AF - 42023_
UlYOF
FRIDLEY
FRIDLEY MUNIC[PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN SS�132 •(612) 571-3450 • FAX (612) 571-1287
June 20, 1991
Mr. Ray Kauth
Marquette Bank
Mortgage Division
Minneapolis, MN
Re: Water Well at 615 Fairmont Street NE
Dear Mr. Kauth:
Please be advised that at the present time, the City of Fridley has
no prohibitions on the use of a private well in single f�mily
residences as long as there is a physical break between the piping
for the well and the piping containing the City water.
Please feel free to contact me at 571-3450 if you have any
questions on this matter.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Mr. Joe Micek
sue�ecT r��� i rv�.
City of Fridley �� � � -4, �
AT THE TOP OF THE TWINS g U I L D i N G P E R M I T
r - --
' ' RECEIPT NO.
� �
� • COMMUNITY OEVELOPMENT OIV. �]n �J
r � L � PROTECTIVE INSPECTION SEC. �%'/ •/
� �
� � �
' � �'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV
�"'"� � �'' 612-571-3450 9t0-Ft5 6/20/96 � �
JOB ADDRESS 615 Fairmont Street
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1—'4' I Riverview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Miller, 615 Fairmottt Street, ri 1�, Mn 55,��� 783-8725
3 CONTRACTOR MAIL ADDRESS Z'P 5�-2��j;ONE LICENSE NO
Citywide Home Improvement, 1005 W. Broadway, Minneapolis, .5411 3013
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PEFMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIFi CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2E0 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED �.66
WITH WHETHER SPECIFIEO HEFEIN OR NOT. THE GRANTING Of A PERMIT 1 3LO.00
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE @
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING coN- $45.75 Fire SC �p1.32
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $52.73
SIGNATUNE OF CONTRACTOA OR AUTNOAI2ED AGENT IDATEI WHEN PfiOPERLY �I� ED THIS IS YOUR PEF�MI7�
� �/
SiGNATUAE OF OWNEA i�F OWNER BUiLDERi IDATEI f'`� p� INSP + D�TE
NEW
ADDN
ALTER
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� ytr�
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 1/1/94
��-`� �I%
Construction Address: �� � j � r � � ° ._
Lega1 Description:
Owner Name & Address:
Contract�
Address:
LIVING ARfiA:
GARAGE AREA:
DECI� AREA:
OTHER:
Tel. # 7 � � '� ?� 7s��
M1eT LICENSE # C�/
�_Tel. # �� � � �( �%
Attach to this application, a Certificate of Survey of the
lot, with the proposetl construction dra�►n on it to scale.
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks ��
Type of Construction: D� Estimated Cost: $
�
Approx. Completion Date: �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$.
DATE: �� � Co �PLICANT:
['iTY USE UNLY
Permit Fee $ Fee Schalule on Reverse Side
Fire Surcharge $ .�1 of Permit Valuation (1/lOth%)
State 5urcharge $ � $.50/$1,(Ml0 Valuation
SAC Charge $ S00 per SAC Unit
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Tel. # � —� ��
$ $5.00 (State Licensed Residential Cont�ractors)
$
$
$
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determin� by Engineeriag
Sewer Main Charge $ Agreement Necessary []
C�
TOTAL
STIPULATIONS:
a:
Not N�essary [
�� � � � .
.° j�--- � �, ' �
- - ' -�'t� ,
BUILDING PERMIT FEE SCHEDULE
T'he Chief Building Official shall, before issuing p�rmits for the ere�on of any building or shucture,
or for any addition to any existing building or struchue, or for any alteration or repair to any exis[ing
building or structure, upon application therefore, require the payment by the applicant for such permit
of fees to the amount herein below se� focth and in the manner herein provicied to-wit:
TOTAL VALUE
$1 ' � � to $500
$501 to $2,000
Sti3O(11 to $25,000
$25;001 to $50,000 - �
$50,001 to $100,Q00
$100,001 to $500,000
$500,001 to $1,OQ0,� .
$1,�OQ,001 and up
FEES
$15 (Minimum T�e is $15 plus surcharge)
$15 for first $SO(? plus $2 for each additional $100 or
fraction thereof, �to and including $2,000
$45 for first $2,0#�1 plus $9 for �e�t additionai $1;000
or fraction thereof, to and including $25,000
$252 for fust� $2S,ppp plws $(.50 far each additional $1;000
rn' fraction thereof, to. and idcluding $50,000
$414.50 for first $SO,Opp plus $4.Sp for each additional
.$1,000 or fracbton th�eof, to aud including $100,000
$639.50 for f� -$1pp,pQp plus $3.50 for each additional�
$1,000 or fra.ctia� 13�aeof, to and including -$SOO,OQO
$2039.50 for the first $x10,ppp p1� $3 for each additional
$1,U00 or fractian thereof, to and including $1,000,000
$3539.50 for t�e first $1,000,0p0 plus $2 for e�ach addifional
$1,Oi�D or fractioa thereof -
D�YE@�' AY ��P��IORT -E�CROW
(Coacrete (�rb Streets Only)
Alternate "A": Removal and replacement of curb and gut�er unly _ Dri�eway width Plus 6 feet times
$13.50.
�►lteruate "B": Removal and replacement of curb �nd gutter aad instau a 3 foot wide.
approach with 6 inch depth - Driveway widdi pius 6 feet times $15.75.
YERIFICATION OF FOUNDATION
Permits for conslruction 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 l�on of the foundation once it has it has been
constructed wil! be required before proceeding with the fram�ng.
T
� °�
City of Fridl��
AT TFIE TOP OF TME TMVINS
i �
� �
� ; v �_��� COMMUMITY DEVELOPNIENT DIV.
r � � PROTECTIVE INSPECTION SEC.
� . �
i--_-� ��"' �'� CITY NALL FRIOLE� lS3�32
ti 612-571-3450
�U ILDING PERnl11T
� A9 ���Vo�
�B@p REV DATE PAGE OF
9t0-Ft5 5/14/O1 � �
10B ADORESS 615 Fairmont Street NE �
t LEGAL ��T NO. BLOCK TRAC Op AOOITION
DESCR. 1—/{ I Riverview Heights
2 PiiOPERTY OWNER MAIL ADQRE$$
Scott/Christine Miller 615 Fairmont Street NE
3 CONTqACTOR MAIL ADDRESS
Same
4 ARCMITECT OR DESIGNER MAIL ADDRESS �
5 ENGINEER
8 USE OF BUILOING
Residential
� CLASS OF WOFiK
❑ NEW
B DESCRIBE WORK
Reside House
9 CHANOE OF USE FROM
21P
O ADDITION ❑ ALTERATION �7 REPAIR
TO
i�22
IPT NO.
��
•vvrtovEO er
SEE ATTACNED
SMEET
763-783-8725
PHONE IICENSE NO
PNONE IICENSE NO.
PHONE LICENSE NO
O MOVE � O REMOVE
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptio�s for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl s�ding is not a weatherproof covering unless the manufacturer
states 'th�s in their application guidelines. Call for inspection of wrap
before covering.
SEPARATE PEiiMITS ARE RE�UIRED FOF ELECTRICAL. PIUMBING. HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WQIiK OR COI�STRUCTIO�'1 ZONINQ
AUTHOR12ED IS NOT COMMENCED V�1ITNIN 80 DAYS. OR IF CONSTRUCTION ,
OR WORK IS SUSPENDED OR ABANQON�O FOp A PERIQO OF 1� DAV$ A7 '
ANV TIME AFTEp WOFiK IS COMMENCEO. ' NO. DWLCa. UNITS
1 MEREBY CERTIFY TNAT I MAVE REAO AND ExAMINEO THIS APPLICATION 1
AND KNOW TNE SAME TO BE TF1UE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION
AND OROINANCES GOVERNING THIS TYPE OF WOiiK WILL �� CpMP1,lED 1 OSO
WITH WHE7HER SPECIFIED MEpEIN OR NOT. TNE GRANTING OF A PERMIT � a
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CAMCEL THE pEqM1T FEE
PqOVIS10NS OF ANV OTNER STATE OR LOCAL LAW REGULATING CON• @41.80.
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION 4'
TUpE OF CON'anCTOp OA 4UTHORiZ -� ENT� IOATEi
r 1���C1 �rn� (Y'�.��, S `t� �-C
SO.
STALIS
OCCUPANCVLOAO
CU FT
ET PARKING
IGARAGES
$.53
SAC CMANGE
ire SC $1.05
TOTAI, E
$4 .38
-UR PEp—���
_
.,`tE
NEVV [ ] Effective 1/1/2001
ADDN [ J , CITY OF FRIDLEY (763) 572-3604 Bidg Insp
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
�rs�3�
Legal Description:
Owner Name 8� Address:�`��� 1-�- � h`�'�..1.�T�� fV�_�7.G��I. # ^�2�
Contractor: ���� MN LICENSE #
Address: Tei. #
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certficate 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. Ft
Length Width HgUGround Sq. Ft
P � � �'�z�c�� ��-�- �.���. ��r-�.c�� � � i-�-��
Construction Type: Estimated Cost: $ � �cr�.f��d.Q �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ ����
DATE: ����'�%C APPLICANT: ���-'-S 1 1�� YYl d CY��'-LL. �-E�- Tel. # ����
CITY USE ONLY -
Permit 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
$ �J �D Fee Schedule on Reverse Side
$ l O� .001 of Permit Valuation (1/10th%)
$ ,� 3 $.50/$1,000 Valuation
$ $1150 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 [ ]
$ � �.�
BUII�DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $SO,Q00
$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 $SOm 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 additiona.l $1,000
or fraction thereof, t� 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
$1,000 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 gu�ter only - Driveway width plus 6 feet times $15.50.
Alternate "B" : Removal and replacement of curb and gu�ter 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
.� _
�`� v `�� L . ,� . , , ,V, , From: unknown Page: 2/2 Date: 12R/2009 4:14:57 PM , � , , , . �
Building MECHANICAL Permit No.:
Inspections RESIDENTIAL APPLICATION R���v� By'
�63-s�2-��oa CITY UF FRIDLEY ��G o� ��
763-502-49�7 FAX ��z-19�,
DATE ������ YOUR &MAIL AUDK�SS d��daveshestlngandel�.cam
SITE ADDRPSS ��6 FAIRAAONT ST NE
TkII3 APPLICANf 1S: L7 OWNIIR. COT1'PRACTOR
PROPERTY p�, cMt�snN6 nni�.t�R
OWN�W ppARFSS: 812 FAIRMONT 3T NE ��� FRIDLEY �pTg MN Z�P 55432
TENANT 763-783-8726
PHdNE: �
CONTRACTOR COMPATiYNAME: DAVE'S HEATINO, AIR 8 ELECFRIC
SUBMIT A CUPY OF CONTACT PBRSOIV: A� ��� �
YOUR STATE STATE L1C6IVSE # EXP DATE
LICENSE WITH ppDRESS:1601 3T'TH AVE NE C�Ty COLUMBIA MEICiHT3 g'�'ATE �N ZIP �Z�
APPLICATI�N ��N� 783-T81-6901 Fpg 783-788-8605
p��.�. .�.�.p� �IJOLE FAMII.Y O TWO FAMI4Y ❑ TOWNHOLISE
TYAE OF WORIi: O WEW �PI�ACEMENT Cl ALTERATION/REMODEL
DB'CAILED DESCRIFTION OF WOEtK �p�CE FURNACE BRYANT M#TOS080612MP11A
FEF� ARE HASED ON SIO.OQ AER FIXTURE. �JCCEPT WRERE WOTED. FI?tTURE3: (iNDICATE TOTAL NUMBER Or �ACII HELQW)
Fquipment L�falied MFG: MODEL: SIZPIHTU �_
MFG: MODEL: SIZFl9TU
IyFCi; MOQEI.: SIZPJB'PU
C S2S.p0 ,_,_FTRBP1rtCE ((}AS) $I5.00 QASRANGIJOYEN $10.00
IR TO AIR EXCHANOBER $1 S BPLACC (WOOD) $3S.Q0 NBW GAS �RILL $10.00
_�(?ILBRS35A0 � RNACB$35.00 (3ASUNITHTR$10.00
CHiMNEY L[NER$IO.OQ S DRYSlt$IO.OD POOL HEA7'RR $35.00
D(1CT WORK $l0.00 CiAS PIPINO Sl 0.00 VFJVT1l.ATOR $I5.00
Number of fixW�es @ $10.00 x $J Q.00 � $ _ „
Number of�xtur� (� $ IS.Ob . . _ x $l S.pO � $ -
Numbe�r offixtures � S25.OU x $25.00 = $.__�____�,
Numbcr of tixtttres �$35.00 � x$�5.00 ���•�„_,,,,�,_,_�,
$� Surcharg� = $,_T,__:_r5Q
IMUM F�E $3S.SQ Tata! = $
TH131S AN APPT.TCATTON FOA A PERMIT NOT VALID UNTTL PROCESSED
I t�ereby apply for a bu' 'sn� permit and 1 acknowledge that the information above is complete and accurate; that tha work will be in
coaformence with the rdi ances and codes of the City of Fridley and with the Minnesota Construdaon Codes; that [ undarstand this is
not a permit but only ap icaCion i'ar a permit and work is not to stazt without a permi� that tha work wiU be in accordance with the
appraved plan in the e f , k wh c uir s re iew and approvai of pl s.
SIGNATURS OF APPLI' NT i PRINT NAME , A E�_�
PLEASE NOTE: PARATE P TS AR� RE . FOR HUILQING ELBC7'RICAL AND HANtCAL� WOR1.0
/Y��_ _ _ n T__! J1.._'
t,�iy v� 1 a aYi��
BuiWing Inspcctions Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977