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AF - 40475.• �. � .. f � �� o� Jime 5, 1981 COU NTY OF ANOKA Dtpa►�me»� ojHighM•o�s Paul A'. Ruud. High►�•qr Engineer COURT HOUSE ANOKA� MINNESOTA 55303 612-421-4760 First National Bank oY St. Paul Hrsne I�aan Deparl�eat 33'L I�iinnesota St. St. pe,,u1, IuLinnesota 551I�1 Attn : Mr. K+eith C,arsteas A,e: Acoess to C.S.A.H. #1/F'.ast Rive�' Roa�,�or Lot 14, Block 1, Sillcrest Dear ]►iir. C�rs'tens, We have been oontacted by a Mr. I)a.rrel 1ula.d-Sen requesting us to infozm you of acc.ess provisions for Lot 14� Block 1. Hillcrest; in the City of �idley, to Ea..�t River Road. � A� ��tly to Ea,,�t River Road fran this lot will be allc�weci until such time as the City of FY�idley c�nstructs the proposed Hillc.res-t Avenue. At that time, direct acc,ess to -Fast River Road will not be allowed from individual lots. Aillcrest Avenue Will acaess Fast River Raad via City cross streets. If you should have any questions please feel free to contact me. • _ _ Sincerely, � � �� , � �� .. oc: Mr. • Darrel� a'la��#en . �e�9 v�,��:+�, A�.�.t. A�+ 3� S s r. n o1 �.iKt �nr{C �/�7�1% 5.43L William A. Sironen �i� �gineer � � C �/ �� i��F� �C CONCRETE CURB & GUTTER ASSESSMENT POLICY All properties fronting or addressed on a street abutting a public roadway, street dedication or easement shall be assessed for concrete curb and gutter at the time it is constructed. This includes properties where the total right-of-way width involves State and/or� County road and/or City street right-of-way or easement and only one traveled roadway is constructed and used for access within the combined public right- of-ways. Consideration and credit for any past concrete curb and gutter assessment may be given to affected property owners if an additional street or roadway is constructed within the total contiguous public right-of-way width which abuts the property. � � �. � y s. 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I I I� I� .: � c�,. �� I� I��' I� I�" I I.I � I I ( I . f I I I i i, � i -i ��i iii i i r �: I�,: �� Is t�� :I '� ♦ D Nr _ � H � o � `�'ti � i' \� ;..`-- � � .o 'a '�J � � � T 9 1 �° O v u� � Q � � � ' C � ( U � �� - ti � ,1r �� : ,0 , e 0 � � �� . r � �� . � ��:� �:�- '� Z ,�.._ ,� �- o Z m� '� N ' �. . �... �� .� � �' , � a l ;A � �.`�r ` . ��' N, � S ,.y �.a ,� r . , 4 � �ti � � 4 � � �.'a;� .,- �. � '� � � .,N. a � � �. � n ` �� I � �� '� �� I ' d '' �� Z-.' 0�► � i • � �� ':m N Q oa� w m°� ., - � t�. N � . _ .� �� m. . :�. �; .:� � � ��.- � � � �� .�'`� w ■�s td_ 6 2 3 Q�.,� ��.3`" 0 CITY OF FRIDLEY � � PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERNIIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any esist jng water or sewer line�./ '/ ,_ Lot � `�` Rloc � ddition _ 1 `1' i �- �� Address � 1 +� � � � � Owaer �.� �.�a � , . Plumber /' - :�%�--�� CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: Materials Used: $ � �'�`� "� f� ��'''��.. Street Patch: Y . $ TOTAL: $ ��'° �� SEWER TAP: Street Patch: �r : $ III) If this property has not paid a full La.teral Charge for its share of the water and sewer system, additional chazges will be placed against it. This will be in addition to the normal connecrion aad tapping permits, meter deposits, etc. Water ASSESSMENTS TO BE LEVIED: La.teral: $ Sewer Lateral: $ TOTAL ASSESSMENT: $ Clerks Signature Supt. of Public Works M/P 3/76 White P.W. Canary Flnance Pink Prop. Owner Goldenrod Plumber �--� z 0 NO- � � N N y 0� Q z Z U�WO i pZJ � i � m V O I ?LLy �I � � U T � � J°� `� C/ � � � � `— � � � � � aro O �°.� �w � d y � i /p O � � if� � � w � a � o � � ° � � �� z� � � � �� + h C� rq � � O � P � , — o0 oS — ( . in ti N � � �� ' �� O'%2 O'OI � � Q � Q �ti m v � � � � o'OI �,� 0•5 Q o6 I� O•ol � d m � � Q I �� N � QL o'22 L---. wY Z � !li N w m �(� 2 _ \ i � �°30 ` 3 y C] �-i��7� � .� %C'� '� � ��•p � 1 ��d'J � �`i c�°'�� /� ,,.��°^�,� 1 � N 9 � N � �� Z��, 4j \ S O i, � O N � � N � � O � f � a �o � � >.� aa W q O O a} G C � O� � O W m c m�a mW � � C A �j =� O Ol ��wz° mo? ��5 , W � T •� $ � T� �� 'ffi�N .�L ` 0 fi $ � .o ' a�> � � 9 �$ m ' Z 30� v3 � 6 d� � � � � � w� ° w °,� 0 �o�� o� � �� m� �� ' ��wo�� § � M� � �' a U = u � � �� I �= : �° � x.: � � Z W �yj ? O Q � Y } � U � ' � Z > Z � W W m 0 I� � ° � � t O � 5 :�,`� �. 5 i' :, ; ; � � ;: n; � � �� T 7 H ;Qi H. � ;`` �`b�� `� i �£ ,oi t ,^ ; ; .9 �e j c+'�� ! ,� —"' i I � i _ `�� ' � � ' �l — �•I �-�� ,� �" � _ `�-_ ��..�` ' � i7: ��:� �'� Z � Y�```+ �� `\ _'- —�\ �. aC� 0 � � x 0 � � �, � u � N � � � � ------' '-- -� i � > a' o ° m `o � c ° �' a 0 c = � u o I �� iro m � v 9 `o 9 f � r w r f V� � �� `o a 3 � �, \ V � � � t� �� ry� W 4 '� .� �� . ,� -�. , .�.,� _ �. . i' \ � � � � � a.,e � i � � � `� � t,; � � � � t ,� � � � �� „ .�tl � �l/ v.. � � �i i.i�` ,i! � `� ;�` � �` �:�� •rl t,tiE►. �� (. �� O� � � � � � n + � � ��/ � � \ �� A�J � e i � � 'E iJ � � ti' � a � � � � a � 1 % � _ CITYOF FRiDLEY � ' l q 1 S ^� . . , c:,;, � __'- z' . � _, , ,.� r� � � /C 1� 1ChJ �c:� �}�� CIVIC CENTER • 6431 UNIVERSITY AVE. IJ.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 2, 1984 Darrel Madsen 7819 Un i ve rs i ty Aven ue N. E. Apartment 306 Spring Lake Park, MN 55432 Dear Mr. Madsen: The City of Fridley has no objection to the construction of a driveway onto East River Road to service Lot 14, Block 1, Hillcrest'-Addition, at this time. However, the future plans for this area include elimin- ating access to East River Road and providing access for lots in Hillcrest via a service road (Ashton Avenue). The City of Fridley will approve the driveway onto East River Road at this time with the stipulation that when Ashton Avenue is extended across the front of Lot 14, Block 1, Hillcrest Addition, the property owner will reconstruct the driveway at his expense and agrees to pay the normal a6s�ssment for the street improvement. If you need further information please call me at 571-3450. Sincerely, � / ��'��/�!�lZ� JOHN G. FLORA Public Works Director JGF/de C- 84- 20 SUBJECT P City of Fridley 17 5 6 5� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R � 1 y______ COMMUNITY DEVELOPMENT DIV. 9� �� r � � PROTECTIVE INSPECTION SEC. � „� 1 � � ��o� � r"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'""� � �� 612-571-3450 9t 0-F15 / / 6/20/84 JOB ADDRESS �191 East Ra.ver Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �-4 1 �7.1�-C1�-''S't SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Darrel D. Madsen 1123 - 105th Avenue N.W,, Coon Rapids, MN 757-8926 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. SaIRO 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS SEPERATE PERMITS �tEQIli.RED O�OR �IR'�C7 8 USEOFBUILDING HEATING. PLUMBINC ANO SIGdS. Residenti.al 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Construct � 26` x 44� Dwellin� and a 22' x 24' Ga.rage 9 CHANGEqFUSEFROM TO SfiIPULA71oNS pxayide a hard surface driveway. Provide sod in the front and side yaxds Provide City with copy of nerifying survey. SEWER IACATION: 8" sewer line approx. 9� feet deep. No �isting Service 6�TER LOCATION: 6" CIP, MUST BE TAPPED WARNiNG �fa t�fl ot. �tpt�►r � r�,7T �{►ARANTEE *=�F Beforo digging call local ut�liti�� .c-:t,,,.�c.� o� u�tm �OC�t��i �wp t�v,��: TELEPH4N�-E�:EC�RtC-GP►S Etc, ':: '� e i�. IS FQR ItiFOKMATION NJR�iES Q�N�Y .�t.L•; ��E��;: us�,c rr ��ou� ve�rr n# �o�uno�+ �EQUIRfD BY LAW ,�, �E �rn TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Fraiae VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTliUCTION ZONING S0. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER 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 VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $66�100 $33.05 WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO YIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $334.00 42S.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $83.50 $875.55 �� TUREOFCON�RnC ORAUTMOR2EDAGENT �DaTEi ,�WHEN PROPERLY UDATED THIS IS YOUR PERMIT Pr ' � _�� y��GC`�'- l.�' �� `° �7 F SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP � �TE CITY OF FItIOLCY NPPLICATIa� FO(t RCSIDL'i�Tl/'w t3UlLDIi:G PL��'ITS (I�c�i. Alterations. Addition5, or Rcpairs) � O��NER: :/��/��L // ��S'�� Lo�:� AD�rESS: / �; ,(a.f �� P �� ,�;�s TEL K0: 7S 7 ' �p� � Effective Aug. 1, 1981 • � � t3UI LDER : . " E`G � �S � d�.=� ADa'tCSS: /'/�3 /a�� r�� /� �.� � TEL I�O: �S �- � �� Construction Location STJt�CT HO: • � �� ST1tEF.T: � s` ��r �� yO7': � � Bi,pp�: � ]1DnITION: //% .�LL C�c�ST � r �r Corncr Lot: Inside Lota y� _ Sctback: � s Sideyards: C� °� � Ap�licant attach to tl�is form twro Certificates of Survcy of lot and pzoposed building location drawn on certificates to scdle. DESCRIPTIO�� OF CO�:STF�JC7ION . � � l pW�C'2l.L�t.9l, Fzont: a� Depth: y� Heiqht: /�a%��' _ � Squarc Feet: / yf% _ Ctibic Feet: � � ,/ ' cpi�{2.�� Front: �� Depth: l Neight: Sauare Fe�t: S�� C1�bic Teet: y '.'ype of Cor►struction : �'�t- � �� 6,�00 Estimated Cost: S � � RD Be Ot�r.�pleted: _� �Zi B r-� �G= � Alt. A Alt. S Proposed Driveway Hidth If Ne+a Opening Is Desired: �N��' � S � S � — , S�� PF.VF.R;L: SIDL OF StIEET , 9S�e un�]ersioned hereby ma1:c� npplic�ticn for a pernit fcZ the �:erk he�eia� spc�cified, agreein3 to cb .all �ork ir� strict accozdance �aith the Ci�y of Pridle�� Ozdivances ��id zulin�� of tl�e De�k�rtment. of Dui:ciings, and hereby decl�res that all tl�e fact� and reprecc� t..itiens stated �n this appl.ic�tio�� e true and correct. DT.7'E: � � � •' �r SIGNATt3I'�c __� Stii�ulations : �"'t�t„ w► i T ';�'3�{.00 P. � �3. � SAC y 23.0� . �.� , 5 I��c' � ur '� 3'� . �' y � ��5. �� p�p� IOa ► SO,00 � • ��3.�+ I�x 3 .. s � y3 �,d� r�� The Chief Building Otficial ahall� Defore issuing permits Por tbe erection of any Duilding or atructure, or for any addition to any ezisting building or etructure or for any alteration or repairs to any ezistiag building or atructure� upon applicat3oa theretore� require tbe payment py LDe applicaat for auch pe�lt of tees to the amount hereia Delo�r aet forLh and ia tbe manner hereia provided to-xit: Sotal 9aluation =1.00 to =500.00 Fees =10.00 (Minimum �15.00) =501 to =2�000.00 =10.00 !or the first =500 plus a1.50 for each additional �100 or fraction thereof. Lo and iacluding �2,000 i2�001 to =25,000 =32•50 for the first �2�000 plus a6.00 Por each additional �1,000 or fraction thereof, Lo and includiag �25�000 =25�001 to =50�000 =170.50 for the firat �25, 000 plus =4.50 for eacb additional �1,000 or fraction thereof� to and including =50,000 �50�001 to =100�000 =283•00 Por the first a50,000 plus =3.OQ for each additional �1�000 or fraction thereof� to aad including =100,000 =100�001 and up =433.00 for the first �100�000 plus =2.50 tor each additional �1�000 or ' fraction thereof Plaa CLeck: 25 percent of building permit fee. Drivevay Depresaioa Escrov; Coacrete curb atreets onlq. _ Alteraate •A": Removal and replacement of eurb and gutter oaly - Drive�+ay vidth plus 6 feet times �13.50 Alternate "B": Removal aad replacemeat of c urD and gutter and install a 3 Poot vide approacb vitb 6 inch depth - Drive�ray width plus 6 feet times =15.75 E` - . . � , . Permita for eonstruction will be issued a minimum ot 24 bours Prom the time ot application to allov Por proper revieW of tbe proposed structure aad of tbe construction aite. a Certificate of Survey oP tbe lot� ahoving the location ot the loundation once it has been constructed Will De required befor Droeeedi*±e witb the framing. - ��4� QqXZG =�1yy ��xi� = bo � 1Zz�l x 4da�� tyq,y`� NoGS+E �'� � �y� X �1.39 e 1 o s � �'t't.1c. � ��+�- �y Y'�'L � S z� x! 11. � f� S�i �.BY : 4��z� �, Gnr� �G� �Ioo wv.ye �. 3S 11.'� 1 � r �+ 1` i � O � � � �,,► O N o �' ' � �0 � ro O � m �a �D 'n k � g G � h � O 0 N M y 7 ro ° m ro � W w y K � �m o H G � ly-1 H f�i Z � � � r a m w � m L1 Gf i0 � fn � ?f A 01 Ip O �9 Z � � �f R 8 G I+� R O m LL R ! m b M 5 f� t M G M O�r � „ O F�? 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Fixt � y Gas Ranqe a � �i M Othar — � a K A � �� fCA N � O F�ii �a C � N � � h � �' � �2 f�D 0.� ►� �'�'� 'A M F F'' � � � � a � � ro 5 `�— m w h a M. 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A � � m w n A �o � m � :°- '� 7 4 � � n T e6+� 0 h og a v ��o�e � O � � r „ s�� °' «, �, �°o g ��► � �io m o rr�n n � ' ,'o •''• o . a m ^ � � o r o • 7 f1 ^ � n a �o w s �CJ • � e � � s � � O � o = ~ ° e � s • s s �s�5 8 f� � � r ~ � s a ..�� •" = °s \' lap ► �p r r� ^ `C W � s 0 n � M � r � � � n n oao � � h O � C r• r 6 � a O � «. < � � m n �. < s Z � � A d s �c � N � N � s r fr 0 Q � h A m m v� � � r rn � N � O Cr � f'�'1 � O _ T �o a�� O N Z o � � Z -� O = a �i = �� < � N -1 f'1 �f O N O Z � v � O �G < � f1 � t/1 D = � _ � i T �o G� m �o � a �1 0 z a . z 0 0 �� --� � 0 T T r�.. v r m -� � � � A n < � i � � � :, 3�+;;. :=� ::�; �: �,j�. ��, .�� .'3 ; • , CIVIC CENTER • 8431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE 1612) 571-3450 October 30, 1984 Mr. Darrel Madsen 7191 East River Road N.E. Fridley, NAi 55432 Re: Final Inspection at 7191 East River Road N.E. Dear Mr. Madsen: A final inspection was conducted on October 30, 1984 and the following itens were noted which must be completed before the permit can be finaled out: 1. Provide sod in the front and side yards by June 1, 1985. 2. Provide the City with a copy of the verifying survey by November 19, 1984. We will e�cpect the above it�ns to be completed on or before the scheduled dates when reinspections will be made to deterniine compliance. If you have any questions on these ite�s, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh ' SuB�ECT . ' c�ty of F��a��y AT THE TOP OF TNE TWINS g� � � D I N� P E R M I T ;, � � � ; v __��_ COMMUMITV DEVELOPM�NT DIV. r � � PROTECTIVE INSPECTION SEC. � . , i.-_.�� "" �'� CITY NALL FRIOLEv SS�J2 NUMBEp t 612-571-345Q 9/0-F15 JOB ADDRESS �191 East River Road NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION oescR. 14 1 Hillcrest 2 PROPEfiTY OWNER MAIL ADORE$$ Darrel Madsen 3 CONTRACTOR MAIL ADORESS Owner 4 ARCHITECT OR DESIGNER MAIL�AODFiESS 5 ENGINEER p1AIL ADDRESS B USE OF BUILDING Residential REV 10/19/98 � / P 'O�� 28300 R . 7Do�' ov �vvaovEO Br / SEE ATTACHEO SNEET 572-8001 ZIP PHONE LICENSE NO ZIP PMONE LICENSE NO. ZIP PHONE LICENSE NO 7 CLASS OF WOqK O NEW O ADDITION O ALTERATION � REPAIR O MOVE � O REMOVE 8 DESCRIBE WORK Reroof house and gara�e (28 Sq) Tear-off 9 CHANGE OP USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PEfiMITS ARE REOUIREO FOR ELECTiiICAL, PLUMBING, MEATING. �� VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIOM iONING AUTHORIZEO IS NOT COMMENCED VjIITMIN 80 DAYS. OFi If CONSTFUCTION OR WORK IS SUSPENOED OR ABANQONED fOR A PERIOD OF 120 OAYS A7 � ANV TIME AFTER WORK IS COMMENCED. ' NO DW I HEREBV CERTIFV THAT I MAVE READ ANO EXAMINEO TMIS APPLICATION ANO KNOW TME SAME TO BE TqUE AND CORRECT. ALl PROVISIONS OF LAWS VALUAT6 AND ORDINANCES GOVERNING THIS TVPE OF WpRK WILI �E C�MPLIED WITH WHE7HER SPECIFIED HEREIN Ofi NOT. TME GRANTING Of A PERMIT $239 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAMCEI THE pERMIT i PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON• STRUCTION OR THE PERfORMANCE Of CONSTRUCTION ]/{, ° C�i'�/ ..d� �i��/ '� �� f�_�� PLAN CH $�GNGTUpEOFC N"AACTOAO:�AUTHOA4EOOGENT IO�fE� S�GNaTUAE O� OwNEa ii� OWNEp BU4DEp� �O��E� i OCCUPANCY GROUP OCCUPANCVLOAO SQ.FT CU FT. OFfSTREET PARKING STALLS GARAGES SURTAX $1.20 SAC CHARGE Fire S 2.40 TOTAI FE %$ 9L A A ED IS VOUR PERMIT . - qa E I .. . � � NEW ADDN ALTER [� Ll �) ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY Ai�TD DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION � 7/� �/ � �� /`-/ �� -� ''`�`; //C'r '.� . Effective 1/1/98 C� . � �3�� Owner Name & Address: ,,�,qr� �E� � �5�•� �/�/ L-` �o u � ` ��f Tel. # S�To1 ° � c�u / �H /, �,f� Contractor: D �,,U�� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. � Gc o,,�re� c� � 9 G: � a 0 Ccsnstruction Type: Estimated Cost: $ �� / j� (Fee Schedule on Back) Driveway Curb C�nt Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: %G - /�- � S Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � CITY USE ONLY � �. Tel. �# S7� � ��O / �u � /,��d� $ %��%�� Fee Schedule on Reverse Side $ o� '�� .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" Abo�e $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �� < - ., 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 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $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 $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. - A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. sue�ECr PER �QlQ� c�ty of Fridle� 3 i 926 AT TNE TOP OF TNE TWINS g u I L D 1 N G P E R M I T ;, ,� 1 ��.; COMMUMITY DEVELQP�1lENT DIV. ��-�� i V V � �' r PROTECTIVE INSPECTION SEC. i , `_--.� �'�'�'� CITY NAIL FRIDIE� SS�32 NuMBEp pEV O�iE v�GE O: �vvrtOVED Br t 612-571-3450 e�aF�S 6i22/01 � � �oe nocaess 7191 East River Road NE - t IEGAI �OT NO. 6LOCK TFiACT Oq AD�ITION SEE ATTACNED oescA. 14 1 Hillcrest s►+eer 2 PROPERTY OWNER MAIL ADpR�$$ 21P PNONE Darrel Madsen 7191 East River Road NE 763-572-8001 3 CONTqACTOfi MAIL ADORESS ZIP PMONE LICENSE NO Same a ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER IqAll ADDRE$S 21P PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATIpN �J REPAIR O MOVE � 0 REMOVE B OESCRIBE WORK Reside House & Garage; Replace windoc�s within existing openings 8 CHANGE OF USE FROM TO STIPULATIONS � Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openirags. Call for building wrap inspection before covering. TYPE OFCONST. OCCUPANCYGqOUP OCCUPANCV�OAD SEPARATE PERMITS ARE REGUIpED FOR EIECTFICAL, PLUMBING. MEATIN(i, VENTILATING OR Alq CONDITIONING 7MIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTIOM IONING SO. FT CU FT AUTHOR12ED IS NOT COMMENCED V�11THIN 80 OAYS. OR IF CONSTRUCTION � OR WORK IS SUSPENDED OR ABANQONEO FOR A PERIQD OF 120 DAYS A7 ANY TIME AF7ER WOpK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I MEREBV CERTIFY THAT I MAVE REAO AND EXAMINEO THIS APPLICA710N 1 STA�LS GARAGES AND KNOW TME SAME TO BE TF1UE AND CORRECT. A�L PROVISION$ OF LAW$ yALUATION SURTAX AND ORDINANCES GOVEqNING THIS TYPE OF WpqK WILL Q� C�MP�IED WITM WMETMER SPECIFIEO NEREIN Oii NOT. THE GRANTING OF A pERM1T �S � OOO �Z . SO OOES N07 PiiESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTMEFi STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi TME PERFOflMANCE OF CONSTRUCTION �111.25 Fire S�'i �5.�0 PLAN CMECK fEE TOT L fEE �1L� 18.75 NaTU E��-�I%' Or/ '_ TM� ENr �D�iEi EN PR P VAl10AT THIS IS Y R PERMIT ��'s =�'. S�GNOTUAE O� OWNEA�� OwNEa Bw�DEp� iD�TE� ' B� ��NSo � q�TE .c = -� N� I l Effective 1/1 /2001 ADDN [] . CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: �� /Ct v�� v . Legal Description: Owner Name � Address: �/t�,�� C ��,1�5� st/ SAr�'� � Tel. #��0 3" S7a- �UV/ Contractor: -r�� MN LICENSE # Address: Tei. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Wdth Height Sq. Ft Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft OTHER: v� Construction Type: %��NG '� ��•r/�Ou� s" Estimated Cost: $ � U� U Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � °� °� � U l APPLICANT: �� E� ��Iis�� Tel. # ,�� "�J�'�°( CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ f�! a� Fee Schedule on Reverse Side $ � - 4C> .001 of Permit Valuation (1/10th%) $ a� • S� $.50/$1,000 Valuation $ $1150 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 shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or sttucture, or for any alteradon or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemut of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5(}0 $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 $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 $643.75 for first $SO,OQO plus $7.00 for each additional $1,000 or fraction thereof, to and including $1Q0,000 $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 fust $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. 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 $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 Cert�cate 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