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C0 � x � m O w � �� � City of Fridley, Minn. BUILDING PERMIT .: - -. _,,.- •..: OWII�l: J��LY��Qx'f�, BU]udCT S�.2T"P �jd�g ��. Fas R i v_r Road Ad�gg Se.me � No- 9931 LOCATION OF BUILDING No. 759 �Street Ea�'� �V�� R__o�d � Part oP Lot - � -- Corner Lot Sewer IIevation Block Inside Lot X Addition or Sub-Divls�ton Setback �_ Sideyard -- Foundation IIevation DESCRIPTION OF BUILDING To be Used as: Liv Rm & Dia. Rm�t 284 �p� 10' Height ��— Sq. Ft. 280 Cu. FL .�920 Addition �nt Depth � i%ight Sq. F't Cu. F't Type of Construction -�'x�e Es� Cost _�.,SD.�_ _ To be Completed 60�ayq In consideration oP the i�usnce to me of a permit to construct the buildiug described above I agree to do the proposed work in accwrdance with the descript�on above set forth and in compliance with afl provlafons of ordinances oP the dty oP FrTdley. .� �� /9 �r�^ - - - -- i � . �f�..s. .1_�.re �O In conafderation of the payanent of a fee of $.�0� , permit is hereby granted to Pat�ica.a L. L�raford to construct the building or addition as described above. This �ernnit is granted upon the express condition that theperson to whom it is grented and his agents, employees and workmen� fn a11 work done fn, around and upon said building, or anypert thereof, shall oonform in ali reapects to the ordtnances oP Frldley, Minnesota local3on, construction, alteration, maintenance� repair and moviag oP buildiuga wlthin the dty ]imfts and permit may be revoked at any blme upon violation of any of the provisiona of said ordiaanc�s. �--- . J�o� Breher Official Bullding � � NOTIC� 'flds psrmt! dea aet corsr ths coes�rndioe, hnlalldioe tor �rUina, plumbine, ea haHn�, awu or w�r. B� wn fo sM f6s Bntldiee le�etor tor aparai� p�rmhs fee th�a Itfms. _ ' . . _ -., APP�I�ATION FOR BUIL�IN� PERMIT LITY OF FRIDLE�9 MINNESOTA OWNEC �S NAN� ���- ' � _ BUIILLDEft ADDRF�S % 5 / 3 �c,..�t � ; �cJ ��z,_.e�AI�DRESS �" � lt-� y,-�-���� C� , �� t��-z-, ,.. LCC;ATION OF B�'ILDI�Ti� 1Nlf o "� ;�r � -� t,.711iL' P�1 •�� �i�/i'�-�/Z� �� � ��t`"J� LO'T �/ BLOCI� 9�DITIOI�T OR SUBDIVISIO�f COR�,'ER I,C�T I�TSIDE i�OT II SE°I'BA�k �I�E�%ARD SEWER ELEiTATI01`I TOP OF �'O�TI�'� Appli�arit arzach ico this �°o�! Tyao �°e�tif idat�s o�° Su�vey of I,ot a:e�LL p�oposEd. build�..g loca.tio:ez drar�n. or� ch�s� ::e�tiiieate� o �ES�R��I' i 01V Oa BII?�I,DING To Be iT��d A�: r � L/v. ��• � D'l�.'�,�.r �ont �`� TJ�pth t� He�ght i'� �:ac� rz��a. ` �. �quare ieet ,2Fi� Cubic FE�t � 9 � �' F�°ont DEpth Height Squ�.re b �e�t :;ubic Feet Type of Con�tructioxi ��- �'►-�� Estimated C��t .��r�' �T � c To Be Completed � � � '`a `7 S The undersigned hereby mak�s application fo� a permit f'or the �vorl� heyeir�. speci�°i�d, agree�g to do all vaork i�. �trict accord€�.nce w�ith the �'ity of Fridley Ord.ina..�.ees a,nd ruli.n.gs o�` th� D�partment o�° BuiZding� 9 and hex�eby decla.res that all the �'aets and rep�e�er�tationa statEd �n this ap�lication a�e tru.e a;x�d co�rect o � DgTE `�?�/ / �Co � � 3G�TATURE 6 e.�►,�-,.�u, � .1 (Sch�c3ule o�° Fee Co�ts ca� be iou.tzd. on the Reve�ee Side�) ' � � � ���-t � r�%�CL � c r� � �� �� � �o�/��� �'�+.� �� >L _ � A � e _. ♦ BUIIIsIDIl�TG PE�RMIT FEE �CHEDt�IaE SECTION 2o The In�pector of Buildinga ahall, ��f°ore i�suing per�its for the Esection of any building o�° structure, ov° ior any add,ation to any ex��ting �tzucture or buildi:c�g, or ior a.ny �.lteiation or repair� to �.ny existi.t2g builr3ing or st�uctur� 9 upor� appli:;ation therefo�^��, �equire the payment by the �.p�licax�.t ior euch �ermit oi fee� to the amoura,t het�ei�. below �et iorth a.n�. � the ma:�tze� herein provid.ed to��sit: Unifoxm Building Codeo Type 19 2, & 4 m$1075 ior each o:ne thousa.nd cubic feet, o?� fraction thereof", ir such cubical c:ontent�a Type 3 8� 5- $1050 for each one thousand cubi� feeto For the puspose of computi�.g fees ior build.ing permits9 the �ubical contents of any building or addition to a u�?iform height th.r°oughout by multiplyin.g the ground area covered from a poirt six (6) inches below the iloor line of the basement or the ceilar to the average height of the upper �urface or to the avexage height o� the roof suriace of the ma�.n ga.ble of a pitehed roof a For repairs or alterat� o�.s to an exi�ti:ng str•uctu.z�e, the iee shall be at the s�ate o�' $3e00 per eacY: iive hundred dollars ($500a00� or iraction thereoi in thE co�t of al1 p�oposed wo�ko In no case shall the iee charged f°or any pexmit aa aet �`orth i.� Section 2 be less than $50000 NSSSD Connection Cha:�ges based on location - Area 1 or 20 /�1 . �_ �� � . e . • P. r.+.s � � ` � �4 � E. `, �; 4 � � ��j � ` �c �� � ��� � o� 0. � �V � a � - -- � —�-- -- ---- - - - - { ; -� � - - _ - _ . -- _ - - � . _- .___..- �- � �-- � `- ` __ �, �� ,�, __.� _— �+'_ --- _.__.. _ - � � � --_— ___ __ ! _�-- , + --C---- F, ._ . _.___ '� .�i; �r__ � ;;` � ! ` � , _ _ .1-� r , ��, , ; . ,.: , � :_ � . . - - j --�- �� , : � ' , . ; � � � `� � ;� � i; � • . �� i � i ; � ' � ��- �. � - --- _ _ _ - � �--x �i _.._ ( - LL___ _ � ----�– ------� � �___ _�_� � � ! Ui � t - - - - --- - - - - --� � ; r, ` j �� 2. �_'. �".d � p� �+�.'. ' `�f � � . �P _ ' � r ._---� � • ;e� � ' 1 �l l i j "! ; , ; � � � � �� ;� � � ti � F� _� r� .a a� `� : f �� ��_f� .; i� � ��� i�'��� -� E ��iy- ..� � -,. °� � ; �I � f i `� _= j � � � �.:� � ( �4�n! � � �, �� � .�_ —3'f!� _.� ��.��/ �_ - - 6 2 7 � CITY OF FRI�LEY � � y3 � � � PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERNIIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a ta.p is made to aay esisting water or sewer line. Lot It�Block Addition �v �L A`'o Sv R� �� Address � �1 �/� /� a (Z, � , �Yl /fl �/I�! 6 .CJ/JC A/'��d� _ CHARGES TO �BE PAID �EFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: CO<5ui�( Materials Used: $ � � � � �� Street Patch: x . $ TOTAL: $ � �, � U Street Patch: x . $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional chazges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water �/ � ASSESSNiENTS TO BE LEVIED: Lateral: $`�T �.- D� Sewer La.teral: $ �/ ��/// TOTAL ASSESSMENT: $ � • � � l��.e-et.z.! �1�KY�(,'�Q.. � , `� Clerks Signature � Supt. of Public Works M/P 3/76 White P.W. Canary Finence Pink Prop. Owner Goldenrod Plumber ` � , ; i 53-81�-S-915. 51 � ���� Number Fixtures x $2.00 �_ Future Fixtures __ X $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fi.xturea __ X $ .75 Gas Range-199,000 BTU x ,55.00 Repairs � Alterations See Description: Inst�ll D�ver Code 00 State Surchar�e i�d�s:� `'!��' �aa��ha�g� �,6+�i;:�— • 5U TOTAL FEE $ 5.50 The undersigned hereby anakes application for a pernai� for �he work herein specified, agreeing to do all work in atrict accordance w ith the Citp Ordinances and rulin of the Department af Buildinge, and hereby declare that �11'the facte and repxesentationa etated in thie application are true and correct. �-`r°+�-- _ _ � � b41 G �-13-�c./ Date r t . City of Fridley � aT Tke ToP o► rN[ rwiMY , i` . r rL-------, GOMMUNITY OEVt60�MENT Q1V. � '( � MCtiCTrv[ wf�CT10M Otlr. f ��-� i pTr MALL FIUOI.R: iM� �.._..Jl.� �.� �-sso-s+so ob Addxesa 7513 East River noad Contractor Kind of Building on liate ,� �� � W J "' i W R �— 3n aoNra evo '1ddY CV9 •xid •�eiw i •eaa� I •�nNrva �m y� 8N18VB I� H�1Y7I K �O o eNwaal 3 [ aoo�� 0 0 v I saa�►oMgl OS �� '1NflO�l q tl �Niaa 'b V� � SA1/Lll Q NSYM BJIN�BI fNIBYY QYf11 NJ��re 53-8u-s-9i5.5i Richard H. Keller AAINNE��SCO Frame 5-10-71� —_r i I �; ij ii I -- �, � � ao �" I � 'I ---� — � i If ' . i � j `i 0 w .� � � I I W I � _ � I � � � �� I � _ � � � �• � .� � ���� % / - � 7 - ? �/ �.�(o � PLUMBI�Vr, PERf1IT APPLI�ATI��►� 1 s naress %3z fJ1AFcC�uE�� TF AV se �_ � Res. ���� one , io.00 Plumbing Fixture Rates: N0. RATE TOTAL Number Fix tures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Basfn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg, x$3.25 E1ec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures '�_ __ x $ .75 Gas Range-199,000 BTU x $5.00 Re[�airs & Alterationa See I Description; Install Grill �ode 5.00 State Surchart�e �-i , ,s ,-,�"v, ���r������ p���, .50 I TOTAL FEE $ 5�50 I !The undereigned hereby makea application for a pemnit fvr the work herein s�ecified� agreeing to do all work . in atrict accordance w ith the City Ordiaances and rulin of the Department of �uildinga, and hereby declare that a11'the facts and repxesentationa atated in this application are true and carre t. �� ; �a���,.,..�.,.. -o� _� e� � `� � � ��,. 'Signature i'�•: _ `J . - �' , Date , : t . SUBJECT PERMI City of Fridley . 12634 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIPT . r � ; y _.�_ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. ��� � 1 �' i i-_-_ j �'��,,, CITY HALL FRIDLEY SS43Z NUMBER REV. DATE PAGE OF APPROVED BY L J\ si2-ssasaso s�o-F�5 7/16/74 / /, JOB ADDRESS 7513 East River Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1]. == A.S. �%% SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Richard Kellon 7513 East River Road 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Milton L. Johnson Comn an 2513 Central Avenue.1�T.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Aluminum sidin trim & utters 9 CHANGEOFUSEFROM TO STIPULATIONS SEPERaiE PE�}I�tTS fiEQU1�EQ F � � �HEATING, PL�IMBING ANQ SIG�(�, �� �1R1N�, SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $2 i OOO'� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1. OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY O ER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PE{A�F MANCE OF CONSTRUCTION. � ��.2. OO PLAN CHECKFEE TOTALFEE .`� �� 7 y $i3. o0 SIGNATUREOFCq TRA ORORAUTHORI2EDAGENT (OATEI W N PROP R V A D THIS IS YOUR PERMIT I - i i� SIGNATUREOFOWNER(IFOWNERBUILDEFI IDATEI G INSP pA7E AP.pLICATION FOR RESIDENTIAL, ALTERATION, OR AllllTTION BUILDING PERMIT . CITY OF FRIDLEY, MINNESOTA � , OWNER' S N1�� : ��� C-d'6 ��,�-ag ��; � C_a°a'e� BUILDER: � i � Tcr„6 - � ,� � 4 /=/ ,� ��.� �� ADDRESS : `� �/ � � �Fs p �,���� V l o r�--� ADDRESS : , ,^7 � �° � /v �� � L� NO•. 7�I � STREET• �'�s: �eJ� ��� — LOT: BLOCK: ADDITION: CORNER LOTs INSIDE LOT: SETBACK: SIDEYAR.D; Applicant attach to this form �ao Certificates of Surv_ev of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front•� Depth• Height: Square Feet: Cubic Feet: Front• Depth• Height• Square Feet; Cubic Feet: � L IJ`l�� .� ;lo �.v � , i /� i s�j ,� Type of Construction: �° �� u� T�-`s Estimated Cost:_$ �, �s--� -� To Be Completed: % - ��- � , � The undersi.gned hexeby ma.kes app�.icatinn for a permit for the work herein specified, agreeing to do all work in stzict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hexeby declares that all the facts and representations stated i.n this application are true and correct. , . DATE: � - / � - , Y� SIGNATIJRE • '� �(-c.�J- � �`°�� (See Reverse Side For Additional Information.) � /,�. � � . P � rti �C1P� a ! �- ��/ � s � BUILDING PERI�iIT FEE SCHEDULE SECTION 2. Th.e Inspector of Buildings shall, before issuing permits for the erection of any. building ox structure, or for any addition to any existing building or stxucture, or for any alteration or repaixs to any existing building or structure, upon application therefoxe, requixe 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: UNI,FORM BUILDING COD�: Type 1, Z& 4-$2.15 for each one thousand cubic feet, ox fraction thereof, in such cubical contents. Type 3& 5-$1.85 for • each one thousand cubic fee�. � ADDITIONAL INFOR�7ATION For the purpose of computing fees for building pe7cmits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the flaox 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 ma.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of a11 proposed taoxk. � In no case sha11 the fee charged fox 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 from the time of application, to allo� for proper review of the proposed stxuctuxe and of the construction site. d. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OI' OCCUPANCY Application for a Certif3.cate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used ox occupied until a Certificate �f Occupancy has been issued. � � _, � t � , . �,_. . City of Fridley r OT TMR TOP 0� fl1E TMrINY � ��-L ------; COMwUro1T� DEV[L.O�MENT OIV. _ � � MtoTCCr�vit ws�tcTro►� onr. � ` r-- � Cm Nru.� r�up�r SMR i......�.� �.J N7{-b�0-aN0 JOD Aaar@88 ner Contractor Rind of Bui Com�e[ion ?57-3 East Rieer Road Richard H. °eller �IH�EGi�5�0 ng Frame e 3-7-75 ��;I � � I I � � � � -- . 3 � I I � I ' s�o � ;.� � •asiw i •saa� I•�nNiva � � SNIBVB I � H�lY� � �O � 6Nwt�a 3 � aoo�� 0 0 •� I saae►oNSI O'� �q '1Nf10�I d HNIMO �o V1 � SAYtllI A' M�vM 9)iN191 sN�ov� oanl �� ��� 1 I I' o �' � � .� i O � i � Ii � � 0 � •�. .� i� � I I I �i I � a� I � I i � { I f � � � � � i• i � � � � � � �-/6 - 7S"���� 53-8L� �-915.57- i�A�[CT PLUMB I�r, PERf1 I T APPL I CAT I�7�J ss s ��3 MARqUETTE AVENU�hone e Res. �` � �I�jB �sLimacea c;ost - . 10.00 Plumbin Fixture Rates: N0. - . —RATE TOTAL Number Fixtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 -�.._ Catch Basin x $3.25 ---�---_ Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 -�� Elec. Water Heater __ X $2,00 Gas Fittin Fees: lat 3 Fixturea ; "`� �'� X �=;QO °' .� n ' -� n , '�--_. Additional Fixtures � `�� �������'����j� Gas Range-199,000 BTU 1 x$5.00 5.� � Repairs � Alterationa ^ See I Deacription; Code State Surcharge ����� ���v� ����harge .��� __ xo�w �E $ 5.50 L'he undereigned hereby makes application for a permit Eor the work herein �pecified� agreeing to do all work L�n strict accorda,nce w ith the City prdinances and rulin >i the Department of �ui�.dinge, and hereby declare that �7.�.�the facte and representations etated in thie tpplica��6�'.�s,`� Ap�����'�- . 'Signature Date . M L $TAT�:OF MINN►$(ITA Uf.YAMIMCNT04 HCALTN 7l'A�ION UY wiLL a�"� WATE11 WELL qECORO Anoka M,..�psp�„„�,.n,.,� uNyNa� TewoYq tW{eN�m1w SRtr�wNe. Irrlw.a J. PROPCI Fri dl e 30 5 24 E 2 N6J�` S�` S�J ei...a �w.enw rrm r�almn.s�be. u. siMat MW..o na c7�s or a.a 7513 E. River Rd. _____. ,..«��..�.�..a�..�d�.Y.=x = . � �� � _� - -: -;- . . , ; - -•--•---- E er�. w.... ' � ; , T � �-_ _:_ � � � � � � ti �t. .� - --;..- . 1 ��. � ; � � � r�_ �--�-1 d L --r lDRMATION LO(i Lb1.OR NA�I�Nk� Sand Clay {iard Pan Clay Sand tJater Sand �dater Level 40' in 19�9 Vlell was removed B ro�m Gray Gray B rotan G ra.Y r � u.....000a.e..� uo..e.a �D. RCYAHRB. tL6VAT[ON. BOUNC6 O! DATA. �ta. Well Log Taken From: Bob's Producw 7800 E. River Rd. Fridley, f��J 55432 E11 s�m� � � � : • ' M/NNRSOTA UNlQUE r'ELL 11/O, � � "`�' B NDO�I�tENT*** ONiNE AME , es L. Schl e�r � 7512 E. Riv ' d. �/ �(��' Fridley, 55432 � �a.� 9-zi-a� � �. �'�oc.ni.�w sOw�.» �nm.. �eoa. ___ ,oµ.m.� .o,�. .o�... ��o � ,O �•n so,.n.. .o�ww. �.p. � �w � • uss � `^' y�i�o.wk �O►.ane s.rqs TO �.ae.� , �D tr.w�r.i �Ow..�pr �Oceswesw TO JOTm well lO/1MCn�eNb�lq �O 1. CASIf/G NEICHT� Alow NOLL DtAM 25 �oaK. ��,.�., 5 � 71314tl�. fOWdded =R�� R. / � 50 '°"14 "0 12' �..�.* Y2�73 — ' —wa—n ie. lo h. we1�M 1l�,/h, 8 J r. te n. wWM Il�./R. -I�. W�(4 b. ea 11. wekM Ib.R1. �N. �e�f1. � M�k� e S ue. n. w n. T�� Sand oint � 100 S7ntfCmn y�� ►irnnas: s.� en.... a.e n. n. ma n. v. STATIC WATl6 LEVEI, Dry � o� �.M� 9-21-87� 10. VUMPINGLk'wE1.NW�laudnd�ee) Not Pumped 11. �rts ta� O�d�t PCa. f1. Ma hn. pomp6i{ �,p,.. 11. WELLHEAUCOMPLETION In Basement 10 P�ttw �LayM. mmN�e[un+ mnetl !❑ 8ptmml oRY1 J� At taa 1T �mw p�b �a areu. anovrena OY.. �ne �o�.��•.� :o�„�. ,0 0 Bags Pulled Point awm m.w�� ne. b R. Co. 7d. `�.��°*��`��`a'" �"� Ci ty Sewer Ma WeOdlWfeetMapo�cewyWe�t Ye�O Nn❑ 1�. PUMi �� Gone ❑ r�a �u,e.a 14es(�clmMt Ntp Me0e1 NosMe IV Vap� LeapA of dteo Ob� � W7Rbf bya. IUtM.I ef droy pp� TsW: �OSoamn�ie4 aOLSTmtlr l�Ms�p�Ww SOIH p�aepNTUpl e❑ / \. Is. WATE0.N'ELLCONT0.ACTOR4�FATIi{CATid� 71W .r�O m dr�sd �aAs wf l� W IW nP� Y trs te �.�„�.,.�.�p..��. E.H. RENNEt� S� SONS, INC. 71015 llnnn OotwmNw L1nrr Ns 15688 Jarvis St. NW, ELK RIVER � � �. 9 9- 24- 87 � .� -e .�.���,. M�.a.ipd �a.,.r..tatt.. Kev n Hoppe 9-23-87 ��� �. sue�ecr PERMIT City of Fridley �. 4 3 5 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. � �.: ------, ���� r � � PROTECTIVE INSPECTION SEC. 1 ` i � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �"""� � �'� 612-571-3450 910-F15 �/8/92 � � JOB ADDRESS �513 East River R�.d NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 REV. Auditor's Sllb. #%% SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark/Susan Cutler 7513 East Ri.ver Road NE 571-5270 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDiTION ❑ ALTERATION � REPAIR O MOVE O REMOVE 6 DESCRIBE WORK Reroof Dwelling (12 �qua.xes) Tear�o�� 9 CHANGEOFUSEFROM TO STIPULATIONS Unde�laX�rtent must cozQply �ra.th. State Suildi:ng Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, VENTILATING OR AIR CONDITIONING. THIS PEHMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. fT. 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. DWLG. UNITS OFFSTHEET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $��6 $. �O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- $19tQO Fire SC yfi.64 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $20.14 SIGNATU E OF CONTRACT R AU Ofi12ED AGENT DATEI H P RLY VA � ID ED THIS IS YOUR PERMIT �� � � � � {� II � � � GNATURE O� OWNE �i OWNER BUILDER� i AP i BLDG �NSP �p7E \,�� NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/ 1/g2 Construction Address: �% J I 3�_ 1e /U� ]e, � 1'J , Legal Description: j� .� � v. /,����%, �� � c�� r/ � s n ��� 1 Owner Name & Address: ��k-,� SU s�, „� �,r,�?C.C--/2 Tel. � 5 � �' SZ,O Contractor: � �. �- � MN LICENSE # �,� , Address: ��( Y� ��� A B O U� Tet. #�� Aitach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � DESCRIPTION OF IMPRO�MENT LIVING AREA: Length Width Height GARAGS AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd �Sexback Side Yard SBtbacks 6 Ty� of Construction: Estimat� Cost: $ �� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Ne�ed: Ft. + b Ft = Ft x$ _$ DATE: �% i 9� APPLICANT: Tei. #��/-5�- �� Permit Fee $ 1 . C� � Fire 5urcharge $ � State Surcharge S • �1 SAC Cbarge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ �� � � STIPULATIONS: _ � ���� Fee Schedule on Reverse Side .001 of Permit Valuadon (i/lOth%) $.50/$1,000 Valuation $7(� per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. °B" Above Fee Determined by Engineering Agreement Necessary j] Not Necessary [) BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing bnilding or structure, or for auy alteration or repair to any existing building or structure, upon application therefore, require the payment by the applica.nt for such �rmit of fees to the amount herein below set forth and in the manner herein provid� to-wit: TOTAL VALUE $1 to $500 $501 to $2,� $2,001 to $25,� $25,001 to $50,000 $50,�1 to $100,� $IIXT,�l to $5�,(T00 $500,001 to $1,000,� $1,(10U,001 and up FEES $1 S(Minimum Fe� 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 ther�f, to and including $25,000 $252 for first $25,000 plus �.50 for each additional $1,000 or fraction thereof, to and including $50,�0 $414.50 for first $50,000 plus $4.50 for each addidonal $1,000 or fraction thereof, to and including $100,000 $639.50 for first $1�,�0 plus $3.50 for each additional $1,(�l0 or fraction thereof, to and including $5�,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,(�0,000 $3539.50 for the first �1,�,0� plus $2 for each additional $1,000 or fraction �thereof DRIVL�WAY DEPRESSION ESCROW (Concrete G�rb S1re�ts Only) Alternate "A" : Removal and replacement of curb and gutxer only - D�iveway width plus 6 feet times $13.50. Alternate "B" : Removal and repL�cement 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 applica.tion to allow for proper review of the propos� structure and of the conshuction site. A Certificate of Survey of the lot, showing the location of the foundation once it b.as it has been constructed will be required before proceeding with the framing. � � � � � � 0 � 3 � o � 3 3 a� `o m 7 'p tQ A �a a O � 'O � � �Q �� � �� �. � s 0 � �� �o m -c-+ m D � � �� �v zm D � n� m � a n � � � D O z z � m Z � v m � 0 Z m � � � -� °< � Q W � c � s 1 3 � ¢: m 'n � � I�D v, � � m a � � m z O � 11 N a D � z Q n O � � � a � 0 � m �a p 0 3 � � C A � � = �• � � N � m � 0 � O � � � � � � � � � � � � o � °. � � w �� �. sti �w � � � o � � � °C o G � � O '�- �ui � 0 z � n � ifl � � c� � � � � Q. � z � .m ■ �� � N m z O rn v � � w --� z m � _ C � � �. 3 `� �. � � � � � 3 � � _ -� ° n � � 'n 0 O � � � m �. �. � m � a. �n n�Di o �m 3 Q Q Q � � • 2 0 � � a' � � At � � o D v � � � -. � Q. 0 � 3 tfl t D � � N � v � � L� � � � c� � v � � � � � �. � � m L^S� � AD O � � 'n to �, c � � � � � a 'D � �� � �' � � � � �u �v � � � o � W C � � i � � � � �. o a o o Q� °o °o c�i � o° ?� m � m -_N-1 � � 0 O � � 0 0 e 1 � m � � � z 0 \ � � �s W C v Z � C � rn v � .� � � � � t� --t av � � N --� � ' lD W 5 n � � � � � o a � r' � uZ � ��.� ���� �� o � Q � v o ,� ���-,'�' 3 w o � �- su ? a w � m � � A Q � � � s � � m = . � � � � � � A 7' � � o � m � � a� � N n � a ,� � � o � � � �" S ''' � � rt � ��" "� m � ? ro � � � O y 0 � j Q' � Q. N ta 7 � j � � � r. w� t�+ . I L � ao v O � rrF � � � � n N � � ���0 2 � � v �� � N � zZ m� v rn -�i � v C �� �� rnn a �o o� zo Z � vro D �7�7 n � � � � Z Z y � Z v� v �_ m �� Nyz vZ � � O r mz �� rn . Z � � r,l z � m 0 7 L � 3 C A1 � W � W � . "/ W a�p� �Ig paubt g S r''' � -«� �ii�Ii�dlni0� �1�IIS�I�H 0 i o� :aIIOa utag sIIOt�QZa�t� �siZ sx��urag � � e s � �S 'IKZO.'L , . ��� S � Il.ZS �aii�o �CZK B 3a s�llsg buT��au T��o� s�g -9 () oH (�j sa� pa�oauuo� s,�g t��o� pu� azTs .zo3 s�uaiaa�-rnbaa apo� �uaa�n� TT� s�aayl • 5 ( ) oH ()If sa� pa��oddns �Cta.zn�as sI • �, / () oH �� sa� u-r�Tt►� pabpoZ s��a Cqo ubta�o3 ou s�H '£ () oH (� sa� uoi���ot�a�ap .zo �snz u�o.z3 aaa3 sI • z () oH (�) sa� pautuc�xa ATTn3a�EO uaaq s�H 'T :x���s �o �tauiuiu� bui�sixa a� �r� sai3T.zan �iqa.zau paubis�apun aus Hois�r�i�a�se x��rss ar� a�i� sue�eti • PERMIT NO. c�ty of F��a��� 3 2 0� 9 AT TME TOP OF THE TWINS � u I L D 1 N� P E R M I T r ; � RECEIPT NO COMMUNITY DEVEIQPM�NT DIV. r�j?2 360� i ♦V ��'��'� . f � � PROTECTIVE INSPECTION SEC. � 1 . . @� � _ �"'1 � CITY MALL FRIDLE� SS132 NUMBER AEV DATfl vAGE OF Ap ROV �""'� � �'' 612-571-3450 910-F15 7/31/O1 � � , JOB ADDRESS �513 EAst River Road t LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACNEO DESCR. lj REv. Auditor's Subdivision ��77 SMEET 2 PROPERTV OWNER MAII ADORES$ ZIP PMONE Cutler, 7513 East River Road, Fridley, MN 55432 763-571-5270 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Tacheny Roofing, 49 S Owasso Blvd W, Little Canada, MN 55117 651-484-1466 7596 4 ARCHITECT OFi DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER k1A1L AODiiE$S 21P PMONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION C� REPAIR O MOVE • O REMOVE 8 DESCRIBE WORK Re-roof (tear-off) 14 sq. 9 CHAN(iE OF USE FROM TO STIPULATIONS � Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAI, PLUMBiNG. HEATING, TYPE OF CONST OCCUPANCV GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION ZpNING SO. FT CU FT. AUTHOR12ED IS NOT COMMENCEO V�!ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONED FOR A PERIOD Of /20 DAY$ AT " ANY TIME AF7ER WORK IS COMMENCED. ` NO DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIFV THAT I HAVE READ AND EXAMIN�O THIS APPLICATION S7ALLS GAiiAGES AND KNOW TME SAME TO BE TAUE AND CORRECT. ALL PROVISIONS OF LAW$ yp�UATION SUR7AX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL 8E CpMP�IED @ WITM WHETMER SPECIFIED MEpE1N OR NOT. THE GRANTING OF A PERMIT W 1 f 432 . OO ��. 72 OOES N07 PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pERMIT fEE SAC CMARGE PROVISIONS Of ANY OTHER STATE OR IOCAL LAW REGUlA71NG CON- @ STRUCTION OR TME PERfOflMANCE OF CONSTRUCTION y�S�F.�� F,ire .5�.' �1.43 � P�AN CNECK FE� TOTAI FEE �_ �--._r�._ , � - - �,, � �,-, 1�.�,�, l�'� ► �� l� License $5.00 $61.15 S�GN4TUAE OF CON'AACTOA OA AUTMOA�ZED OGEN1 iO�TE� WN PqOPEpLY VALIDATED TMIS IS YOUR PEAMIT ` - C s i �- > S�GNGTUAEO�OWNEp���OWNEpBWLDEp� �O�fE� G �NS q�TE NEVV [ ] ADDN [] ALTER [ ) Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � � ' � E�=�c�-r �-� a �. c� �A o��, � � Legal Description: �� � �� ��-� ��� � 4-� � �,� � Owner Name 8� Address: C� �--1 � � Tel. # � � � -- '� � � - �z� �� Contractor. y v=«�"'�� N��� \'�,�,� ��, ��{�, MN LICENSE #��`�-� � Address: �1�� '� �, +� t;�, n�� C �,�..� v � i �• 1 ,�..l� Tel. # C�, c � d - �c `���-} � 1 � � "� Ca�'�'� C��«d.�- , %'� S�L, '1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft GARAGE AREA: DECK AREA: Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: �� .3 �. � Construction Type: Estimated Cost: $�' ,��� 0 I'� �:'Jc, ,, �, Driveway Curl� Cut Width Needed: Ft + 6 Ft = Ft x$ _$ � �- DATE: � � � / � � APPLICANT:1���--�.-v-.r._u � s��J �-�.���--a,� �� Tel. # �a � � - 1 �� ��'d; ' -�, CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ U Fee Schedule on Reverse Side Fire Surcharge $ � 3 .001 of Permit Valuation (1/10th%) State Surcharge $ • �a $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1150 per SAC Unit $ 5� o� $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 [ ] $ iQ.�J 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 e�sting 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 tawit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to _$50,0� $50,001 to $100,000 $100,001 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 $2,000 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,� $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 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 foundaxion once it has it has been constructed w�ll be required before proceeding with the framing. New Houses Onlv * � D � �. � O '� � � Q 3. �' N � v_'. -t O y � n �, a� � � O 3 � 0 a� rt f1 �`o �• � �• � 0� n N � � O � (�D � � y .� a o fD � � � a . � � s 0 c '+ a � a 0 < m a W � � C7 � O4 � � � C1 �D � � � � a� m � m z. � '� m � O Z �'I m m {y9 �A v O 0 � 2 � a �'• X � "i m r �k � � � 1 � 0 ...� F-' o �� � fD o � v � CD Q. 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UeWV1 O3NZIt1132! 38 'I�IM NOLLd�lldd�d 3Hl?�O S3�Md1'idd�d JNlIVbf18'l3(l� JNI��fld32J N3HM NI a3111� 381Sf1W M0�39 3Hl ADDRESS PIN LEGAL DESC PERMIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 l+'AX: : 7513 E RIVER RD NE : 103024110013 : AUD SUB NO 077 (REV) : LOT 11 BLOCK : HEATING PROPERTY TYPE : RESIDENTIAL CON5TRUCTION TYPE : ADDITION/ALTERATION 571-1Z7f7 ---�_ � �. PERMIT O.: 2004-01223 � , DATE ISSUED: 07/30/2004 VALUATION : $ 2,500.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIK SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIlZ CONDITIONER. # A/C iJNITS 1 VALUE OF APPL OR WORK 0 #FURNACES # GAS RANGES APPLICANT BONFES PLUMBING & HEATING 505 RANDOLPH AVE ST PAUL, MN 55102 OWNER CUTLER MARK E& SUSAN J 7513 E RIVER RD NE FRIDLEY, MN 55432 0 # GAS DRYERS 0 VALUE (FOR MINIMUM CALC) AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or constntction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating con�truction or the performance of constru�ti 1. Ap�fi� , Date : � � � �/�I i�1;r►�� � . HEATING PERMIT MIl�TIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE I�ATING REPAIltS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WIT'H CHECK # 3678 0 2500 0.00 0.00 0.00 0.00 25.00 0.00 0.50 25.50 ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r��: : 7513 E RNER RD NE : 103024110013 : AUD SUB NO 077 (RE� : LOT 11 BLOCK : BUII,DING : RESIDENTIAL : ADDITION/ALTERATION s�i-ia�� PERMIT O.: 200401337 DATE ISSUED: 08/16/2004 VALUATION : $ 15,722.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOM5 AND ON ALL LEVELS OF TI� DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 28' X 6' FRONT PORCH; REPLACE 16 WINDOWS WITHIN EXISTING OPENII�TGS. STATE LICENSED CONTRACTOR 1 APPLICANT TWIN CITY HOME REMODELING (20385210 6527 CENTRAL AVENUE FRIDLEY, MN 55432- (763) 572-2577 OWNER CUTLER MARK E& SUSAN J 7513 E RIVER RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes nu11 and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and l�ow the same to be true and conect. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a pemut does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Anuli� Date � � Bldg Insp. SEPARATE PERNIITS BUII.,DING PERMIT FEE PLAN CHECK FEE FIlZE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 22601 0 FOR WORK OTI�R THAN DESCRIBED ABOVE. 265.25 72.31 15.72 7.86 5.00 366.14 NEW ADDN ' AL7ER � �Ly� `����� 3�� � [ ] 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 4/1/2004 (763) 572-36 4 Bld Insp (763) 57 -12 7 � l� �' � r Legal Description: Owner Name 8� Address: f�l�� C��-I-e� Te� #� ,�"°7 /- S`'2 � o Contractor. � c� �� ��DELING MN LICENSE # VG. Address: ��ie ee�� ��,��� Tel. # . L�NQ , Ph.7G3- - 77 "�,� � Uc. �����,#�i this application, a Certificate of Survey of the 6521 Old Central Ave. , '�he proposed construction drawn on � to scale. F�iley� MN 55432 . PIt.7�-572-2577 DESCRIPTION OF IMPROVEMENT �.,_ � �. �385210 LMNG AREA: Length Width Height Sq. Ft GARAGE ARE�A: ,c Length Width Height Sq. Ft DECK AREA: �� Length :Z �� Width C� Hgt/Ground L��� Sq. Ft Alo � OTHER: � "� �X � �°l•�%G S4 of . �' ��I �' -�o� �� I� U.�.� �..'�.:G� -�,r : s�� cav�� wS S� o � I j��o��� �� Construction Type: �ite� �o � Estimated Cost: $ Z e o o� 3 3�l� Driveway Curb Cut Width Needed: Ft + t= t x$ _� DATE: ?� � � —a `I APPLICANT: �'v Te�# � � 2 - Z.S� � ? 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 car� number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Q� ��� 0 O[ � � $ -7� , . $ / . $ - $ $ ��� $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee u�s�� �� ��1 �� `��1�� �-� ° .001 of Permit Valuation (1/10th%) �°2 �2c� °`�l� $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contra�tors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �C4� < I� STIPULATIONS: BUII,DING PERMIT FEE SCHEDULE _ The Cluef Building Official sha.11, before issuing permits for the erection of any building or structure, or for a�y addition to any existing building or structure, or for any alteration or repa.ir 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: $1 TOTAL VALUE to $500 $501 to $2,Of� $2,�1 to ' $2�,000 $25,001 to $50,000 $50,001 to $100,0� $100,001 to $5�,0� $500,001 to $1,000,000 $1,0�,001 and up FEES $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,� plus $14. QO 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,� plus $7.OfJ for each additional $1,0� or fraction thereof, to and includi.ng $1�,0� $993.75 for first $1�,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $500,0(?0 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,0� or fraction thereof, to and including $1,�,000 $5,608.75 for the first $1,000,�0 plus $3.15 for each additional $1,000 or fraction thereof CURB 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 constntction will be issued a minimum of 24 hours from the time of applica.tion 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 founda.tion will be required before proceeding with the framing. New Houses Onlv JUL 30, 2004 17 :46 Dati Mo�[tel � � �� � � � � 3 / � � � � .� 0 ° �� � L �� � � :C al � 1 �� ��' V J I � � _ �� � 1 � t'..i f� � � � ,i W x M � � w � � � r -� � >> � �; rn �P J�: � 7157490194 � W � � � � � � � 7 � � ��� c �� � •-� � � .� � � r:� � � a � m .IJ � � e � �� � �� LJ '� �� s � . .�_ � � G V � � �QI� � � � �, w � " � � -, � �� �' C] � � �n �i .a �o �.,' u e-4 _ � p� . � r • � a � � s"? � � � � . ° .�"� � M ri� a � u � �--- m .. �, <:� � � ��.� � � �-'— w F o� r1 �/ �� � ,Z w ..� Q � � ro �, sa ,u b � 0� � V cn ,6..� :i :t, Page 3 � �j ) � !J _ ' � � � l.t] �J_ C? -�- s t— u.. ,w �L�� o � � ' � —�CL'Q � O � ��o ���� _____---- m cv � �i ' _ � �� o � r. � � . �zl�,UYt t ��� . �� U �►�1 �n��G� 1�.���1�� � , � �� � l�.u�� ��-N�.. � �3�,.i�w -°- �-a�2 w� � ,� � ��� �� ►� � - eQV�+ 34' T� .3e' � �ou TME �osE aF r�to vQmr�u.ttr TO TOP OF HAbt�A. All OPQIINCS {N RASLS 6�lKf 8E 1E�5 TFIAN 1� T}9S S?lAll 8F S�IGtE l�FR HEIGKI AS STAIRS Wti?i A MA�lkaflw! 9� R�£ ,.. � ������ II�STAl1iD AS TD A1fD1D Z A �0 HA2/1R0. � ALL �1�5 fH RAtlS r' � IAt�T �E 1i35 iHIW 4" . i I �� � � �� �,dus� ♦ �'I V h�1 c I�Y� �OIV � ��3, y ��'f BE � �11W��4� ���U s �. s' wu�, o�� a�u�c �g.,j � ,�°,."— ` ' :� STAI R S ECTi 0 N � �l � T�1 �� ���C 7 JUL 30,2004 I7:06 D2�n Mortel 7157440194 e � � �� \. Page 4 > � � � ip � • � � � Q ' "� .4 � � � � � � � � � � �° a `� 'T+ � a o° ,,� ° �^'o� � r � � � � .. ,�'�VIN CI T Y HOME REMODELING � 3D` . . . Commitment to Quality £� Service mp�t,IZ G�� I�.z 7513 �'�.�t 2,'�cri R�.Q /C'.1: .l l.ey w, ►.1 S S'N 3t ,. jN<<✓ f=a..vf l�e.ach � �� 1 � I_ _ ... .� .. _ � _ ._ _ - - ,1 ..�. \` s��P .�i �' t t--=- C�K.3 c�'w�r Q t�.�, 2.a/ �3� � 0 TWIN CITY HOME REMODELIN6 • 6527 CENTRAL AVENUE •�FRIDLEY, MN 55432 • 763-572-2577 / FAX: 763-572-2578 ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 7513 E RIVER RD NE : 103024110013 : AUD SUB NO 077 (RE� : LOT 11 BLOCK : BUII..DING : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 13,578.00 �� � PERMIT O.: 2004-01923 ', � DATE ISSUED: 10/19/2004 NOTE: PER R703, 2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATI�R RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WI�N TII� SIDING IS AN APPROVED WEATI�R BARRIER VINYL SIDING IS NOT A WEATI�RPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN TI�IR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES, RESIDE HOUSE. STATE LICENSED CONTRACTOR 1 APPLICANT TACHENY ROOFING & SIDING INC 7596 2980 RICE ST LITTLE CANADA, MN 55113- OWNER CUTLER MARK E& SUSAN J 7513 E RIVER RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null a.nd void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and laiow the �ame to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of constntction. Avnlicaat` � Date � 1 : � : � . j�j�.0 l � , r�� BUII.,DING PERMIT FEE FIltE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 15857 SEPARATE PERMITS REQUIKED FOR WORK OTI�R THAN DESCRIBED ABOVE. 237.25 13.58 6.79 5.00 262.62 NEW [ ] ADDN [] ALTER [ j Construction Address: 6 � � � Legal Description: Owner Name 8� Ad ress: �� Contractor: �� C �� °�v�r� . __ ra LNING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY 6431 Universiiy Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �1►��� (�� �Lf�� �l ����� f ` (� )! �c� _� e Effective 1 /1 /2002 (763) 572-3604 Bldg insp R��O��, Tel. # %� �.�"�� ,���� �� ' � MN LICENSE#���► � ��/ � Tel. # 6 Attach to this application, a Certificate of Survey of the lot, with the proposed consttvction drawn on it to scale. DESCRIPTION OF IMPROVEAAENT Length Wdth Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft YP �_l°P � � �� 1 @ 1 �� Construction T e: o� Estimated Cost: $ ���� � Driveway Curb Cut wdth Needed: Ft. + 6 Ft = D Ft x$ _$ T � �DATE: APPLICANT: Te1. Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $� �i�r �"� Fee Schedule on Reverse Side $ I� e�b� .001 of PermitValuation (1/10th%) $ �� , � �,� $.5�0/$1,000 Valuation $ $1200 per SAC Unit $ �d �!'�� $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 [ � F .� $ STIPULATIONS:� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts 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 pravided to-wit: TOTAL VALUE $1 to $5� $501 to $2,000 FEES - $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 ------ - - - ----- - -- - - ��,DO1--t6 ��;6�-- $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $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 $391.25 for first $25,000 plus $10.10 for each addition�l $1,000 or fracdon 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 $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.1� for each additional $1,000 or fraction thereof - --- _ — DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t times $1 S. 50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv �iii�d�ig Inspections 763-572-3604 763-502-4977 FAX DA� �� z� -.� 9 SITE ADDRESS l J ! THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING DC SIZE OF IIVIPROVEMENT ROOFING NUIV�ER OF SQUARES _ GARAGES PROPOSID SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR �MAIL ADDRESS O OWNER �ONTRACTOR NAME: /„ B� � , C. annRFCC• i S J 3 �L'� � Permit No.;� � ° Q'%�, Received By: Date Rec'd: �� �'.� NAME• � nN� �.. . ..�...� ..�...��M..--• ----- ADDRESS: _ CI1'Y STATE ZIP PHONE STATE LICENSE �SINGLE FAMILY/NEW COT7S'I'AU�TTO�T ❑ TV✓O FANIILY/NEW CONSTRUCTIO O ADDITION ��� � � BASEMENT FINISH TL��F ❑ DECK ❑ SIDING _ FAX � EXP DATE SILE STORIES ❑ WINDOWS ❑ DRAIN TILE � OTHER O NEW HOME CONSTRUCTION 0 ADDI170N C] MAINTINANCE/REPAIR ❑ REMODELING :: Jv� �oZ. X �o s LINGTH WIDTH HEIGHT S ❑ HOUSE ONLY gASEMENT REMODBLING SUBM[T: _ O HOUSE & GARAGE �� �%„` �� �. Existing Floor Plan O ATTACHED GARAGE `J� z. Proposed floor plan O DETACHED GARAGE 3. List of strucdual members W be u�d OSoffit 0 Trim ❑ Fascia wnvnows IN EXISTING OPENINGS OYes �No IACATION OF WINDOWS OR FOR DJEW OPENINGS-DESCRIBE SIZE OF OPENIIJG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF V ALL FEES ARE BASED ON VALUA7 d/ _ (USING TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due FOR NEW CONSTRUCITON INCLUDING DECKS, ADDITiONS. & PORCHES SUBMIT: I. Site PlanlSim+ey showing the existing strucriues and proposed proje�ct. 2. Two sets of consk�uction plans 3. Energy Calculations INCLUDING TAE COST OF LABOR AND MATERIALS: 1997 UBC FEE SCHEDULE) `�2ie �l� Or'�C:C"i1PANC'V TYPF. $ �-� �>�� See Back Page for Fee Schedule $ �e'd S,� f 65°fo of Building Permit Fee $ ��, �?}( .001 times the total job valuation $ A ( , � � .0005 x Permit Valuation Minimum $.50 $ �; � $5.00 (State Licensed Residential Contractors) $ ��- $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ,� ,/ Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I eclmowledge that th information above is complete and ecourate; that tha work will be in conformance with the ordinences and codes of the City of Fridley and with the Minnesota Co ction odes; U�at I understand this is not a pertnit but only an application for a permit and work is not to stert without a permit on site; that the wotk will be in accor ' the �,ro�v in the case of ell work which require eview and a proval o/f� lans. SIGNATURE OF APPLICANT ��/ PRINT NAME ��N%�l � �I/ /� /f9 w! DATE� APPROVED BY DATE ' / � � 1,�.1.,±�., 1���, �_� 12135 �-�: Pa � 1 of 3 � -� . � � 0l2009 ��� Take this s��e# to the-Build�ing M�t�ri�al� co��:#�r to purchas� your ma#e a s, � YoW have ����c t� d a�ara e w� t�: � . 9 �� Wide X�� �eep X 8' High Gable room �in attic roof wl 10112 pifch trusses 2x4 Wal1 Framing Material � 12" gablel12" ea�e overhangs � �a' OSB Wall Sheathing �� Typar Housewrap ,� �F�' OSB Roof Sheathing 314" T&G OSB RIA Floor Sheathing R' D bl 4" L S'd' The options you have selected are: 2' O.C. 15 lB Roof Felt 2 Rows Granular Ice & Water Ba�ier � 3 ��' JL}�.�s� �� %� _ ,�. . �V. a.`..�;L�zg? �_ �� 8 � ',.'S i�r� �,G! s ' i; `:.h � j�:��.2'_.b.. i�3 �.•;ii� u� f,�%ii._!•. , , . .L°'i�k�Li�.�`4_� tFF� IlEL WW� ���Ir Cypress Vinyl ustic ou e ap i ing ���� ���� ��� :�:�� ����������� 30 yr. Oakridge, Onyx Black Shingles' '�� ��' 4 O.C, Vents�re Ridge Vent �� � � White Aluminum Soffit & Fascia White Premiurn Roof Edge White Unyl Ove��ead Door Jamb Frant Uiew ���.,..._ ... , •\ . � .; . : . � : , :� � .��.:�r -� ►,�� _ _���_ _�: �V�- C S�C R10g 3.; . s�E��� 9�pC' �... m .�.�a � �; .._ � .. _ � �..e. . � r��cl� ��� �� ,_ �� � � �� � w ' �, �. ��� 1� _ ��� � �� . w. �= t�� . .� u�l� :c�.�:n.r�� � � � _ _ - � �:: ���� _� � :\ i , c �DN � . H D e � �# 1 �135 • ' i � g �� �-, � , --� ��� Here arethewall confi urations for ourdesi n,����� �`� 9 Y g Illustration May Not Depict All Options Selectetl Gahlo Front View �� � e ��(� . IN�' � �, Page Z of � 61201200� � � Gable B�ek View 1�1��1�1 �' �C, �� � lu C {i� 1�. � � ��b� , ,1vt„v � �y -s � I �, I �'' ��"'� � ' �°�, " r ` O.C, r�� � �. c��� �� � �i Ezl � �ront View „Z. ��I _�� Eave Back View �, � . ���� �l ', , � , � ��NB -��� „��. �a. � 2 yo � .� � .� �a,—'' . . lM� N '' �� � ��✓1 r��. �r� �� � ��� � � Menards pro�ided material estimafes are i�teodetl as a general co�struction aitl a�d ha�ebeeo calculated usi�g typical consfruction methods. Because of the wide variable i� :: �:;s a�tl s�e restrict�ons, all final plans antl matenal lisfs musf be verified wifh your local zoningoffice, arch�ect andlot builder for buildi�g design antl cotle compliance. Menards is a sua;. zr of construction matenals and does not assume liability for design; engineenng or fhe completeness of any.material lists providetl. Undergrountl electrical, phone a�d gas lines sho�:��: be locatetl a►�tl marked before your builtling plans are finalizetl. Remember fo use safety equipment includmg dust masks and sight and hean�g protecfioo dunng construction t� ��: ::;; � a positive builtling ezpenence. De�i � # . g _ . a. 1�135 i_. Page 3 of � �� �� �,��, � 612012009 �� i� � !'' ou�, /� �o� 9��� ^d� �� �'�.��� � All Options Selected ��� �x y ;� (o �l �" -- Hel�ful Hints for Room In Attic a�r�.:� e Construction � � �. � 10112 pitch truss; room size varies wit b�ild�ng width estimated. � � Trus�es can not be cut or modifed. � � Increased loading for the floor is includ d in�the room area only. � Trusses are not built with eave overha gs, eave overhangs need to be hand framed N Dormers as well as other stair�designs are possible. To receive a cus#om estimate, see a Building Materials team member for details. Menards provitletl material e,.�!imates are intended as a general construction aitl and havebee� calculated using typical construction methotls. Because of the witle vanable in codes a�tl site restrictions, all final pla�s and material lists must be ve�fetl with your local zooi�goffice, arch�ect apolor builderfor building design and�cotle complia�ce; Menards is a supplier of construcrion materials antl does not assume liability for tlesign, engineenng or the complefeness of any material lists provided. Undergrountl elecfrical, phone antl gas li�es sho�!d be locate� antl marked before yoar building plans are finalizetl. Remember to use safety equipment including dust masks and sight antl hearing proteclio� tlunng construction io ensure a positive building ezperience. � , . . ,-, ••hy::... . . t . . i ,-_ -; . �r . .. .. . . . j,. �.;�: , . r - . yr. ..��. _, ' � :� � . � . . . �. �: �.' . . . . . .:Ar. � . . ' ' ., • . . . �. . . ... .. . . . � ,. . � ';;'�;� �' * '• , . � . . � . � .. . � . ' . 'd}` . .. ' . . � �C p .. •:* � ' .� � �� ;�: � �,� _� ,� ���� . ,� ��� . . �.� � �. � . � � � . 1. . . , � . 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" . . . � . � 't4 � . • • � . ;.p.kri�.....iuwoti-:Ma� .y:. ... ...-<iw....�.y . .... o.+�:� .w ..�Sw _��,*"/1"M � , . . . �,'�y.��y'rw,,..,..w.w_�x� �w.�,..� . , , ` ..y � * . t ro�:��.e�:�.�e••P;. - . ._ .. . . . . ;'!�1�,. ' ..'a,�� •8"?4;\�.�'a + . .'_ _.. , a•,�, ' . . . . , . : ' .. • . . . ' _ . ' . r�; . � . , � . . . .a . A•.;'. Rr,� .C`,� � . . . .. . . . .I�,.,. . . r ��...•' � . . � . . � . � i . ' ' ; . �F , . . � . . . . . � . . �� � . - . 7 { Ld . .. � . .. . � • 7 ' � __ ' � .� - ' � � . . - . ..�r . • ,�. _ ... CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 (763)572-3604 FAX (763)571-1287 MOVING [ EMO ] PERMIT APPLI(:A'1'lUN �, '��� �� �Q �5 6 �" ( Job Address: `%�i 3 ���� �' �'e� � � Legal Description: Owner & Address: �./2 C�v /�� Tel. # S�7/�527� Contractor : /��`•� � � r,--� �.P/+t e � �` � � e. Tel . #7 %� -� S 7 `� Address: �i/d �'r�- �►� i�w� %�� rj'�� State License # 2��'� �9�� ���z � DESCRIPTION OF BIJII.DING HOUSE: Length Width Height Sq. Ft. GARP,GE:Length 2� Width •f � Height Sq. Ft. � OTHER: Length Width Height Sq. Ft. Estimated Cost $��,d�9 Approx. Completion Date Cu. Ft. Cu. Ft. Cu. Ft. rnr•T• GOPHER STATE ONE AT 651-454-0002 FOR IITILITY LOCATIONS. CALL ALL IITILITIES FOR DISCONNECTS BEFORE WRECItING MOVING STRIICTURE. Moving Route: APPROVAL(S) REQIIIRED PRIOR TO ISSUANCE: 1�CA: NOTIFICATION OF INTS�iT TO PERFORM A DEMOLITION O YES O NO 0 Water Bill Paid: Yes[.] or Collect[$ ❑ Bldg Official Conditions ❑ Engineering Conditions ❑ Fire Marshal Conditions ]Signature The undersigned hereby makes application for a permit to wreck/move the building descn�d above, agreeing W do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and conect. ALL DEMOLITON DEBRIS, INCLUDING FOUND�ION &�. SHALL BE REMOVED FROM SITE. � �� ,� G ��G��,,�G�/D't��-._- Date Signature _- _ -- -_ - Muvin . Principle building into Fridley . . . . $3�.� Accessory building into Fridley ...$ 42.00 Through or witUin the City ......$ 20.� Move a building out of City ......$ 20.� � �i Wrec ' For e,ach 1,(�0 cubic feet or fraction. .....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.� for each $5�.00 or fraction. PERMIT FEE: MINIMLTM $20.� Ot�ce Use Only: SAC-D form completed Effective 4/21/09