ��r t�ir ai�y :i�iciiti��n Iu any cxititing hi�ildinl; ��r struc(urc, or for any �tl(craiion or rcj�:+ir to <tny cxistin}, I>uililin�; <>r s�rucwre:, upon �r��iication therefo�e, rcc�uire tl�e payment by thc aj��licant tor such �ermit c�i I�cti tu tli� an�ount hcrcin bclo�v sct fc>rtf� and ir� thc manncn c�rcin �rc�vi�lc:ci tc�-wiL "1�0"1�n1_ V�1LU1: S I to $S00 �SOI to $2,000 $2,001 to �25,000 �2S;IX?1 to �50,000 - �50,001 to �100,000 $100,001 to �500,000 $500,001 to �1,000,000 - $1, 000,001 and up tT I :S $l5 (Minimum Fcc is $15 plus s�rcharge) $15 for fizst $S00 plus $2 for each additional $ t00 or fraction thereof, to and including $2,000 $45 for fiist $2,000 plus $9 for each additional $1; 000 or 5raction thereof, to and including $25,000 � $252 for first $25,OOp ples $6_SO for each additional $1;000 or fraction thereof, to_ and inclading $50,000 $414_50 for fust $50,000 plus $4_SO for each additional $1,000 or fraction thereof, to and including $100,000 $639_50 for f�rst -$lOQ,000 plus $3_50 for each additional- $1,000 or fraction thereof, to and including -$SOf3,000 $2039.50 for the first $500,000 plus $3 for each addition.al $1,000 or fraction thereof, to and including $1,000,000 $3539_50 for the first $1,000,000 plus $2 for each addil�onai $1,000 or fraction thereof - DRIVEWAY DEPRESStON ESCROW (Concrete Curb Streets Oaly) Alternate "A": Removal and re�lacement of curfi aad gutter only - Driveway width plus 6 feet times S13_50_ Alternate �B": Removal and replacement of curfi and gutter and install a 3 foot �vide approach with 6 inch deptti - Driveway width plus G feet times $15_75. VGK[F[CA"[�ION O� C�OUNDAT[ON PCrrniLS for const�ticfion will be issued a minimunt of 24 hours from the time of a{��lication to allow for ��r<��cr review o1 the Pro��oSCd structure and oC the construction site_ A Ccrtitic:atc of Survcy of ttie lot, showin� the location of ttie foundation or�ce it ha� it has hcen cUnslructe;�l will he reyuirccl before proceecling with lhe framinfi. � � ;� - -; � �'1 ttr,.�C;;� �Y:` �_ ,;;=;-1-� J %`fl _ " %� � AND AP�RAISAL CARD GARAGE - CARPOI �-C:'y- �<� � . . YEAR BUILT �. DITION EFFECTIVE AGE ATTACHED DET. t ..�-•�, , ,.�,l�IO. STORIES �� FOUNDATION BY � BY EXTERIOR � 2 3 ROOF 1 _ INTERIOR O H. DOORS � ELECTRICITY L�. _.r:i .'. n �7";,�'I�d"i-y�� `f:� [� � > CLASS YEAR BUILT BASM'T FRONT FLOOR OPEN FOUNDATION EXTERIOR ROOF INTERIOR ' BREEZEWAY YEAR BUILT CLASS FOUNDATION FLOOR EXTERIOR ROOF INTERIOR ��4/%��--�' � _ , � ____ � � �___ . ��__ • �___ . �_—_ . FLATS � � � % BUILT INS RANGE-OVEN HOOD-FAN DISHWASHER GARBAGE DISP FIREPIl10ES 3 - FIXTURE BATH 2 - FIXTURE BATH CERAMIC Tll VANITY „ � YARDS AIR (ONC WALKOUT b �� __� ��f i�J �� c�'i� .. '_ Sa S�� /S/ZS'I �� 3 0 DA�'�__C��.11��i _.11 �RCHES CLASS SIDE BACK SCREENED GLAZED FLOOR YARDIMPROVEMENTS DRIVEWAY ��y-Y� � T DIMENSIONS . l6 Xay=3P �`/ x 2Z = ,3 D x = . • X X = x = X = x = � X a � _ X - X = x — X — � ✓ �a. V ..�� G)Gc/L• ,202 U 0bx . :ob ` �OUSe 9�a _ 3 � _. � � � . _ ; � , ;. _ � �� ; , � , � , , , _ �_ 3 t � f �� ..� '9 +� ' +� ,_�, ; ' i �� rt- y � �-� � r r_ .- . � _ _ f . , t � 4 � ' { { � � � � t #� � I . � � `.-_ , :"- r .'� � " �..r ;..� ' . .. r � j � i - W�TNf�S� f�Y....�"-DAT� 7 ; � ,� , �- + � - , i i � I , . { � >- � . : � � � -: , r '- �-�- i ��- � 7 � 3 � s ' - + f } . . , , � � _-,_. ' ' .. i , . . . .. ,. � .$ 00 �� t � i F i � , ��'� 1 ,�,t,,. a..�.., __ _.____� _..-/�C,.� � . �� /`L/XZZ �`*-'�'�CctR.� - -- �- � . y!� /�:r%! -� " l.,i � �.--�/, �� - �. � � � , � %/,.1. � , ,,.. t ( .Q{L�G�^�"�h �~^-� �� X � i f -� ((!_ ��__f� c - ,f ,..� 3�� ,,.l.F � ;�:.; ^yi -,iy,+.N�, �...�''/C �`--L'�'I �r �r `z � '. , . ' a+�` � / 9" �"U !✓�'�l} �' •. _n��- ; �. �L�.n-a-e�r.... l � ,'1�_J-�; K �3 \ SuB�ECT c�ty of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f � � � � � � �__.___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � i----�,��"';•� CITY NALI FRIOLE� 55132 NUMBEA L 612-571-3450 gt0-F�5 JOB ADDRESS 6864 Channel Rd NE REv 1 LEGAL �OT NO. BLOCK TRACT Oii AODITION oesca. pt16,17(98 ) Brookview Addition 2 PfiOPERTY OWNER MAIL ADDRESS Debra Fink 3 CONTRACTOR MAIL ADORESS Owner Same a ARCHITECT OR OESIGNER MAIL AODRESS 5 ENGINEER MAII ADDRESS 6 USE OF BUILDING Residential 7 CIASS OF WORK O�iE v,►GE Of 9/21/98 / / PERMIT NO. f--=----- �7908 RECEIPT NO. APVROVEO BY SEE ATTACHED SHEET 21P PMONE 55432 572-8183 21P PHONE LICENSE NO ZIP PHONE LICENSE NO ZIP PHONE IICENSE NO O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (17SQ) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVlOAO SEPARATE PERMITS AqE REOUIiiEO fOR EIECTFICAI. PLUMBING. HEATING. VENTILATING Oii AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTFUCTION ZONING SO fT CU fT AUTHORiZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAYS AT ANV TIME APTER WOFK IS COMMENCED. NO� DWLG. UNITS I HEREBV CERTIFV TMAT I MAVE REAO ANO E7(AMINED THIS APPLICATION STAI.LS AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS VA�UATION AND ORDINANCES GOVERNING TMIS TVPE Of WORK WILL BE COMPLIED $1,456.00 WITH WMETHEii SPECIFIED MEREIN Ofi NOT. TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEqM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON• �LFH.SO $TRUCTION OR THE PERfORMANCE OF CONSTRUCTION PLAN CHECK FEE NGIUAE F CON�RACTQAQ •UT p�2E CiENT �/�,DATE� % (,J � q � � � iaTUAE Oc nwNEF i6 OWNEA LDER� � TE� �NS� OFFSTqEE? PARKING 1GAR,4GES SUFTAX $.73 SAC CMARGE F' e SC $1.46 TOT E $50.69 `_ I u�R�� / � r�t 1t NEW ADDN ALTER [] L] [l ConstructionAddress : L.egal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION _ .--r � l � \ �S (�� C' _ l� c� v� v�-�_ l� n �� 1', � Effective 1/1/98 � ,, � �,. �� ;-� �;� �� Owner Name & Address: ��j �-� � � �� S c.� w�. c� Tel. # -�j -1 Z - � l �.3 Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Lengt+fi DESCRIPTION OF IMPROVEMENT W idth W idth W idth � ,_ � � Height Height Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. �i.icsr� Construction Type: Estimated Cost: $ v l�-S 4� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: � � � �/ � APPLICANT. Tel. # 5 7a -�� -3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY -o $ U• S� 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 [ ] $ -�'a� �`� BUILDING 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 $50,001 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 $Z5,000 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. 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. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (7631571-1287 PERMIT NO.: 2004-0139� � ___`� DATE ISSUED: 08/23/2004 REPRINTED ON 8/23/2004 ADDRESS : 6864 CHANNEL RD NE PIN : 133024210037 LEGAL DESC : BROOKVIEW ADD : LOT 16 BLOCK 0 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 2,385.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (20 SQ) TEAR-OFF. STATE LICENSED CONTRACTOR 1 APPLICANT RICK'S �� t , 1 /� F-(,t-) (763)753-1935 ANDREASJOHNSON 6864 CHANNEL RD NE FRIDLEY, MN 55432 �r I-�t � � !� � , f C � � � f�-,c1 J� �� R,L �'�f-�i[a a� `�� l l� OWNER AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction 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 governing this type of worl� 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 y other s ate or local law regulating construction or the per rmance f construction. Applicant Date� . .� i.� _n ' i �5 /7..� : �� BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 19864 0 SEPARATE PERMITS RE"QUIRL�D FOR WORK OTHER THAN DESCRIBED ABOVE. 83.25 2.39 1.19 5.00 91.83 NEW ADDN ALTER ��7 [ ] CIT`( OF FRIDLEY [] 6431 University Ave NE, Fridley, MN 55432 ( J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legai De Owner N Contract� Address: , 1 , ' -. � i -, Effective 1 /1 /2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax LIVING AREA: GARAGE AREA: Attach to this application, a CeRificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRtPTION OF !MPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. �� DECK AREA: Length Width HgUGround Sq. Ft. OTHER: �� `-� 0 t.l_S t, G�- r 4 � C r o� � -- •� Construction Type: ,(�j,,✓ D � � 1�D S � Estimated Cost: $ �-�` • � ,��5 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �' '� 7 APPLICANT: �U Y��''CLL/7� r Tel. #�1-G 33 ��9S' Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ c�-� �i� Fee Schedule on Reverse Side $ <� • �- � .001 of Permit Valuation (�/10th%) $ . i � � $.50/$1,OU0 Valuation $ $1275 per SAC Unit $ � . 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 [ ] $ ��, c� °� I � 8�� , . •► Engineering WATER AND SEWER Permit Na�� —o L 763-572-3552 ° - �RMIT APPLICATION Received By: 763-571-1287 fax CITY OF FRIDLEY v EFFECTIVE 1/1/20(0 Date Rec'Cl: APPLICATION DATE: ��- I I' �'0 YOUR E-MAIUFAX: THIS APPLICANT IS/: � OWNER �CONTRACTOR JOB ADDRESS: (O O(P� C�+�.nv�. ( �� NEW CONSTRUCT[ON PERMIT# (IF APPLICABLE): PROPERTY N,�1v�E: .� � G� �, �-� OWNER/ qDDRESS: �?�� (n�„� � �,� �J `" CITY �l'��I P�-L TENANT STATE�ZIP S S� 3 PHONE: r CONTRACTOR NAME: � SUBMIT A COPY OF �DRESS: _(`f S�'� c� Z`-�;'!� 1�.._2_. (� CITY YOUR STATE - STATEM_�IP �S �-(l{ "�.. ' LICENSE WITH PHONE � (o �i - S-� �i' - ��} p� CELL PHONE: �(Q3 - 2�f,� _ � Z � Z APPLlCATION STATE LIC � STATE BOND: EXP DATE: 1. Narrative/written description: � � 2 � ` Q � � ' ^ 4- � -� PVL a,� c. : � ` � � , 6 , n,, � 2. Please attach sketch showing curb line, utility line, buildin , etc. with distances on back ge. 3. Stipulations: PERMIT TYPE O. SEWER CONNECTION PERMIT $50 - ❑ WATER CONNECTION PERMIT $50 ' ❑�WATER LINE REPAIR $40 �f SEWER LINE REPAIR $40 ❑ ADD STATE SURCHARGE $.50 ❑ SAC CHARGE @ $2100 = TOTAL $ � � " —' OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST - SEE UTILITY BILLING SPECIAL ASSESSMENTS - SEE FTNANCE WATER TAP - SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge 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. I understand this is not a permit but only an application for a permit and work is not to start without a permit. SIGNATURE OF APPLICANT PRINT NAME:'" `a � t-�O V � -� c� DATE: 3' I ' I� A�PROVED BY: DATE: � f7 � G COPY GIVEN �: ❑ UTILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING City of Fridley �;ngineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3552 FAX: 763-571-1287 " � - �GQ1 ��3� z�c�- 4' Z � � L (,1�,,,,,,�., ( l�d . � , �