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AF - 40647,..: � Villa�e of Fridley, Minn. �. BUII,DING PER11'IIT N� -- 7 2 5 Oifice of INSPEGTOR OF BUII.DINGS OWII�T�,s��•a�+.� =Yr � 6 Ffi `�',� ,�°s, w,"t,'w�° "--.�'' � `,�.�� .: .�y � ,� ;. , Architect � Frfdley� Minn• - , 18 -'-� �... ., ; Builder LOCATION OF BUII�DING r- � :� � �` � -,.�.,�a�-�.a i�._ �,, . No. � ` � 3treet � • ' _ � Part of Lot Lot Block Addition or Sub-Divieioa DESCftIPTION OF BUILDING , ^ ,� � E°ront �� Depth =� �'� Height Storlea �' ` Manner o4 Conetruction � �'`- = � , �% �.�. ��t;�;, � .� -�- % � p ``? ',..�� , To be uaed as `� �'� ' To be completed ^ '� `' Estimated Co� ' � �q�--� • - � ��_i/ �^� � ��'�{ ' F` ,�'• .� e �' `,�' y... i:.�_ . ' . !:r' Perrmft is hereby graated the 'building �>� P�.�'" desc�ibed in the above siatement. This permit fs granted upon the espresa condition that the person to whom it ia granted, ead hie a.gents, employees and workmen, fn all the work done 9n, arouad and upoa eaid building, or any part thereoP, sha11 conPorm in a11 respects to the ordi- nances of Frldley, Minn., regarding the conetruction, alteration, ma3ntenance, repaix and moving of buildings within the city limite, and thie permit may be revoked at any time upon vlolation oP any of the proviaions of said ordinaaces. a`�' �'�°-ti-' � r' iIIBDectOP Of BUi1d�IIg'S. `� `:-✓-e �, AGREEMENT ANi� SV60AN STAT�MENT _ In conaideration of the issue and delivery to me by the Inspector of Suildings of Fridley, of the above pernait, I hereby agree to do the proposed work in accorda.nce with the description above set forth a,nd according to the provi�ions of the ordinances of Fridley, and, being first duly aworn, I hereby state and say that the facts stated by me and contained in the above permit axe true as therein stated. .� , Subaeri'bed and sworn to before me at Fridley, f "' ` l . }...�,, L + day of = � :�.,� � ;�-,.; � � .�,� �.D. 19 •,r � ,-.. ,� �� '�` � �; ;:i _� �` �,'�` -,,�� `` `-,�'` a�'f-`tx. +�..r ,.�,�..�� .J �'�.� �,, Minnerzu�a, thl� R' °� - � ;,,- ��> , � .; �y � ., � 3 � .� ;._,:t, ,� � --�.;:. _ : � . . �, P ,.� .,J City of Fridley, inn BUILDING PE�IT N° 5642 �� .:- �► ,. � �'" � �' .,,�� : , , . , - �r�► __ -i/ ,..�f'.L..:�l rc_._ . - .,� � �1 ....,�[t. — I� .� ��. �. fi C�►TION ,. B DING >� ;. No.�4��Street _ `_ Part o Lot Lot �� _ Block Addition or Sub-Division � Coraer Lot Inside Lot �� 3etback Sideyard �y� II�� Foundation IIevai3on DESCRIPTION OF BUILDING To as° _, �t � Depth �� ,�+� Height �/'�1 3q. F� ,�� Cu. Ft �� --�_ � Fro�}, Depth Height _.. � Sq. F't Cu. Ft. � " ~C:c��' Type of Constructfon ��""'�� . To be Completed Ea considerai3on oE the �tssuance to me of a permit to constrvct the building described above, I agree to do the proposed work ffi accordance with the descript3on above set forth and in compliance with all provisions oP qrdinances oP the dty of Frldley. � � In consideration oE the paymeni oP a fee of $� , permit is hereby granted to to conatruct the building or addition as described above. This permit is granted u�n the express condition that the pereon to whom it is �ranted and his agents, emPloyees and worl�nen, in all work done fn, around and upon esid building, or any part thereof, shall conform in all respects to the ordinancea of Frldley, 11�innesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty lim�its and this permit may be revoked at anY' time upon violationl�f any of the Prnvfaiona oi sa3d ordinaacea .,r""� ,g ,,� � Building InsPector NOTICE: T6b permb does not cover �hs �oe�tweHoa, iaslallatioe h� �rGing. Plumbiee, 8es 6eaHag, sewu' o� wafer. Be wn to su ths Buildieg lespeetor for separate pemdts fo� t6ae ttems. �-.. 4 �"`� ,;, e . :. .a � .�.,,� - _ APPLICATION F� HIIILDING P�T CITY OF FR.ID�Y, �OTg Owner's Name Bu3lder �ddresa 8ddreee No. of Lot Lot B].ock Addition or Subdivision Corner Lot __„_ Ins3de Lot � 3etback ' Side-Yard SE�JER FLEQATION FOUNDATION ELEITATION �pplicant stt,ach to thi.s form Certificate of Survey of Lot and proposed 'bu�lding location. To b� uaed as: DESCRIPTION OF HUILDING ,� Sq. Ft. �� „Cu. Ft. � �� F`ront Depth Height Sq. Ft. Cn. Ft. ,_ � �ype of Construction �, Estimated Cost�� To be Completed - The undersigned hereby makes e.pplica,tion for a permit for the work here3n specified, agree3ng to do all �rork in strict accordance with the City Ordinances and ruling of the Depe.rtment of Buildings, and hereby declarea that all the facts and repreaente.tions �tated in thia appl3cation are true and correct. DA� �/� � ,� � `� � / SIC�VATURE (A Schedule of Fee Costs can be found on the Reverse 3ide.) / 1 n b- � .� _+�., �II a a. ..F1 BIIILDIlJG PERMIT FEE SCHEDUIE .:r�: : Section 20 �ie �=�ns,p�ctor of Bfzild�igs � s�11, before issuing ar�y perm3t �or the erection of e.ny �li�].$i.ng o'r �atructure, or for any add3t3on �t�o e.qp existing build- ing ar structure, or for any alterations or repairs to any existi�?;g building,or structure, upon application_ therefor; requirg�._�he._gayment �'I�y �'E�"�appl3.cant far such permit._of..�sea to the amount here3.n bslow aet forth and in the msnner herein _. .._- � � � �3�ovided t�wit : . .._ ...._.. -----�-•-- --�-•'�e�': "�'`ar�'any such petmi-t for the erection of any fire-proof building, other than a garage, warehouse, factory or g,►rain elevator, or for the erection of � f9.re- proof add3tion, for aim3lar occupancy9 to a.n� axistir�g �building �hall 't�e, $� •'�he raie of �1e1�0 for ea.ch one thouaand cubic feet,.or �'raction thereof, 3n auch cubical c0ntents. � � .- . . . � ' -:.; 2e2o Fos ��such permit Por the erection of axiy.fireproof garage, wssehouee��' �--�-- �----------�'actory � or grain elevator, or for the erection of Rny fireproof acid3tion, for s�.m37.ax• �o�:cupancy,. to an� �existing building shall be at the rate � of �7..25 for �� `�•: -�--•�----•�••��- each one thousand cubic feet, classified as '!fireproof" by Sect�on 502 of the N��.�neapol3s .Building � Code. � . . . , . :. ..: : T_- _____ ___ .. _ . . . , �•.� . .-H,� �,.IJ..�S • . . � . . , _ . 2�3� For any such permi.t for the.erection of arry non-fireproof buil.d3ng other t� a�arage, warelio�iae, factory or �rain elevator, or aay non-fireproof �.c�dition, for similar occupancy, to an� existing build3ng. Permit �1:.00 for e�ch ane thousand cubic feete GAR�GES . , ... •-•�---�- ��e �" Fo'r an� .such permit for the ereciion of�'�.n�r norr-fireproof garage, warehouse, iactory or gr�.in elevator, or fox� the erection of a� non-fireproof addition, fpr. .-� ----��,i3ar' occupancy, to any exiatin building or_%r each such- bwiltl3ng or addition. PJinety Cents for each , one thousari�� cubic feet �or iraction thereof, in the cubical --.--• ••--� •�co��ents thexeof with a min3mum of �1�,00 e _.._._.�--I'o�-•-the� ptarpa�-e of computing fees for building permits the� cubicel contents of ar�r building or additiori to a un7-_"orm-�he�gf�t throughout by multiplying tkie �round ar�a .--.•----eo-vereci'�f'�om �a point aix (6) inches below the floor line of the basement or cellar to the average height of the upper-suY°face or to the avera�e,height qf.the roof�� ...._ . surface��of tYie main gable of a.pitched roof. . .�:,- 2.5a Fp� repairs. or altare.tioris. to� a.n existing structure; �;th'e fee shall be at the �s.t�' of,r�3.�00 ,for�•ea�h� �ive` �Huridred� Dollars ($500e00), or fi�aotion �thereof in the . � i"t": t � � cv�'�of �11 proposed worke ' � .:. 2e6. In no case_ ahall the fee ��harged for any permit as set ,for.th in 5ec�ion �2��bq ..�.-�ess � t�i ��,:00. . � � � ' � .s;,::�. _...__ -., �`�" �r n ^ �� - sue�ecr PERMI City of Fridley ' 15 7 9 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � VV �� r � � PROTECTIVE INSPECTION SEC. � � � � �"��1 � CITV HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •�� 612-571-3450 910-F15 18 8 � � JOB ADDRESS �300 East River Roa.d N.E. 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.�t �- Chesney Acres � SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis K. Schmidt 7300 East River Road N.E. 571-1557 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION l� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum siding 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREGT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2� $OO $1..40 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 CON- $]_8.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $19.40 SiG� T EOFC NiRACTORO T ORI AGENT IDATEI WHEN PROPERL VALIDATED THIS IS YOUR PEFiM1T � ` � � �� e��.�.., � SIGNA REOPOWNERdF RBUILDER� IDAT �'��°- BLDG WSP � TE . ..._ .� a. � _ : ._ ., :_ _ . . � , _. . � ._ _: . ,� . . . ,- � CITY 0� FRIDLCY • � ARPLTC111'1.Oid FOR RESIDEPJTIN_ f3UlLUIFJG PCRMTTS (tdevt, (�lterdL10f1S> Additions, oti� Repairs) � OL�JIJEIt: :��t! �`� ° , � � ��C /�DDRESS: 7�'G�C� �, ,�i(/'�� TGL N0: cS'�� / � �� . t�uz �n�rt : S.c��1 F �Ca ce� �v'L �� AUDRESS: • TCL f�JO: ' . ' Consiruction Location . s�ru�x r�o :�c�' O L`) s�rr��:T: �: � S� f`�I I%� �� l�C' �� LOT: /�t�/� �t,9�/ / BLOCK: ADDITION: �� /7 � �� Corner Lot: �� Inside.Lat: SetbacY: _ Sideyzrds: ' / t and ' Applicant attach to tliis iorra two Certificates of Survey of lo proposcd building �.ocation dra�an on certificates to scale. DESCRTPTIOi� OF CONSTRUCTION � ��fG� � ��'�r�3ii�:� �i.L7l.i/'6- `"Y Dsep�h�� Height: �� t�-�, � -- Squa��e. Feet:� Cia.bic I'eet: t• Fron . Depth: Heiglit: Square� Feet: _ G�.ibic Feet: � r� " �-� Estimated Cost: $; � � � . �� Type of Construc�ion : ��C�/1iI / iV �/��1 � �� • 7.b Be U�mpleted: � � — �� Alt. A A1t. B $ Proposed Driveway �9idth Tf New Opening Is Desired: _ _ $�� - � � SE� REVERSE SID� OF SHEET•, 7��e undersigned hereby makes application for a permit ior the work hexein speci�i.ed, agreeing to do all work in stzict accordance with the City of �'x'idley Ordiiiances and xuliiigs o� �lie Depari:mei�i: of }3uildings, and hereby der.lares i:ha•� all the iacts and representat�.ons sta�ed in this applica�ion a� irue and correct< DATE: ��Z..—.d �— �� SIGNATUF�::� �, f Stipulations: ��:t� . j� ��c � �M �� . /�- � a �l� � � .. o., , a e:.r .� o 0 _�,5!�/ �� / e . . �u�i_»ii�c f'�R(11T �C'� SCfif:l?Ut_E' . a1:C'�':�01�� 2. '�'he 7:»�:��eci:ar. or �3«�.�.azr��r:, ::h��).7., i,ctorc i.r.:.u�.ng Z�e�in:iL•s Zor L•hc er.ecL-ion of any l�ui].d.i_nc� ar. :;Lruct:uz�c� or. for any acldi.�i.��n L•o a►,y m:i.�L•inc� l:�uilding ox stnicLurc, or fo�' any �z1L-cr.at3.on nr. �:c�?air.:, t.o ��zi;y c>:i.::ta.ng }�ui.l.ci5.lyg ar sL•r.ucL-urc, uZ�o» aZ,plic�xti.on ther.efor.c, xcc�uirc Lhc paymenL• by tlic ap�].i_canL• for. :�ucl� pca-ma.t of fces to, the amounL- hcr.cin be.l.ow sct forth �u�d in L-li� in�nncn c�rcin �lOV1C�CtI i:0-�•�iL: � J7I;4J COI�STP.UC'J'7U11: Single 1'ami].y Ilomes� ancl Gar.ac�es : $�! . 00/]., 00� cubi.c feet. . � J'Lt�t�i Clil:�Y.: 25 per.cenL- of- bui.lcting J��enni.L• fee. D12IVL•'�•JT�Y I�EPRL•'SSIOII: (Concretq Curr� �tr_cets Only) � �' � • h1L-ern�-�i:e 7�: Removal and replacemenL- of concrete curb and guttez only; Ariveway wicltii plus G teet x Y�„�',0 75 . rilternate ]3: Remova�. and rep].ar.c-�menL of concreL-e curb and • � guttex and 5.nsi:a].J. a 3 LooL wxdc a��Proach wii.h �� ' ,• G�.�ich depth; Driver�ay wictth plus 6 feeL- Y$17.85 � � ' � . �Dni-rro��n� zi�r-oar�nrro�. �'or the purPose of compuL-a.ng fees for_ build.ing permits, the cubica7. conL-ents of any bu�.ldirg or add�tion, is dctermi.ned by rnultipl.yi_ny the gr.ound area covered irom a po��lt s5.x (G) inches below the floor line of the basement or th� cellar L-o the av�ragc heights of i:he u�per surface or io the average heiPub of tlie roof- surface oi ttie ;aain gable oi a pitched xoof . � For repair_s or a].ter�tions to an existing structure, the fee shall be at the xate o� $3. �0 P�r cach iive hundred dollars -($500.00) ar fraction i.liereof i.n the cost o� all proposed work. , , • in •no case shal.l ihe fee charged for any Pexmit as sei. forth in Section 2 be le:,-s � �lian $%.50 plus $.50 state surcharge. • . VERTFICATI��! OF FQUNDATION . ' NOTE: Permits �or consti-uct�ion c,rill be issued a miniminn of 24 hours fr.om the time o� application to a11ow for proper review of the proposed str.ucture and of the . const�.-uction si�e. R Certificate oi Surve�� of the 1ot, s}iocaing the locatio.ra -of ��he foundation once i.t has been constnteted will be rec,�uired before proceedinq with the �raming. • C�RT�� CAT� QE OCGUPANCY � . � . 1lpplication for a.Certificate oi Oceupancy shall be made L•en (10) da��s prior �a the use or occu��nc�� oi any structure foi- �aiiicli a� buildiiig pe��iit has been xssued; and �aid si:a:ucture sha11 no� be used oz,- occupied until a.CerL-iLicate of Occupancy has been xssued. . .� k -o . „ . . � • , 9 SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � � � COMMUNITY DEVEIOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. � ,� �"'1 � CITY HALL FRIDLE� 55432 NUMBER pE� �""� � �'� 612-571-34b0 910-F15 JOB ADDRESS '7300 East Ri,ver Road NE 1 LEGAL ��T NO. BLOCK TRACT OF ADDITION DESCR. 3 Ches�ney Acres 2 PROPERTYOWNER MAIIADDRESS Hung Nguyen 7300 East River Road NE 3 CONTRACTOR MAILADDRESS Milton L. Johns� Co. 525 Lowry Ave NE, Mpls. 4 ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAIL ADDRESS DATE I PAGE Oi 6/30/93 / / ZIP 55418 ZIP ZIP 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEW � ADDITION ❑ ALTERATION $ REPAIR 8 DESCRIBE WORK Rsroof Dwelling (20 Squares) 'I�ear�f�: 9 CHANDE Of USE FROM TO 21950 RECEIPT NO. � 01�°�% APPROVEO BV SEE ATTACHED SHEET PHONE 572-8209 PHOWE LICENSE NO. PHONE LICENSE NO. PHONE LtCENSE NO. � MOVE ❑ REMOVE STIPULATIONS Undex'lay�ent must comply �aith the State Building Code�_ Provide smoke detectors as per UBC ]210' adjacent to a.11 slee�'ing areas and in basement. Provide adequate attic ventilation. TYPE OF SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINO, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DW I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATI OCCUPANCV GROUP OCCUPANCY S0. FT. CU. FT. OFFSTREET PARKING STAIIS IGARAGES AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $lIQ8� WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2'�aOQ STRUCTION OR THE PERFORMA CE OF CONSTRUCTION. ° PIAN CHECK FEE � 6—�0 -� License S $5, SIGNATURE OF CONTRACTOl7 OR AUTHORIZED AGENT IDATEI �AIH O E . .' ,�-_ � c. ......�..,,e�.,�..,.,.��o,�rnwucwwuuncai - �DATEi ° BIDG iNSo $,54 SAC CHARGE k'ire 5C $1.08 TOTALFEE $33,62 TED THIS IS YOUR PERMI, ��o � NEW [ ) o Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �,�� 7 Building Permit Application Construction Address: 7300 E. River road I.egal Description: � Hun Ngu en Owner Name & Address: 730� E. �iver Road Tel. # 572-8209 Contractor: Milton L. Johnson Company MN LICENSE � 2083 Address: 525 Lowry Ave . N. E. Mpis . 55418 Tel. � 7g 1-9548 Attach to this application, a Certificate of Survey of the . lot, with the proposed construcdon drawn on it to scale. . DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Leagth Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Conshvction: Tear-off , re-roof ( 2o sq .) Estimated Cost: ��ff / C' �'�% � Approx. Completion Date: ��93 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$, DATE: 6/30/93 APPLICANT: Tei. # 781 _954E3 Permit Fee $ o� `�� Fire Surcharge $ � � ° State Surcharge $ � � SAC Charge $ License Surcharge $ � ��' Driveway Escrow $ Park Fee $ � Sewer Main Charge $ TOTAL S'TIPULATIONS: $ �- �a. (,ITY USE ONLY Fee Schedute on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $700 per SAC Unit �5.00 (State Licensed Residendal Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary� [ ] Not Necessazy [ ] �b � .La BUILDIN(i 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 strucdve, or for any alteration or repair to any eaisting building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set fort6 and in the manner herein provided- to-wit: TOTAL VALUE � 1 to $500 $501 to $2,000 $2,001 to $25,Q00 • $25,001 to $50,000 $50,001 to $100,000 $100,001 tv $500,000 $500,001 to $1,000,000 $1,OQ0,001 and up � $15 (Miwimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 , $252 for first $25,000 plus $6.50 for each additional $1,000 or fracdon thereof, to and i�cluding $50,000 $414.50 for first $50,000 plus 54.50 for each addidonal $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction ther�f, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fracdon thereof, to and including $1,000,000 $3539.SU for the first $1,000,000 plus $2 for each addidonal $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. � ' Alternate "B" : Removal and replacement of curb and gutter and instaU a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet dmes $15.75. � VERIFICATION OF FOUNDATION " Permits for construcdon will be issued a minimum of 24 hours ftom the time of application to allow for proper review of the proposed structure and of the construcdon site. A Certificate of Survey of the lot, showing the locadon of the foundation once it has it has b�n constructed will be required before proceeding with the framing. ' �. ,� _ sue�ecr ERMI NO. ' c�cy of Fridley 33126 AT TNE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. / �( � � j V �"�� , � 1 1 r � � PROTEC7IVE INSPECTION SEC. 1 � � � � �'�'1 � CITY NALL FRIOLE� SSI$$ NUMBER pEV OATE PAGE Of APPROVED BY- �""""�� 763-571-3450 910-F15 9/27/02 / / lOB ADDRESS 7300 East River Road NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 3 Chesney Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Hung Nguyen 7300 East River Rd NE 763-572-8209 3 CONTRACTOp MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria P STE 200, Atlanta, GA 30339 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 763-542-8826 20268257 5 ENGINEER MAIL ADORESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK � NEW O ADDITION � ALTERATION � REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace one window within existin o ening 9 CHANOE 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. ��m�t Ins��c�von Card� ell �� Mailed �� I��me�wner T� P�s� TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PEqMITS ARE REOUIRED FOR ELECTfiICAL, PLUMBING. HEATING. VENTI�A7ING OR Alq CONDITIONING TNIS PEFMIT BECOMES NULI AND VOID If WORK OR CONSTRUCTION ZONING SO. fT CU fT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. Ofl IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 pAYS AT 1 ANY TIME AFTER WOpK IS COMMENCED. NO DWLG. UNITS OFFST T PARNING 1 MEFEBY CERTIfV THAT I MAVE READ AND EXAMINEO THIS APPLICATION 1 S7ALLS GAFAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yp�UATION SUR7AX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� @ WITH WMETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �3s4'lO `V1.71 DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTMEFi STATE OFi LOCAL LAW REGULATING CON• @97.25 ire SCi $3.�i1 STRUCTION OR TME PERFOiiMANCE OF CONSTRUCTION •y PLAN CMEGK FEE TOTAL F E Licens SC 5.00 $10 .37 S�GNATUAE 0� CON'QACTOA OA AUTMOA�2ED OGENT iO�iEi pq pE Y IDATED T IS IS R P IT �� v $�GNATUAE O� OWNEA�� O�NNEp BU�LOE�1i I�ATEI BIOG �h D �� d �[ ] ADDN ALTER �l L] Effective 5/10/99 CITY OF �+'RIDLEY SINGLE FAMILY AND DUPLEXES R i AND R 2 BUII,DING PERMIT APPLICATION Constivction Address: ��'�jCY� � .�i' Legal Description: � Owner Name & Address: `�qU�v�n� ^ Tel. #�'3•�j�a •$a�� Contractor; � HOME SERVICES INC. �j j;j��E #- Home Depot Installed Sales Addt'ess: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Aflanta, GA 30339 A 763-542-8826 i�vey of t�e 1c BC-20268257 • -- -- r--r---- -.,_....��.r.._.......... JII.lf t0 SCA�e. DES.C�i.�N OF ��b�NT _. LIVING AREA: GARAGE AREA: DECB A►REA: OTHER: Construciion Type: Length Width Height Sq. Ft. I.ength Width Height Sq. Ft. �� Widtli � Hgt/Ground Sq. Ft. r�_ ...1,. � „ i . • _ � _ . �� . _ _ �_ � Estimated Cost: $ �J, �{ I 0� Driveway Curb C�t Width Needed: Ft. + 6 Ft =_ Ft x$_ —$ . DATE: o��• .0 APPLICANT: Tel. #` �� a�i• 3L1� � CG 4� � Permit Fee Fire Surcliarge � State Surcharge SAC Charge Lic�nse S�rcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL � a .a � 3.y► $ ( •�I-1 $ $ �•� $ $ $ $ � �0�-.3� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (Staxe L�cens�d Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIl'ULATIONS: � �-� • ° Z Building PL ING P�t No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-�60� - CITY OF FRIDLEY Da��: WPR� � 20 � DATE y as a� �^ YO & ADDRE33 S1TE ADDRESS ��W G�� V� ��"�-' THI3 APPLICANT I3: O OWNER �CONTRACTOR � PROPERTY NAME: 'Cs� �-�+ � ��E� qDDRES3: � CTTY STATE TENANT ± PHONE: � — �� CONTRACTOR NpME; SUBMIT A COPY OF 3TATE LICEN3E #�I�� E7� DATE Ic� "� 1'i�, YOUR STATE �►nn�ss: �,�a,,,,,, crrY sTa� z�� LICENSE WTIH PH01�1E 3C�70 DocIcl.Rd �1� APPLICATTON , PERNIIT TYPE �� FAMII,Y 0 TWO FAMILY O TO�VNHOUSE q TYPE OF WORK: O NEW I�tEPLACEMENT � DETAILID DESCRIP'ITON OF WORK CA "rv 1 �C PER MS 16B.665 the permit fee is a minimum oi $15.00 or S% of the total cost up to 5300.00, whichever is greater, for the improveme�, installation or �pla�� of a ieside�ial fixdu+e, excluding the fixhues. ('This should reflect only the cost of.labor )� Labor cost under $300 =$15.00. L,alwr cost between $300 to $500 = cost of labor x.OS = . FOR PROJECI'S WHERE LABOR EXCEED3 $300, FEE3 ARE BA3ED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXIVRES: (INDICATE "POTAL NUMBER OF EACH BELOVI7 ,' BATH 3INK/LAV FIAOR DRAIN3 3HOWER WATER PIPINQ BATHILTB CiA3 PIPINQ (a�6DCm�) SWII�IMINO POOL WATER SOFTNER ($35) CIATHE3 WASHER KTPCHEN SINK WATER CLOSET BACKFLAW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($3� FOR IRRIGAITON _ WATER METER _ OTf�R .t ::. .-. . ,... �._. : ,' .: -:�a�"�+,� t �r,_y� e"'tid-,�i;� #-iL,c��,�..�CS�3s'� �tc� � o.��°�;iA . ��•l.iLi�i� ��'E1�NII'Ir'� Q � � �FC?. �i: ,F��, . _ � n�:��. �� ,';� � �� :�QitR!�:� 504,� Permit Fee $ .� Number of fixhu�es @$10.(JO x$10.40 =$ Surc e .5� Number of fixdires @$15.00 x$15.00 =$ TOTAL DUE $ .� Number of fixtures @$35.00 x$35.00 =$ State Surchazge = $ .50 Tota1= $ THI3 IS AN APPLICATION POR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a buildi.ng permit and I acknowledge that th�e i�ormation above is complete and accurate; tbat the wo�ic will be in conformance with the ordina.u�ces and �des of the City of Fridley and with the Minnesota Construction Codes; tbat I undeistand this is nut a permit but only an applic�tion for a pennit and work is not to start without a permit; that the work will be in accordance with the approv� plan in the case of all work w� ch � s iew and approval of plans. f�� i{ i j,.. ,ni C DATE r�� ° 1 SIGNATURE OF APPLICANT � n�„��F�,�"°r"�'RINT ATAME ,.: , ,: . >. � � :�•> _ 4'.�w�i' ,t�RA; .;'�+DI�.�� '� .l`i ` �;��s ,, G��V.QRi�. � � � City of Fridley ` • � `'� � Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 . 763-572-3604 L• A V. '7L7 C/�'1 �Ifl'f'7 ��Oa;� � From: City of Fridley To: 7637816681 Page: 2/4 Date: 5/27/2009 12:30:38 PM Building MECH�h.NICAL � Perr-lut 1vo.:� Inspections RESIDENTIAL APPLICATI`�J11�11� �eceived sy: ��3-s�2-3604 CITY OF FRIDLEY � D ��JI ?63-502-4977 FAX �r•r•i:crr4-r �-��-n9 �: a � �--� °� � 1i i t:.4fJiJ1<t1� TNI� ;�.PPLIC:ANT IS. PROPERTY Oi�'NER' �rE�:��T n CO\TRaCTOR St_ (3�117' A COPY OF 1'Ol%R ST:�7'E LICE\SE 11'!TH APPLICATI01 � O 1N N tK NA�14t: -�1� AUDKESS:�� PHON�:�� CO1M1t�A�Y NAME:_ (':nNTACT PtRS()N: STATE LICtNSti;� rH�nrE� � !,"] - YOUR H-MAIL ADU'2ES$ �ONTItACT(�R YE2�IIT TYPE �INGL6 pA1411LY C T�vo r�,an-�i�� T'l'PE OF �1'URK: � �� t�'LACEMENT DE'I:-�ILE[> DESCRIPTIUi� QF �VORK iC� C1TY_Tj_� � � ' P DATt F� rR C:1TY r•.ax 7�,�- �'7�� .., � -� ❑ TQWNHQUSE ❑ ALT�ItATIONiRtM011�L A 2 S1'AT�1 � FE��.�Itt B�SEU U� aIU.OG IiEli P1X"fU12N:, XC�P"I'�kHk.ltl?. VC)7'N:D. FIX7'URN:S: (IVUICA"I'N,'t'07'A,1-L vU11BSROF N:ACH B�;L.,�Uw �:1!ii��i�ni In:tall.d Mt�G� .��(�n�� Ni011�L: ��%�jT SI'G�iBTU �.� "-.� :�iFG: --_..�__�_ ti1Q[itL: SlGtik3TU �Ih'C,: _`� MOUGL: S1"LEiBTU —A �''.,�i.i�C h'll«Pi.ACE�GA5) blj.UO GAS RANGE/nVEN $IU.UU --- --.ii:t7t1.�11�L`iLHA'�C��RS1� --F1Rk:PLACk:(bi'()OU)�?S.Ui1 N�WGASC�ILL$IQ.00 __._bC� LER 5�� Ur1 �HURNAC�$35.Q0 CiAS UNIT HTR$10.00 —'."'ri;':1'�L•1' LII�ER �JU.UU CiAS Ukl'EK $IQ.UO POOL H�ATER $35.U0 ---Ul. CT 1ti C)KK $ I U.uU _G.4S PIPt!�G $10.00 _b ENTILATOR $ I 5.00 I�umli�r o�'fixturc�(cc:�l'Q iiU ,�� c �1:i3 �1�3 � . . . .:: .. ;:,. �"l�►nbec of tixr,irc� �� ;13 OU <: x.$}��. �}{}. �_� l�nml�cr ��t �xtxit°�,.�, u� �25 Q10 � X $��flfl �;� _. . ... -�--,,�, . �`�ue�bc.r of fixttir�s fcL �3� (1f2 �� x$3� CU �� _ , �tatc Surch�r�� = � �: • `. ' � ;..::: . (�Iitii\IL�T F�E S�S.�O�. Total . � :��% � ` _ _ . .... . ...... .. ..... .... _ THIa' IS AN APPI,ICATIQN hQlt A Pt12M1T-NQT VALID UNTIL PIiOC�:SSkll I}:�rc��r app!} for a building pcnnir an -ackt:uwlc�lgc that thc information aUavc is complctc and accuratc; that nc� ��urk ��•ill be in c,;niormanc� ��•ith thc ��rdinanccs and odos of thc i`ity uf Fridlr:l� and i�•:th t�� Minn�KOta Constructiun Cod�.�; that ! undc•rstand this i, ;:ot a n�rmit nut unly an applic.ition f r a pcnnit ana �uork iti �not.,:t�� .�tar[ withaut �°��fcrmit; that thc wurk will bc in acc��rdancc with thc :ir pro�. cd nlan in thc. casr uf ali o r�c�uir s rr.viaw and a raval of lanti. / �. , � i�:;*. �T��itl: (')P APPLIC.A!�'I�__J! rai �—r-�- . Z, �P7tINT NAM _V__ � ` ATE�'�n, C \ !�t-`=---- ( r�r rncG ��nrx. ecn �y�,�� tiF�.�,�- ,.- .. _ %aty of F'ridley Building inspectians Department 6431 University Avenue NE, Fridley, MN 55432 7b3-5;2-36G4 FAX: 763-50'�-4977