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AF - 41821sus�ecr PERM . City of Fridley . 12'74'7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � CEIPT NO. � • COMMUiVITY DEVELOPMENT DIV. r� ' j L'-•-__-' � ��� / / r i � PROTECTIVE INSPECTION SEC. � � /"'1 � CITY HALL FRIDLEY .� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.---�; `.J 612-560-3450 910-F15 I��9�74 / / JOB ADDRESS 6305 Ea t River Road 1 LEGAL LOT NO. BLOCK TFIACT OR ADDITION SEE ATTACFiED DESCR. ]„2-16 16 Fridle Pdi'�C SHEET 2 PROPEFTYOWNER MAI�ADDRESS ZIP PHONE John Doyle 6305 East River Road 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. S1�iME 4 ARCHITECT OR DEStGNER MAIL ADDFESS 21P PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Deck on Fron 6 x 7 plus a false decorative captains deck 9 CHANGE OF USE FROM TO STIPULATIONS l. 7'6" rise 10" run Minimum SEPE RATE PE�MiTS �EQ����� �OR 1N1R������, NEATING, PLUMBING Ai�i� 51G�1S. TYPE OF COt� ST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, WOOCI VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENpED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCfS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �300. OO . SO DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S. OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHE K FEE TOTAL FEE $5.50 I�REOFC PT ACT RORAUTH EDAGENT IDATEI . N PROPER VAL D THIS IS YOUR PE�MIT ��-�`�� '.� SiGNATURE FOWNERUFO BUILDERI IDATEI BLDG WSP �q7E r •• APpLTCATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :�u t� ,.i `F: .� o� t, c BUILDER : Sia n�r r ADbRESS :(a � o S- €��,,°7- � i/�{z 6�.. � ADDRESS : NO : . �o "3 Q � S TREET : � i� S T �'� J' � �z � � LOT : � 2 -' 1 � BLOCK : I Co ADDITION : F^tz , � �- c -f �A 2 � CORNER LOT: v INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form �ao Certificates of Survey of Lot and p�oposed building location drawn on these Certificates. DESCRIPTION OF BUILD�ING . G� ,q. P� A i �./ s'� `�/� To Be Used As : ��� �, s� ��� c�2 A j i✓� ,�o � i�� v s 'T� � C K D N �� Front : X Depth : Height : Square Feetc Cubic Feet: Front: Depth: Height: Square Feet; Cuhic Feet: 2�pe of Construction: �jz F} nr� �' Estimated Cost: $ �� �� • To Be Completed; % /�l o 0 The undersigned hereby ma.kes applicatinn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all t�ie facts and representations stated in this application are Crue and correct. DATE: �D ` 7 - �Gf SIG (See Reverse Side For Additional a<< _ . � �<�� . � _ _ _ �..� . BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection af any building or structure, or for any addition to any existing building or structure, or for any alteration or.repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount hexein below set forth and in the manner herein provided to-wit: U1�IIFORM BUILDING CODE: Type 1, 2& 4-$2.15 fox each one thousand cubic feet, or fraction thereof, in such cubical contents. Z`ype 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, �he cubical contents of any building or addition, is determined by multiplying the ground axea covered from a point six (6) inches below the floor line of'the basement or the cellar to the average heights of the upper surface or to the average:� _ height of the roof surface of the main gable of a pitched roof. For regairs or alterations to an existing structuxe, the fee shall be at the rate of $3.00 per each f've hundred dollars ($500,00) or fraction thereof in the cost of all groposed ork. In no case shall the fee less than $5.00. charged for any permit as set forth i.n Section 2 be VE�ZIFICATION OF FOUNDATION NO2'E: Permits for const ction will be issued a minimum of 24 hours from the time of application, to llow for proper review of the progosed s�ructure and oi the construction site A Ceztified Survey of th� lot, showing the location of the foundation, once it has been con�tructed, wi 1 be required before proceeding with the framing. Application for a Certif to the use or occupancy issued; and said structu of Occupancy has been is . ?R'TIFICATE OF OCCUPANCY cate of Occupancy shall be made ten (ZO) days prior f any structure for which a building permit has been e shall not be used or occupied until a Certificate ued. ' . � � November 12, 1982 City of Fridley 6�31 University Avenue Td.E. Fridley, ��t 55�32 �Q'�HGNt IT N�Y CONC�RN: I agree to ut in a driveway at 6305 ya.st �iver Road, Fridley P�innesota �legally described as Lots 14 and 15, B lock 16, Fridley Par�, Anoka County, Minnesota. when weather permits, no later than June 1, 1983. (a hard surfaced driveway� Sincerely, �� This property has been s _ __,_,_e family residence. VIRGIL C. HERRICK DAVID P. NEWMAN HERRICK & NEWMAN, P.A. . ATTORNEYS AT LAW November 15, 1982 Mr. Jeffrey A. Carson CARSON AND CLELLAND Attorneys at Law Brookdale Corporate Center - Suite 305 6300 Shingle Creek Parkway Minneapolis, Minnesota 55430 RE: John Doyle Dear Mr. Carson: ,,+�.-� � �!// / �`°'� 6270 UNIVERSITY AVENUE N.E. FRIDLEY. MINNESOTA 55432 571-3850 � � �. e e- �� �� � ��� --_____. I have discussed the matter of the splitting of special assessments with the City Administration. They have advised me that they will approve this upon valid assurance that the driveway on the newly constructed property will be blacktopped immediately and upon some assurance from Mr. Doyle that the driveway on the remaining property will be blacktopped within some reasonable period of time. �.� � I would suggest that if Mr. Doyle will contact Mr. John G. Flora, or Mr. Kent E. Hill at the City they should be able to resolve this matter. VCH:JJH cc: Mr. Nasim M. Qureshi cc: Mr. John G. Flora cc: Mr. Kent E. Hill Sincerely, ���� - Virgil C. Herrick Hall that � y-� .. .m! �� i � 5"o x � � ,, Z m A�T 4� � @ Gl G �e�Ai,� G = /O ToN _ .6 r�,� . � /oa x t o �' i� /+�/�T" OrL �' 6°0 G�e�-n�.� � @ /S = i .5-0 @ z �, _ I �- ¢ /do / o0 3 q 9� _ � 3 �-o �v @ �S' _ /9 S = • 8 r�� G Z f-� — ! 9 Z /ao = /oa ��� o� ti �J � �� V� \� / 88� � z� l lb�� �] �°°� r ; Y +�kt �� yr si ., \ w A r ' ...� .. . . ,; ... t` �e`�.^... •�,•' .�� . � r� .a:;� : +; �� ;♦���a'. " ";���° - �.;��. CITY OF FRIDLEY 643t UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55132 TELEPHONE ( 612)571-3450 January 10, 1984 Mr. John Doyle S. J. Construction 326u Rice Creek Terrace St. Paul, t�W 55112 � Re: Handsurfaced DriveWays at 57 - 63rd Way N.E. and 63�5 East River Road N.E. Dear Mr. Doyle: We have received the Surety Bond issued by Auto-Owners Insurance Company for blacktopping driveways. We don't think it covers xhat We need. � We need a performanee bond for specific locations, 57-63rd Way and 6305 East River Road, guaranteeing Lheir completion by July 1, 198u• Therefore, we are returning this bond to you. We Would also except a Certificate of Deposit Whfch would guarantee the same drive�ays. If you have any questions on this matter, please call me at 571-3450. Sineerely, DARREL G. CLARK Chief Building Official DG/mh ENC: Surety Bond #847906-08620255 CITY OF FRIDLEY AF'PLICATION FOR PWMBING AND GAS FITTING PERMIT A ro tr� c ►ro, ;i r, .,�� �, Water UI 1� N y N r. •.i N O �� GI 11 1--/ F N H .i �0 N iCd y,� a �" eater H a� N G �.�1 N �� K 3 H U�?S .0 � U � v �° .°a �N ro �m � ro�u o.°c g ro ro a ro ro `.�{ �q' � u� U D al a0 N 3 �1 w ul t„ U af Q 3 C� £ t7 O as 1 ec lst l 2nd 3rd 4 th (R) = FY�ture Connection Opening Connected with Sewer (") = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE New Fixturee Future Fixturea Old Opening, New Fizture Beer Diapenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receivinq Tank water Treatinq Appliance Hot Water Heater Gas Ranqe cas Dryer � g 5. 00 � 3.50 S 1. SO S 4.00 g 5. 00 g 5. 00 $ 5.00 S 5.00 S 5.00 $ 7.00 g 5.00 g 10.00 $ 10.00 Back Flow Preventer Aequired. .. Yes () No () �'Pe _ S 5.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS li of Value of Fixture or Appliance State Surcharge Reinspection Fee $ ($15.00) TOTAL FEE TOTAL S S S S S S S S S S S S S �f�0 6 S S S . SO S � �_S� Effective Da te May l, 1988 Job Address �p�0 � �S ` \\�V�1�. �� ``+l� Department of Buildinqs City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codea and rulings of the Department of Buildinqs, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. S ` � , 19� / OWNER 1_ l� .� �.. L 1 t"�� 1 KIND OF BUILDING USED AS \"e��(�en�:.�,, 1'O BE CO[�LETED ABOUT S'�'—� 1 ESTIMATED COST �E�.�� QO OLD - NEW BUILDING PERMIT NO. PERMIT NO. �(J (���_ ROUGH INSP. Date FINAL INSP. }} .1 Ud^Y Company �•Gi�� '�-�,�r.. t_.in'!p� q' `' � Signed By % �. _ _ „ ! _ : .1 X Tel. �` _�_����t 5,44�-1165 Date APPROVAL FOR PERMIT ��/���`SL �� G� s��,. 3 Z i- I l � � '.... �,<' I � � -.. �1INIl1UM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE .i i sue�ecT PERMIT NO. City of Fridley � .� ,� � ,� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R E1PT NO. � • COMMUNITY DEVELOPMENT OIV. � i � -�""', f r � L � PFOTECTIVE INSPECTION SEC. �(�n, ,� � � i . � � 1 �'�-1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF PROVEO 8V �""'�'� �'' 612-571-3450 9�0-Ft5 / / JOB ADDRESS 63�5 E RIVER � t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCR. 12,-1O 16 FRIDLEY PARK SHEET 2 PROPERTY OWNER MAI� ADDRESS 21P PHONE LINDA DENNY 6305 E RIVER RD FRIDLEY MN 55432 3 CONTRACTOR MAIL ADDRESS 21P pHONE UCENSE NO BUDGET WISE SERVICES 1496 DAWN CIRCLE ARDEN HILLS NIN 55112 636-4367 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE IICENSE NO. 6 USE OF BUILDING RESIDENTIAL 7 C�ASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ___D REPAIR ❑ MOVE ❑ REMOVE XX B DESCRIBE WORK SIDING/SOFFITS HOUSE 9 CHANGEOFUSEFROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS AFE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINC�, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE IiEAD AND EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND OfiDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMP�IED 3� OOO. OO 1. SO WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- ][F.7S FIRE SC 3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA� FEE , �y__ � ' ` ` J �� 2g - � S� LICENSE SC 5 . 00 84 . 25 S�GNa7�RE OF CON'�aCTOR OR nUTHORiZED nGEr+T iDA7Er WHEN PFiOPE VAL DATED THIS IS V//O//UR PERMIT �r �✓��- SiGNATURE OF OWNEA U� OWNEA BUILDEAi �DATE� lDG �NSP r�pTE t NEW �1DDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective S/ 1 /95 � ConstructionAddress: �, 3a � L-', _ �, v � r �.( , _ Legal Description: Owner Name & Address: �, �°hd� �eh;n��os G , {'��� v �_ Tel. # Contractor: � � (� ; S .� S'�.,, , ; �, ,�� _ MN LICENSE # 9' � y Address: 1�} ��.1'�j�� C,'� �1 fd� �n H; J I s CY1 Yl . Tel. #�' 3� --'�I � 7 LIVING AREA: GARAGE AREA: pECK AREA: OTHER: Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks Type of COnstruction: S'; d� rr; a 9� r���� Fstimated Cost: $ 3 voo : oa T ��� Approx. Completion Date: � o-- i-� 9� (Cost on Back) Driveway Curb C�it Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � - �� � y S APPLICANT: ' ^ Tel. # ,�3 (; � 4..3 �`,� _ �ITY USE ONLY Permit Fee $ ,� �j Fee Schedule on Reverse Side Fire Surcharge $ �j � 0 C� .001 of Permit Valuation (i/lOth9'o) State Surcharge $ , rj� $.50/$1,000 Valuation SAC Charge $ $$50 per SAC Unit License Swcharge $ �, V C> $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Alwve Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engincering Sewer Ma.in Charge $ -----..,. Agreement Necessary [] Not Necessary j) ,--°`�� TOTAL $ �1-( , �. 5 � STIPULATIONS: , 1 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 siructure, 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 $SO1 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,Q00 $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 $S00 pins $2.75 for ea.ch additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for ea.ch additionat $1,000 or f�action thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additionai $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 additionai $1,000 or fra.ction thereof DRIVEWAY DEPRESSION ESCRUW (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 be�n constructed will be required before proceeding with the framing. SuBJECT ' O. � City of Fridley � ,� � � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � , � � � COMMUNITY DEVELOPMENT DIV. r � -----� �'�� � v � PROTEC7IVE INSPECTION SEC. i � i � _ � � /'��1 � CITY H ALL FRIDLE� 55432 NUMBEA AEV DATE PAGE OF APPROVEO BY 4""'�'� ,'' 612-571-3450 9� 0-F� 5 6/ 13 /97 � � JOB ADDRESS 6305 East River Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 12-16 16 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Linda Denny 6305 East River Road NE 572-2353 3 CONTFiACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same a ARCHITEC7 OR DESIGNER MAIL ADDRESS 21P PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW C� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 12 & 15� Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on p1an. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OGFSTREET PARKING I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPL�CATION 1 STALLS GAf;AGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2'�873 �1.44 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74�75 Fire SC �Z.H% STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $79.06 TU�7EOFCON�aacTOa a N IDATE� WHEN PfiOPER�Y LIDATED THIS IS VOUR PEiiMIT / --�% % ' Cli, c� �- Si NATUAEO:OWNEAi RBU� DEA� IDATEI g�p iNSP " ��°TE NEVV ADDN ALTER r� L] �� ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/97 s � ! � Owner Name & Address: � � h�� �j �� y�� Tel. # ( ( — a - � � � Contractor: � MN LICENSE # Address: TeL # �.J /T 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 IlVIPROVEMENT �ng� Width Height Sq. Ft. �n� . Width Height Sq. Ft. ` �ng� � � � Width ( a � � S'� Hgt/Ground � Sq. Ft. �y� a- � I��z ! � � Construction Type: �j/���� Estimated Cost: $ �l �� �7 � (Fee Schedule on Back) Driveway Curb C�.it Width Needed: Ft. + 6 Ft = Ft x$ —$ �� �f �, �f 0 i-, n DATE: ��� �j � �I Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS : t.l 1.1 � V li�L' � Vlr lJ Y � .. Tel. # �Ol �Z �� a 35� $ � 7� Fee Schedule on Reverse Side � .001 of Pemut Valuation (1/lOth%) � $.50/$1,000 Valuadon � $950 per SAC Unit � $S.OQ (State Licensed Residential Contractors) � Alt. "A" or Alt. "B" Above � � $450.00 Conservation Plan Review � Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] $ � 4� I3U�ILD[Nt� I'EI�1VI[T FEE SCHEUL`(,4�: 1'lic Cttief Building Official sl�ali, before issuing permits for the erectio,� of any building or structure, or f<�i- aiiy additio❑ to any existing bui(ding or structure, or for any alteration oi- repair to any existing buildin�� or structure, upon app(ication 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 $�Ol to $2,000 $2,001 to $2�,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 $5(� plus $2.75 for each additional $100 or fraction thereof, to and including $2,t)00 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9_(� for each additional $1,000 or fraction thereof, to and including $�0,000 $574.75 for first $50,000 plus $b.25 for each additionai $1,000 or fraction thereof, to and including $1Q0,000 $887.25 for first $i00,000 plus $5.00 for each additional $1,400�or fraction thereof,.to and including $500,000 $2887.25 for the first $500,000 plus $4:25 for each adclitional $1,000 or fraction thereof, to and including $1,OOO,U00 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCRO��V (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter oniy - Drive�vay width plus 6 feet times $13.>0. Atternate "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 FOUl\7DATI0:� =_'crmits for construction will be issued a minimum of 24 hours from the time of application to ailow for pron:,r -�vie�v of the proposed structure and of the construction site. 1 Certificate c�f Survey of the lot, sho«�ing the location of the foundation r,i�ce it has it h<is been construc� _�.: .��;`; l�:� rcuiiircil h�forc ��.ri�cc�din<� �i�ith the fr�min��_ � _ .�-�1� �� J � ...� �� � � �J � <J 2 =3 `� � v� � 1J'�- % . --- . __�_4� '� U � ` _ ----� . ., ._-- —�_-- c • � ---- � � f , �. \ 1 \� . , Ly ' � �`- r- �_ �' � ��� �l � �� �� — \ ,, � � I � � `-'� J� � �1,�--�?' � � �� � ^i � ` � � � � ', J -iJ-� N � '� �J -;----. \_ . �� � �'� � � N --�- ' �--� ,r � � r�,,' , = `� ;� � � r _ �.? \-_._ � , - ���� ' � - �-- - �� � _ " , , ' � t. - .�, � y µ �; \ � � ',` � � ` „`. t � � ' , 1 � JI •---- ----' : � i ., -�--' - `° -- � _� � � �! . , � ---r t� - I ; �, � m ��=� �. I� : . --- � �'- ,� �' � .� � , � � ?,..� "t— `::ji � `-� = 1 ' i •,I� _� .c�' --�- � �\� r,, �} i _..� -- �; S � � ? ��: �� � ,.. �. R , �� i � ��� •,� �� �' ~ x � 'G (���� h i� � � � `-� _ _ � �: , t � �'! 5 i � i `f � � �1 J (�- !-J Linda B. Denny 6305 East River Road Fridley, Minnesota 55432 612-572-2353 24' County & Easement �� � �. c+ �*i(�.- � � ; � � � � ' • � � ( �cI -e � a .� NEW = � l ADDN [] ALTER [ ] Construction Address: Legal Description: Owner Name & A� Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ��o � - o� � � � CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION � T, Tef. # 57,�� a3S',3 MN LICENSE # a o ioa �87 Tel. #'����'�- ��� � Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Length Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Construction Type: � "� � r o� Estimated Cost: $��,,f0�. o n Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: �-�� �O � APPLICANT: Tel. # T„(� 3= S�? 6�-O�p S 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � ��: a � $ ���- . 1 a $_�, EJ S $ $ $ $ $ $ $ %1 � , �{ � Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: BUII.DING 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 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 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,QOQ $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,Q00 or fraction thereof DRNEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it ha.s it has been constructed will be required before proceeding with the framing. New Houses Onlv ' � \ � � ���� � . 4W ` � �, �' �� ' r � . ' Z W MJ. � p „ t �": a�� �� .;� � �'� " � � � �� a � \,:';, „Z � • N O Q W i, �� � � �� � . w= � - cn � > ���` �<: .,� _; - � � � � � � �� .s � � � � i i ��. �,� � � , ,� - a r" � c / � � .� � � _ _C � � . . _ - . � ��Q. C.) u� tD O O N � M � M �x�� � : � 4� �� °z .3 � ,; � m 7 E�1..Y� �� � .. �° � � � �� � i'�' ;c � � � �� . J -J