AF - 38547BUILDING PERMIT
Village of Fridley, Minn.
N° 2122
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Date ��*i.`� :.................................
Owner .��-.-� �t'i;�.�.?..�•`.,�s.y�,��'•i_�,�%�'�'!:. . �:`.'�'d�'"8uilder . .. .. . . . . . .. . .. .. .. ... ... .. . .. . .. ... .. .....
�
� ..�,.... "' �' l�T.':�!-�..Ci.A�'Zt;f; �, . .....................
Address ... ,�. . Address , ................
LOCATION OF BUILDING.
No. . V :�.+�?'�.'. . . . . . Street .1..:C.�E :�: :'c ..'.<f�,�,.� . . . . . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot . . .�,.:# . . . . . . . . Block . . . � . . . . . . . . . . Addition or Sub-Division . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Corner Lot ... ......... Inside Lot . .. .. ...... . Setback .�'d.� ��� Sideyard �'�j.�,�',��. ... ........ .. .
DES�CRIPTION OP BUILDtNG
To be Used as:
�.,i,�,F!:'J:�"f�....... Front „�$� ... Depth,��.... Eieight ... .. .. .. Sq. Ft. ....... . Cu. Ft. .... ...
► . ,/ �''"' .
................... . Front ..�.. .. Depth . .. .... . Height . .... .. .. Sq. Ft. ........ Cu. Ft. ....... .
Type of Construction ��:�'^':^�4.°... Est. Cost ........ ................ To be Completed .�4r.,�:�:� ,,%
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley. ,��a �
. . . � • . �,. .... �. ....� . . . . . . . . . . . . . . . . . . . . . .
Tn nsideration of the payment of a fee of $. .., pe t is he eby granted to ,��r�'1.� ..,�:�. .. ...
���[:^, c... ........ to canstruct the building r ad dit'�i as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees anc� worlmien, in all work
done in, around and upon said huilding, or any part thereof, shall conform in all respects to the ordinances of
F'ridley, M'u�r►esota. regarding loca,tion, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
�+ ;�
p, �•,: •��,�k.,�C'`,,,/Building Inspector
NOTICE:
This permit does not cover the construction, installatlon or alteration for wiring, plumbing, gas heatPng,
sewer or water. Be sure to see the Building inspector for separate permits for these items.
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City of Fridlep, M�nn-
6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��; _ June 14,1971
Qp�; _ KQnne Mnr ,Rh� $�� S�me
�d�gg 05 6Q �j,P��rviP�u Street N_E_ Address ��Q
�--
1.�1 � 46
LOCATIOIV OF BUILDING
N� 5060 S�t Glea?�iew Stre� 14_E_ Part of Lot
y� 24 g;� 6 __ Addition or Sub-Division Carlsan's Summit Manor Saut
Corner Loi Inside Lot �..� Setback Sideyard
Sewer Elevatfan Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
rarag� Front � Depth �� Height 10' Sq, �, 308 �, �, 3; 080'
Front Depth Hei�k►t Sq. FL Cu. Ft.
Type of Construction Era.me �„ � 1.400. 00 To be Completed Already Done
In consideration of the issuance to me o# a permit to construct 'the building described above, I agree to do
� proposed work in accordance with the descrYption above set forth and in compliance with all provisiona oY
Or�ancea oY the dtty of Fridley. ��l �/� _� �% /%
In consideration of fhe payment of a fee of $�..Q�_, perinit is hereby granted to Mr . Kenne h Murphy
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it 3s granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances oP
I+"rfdley, Minnesota, regarding location, construction, alteration, maintenance, repair and moving of bw11c73IIgs
��� dty limits and this permit may be revoked at any time upon violatton of any of the provisiona of s�id
Bwuding Inspector
CLARENCE BELISLE
NOTICE:
This permR does dot eovar fl�e COOS}tYCHOfl� installation fo� wUing, piumbing, gas heating, sewee or water. Be mre to ses
i6e Building Inspecto� fa� aeparate permits fo� theae items.
�m
APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: UILDER: ��_���--
r
ADDRE� S : `J � � � e�% ADDRES S : /, �
NO:�D�4 , STREET: �� C�/L�-e�-�.�- ��`- �
LOT : oZ � BLOCK : � ADDITION : _ o � „ � �„`�( y � �
Sc�.�-�•
CORNEIt LOT: INSIDE LOT: � SETBACK: SIDEYARD:
Applicant attach to this form 7.tao Certificates of Survey of Lot and proposed
buildin� location drawn on theae Certificates.
BESCRIPTION OF BUILDING
To Be Uaed As: r
�% Front• � ���pth• Height• � ,
Square Feet: Cubic Feet:
Front: De
Square Feet;�
Tqpe of Constructioa:
To Be Completed:
� Height•
Cubic Feet: � �� v
'� �
Estimated Coat• �
The undersigned hereby makes application for a pemnit for the work herein
epecified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts aad representationa stated in thie application
are true aad correct.
DATE: ' SIGNATURE• �
(See Rev�rse Side For Additional Infox�atioa.)
� � ��
���'
N� �] City of Fridley Effeetive 4/1/84
ADDN. [ l �R-1 AAD R-2
AI,TER. � 7 Building Permit Application
Construction Addr�
Legal Description
Owner Nmne & Address : ` Q �� �- X � �`� Tel . # .�9�- /l //
r n n
Contraotor
Address:
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
• �
Attach to this application, a Certificate of Survey of the
lot, with the proposed eonstruetion drawn on it to seale.
DESCRIPTION OF II�IPROVEMENT
Length �lidth Height Sq. Ft.
Length � Width � Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft. _
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
Type of Construction: ,_
f,� p � � Estimated Cost: $ " �"�°� �� ��
Approx. Completion Date: f ��
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Baek Page for Explanation
DATE: �� ^ ��- �y APPLICANT: � � Tel. � �7�'�///
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sexer Main Charge
M ��
STIPULATIONS:
CITY IISE O1�I.Y
$ ��•�� Fee Schedule on Reverse Side
$ ��" 25� of Building Permit Fee
$ $.50/$1,000 Yaluation
$ $425 per SAC Unit
� Fee Determined by Engineering
� rA Agreement Necessary [] Not Neeessary [ 7
� �v �
�
BIIII.DIAG PERMIT FEE SCHBDIILE
The Chief Building Official ahall, before iasuing permits for the erection of any
building or structure, or for any addition to anq euistiag.building or structure, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment bq the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
•Total Valuation
a1.00 to a500.00
Fees
�10.00 (Minimum Fee is �15.00)
�501.00 to �2,000.00 $10.00 for the first �500 plus $1.50 for each
additional �100 or fraction thereof, to and including
$2,000.
a2,001.00 to $25,000.00 $32•50 for the Pirst $2,000 plus $6.00 for each
� additional $1,000 or fraetion thereof, to and
including �25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or fraction thereof, to and
including $50,000.
�50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for each
additional $1,000 or Praction thereof.
DRIYEHAY DEPRBSSION 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
9ERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of
applieation to allow for proper review of the proposed structure and of the
construction site.
A CertiPicate of Survey of the lot, showing the location of the foundation onee it
has beea eonstrueted will be required before proceeding with the Praming.
�� _..
sue�et� PER Y .
City of Fridle� ��8 0 9 2
AT THE TOP OF THE TWINS g u i L D I N G P E R M I T
;,
,� .
� `y _�_�� COMMUNITY OEVELOPMEIdT DIV. ��� I
r � � PROTECTIVE INSPECTION SEC. /
i . � ro
� � �'�'1 � CITY MALL FRIOLE� SS13P NU48EA NEV DATE PAGE Oi APVROVEO BY
�""'�� �'� 612-571-3450 9t0-Ft5 / /
10/5/98
J08 ADDRESS
5060 Clearview Street NE
t LEGAI �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACHEO
DESCR. 24 6 S.M. — SOUth SFIEET
2 PROPERTY OWNER MAIL AODR�$$ ZIP PHONE
A nes Mur h 2-1111
3 CONTRACTOR MAII ADORESS Z�P PMONE LICENSE NO
R& B Construction 1814 21 -
4 ARCNITECT OR OESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO.
5 ENGINEER MAIL AODpE$S 21P PHONE IICENSE NO
8 USE OF BUILDING
Residential ,
7 CLASS OF WORK
� NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof house (13 S Tear-off• Reroof ara e 7 S 2nd la er
9 CHANGEOFUSEfROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Roofing can be the 2nd layer but not the 3rd.
' TYPE OFCONST. OCCUPANCY GROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, FIEATING,
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULI AND VOID IF WQiiK OR CONSTRUCTIOM iONING S�. FT CU fT.
AUTHOR12ED IS NOT COMMENCEO V�IITHIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANQONED FOR A PERI00 OF 120 OAYS AT `
ANY TIME AFTER WOHK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING
1 HEFiEBY CERTIfY TNAT I HAVE READ ANO EXAMINED THIS APPLICA710N STALLS GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of LAWS yAWATION SURTAX
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILI flE COMPlIEO
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT $1565 �• 78
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR �AMCEL THE pEqMl7 FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION $5 ].. 25 Fire S�'i � 1. 56
PLAN CHECK FEE TOTAL FEE
�%�'�r ��os:e� i��� ��� r=d+,Y License SC 5.00 58.59
� SiGNATUAE OF CON'AACTOA Op rUTMOpIZED OGENT iO�iE� � WMEN PROPEpLY � IDATEO TMIS IS VOUii PERM�T
� s
S�GNOTUAE O� OWNEp��� OWNEA BURDEp� iD�TE� � � g� iNS� � q�Tt
A
NEw
ADDN
ALTER
� J
[l
��
CITY OF FRIDLEY
SINGLE FAI�IILY �u�tD DUPLEXES R-1 AND R-2
Effective 1/1/98
BUILDING PERMIT APPLICATION �a� �
,�b �°�
, � �
ConstructionAddress: �� <:.� (�O �L���,, �- V e ec�,� 5'�-�/�
Legal Description:
Owner Name & Address: /-���,��� � �� �� Tel. � S 7z - l �)�
Contractor: � � ����.�f-�,1.;p�-� MN LICENSE # '2_.�p 7� (� �,�
Address: l�11 y 21Y �—.�v'� �/�� C��+ o,.a4 Tel. # y3 �-tz�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Length
Length
Length
Driveway Curb Cut Width Needed:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
rL 5�� h G�3 oh h oc�s-� � h�'H. � c v�S'
-�,� �� yG��.�.�) 1 !�
Estimated Cost: $ ���
(Fee Schedule on Back) /��
Ft. + 6 Ft = Ft x$ _$
DATE: �'O �S`—Pc �' APPLICANT: r Tel. #`� 3�/ -� Z-o6
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �/. � �"
$ 1. S��
$ .?�
$
$ �� C�
$
$
$
$
$ �p. �
CITY USE ONLY
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 [ ]
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$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, OQO 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, OQO or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus b feet times $13.50.
Altemate "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 wiil be issued a minunum 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.
sue�¢cr P
c�ty of Fridley 3 3 6 5 2
' , AT THE TOP Of THE TW�NS g � I L D I N G P E R M I T R � IPT NO.
�
� �
� ; y _ �__ COMMUNITY DEVELOPMENT DIV. ��� �
r � � PROTECTIVE INSPECTION SEC.
i = �
� �"'1 � CITY NALL FRIDLE� S51J2 NuMeER aEV D�TE v�GE Or •vvnOVED Br
��""�" �'' 763-571-3450 s�aF�s 6/27/03 / /
JOB ADDRESS 5060 C.�earview Street NE
t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. 2L} 6 Carlson's S112Il1R:�'� N8.Ti02' South Addition SNEET
2 PROPERTY OWNEFi MAIL AODRESS ZIP PHONE
Agr.es Murphy 5060 Clearview Street NE 763-572-11�1
3 CONTRACTOR MAII ADDRESS 21P PMONE LICENSE NO
Ni�i Window & Siding Co 5730 Duluth S�, Golden Va1ie 1W 55422 763-545-0545
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO.
20296565
5 ENGINEER MAII ADDRESS 2�P PHONE LICENSE NO
8 USE OF BUILDING
Residentia'�
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION Cl� REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Resade House
9 CHANdE OF USE FROM TO
STIPULATIONS
Per Sect�cn 1402, 1997 Uniform Bui3d��g Code, requ��es ich4t a weather resist�ve
barr�er be piaced over exteryor si�eath�n.g to protect the i��terao�' wa�? cove;�ing.
Exceptions for this prov�sion wou�d be ii she�.s:,hi�g is ar� ��.proved weGtherprocf
pane� or when the si�.a�g �s an approved weather barr�er. V�r.�i s�ding is not
a weatherp�oo� covering ur.�ess the n�nu�acture� st43:es th�� ir. the�r app3icGt�on
guideiin.es. Cz�l �or ir�spection of wr�.p befo�e covering or take pictures. C�ulk
as.d rlash a�1 exterior openings.
TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAp
SEPARATE PERMITS AiiE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING.
VENTII.ATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NUIL AND VOID If WORK OR CONSTRUCTION 20NING S�. fT CU FT
AUTHOR12E0 IS NOT COMMENCED WITMIN BO OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED fOR A PERI00 OF 120 DAYS AT
ANV TIME AfTEF WORK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�VATION SURTAX
AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED @
WITM WHETHER SPECIFIED MEREIN OA NOT. TME GRANTING OF A CERMIT �4',940 �y2.47
DOES NOT PRESUME TO GIVE AUTHOiiITV TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• �111.Z5 Fire SC �G.9�F
STRUCTI R TME PERfO MANCE Of CO STRUCTION
— PLAN CNECKfEE TOTAI.PEE
�, � � D Lice se SC $5.00 $123.66
NA UAE OF �O • ACTOA Op AUlHOAl2EO OGENT �OATE� NEN PROPEpLY VALIOATED TN�S �S V UR PERM T�
� � � 7
S�GN4TU�7E O� OWNEp��� OWNEABUILDEFl� �D�iE� BL G �N57 ���TE
NEW L l
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: �`� %)L.�s � � "����r��a`�a> �7�. /� �
Legal Description:
Owner Name & Address: � Tel. #'7f .3° S7� 11 i l
Contractor. � � -' � ��e� . �C � �� MN LICENSE # �[�>'' �.D��(�S (�,�'�
Address: J�� � � %� � /c��� � • ; ��C��v� ✓cx. �'l �N Tel. # `7!� 3 � SS�S—�.��1,5
LNING 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. Ft.
4
Length Width Height Sq. Ft.
Width J Hgt/Ground Sq. Ft.
�S �
Constru�tion T e: � P r'r2 '-' � I i�' �� Estimated Cost: $ ����. D f�
YP
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � � APPLICANT: �D � 111d �' � � Tel. # ��.� °-S�iS_��'��
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
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
� �11, ��¢ ,
$ �
$ ' a
$
$ � C��
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
TOTAL $ �� � �' f ' STIPULATIONS�
BUILDING PERMIT FEE SCHEDULE
The Cluef 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 $5�
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $SQ0,000 �
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23 .50 for first $500 plus $3 .OS 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 ea�h additional$1,000
or fraction thereof, to and including $50,�0
$643.75 for first $50,000 plus $7.(� for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $1(�,000 plus $5.60 for each additional
$1,�0 or fraction thereof, to and including $500,000
$3,233.75 for the first $5�,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
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually detennined
rate.
Permits for construction will be issued a minimum of 24 hours from the tirne of application to allow for proper
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
. -_
ADDRESS
PIN
LEGAL DESC
PERMTT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57Z-36U4 l� AX:
: 5060 CLEARVIEW ST NE
: 263024220072
: CARLSONS 5UNIlVIIT MAN SO ADD
: LOT 24 BLOCK 6
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTBRATION
571-1287
PERNIIT NO.: 2004-01450
DATE ISSUED: 09/Ol/2004
' VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAiJL, MN 55114-
� .L�l C
MURPH'Y I�E1v1vETH
5060 CLEARVIEW ST NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN 5TATEMENT
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 aiier work is commenced.
I hereby certify that I have read and examined this
applicarion and know the same to be ttue and correct. All
provisions of laws and ordinances governing 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
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERNIIT FEE - MIN (RESn
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 117431
��r.�cA i r, r�iuvii i� n�� u�li r ux w utcn v i tir,x i tiaiv u��c;x��li at�u v�.
20.00
0.50
20.50