The URL can be used to link to this page

AF - 40539��-_ City of Fridlep, Minn. 6431.University Ave. 1�. E., Minneapolie, Minn. 55432 BUILDING PERMIT na�; October 22. 1971 pwner; To___n�R. Jakubiak g�� Same_ Addresa _. 72?1_ East River Road N.E. �,d�s ._ Same . LOCATION OF BUILDING No. �221 _ Street East River Road N.E. p� ag �t Lot ._.__....��.., Block ___._�,.__—�_.__..� Additioa or Sub-Division - Hi 11 �x'e�t�.$ditiosa Corner Lot _._.__._..^ Tnside Lot �- 8 Setback Sideyaxd Sewer Elevation To be Used a�s: Reside House Front _.._..__ Front ..�_ Type of Construction M�sonite Foundation IIevation _..__.. DESCRIPTION OF BUILbING Depth Height Sq, F't. Cu. F`t, Depih Hei�ht Sq. Ft Cu. Fi. .— F�t, Cost �$1 � 400 To be Completed - 3 weelcs . r In consideration of the issuance to me of a permit to construct the building descri'bed above� I agree to do the .proposed work in accordance with the descriptioa above set forth and iun compliance with all, provisions pp ardinancea of the city of Fridley. ` J n n n n � �LRH .70 State In c�sfideration of the payment of a fee of $�.._,� , permit is hereby granted ta �'S • Jakubiak to construct the building or addition as desc�ibed above. This permit fs gtanted u�wn the express condition that the person to whom it is granted and his agents, employees and worl�en, �ia a11 Work done in, around and upon said building, or any part thereof, shall conform in ali respects .to ffie ordinant� of Fridley, Minnesota regarding location, construction, alteration, maintenance, repa3r aad moving of bwlldiag8 vYithin the city lim�its and this permit may be revoked at any time upon viola.tion of any of the provi�Ions of said ardiaances. - � � Suiid�ng Inspecto� HANK MUHICH NOTICE: Thds permif does eot cover the eonatruetion, installeHon for wirie►g, plumbing, eas heafPng, �wer or wete�. Be sae�s to �A t6s Building inspeete� fo� aeparafe permits foe fhese hems. - � . e� APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAI�'� : o� � r� AK �,c, � i ia� BUILDIIt: �' �� annx�ss : 7a a i �. r"� ; ��. �. R d �nnx�ss : Noa. ��a � s�r: �_ ��`u � R � d LOT : �,�,BLOCK ; / ADDITION : N . � � � � R � s T G� oI. � . CORNER LOTt INSIDE LOT: X SETBACR: SIDEYARD; Applicaat attach tq this form 1t�o Certificates of Surve� of �,ot and �roposed bu�ldia� locat:Lot� d�awa oa these Certificates. ��C12IPTION OF BUILDING To Be Used As: �1' �5.�� ,�o�.,s �F�ont• Depth• Height• . . Square Feet: Cubic Feet: Fxonts Aepth: HeighC: Squa�e Feet; Cubic Feet: �►pe of Coastruction: `� �so r�� Est3,mated cost: $ 8 0 0<'c°.S �`" , � To �s Completed � � c,� k s — /-� °o�a -?/ � �� v � �� The uadezaigaed hereby maket applicatisn for a�e�i.t �or the work herei.a epec�fied, agreeing to do a11 ao�rk in sttict accordance wi.tii tha City o� F�ridley Osdinances aad sulinge of tt►e Department of Buildinge, aad bereby decl�tre� that all the facta aad representatione etated ia this app2lcation are t�cue aad correct. �P,TE: �-� � �t ! �1 `7l SIGxA14Jn8: — . (8ea Raverae Side For Additional Information.j � �%� � �� '�-�"� `P �' °✓//', ! �' — . �* �� _7��r �� Sc.� Y c � �- � � s �� . --� 9 - �� =�� .. ti 4 �� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings ahall, before issuing perniits for the erection of any building or structure, or for any addition to any existing buildiag or structure, or for any �lteration or repairs to any existing building or structure, upon application therefore, require the payment by the appli.cant for such pemnit of feea to the amount herein below set forth and in the manner herein prwided to-wit: UPiIFORM BUILDING CODE: Type 1, 2� 4-$2.15 for each one thousaud cubic fee�, ox fraction thereof, in such cubical contents. Type 3� 5-�1.85 fox each one thousand cubic feet. , ADDITIONAL INFORMATION For the purpose of camputing fees for building permits, the cubical contenta of any building or addition, ie determined by multiplying the ground area cQVSred frrnn a paiat six (6) inches below the floor line of the basement or the �el].ax to the avera,ge heights of the upper surface or to the average� hei�ht of the roof surface of the main gable of a pitched roof. For xepaixs or alterations to an existing structure, the fee ahall be at the rate of �3.00 per each £ive hundred dollars ($500.00) or fractioa thereof in the cost of all proposed work. Ia no case ahal� the fee charged for any permit as eet forth ia Section 2 be �@88 t�1�11 .�.5. �0 s V$RIFICATION OF FOUNDATION NOTE: �e7cm�te for �oastruction will be iesued a miai�m of 24 hou�s fram the ti�e of application, to allow.for proper review of the proposed structure �txd of the conettuctio� site. A Cexti�ied Survey of t6e lot, shawiug the location of tha foundation, once it ha�s_been caastructed, will 6e required before proceedinr� witti the framing. � CERTIFICATE OF OCCUP.ANCY Applicatiam for a Certificata of Oceupaacy sha11 be made teu (10) days prior to tj�►e use or occupancy of any �tructure for which a buildiag parmit hae been isaued; and eaid etructu�e shall aot be used or occupted uatil a Certificate of Occupaucy has been iesued. S 0 � ?� • � � � , SuB�FCT . ' r City of Fridley AT TME TOP OF THE 7WINS � � I L D I N� P E R M I T ' ��72-3� . NITY QEvEIOP�ENT OIV. r � v � PIiOTECTIVE INSPECTION SEC. i . , i.---�; �"" �'� CITV NALL FFIOLE� SSIJ2 NUMBER ti 612-571-3450 910-F15 lOB ADDRESS 7221 East River R ° t LEGA� �OT NO. BIOCK TRACT OF AOOITION DESCR. 9 1 Hill 2 PROPERTY OWNER MAIL ADpRES$ a ARCMITECT OR DESIGNER 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Reroof 1/2 of house (5 9 CHANCiE OF USE FROM STIPULATIONS ADDRESS MAIL 11EV IATE VAGE O: 11/24/98 � � ZIP PHONE PMONE PMONE • -� .. 7�� APVROVED BY SEE ATTACMED SHEET IICENSE NO IICENSE NO. LICENSE NO O ADDITION � ALTERATIQN � REPAIR O MOVE O REMOVE Tear-off Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE RE�UIqED FOR ELECTRICAL, PLUMBING, h1EATING, '�� v vv.•�. VENTI�ATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTIOM 20NING AUTHORQED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENpED OR ABANDONEO FOR A PERIOO OF 120 DAYS A7 � ANY TIME AFTER WORK IS COMMENCED ' NO DWLG. UNITS I HEREBV CERTIFV THAT I NAVE READ ANp E7(AMIN�D THIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PRpVISIQNS OF LAWS yA�UATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMP4IE� WITM WHETHER SPECIFIED MEflEIN OF NOT. TNE GRANTING OF A PERMIT (+28 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEFIM1T FEE PROVISIONS OF ANY OTMER STATE Ofi LOCAL LAW FEGULATING CON- STRUCTION OP THE PERFORMANCE Of CONSTRUCTION 21 P�AN CMECK F ��GN TUAE OF N'NACi Op 4UTMOp O AG N IOATE� E P( j` i � ' S�GNn UAEO O NEA�� EA WLDEp� �DATgi A� [. �tisv/ OCCUPANCY GROUP OCCUPANCVLOAD SQ. FT CU FT OFFSTREE7 PARKING STALIS IGARAGES e E P NEW ADDN ALTER [l �� [l �°ConstructionAddress: Legal Description: _ --�- Owner Name & Address: � Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: � OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � 9 4 !J � �"' V � 1�- - - �r 1�� Effective 1 / 1 /98 �b�� : Tel. # �1��r-��'�� LICENSE # Tel. # �'%�°_` � � ` �� 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. Length Width Height Sq. Ft. Length , Width HgVGround Sq. Ft. Construction Type: Estimated Cost: $ '��<' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: � — � 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. � �(��"�� l V� $ �/ G' � Fee Schedule on Reverse Side $ 'y .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 [ ] $ �/- �_� . � - BUILDING PERMIT FEE 5CHEDULE 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) 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 been constructed will be required before proceeding with the framing. y' e . 01i07i2000 10:45 E H RENNER & SONS � 5711287 �� Pa.�, � a� NO . 438 D04 � ,O .,�-� – 6� CJ ` � � �, � � �� MINNESOTA O�PqRTMCNT OF HEa�TM ' �• � y� � �� WELL�AN�D.80RiNG�S�'ALING�RECORO �� N ��g��T� � . Mmneso�aS►siuras.Chaprsr�09r ' orWeerleGNo. —^ • � 4�m..iooam • ��+�v Naare 7ownpnp Ne. Aanpe N0. SBOtbn No. Ft3Cdort lam. a IQ.� DatA SeskG � Dae �MaU M Boan�O Ca�aau.eed a��r. aais • • ' • .� Oa FnE Nt sno.mc� b�aDon m wmt or oal�— p oec�en qfid .66�'%�. N � �� ' ��' ' � �r :�i C(y m We8 m BmirtA Locatten - .. me�uwn� 5a� IU�e9. teatl�. � � ..� � � � '�Y 1 f . .O S �' �ew°� "'t _ Is. • � r�up�nYo�myr�•w�r�r6�la�Mmn1 OWI � IOtBQOn BAA�B6 �530 J� �' �, , �� 9� 55�'�1 �� . . � �� . . .�. � nemub:e�.a�e�ee�,e.u„i..,.. w�n a bon� oeWk se�ore seaung avuita+ ❑ N�Ilispwter ��r a M�I Odoina� Oep�n 2 � � OfEIUBORING - • �Eeaei,r� Q 6sNm�pq CBfwo�+r swoy wea p arom�. w�i .p 6mr. amn ►lote ❑ aner • �� n. �ee�a. CA3dNG TIPE{9) ' ❑ eDOUS 64ed 3YA� .. I�stea� D v+a�e p r�e p oinu ' -- �, w�wA�,7 � . Orememt OeDln � in. Rom �� o �. , � • in.11om � ,w ' ' ry. .� �o, in. hom tp IL Set tn o�e►alze ►rolo� Aron�ar a�eee 6�elry Oro�rteR� Q Yee [�No ❑ vee ❑ Me ❑ �/nt�nprn ❑ Y86 ❑ P(o ❑ Y96' ❑ !�a ❑ Uniop�rn D yee ❑ No ❑ Vea ❑ No ❑ Uaoio.n screso uom ___3 4��_ +e '�� n. . o�on � �m,n m �, ..^.» . . p aoear�oa �ve ❑�a�e� vei�tBi � O o�g � Fui I�p+�o oe�a� reoo uak�ee aeo.e. 1ype�w o�ewn�ene (oaam�e) � • oDain+wcne re+nored? ❑ Yea .O we oe�ioe • � � �NF . �y . T� ❑ peRrov80 , j� N�. p,�� a. o�► � � � . . � . rtn ,�, .••'�.+rEn+oo useo To s�►� axnuc+cn sva4e•esr.r�a a casi , OR CKSd10 ANO�RE IiOLE� • • • �NO AnmUer Spse� Edao' • . . • .. O nron+u�r �e �omm +Ap, e�e�roA plpo . 0 Cesing ReAmaBOMienmrat �� .. . �. uom • a n. O P�r�ae O a�d �.� •�• �'. �,o"; —�- w n. 0 PeA'aatea D wm++aaa Type al peAemmr � • Oelei dtOUTUYO YATEIBAL(s) . (dne I�g of oemont. Ba 108,, qy O�g p� p�1fy� �6p � •: �C�]� 1� 4 � . 6r�tfip Mamdal • . Mom lo R. Yeb+ �6 --- ,---- ----.� _. �...., �..........�.w, �. acwn� , C�Y �: •6� A.ifL � . � 3.'8� � � 9�i.Lm 3� � '� 7� �� /� � '� .� �� According to �� State Regulations � � � � �� ' Irem � pp �, y�y � . . . ' 1rom eo R � � QiHEN VYELLS'4pD BWiWfiS • • . 011�r ansae� ena unwed wo�i or Dming an or�M .❑ ves L�tte Fas �ea�nn Oue m Ote�pm�ef nry M�rlgape,Amw�{g�oe M0� M1tMeeelB Ruka. p�yytm �77b. Ti0 in�ornm�8mr m�m9�ed in Ihib �bpa� s �•�.r � �y �. %m��.� � �.. ww�. ._____-__ '_ � _' � ` � � '�t�,w�°,C�►�„ 3i,, �� s' �.�A� �o� H ��9�7� ,�� ,�� . � ��d f 99 01/07�2000 10:45 E H RENNER & SONS � 5711287 �rn � W� . � '� • . �—'�� VUi e tl�t,� pp ��tppp 'MINNE&OTA OEPaRTMEftlT OF ME4lTM M-ml�ot� yl� gr� � ^� Wf LL AND.�ORING �SEAUNG RECORD � �"9 "°- �`"`' H A�, M�nnesela slsluies, CnaDre. ro31 ' �� N� YJeq No. o.■.m��eoao.q T� ,�, � T�+�P No. pange Ne. Sastron No. Frapion (sm. -� �g.) Oate Sealed � Oaio Weu m 9ermg Conetr�atee rc �aa.swyYSi N0.438 D03 +v1� �� n � $ � �r7� Z�.�p � a6 KaMDer an0 G�r el We9 a gonn9 LOt9Gnn e�ien �gte wN, •K•. � � _�� y r '�" -%- E •�F- -,F- --I-- � -¢- ' •�--1 �i--- � "d° �'� � oeppn aeiore seaimq —._wS�� n. origmei oep�n � n. Skotan mep ot weti a oan�p AOYtFEIi(S� �. STqT(p rpATEii LEVEI. � tmeti�� snownB praper^r g;,�� pyNler Q J61ud�svuAe� Un�. roeas, artd bui�dinge. INEWBOqlNO �4AaasYreO ❑ Es�ima�ed � ^"�� wa�e� suap�Y wea ❑ n�aa�t, wea ae � 14 ❑ Emi. Bora MoU O Oinar &5 �. �pp�, ❑ eeeve tane suAeee P'�l �f ��g•NAOieas dmrfpgm UtM aan Iawliw �"� � a� �n . . ... �...�Q.�t`�� rs��2�. f �k � . $��.. . . � n►r� �rotl�orre nf?amaooemroee �gJs�3 GeEpp, o � o Y�� o �+� G191N9(S) �� o� �a �i_ In.ltmn m R. � m. irom ie fl. fn, itom to fl� � sm �e ors►et�e nae? O �� ''YSS [] Nc ❑ rea O No nr�eUmspma In1aeIM g�7 o�� ❑� o�� O res Q ae p wunora� O �a' O►� O uaa+o.� • 8°ree" �rom �'� � � n, �pen Mo�o hom to h, �, ' 0 Hoel�Drop PIOe' ❑ Clreek Ynlaelel O oemis O Fm � �,o oe��, �!'�0 8�lf88e ilt�fafmd O�B� :..- �j�p 01 abq�YWb1181��. •• . �.� ' abstivaione remm�eer. p ves . 0 No . Goscrme . . . . T� +�.+� �OLOrt �MEBS 01! •FpOit to �Rentorea, . D Noa Preaem' D or�t � • . . • ' PORYATl1:N ' i �ep nem i�iqr we0 or eertng. ' . ME7NOD YS80 Td 9EALAIfMYL,dR 9PACE BE7WEEN � CASINGS, OR CJ18D� /u� OONE F10LE: . • ONE : 4 S� ., � �� 1�,Mo Aaoiulm 9Reee Ea�Fn6 ' ' • • o�►�a��,�� . � o ca�r,q I+o�+o�naV�ve� �, In, rtmn ro .R �� ran, ... �, �o .�_ n. TYPe d►vmr�o�sto+ � �� - D Po�aee O r�rnowd D Pertaaeaa ❑ aer,aee ---- �-- --• ----� � •�..�n. mH w oemmn. oa �nH.� ofls Oe8 0l Amfmn110 � 8p I� . o1o,�w+A MBte�l ,,m,, �� ,o � R �„� � � ltmn ro �. � � ' • (ran m II. f� � � C� N. yproc � �� Oi O�lA, pFF7CU{JI6� u18FJ1UN6 . ' OTM�fl YY�L6 AND HOp�IGg � F�I: 69`� • Aii�; � • arro� u�eatea eno unuseo wen m eeruiq m vr�eiM O�s No How n�my► i11t'�SB ��.: �,,A, uc�s� aa aea+s�o co�►eron c�rnFlC�►noa �4'�iS ��L�yT� � 1� Z�i �� "'�'"�a � ee� ��ao a eoeadanra�Afo+ Mlnne�e f�. d�r erls. n�e bea�nera, oa�inoa In �ra npen m � � trua m Rre Oee! a nIr biarbege, � � �i�� ' , . • � �6e.�r � �7� .t:�1Rii. lZ�i� �� Accord;r�g ta �N State Regulations �A� �o� � H ��9�� :1 c� . , t ,'� ��, s: i,: � , '.:.�:-.a' , r :, ^t..: . � , :. � ,; . � � � sue�eti MIT F7"O: City of Fridley 3 i 7 9 7 � AT TME TOP OF TME JWINS g � 1 L D I N G P E R M I T f ; � RECEIP NO. , ___; COMMUNITY DEVELOPNIENT OIV. ��-�� / i �V ��. r � � PAOTEC7IVE INSPECTION SEC. � _ � � �"'1 � CITY HALL FHIOLEr 53132 NUMBEp pEV DATfi oAGE OF APVROVED B� � �.---�: �., 612-571-3450 s�aF�S 5�4�01 / / 10B ADDRESS 7221 East River Road NE � 1 LEGAL �OT NO. 9LOCK TiiACT OR ADDITION SEE ATTACNED DESCR. 9 1 �illcrest SNEET 2 PROPERTY OWNER MAIL AOOR�S$ 21P PMONE Sharon Geissler 7221 East River Road NE 3 CONTRACTOfi MAII ADDRESS LIP PNONE LICENSE NO R/W Construction 5456 Blaisdell Ave S, Mpls., MN 55419 612-822-4484 4 ARCHITECT OR DESIGNER MAIL AODRESS ' ZIP PMONE LICENSE NO. 20025749 5 ENGINEER k1AIL ADORESS 21P PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION �] REPAIR O MOVE O REMOVE B DESCRIBE WOf;K Reroof House (16 Sq) Tear-off; Install two egress windows; entry and storm door 9 CHANGE OF USE FROM TO STIPULATIONS See notat�ons on plan. Underlayment must comply �ith the State Building Code. Provide smake 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 openings. " tYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE FiE0U1RE0 FOR ELECTRICAL, PLUMBING, NEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WQRK OR CONSTFUCTION ZpNIN(3 SO. FT CU FT. AUTMORIZED IS NOT COMMENCED YjIITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONQO FOR A PERIOD OF /2Q DAYS A7 " ANV TIME AFTER WOqK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CEf±TIFV THA1 I HAYE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TF1UE AND COFiRECT. ALL PROVISIONS Of LAWS ypLUAT10N SURTAX AND ORDINANCES GOVERNING TNIS TVPE OF WpRK WILI Q� COMPLIED @ WITH WME7HER SPECIFIED MEfiEIN OFi NOT. TNE GRANTING OF A PERMIT W9,600 $4.SO DOES NOT PqESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- @ STRUCTION OR TME PERFORMANCE OF CONSTRUCTION y�181.25 Fire SC �9.C)O PLAN CNECK FEE TOTA� FEE ,� �� 3 - �� License $5.00 $200. 5 S�GNGTUAE O� CON'AACTO AUTMOA�ZED OGENT �D�iE� EN P OPERLY AL ATED THIS VOUR PERMIT S�GN4TUAE OF pWNEA�� OWNEpBWLOEA� �DAIE� � - �` �`�� BLOG N P � r�atf NEW [ ] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� 1 � - ��.c-o_v^ �cQ Legal Description: Owner Name & Address: � � ss� Tel. # Contractor. �� C,� �'� MN LICENSE # o�Y7�� 5� 4- 4 Address: �'-r-� � �lc�.t S�1 �� S Tei. # 6�'� - Sa� • 4-�1-�3� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction 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. Length Length �'' _ . /�n W Width Height Sq. Ft Width Hgt/Ground Sq. Ft . .��J� � .D��,coSS c�,�1�,'1S. .�s,'�v�u f S't"c!V'!�u �cX3v' �° i�� / Estimated Cost: $ Q , (oOp� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �'3 � � t APPLICANT: Tel. # �/a � i�o?-� • �� - 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 $ /�/•�� Fee Schedule on Reverse Side $ �? �� .001 of Permit Valuation (1/10th%) $ � e ��C,� $.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 [ ] $ �C�� - rc5� 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 applicadon tlierefore, 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(?0 $501 to $2,000 $2,001 to $25,000 $25,(�1 to $SO,OQO $50,001 to $100,000 $100,Q01 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first,$2,0� plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,(�l0 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,�0 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,OQ0 or fraction thereof, to and including $1,OOO,Q00 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "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 2� 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 � �"\ R/W CONSTRUCTION 5456 BLAISDELL AVE. S. MINNEAPOLIS, MN. 55419 Ph/Fax- (612)-822-4484 Application for permit to provide the following work: 1) Tear-off existing shingles, �.�r, and na.ils. Re-roof w/ 2 courses ice/wa.ter shield, remainder with 15# felt. Apply ZS-yr, 3-tab asphalt shingle. All new valleys, vents, and stacks. 2) Repair chimney 3) Install 2 egress windows in north wall of basement to comply with UBC code of installation, (i.e.) minimum of 5.7 sq. ft. glass light, maximum ht. of 44" from floor to top of sill. 4) Frame, insulate, wallboard, and finish north wall only of two rooms in basement to include: � �� > � , 1) 2x4 wa,ll frame construction adhesed and a�fixed with concrete anchors 2) Vapor barrier 3) R-16 closed cell styrofoam insulation �//�� 1 �u%�'�b'� ��r� ^ 4) '/Z" sheetrock, taped and finished ,�"� 5) Intall front entry and stprm �ioor� . _. � Total cost of project... ... $9.6�00.00 �� M � � �' � i � 9 A s ! ♦ - w � � l� � v�S �� wl� �,.,� � . �,, � '�� 8� � 3 � � ,� y�- �Z � ,- � � �1 rr A � � � � • � � J Q M P'O � � � � � ' .r f t�l � �� A O � ^/ � �� ► � c � C M Z � m n�� M f/� - � � �� _ Z'' � � � � � � M .►-. � .rn. � �� `�- 0� . � � - � �. � �� G —M �� r3-. � ro � * � D � a � � � a � � p� N �� o � � � ° � Q� 0 �' v �• d aa � m '� Q � _. O N � �N a o �D � � � �, � ,`�° a f � 0 � � D � � 0 � m n. � . O 'C � � � v � .+ m � � � � d rn � F.�, �.r � � � � m Z :1i � m � O z � m m � � V 0 0 \ 2 -� v� _ aa � � a � � o � � � � °, � d a�i � � a °c , .�'« D _ � �. n�' � m 0 � � O � � � `y" � `° � m � m �. � vTa \V r D � O O " -�. � <� 1 C1 N � � � � °, � n �,' a a►� D (� 1 O .��+, �o � O y � 1^""' � � 0 z � D c� � D O� Q �� a D � N� m N �a N � 0 0 G� m N � m � IT • n�i � D c � N y y � � � �..� � C'1 fD � -p� V? m � w v � � �• � � ? � Q� < � m �� .� � °.m ' �a -� aT�O —c � � � � � d��d� 3 � W � o � � � � x � „ W v � _ � � N � n �p fD � � rr 0 0 0 � � � � � � �� . �� o � � N � a��°� � �� c� m � c� � a ,�+°,°-m a� r,. n� � = �- ou �'. om�ov v=, � �? m � _' � a � � � o � a oo a Q. �•Do� � <_ 01 3 S <n� — p� y � O �D � � N � � � � �'n.�-�o_ � n} �- � �. D � � h'-} v- o ---I n, ,� u' � m ,.�.* C�nD O O_ c � � n� � ni � � m m ,�° y`D3 a� � o �S� 0 � � rt � — S ,.+ � .n-r � fD ? N C� � o-''i � � 0 N O � � �' m m �. N N � �. � -�iC � W� z -� o C� c? C� • 0 � z � � �� L��° � � � c m � -� _` _ � � h � �� n � A. n � o p > > � � co � � � � N� �- (n fD N r- N' �1 o amz� �� Or. � _ 0 � � .-r fD u � D � � � W 0 0 o° °o °* c� � � � 0 n . �� r rn N � a -i rn v C� 0 � � � m � 3 z O � � � a � f�i N t7 2 rn v C r rn � � g W o m a �1 '�1 p1 (� N a W � �+ O� C � -p3�•� Z N :I7 �� v W D '< N m Z Z � rn� m c� � O z � C � a o � z � r m> �� Z m� �' o �� o� z� a z� v aD �Z O H vZ -� v� O = Zm Z �a-I � Z N � �' �n rn� 3� N Z v< mv '� <� n D N � O z m m � � <' m O L n� � c d � N O O O : a��p :�(g pauBig �O� JNIl�/3H aqia�saa :SN011d2l311�d edl�l w �a�aweia �} y�6ua� }} �y6iaH �o}�auuo� �uan g# a7uei�ddy ad�tl ui ae�aw�ia � y�6ua� � �y6ieH �o�auuo� �uan Z# a�uei�ddy ed�(1 ui �a�aweiQ � y�6ua� �} �y6iaH �o��auuo� �uan �# �uel�tidy say�ui �a�aweiQ �y6iaH �uan ed�tl �uan uowwo� �ndul nl8 I��ol sa�uei�ddy I�lol �eN �o pe�sissy ue� �ndul f118 ad/�l � a�u�i�ddy ��N �o pa�sissy ue� �ndul f118 ad�l Z# a�u�i�ddy �eN �o pa�sissy ue� �ndul f118 ��l l.# e�uei�ddy uoi�euuo�u� �o;�auuo� �uan pue �uen uowwo��az�S pue e 1 a�uei� y ( ) oN ( ) sa� •sapo� �ua�m� .�ad se /(�a�e�edas pa�uan pu� �uan uowwo� ay� wo�} panowa� uaaq sey a�uei�dde ue �a}}e �f��a.uo� pa��e�sui pue pazis s�o��auuo� �uan pu� �uan uowwo� ay� s� () oN () sa� •sa�uei�dd� ��p �em�eu pue pa�srsse u�� o� sa�qel Bui�uan a�eum� �e��ua� � tio6a}e� yw��-y�y apn��ui saop siyl •suoi�e��}i�ads s�am��nuew pue sapo� �ua�m� ay� s�aaw pue I(�qwasse pa�si� e si �t }ey3 se�uan �qa�ay pau6is�apun ay� `wa�s s ui;uan nnau e ui��e}sui uayM ( ) oN �) SeJI ( ) �N ( ) SaJI ( ) oN {%�se� �suoi��t}i�ads s,�am�ae�nuew pue sapo� �ua.�n� ay� �aaw ol PeII�3suJ pu� paz�s aq ��inn li a"T ie uoi�snqwo� nnau e ��e�su� o� pa�mba� uat,� •suoi��}i�ads s,�am��e�nuew pue sepo� �ua�n� ey� �aew o} pa��e�sui pue pazis si �i� uoilsnqu.io� ui�sixa eyl •sa�uei�dde �}e�p �em�eu pue pa�siss� ue� �o} sa�qel 6ui3uan a�ewn� �e��ua� � IGo6a}e� ydyy�-y�y apn��ui saop siyl •suoi��i�ads s,�am��e�nuew pue sapo� �ua�m� ay} s�aaw pu� �(�qwasse pa�si� e si �iun �uawe�e�de� ay� �ey� sa�uan os�e pau6is�apun ayl ) oN ) sa� •uoi�euiw�a� pue sMOq�a �o �aqwnu 'y�6ua� '6uizis 6uipn��ui suoi}eo�i�ads m��e�nuew pue sapo� �ua�m� �� s�aaw pue �ndp�i�se�d si wa�s�fs 6ui}uan ayl ) oN sa� •pa�mba� a�aynn paddo}se�� pue pa�oddns ��a�n�as si pue 'suor�ru}sqo 'uoi�e�oi�a�ap '�sru wa� aa�� si pu� pauiwexa uaaq sey 6ui�uan ay� �ey� sa�i�an �(qa�ay pau6is�apun ay� 'a�u��n} ui�sixa ue ui�e� a� uayM NOIlH�I�I2�3A 2�Ib' NOIlSf18W0� aNb� �l01�3NN0� 1N3A 1N3A NOWWO� n � � � Z � m z � z � O O z D n � � v m � m N c -�1 � O d D �O r A T m m � � � � J �� N o � �7 � -�+� �L N � 7 � � � m o � v �o� ��Oo `° m 3 o D � D _ v � v N � � � -� rn � 0 z � v -o < a � ✓ � O C f0 � 7 v � � � d v �. � �, � �� \ G� ` tn � n ao 0o O Z —I °�' vd, u01i � d d 3�' �� c� °' � �� v � � c�u � � � � � � '�! T � � _ _ � �(p d d �i H � � '� � (G d p�j � A �D N W � � � '� � � � L"� � r � y � � y m t-, -, �'o �; d �� Z � H 2 � d � � � � � � '� c � � � c 0 a ... -C m � � Z o I I I I I I � I I �I I I � �r► tfl d+ ��n tfl d+ �► d+ t�+ �n d+ u, o 0 o v o � v � � �' !' � 0 o c o 0 0 0 0°o °o °o °o °o 0 0 0 0 N i y W � ZC 3 °� c��u � � � r° � z a c � �ii y O. ... � �� m � � _� z 0 a �� `J � N � N O I� \ -� � m c � a m N f� 7 d � lD fD � d (�D N � d '� � '� � 0 � 0 � ,� � � 'o ; � m �o � . � N 7� 'D r c � � Z T � � m � m � z 0 � rn � O D r � � � 7 . � � _ w a � � c� �� Cp w�� z.'n � Z � � �I� � ND� � ZZ �mN � m G Z 0 < m � c < �o O � � d � J N O O J COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacins� an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specfica�ons including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufactu�er's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existlna combustion air is sized and installed to meet the current codes and manufacturers specifications. When required to install a new combustion air�_it will be sized and installed to meet the current codes and manufacturers specifications. Yes()No() Yes ( ) No ( } Yes ( ) No ( ) When installin� a new ventlna svstem, the undersigned hereby verifies that it is a listed assembly and meets the cunent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () (s the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () A liance T e and Size/Common Vent and Vent Connector Infonnation Appliance #1 Type BTU Input Fan Assisted or Nat _ Appliance #2 Type BTU Input Fan Assisted or Nat _________ Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input ,_._ Common Vent Type Vent Height Diameter _. inches Appliance #1 Vent Connector Height ft Length ft Diameter _,___in Type _ Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: Signed By: Date : _ _ C� I I �F FRIDLEY FRIDLEY MUMCIPAL CENTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 6, 2002 Andrew Elmer 7221 East River Rd. NE Fridley MN 55432 Re: Paved Driveways Dear Mr. Elmer: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, Stacy Stromberg Planner C-02-53 _ _ CITYOF FR(DLEY FRIDLEY MUNICIPAL CEN'TER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 July 2, 2002 Andrew Elmer 7221 East River Rd. NE Fridley MN 55432 Subject: Paved Driveway Reminder Dear Mr. Elmer: This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by December 31, 2002*. As you are aware, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*. If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, Stacy om erg Planner `If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. C-02-83 s � C[IYOF FRiI�LEY FRIDLEY NIUNICIPAL CENTER • 6431 UNIVERSITY AVE. 1V.E. FRIDLEY. ;�tN 55�32 •(763) 571-3450 • FAX (763) 571-1287 December 13, 2002 Andrew Elmer 7221 East River Road Fridley, MN 55432 Subject: Last 8� Final Paved Driveway Reminder Dear Mr. Elmer: This letter is your last and final reminder; all driveways within the City of Fridley need to be paved by December 31, 2002. As you are aware, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driv,eways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. The City Council has agreed to allow an extension until June 15, 2003, to those of you who haven't paved your driveway and/or can't get a contractor to do the project until spring. In order to be eligible for this extension, proof of a signed contract from your concrete or asphalt contractor stating that they will pave your gravel driveway by June 15, 2003 must be filed at the City by December 31, 2002. You as the property owner will also be required to sign the statement on the next page, ensuring the driveway will be paved by June 15, 2003. Failure to do so will result in a criminal citation being issued on January 3 2003 and filed at Anoka Countv. Thank you for your cooperation. If you have any other questions, please feel free to call me 763-572-3595. Sincerely, Stacy S mberg Planner C-02-150 sue�ec* MIT NO. City of Fridley 33923 ' AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r ; � R CEIPT NO. • COMMUNITY DEVEIOPMENT DIV. � j V �� , r � � PROTECTIVE INSPECTION SEC. 1 . � (---. A �/'��,'� CITY NA�L FRIOLE� SS�3$ NUMBER REV DATE PAGE Oi APVROVED BY � �� 763-571-3450 s�aF�s 9/29/03 / / J08 ADDRESS 7221 East River Rd NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED oescA. g 1 Hillcrest SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PNONE Andy Elmer J CONTRACTOR MAIL ADDRESS 21P PNONE LICENSE NO Expert Masonry Inc 17490 Mushtown Rd, Prior Lake, NIN 55372 952-447-0300 4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AOORESS ZIP PFIONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION C�l REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Remove and replace north wall of house foundation 9 CHANGE OF USE FROM TO STIPULATIONS � See notations on plan. Existing 8" block - replace with 8" core fill per plan. SEPARATE PERMITS ARE RE�UIRED FOR ELECTfiICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY IOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SQ. FT CU FT. AUTHORIZED �S NOT COMMENCED WITHIN 80 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTqEET PARKING I HEREBY CERTIFY TNAT I HAVE READ AND E7(AMINEO TMIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIE� WITH WME7MER SPECIFIEO MEREIN OR NOT. TNE GRANTING OF A PERMIT �7 f 89O �3.95 OOES NOT PRESUME TO GIVE AUTMOqITY TO VIOLATE OF CANCEL THE pEFMIT fEE SAC CMARGE PROVISI NS OF ANY OTHER STA7E OR LOCAL LAW REGULATING cor,• � 153 . ZS Fire SC �% . S9 STRUCTI OR 7ME PERFORMANCE OF CONSTRUCTION PLAN CNECK fEE TOTAL FEE $165.09 S�GNGTUAE OF �ON�AACTOp OA AUTMOAIzED aGENi iD�rEi W EN PROPERLY VALIDATED TNIS IS VO R PEA IT S�GNOTUAE OF OWNEQ�� OwrvEp Bui�OEp� IDATE� �� BL G �NSP � �iaTE NEW ADDN ALTER � � CITY OF FRIDLEY �� 6431 University Ave NE, Fridley, MN 55432 [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Effective 1/1/2003 (763) 572=3604 Bldg Insp (763) 571-1 7 Fax ��' �� . ��' � Legal Description: Owner Name & Address: A�N i�u �+�n�� Tel. #-7b3 - S7Z - z�3% Contractor. MN LICENSE # TeI. # ,,..�.5� - �i/7- �3 00 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LN1NG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length � Width HgUGround Sq. Ft. OTHER: , d�— Construction Type:t-ov�.N��.1 ►�—�—?�a-�� Estimated Cost: $� �1'r� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: li Z S� °3 APPLICANT: � Tel. # Co I 2•13 S' 1t1'OC� - e.�. • 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 $ � Fee Schedule on Reverse Side Fire Surcharge $ �. �� .001 of Permit Valuation (1/10th%) State Surcharge $ � • q � $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ �$5.00 (State Licensed Residential Contractors) Cur�b Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineerina • Sewer Main Charge $ Agreement Necessary [] N� TOTAL 16��Oq $ STIPLILATI�NS� �.� , L�C� _��. t �-!5� _ � _ .�� oo, � � , ��!,� �.� y,� L°%`-/� G�� -��-��'� s ,. � � �� .• r�,/ � BUILDING PERI�IIT FEE SCHEDULE The Chief Building O�cial 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 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 $�,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 $100,000 �993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the fust $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 $1,000 or fraction thereof CUgg CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. � 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 � w -� CJ r O � G 0 [� � P` �1 . � N o ', r ci o � �� N� � � � � � ,� � - � z �. � • � � %1 � � o . Z v�i � U� � �, � � � ' N � �. x Z � � � J� N 00 � : � � — v �; � � �� . � �; o � (� Z �fl � C � N � �- �'y ,' � K H` � � 0 � d• Z � �� Building Inspections 763-572-3604 763-502-4977 FAX DATE .� 1 � U SI1'E ADDRE S � THIS APPLICANT IS: ' v PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING DC SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-OS ADDRESS OWNER ❑CONTRACTOR JAME: '— �DDRESS: G �un�T�• %_ /"1-'7!/)� Li� CITY Permit N Received 'ATE, /� ZIP �� tI.3 ADDRESS: CITY STATE ZIP PHONE F� STATE LICENSE �',SINGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION SIZE STORIES EXP DATE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS �� ^ I�� ❑ BASEMENT FINISH ❑ ROOF � DRARV TILE ❑ DECK ❑ SIDMG � OTHER r� � d�e / ❑ SWIMMIlVG POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAMTENANCE/REPAIR �REMODELING WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENIIVGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO $E INSTALLED ❑ HOUSE ONLY � HOUSE & GARAGE � ATTACHED GARAGE ❑ DEfACHED GARAGE HEIGHT c„� vp.t�-�,i �l ( "�'o.� Oc,9 �/� �l BASEMENT REMODELING SUBMIT: !. Existing Floor Plan 2. Proposed floor plan 3. List of struc4ual members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit �DITIONS & PORCHES SUBMIT: ❑ Trim 1• Site P1an/Survey showing the existing str�ctures ❑ Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATTON OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION S � OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surchazge $ .001 times the total job valuation Surcharge $ ,� .0005 x Permit Valuation Minimum $.50 ' License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Pazk Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Due $ � Q i'J� ___ Make checks payable to: City of Fridley Attac6 THIS IS AN APPLICATION FOR A PERMiT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowled that the information above is eomplete and accurate; that the work wili be in conformance with the ordinances and codes of tk►e City of Fridley and the Minnesota Cons ction Codes; that I unders fi this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will in accordance wi the approve in the e of all work which requires review d approval of plans. SIGNATURE OF APPLICA T " PRINT NAME �%.�a`t' %��i�� / DATE .� I l � APPROVED BY �� DATE�--�% � Page 2- Building Residential Application 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 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: VERIFICATION OF FOUNDATION Pemuts for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 � 763-572-3604 Faz: 763-502-4977 G � � � � w�' �' � � c4 � C., � 6° e� � � � w► � Y a �.. � � a � W � w i s � � 6 � � � d � � Q.� @`' � . � � �� . P�d m , u '`J � . � F,"'' �°D �l 6�� y' Uu� �� _� -- _ -- � � �� . �, � ' 1 �/ � � c �� ry, � � � � n r� �' �. � � O _ O �d > � S 7� ..� � �'°� r � � � �� m _- c � �� .m �� . �,,, 1 � �7 � / � � �� z � � .� � � � � _��A � � I�;�� S , � t� V . ;:o , , � - � os, � �� - .� � - —� �. � � -, s� � ° � � � , � � � 0 �.� 6� .� / _ ^ _. L�A �. � � : � n9 � b� �- � � � A -� s�,,��sa��oo� � 0 �. c e � a �� s� ; o �� _ - � � h � � � � �� . �-#+�— � �'• - .3� '�'° �, � ;�r� � < <� � � . . ; � . � . � . ' � � i • ; I I . � i � —i � __�_ ...�... � _ i � , � �. . I � � '� I � � � � , i � . i � . ... . �. � � � � �, � , � T, � , � � � ! I ! i �, � ; � � � _� � • I i �_ _ . � _ _r _- _. _ -�` � i 1 i" . i �--- -+- _ � -+- �- -f---�------' ` -- - -t- j- �-- -�-�--- I �__ � , , ; , ---�---+- 1- �.___ _ �_�_. -�--- -�,-- -}-- �- , � � � � �.'._. -- { , � 1 , . � _ ' —}— j ;—_—; ' � ' _-;_i �,� - + --�-- -�--------�--f-�- -+ � , , � , ---,--- . , � , ; , _ , , , - , � ,� i i � I � � i � ;� I �!�_ , i i ��` T� I i '. . ,'°��— I i ._T ' ' I i ',�, 1 i'T-_.-'�° ' ' �_�._ , I . . . � — . ._ �._�___�,. _ I , ! f 1 I I . ' � � I° . -1"--1--�-..T ' ' � '� �� . . , � � �._ i i`. i .�a i . _�. i_—._.y_�_ i '— . ' - � i . � _ _is_"'_4_ i t � -_ ""- I - _ � .�_. +.._..r i '—_'"_ 1 _._.._,'. _._ ' —_' �_I '� '—:--y._._ i T__ �.._' I �_� i i I-_ i -__�___._i...-:- i -- 1---� . ` . ' _ .__ _ � _. _ � " I � � � � � � � � . ' � � . � : i �_ I I : � .�— � . �� i . r 1—' Y---- _ _.... ' . � - � i � �, . ! , , � , !- _ 1 � �� , � . � � � � �; . . ,� . �T-"- -"1-'— �p � �` -�. � � , � -t I 'i.—_J'_ _ - - -----}- _ -_ _ _ � -r--_�_ _�- . -�- ; ---a- , —+- ! _-�--�-_ , � - -�_ I i ; ; � i � � � I I � � � ' � t i � - _ _ _ _.. � � -�--�- �-�---+--,----- --- �--�---�-- - �- - -- t ! --{-- - - - --�- - - - � � , l�- -}- i - i-- - � 1--y. � � � � �, � fi -;----�--- -�_ -� ----t-- i -- - ' I - �- �-- -,- - �-'- .� r _�.�._�_. -- - � , r +_ _ _� � �_ _. � +-- ' � '._ _ _' _' ' 1- _ ' �_ _ __,_ � ---�-- �- , � �� ' __1_ � _ _ _ -�- � � � �- -- -± ; --f -- � , -r- , � � �- -� -�---�- {- t � �-- -�- -� � � � � , -- , Y -� � i ' -�-- i ' � - _— ----- -- �� --�- - - � � _ __ _ -�----- -�--�-- , T- - �- --�- , - i � -C----rt- -� 1-- i- -t- - -- - - �� ; , - J . , , , , �- _ + : ---± - ; ; - - i ---1- - i ; - ;i- ; -+-,-- l - I _j- � i- -: --!-- t- ;- I_ }--_1 -i-- � -7 -L_�-1 - I . I �--- -- �-... _ - I � I , i ; � . ' i I � � - i -� I , , i -- --I- -�-- : --- + � - - - -- - -+-- ---- - - - - - - - � . , I � �.. t i p � � ' � � , � � �_� I � _ _ �_ t- � , � _'� _a _+_ � I I I ( I � � � �-� f � � 1 ' � �1�� , - I -I I � � i - � - -- -� -_1__ -I- - � - �- -�-- - - - i � I � ' . i ' ' � I � 1 � I , " T � -- - - -'- 1 � � -j- -1 -� -=--�_ �_ � i ' �'i �-'� �__�. ' - - --f- ---�- -� _ � � ' I - -�--- - --- r� � � � I }} � � � � I � _ I '.. �— - - - � , --�—j._��.. -r_�- _ � � � �� f � i � . i�- � I � ' � . � __ ... rt_. I _ � ' __}--�-- i � .- i i i ._ _-.�._. ' ...;._ .__ _ _ . ._L-- -_ -�__. '_ _'._ ` � � � i -� ' ' f � - -- -�- - --� �.-�-_t-- ' i _ _. _-� - - - ; �r ` � , f ,_ +�j �_--�-_ - -- .--,-_. -f--- ---- -- - _ , �._ , �_ , � � , � � ' - �-' fi- - � �-- -�1- _ f _ - -- - - -� --- - --- _ � _ _-�- �-�- �- -�--- - -- -� T , � _ � �- ' f �--- �---- � � - - '-- _ 1 i � - - - ' � � �' _1_ �_ � � � � � -� ---r-- � ;�_ ; - -�� 1--- , �, , , ; - p , , - - -- .� � 1__ _ - i � ' � ;- � I�--?--'---�- i -�- - -- - - L ' i I � � 4�- �-- T � , _ � � 1 "�-�- , -�----_�= � _ � � - �� r' � ' � _ � � i � � � � I � � 7 I ' i --� --t- � i ' _ .�_ �- -J- ��-;-�- � ' ' i i_� ; I � ' I � � i i i - � � I�� ! * , _��- ' I- i i � �-- -?-- ' -�--_ --+_ �-_ � _ �_ � � ) � � � � i � � � � � � � � � � i- - -- - � '- i � �_ T�--- � � i _� �--�-}-� � , � �--�-_ ��._.i i ^ %� _ I T I i -- I f � - I 1- � � � I - ! _. � ' - , 1 , fi--� �---E--�- �--t---�- �--�-�-, --�- -, , , —,---�—�- � - - - ' � �-- --;--�--;- , - --�—j- -�- t--�- �_ �_�. ' � � � ' � ; , -j--�- ; -�--' -{- -�- - I �+_i � • � _ � � � � i i I I � �- i- . -�--t--�---I--� � �— --;— ' --�P � �— ! � ' _ I —� � —1— � � � � !— — � ' --� ' _ ;_ I _ ' '� �� ; �� I ��_i_ i �� , ; � � � -I-- , -{--�--�-, � ! -t-;-- -�- , � ' - -- -- - � �- , -i---�--�-�- ..� _ ,, � �'' --J-- � , , ---�--�-- --�- -+ -fi ; - � - - - , �-- - ! � � �.-- , � � , l. � � i � � � ; � i ` - � 1 i. � .- i i �- I -� i � _j �, � , i , -�- --�-S��-t-- ' � - � , - -- - - T- -�--1- ! , � I i i � ; ; i : t ' ' � i I � -j---� -+- _ ! � � , � , � �� i �- � , �--- � -- , - � - - - - --{-- -L � . ! i i -�-- �- , � � � � i -j ; � i ; � -- ; ----- - -fi� i ��- -, - - -t -;- �i. � -- - �- --�- ' � -__j_ ' �-+ i � � L ; ' _��,��7 ! -a- _ ___f -1 ( , , , . , �� i , I ' � , j T- , �- � �-�- -'t-- i ! �--� -t-� �-- J- � - �---- .- I - I-- � -;--�- i -�-_ I ;—� ' ! ; i �'- i �� ! � � i � T �---t- -'-- + — � I � � `__ _L � - t_ � i . i _ I -I --i � - - -�- � + � � -- 1 , ; � � � � j / I � ; � , � I i � i T- --C. . � , , -- - - --�- �- - , __ _ -1-- ' -�- - - ' ---�--� - � - _ �-�; 1- � ; -� � -+- ; , , � � -- � M t - T _�____� �.;__.._ � _ _ � � � - , j -� �- . , , , i 1-- � � 1 - � -�-�-��-� , - � � i �-��- ;- ;'T - - — -�-- � -+---I- - ! � � '_ -- t-t- ._ -� �--- --- --. -_. _� _... __ _._.._ ' .._. � �' ! � � i � 4 i ' � ! � ` � � � i ' � � t j I � �f ! �- �_ .r �- � _ -fi --�- - -- � -�--- i- �- � -j- - , , � . � � , , � i _. . , , . , � __ i , , , .- - - � -�- �- --L � � - I , t ' I _I �_ � _ _ , ; i -�_ � --{- ; --1- --i- -. � � _� � _ , - ;- - - -- I- -�- ..+ � ; � � 1��i _ _ ' ; � - ' - - , - - - �-- � � � ,; � 1 � � 4 ---, �- -�- -� � -j- -�--r- � � ' � ' -�- ' � � - --�- � � - -- ', � ' � � ; � � � i . , ' i � -1---�- � �-- � � _ � ' ' - -� __ i �`- �1--}-t-_� - r-- -- , , ; � �� ___. : . ; , . 1 -- - - : ; __� _ _ , . _ ,_ ; � , T _ � _ _� - � ; I ( � � i- , i -� 1 � - �--t 1 --r 1 { -; ' ' ' ` - ' ? -+- ' �_ j � ' i ' , I i , i i f i ; i _ ; - � - � -- ----i- - - - ;- 1- l � � ' � , � � � �. � ; � ? _ � - - I y , i t- i- �_ � � - i ; - _ � , , ; f _, i ; _ ; , , - .-; ; � : ; �- . , n , ; �- ` , � _; F r- �1 _.�-- - �- � � ! i , � j - - � { � � � 7 ; - T � -- ----! _- - - - _i ; { f i j � I i ' ; , � ' � ; �� i � ' ' I ; ; I ' � � � : � , , I i ! I i� i � 1 { { i j ;. i ' I � - � I- j- � � � 1 _ i � � � � �i I � � i �� E. , � i i I � � I i � r ' a i I_�-�'i; !'; �1 i1 _j a;I�; I t '� - � � t 1 _ .� � , � _ �- � � �- -- - .i �_ � _�-�-�--�-�;Ii:._�, _,� ��Ii�-�-.�i;,11�i��--� � • 9 � � � � p�. � � � �� i � Building PLUMBING PermitNo.� -�63 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLE� Date Rec'd: LL('-0 763-502-4977 FAX EFFECTIVE 1-1-08 DATE �' L YOLJR E-MATL ADDRESS G..�t , •(` � SITE ADD `��. - r �� THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY N,�: r �W�� ADDRESS: �'I � / CITY 1' 1 STATE�ZIP��. TENANT PHONE:�� oZ. a �) 9s� �'% � CONTRACTOR Nq�: SUBNIIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CER'TIFICATE OF pDDRESS: CITY STATE ZIP INSURANCE , pHONE FAX PERMIT TYPE -°<SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � ��` ��p�CEMENT DETAILED DESCRIPTION OF WORK 0 �C'i r. r d « � A r r c r l /''� • PER MS 16B.665 the permit fee is a minimum of $I5.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$I5.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS Wi�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDiCATE TOTAL ]VUMBER OF EACH BELOV�. MINiMUM FE� $ I5.50.. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPiNG (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER � KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($IS) � DISIiWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER .� v � ,;�, i � „�„�'.s.� ��?�. � �,x::�'�.,� « f "«w�i:;�A� ��y:,e��l �_:� .ti N �: . c '�. hPermit Fee $ Number of fixtures @$10.00 x$10.00 =$� Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 x$35.00 =$ State Su�charge = $ .50 (MINIMUM $15.50 (MINIMUM $I5.50) Tota1= $ � • THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I herteby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley,and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is n to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which require eview and approval of pl s. SIGNATURE OF APPLICANT � PRINT NAME� � .%� DATE �� APPROVED BY / DATE � � � � � � � �� ,�. r � �� `�� ,�"�� . ;�.� �,�: .r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977