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SUBJECT P
City of Fridley ?�, 12901
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � R .
� i L__�� COMMUNITY DEVELOPMENT DIV. C
r � � PROTECTIVE INSPECTION SEC. 7�3fp /�7�
1 = �
� /"'1 � CITY HALL FRIDLEY 55432 NUMBEH REV. DATE PAGE OF APPROVED BV
�""� � ,�� 812-560-3450
910-F15 4 11 75 � �
JOB ADDRESS �231 East River Road N.Eo
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. %� 8 1 H:i.11crest Addition SHEET
2 PROPERTYOWNER MAILADDRESS ' ZIP PHONE
Roger A. Lennox 7201 East .Ri.ver Road N.E. 633-5742
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
SdItt@
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
�1 NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 42' x 27'4" Dwelling and a 26' x 24' Garage
9 CHANOE QF USE FROM TO
STIPULATIONS grovide a hard surface driveway, Provide a verifying survey before
cappi.ng. �
SEWER LOCATION: "Y" 120' North Of ManhOle
nYn Elev: 8g%.84
TOP OF FOOTING: 850.84 Minimum Elev.
Inv. Elev. of Manhole: 848.30
WATER LOCATION: Stopbox.11.3' South of Sewer Service
- SEPERATE PER�o11TS
��Enrin�r, PL�+6ViBiNG A��U��E� FCiR W1RiP�G.
��r
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOd Frd�L1G'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. 1092 21, 840 '1'GZ O
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIHG OF A PERMIT 526�4�-0 �.3.ZO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �`51..94 325.00
� PLAN CHECK FEE TOTAL FEE,y �,ri� �,/
a7 7
� ?
�RGN T REOFCONTRACTORORAUTHORIZ DAGENT IDATEI HEN P O L ALI TED THIS IS YOUR PERMIT �
i
t
'.1�°.,. � . ��'r�� �
SIGNATUREOFOWNER(IFOWNERBUILDERI (DATEI BLOG INS DATE ° �
1-
. . APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllTTION BUILDING PERMIT
�ITY OF FRIDLEY, �iINNESOTA
� "���� / �85/- %!00 � -
OWNER' S NAME : �� (�BUILDER : �S A�/( e �
ADDP.ESS :���D % � lt S� Il i� U h ,- ADDRES S: S A�j�(j �
NQ : . ��� 3� S TREET : �8�� /' �] �� �`/� �-� G � �
LOT e_ �" R BLOCK :�� ADDITION : /'l , � � G 1" C S�
CORNER LOT: INSIDE LOT:�_SETBACK; SIDEYARD:
Applicant attach to this form �ao Certificates of Survey o£ Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Se Used As:
7'1' 1� �,ti C� Froz�t :"�/o� Depth :� 7�' `� Height : oL �
Square Feet: �Q� Cubic Feet: �)� ��4
� Fxont: `� 6 Depth: �� Hei h�: 0
g /
Square Feet; (��� Cubic Feet:_ l„ �Y�
Type of Construction: _�0 � �r-� j� � Estimated Cost: $ a(�� l�J�,�v
To Be Completed: Q M� �C � A'(` •
The undersigned hereby ma.kes applicativn for a permit for the work herein
specified, agreeing to do all work in stxict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares tha� all the facts and representaicions stated in this application
are txue and correct.
DATE : — 7 5, S IGNAT[JRE : -
(See Re erse Side For Additional Information.) y
�n,''"'c� ` ��I.�ISI ��2�J;��, rla��v 5�2��C�, ���,d�
i � ,� J r
�X' " 13�a� $�5./`�
�- ���e�
. r � , o ,�
,��- �� - . � ��9�. �
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BUILDING PERMIT FEE SCHEDllLE
SECTION 2. T'he Inspector of Buildings shall, before issuing permits for the
exection of any building or struc�ure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building ox structure, upon application therefore, xequire 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:
UNIFORM BUILDING GODE: Type 1, 2& 4-$2.15 for each one thousand cubic
fee�, or fxaction thereof, in such cubical contents. `.Cype 3& 5-$1.$5 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of crnnputing fees for building permits, the cubical contents
of any building ox addition, is determined Uy multiplyir..g the ground area
covered from a point six (6) inclies below tl�e floor line of the basement
ox the cellar to the average heights of the upper surface or to the average:�
height of the roof surface of the main gable of a pitched roof.
For Yepairs or alterations to an existing structure, the fee shall be at the
xate of $3.00 per each five hundred dollars ($500v00) or fraction thereof in
the cost of a.11 proposed woxk.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00. .
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours fxom the
time of application, to allow for proper review of the proposed struc�ure and
of the construction site. _
A Ceztified Survey of the lot, showing the location oi the foundation, once it
has been constructed, �vill be required before pxoceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be ma.de ten (10) days prior
to the use or occupancy of any structure for �ahich a building permit has been
issued; and said structure shall not be used or accupied until a Certificate
of Occupancy has been issued.
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SUB�ECT PERMI .
City of Fridley o 18117
' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T REC .
r
� `y _ COMMUNITY DEVELOPMENT DIV.
r i �� PROTECTIVE INSPECTION SEC. / 7 y� �
t1 = �
--_.� �'��;'� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
i 612-571-3450 9t0-F15 7/17/85 / / �
JOB ADDRESS 7231 East River Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. %�$ ]. jjj:].],C�C',St AC�C�1't].OTl SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
David J, Fox Sx�. 7231 East River Road N.E, 571-5491
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12 ' x 24' Deck Z�rea a,nd a 20' x 14' Deck Area
9 CHANGE OF USE FROM TO
STIPULATIONS .
Be�Qre ��'1��1�j,�li
TEIEp����g�n,� c�ll ��,���
R,��,��a�° �r��rr���. ��isl�t�s
SEPARAi� l�r�."ne-j-`: �'"nDTrt�E� FOR ��� �� f�^ C�
11lIII�'�� y�: , �-:`".�,-� �. .:;� �-�..,��';-�'� :� a�►Il�lli� ����lS. � �`�
a
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING. -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WI7HIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME APTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFiEET PARKING
I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GARAGES
AND KNOW THE SAME TO BE TFiUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3, 250 $�. . G3
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING corv- $44.SO
STfiUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
�.�1.13 $ 57 .26
5i A REOFCON7 UTHOR12 AGEtvr IDATE� WHEN PROPERLY LIDATED THIS IS YOUR P RMIT
� f �' �.� � �
Si A U EOF WNE FOWNERB D RI IDATEI BLDG �NSP flpT
NEW
ADDN.
pLTER.
[l
Itil�
I7
City of Fridley
R-1 �ND R-2
Building Permit Application
Effective u/1/84
Construction Address: ^ %��i G. UC/i/e!'' �
Legal Deseription: / ° �i � % f.�� ��,..e�G f � .
Owner Name & Address : ��t�Lc1 f�,2Ls/'" �� 3 � �� ,�i� r UC� � Tel . � �/�
Contractor: �� �� Tel. � ��
Address:
LIVING AREA:
GARAGE AREA:
DECR AREA:
OTHER:
Attaeh to this application, a Certificate of Survey of the
lot, With the proposed construction dra�n on it to seale.
DESCRIPTIOH OF IMPROVEI�NT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length �2� Width �_`f � Hgt/Ground �� Sq. Ft. Z8�
.� � _ r i
� g� .�- �2��y
Corner Lot [] Inside Lot []� Ft. Yd. Setbaek
�-- A
Type of Construction: �L'�m�sf�
Approx. Completion Date:
SZ�'�e �'p, .l'� z 3 �.4a.�la
�
Proposed Driveway Width If New Opening Is Desired:
,� , � _�� z 5z�
Side Yard Setback
Estimated Cost: $ �
�2���
Alt. A Alt B
See Baek Page for Explanation
DATE: ..� � � � � ���APPLICANT: � � Tel. �
CITY II ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
���
STIPULATIONS:
$ � ���
$ �.r3
� �}.y, 3
�
$
$
� .aF
Fee Schedule on Reverse Side
25� of Building Permit Fee
$•50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� �
BIIII.DING PERMIT FEE SCHEDOLE
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 strueture, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
Total Valuation
�1.00 to �500.00
Fees
$10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh
additional $100 or fraetion thereof, to and ineluding
$2,000.
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $�1.50 for eaeh
additional $1�000 or fraction thereof, to and
ineluding $50,000.
�50�001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
ineluding $100,000.
$100,001.00 and up
$433•00 for the first $100,000 plus
additional $1 � 000 �or fraction thereof .
DRIVEIiAY DEPRBSSION ESCRO�i
(Conerete Curb Streets Only)
$2.50 for each
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
approaeh With 6 inch depth - Driveway width plus 6 feet times $15•75
9ERIFICATI�N OF FOUNDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A CertiPicate of Surve� of the lot, shoWing the location of the foundation onee it
has been aonstructed will'be required before proceeding With the framing.
���
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COLOR PRINiERS
Wa�/Pe�e�sor� inc.
COR?ORqTE OfFlCE qND DLqNT
L5020 27TH AVENUE NORTM. GLVMp�H. �ry 5544t .(612J 553� 1617
NE W rp� y�ES OFFlCE
�E 3Q3 Eq57 A4N AM �,pG . 200 P14RK pyE . NEW YORK. NV 1(„pb. (�12) Gg�.3D41
911i EF�N2�'S,5 E,qSST gqOFFIC�
�ORE RC1qp. q4L0 ALiO. CA 9G�p� .(a15) 4G3�6779
OUi OF-$tqiE T� FREE TO CORPpRATE OFFICE qNp p�,qM. �gpp� 328-3326
. , . 4
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►t�aer Lenn�x � ` �?s . l01��
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119•l�
F. C. JACKSON
u►NO suRVCro�
/�
usa��rs�so u�ro�� uw o� n.�,r f
or �..e�t�o.• 1
ucsN�co �r ww�u� ar an a�.,,i�� � .
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( Mt�[�� C[11TIK TNAT TNt A�OV� y A T11Y[ ANp C1pR11�CT R,AT a A i{IAV�y a ,
i
Lot� 1 and d,�lock 1�H�llere�t Addition�
An�iu C�uoty�Mlnneiota.
As suwv[r�p w Mi TMU lbtti. �� � Feb. � e 1975
_�,` .` � �
,�.
� F. C� ACKSON. MIMN[iOTA . �KMTqN. NO �dQp
- ` !�
�;
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS gU I L D I N G P E R
i �
� �
� i L__�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
l.-_-� ��"' �,� CITY HALL FRIDLEY 55432 NuMeEa aEV.
t 612-571-3450 910-F15
JOB ADDRESS 7231 East River Road N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 7 r 8 1 Hillcrest P,ddition
2 PROPERTY OWNER MAIL ADDRESS
David/Roberta Fox 7231 East River Road N.E.
3 CONTRACTOR MAIIADDRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
8 USE OF BUILDING •
Residential
7 CLASS OF WORK
O NEW C� ADDITION ❑ ALTE�IATION
8 DESCRIBE WORK
Construct an Entryway (10' x 15�)
9 CHANOEOFUSEFROM TO
STIPULATIONS
DATE
8/5/88
ZIP
ZIP
ZIP
PAGE OF
� �
I° 19622
RECEIPT N
APPROVED BY
SEE ATTACHED
SHEET
PHONE
571-54 91
PHONE IICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO.
❑ REPAIR O MOVE ❑ REMOVE
See notations on plan. Front yard variance approved. 10/5/87.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, "r� vr �.vrva�.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED 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
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEHMIT S7 �300
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEiiM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUC/T/ION. y�99.O0
// :PLAN CHECK FEE
SIGNATURE
P
GROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
$3.65
SAC CHARGE
TOTALFEE
$102.65
RLY IDATED THIS IS YOUR P�RMIT
I�1 [ ]
A�DN C�
ALZER [ ]
Gbnstruction Adaress
r �� Descriptian:�
Owner N�ae & Address
Gbntractor :
Acic]ress :
City of I�idley
R-1 AL�ID R-2
Building Permit Appl.ication
� r't%f_Y� �, �2 � Gl'
,� l _ / / l t . >I_ . �
EEfective 5/L88
S3�/..3
Tel. # ,� /'�52 �%
Tel. �
Attach to this a�lication, a Certif icate of Suvey of the
lo�t, with the proposoed oonstruc�ican dra�m on it to scale.
�•s. �• r• .� � � ,.. • � �a�
r.TVrt�r: Au��a; �� Width Height SL�. Ft.
C�RACE ARFA: Length Width Height S�. Ft.
DEC:� �: Length Width Hgt/GrOtmd St�. It.
�g;. �' ac /4 ' .�Y /�^ �
�< � �
Onrner I�ot [] Ins ��Lat [� ]� Ft. d� Se� k
T�pe of Construc.tion:
Approx. Completion Date:
_ Side Yard Setbacks
F{stimated Cost: � � ��� .
� � ��
Al� A Alt. B _
Prop�sed Driveway Wic7th If New Opening Is Desired: S $
W clth +' See Back Page
DATE: � � �� APPLICANP. � ,� -,J� /
Tel.
(�Y OSE G�Y
��.t �
State Surcharge
SAC �iarge
Driveway Escrow
Park I�ee
Sewer l�ain Cliarge
�►.�AL
3P�UI�IOl�T.S:
s �?'� � ��')
S � � 2� �
$
S
S
�
$� . , �
l�ee Schedule on Reverse Side
5.50/51,000 Valuation
5550 per SAC Onit
1�1.� �,° or A1� 'B• Ab�ve
F�ee Determirnd by F�girnering
Agreement Neaessary L] No�c Neaessary []
,.!° �,, � ���rJ� �+ �,°.;''-:`�'��
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4
: 1�1 .. �. • �i�vlyl :��I �«:i��.�)
�e C�ief 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 applic.ant for such permit of fees to the amount
herein belaw set forth and in the manr�er herein prwideol to-wit:
�TAL VALOE
�1 to 5500
5501 to �2,000
52,001 to $25,000
525,001 to 550,000
�50,001 to 5100,000
5100,001 to $500,000
i -��
S15 (Minim�n F'ee is S15 glus surcharge)
Sl5 for first $500 plus S2 for each additiona]. 5100 or fraction
thereof, to and including 52,000
S45 for f irst S2, 000 plus �9 for each additional S1, 000 or
fraction thereof, to and including 525,000
5252 for first 525,000 plus $6.50 for each additiona]. 51,000 or
fraction thereof, to and inclucling 550,000
5414.50 for first 550,000 plus 54.50 for each additio�al $1,000
or fraction thereof, tJo and including 5100,000
SA9.50 for first �100,000 plus $3.50 for each additi�a]. 51,000
or fractioai thereof, to and including $500,000
5500,001 to $1,000,000 $2039.50 for the first �500,000 plus $3 for each additional
$1,000 or fraction thereof, to and inrluding 51,000,000
51,000,001 and up $3539.50 for the first 51,000,000 plus $2 for each additional
51,000 or fraction thereof
DRCV�Y DEPRESSION E9Qi�n1
(Concrete Curb Streets Only)
Alternate "A": R�nwal and repla�nent a� curb and gutter an].y - Driveway width plus 6
feet timea �13.50.
Alternate °Bp: Renaval and replaoement af wrb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
l�; � y • , • ' ��:U� ��: M �)�
Permits for construction will be issued a minimum of 24 hours f rom the time of
application to allae� for proper review of the proposecl structure and of the �nstruction
site.
A Certif icate of S�irvey of �he lot, shawing the locatian of the fo�c]ation oncQ it has
been aonstructed will be required before prooeeding with the fraQaing.
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sue�ecT P IT NO.�
City of Fridley 2 2 2 O 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO
� `L _ _ COMMUNITY OEVELOPMENT DIV. �� � �
1 � � PROTECTIVE INSPECTION SEC.
i' i '
.--. w��" ;,, CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED BY
i �� 612-571-3450 910-Ft5 10/22/93 / /
JOB ADDRESS 7231 East River Road NE
1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 7�8 1 Hi.11crest SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
David Fox 7231 East Ri.ver Rd NE 571-5491
3 CON7RACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
S ame
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
e USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION I� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroo� Iiou�e & Garage (18 Sqrs) 2nd Layer
9 CHANOEOFUSEFROM TO
STIPULATIONS
Ropfing can he tfi� 2nd layer but not the 3rd. znstall adequate attic
ventilation. �rovide s�oke detectors as per U�C 1210. adjacent to all sleeping
areas and in baseiqent,
SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIFi CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH 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 �- STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX
AND ORDINANCES GOYERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT Sl, 440 .}` a%`�
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 3S. QQ k'ire SC �.. 44
'' PLAN CH CK FEE TOTAL FEE
$37. 16
�] SiGN�u EOFCON�a ORORAUTHORIZEDAG NT �DATEi yy pq0 VALIDATED TNIS IS YOUfi PERMIT
`� � ,t ` i �° ` I� ��� ��
'� � i ATUFEOf NEA1 OWNERBUILDERI IDATEI ~ BLDG 1NSp f1ATE
NERf
ADDN
AL1'FyR
[l
[l
Il
CITY OF FRtDLEY
SINGLE FAMII.Y AND �DUPLEXES R-1 AND R-2
Building Permit Application
Effe�tive 5126/93
Construction Address: %�3 1 � ��,. � ,i- �,�
Legal Description: 7- � - �� �o� ,� � �,°// � Pe �
Uwaer Name Bt Address:
� � � � N �
Addres.s:
LIVING AREA: Length
GARAGE AREA: Length
DECIC AREA.: Length
OTHER:
f
-�-� 7Sd
TeI. # ,�--�i
MN LICENSE #
Tel. #
Atxach to this application, a Certifit�te of Survey of the
lot, with the propased coas�cdon drawu on it to s�ale.
DESCRIPTION �F IMPROVEMENT
Width Height
Wi�h Height
Width Hgt/Ground
Sq. F�
Sq. Ft.
Sq. Ft.
Cornex Lot [ j I�ide Lot [] Ft Yd S�ck Side Yazd Setbacks
Type of Conshuction: Fsdmated Cost: $ �`��
Approx. Cvmpletion Date:
(Cost � Ba.ck)
nriveway Curb Ctit widt6 Needed: r•t. + 6 Ft = Ft x$ _$
�
DATE: — APPLICANT: � Tel. # �%/; ���
r
;�
C�TY USE ONLY
Perntit Fee
Fire Surcharge
State surcharge
SAC Charge
License Svrcharge
Driveway Escrow
Erosion Control
Fark Fee
Sewer Main Charge
TUTAL
$ ��. c�-<",
$ ��
,
� � '�
$
$
$
$
$
$
,� ,
���
� � �, l�o
Fee Schatule on Reverse Side
.001 of Permit Valuation (1/1(�h%)
$.SO/$1,000 Valua6on
$750 per SAC Unit
$5.00 (State Lice�.sed Residential Contractors)
Al� "A" or Alt. "B° Above
Conservation Plan Review �450.00
Fee Det�ermined by Engineering
Agreement N�y [ ] Not Necessary [ )
STIPULATIOI�TS;
BUILDING PERMIT FEE SCHEDULE
The Cluef Building Official shall, before issuing peraaits for die erection of any building or structure,
or for any addition to any existing building or shucture, or for aity alteration or repair to any existing
building or structure, upon application therefore, require the payment by the applicant for such permit
of fces to the amount herein below set forth and in the manaer 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
$10(?,001 to $500,000
$500,001 to $i,000,OW .
$1�,OOU,001 and up
Altemafe "A" :
L11Wi�Ki nl7^.
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $S00 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additionat $1;000
or fraction thereof, to and including $25,000
$252 for fust $25,000 ples $6.50 for each additional $1,000
or frac�ion thereof, to. and including $50,000
$414.50 for first $50,OOU plus $4.50 for each additional
$1,000 or fracbion thereof, to and including $100,000
$639.50 for first $100,0U0 plus $3.50 for each addifional
$1,� or fraction ther�f, 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,t�0,000
$3539.SU for the first $1,000,000 plus $2 for each additional
$1,000 or fraction �thereof =
DRIYEWAY DEPRESSION ESCROW
(Concrete Ctirb Streets Only) �
� '�� �.
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50. '� °
Removal and replacement of curb and gutzer aad 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 muumum 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 l�on of the foundation once it has it has been
constructed will be required before proceeding with the firaming.
_
_
CIIYOE
FRIDLEY
FRIDLEY MUIVICIPAL CENT'ER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-128�
May 6, 2002
Jamey & Nicolette Stein
7231 East River Rd.
Fridley MN 55432
Re: Paved Driveways
Dear Mr. & Mrs. Stein:
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 St mberg
Planner
C-02-53
s
�
C[TYOf
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
July 2, 2002
Jamey & Nicolette Stein
7231 East River Rd.
Fridley MN 55432
Subject: Paved Driveway Reminder
Dear Mr. 8� Mrs. Stein:
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 properly 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 S omberg
Planner
'If on December 31, 2002, yaur driveway hasn't been paved a citation will be issued and fited 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
*
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED ,
C:OMM(�N VFNT� VFNT CnNNECTC)R ANI� C(�MF3lISTIC)N AIR VFRIFICATInN
When � in aring an _xi� in� f�rance, 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 (►,YIVo ()
The venting system is plastirJPVC and meets all current codes and manufacturer
specifications 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 current codes and manufacturers specifications. This does
inGude AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appfiances.
The PY�tin�omh�,st�on air is sized and installed to meet the current codes
and manufacturer's specifications.
Whet1 �equifed t0 insfall a new cem6uctien ai,�, it will be sized and installed
to meet the current codes and manufacturers specifications. •
Wh2� installin� a nPw vPntin�,y� m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers ,
specifications. This does include AGA-GAMA Category I Central Fumace
Ventirig Tables for fan assisted and natural draft appliances.
Is 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 ( )
Yes (�No ( )
Yes(�No( )
Yes(�o( )
Yes �o ( )
� • � . � ' • ' . • • ' • /1 �1 • � ' � . � • " � • � � - y • � • ■11 . • �
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
•► �- ..-
� 9�- � �--
� _ .�
ADDRE
OCCUP
HEAT L
SOLD BY
Elsetrical ork
TYPE OF HEA
TEST RECORD
AP T.
�WNE
' �-- �-� P °r �
INSTALLED BY
By Gas Lins Br�e
T GA FA HW STEAM SPACE HTR.
_ T ��� �.
CITY SUBUR
�a
UNIT �ITR. OTHER `A' ` _�,
, _,. ,
,s1 �,,�./� f� � GAS DESIGN • CONVERSION �► �
MAKE�'��� � MAKE OF BURNER ' .
Model �� f�+��1 �� — ��, Model
;.�..
Smial � f'� �'� ���� Max. BTU Ratiny
'INPUT �-d-'r°�--�--� MAKE OF FURNACE
Modsl
THEF
Limit � k
Limit S�Hing
Fan Setting �
CONTROLS
Heat Plug
�i �`�
Vsnt Size
KIND OF WNER � SIZE NONE
D►ah Hood��� � -�?"� `' R�quloTOr -�- �
Fi Itsrs Siza°��$���� � Number �
Chimnsy Location Ins d� � Outside
Pilot Type Q�imney Construetion ��r �� d�
Pilot Moke �
Pilot Model ��` � � Smoks Bomb �� Wiring �- F �
Pilot Timing ��`'�� `� Draft �� Test Tap " _�„�,d.
L.W. Cut Off Door Prssawe Lightiny Inst. `��
Prsasurs--t"' ""` Pereent C0� � Date Tsatsd ° � '' �
� L j _. _ .p
Ir�put CFH � � � ��) Psrce�t OZ - Company Teating � r� ����A �. _. •
Stack Temp. Pere�nt CO Nome of Tester `� ,
Form 235 A� �a e��r���s� N 55421 �
r
_
_
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UI�IIVERSITY AVE. N.E. FRIDLEY. MN »�32 •(763) 571-34�0 • FAX {763) 571-1287
December 13, 2002
Jamey & Nicolette Stein
7231 East River Road
Fridley, MN 55432
Subject: Last & Final Paved Driveway Reminder
Dear Mr. & Mrs. Stein:
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 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.
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 Januarv 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 St berg
Planner
C-02-150
Building
Inspections
763-572-3604
DATE " �
SITE ADDRESS �
THIS APPLICANT [S: �
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMTf A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
�rE oF wo�:
0
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
❑ OWNER �6'ONTRACTOR
ADDRESS
Permit N
Received By:
Date Rec'd:
ADDRESS:��st�' CITY STATE ZIP,
PHONE:
STATE LICENSE
�HVGLE FAN
O TWO FAMII.'
❑ BASEMENf FINISH
❑ DECK
o �w�rr�xc�auz
DESCRIBE WORK BEING
SIZE OF IlVIPROVEMENT
ROOFING
NUMBER OF SQUARES�2�
GARAGES
PROPOSED SIZE:
PROPOSED I-�IGHT:
SIDING
O Vinyl
O Aluminum
❑ Other
WINDOWS
IN EXISTING OPENINGS OYes ❑No
OR FOR NEW OPENMGS-DESCR�E SIZE OF
OPENING CHANGES &
TYPE_OF WINDOW TO BE MSTALLED
� � E7� DATE ��� �
�P° �T °��,CTfY�
��� FAX
5 FRU ON SIZE
2UCTION STORIES
O GARAGFJSF�D O WINDOWS
�ROOF O DRAW TTLE
O SIDING ❑ OTI�R
❑ SW�v➢vIING POOL
LENGTH _
❑ HOUSE ONLY
O HOUSE Bc GARAGE
❑ ATfACHED GARAGE
O DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
LOCATTON OF WINDOWS
NUNBER OF WINC
ALL FEES ARE BASED ON VALUATION, INC
(USING THE 1997
TOTAL JOB VALUATION
�i• ,
HEIGHT
BASEMENT REMODELAVG SUBNIIT•
1. Existing Fl�r Plan
2. Proposed floor plan
3. List of swcwral members to be used
F�
FOR NEW CONSTRUC770N INCLUDING DECKS,
ADDTfIONS. & PORCHES SUBNIIT:
1. Site PIanlSutvey showing the existing structures
and proposed project
2. Two sets of construction plans
3. Energy Calculations
THE COST OF LABOR AND MATERIALS:
F� �,CHEDULE)
OCCUPANCY TYPE
Permit Fee $ ""' ��.��' See Back Page for Fee Schedule .
Plan Review $ 65% of Building Permit Fee
Surcharge $ /, ((,0005) funes the total job valuation — Minimum $.50
Fire Surcharge $ ,� 3 .001 x Permit Valuarion (1/10%)
License Surcharge $ ' ,�,. $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= ft x$20 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessazy () Non Necessary ()
Total Due $ o Make checks payable to: City of Fridley Attac6 Stipulations
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work whic eview and approval of plans.
SIGNATURE OF APPLICANT PRINT N �/ �. ��/l �IG��A� � �
Page 2- Building Residential Application
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:
VERIFICATION OF FOUNDATION
Pernuts for cons'trucdon will be issued a minimum of 24 hours from the time of application to
allow 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
Fax: 763-502-4977