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AF - 37093� �� `'� City of Fridley, Minn. BUILDING PERMIT �pril � 7, 1967 Date: � T � � �a �� isi Owner: � Builder �a�P.' Hames .µ._._ �� C�RL SOTI�NBERGER Ad�� 3355 Hiawatha �y�_ LOCATION OF BUILDING No. 6887 Street Channel Road part of Lot Lot 12 __ Block � Addition or Sub-Divisian _ Bg00KVIEW �DDN Coraer Lot _ Ins�tde Lot Setback —�_ Sideyard ._ Sewer IIevation Foimdation IIevation DESCRIPTION OF BUILDING To be Used ea: Storm Replace �t 39 �p� 26 & 30Height — 12 Sq. Ft Ca. Ft Front Depth FTeight Sc1. F'k — Ca. F't. 7.�ype of Conatruction �, �$8, 000 __^__ To be Completed In con�lderation of the isauance to me of a germft to construct the building described above, I agr�e to do the proposed work fn accordance with the deacription above set forth in pliance with all provisions of or8inances oE the dty of Fridley. 1 �� Ea consfderation of the payment of a fee of $ 17 .00 ��t is hereby granted to Ca�p-Homes to construct the buflding or addition as d�cribed above. Thia permit is granted up� the express condition that theperaon to whom it ia granted and hia agents, emPloyees and workmen, fn all work dane in, around and upon said building, or anype� thereof, shall c:onform in all reapects to the ordinance� of Fridley, Minnesota regarding location, construction, alteration, ma3ntenance, repair and moving oP buildiugs within the dty ]imits and thia periait may be revvked at any time upon violation of any of the P�� of said ordinanc:�s. Clarence Belisle Building Inspector NOTICE: iids psrmh d�s ao� eowr t6s eoedweNoe, Installation Mr wUteg, plumbine, �n heaNng, aw�r or w�1sr. B� surs �e � ths Buildlas IespKtor for �paran parmifr Po� f6as Nemi. 'r _ � i .� •� "�. e 4, i v -a�y , ' / �r 06aNElt' S ADDRESS AP1si,ICAT�O�� EOR SUILDII�G °EtiA�$T CiTY 0� FRiDLEY, M�, SOTA � r I i�� 1A "a' t e � ,) � � �4� -� � ` , ... � LOCATI01� OF BU�D�NG . � , .. . , . � STREET � � PART OF LaT ft0 . %, �� `._.. . , � ----- LOT /� � BLOCR �I ADDITION OA SUBDMSION /"�JmS ��.�a�-�� CORNE� LOT ,� INSIDE LOT„�,��SETBACR SIDE-YARD SLrtdER ELEVATION �'OUNDATIOP ELEVATION •ppiicant attach to thie form Two Certificates of Surneq of Lot and proposed buildiag location drawn an these Certificates. „� � ,� �- .� �,,, D�FSCRIFTION OF BUILDIPTG . !� �',, � � ,:' � �� , .�, � �� To Be Osed Ael; . . . -� e� G3 ." �' � a �'� � �.� ,, � � �� Front '�� Dapth �'-' �" �t,� � `�--��Height '� '� — — r�� , ' i � �_��, Sq. Ft. Cu. Ft. � Front •Depth . Height Sq. Ft. Cu. Ft. Tqpe of Constructioa Estimated Cost �� i�-� �� To Be Completed _ _ - The undersigned hereby makes applicatioa:�.for a.pezm�t for the work herein specified, agreeing to do all work in etrict accordance �?i.th the City of Fridley Ordinances and rulinga of �the Department of Buildings; a�id heraby declares that all the facts and represeatations stated in thie applieatioa are trus and°correct. DATE � (Schedule of Fee Costs can be foun ',__-�. �, ,`� b r:%''(� '~•,��_ �,,�__.._ � � ,' ,�,,, - -� -_ .a � � ��a , � � � �. z� _ � BUILDTNG � PER:�LCT FEE SCSEDULE SECTIOft 2. The Inspector of Buildings shall, before issuing petm3ts for the erection of anq buildin� or sCructu�e, or for any addition to any exieting building or structure, or for auy alteratioas or reFsirs to any existin� building or structur�, upon applieation thsrefore, xequire .the payment by the.applicarit � for such permit of fees to the amouat hereia below eet forth and iA the manner herein provided to•wit s .. . ... .. . 2.1. For any such permit.for the erection o€ any fire-proof buildin�, other t a a garage, warehouse','factorq or grairi elevator, or for the erection of any fire-prooi addition, for similar occupancy, to aaq existing building, sha11 be at the -rate of� $1.40. for each--0ne thousaad'cubic feet, ar� �fractian- thereof, in such cubical,coatents. ?,�,2= For any.such permit for the erecticn of any f3re-proof �arage� . warehause, factor'y or grain_elevator, or for the erec�ion of any fire-proof addi[ioa, for similar,occupancy, to any existing buildiag sha11 b�,at.�the_rate of $1.25 for eath`one thousand cubic feeC;-•classified-as "fiseproof" by 5e�tion 502 of tfie�Mianeapolis 8uilding Cade. .. flOIISES � � - 2� For anq such per�it for the erection of�any non•firepraof building, other than a garage, warehouse, factory or grain elevator, or anq non-fireproof addition, for similar occupancq, to any esisting building permit fee":�1.00 fc� each oae thousand cubic feet. .. . . _ , , ... . _ .. _. _ .._ .. ._ _; _..� _. _ � _ __ _. . GARAGES • 2.4. Fot any aucli permit for the ergction of any non•fiseproof garage, warehouae, factary or grain �e7,evator,,. or for. the �erectiQ4.: o� aay aon-fireproof. addition, for eimilar occupancy, to any existing building or for each such buildiag or, additioti� -�ninety_. ceate ($0.90) for_. each one thousand cubic feet or fraction ttiereof, ia Cbe cubical coatents thereof with the mini�nuati of $4.00. �'or the purpose of computing fees fos building perm3ts, the cubical contents of any buildim� or add9,tion =to. a uni_�orm height _th.�Qugh�t. by multiplyiag the ground are� c�overed fram a'point six (6) inchea below the floor line of the basemenC er cellar to the average height of the upper surface or to the average height of.�he roof.surface of..Cbe m�in-gable ot:a pitched �oof.� - - , ; cx_ . •� _ .. 2_,.5. For repaire��r alter�tions Cc� an'esisting�structure, th� fee sha11 ;: be at the rate og'$3�00 per each Five Hundr�d•IIbllare ($SOD.00) or fractfon ' thereof in the cost of all propoaed �ork. 2, .6�, Tn no..c,ase s�al� the fee charge+d for aa�►. permit as set forth in �� Sectiou 2 be lese thea �4.00. _ , �, w� ,� f� ' ` ° �� ^ , '�•° . ' _ � E � � .�`'J � � ,C� � �� _m � �a � � � < , � � !y��t, 9 a N W � N� � � b � $ � � � � � [+ M O r� � y °z x z � � n 4� O �i � � � � M � � Y � � �d � `-a�' � m m � � yH � t-0 m � E9 i0, � � ° �, �, r M � � .- H � �: n�i 09. M �„H,� � '�", '<d Q W � � 0 `� < � � `�. ,,n c n � lD �x.. L+i� 21 w O o � � � �. � o� y O � � c ~ ~ � "' ~; � � � � m . V .a., �'1 od1°1 . $ odo � 'J. ��..�`j � o �o� g �a • : � � �9 . . . y . �o : : : � � � : : : � � : . . ' `\\� � • � • • �' . I I I . � � i i i � . : r. � �e � : : °o � � � °o � � � � � � � � y ♦ .�� r c�� ° � �a � � � I � � � � � 0 o e�i 'C7 •• ei O 4`�,' � A M � �M V � � � � tJ b � � a ro � � � � � x ro w a A � � �, � � o � � � 0 �i �, � � � . hi t�] ki w w d � �' � � a� m � � �°+ .G¢. W � � �i � � O w N �' �' y N O � � 0 0 ,.r ,.... s? � R° R° '�, � � r r � p � � C7 G � �' N �1 � o � ►E x � � � � o o yM � � tp � A �� :�� y • � . vM � . . M � � � o � . . � � : ' � � : : � : �� ww o 0 �SBS O y � �y, r � � A �L' � n � b b b � � r. � w, m, w � t�il V�! f�p � � R° � � w � � a � � :�. ► � � o � � H .fDf ''� W Bi° � w w � p, d 0 0 � ��o� � o w � fD °o 0 ��:�x � � . O � � : � ►+ � o : : ° 0 0 . . o � . . � O : . . � � � � � � � � � � � � � � � w a. rn w o ...o. �o�oo a � O ?^ O "'� � b � A � � C RS Zy 'd � ►� w �. p7 � � f�A A (�p � I R° R' � v, y� �a..`'� � A O `+ w � �° R° � � � � d � � � p o m � x b � ° a � � � � � . . s . . �•°: : o � . . � O . . . . . . � � 7Q' � � � � � � � � � w rno•o �og� � �°-0 � � � � y � � C r° �Pt aa� � r d n H M iw H p �e�P ,,,�.� � �p ._?' ►a O � �• � �p � � � � � � � � � �� r� � � � � �. t�l � � � �a � a �� City of Fridley, Minn. BUILDING PERMIT Da�: Oct. 28, 1968 pwner. _,,, Carl Rothenberger B�d� Same �� 6887 Ch�.nuel Road Ad�� Same ��y� c N� � �t)U00 LOCATION OF BUILDING No. 6887 ____ Street ._._.. Channel Road �_�____ p� of Lot �—�` 12 – Bl� � Addition or Sub-Diviaion �Brookview Addn. Coraer Lot , Ina�tde Lot — Setback .�_ Sideyard Sewer IIevatian .�� . Fotmdation IIevation �.. DESCRIPTION OP BUILDING To be Used as: Garage �nt ^24' Dep� 26' Height � 10�. �_624 �� 6240 Front Depth H'eight Sq. Ft _ Cu, Ft, 1j�pe of Construction Frame ��_ $1, 5 00 . 00 _ To be Completed _..._ In consideration of the isauance to me of a permit to construct the building described above I agr�e to do the proposed work fn accordance with the descrlption above set forth in com ce with all' provia�tona f ordinances of the dty of FrYdley. .�l _/ � �� 1 � /'�./ , �' ! � �rs�! : �G' �� 9 r'v.9 Ea con�derat[on of the payment of a fee of $ 9.00 � p�t ia hereby granted to Carl Rothenberger to canatruct the buflding or addition as described above. Thiapermi t is granted upon the exPress condition that the person to whom it is graated and his agente, employees an� worlmien, in all work done in, around and u�n said buildittg, or eaY part thereof, shall conform in all respecta to the orclinances of Fridley, Minnesota regarding lacation, construction, alteration, maiatenance, repair and moving of buildings within the dty ]imfta and thia perrnit may be revoked at any time upon violation of aay► of the Provisiona of esid ordinaac�s, Cla,rence Belisle Ins�tOr n NOflCE: 'Iids permit doss not eover f6e construcHoe, iethllaHoe }or �rirlee, plumbine, �n hsaMag, aw�r er wNsr. B� wn to � Nro Bn(Idleg lespss�ae fo� apsrab parmW for N►as k�, r ` �• , " APPI�I�ATION FOR BTTII,DINC PERMIT • � � • � . ; , , . � � .�_ ..%_��_�._�_ ."..r .� �a�• ,r� �.,� , . � � _ ' � �' i ,, � �� ' �' „ �. � - .- _: _.�_. .. . _ _ .i I1� • . .. / � . I ; ��i �- LCCAT�ON OF B�IIaDIl�?C �� LOTd�� - BLOCK 1�DITIOI� OR S�BDIVISIO�T � COR�'�R LOT ' 6 T_TT�IJE LO'P � SE'I'BA�Ir -'° ` �I�E"_TARD SE4TER ELE'VATIOI`I T0� fl�' �O�TI�'G Appl icar!t a�tiach tt� this .fo�m. T�?o Ce�:ti.iicate� o�' Survey of' Lot a.nd p�oposEd buildir.tg 1.o�atiorz d:�a�. or� i;h��•� Cex°tzf icates o 7�ES;RT.r'I' i ON 0�' BiTILDyNG To Be IIsPd As: � � � / / / Fron+ T��pth �Ga Height / � i �q-uare �°eet v� Cubic FE�t �.� �.� �'�'` r� Front Depth Height Square �eet Type of Construction i To Be Completed r �, :;ubic Feet E�timated Cost /J ��d . � The under�igned hereby �:kAs applicata.on ior° a permit �or the work he�ein speciiicd, agxeeix�.g to do all work i�. strict accorda,nce with the City oi Fridley Ord.inaz�ee� and rulings oi th� Departme�t oi' Buildir..gs 9 and he�eby dec�ares that alI �he �act� a�?d rep�eae.r�tations stated i.r�. this appli atiota. a,�e true a:nd correct a DATE . ` � S�GNA'I`IIRE � , � C� -�� ' (Schedule oi F�e Costs ca�s be iow.�d on the Rever�e Sideo � 'r�'�'; ��l'i r \ .� - � ,'�, � �� ,. a �� . . , �• � � � .� ��7+�8� - BUIIsDING PERMIT �'EE SCF3.�D�I,E SECTION 2a The Inspectox° of Buildings shall9 b�fore issuing per�its for the e�ection oi any build�.ng o� �t�ucture, o?� for �.ny addition to a�.y exist�.n.g �tructure or^ bui�ic.iza.g, or for a.ny a.lte�atio� or r�epairs to a.ny exi�sting buiZdit�.g o� �t:�u�tu�°�9 upon appZicat�o�: th�ref��P9 �equire the payment by the �,pplic�,.�.t for �uch permit of f�es to the amount herei.n below �et io�th and in the ma.:�ne�c here�.n provid.�d to�tait: Uniiorm Buildit�g Codeo Typ� 19 29 & 4-$�075 for each one thou�a-nd cubic feet, or fraction thereof, in 4uch cubical c:ontent�a Type 3& 5- $1 0 50 for each one thou�a.r�d cubic ieet o a For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6� inches below the floor line of the basement or the ceilar to the average height of the upper suriace or to the average height of the rooi �urface of the main gable of a pitched roofa For repairs or alterations to at� e�ci�ting structu�e, the fee ahall be at the �ate o�' $3000 per each f"ive hundred dollars ($500000� or fraction thereof in �he co�t of all proposed worls< In no ease shall the ��e Vha�ged ior any pe�mit as set ?orth in Section 2 be lee� tha.z� $50000 NSSSD Connection Cha:�ges based. on location - Area 1 or 2e , - , �. , ^ - . , . ,�'1 d � a � � � � � D f l/ � _— � 2J � °� , �, , `� 'y�: � � :, �� B° � �, �r ,: r.r . � �f �Pd✓^� i �7 �� -�_ �� . �� i � y ` � �� a� �" a � . �� I `� � �� i 1� �� n �.�� '1 j M � •. -a -z C � � ' �. �6 . !► �� C � i � � 7 �� Ip'. � b . r �, ►- r I � o � � M x �n < � �K„ P �A O ~ � 1° o � 0 \ � M Q � N ,� %� u� r �7 8 C b ►� rr fE $0 N 0 ~ 2 9 0 N '0 =► K r r+ a w y n w [�f � � 7 m A H O n O 3 S (A r d K "9 �C t� m � 07 m n � �� r b O A i I ° < 7 � G K B. K A m 0 N .. c` 0 G) n 2 i W i p n 07 f0 O '9 Z m° m° r r H a, w°n o m a n i m�o M� n s h c « a a� o°c s� o o�o° s r�°- `C 7 tf H M r O 01 M F► O N m �0 m M h� R Oi M O 7 �9 R M O ►f : O � M 1+� � fC '7 M M m.�- m a r� °m m:° R o a p r r m r m M m f� � < < 0� a K Z O •°+ s o m m �° 'O �0 r� h� b N 7 7C � n ti � m •v r � z C� '� H C tT1 y trf y � � m N 2 d I •° m , N N N N N N f/l N N N N N N r r � 0 0�n .� v+ u+ v� �n tn A r i.+ u+ „9„� 0 0 0 0 0 0 0 0 0 o v+ u� o m 0 0 0 0 o O o 0 0 0 0 0 0 N v1 N N N N N N N N N N N N N N N � 0 � � �� 'O � M C Z N3 `S 3 '+7 N LT1 C�7 O O �� K �� ;. n3 b � � L� �1 ro i*i � H N N a tfl O 0 � �O gy C O A � q m � � . �� N I \��\ °J � � C` ►� N 'O � � C � N� � � b� � � ? . m A �' ^� ►' Stozies i p �J O� O� n � � z � closets [ � ,� � Usinals O � 8 aarh �s m � � Hd8�218 O rn* a � Sinks $ � Wash Tzays � �. Drinkinq ,o Fountains Showers � Flooi Drai �5 Catch 1° Hasins � � Autamatic E Washer � Gas Appl. Misc. Fixt E y Gas Range m �o n E �° M Other N fp Or r � n n ~ �rr N O N ►�+ y � M � O C l.ro+f � o � � ece C � � � � N ci �� _ � � ._ _ � � �,� � M � H � � � p C� 1l1 � � � � u, .�n� o ma�� ►-�� Q M �1 W IE �['+S ,S' � � 0. o. r �l � A � �� t�a AO�O y O� O M w tn r• ro � M � � O � � - b � � a �• mm'°s a � ; ,o ° � � d�o� � o s� �� 10 R ~ � � � RN O O r o� � 7�i' '�O y Md., � C ►. N fC � ►� � �'- ' : 1+� �. b b � «• n n �� m q 7 n m 'p� ^ �, p :J p M � r T O�y O O � ; � r�m � �' °'�.� M � S 'S � � °��°mmm • � ? w � F+ p O n M �O 7 r► �C 7� I�Sa8�a� � m; � a � � r n a � O z T 0 � � E � � � 2 � O T D Z p T � � � D C7 N r m T -< �.�. 2 G'f � m � � tn rA � n rt C N � � � r � � :O suu�rcr • � City of Fridley - AT TNE TOP OF TME 71NINS g� � L D 1 N� P E R M I T ;, � . ' • COMMUNITY DEVEIOPMENT OIY. � j V �'�� , r � � PpOTECTIVE INSPECTION SEC. i.-_.�� "' �'� CITY MALL FRIOLE� SS��2 NuMBEA pEV D�TE t 612-571-34b0 gt0-Ft5 12/11/O1 108 ADDRESS 6887 Channel Road NE • t LEGAL �OT NO. 9LOCK TRACT OR ADDITION oescR. 12 Brookview Addition 2 PFOPEiiTY OWNER MAIL ADpR�S$ Z�P �ayla Wharton, 6887 Channel Rd, Fridley, MN 55432 3 CONTRACTOR MAILADDRESS IIP R. Miller Construction, Inc., 5316 Matterhorn Drive, Fridl 4 ARCh11TECT OR DESIGNER MAIL ADORESS ' Z�P 5 ENGINEER MAII ADDRESS ZIP 8 USE OF BUILDING Dwelling 7 CLASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR 8 DESCRIBE WOqK Reroof (tear-off) - 25 squares 9 CHANOE OP USE FROM STIPULATIONS TO Underlayment must comply with State Building Code. . rc vr ..a...a i SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTIOIV 20NING AUTMOR12E0 IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONEO FOR A PERIOD OF 12Q DAYS AT '' ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. U� I MEREBY CERTIFY THAT I MAVE fiEAO AND EXAMIN�D TMIS APPUCA710N AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIQNS Of LAWB VALUATION AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL Q� COMPUED @ WITH WHETHER SPECIFIEO MEREIN OA NOT. TME GqANTING OF A PERMIT y�L�C)HO.00 DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOIATE OR CANCEL TME pEfIMITfEE PROVISIONS OF ANY OTHER S ATE OR LOCAI LAW REGULATING CON- STRUCTIO R THE PERf NC� CONSTRUC710N �H3. LS P4AN CMECK f I 5.�� C S�GNn1UpE FCON' AC AOpAUTNOA4EOeGENT IDAiEI EN/ ATURE OF OWNEA�Ii QWNERBUIIDERi IOATEI ' . ' 0�(�� 1 1 `_'- i Q e FT STALIS PAGE OF � � PERMIT NO. 32357 RE EIPT NO. � AVPRpVEO B� SEE ATTACNED SHEET 763-571-3949 PHONE LICENSE NO NIl�T 55421 6354 PMONE IICENSE NO. 763-571-3514 PMONE LICENSE NO O MOVE O REMOVE �UP OCCUPANCVLOAD CU FT. FSTREET PARKING IGARAGES IRTAX $1.34 C CMARGE $2 8 Fire SC iT FEE 92.27 iNIS I$ VOUR PEAMIT �r_ri-o� r�ciE NEVV ( ] Effective 1h/2001 ADDN ( J , CITY OF FRIOLEY ,(763) 572-3604 Bidg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � �� Construction Address: ��% Clil�;� � P C, 1� _, Legal Description: Owner Name 8 Address: 7�•� �l � j,,� ��r�Y1 Tel. #?� �''% l— 3%Sl% Contractor: I�, �Y1� �(C� ��S�v��i�,_�nC� . MN LICENSE # 1�.�.5�� Address:��(� /�,r��or h ��, /!�r L� (�'`�,1/� �(/, ��.Sr�jz/ Te�. # 7� 3-5�1/-�5�� 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. . DESCRIPTION OF IMPROVEMENT Length Width Height Sq. F� Length Width Length Width Height Hgt/Ground � � _S'O u�� Sq. Ft Sq. Ft. Construction Type: ��, �" i'Z= ��_ Estimated Cost: $ � ��c� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: -� G APPLICANT: � Tel. # � � -�� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �3� a� Fee Schedule on Reverse Side Fire Surcharge $ .� .001 of Permit Valuation (1/10th%) State Surcharge $ , 3� $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� d $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. � � _ _ . � 'a .� 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 $25,001 to $50,000 $50,001 to $1�,000 $100,001 to $500,000 $500,001 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 $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $6�13.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and inctuding $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) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of 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 Only �. � �� O � � m m Z t� 1 � � � � � n O � 0 z m z � z � O O� z � ci � � v m � � � c s d co c� �o � < � �r� � r 3� �O� 0 � m= � C -n o�Zm v �� c� ° o m2 -, -v aa �� , cn � D � � O � m � O � � GO Ga � m v � 0 � � s � v d � 0o G5 s,� �� c � d°—' � o� � R- �' � m m m 3 5 ci ��°' � -, � -, � �' Q � o -r1 � g m � � � � �A � � W -��" �, c (D .o .,• d fp -� � G1 j � N � � �i � � � Z� r y. Vl � (I! � � i � � � � y � �, Nm �c cnTo' � � . m � � ��'�'� � .� � m S. . . . :: � Z � p I I I I�! I I I I I I I � � � � � � � � � � � � � v, ca o o v p v v v v cn 1+ ;•� °o �° °� � °o 0 0° °o °o °o °o °o °o � w Z � O � �Z -C 1�1 I'�Tl � � r d Z � o � m �j� �� 't � � t ��, Q � � � 6'1 C3 � 6� � m � � -� ' s �_ N-:' � �; � � � � c. ?� d _�:_ a w � a 2 ry �I _� _ � N w � z ? � �°zZ �� 0 N D 5 � v �n z � � � _ � � � � N � -o v g� �� 0 � n� . m c-�,�' —. cu � � � fl' � g m �?« N lO -o r c � W z 'n � � m � .� z 0 � m -� O � � O W � \. �,i �* i I r � i 6 � ��{�./ � �. COMMON 0/ENT. VENT COIVNECi�� AND COMBUS�I�N AIR VERIFICATION When realacins� an existins� furance, fhe undersigned hereby verifies i{�at fihe venting has been examined and is free from rust, deterioration, obstnactions, and is securely supported and firestopped where required. Yes O No O The venting :system is. plastic/PVC and meefis all cuITent codes and manufaeturer ' specifications including sizing, length, number of elbows �nd tem ein�tion, � Yes () No (� ) The undersigned also verifies that the repiac�ment unit is a listed assembly and meets the current codes and manuf�cturer's specifications. This does include AGA-GAMA Category I Cent�al Fuma�e Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sizecl and installed to mee4 the ��srre�t ��des and manufacturer's specifications. Wf�en required to ir�sf�li a n�w co�n�u��ioe� �i�, it wili b� siz�d �F�� `� ,�t�in�y� To meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Ves ( ) No ( ) Yes ( ) No ( ) When installins� a new venting svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed corr�ctly after an appliance;has been-removed from the common vent and vented � separately as':per current codes. Yes () No () Applia�ce Type and Si��/�omrraon Ve�� a�oi l�� `�a�n�ctor Information Appliance #1 Type B'fU Input F�ro Assi�te� or IVaf Appliance #2 Type 3T11 Inpui Faro �� sis��d or �laY Appliance #3 Type B'T�J Input � F�n Assi�+..ed or Nat Total Appliances iotal �iu Input Common Vent Type Vent Height Di�me��r inches A p ance �'� Ven� �onnec�o� lfieigh� - - � � � � � - �' L��.,� =►� —� � �P� � Appliance #2 Vent Connector Height ft Length fi Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) , HEATING CO: _ ---_ Rv, Signed By: D��c-' : d __.-- ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: f7631571-1287 : 6887 CHANNEL RD NE : 133024210023 : UNAVAILABLE : LOT BLOCK : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.: 2004-00059 DATE ISSUED: Ol/16/2004 VALUATION . NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER WHARTON WILLIAM F& TWILA J 6887 CHANNEL RD NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 # GAS WATER HEATERS 0 # GAS RANGES 0 ENTER VALUATION 0 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 wor� will be complied with whether specified herein or not. The ganting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 27601 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 400 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 �ilding TY1SpeCtlOriS 763-572-3604 76�-502�4977 FAX SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE ❑ OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 `e/`�� ADDRESS , r� , P � �CONTRACTOR .3—";Si� ��ss: r�ra-p 3 � z ��-� �,�� Pxoi•rE �,r:�—� -.�6 7� F� _7�� STATE LICENSE # Zn �,G � � �L �� DATE PROPERTY TYPE j�l ❑ PERMIT TYPE � ❑ SINGLE FAMII.,Y/IVEW CONSTRUCTION TWO FAMILY/NEW CONSTRUCTiON �� re e.w �o gC� ❑ GARAGF/SHEU FINISH ❑ ROOF ❑ SIDING ❑ SWININIING POI SIZE STORIES ❑ WINDOWS ❑ DRAIN 1'ILE � OTI-IER T'YPE OF WORK: � NEW HOME CONSTRUCTION p9 ADDITION ❑ MAINTENANCE/REPAIIt ❑ REMODELING DESCRIBE WORK BEING DONE: Y� k% 6 w �s �' SIZE OF IMPROVEARIIIVT_ _ / S°'r� / � � LINGTH %if � WIDTH �� NC ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE GARAGES PROPOSID SIZE: PROPOSED HEIGHT: SIDING 0 Vinyl 0 Aluminum J�Other mo� ev.: � 0 ATTACHED GARAGE ❑ DEfACHID GARAGE �Soffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPErIINGS OYes ❑No LOCATiON OF WINDOWS OR FOR NEW OPININGS-DESCRIBE SIZE OF OPEIVING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS AT,i" FEES ARE BASED ON VALDATION, INCLUDING TAE (USING 1997 UBC FEE SC] 'OTAL JOB VALUATION S ,��Q. ��C�� 3 % � . �I� Permit Fee Plan Review Fire Surchazge Surchazge License Surchazge SAC Chazge Curb C�t Escrow Erosion Control Pazk Fee Sewer Main Charge Total Dae Permit No.: �'�' `�� Received By: Date Rec'd: `� - j� -(�� A I' � %9� �ASEMENT R�MODELING SUBNIIT: 1. F,xisting Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS_ & PQItCI�ES SUBMIT: i. Site Plan/Survey showing the existin� structures and proposed project. 2. Two sets of concWction plans 3. Energy Calculations OF LABOR AND MATERIALS: OCCUPANCY � 0�5l'� ,,�, � See Back Page for Fee Schedule $ C��i Po ��— 65% of Building Permit Fee $ ,,� .001 times the total job valua#ion $ .0005 x Pernut Valuation Minimum $.50 $ ��.:�';�� $5.00 (State Licensed Residential Contractors) $ —� $1825 per SAC Unit (Plans to MWCC for determination) $ $+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determin� by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ; '� „%� Make checks payable to: Ciri of Fridlev Att�c THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSEA I hereby apply for a building germit and I aclrnowledge that the information above is complete and accwate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Co Codes; that I imderstand Uvs is not a pern►it but only an applic�tion for a permit and work is not to start without a permit on site; that the work will be in accor 'th oved lan in the c�se of all work which requires neview and approval of plans. �/ SIGNATURE OF APPLICANT PRINT NAME �� //� �.., ;� DATE /� � 7� APPROVED BY DATE PLEASE NOTE: SEPARATE PERMITS ARE REQ__U�ED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK . • �i ,, � ______.___,--. , ,___ __..__.__.__..__. -- -----�--- _._____.._. ------. �___._,__ _ _ ---_____�_ ____— -----�--_— �.._ _______._._ _.__ _ __ _--_----___ _ ..____._ ___-___ . ------ . � -----.-.____ _ — ,__._ __ ___ . ____ _._.._ - � __ _..�.____ � _.� ___,__.___ _.__. _.__� ---- ----- _`_""_'°------------------____. _ -__ --- _ __.._._-----, _—____________a.._ _ __._____ _�_ .._ --�._--..—�� —_-�-___—�-- _. �_ _ _�_ -------_4—__ .._ —�___ _�.._._ ._�_ _., _�__.._a_ ---_.._._".._._ -_________�_ _ ---4---..� _. _ __.._ . _ _____ ..._. ___�__...__._ --.- __�......._�� -------___...... ..__�..__-.-___..__�__--- . _..__ -__......_ ___�..____--__.__-_________________-------_ ----�_______ __�.__._ __ ,� �� _ —__-____ � -r-_ __.___ 1` � __��_ �._____ __.__. , _ . _. � __ _-. �_�.1�. - ---�--__ __..__--.-..._�.__.___�--._.__._ _.._._. __ --�---__�_�__ �� --------__-----____,---.�___ ___ --._____�. --._ _ __ . _ _.. _ .___._----__ __—__ o . , - __ . _ _ .---_ __ .� � � - , _ . �, , �__—�-- _ v--_.__. i J �, _ _ _ _/ �ls� .�, . , _____--- _ _..___-_----__.___._ /� _ � -�-C�— �5 t �'�� ----- ' { � i A s Building Inspections 763-572-3604 SITE ADDRESS SQ� �ri-ns nprucnN�r �s: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTrA �OPYS? YOUR STATE LICENSE �VITH APPLICATION PERMIT TYPE TYPE OF WORK: PLUMBING RESIDEI�TTIAL APPLICATION CITY OF FRIDLEY YOUR �MAIL ADDRESS a owr� STATE LICENSE �or��(�� 03 - � � � Fnx �SINGLE FAMII.Y ; . i + DETAILED DESCRIPI'ION OF WORK 0 TWO FAMdY .. � �� i� � O TOWNHOUSE Permit No.: Received By: UV r . n �EC 20 PER MS 16B.665 the permit f� is a minimnm of $15.00 or 5°l0 of the total cast up M$5�.1�, whichever is greater, for the improveme� installation or replacement of a residential fixtw�e, excluding the fixtures. (This should reflect only the crost of labor ) Labor cost under $300 =$15.�. Labor cost �n $300 to $5� = cost of labor x.OS = FOR PROJECTS WI-IERE LABOR EXCEEDS $500, FEAS ARE BASED ON $10.� PER FIX7'UItE, EXCEPT WFIERE ATOTED. FIX1'[JRES: (INDICATE TOTAL NUMBER OF F�1CH BEL01� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTIJB GAS PIPING (�v�n cmuc�) SWIIVA�TG POOL � WATER SOFPNER ($35) CLOTHES WASFIHi KITCfIEN SIiVIC WATER CLOSEI' BACKFLOW PREV. ($15) _ DISHWASi�R _ LAiINDRY TRAY WATEIt HEATER ($35) FOR IRRIGA110N _ WATER METER _ OTHER PERNIIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtares @$10.00 x$10.00 =$ Surchar e .50 Number of fixt�res @$15.00 x$15.00 =$ TOTAL DiJE $ Num6er of fuctures @$35.00 x$35.00 =$ ' State Surchazge = $� . . Total = $�5�.5'T� TH[S IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII, PROCESSffi I hereby apply for a building �rmit and I acknowle�ge ffiat the information above is complete and accurate; that ffie work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Con�ruction Codes; that I understand tbis is not a permit 6ut only an applicatioa for a�rmit and work is not to start witi�out a permi� that the work will be in accordance with the approved plan in the case of al! work which requires review and approval o£plans. SIGNATURE OF APPLICANT �/� Ci� �$ PR1NT NAME Y\CJ.P' I P� ��°_� DATE�� D� � TE PERNIITS ARE REQUIRED FOR BUILDIAiG, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 5431 Unive�sity Avenue N��idlg3,�T 5-� - -- — 763-572-36!)4 FAX: 763-502-4977 � Building BUILDING Permit No.� � � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D��'�°'�A DATE 04/25/09 YOURE-MAILADDRESS estherdc�probuiltam. com SITE ADDRESS 6 8 8 7 Channe l Road THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ Na�E: Mark DalV TENANT �DRESS: S dIR2 a S S 1 t 2 CITY STATE ZIP PHONE: CONTRACTOR Na�E:ProBuilt America SUBMIT A COPY OF STATE LICENSE # B C- 2 0 3 5 6 8 4 7 EXp DATE U j/ U y � YOUR STATE LICENSE ADDRESS: LL 11 11tY1 HV2 � CITY North S l0 STATE ZIP �� WITH APPLICATION pHONE 6 51- 7 7 0- 9 315 pp}t 6 51- 7 7 0- 0 4 9 5 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGF/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE � DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ��' 0 ADDITION ❑ MAINTENANCFJREPAIIt ❑ REMODELING DESCRIBEWORKBEINGDONE: Replacinq 3 window, SIZE OF Il�IPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE 8c GARAGE BASEMENT REMODELING SUBIVIIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE Z, proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of struchual membe�s to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and ProPo� P�'o.lect. WINDOWS 2. Two sets of construction plans IN EXISTING OPEriINGS OYes ❑No LOCATION OF WINBOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & 3 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL N1:L�'J AKI: l3AJLU U1V VALUAllU1V, llVC:LUllllVCi "1'Hl�'. (:US"1' UN' LABUIt ANll MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 2 4 71 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ 02 $ �'�''� $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks navable to: Citv of Fridlev THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN'CIL PROCESSED Attach I hereby apply for a building permit and I acknowledge that the information above is complete and accwate; 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which r ires review and approval of plans. SIGNATURE OF APPLICANT ��2� � aG//'� PRINT NAME E S't YlA Y' DaYll DATE 0 4/ 2 5/ 0 9