AF - 41621SUBJECT PERMIT �
City of Fridley 12941
AT THE TOP OF THE TININS g U I L D I N G P E R M I T •
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. /,� �
� ; L �������
r � � PROTECTIVE INSPECTION SEC. ��
1 . �
�` � �"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y
"�•'� � ,�� 612-560-3450
s10-F15 5 12 75 � �
JOB ADDRESS 630 Ely Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 39,40 V Ri.verview Heights Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Clarence B. Duvick 630 El Street N.E.
3 CONTRACTOF MAILADDRESS ZIP PHONE LICENSENO.
HOIIR r@Tl
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEEF MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION S] REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof Structure
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. ASpYlcl�.'t
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIOf� ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $350.00 . SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`S.00
PLAN CHECKFEE TOTALFEE
$5.50
Si Ar REOFCONTRACTORORAUTHORIZEDAGENT IDaTEI WHEN PROPEALY VALIDATED THIS IS YOUfi PERMIT
��'..�� � .� o�.� ,�' �� � 1 � � .�� � s -
SIGNATURE OF OWNER 1 F OWNER BUILDERI IDATEI BLDG INSP �A E -
APpLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
, _ .
OLdNER' S NAME : L�BU�LDER :--�%��='a,, �
ADDRESS : �j �j D - �� � , '�/Jr � _ ADDRESS : /�'�� l�,c�4�- l�o_�
NO• STREET: �
LOT:� 99f � ti � BLOCK: '�/ ADDITION: _���., �l���-�-�r��
COItNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach ta this form Two Certificates of Survey of Lot and proposc i
building location dxawn on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As:
j� � �� Frcnt : Depth : Height :
—�
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: ������it� $ � ��d G •
/�� Estimated Cost:
To Be Completed: � � ' i��
The undersigned hereby makes applicativn for a permit for the work herein
specified, agxeeing to do all worlc in strict accordance with the City of
Fridley Ordinances and rulings ot the Department of Buildings, and hereby
declares that all the facts and represen�ations stated i.n this application
are true and correct.
� � �.�"o..-l'' � � ��-
DATE : ,�� 1 Z- — I �� 7 S _ S IGNAT[TRE • �±�s�^ � , ..��s� --
(See Reverse Side For Additional Ynformation.) .
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuiag permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs 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 prwided to-wit:
iJ1VIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building,or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basemen�
ox the cellar to the average heights of the upper surface or to the average�
height of the roof surface of the main gable of a pitched roof.
For 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 all proposed work.
In no case shall the fee.charged for any permit as set forth in Section 2 be
less than $5.00. "
VERIFICATION OF FOUNDATION
1VOTE: 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 Certified Survey of the lot, showing the location of the foundation, once�it
has been constructed, will be required before proceedin� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be ma.de ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
sue�ecT PE NO.
City of Fridley 9 9539
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� ' COMMUNITY DEVELOPMENT DIV. �
r � L � PROTEC7IVE INSPECTION SEC.
1 ` �
� /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. bATE PAGE OF APPROVED BY
�""'� � ,�� 612-571-3450 910-F15 6/15/88 / �
JOB ADDRESS 630 Ely Street N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 39,40 V R].V�Y'V12W Iieights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John Blasingame 630 Ely 5treet N.E„ Fridley 786-5326
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILOING
Dwelling
7 CLASS OF WORK
O NEW ❑ ADDITION � ALTERATION �] REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof Dwelling (12 Squares i
9 CHANOEqFUSEFROM TO
STIPULATIONS
Roof can be 2nd layer but not the 3rd. Install ridged galvanized
��i Valleys
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT 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 OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAL�S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6Q0 $,SO
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- �`1'�.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
� ' LQA1 CHECK FEE TOTAL FEE
- $17.50
Si NATU o�NTaA RAUTHORIZEDAGENT iDATE� WHEN PROPERLY V TED THIS IS �OUR PERMIT
Q � (
�µ L�� . � /OV �
' NATUREOFOWNERIIFOWNERBU RI IDATEI BL G�NSP ATE
� �� City of Fridley EEfec�ive 5/L88
�1 � � R-1 AI�ID R-2
AL7�R [ ]
Building Permit Application
�nstruction Aaldress : _ � �� �� �� � �� . �a� r�L E�' 1.vt �
T�1 Description:__ ��f 3� a`�Fo � Sf�c.� r/ iPe�E�v�e� lfE��frt�s
Owr�er Na¢ne & Acidress: 'rJ�F�t� S�1��'1,c�6�,�E-- << Tel. # l8'G �3-?�
�bntractor : _s''.��� Tel. #
Ac]dress • <<
Attach to this appl ication, a Certif icate of Sluvey of the
lat, with the proposoed construction drawn on it to scale.
�'.S(RIPPIOTi � I1�ROV��
LIVII�G AREA: Length Width Height Sl�. Ft.
r� �;� ;; - .
� �,M � . � �+• - •
•a�:��,; � .�
width Heic�t
Wl�rl H� /CaiOLII'Ia
�e �a6E'
St�. I�t. '
�• '�•
�rner Lot [ I Inside Lat [] Ft. Yd Setback Side Yard Setbacks
�ipe of Construction: ' � Estimated Cost: S �oo
Approx. Completion Date: >9.�'f�%�.�. l�
Al� A Alt. B
Proposed Driveway Width If New Opening Is Desired: S S
Width + 6' See Back Page
DATE: e/e%ti� %S/�APPLICANP: �l, Tel. $ 78'C� "�'���o
(�TY �B.Y
Pemoit Fiee
State Surcharge
SAC Q�arge
Driv�ay Escraw
Park Fhe
Sewer Hain (�iarge
�10�L
3J.'IPUId�'IOKS:
� �f 'i � �C�
S �,�
�
S
S
S
$ � , �
l�ee Schedule on R�verse Side
$.50/51,000 Valuation
$550 per SAC Unit
At� '7," or A1t. '�" Ab�ve
F�e Determired by �girieering
Agreenent Neoessary [ ] N� Neoessary [ ]
�..-,...
m
: 1) �. _�. ' �i�v 4 ��I �M:I��. 1
�e C2�ief Building Official shall, before issuing permits for the erection of any
building or sstructure, 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 nianner herein prwided to-wit:
�TAL VALUE
E�
$1 to 5500 $15 (Minimtm� E�ee is S15 plus surcharge )
5501 to 52,000 S15 for first 5500 plus S2 for each additiona]. 5100 or fraction
there�, to and including 52,000
�2,001 to 525,000 S45 for first $2,000 plus S9 for each additional 51,000 or
f ractioai thereof, to and including 525, 000
�25,001 to 550,000 5252 for first �25,000 plus $6.50 for eaah additios�a7. 51,000 or
f raction thereof, to anc7 including 550, 000
$50,001 to 5100,000 5414.50 for first 550,000 pl� �4.50 for each additianal 51,000
or fraction thereof, to and inclt�ing 5100,000
5100, 001 to 5500, 000 5639.50 for f irst �100, 000 plus 53.50 for each additi�a]. Sl, 000
or fraction thereof, to anc7 including 5500,000
5500,001 to 51,000,000 �2039.50 for the first $500,000 plus $3 for each additional
Sl, 000 or fraction thereof, to and including Sl, 000, 000
51,000,001 a�d up 53539.50 for the first �1,000,000 plus �2 for each additional
$1,000 or fraction thereof
��VEfA� _ DEP��GTA1Q ��f _Rf W
(Concrete Curb Streets Only)
Alternate °A": R�nwal and replaoement a� curb and c�tter a�ly - Driveway width plus 6
feet times $13.50.
Alternate "B": Renaval and replaoement of cvrb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times �15.75.
l�: :� y • � • ' �►�:�J� ��� Y ���
Permits for construction will be issued a minimiun of 24 hours f rom the time of
app].ication to allaw for proper review a�f the proposed structure and of the �nstruction
site.
A Certificate af �uvey of the lat, showing the location of the fo�dation once it has
been o�nstructed will be required before prooeeding with the fr�ning.
�
� � SuB�EC7 � �
City of Fridley 31181
AT THE TOP OF THE TWINS g � I L D I N� P E R M I T
! � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. � �
' `V ' -•►
r � � PROTECTIVE INSPECTION SEC.
� j ,
� �"'1 � CITV NALL FRIDLEV 65132 NUM�HF NEV DATE VAGE OR A6PROVEO BY
�"""�' �'' 612-571-3450 e�0-F15 7/14/00 / /
JOB AOpRESS 630 Ely Street
t LEGAL LOT NO. BLOCK TiiACT Oii ADOITION SEE ATTACMED
oescR. 39-40 V Riverview Heights SHEET
2 PROPERTY OWNEq MAIL AODiiES$ 21P PMONE
City of Fridley HRA, 6431 University Ave., NE, Fridley, MN 55432 572-3546
3 CONTRACTOR MAII AODRESS 21P PHONE LICENSE NO
Kevitt Excavating Inc., 3335 Penns lvania Avee No., Crystal, MN 55427 545-3557
d AF;CHITECT OR OESIGNER MAII ADDFiESS ZIP PHONE IICENSE NO
20061943
5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO
8 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE �J REMOVE
8 DESCRIBE WORK
Demolish Building
9 CHAN(3E Of USE FROM TO
STIPULATIONS
Remove water meter and return to City if foimd in building. See stipulations
on Demolition Contract with City HRA. Clean site of all demolition debris.
Water and sewer to be disconnected at property line.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REDUIRED FOR EIECTWICAL, PIUMBING, HEATIN(i,
VENTILATING OFi AIR CONDITIONING
TMIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCED V�IITHIN � DAYS. OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 pAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTpEET PARKING
I MEREBV CERTIFV TMAT I MAVE READ AND EXAMINED THIS APPLICA710N ]. STA��S GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE Of WORK WILI BE COMPLIED
WITH WHETNER SPECIFIED HEREIN Oti NOT. TME GRANTING OF A PERMIT
DOES N07 PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI TNE pEqMIT FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR LOCA� LAW REGULATING CON•
STRU ON THE PE FORMANCE F CONSTRUCTION
Py��i� � �j� � � PLAN CMECK FEE TOT FEE �
� � '�'z (1
S�GN4TUAE OF CO ACi OR AUTNOA�ZED ENi �DatEi HE PR P V ALID E THIS I R PE MIT �
� r
S�GNATUAEO�OWNEA��FOWNENBU40EQ� �b�iE� 9 �NS� - �� E
�
E ' -
JUL-il-2000 10�24 FROM CITY �F FRIDLEY TO 6125455235 P.03i0'7
E�ective 1/1l00
C1TY oF �'R�LrY MOVING [] WRECKINGr [D�j PERMIT APPLICATION
693I University Ave NE V;
Eridley MN 55432 '
(763) 5�2-3604
Job Address:__ � �p ELY .�
Legal Description:
Owner 6 Address: 2'el. #
Cantractor : �e�� � ` Ex r � �� � � � � � p � Tel . # 5 '�� ����
Address: ���� �e��► j•.�1�.�.,�..:, ��r, d� State License # �Q°�� � `��
��� � � `" �� �` "° ' ��� 7 DESCRIk''TION OF BUII,DING
fiOUSE : Length � � Width � � Height �� Sq. Ft . s `� � Cu . Ft . � �O �
GARAGE:Length %� Width �� Height �� Sq. Ft. ��g Cu. Ft. '��' 3�
OTHER: Length Width Height � Sq. Ft. Cu. Ft.
�stimated Cost $ �� ��" Approx. Completion Date ���� -°�
t1T?s.=TIES City water/Sewer Minnegasco N S P U S West
NOTI� 572-3529 [�' 372-4'120 [�- 330-5500[� Business-603-6000
� Hame-244-1111 j�j
Water Bill Paid: Yes [�or Collect [S ] Signature �
Moving Route:
T� nndersigned hereby makes application for a pernut to wrecklmove the building descn'bed above� agreei�g w
do all work in strict accordance with tire City Ord'waa� and rulings o� the Bw'lding Divisian, avd t� State
Code which requires any water well on the prape�cy to be sealed by a St�te licen�d water weU driller, arxi
hereby deciares chat all fac�s and representations stated in this agplica�ion are �e and correcc. �,LI
D�•MOLI'�ON D�:BRIS. INCiY1DING FOUNDAI`Y�N & SLAB. S'1�ALL BE REMOVID FROM SITE_
7- // - o � C%�� `?s�
Aate Sigaature
Moving: Principle Bvild'mg iato Fridley .... $3�.00
Accessory Building into Fridley ..... $ 42.00
Through or within the C�ry ...... $ 2�.00
Move a building aut of Ciry _..... $ 20.(10
Wrecldng: For each �,000 cubic feet or fraction .. $ 1.ZS
For strucdnces which wauld be impracric�l
to cube the fee shall be based on the
totat cost of wrecking at the rate af
$6.� for each $500.� or fraction.
PERIVII'� k'EE: S'�`�ULA1`IONS:
1V�inimum Fee: $20.W
MiniNnt�m Fee: $20.�
JUL-13-2000 17�14 FROM CITY �F FRIDLEY. TO
DEMOLITION CONTRACT
5455235 P.02iO3
This Agreement made and entered into this day of July, 2000 by and betw�n the
Housing and i2edevelopment Authority and for the City of Fr�dley (hereinafter referr�i to as the
"AUTHORITY") and Kevitt Excavating, �Inc., 3335 Pennsylvania Avenue N.. Crystal� MN 55427
(hereinafter referred to as the "CONTRACTOR"). .
WITNESSETH:
That the CONTRACTOR, in consideration of the covenant and the agreeme�t of the
AUTHORITY, hereinaft�r set %�th, and for the sum and price of $39,417.00 hereby agrees that, -
WHEREAS, THE AUTHORITY has heretofore asked for proposats for the furnishing of
materfals� labor, and the use of the CONTR/lCTOR's equipment a�d all else necessary for
demolition a�d disposal of the structures and debris at the following add�esses:
5807 University Avenue NE
5755 University Avenue NE
349 - 57th Place NE
5297 Lincoln SVeet NE
630 Ely Street NE
and appurtenances thereto� as shovm on the drawing and as set forth in the specifications now
on flle wlth the AUTHORITY and that,
WHEREAS� THE CONTRACTOR has submitted a Proposal in response thereto, which has
been acxepted by the AUTHORITIf. in which the CONTRACTOR agr�es to and shall furnish all
necessary materials. labor, use of tools, equipment, and everything necessary to perform the
work designated and set forth�in the Contract, including all CONTRACTOR's su�rintendence,
and to fumish everything necessary for the completion of the Projec�
FURTHER: ihe CONIRAC'TOR shall comm�nce work under th6s Contract within ten (10) days
after notl�caUon by the AUTHORITY Contact Person to commence woric; and they shall
oomplete all of the demolition work and backfllling as se4 forth in the Propos�,l and in the Pl�ns
and Specfications.
The Corrtract documents consist of ihe follawing component parts, all of which are as full a part
of this Contract as though �erein stated verbatim, or if not attached, as if hereto attached:
1.
a.
3.
4.
The "Quotations for Demolition of Structures" dated June 2000.
The "Plan" and °Special Provisions:'
The "Proposal.° "Btd Schedule° and "Constructton Bond" of the Contra�tor.
This "Contract" between the AUTHORITY and the CONTRACTOR.
JUL-13-2000 17�14 FROM CITY OF FRIDLEY TO 5455235 P.03iO3
S. Any modifications or changes in the 4erms of the Contrac� or Bid or additions to or
deductlons from the amount or character of the work which is to be performed or which
may be agreed to in writing by the Contractor and the AUTHORITY,
The CONTRACTOR agrees to pay all persons fumishing labor and ma#erial in 2�nd about the
performance of the Contract; and the CONTRACTOR will� within ten (10) �rocrking days after the
acceptance of the CONTRACTOR's Bid, execute this Contract and fumish 2� bond to be
appnnved by the AUTHORITY in a sum equal to 1�°/a of the futl �mount of the Bid. The
CbNTRACTOR further agrees to take all precautions tv protect the public against injury and to
save the AUTHf�RITY harmless from all damages and claims Of the CONTRACTOR or the
CONTRACTOR's Agents or Employees while eng�ged in the pertormance of this Contract and
will indemnify the AUTHORITY against all claims, liens and claims for liens for labor perfoRned
or material fumished as aforesaid and against all loss by reason of the failure of the
CONTRACTOR in any respect to fully pertorrn all obligations of the Contract.
The AUTHORtTY agrees to pay the CONTRACTOR for the �rFormance of this Contract� and
the CONTRACTOR agrees to accept in full compensation thereof the prices set forth within the
attached Proposal.
The CON7RACTOR and the AUTHORITY agree that aU of the terms of this Contract shall b�
binding upon themselves� their heirs� administrators� executors. (egal and personal
representatives, successors, and assigns.
IN WITNESS WHEREOF, the Parties hereto have set their hands and seals this
day of July,2000.
HOUSING AND REDEVELOPMENT AU'THOttITY
IN AND FOR THE CITY QF FRIDLEY
By
Lawrence R. Commers
Its Chair
By
�Iliam W. Bums
Its Executive Director �
KEVITT EXCAV IN
.�"
By
Its �oriN�' `�
TOTAL P.03
n�