The URL can be used to link to this page

AF - 41613City of Fridley, Minn. BUILDING PERMIT No 4 s 4 s�� ., � � �. � nate: ___ � ___�_+is2. ` ._...a,�:_.t„_:_..._..____.._.__...._.. t i �C.._..._ y . Owner. --- Bwlder ��ii!l�i.�._ �_ . _ . �. , . . •----��-------.._..-----•---�----_........-------- •--_.._.�..__._._._. _. _. ._.�.._ .� _... •-•- ._ Address ...._._.._...._.----�._.____..___...._...—__ ____.. Address -�- �;, �—. J--._...-��..,�,.��t� .:_�' [ ''.�..�..' �, �� ,�,, �,. LOCATlQN OF BUILDING �/� , No ;,�....,�� Street .__...�:._._ _� � .c. �!`� � ..._.__.. _.. . . . . -- • - - art, of 7,,ot , � _ ,,, ... ....... . ... P + ___........_.. � r_. .._..._.._.._..._ Lot ,��.'` `�..f.� ..:k�: Block ...._...:�_.✓.... _........------. Addit�on or Sub-Division '; .�-..�. t �!-�- �- �..::Q�r p . L , f. ,� f r _. : � yT C , -�r�- ---_. _ . _...--------• Corner Lot .........................._........ Inside Lot .....-1'-':'-................ Setback ....._..4��....._...._.._..... SideYard ...,r..: :.f...-•-•--�--•-----.......----------�---•-----._._. Sewer Elevation To�Used as: , /` . }+,:_,�J�_: �',.-t:??.1'f...... � Foundation IIeva.tion DESCRIPTION OF BUILDING � y `� . � �r . i' `''"., ..+ * Front .:..t y'`....--- Depth .;„:e!...�----- Height ,� �`--...... Sq. Ft. ....�� ..!.�!.._._ Cu. F�...�'.._�'..� � -- -........--- -.. . ....._ ..............----- Front .. ..._ Depth _..._.. ;� Height Sq. Ft. .....__----...._.. Cu. F't. �.,,. �.J � ,/ Lt!? T3'PeOf i.'OI1StTl1C110A ... .�`y��..:. � � --'�' �':�.�-�� Est. Ca`st ...... -f..�.>.�1,- -........ To be Completed .....- ............._..... �� TI-IIS PERiv"! j p(;F:c, f,�.,,-- � ! ��JTHOR►ZE VIOLAT- ior� c��= n.r�;��• r-,,:�v,�, � � ` , BUILDING REST�lCTIONS. D COVEf�AhJ o S AND In conaideration oP the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. - ,_ _ ��F t' In consideration of the payment of a fee of $.d.�?..---_......-------, Permit is hereby granted to....._..-----------------..._...----..._---. _.____._.__._.....___..._..__._..__.._........ to construct the building or addition as described above. This �rm�t is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, . around and upon said building, or any part thereof, shall conform in all respects to the or�nances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. " ; ,� ,, .___.. i:: < t.,��/-r r.-� �. c-:....,�.`-. '�1�':;'BLlil[�21g IIlBp@CtOP i NOTICE: - This permif does not eover the eonsirudion, inslalleNon for wiring, plumbing, gaa heaHng, sewer o� wa�er. Be sure fo see fhe Buildine Inspeetor for separete permhs for these items. �. 4 � ��.� � f - � �J �\ � s ` �- iPPLICATION FOR BUILDING PERNQT CITX OF FRIDLEY, MINNESOTA Builder � � �" �� " � �� `�` � e� Owner� i�Tame , Address � � �l ��\�� y��,C^?_ / Addr�ss ---..--- LOCATION OF BUILDING No. '�� .Stree� � �' Past of Lot ! - � t Lot �?°dc/�f5 ��l Block_,,,^,,,g� = dition or Sub.Div. � A s-�f � �� '' s.� � � 6 Corner Lot�^Inside Lot_�„�et Back � Side-Yard �'� _ S� ��N F'aUNDATZON ELEVATION Applicant a�tach to thia form Certi�'icate of Su�vey of Lot and proposed building loca.tion. DESCRTPfiION OF BUILd)ING To be uaed as : �, ��- �+ �'��- �� Front � � � Depth �� .. He3.ght_��....� � � Sq. Ft. ,��-----�� Ft. �� - � �'ro�t ^..��- Depth Height�_�._,_._._: Sq. Ft. _ Gu. Ft• . � ` ��: Type. o�' Gonstruction �,,,_„ �� Estimatsd Cost�� ',:s_ :_..-- To he completed. �� " � �`� �' The under.signed hereby makes applicat3on for a permit for tbe work herein specit'3ed, agreein� to do all work in strict accordance with the C3ty Ordinances and ru3.ing of the Dagart�aent of Build3.ngs, and hereby declerea that all the Pacts and represents- tions stated 3�n th�.s application are true and correct. `� • �i�: ��. V�� ' '� � o'c�' ' �� DATE � � � � c �� IGNI�TURE , _ ! (A Sehedule of Fee costa can be found on the Reverse Side.) � � �,,; :,�r- �. . _ _ � s�n�vG �T � sc�nur� �ction 2. The InspeQtor of Buildings sha11, before issuing any perm9.t for �he Qrection of any buiZding or structure, or for anx addition to any existing �uilding or structure, or for any alterations or repaira to any exista.zig building or stru.ctu.re, upon applica.tion therefor� require thc� pa�ent ��* �ns �.pplacan-� for such perm.;.t of fees to the amount herei.n below set fc.�rth ar�.d i.i i,Y�s manner harei.n provided to-wit: : 5 2.1. For ��y s��h per�ii: f�r the erection of �ny fire-proof bu3.lding� other .-tha:� a. �srag�, waxehouse, fa,ctor� or gr�3n elevv�..tor, or for the erection of ax�y� fireprooi addi�u? or., f��r si�i.lax occupa?�cy, to any existing building - sha.11 '►ao a� the rate �� 1.40 for 98.Ci1 o�e thousanc? cubic feet� or fraction � t��..Teof, 3n such cu�i ca:L ecn}snts, 2e 2.. For anp �ach permit for the e� ectio:� of a.ny f ireproof gare,�e� ` ware- ' housQ, f��-•cry o.r �°ain elevatc� , cr for - the erection of any fireproof add:.�:��Y�, fcr si.m=�ar occt��ncy, to aazy existing bu3lding shall b�e �t the -��;;� c� •�� .�5 far each cr,�� tho�,:sa�c� c�.zbic feet, elassified as "fireproofp , b� Sac�ion 502 of the M�.nneap�lis Build3ng Ccde. �i0T3SES f,:; � r�ar axy; su%h per�it for the erection of a.n� non-fireproof building �-��z�r th�.n �. �;a.rµ�'P_9 warehouse, factorg or grain elevator, or ang non- f?s•:;*�:^�un� add�t�o�, fo� similar oecupancy, to s,ny exist3ng build3ng. P�z°:ai.t �'? R�u ior e�::h or.e thousa.nd cubic feet. ��i llaft S�J 2,L�e For any such permit for the erection of any non-fireproof gare,ge� wa.�ehouse, fa�:toz�T or g�°�.3n eleva. �or; or for the erection of any non- fireproof addition, i'::r s�i' �.r ec^uprncy, to a.� existing buildin� or for each sucii '�u�l�::�:ng o�° Rddit�c�e !ViiaAty Csnts �for each one thousend cu�i� fes � �r �� c ��.or t�'r: ��rv�_ 9 iti �t.l1e cab_ca1 contents thereof t�it� a mir:3.mt� of �L�a^0� .�� For the �_- '!^o:•e of co^i_pu�X_nF; fee�� '�r b�ilding permits the cubics7. contents , of a.r1v;, buildi?:� �r a.acl:.ti.c;, to °z v_i� f�rm hei.g)�-t th�: ol:�hout bj► mu1t3p1y3II$ the ground ar;�a co�Ter�a :f'��a•� a. �o��ifi, ��.� �E�) inches be].ow the floar line oP the ba.sement or �eila:r �to ti!;, a��=.��agc� heigrfi, o_" the upp�r aurface or to the acer�ge height of the roci' suz°f�r;�� o.f ;,ne r�:�n g:.�a3a of a pitched roof. 2.5• For ropa.irs or Fil.terations to an exisi,ing �truc-ture, the fee �shsll be at the rate of $3.00 for each Fiva Hundred Dollax �(�5a0.Q0), or tY�actiou � thereof in the cost of all �roposed worko • • p � / � 1 2e6e In no case sha11 the fee chaxgod for any perm3t as set forth 3n SPc'1:ion 2 be less than �/..00. � :> F � � �-• �.�. B. H. BRADLEY CIVIL �HOINBER AND BURVEYOR BBZB � 26T!! AVENYE BOUTH M1bIIVBAPa1-�6 0. �MQ�II�. PARPCWAY 4-2189 ..t . .a .. ... . . c��li'G"'�� ,,�c��""' ��''!"�`` �, ,��'',� �� 3 �t� ��'m E� . �` �� ° ° �� /°� ��''� , ,� �'`�� "�'�� '��,�,�,�� ,�� `"��-��,�„��a��,�`� �°��-�,� �� ,�° �'„� �� ',,�"�?' I� �'��:� �',� �� ',�`��,��,� ��' ��,�`�r;��',. �� '�� '�'� ��"''�►°� �� `�� ' ��'� • � � �� . �� . r ° � � .�Y ��I� - ! � � City of Fridley, Minn- BUILDING PERMIT nat�: � �"' '� _- �- �t -� {"�� ,; .� �-� Owner: Builder Address .(% Address ' R N° 5369 �. LOC�TI P,�UILDIIdG No. .��.� Street _��.. :`:,�-t�,�-�—.-.---.. Part o Lot `� -�42. Block —�. Addition or Sub-D3)vi,�on ._.�;r� 'd �t^'� �- ��t�, '" �� Corner Lot � Inside Lot '�back ~-�,�r�.�.^�ideyard -____.,�,� Sewer Elevation _____� _.._ Fou�tion IIevation DESCRIPTION OF BUILDING .� . T'� �.`�� Front ��_� Depth r" � Height .." Sq. Ft �r'=� � Ca. FL ��'� `� Fr�� Deptli �ei�; ,_ Sq. Ft Cu. Ft ., ,�� . 7'ype of Construction•�'�° �°�•=L-•��' � Est Cost ��..-��-J -- To be Completed In consideration oP the 3ssuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and ia compliance with all provisiona of ordinances oP the dty of Fridley. � µ, - - �_.�.{ ::.-.� In conaideration of the payment of a Pee oP $�}I� , permit is hereby granted to to constcuct the building or addition as described above. T1nispe rmit is granted upon the express condition that the person to whom it is granted and his agents� employees and workmen, in all work done in, around end upon said buildfng, br any part thereof, shall conform in all respect� to the ordinances of �'ridley� Minnesota regarding location, conetruction, alteration, maintenance, repair and moving of buildiuga ordinances. dty limits and this permit may be revoked a t an3' �,., ,�1? .,�� o� the Provls�tona of said .� f �� ,,' HuildinS Inspector NOTIC� Thb parmt� does not �ove� ths eoostrue�fon, te�taqetlon fo� wirtng, plumbing, gas' heatieg, se�ver or water. Be sure to sM tlu Buildh�g lespector foe separete penahs Por these hema. %�� 4 � -_ � ,- � - - - — � , '�i `" '. '',.. t o �R� APPLIC�TION FOR BIIILDING P�MIT CITY OF FRIDI�EY, NQNNFSOTg Owner's Name � 1 �e �i i11 �.� �� l� r �/� ��u3lder�� %� �� `��_`�" S � ladresr� - 4`r_' `� -� %�' .S � °�� ' , _ �ddress �` � � L° l 1.� .S�_ � . � LOCATION OF BIIILDING No. Street ` � Part of Lot �t �A� �,� BZn�k �°°� Addition or Su�livision � Corner Lot �Ina3de�t Set'back_, '�_Side-Yard SEW�R ELEVgTION FOtfiIDATION ELEVATION �pplicant attach to this form Certific�.te of Survey of Lot and proposed building location. � To be used as: Type of To be Completed DESGi�IPTIOAT OF BIIILDS�IG__ C � �q. �. � O Cu. Ft. Front_ Depth Height gq. �. Cu. Ft. Cost � ��.-� -: , �� - — - � - � The undersigned l�reby makas application'for a permit for the work herein spec3fied� agreeing to do a7.].�aork in strict accorda.nce with the City Ordinances and ruling of _ the Degartment of �.ii7.dings, and hereb�r declares that all the facts a.nd representations sta.ted 3.n this appl.3cation are true and correct. � n,..,. Dg� SIGNA2URE (g Schedule of Fee Coste can be found on the Reverse Side.) �� n �. �._ � .. � . , �.: �;�:_`:_ L� � .�� t � � � � C �.,T. � ��~ . '; , ` ➢ -.. :fl; ' : . _ . :,fi, ' � . ' BUILDING PERMI,T:.�EE SC�DIIIE � . . , � �� , ' � _'.�. , . , Sect3:on �. The Tnspeo�br vF Bu3ldings sha�i, tbe£ore� issu3ng any permi� fox j��he � erection of�� building or structure, or �or an3r add3tion to sny ex3st3ng b�ild- ing or structure, or for any alterations o� repaira;to any exiat3.ng building'or structnre, upon application therefor, require tbe peyment 'by the applicant fior �.such permit of fees to the, amount herei.n--l�elaw s��_:f'orih a.nd in tiae-•manner h�ei.rt provided to-tait: _ _ . � _ ::� , � , a.7.. For such rmit for the erection of �` fir roo build t �Y Pg .�Y e-P f 3.ng, o herl than a garage, warehouse, factory or �ain elevator� o�_for the erect3on of aay fir�- praof add�.ti,on, �or sin�a.]_ar occupancy, $o an�r e�ci�ting build3ng shall 'be a.t 'the rate of �7..!*4 for eaeh one �housand cubic fee�-,� or ' fi°act3on thereof, in such cubical cont,ents. � �" t_ 2.2. For any su�h permit for the erection oF�:an� fireproof gars,ge,_warehouee,. factory or grain el�evator, or for the erec�io� �af , an� � fireproof add�tion, fo,r simi3.sr accugan�r,: �o any exiating buildirag �he�.� be at the rste af �7.,�5. fo�r each one �houaand cubic feet, classi�ied as ''�fir�proof'� by.-Section 502 of tk�e �_ Mi.nneapo].is Bu31.d3.ng Cocle _ � _ . _ ;; � � "; . "I a N ' i �� . , : � � � � _ �.-�a`--`�`: i.��'�� ` �"'�r� � �'� .;. � � .,. •�`` � ,, :,�, '??`-�' ,�=-- -- 2: �. Fo� any �su�h permit' for �he erec�ori o�"auy rionii �p��ai�g�� than e,_garage, warehotise, factory or gra3.n elenator, or ang norr-f3reproof e�ddition, for simx].ar occupazley, to any existing building. Permit �3..OQ for each one thousand cubic feet. G�RAGES 2.�.. For any such permit for the erection o� any nor��'ireproof ge�e�ey warehouse, factory or grain e7�eva.tor, or for the erection o� any non-i�ireproaf add3ticn, fox similar occupancy, to any existing building or for each auch buildin� or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thexeof with a miri3mum of �l�.00. For the purpose of computing fees for building permits the cubica� cantents of ang build3ng or additioa to a uniform he3ght throughout by multipl�ing the ground area covered f°rom a point six (6) 3nches below the floor line of the basement or cellar to tYi� �.ver�.g� �e3ght of the upper. su-rfaee- o� _tto _the average hei.ght af the roof � eurface of the main gable of a pitched roof. � ;;a„. 2.5. For repa�.rs or alterat3ons to an exieting structure, the fee shaZl. be at �the rate of $3.00 for ea.ch Five Hundred Dollers (�500.00), or fraction thereof in the � coat of all prpposed work. � �2.6. In no case shall the fee charged for any permit as set forth in Section 2 be � le� than �4.00. � � � � � r� � � � , � � � � � • � � - ' ,� .� ,. �. _ ,� _� ^�.- � sue�ecT p N�- , City of Fridley 3 i 5 4 9 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. �� r � y • � PROTECTIVE INSPECTION SEC. � _ : , �'�� CITY MALI FFiIOLE� SS132 NUMBEF REV DATE PAGE Of ACPqOVED BY �.---� • •'� 612-571-3450 910-Ft 5 11 / 7 /00 � � J08 ADDRESS 563 Ely Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED oescR. 13-16 J Riverview Heights SHEET 2 PROPERTY OWNEq MAIL ADDiiES$ ZIP PMONE John Wright 563 Ely Street NE 785-0459 3 CONTpACTOR MAIL ADDRESS IIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAII ADOFiE33 ZIP PNONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) 2nd Layer 9 CHANOEOFUSEfROM TO STIPULATIONS Roofing can be the 2�d layer but not the 3rd. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING. VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION LONING SO. FT CU FT AUTHOHIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOp A PER100 Of 120 DAVS AT ANY TIME AFTEii WORK IS COMMENCEO. NO OWLG. UNITS OFFSTREET PARKING 1 MEREBY CERTIFV THAT I MAVE REAO AND EXAMINEO THIS APPLICATION 1 STA�LS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM WHETMER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �1,843 �.92 DOES NOT PRESUME TO GIVE AUTMOfiITY TO VIOIATE OR CANCEI TME pEAMIT fEE SAC CMARGE PROVISIONS OF ANY OTMER STATE Op LOCAL LAW REGULATING CON- STqUCTION OR TME PERfORMANCE OF CONSTNUCTION �66.20 Fire SC �Z.B�F PLAN GNECK FEE TO l FEE 68.96 S� nruq OF 'AACTOp N Op�2EDAGENT IDATE� yyF{ pqOP VALIOA p TMIS IS VpUR PERMIT 6 �r�� - ` � /( _ � _� G o�UAEO�OWNEAi�F NE BU40E �OS�fEi B G�NSP OatE N� II ADDN [] ALTER [ ] Construction Address: � Legal Description: Owner Name & Address: Effective 1/1/2000 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. # %�°S- U�.� 9 Contractor: SP_( I� �� \��,� �� MN UCENSE# Address: _ S� "� � (v Tel. # %�i S-O � S' � LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft _ Length Width Length Width Height Sq. Ft Hgt/Ground Construction Type: Estimated Cost: $ �� l� Driveway Curb Cut Width Needed: Ft. + 6 F= Ft x$ _$ DATE: APPLICANT: Tel. # 7 � D CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee �• �� $�` Fee Schedule on Reverse Side Fire Surcharge I- �`� $ ��^ .001 of Permit Valuation (1/10th%) State Surcharge � �a$ �� $.50/$1,000 Valuation SAC Charge $ -� $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: '"�" � ' ` � .Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � , r Fr BUII,DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $SQO $501 to $2,000 $2,001 to $25,0(� $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 � �.�y $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $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 $5�,000 $3,233.75 for the first $SQ0,0� plus $4.75 for each additional $1,0� 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 ESCRO� (Concrete C�rb Streets Only) Alternate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv R_ `, sue�etr p , City of Fridley 3 i 657 AT THE TOP OF TNE TWINS � � I L D I N G P E R M I T r � � NO. ; `v _��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. C�� 1 i . � �'�'1 � CITY NALL fRIOLE� SS1�2 NUMBEN NEV DATE VAGE OF A6vROVED Br �'""'�� '' 612-571-34b0 gt0-F15 3/1/O1 � � JOB ADDRESS 563 Ely Street NE t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACMED oesca. 13-16 J Riverview Heights SFIEET 2 PROPERTY OWNER MAtL ADDR�S$ IP PMONE John Wright 563 Ely Street NE 785-0459 3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same A ARCNITECT OR OESIGNER MAIL AODRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O� ALTERATION O REPAIR p MOVE ❑ REMOVE 8 OESCRIBE WORK Interior alterations (doors, windows, basement finish) 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. SEPARAT� P�R�91T� REQUIRED FOR: ��.UMBIN� AND �I�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY lOAO SEPARATE PERMITS ARE REOUIqED FOR EIECTRICAL. PLUMBING, HEATIN(3, Y� VENTILATING OF AIR CONOIT.IONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTMOR12EO IS NOT COMMENCED Y�1ITHIN 80 DAVS. Oii IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEAEBY CERTIFY TMAT I HAVE fiEAD AND EXAMINED THIS APPIICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TfiUE AND CORRECT. ALl PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED @ WI7M WHE7MER SPECIFIEO MEpEIN Ofi NOT. TME GRANTING OF A PERMIT `PS�OOO ' �Z.SO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEqMt7 fEE SAC CMA E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• � 111 . 25 Fire C�S .00 STRUCTION OF TNE PERfORMANCE OF CONSTRUCTION PLAN CNECK fEE TOTA FEE $ 8.75 - S Na aE0 C N'A Ci AOAAU1MOp�2E0 �D� E� MEN FOP Y ALIDAT D IS IS YOUR PERMIT � � � r /T Nn 0 wa �� E ui�0 i• E� BL � �i�TE N� I l Effective 1/1 /2000 ADDN [ l CITY OF FRIDLEY (763) 572�604 Bidg Insp ALTER ( J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� r � Legal Description: � � Owner Name & Address , �,.�L,,.� �c�� Tel. # �O l� - 7�S-a `lS`% Contractor: � W ��- MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. F� Len�h �dth � Hgt/Ground Sq. Ft ! 0.s /�/�/!)Q, �f�G� f2�� (� l.��. ,t�/1rf,e7S Construction Type: Estimated Cost: $ .� ��o Driveway Curb Cut Width Needed: _ DATE: Z O� APPLICANT: CITY USE ONLY - P�rmit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application � �s�i�� Tel. # % S ��f� $ /'/l �� Fee Schedule on Reverse Side - $ � -�� .001 of Permit Valuation (1/10th%) $ � � � $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ lf �- `l.� 0 BUII.DING PERMIT FEE SCI�DULE 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 amourn herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,(�0 $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 addirional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1, 000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,0� or fraction thereof, to and including $1,OQ0,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,(�0 or fraction thereof DRYVEWAY DEPRESSION ESCROW (Concrete G�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15 .50. Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued. a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location af the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv e dX 6 ae� � � NQo.�.�- ax y ��C�C/� �`�'� � ,� � � o �� w�..�w3a� vo �/� �P" fV � � �� o � ��w� �oo� �3a � .� -�- �/1l��S ��'d v�,�F�/ �� S� �� _ ` ��c�� /��.� ��cG� . Y� �l Nsv��t`roN.�'�+.�s ��'� �o�v �F��/� �� ,G'�lh �� ' �%ass �� l �e t�� . o�u c� �� S� i n,dow � - ��ti�o��y �� 1 � � �� -.�,� �a3� �a�� ` a�� `�� a�`� � I�h ��F�� . �� %� PLAN PPROVED 'iJ SUBJE T TO FIELD TION G INSPECTOR � ;� �t.;�'�'�no� .. ��' �� N � - ,. ,i "� �'��- ,� � �. ,1}� .�,,c,��'�� M9N � �� w I c.�,�dP � � . _ .��, . � � `�1�c.i, ., G�, i -; � ti � '� � ,`� . " �� , � ,. , 2 � � � tti�' i ,:� P�� m., f� �� E a- ;: �� _ n � o 't.� b�y �3 0 � $ 6 ; � � � r' �' � � �' � . /� r.N � O� � � � , j r� � s 1� � � -� `° 8 )i � �'� � � l � ;�, b� 1 � V' � ¢ N � - � ` r , � � �o � ��; � , ^ � , 0 R� � � 'n ' � ; '' �'`' �(/l � � 1 �7 '- � ' ' , �,,,,/ � �-+�, � � � ��,��v �l 00� �it i�4 dY1 a � � �� ti , `�a�v�,e�r ,�, ^/ , v 1; �,� "{' ' �1.�, j�> � �� . :, . �� , ,�—�, r �.--(-� ` � ,� ,,y (-(<< ,� w e s�-� s�, �l � ��u�w. �K �3c� Soc,� o�da. 1�ow� r � �� 3 �-/ — � � �/�o � � � ,3�%n� s � � �j 3 a r� L � �'---�." � c� �� fi � � � � � "' .� � w � � � , � �OU�� , C��bUS�laN �� eat�s, �"�'� ��., . �iE� �- �1�` ` � � � \, � 1h� �-Q ..�._-�-� L ��o �� v �dy�e� 3ax�q � � , \� � � � M �� '� � � �� ' � 3 � �� z ��sxe �� , ;�� N� � ._ � _. X�'�_ '�� d) ��,�� h � ,� , � �----7 �---� � � F- d7°� ,, pi F FIc�Or 31 l� � ( � ' I �� , � �� u -� ��'1 1 � a �, � � ' � �,. � � V � G �as l�N� ��' � J,—� � 1 `��4 �/l� �FS' % �— � <2�a��Q/� � �, I�i°� _.� ' �c�M1� � � � .� � � � > 3 � � r � d � � o � 3 .� , �� n �— , � � s a -e �7 �3 '- at � � �� _ �� t � T � � � � � � � 3 3 � -� � 0 � � c _� Build�ng I�spections 763-572-3604 763-502-4977 FAX ,,,,� '�, � 7 1 L� SITE ADDRESS � : THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �c�nvE i-i-ZOio YOUR E-MAIL ADDRESS �.or rndn S ❑ OWNER �ONTRACI'OR NAME:� ADDRESS: PHONE:1 n� Z�� 0 z N�: �c � r M STATE LICENSE # �� O r�nD�sS: � I ZL11 �`1p t�nS(��aCs� �1� PHONE � � Z q�0 `i '1 1 1 GLE FAMII.Y/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ ADDIIIOAT ❑ GARAGFJSI�D ❑ BASIIVIIIVT FINISH ❑ ROOF O DECK ❑ SIDING TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ❑ MAINTENANCFJREPAIR � DESCRIBE WORK BEING DONE: SIZE OF IIVIPROVEIVVIENNT LINGTH VE T R�FING �7 ❑ USE ONLY NUMBER OF SQUARFS 4.� �USE 8c GARAGE GARAGES � � � q ❑ ATTACHED GARAGE PROPOSID SIZE: ❑ DEfACFIED GARAGE PROPOSED HIIGHT: SIDING ❑ Vmyl 0 Alummuro ❑ Other wnvnows IN E3IIISTING OPENINGS es ONo OR FOR NEW OPININGS-DESCRIBE SIZE OF OPINING CHANGFS 8c r TYPE OF WINDOW TO BE INSTALLED � C ALL FEES ARE BASED ON V. TOTAL JOB VALUATIOIV Permit Fee Pl� Review Fire Surcharge Swcharge License Surcharge SAC Chazge Gbrb C�t Escrow Erosion Control Park Fee Sewer Main Charge Total Dae ' - u � .'�� ' �� ' _.,�� -.,�':�� 1 I Date Rec'd: ITY N I �I M Ov�� STATE M I��IP � — 11 � �. EXP DATE � C-d� n � �e �A� c� � � FAX SIZE STORIES 0 WINDOWS ❑ DRAIN TII..E ❑ OTf�R G 'H HEIGHT S Ff BASENIDVT REMODII.ING SUBNIlT: 1. Existmg Floor Plan 2. Praposed floor plan 3. List of strudvcal membeis to be used r,, � i£� FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffrt `�' � � � � a'N � ADDTTIONS_ bt PORCi�S SUBMff: ❑ T� 1. Site Plan/Smvey showing the e�cisiing strucGaes ❑ Fascia � ProP�� P�J� 2. Two sets of constructian plans 3. Fmergy Calculerions LOCATION OF WINDOWS FOR WINDOWS —PROVIDE L�VALUE AND MANUFACPURE STICKER ON WINDOW. 4'e�S.S NUMBER OF WINDOWS ATION, INCLUDING THE COST OF LABOR AND MATERIALS: 5ING THE 1997 U.B.0 FEE SCHEDULE) �� OCCUPANCY TYPE $ J�'/ o o'zS' S� Back Page for Fee Sch�ule $ �, 65% of Building Permit Fee $ /�,G�' .001 times the total job valuation $ �, � .0005 x Permit Valuation Minimum $.50 $ t�j.� $5.00 (State Licensed Residential Contiactors) $ $2100 per SAC Unit (Plans to MWCC for de,termination) $ ft+6ft= ftx$22=$ $ $450 Consetvation Plan Review $ Fee Determined by Engineering $ Agre.ement n�y ( ) Non Ne�essa�y ( ) $ •%� Make checks parabte to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PIIiMIT-NOT VALID UNTII. PROCESSID I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; tliat the work will be in conformance with the ordinances and codes of the C' of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application or p 't d rk is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of 'ew �d approval oAM��I l -11 [�U�1� SIGNATURE OF APPLICANT PRINT N C� �S � DATE 2- �� PLEASE NOTE: SEPARAT�-P�R�dITS�A$�ItEQUIRED FOR PLUMBING, ELECTRICAL AND 1b�CHANICAL WORK � � �c;L. � oi 1, 5� �E_ L � �, � � ' S63 Faimnont Street, Fridley 55432 — lockbox 7009 . Main Level Kitchen Repair cracked ceiling, demo cabinets and countertop, replace baseboard, tile floor and backsplash, paint W/C Living Room Remove mirrors, paint W/C, remove carpet and pad, install wood floors Bathroom Complete demo, remove wallpaper, new vanity, toilet, tub, sink, tile floor, tile tub surround and % wall, paint W/C Den Remove wall paper, paint W/C, remove carpet and pad, install wood flaors, install door frame and door, new baseboard and trim Bedroom 1 paint W/C, remove carpet and pad, install wood floors, refinish base and trim Bedroom 2 Hall paint W/C, remove carpet and pad, install wood floors, refinish base and trim paint W/C, remove carpet and pad, instail wood floors, refinish base and trim Basement Siairs Remove paneling, dry�aall, paint W/C, remove and replace carpet and pad, finish doorway trim Bedr�m 3 Remove paneling and wood pieces on ceiling, drywall, paint W/C, remove and replace carpet and pad Family Room Remove paneling and wood pieces on ceiling, dryvvall, paint W/C, remove and replace carpet and pad Bathroom Complete demo, new van'rty, toilet, sink, tile floor, tile � wall, paint W/C Kitchen Demo all kitchen, dryuvall, Paint W/C, carpet pad Bedroam 4 Remove panefing, drywall, paint W/C, remave and replace carpet and pad Gara e New roof, paint fascia, paint window trim, paint garage door Outside New raof, Repair fence, paint fence, paint fascia, paint arindoar trim, paint garage door, repair concrete wall by back door, remove excess bushes and trim up others, new back daor Misc Installation of all near hardarare and doors included Main Level Kitchen —11'3x14 Living Room —18'3x13'4 Bathroom —10�c7'9 Den —11'3x8'6 Bedroom 1-12'3x9'9 Bedroom 2 —12'7x9 Hall —15x3 Basement Stairway —11x3'6 Bedroom 3 —10'7x17'2 Family Room —1a'11x12'9 + 8x6'11 + 13'Sx8'3 Bathroom — 8'Sx4'2 Kitchen —13'2x10'8 Bedroom 4 —12'7x9'3 TFSF 1667 Bid includes all labor, demo, and post construction cleaning , _ � n/l�L ��" �� " . . � �� i�� . � _ _ _- -- _ _ _ _ _ - _�_ ✓ -- --- � �- � �-- - _ - . _ _ __ _ - --- - _ - - _ ._ _- ---- - - ` ,- �1- - ---- ---- �� _ _ _ - ---_ ---. - -- __ _ -- - _ _ . ., z __ _ _._. --_______-- ____--__ __ __--. --.- ---- — -------- ---�,� -- ---- ---- �.c'� � ' _ _ -- - -- - _ ��-- -- . -- ----_ ---- --- - .� � �. ------ - --- _- - - - ----_ _ __ _- - ,--- -- ---__-- - \�-- -- - _ ---- � _-�----� -- _. - - - ---- - - - - -__- -- _ _ _ _._ ____ _ __ _ --- - --- __ _ _ -- - � -----. ----_ ___---- ----- - ------ --- --- ------------ -- ---- -- -- � -- --- p s — S ' - v • - ------------ -- . -- ___---------- - � --- . -----.__-_ - - -- -- --------- , � f1 f � �'� _ _-____._-_ _'__ ._"_' �� __ ' ___'.--___"____' .___"-. , 'I � � � V +, �� _.._._-_ __ _ ___' _' � ------- ��s �5'- -� ' -- ! � I; �• •� � ` _ _ - _ __ _ _ __ _ _ _ -- -- -- ---_- ______. __ ------ - -- • -------- ---- . I �Y -- -� � -- — -- ----- - _ �._ �• -- --- � �i`�-, `?. - — __.----- � -- C��, _ _ -- - ----_._ - — --- -- -- -- - _ -- --- - -- - --- ----- - , _ _ - �t'.i., � , , i ____ _---- ----_ __ ---- ---- -----..—_ --� --._—__ .__ _._._ . . ------- - ' �'� - �--- -- --- _-- — _-------- ---------- ----- -- - -- --- -- --- -- - _ __ . � � � � --- ----- � - -- -- -__ �.-- � ----_ __---- --- -- _ -- -- -- - -- _ _ -- - --- - - G � � ,�, _ � J ` • _- --- --- - - - - ----- - -- ---- _ --C-% - - ---- ---- - - d -- :�- uC �__� - � -- ------ ------,- _ 1 � - - - -- - _ __ _ _ . .-- _�_ �- zt-�- __ __ __---- - ---- - ___ --- ----- _ ___ _ _ , ------- ______----��-- � , �.l � � -- -- ___--- -- -- -- . ------ - ---- ------ - � � i -- -- - --- - cJ _ --- -- --- __-*+-_ - - --- -- --�y --. . - --- _ _ _------ - .� S � t, --- -- --- --- - — -- -- — ---- - --- _ — --- _ -- - --- — -------- 1 , i APPROVED PLANS �' � 1 �7,c v � - ---- - - -- ---- �_ w --- - . _ _ _ - --- --------- ------------ , - - -- - ___ I � p R SEC R106.3. r �' -L�- s� �� ___ _- - ----- -- - - ---------_ __ - ---- - -- - � _ ,�- --------- ------.�---- --- . ---: � _ - -- -.� - - �_ . �- ------ ---- -- -- _ _ _- ---.- -- -- - --- _ - - - ---___- -- ---- -- BLDG IN C - __-_ __ _ � -- J _ _�i_ - - -� _ !I .._, ,— -- - - - __ � - � - t� t�C�ut�� r � �� r�� i� `�� _ - �C �� i , I(t/��c�(} - _ � �� ,: ,.,.�-- � ��S li� S ' �1. S c� � -- a� . �'` �� d� � _ _ �,�� - CC� C�� i �-�-� S-�`�' -�. Sr �� _, _ � .: �F�`c„� . v- 5� �. ,.�.. � _� r � i - � � � � _ S p' �d` �i � � .., , � i . � f . � _.. . . S� •. �' __ � -- �� C�. /� /�. ti - � . - _ _ _ _ -�, � � , ��. � __ N ��•i fYltnl_ �ca� - � � C�� - -- - � ° _ . — � � � - 1� _ ��S , � .. Wlll�l� S `� - � ,. � .. ,�� ` � _ � _ � � �� - - - �v - - — _ - - C . . _ __ _ I��k� .... ...� � - - - ��.� � - �'� ~�' ��.� � � ,_ � � ,� �. . . J' � ` . Building Inspections 763-572-3604 763-502-4977 FAX DATE .J :" -/ / SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF 1NSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR &MAIL ADDRESS �.� f M�w-� � � 0 owrr�x ADDRESS: CITY PHONE: Permit No.: Received By: Date �d� ATE ZIP. STATE LICENSE # f� Cv ,�j I ti �-�M EXP DATE I v1.( 5( 0 � U STATE BOND #� L, C-� G'. I •,.3 C�' Q EXP DATE /��Z I3 I I I f� - ADDRESS: � � � ( CI7'Y +.J, ��f'� �. l STATE �� "-ZIP 5 � 1( PHONE � i.��3 g�' 3U `� � FAX G S� - yS �-��/o c � SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK s � ., <4.: II . ,'v�s-�•; II 3�"� ic ✓ �'c �. FEES ARE BASED ON $10.00 PER $35.50. � BATH SINK/LAV �BATHTUB CLOTI-IES WASHER ,� DISHWASHER ❑ TWO FAMILY ❑ TOWNHOUSE C�REPLACEMENT � EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MININIUM FEE FLOOR DRAINS � GAS PIPING (NEED CI1'Y LIC) �, KITCHEN SINK 1 LAUNDRY TRAY _ SHOWER SWIMMING POOL —�2 WATER CLOSET �WATER HEATER ($35) _ WATER MEfER THIS IS AN APPLICAT[ON FOR A PERMIT-NOT VALID UNT[L PROCESSED WATER PIPING WATER SOFTNER ($35) BACKFLOW PREV. ($15) FOR IRRiGATION OTHER I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan i� the case,e�ff a1 vrcerk-�yhich requires review and approval of plans. � r ,/ . SIGNATURE OF APPL[CAN'�.�� ,. i�: �`"� �-�� . PRINT NAME )�� Y" �c� A IC � DATE � I i I I D, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 ' FAX: 763-502-4977 �O