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City of Fridley, Minn.
BUILDING PERMIT
/ / � / .�
..A ;.a . . �... � �.�
o� o ���
N� s4��
Addrass�_...�..._. �___......__....._._____ Addrees ___. _.__..._...._..._.._.._ ._._..___..._.
�� �� ��O I OF BUILDING
Na Street .1. _..._______.._.__.._ Part of t.__
Lot _�—__ Block Additian or Sub-Divisdon .___ E ��:f� +�� //
Coraer Iat �_ ±��IneSde Lot �..__._.____._... Setback ._.__._...._._..__.__ Sideyard w.__._..._.. ___.
Sewer Elevatiaai ___.__._......�.�.__._.____.._.._._.___.._..__...._ Foundatia� Elevation .. ....._..._._..._.._.._._ _.___..._._
DESCRIPTION OF BUILDING
T aed aa: `'G�I`3'j'�"`"� ,�
.— Front �.�. DeP� � Height .� � Sq. Ft. �� Cu. FLo���
Frant Depth .:�Height _� Sq. E't. _ Cu. Ft. _._.
Type of C�struction _ .._,. ... .._.. Es� Cost ....�� .�...�......_..._........ To be Completed .._._.._._.�....___._..........._._
Ea c�osideration of the isauanoe to me of a permit to co�struct the building described abave, I agree to do
th� propoeed work in acaordauce with the d�scrlption above set forkh snd in compliance with pro�viaions of
amdinaaoes of the dty of Fridley.
.
In caos[deratian o! fhe payment of a fee o! a_.�._._"� _._., perazit is hereby granted to�..
to c�atruct the building or addition as described above. This permit is grsnted upari
the express �ditiou that thepereon to whom it is granted and his agents, employees and workmen, in all work
done in, around and upan said building, or any part thereof, shall conlorm in all respects to the ordinancea o�
FridleY� Minnesota i'e8ardinB locatian, constructioa� slteration, maintenanoe, repair and mavS�►g of buildings
within the dt,y linoiffi aad this peTmit m�y be reval�ed at any tune upon violation of aRy oi the P�visiana o� sa�d
--u------
^ NoncE:
'Ihi� pM�if de�s �et eewr fb� ee�derelio�, iMhNMion hr vrieiY. P�W �� �Y. �'ww er wM�r. M wr� to s�
fM luiWiro lup�qer for s�praN Pu�ils for f� il�.
APP'LICATION P'Ox BUILDING PERMIT
CITY OF F�tIDLLY, MINNE30TA
/ / � / !i'`
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� � �.1 ��� i�.. . � . �! � � : .�//� /i �
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LOCATION OF BUILDING
No.��� � Street /� fr Part of Lot
Lot Block Additioa or Subdivision �/
Corner Lot Inside Lot Setback Side-Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be sed as: � / ,/
FronE • Depth - fleight
Sq.. �'t. Cu. Ft.
Front Depth Aeight
Sq, Ft. Cu. Ft.
�
Type of ConsCruction ��.�_Eetimated Co �
To be Completed
The undersigned hereby makes application for a permit for the work herein specifiAd,
agreeiug to dp all work in strict accordance with the Citq of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declar�es that.all, the facts and
repreaentations stated in this application are true and correct.
�
DATE� -- '�'-��__ S IGNATi1RE -.
(schedule of Fee Costs cea be found oa tl� Rev�¢rse Side).
/1 � .,. � . ..
C
BUILDING PEIiMIT F8B SCHEDULE
Section 2. The Inspector of Buildfngs shall� before issuing any permit for
th� erection of any building or structure, or for any addition to any exist-
in� building or structtire, or for any alterations or repaira to ariy existing
building or structure, upon application therefor, require the payment by the
applicant for such permit of feea te the amount herein below set forth and
in the manner herein provided to-wit: ,
2.1. For any such permit for the erection o,f any fire-proof building, other
than a garage�.warehouse,.factory'or grain elevator, or for the erection of
any fire-proof addition, for similar occupancy, to any existing buildirtg
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical coc►tents.
2.2. For any such permit for ttie erection of any fire-proof`geragej- warehouse,
factory or grain elevator, or for the erection of any fire-pr�of sddit°ian,
�or similar occupancy, to any existing building shall be at the rat`e of�$1.25
for each one thousand cubic feet, classified as "fireproof" by Section 502 of
�"the Minneapolis Building Code.
I�OIJSES .
2.3. For any such permit for the erection of any non-fireproof buildiag other
than a garage, warehouse, factory or grain elevator, or any non-fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet.
GARAGES
2./�. For any such permit for the erection of any non-fireproof garage,
� warehouse, factory_or graia elevator, or for the erection of any non-fixeproof
addit�oa, for similar occupancy, to any exiating building or for each such
t�uilding or addition - ninety cents ($0.90� for each one thousand cubic feet
or fraction thereof, in the cubical cantents thereof with a minimum of $4.00,
For the purpose of computing £ees:for building permits, the cubical contents
of any building or addition to a uniform height°throughout by multiplying tlze
g�ound area covered fram a point six (6) inches below the flaor line of the
basement or cellar to the average height'�f the upper aurface or to the .
average height of the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an e.�cisting structure, the fee ahall be
at the rate of $3.00 per each Five Hundred Dollars ($500.00) or frsction
t�ereof ia the cost of al� progosed work.
2.6. In nd='c1�13si2 's11a11 �t�l� !`ee �Chargad for any permit as set forth. in
Sectian 2 be less than $�4.00. '
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City of Fridley, Minn. -
n BUILDING PERMIT N� . s55s
��: .__�._~ .� - _�. � �i� �
��� �' �
owner: _ �' :�._.. . su�laer _.�y
Address._......_._...._.__...� _ __.._..._...__._._ Addreas ...�_....._�__._..______. .__.....____..._....._..._...._._...._�
F BUILDING
No. ��_�... Street __`Q...,� .__ .. I._.._._.._.._.._._. Part o! Lot _______.��i �_...._._.._...._.�
Lot w _._.�_ Block _ __ �..... Addition or Sub- viaiai ._._...__�,�
���li
Co�ner Lot ,_ �� Inside Lot ._._._._.... __..�etback ._ SideYard --.,�_.._,�
Sevv�eer IIevatlan � ._.____._ F datian IIevatian . _
DESCRIPTION OF BUILDING
s•
� /1 /� 7�jj �.�f�
� Frant �� Depth �.SL Height .�•L�-- &1. Ft. �C-'-.�r�e C�3. FL i�-'��
Depth _..._ Height�.� Sq. Ft. � (�t. Ft
Zj►pe of Ca�struction __—. 4.. F�t. �'i°� _ To be Campleted �
•,G�__ _.r._.._
In �os�sid�eration oi the issuaace to me of a permit to co�struct the building described aboove, I agree to do
tha propooed work in acxordance with the d��scriptioa ebave egt forth snd in c:oanplisnce wlth all pro�visions of
omdinanc�es oi the dty o! F`ridleY• _ � �� _,
In c�anaideratian ot the payment of a fee o! a_ _., perrmit is hereby granted to.�..
to cozistruct the buiiding or additi� as described above. Thispe rmit is granted upon
the expreas co�►►dition that theperean to whom it ia granted and his agents, employees and worlunen, in all work
doae in, araand end upo� satd buiiding, or anypar� thereof, shall conlorm in all respects to the ordinances a�
Fridiey, Minnesota reg locati�, comstructfo�, slteratian, maiatenance, repair and movin8 of buildings
wio�� dty limits and�t s persnit m�y be revoked at anY/ 1u�aq� of any of the DI'oviaians of said
/
Buildiu8 Inspecto�
� NOTICE:
1W p�e�if deN nef arwr th� ee�Nrvaliee, i�allYie� ler 'wi'�N. P��. N� �M. s�wK er wM�r. M wn M sN
fl� iuW� MNp�d�r fer s�p�nlr p�la /er fl� 11��.
��� ��'�� -� ` •
t' y
"�fi` *1 �
OWN�R' S �IAt�
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,
APP'LICATION. FOR BU�i.DING P$RMIT
CITY OF �'RIDLEY, MINNESOTA ,
ADDRESS � _ , ..ADDRESS
LOCATION OF $UII.I�ING
No. 1��,� Street r Part of Lot,�
Lot Block Addition.or Subdivisioa �
' � f�
Corne� Lot� ✓ Inside Lot- S%back S:ide Yard ��
SEWER ELEVATION OtJI�DATION ELEVATION
Applicant attach to this form Two Cextificates of Survey of Lot and proposed build-
ing locatfon drawn on these;Certificatea.
DESCRIPTION OF BUILDING
T e u as :
Front ' Depth� Height l�
� Sq. Ft.. � � � ,� Cu . Ft . �S �li �
T
Front Depth Height
Sq. Ft. Cu. Ft. _
�! G
Type of Construction -� Estimated Cos �"�/ ��"""�
�. --_... .._,�, —
To be Completed
The undersigned hereby makes application for a:peraait for the work herein specifipd,
agreeing to do all work in strict accordance with the eicy of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares.that.all the facts and
representations stated in this application are true and correct.
� � �
DATE . °"_ _ '�'� L�_• �.�'�'vC�t
�� R ZGNATLIRE ("
(sct,edule of Fee Costs caa be found on the Reverse Side).
.. � s .�
r� n S
_ _ .�.,.
. ,,,,��` .� • ..c `� .
- ,� ,
e
BUILDING PEItMIT F8$ SCHBDULE
Section 2. The Inspector af Buildinga shall, before issuittg any permit £or
the erection of aay building or structure, or for any addition ta any exist-
in� building or structure, ar for aay alterations or repaira to any existing
building or structure, upon application therefor, require the payment by the
applicant for such permit of feea ta the amount hereia below set forth and
in the manner herein provided to-wit:
2.1. For any such permit for the erection o.f any fire-proof building, other
than a garage� warehouse, factory or gzain elevator, or for the erection of
any fire-proof addition, for similar occupancy, to any exiating building
shall lie at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical coatents.
2.2. For any such pexmit for the erectioa of any fire-proof garage, Warehouse,
factory or grain elevator, or for the erecti,on of aay fire-proof ac�dition,
�or similar occupaacy, to any exist�ng building shall be at the rate of $1.25
for each oae thousand cubic feet, clasaified as "fireproof" by Section 502 of
the Minae�polis Building Code.
I�OUSES _ .
2.3. For any such permit €or the erectioa of.any aon-fireproof buildiag other ,
than a garage, warehouae, factory or grain elevator, or anq non-fireproof
addition, for similar occupancy, to any exiating building - permit $1.00 for
each one thousand cubic feet.
GARAGES
2.[s. For any such permit for the erection of aay non-fireproof garage,
w�rehouse, factory or grain elevator, or for the erection of any non-fiC�eproof
addir.i�n, for similsr occupancy, to any existiag building or for each such
bu�ld3ng or addition - ninety cents ($0.90) for each one thousand cubic feet
or fracti'on thereof, in the cubical cantents thereof with a minimum of $4.00.
For the purpose of cwuputing fees for building permits, the cubical contents
of any building or additioa to a uniform height throughout by �Ltiplying the
g�ound area covered from a point six (6) inches below the floor line of the
basement._or cellar to the average height of the upper surface or to the
average height of the roof aurface of the maia gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee ahall be
at the rate of $3.00 per each Five Hundred Dollars ($500.00) or frsction
thereof in the cost of all .proposed work.
2.b. Ia no case shall the fee aharged for auy permit as set forth in
Section 2 be less than $4.00.
�.���-�
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i � ��1�J � J�+'' .st'�� � .-, / i '�P M):.^7"�
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' City of Fridley, Minn.
.�
��ERMIT
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., :�:s� �� � .
N� 6582
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� T BUILDING
Na .,�.��Street __��_�_.._....� _�! ._..___..—._ Part o! Lot �
Lot _._.. ....._.__ 81ock �ditio� or S vision .__.._.._._.. M.�..
1�
Corner Lot ._ Inside Lot .�.___....._ _�tbac Sideyard ___ �
Sewer IIe�vatiaai ��._.. ____� Foundation IIevatioa ..�.._...._ �
DESCRIPTION OF BUILDING
To e.: �
FY+ont �� Depth �� Height ..� lt Sq. F't /yL� Cu. Ftl�.���f �
___...._. _.�__. Depth _.._ ei�hhJ; �Sq. F't. _.�...._...._ G�. F't.
Type o! Caonstr�ucti� _. r_�- F�t . _...D.�._......_ To be Completed ....�
In c�onsideratlon o! the issuance to me of a permit to construct the building de�cribed above, I agree to do
tha propoeed work in ac�ordance with the d�scription above aet forth and in compliance with all provisions of
a�clinanaea o! the city o! Fridley. d� G7_
In caosideration o! the payment of a fee o! a� � .., Permit is hereby gi�anted to—
the exPrees caridition that the�per�eon t�whom it� granted and � agents, �Ployees and workmen,�in a�ll o k
doae fn� aronnd and upor� said buildin& �' �Y P�rt thereof, shall oont�n in all respects to the ordinances o�
F r ld1eY� Minnesota regardix►g locatio� constructioa, alteration, maintenaacx, repair and maving of bufl�ng�
wi�� dty limfts and this pe�rmit may be revoked at aru'��an� /?��f 1" of the proviaiana of sa�d
Inspecto�
n NonC�:
1Ys p�ewit de�s iwt eewr 1M ce��lerelky innBriee fer vrGi�. P��W N� � er wabr. d� wn te s»
fM Wildip M�p�qse for �ah p�ewih fer flNt� i1Ma.
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Sb�a���►�t�
l�easbw�r 13,, ��166
Mr. �al Gould
7029 Bast xivsr Hoad N. B.
Fridl�y� Minneaota SS432
R� . aui � a� i�g k�e z�ari C�� „ 6483 .,_....,_,w...
:r.��u�;�..�..__:.�,.� �'ay"i; T��° <
hddre►,�x e,�A�„� 7029 Bast �iva,�gad
�e��U Addition Bedroom Dormer)
-�.-r.:�>,::�,m.n,.�.�-a. , ,�,� _..4,...�... ......._.�..
ilr�t€ Si�:
't'�is o#fi�� h�s ba�t� ixefar.me�d bp �h� t�ity N�,����� ihat ths Nork
ax��li�d a�r th� �baev� +�s�timra�d bu��ding ��nmit haag nat �a ,y�+t br��
��fta��d , A� �� kxn�arb a� br��icDi� �rmiX t� va� i�i i�u� s acue �r�e�rc
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sua�ecr PER .
City of Fridley 2 22
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � RECEIPT NO.
� ; L __�__ COMMUNI7Y DEVELOPMENT DIV.
r � �� PROTECTIVE INSPECTION SEC.
i---- A ��'��,•� CITV HALL FRIDLE� 55432 NUMBER NEV. OATE PAGE OF APPHOVED BV
i �� 612-571-3450 910-F15 8/31/92 / /
J08 AODRESS '7029 East River Road NE
t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 23 ReY. Auditar�s Sll}�.. #%% SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Ray Sparre 7029 East Ri,ver Rd NE 571-6531
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Bob's Sheetrocking & Ta in 726 Ec�itund 222-3053 6335
4 AHCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WOFK
O NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroo�, Repair valle�rs on Do�nier (5 uares.
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIREU FOR ELECTRICAL, PLUMBINCa, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHOHIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK tS SUSPENDED OR ABANDONEO FOH A PERIOD OF /20 DAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I HEREBY CERTIFV THAT I HAV.E READ ANO EXAMINED THIS APPIICATION �- STAILS GARAGES
AND KNOW THE SAME TO BE TRUE AND COFiRECT. ALL PROVISION&OF LAWS VALUATION SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A PERMIT $�-r1OO $.55
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEqM1T FEE . SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 2'] � OO Fire SC $1. ZO
T CTION OR THE PERFORMANCE Of CON RUCTION. $
PLAN CHECKfEE TOTAIFEE
Li ense SC $5,0 $33.65
S�GNATUA FCO �RACTOf70RAUTH 2E E . ��DATEi HEN PR Y V DATED TNIS IS YOUR PERMI
I �
SiGNATURE OF OWNER�IF OWNER BUIIDERi �DATEI BL �NSP nAT
NEW [ J
ADDN j ]
ALTER [ j
Constivction Address
Legal Description:
Effective 3/ 1192
CITY OF FRIDI.EY
5INGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
'�
Owner Name & Address: /�/J,Q,�G�i1ILS. �'' � f'tFiP/?„J� Tel. #_�7/—� �3 /
Contractor: ,ge r S�t --�-lo e I�C�s�.,� ���,oiti d MN LICENSE #� o D� 33 �
Address: '%2 t�- E D/N d N� ,�-V� � .S f]-! � f'.t�t1_ C�_/iil /l� �/6�Te1. # 2�-2 3 d�3
Attach to this application, a Certificate of Survey of the
lot, with the proposed coastruction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: 1.eFtgth
GARAGE AREA:. Length �
DECK AREA: Length
OTHER:
Width Height
Width Height
Width Hgt/C�
�� � i/�i L L/� � �
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [.) Inside Lot [) Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimatsd Cost: $� � ��— /�C� d
Approx. Comple,tion Date:
jCost on Back)
Driveway Curb Cut Width Ne�ded: Ft. + 6 Ft = Ft x$ _$
DATE: UG 3• 9 2 APPLICANT: Tel. #.2�Z-�/3 �,Z
�
Permit Fee $ � 7, D b
Fire Surcharge $ /. � 0
State Surcharge $ � �S-�
SAC Charge $
License Surcharge $ � �� Q
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ �3. �, 5
� �!_
Fee Schedule on Reverse Side ,
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuadon
$700 per SAC Unit
$5.00 (State Licensed Residential ContractoTS�
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary ( )
..� . .
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 azry eaisting building or strvcture, or for atty alterarion or repair to any eaisting
building or strucdu�e, upon application thexcfote, require the payment by. the applicant for such permit
of fees to tlie amount. herein below set forth and in the manner . herein provided to-wit:
TOTAL VALUE
$1 to 5500
$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
$1,000,00� and up
FEFS
$15 (Minimum Fee is $15 plus surcharge)
�15 for first $500 pl�us S2 for each additianal $100 or
fraction thereof, to and including �2,000
�45 for first $Z,000 plus $9 for each additional $i,000
or fraction thereof, to and including $25,000
$252 for first $25,000 plus 56.50 for each additional $1,000
or fraction t6ereof, to and including $50,000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to aad including $100,000
�639.50 for first $100,00U plus $3.50 for each additional
$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 plus $2 for e,ach additionai
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Conctete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alterna.te "B" : Removal and replacement of curb . and gutter and install a 3 faot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Pennits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site.
A Certificate af Survey of the lot, showing the location of the foundarion once it has it has been
constructed will be required before proceeding with the framing.
- - ..�
sus�[CT
c;ty of F��a�,�y 3246
AT TME TOP Of TME TW�NS g� � L D I N� P E R M I T
r
; � 'EIPT NO
� ; L �. COMMUNITY pEVELOPM�NT DIV. �
f � � � PROTECTIVE INSPECTION SEC.
� . •
� _ �"'1 � CITY NAIL FRIOLE� SS132 NUMlEN �Ev O�TE ��GE OF �vn�OVEO !r
�'""�� �'' 612-571-3450 910-F15 3/13/02 / /
J
JOB AODRESS Ag 7p29 East River Road NE
1 LEGAL �OT NO. 9lOCK Tf1ACT OR ADDITION SEE ATTACMEO
oescR. 23 Revised Auditor�s Subdivision #77 SFIEET
I PROPERTY OWNER MAIL ADOR�S$ i�P PMONE
Mirian Sporre, 7029 East River Road, Fridley, MN 55432 763-571-6531
J'CONTRACTOR MAILADORESS 21P PHONE IICENSENO
Pro-Tec Exteriors Solutions, 2101 105th Ave NE, Blaine, MN 55449 763-792-6704
♦ ARCNITECT OR OESIGNER MAIL AOORE35 ZIP PMONE LICENSE NO.
• 20263065
5 ENGINEER MAII AODRESS 21P PMONE LICENSE NO
6 USE OF BUILOING
Residence
7 CLASS OF WORN
�] NEW O AD�ITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOi;K
New sidir.g on house and 16 new windows
9 CHANGE OF USE fROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code requires that a weather-
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions to this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding i� not a weatherproof covering unless the
manufacturer states this in �he application guidelines.
Call for inspection of wrap before covering.
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of zhe 1997 Uniform Buifding Code.
Caulking and flashing for all ex�erior openings.
' TYP OfCO ST. OCCUPANCYGROUP OCCUPANCvLOAO
SEPARATE PERMITS ARE REOUIREO FOR EL,ECTRICAL, PLUMe1NG. MEATING.
VENTILATING OR AIF CONDITIONING '
TMIS PERMIT BECOMES NULL ANp VOID IF WQRK Ofi CONSTRUCTION 20NING SQ. FT CU iT.
AUTHORIZED IS NOT COMMENCED V�1ITHIN 60 OAYS. OR IF CONSTqUCTtON {
Ofi WORK IS SUSPENDED OR ABANQONEO FOR A PER100 OF 12p pAYS Ai
ANY TIME Af7ER WORK IS COMMENCED. ` NO DWLG. UNITS OfFSTREET PARKING
I MEREBY CERTIFV TMAT I NAVE pEAO ANO EXAMINEO TMIS APPLICA7IQN STAL45 GARAGES
ANO KNOW TME SAME TO BE TFIUE AND CORRECf. A�L PROVISIONS OR LAWS VALUATION SU TAX
AND OROINANCES GOVERNING TNIS TVPE Of WQAK WILI QE CpMPlIED
WITN WMETHER SPECIFIED MEREIN Oii NOT. TME GRANTING Of A PERMIT �19�000.00 �9.SO
DOES NOT PRESUME TO GrvE AUTMORITY TO VIOLATE OR GAr�CEL TNE pEqMl7 fEE SAC CMARGE
PROVISIONS O ANY OTHEA ATE OR LOCAI LAW REGUTATING CON-
STRUCTION O VERFO A CE OF CONSTRUCTION $3�7.2.5 �19.00 Fire SC
� PLAN CNECK FEQ TO L EE
` $5.0 cens 40.75
S�GNITUAE OF CON' A(;iQA Op �UTNOA�ZED �GENT �D�rE� HEN RO VA�IOA7 0 TMIS I YOUR PERMIT
�-l3 -� z-
S�GN�7UAEO�OWNEA���OWNENBWIOEN� � •TE� ' 8 �p50 � p6tt
y� y� i
NEW
ADDN
ALTER
�� CITY OF FRIDLEY � EffecWe 1/1/2002
(] 6431 University Ave NE, Fridiey, MN 55432 (763) 572�604 Bldg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: �
�G�—
Legal Description: �
Owner Name & Address: � Tei. # � � 3 " �r ��' � .�3 /
Contractor. (1'��� -T-Q-� � MN LICENSE # a � � � 3 D � .7�
4rlc�rpca• 2 / D / . / Q S � v� �/ � Tel. # % �O 3 — 7 �'J �2 - � 7 4 C�/
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
�tachioSttfis'ap�lication, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length VY�dth Height Sq. Ft
Length Width Height Sq. Ft
length � Width HgUGround Sq. Ft
/� �'". �-
Construction T � `" w�� Estimated Cost: $� OD �- 4 0
YPe•
Driveway Curb Cut wdth Needed: Ft + 6 Ft = Ft x$ _$
DATE: � � 3 02-APPUCANT: Tel. # l�P 3'' ? f a-� 7 U�
Call (763) 572�604 for Permit Fees if mailing in application or Fauc to 763-5T1-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� �� a�
$ 1 •OD
$ . S�
$
$ - 00
�
$
$
$
$ S
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residentiai 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 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 appGcation therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the maiuier 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
FEFS
$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 fracdon 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 $100,000
$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 including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 fur each addidonal
$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 Onlv
�
,�-., .
Building PLUMBING P��it No -�' S
Inspections R�SIDE�TI.�4.L APPLICA.TION Received By:
763-�572�3644 CITY O�+ F1�DL�+ i Date Rec'd:�^'
DATE March 17. 2008 Youx �-Mnrx, n.bn�ss wnelso�larsonplumbinq.com
St'r� a�Dx�ss 7Q29 Enst River Road NE
THIS APPLICAT.'C iS: O O�IR�ER �CO'NTRACTOR
PROPERTY NAME: Miriem Snarre �
OWNER/ �D�s: 7029 East River Road NE ct�r�r Fridlev sr�T�MNuP 55432 '
TENANT p�o?��: 763/571-6b31
corrrRacTOx �,�: Larson Plumbinq, Inc.
SUBMiT A GOPY OF STATE LiCEI�SE � 3341 PM EXP DATE 12/31/20Q8
YOUR STATE nnDw�ss: 3095 - 162nd Lane NW C1TY Andover STATEMN ZIP JJ3O4
LICENSE WTTH Pxor� 763/427-7680 �a,x 763/427-9448
A.PPLICATION
PERMIT TYPE � S�GLE FANlILY ❑ TWO FAMILY O TOV�'NHOUSE
TYPE OF WORK: O NEW � R�PLACEM�N'1'
� DETAILED DESCRIPTION OF wORK �Nater Heater Replacement
PER MS I6B.665 the permit fee is a minimum of $15.00 or 5% oithe toEal cos# up Eo $SO�fAO, whichever is greater, for the
improvement, installaiion or replacement of a residentia! fixt�ue, excluding the fixtures. (T'his should reflect oniy the cost of labor )
Labor cost under �300 =�15.00. Labor cost between $300 to �500 = cost o�labor �c .OS =
FOR PROJECTS Vl'HERE LJIBOR EXCEEDS $SOa, FEES A4tE BASED OTI $ I OAO PER FIXTURE, fiJCCfiPT VJE�RE 130TED. FI}CfURES: ([NDICATfi "iOTAL
NUMSER OF EAGH BELOW)
}3AT4i SlN1C/LAV ,.,,�FLOOR DRAINS SHOWER WATER PJPiNG
BATHTUB GAS PIPING � rmuc�rs�/ SWIAgMING POOL WA�'ER SOF'INER {$3S)
CLOTEIES'V�'ASi{ER �KITCHEN SIMC WATER CLOSET BACiCFlAW PR�V. ($15)
DISHWASHER _ LAUNDRY'FRAY X WATER HEA'iER (S35) FOR IRRIGATION •
�
WATER METER OTHER
. ....... . ..... ..__...... � b,; x r �
�.:p��tMT'�'�`FEE����C3��T5>�{��"�pF.�Z'$S:D��:_:: .: ,g!%i ;�,.,.. . i „! yx h'"; x �;,�9,��,�%�,h'`�`,c�. ;-�;�E��;F,E��FO�Z�P�O7��f,S'Ol�ER ��0(�:;:
Permit Fee . $ ��.� Number of fixtures @ $10.00 x $10.00 = $
Surchar �e .SO Number of €'ixtures @ $15.00 x $I5.00 = $
TOTAL DUE S 35 ..� Nurrzber of fixtures (c� 535.00 x 535.00 = S
$tatE $11IC�1�E s s'��^��"'"�y
— - -- 'Y' ��1 --m�-�__�.
> THIS i5 AN APPI.FCATION FOR A P£RMtT'-NOT VALIb Ut�1TIL PROCESSED !�
i hereby apply for a building permit and I acknowledge tixat the information above is complete and accurate; that the work wi11 be in
conformance with the ordinances and codes of the City of Fridiey and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is noi to start wit�.oat a perxnit; that the work will be in accordance with the
appro�ed pian in the case of all work which requires review and approval of plans.
SfGTfATiiR� OF APPLJCANT /�/�-« //(r t� h PRIMNAME Dee Martin DATE 03/17/08
�. ,� x�FI,E�A�E �TQ�� ?t��.P.,�'3`3;E . � �: .�. �_.: � � . ..�';i� •.TJ:1�°��;�.��;��:�,�%���;��IyE.�'��R:�� ; ���i�4.1�I!�.''A.`T;`�J��2.K .
�
City of Fridiey
Building xnspections Aepariment
b431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-5�2-4977