AF-W - 45247' � - �� SUBJFGT . . - . � ' � � ,
City of Fridley � w�cKZNG 3 i 9 3 5
A 7 TH E T OP OF TM E TWINS P E R I t 1 I T
� —
; � RECEIPT NO.
� i ����, COMMUMITY DEVELQPNIENT OIY. !�72_3604 ,3 �/ �
V PROTEC7IVE INSPECTION SEC.
v
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� � �"'1 � CITY MA�� FRIDLEY SS�32 NUMBEp NEV D�T6 PAGE OF •PVROVEO Br
�""�'� �'' 612-571-3450 9�0-F15 6/26/O1 / /
,oe AooaESS 5353 Fillmore Street NE -
t IEGA� �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHEO
oescA. Outlot 1 Hut-Berg Addition SHEET
2 PROPERTY OWNER MAII AqDR�S$ 21P PHONE
Bruce Nedegaard
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Shade Tree Construction Inc 18530 Ulysses St, East Bethel, MN 55011
� ApCMITECT OR DESIGNEN MAIL AODRESS ZiP PHONE UCENSE NO
5 ENGINEER MAIL AODRESS ZIP PMONE UCENSE NO
8 USE Of BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATIpN ❑ REPAIR ❑ MOVE �7 REMOVE
8 DESCRIBE WORK
Wreck 1068 sf House
9 CHANGE OF USE FROM TO
STIPULATIONS
Disconnect sewer and waCer services at property line and ca11 for
inspection before covering. Remove a13 demolition debris from site.
TVP OFCONSL OCCUPANCYGROUP OCCUPANCYLpAD
SEPARATE PEFMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING.
VEN7�LATING OFi AIR CONDITIONING
THIS PEpM1T BECOMES NULL ANO VOID IF WQRK OR CONSTRUCTION 20NING SO. fT CU FT.
AUTHORIZEO IS NOT COMMENCEO NJITHIN 60 OAYS. Oii IF CONStRUCTION �
OR WORK IS SUSPENDED OR ABANQON�O fOR A PER100 OF 120 pAY$ AT
ANY TIME AFTER WORK IS COMMENCED. " NO DWLG. UNITS OFfSTREET PARKING
1 HEREBV CEF7tfV THAT I MAVE READ ANO �XAMINEO THIS APP�.ICA710N 1 STALLS GAFAGES
AND KNOW TME SAME TO BE TFIUE AND CORRECT. ALl PROVISIONS Of LAWS yq�UqtION SURTAX
ANO OiiDINANCES GOVERNING 7HIS TVPE OF WORK WI�I, QE COMPUED ��� N�A
WITH WHETHEA SPECIfIED MEREIN OF NOT. TME GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCE� �HE pEqMIT fE£ SAC CNARGE
PROVISIONS OF ANY OTHEfi STATE OR IOCAL L NEGUTATING CON• $20.00
STRUCTION OR TME PERF MANC CONST ION
P(.AN CNECK fEE T AL FEE
� �7�/ $20.00
S�GNATUpE F� 7F ,TOAON�U��+OA�2EO�GEN� �� �iO�TE� ME PAOP VAUDAT D THIS IS V UR PEQMIT
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S�GN4�uQE O� Ow.,EQ��F OwNEA Bw�b,ER� ��� �D TE� � � � �� � � � �
B G �NSo n�rE
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JUN-22-2001 15�33 FROM CITY OF FRIDLEY TO
4346640 P.02�04
Effective �/1/01
CX'TY OF F1�ID�,EY 1VIOV�NG [] WREC�ING � PERMIT AP'PLICATIQN
6431 Unzversity Ave NE
Fridley MN 55932
(763)572-3608
Job Add re s s: .� � J,� T/L�/y�a �L,ry S�?^
Lega� Descripta.vn:
Owner & Rdctress: �/�� /f/'�i ���q,e,�/Z� Te�. 1�
Contractoz: �'�� � J,� .�.vc. Tel. �
Address : �f $"�3p (,,rL���s s,�- State License # �/� Z
�9��l4�T�L�.n'✓ �',�y// DFSCRIPTYON OF •����u��
HOUSE : Length Width Heiqht Sq . Ft . 1D ��g Cu .
GARAGE:�,ength Width Height Sq. Ft, Cu.
OTHER: Length Width Height Sq. Ft. Cu.
Estimated Cost S Appxox. Completion Date
Water B,ill Paid:
_o..o_
Yes (�or Collect ES )
�
Ft.
Ft.
�"t .
�d� �c�
Siqn�ture ����
Moving Rout�:
'1'ite undersigned hereby makes application for a perntit to wrec�c/move the building described above, agreeing to
do atl work in st�ict accordan�e w�tla the City Ord'mances and rulings of the Building Division, and the State
Code which requires any vtirater wc1l on the property to be s�aled by a Swte licensed water wetl driller, and
hereby declares th�t a11 facts and repcesetttadons stated in tbuis applic2ttion are tru8�'td eQrrect. ►,g_LL
..*,.�.�. ....,._, ...�.___-- __--_ _--__� ---- — - -
�^ ���
Date
�
�Zinciple buiIding into Fridiey . . . . $300.00
Accessory buila�ica,� into Fridley ...$ 42.00
Tluaugh or within tha City ......$ 20.00
Move a building avc of City ......$ 20.00
PERMIT FEE: ��i � ��Q MINIII�UM $20.00
Wr�
For each 1,000 cubic �"cet or fraction.. ....$�,.25
For structures which would ba impractical to
aube, the fee shall be based on the total cost
of wrecking at the zate of $6.00 for each $50p.00
or firacdon.
r s,
ro —
STIPULAT'YQNS:
0
City of Fridley, 11tiun. ��� �.�
BUILDING PERMIT N� 7 3 7 0
• .� � . _
nate: ...,� _.._— __1 `� �1�..�.�%__
Owner: _ ._. . Build _. _ ....._._._ ...................._f.._......._...._.....__..._.___.__.�
AdBresa....._....__._..._..._.._.__._...._....._.._.._......_..___..__.. ._.._.._.._ Address ....._._..w.._...__....._...__....._.._.. . ._..__......._..._.._.._.._._..._.._____.._
•
C�
� LOCATIO BUI....�ING �t M.. ......y.
No. ���.�... Street . _.. . _ . _.._ _! . � __..___._...._......
� ��^�
;
�Lot _..._....� _..._...._� Block _.__..._._....__..._._..__.r._. Addition or Su6-Divisiari .. ..,,�nG�.rl.W°' ._.� . �c
Corner Lot _.__.�-Inaide Lot ...._.._........._.�.._..._..... Setback _.._......_...._......_........._ Sideyard ......_..._......_..__...____.___.._._.___..._....
Sewer Elevatioa _._.._._.._..._.__._..._._..._..____.._...._._.._......_..______ Foundation Elevation
DESCRIPTION OF BUILDING
T U aa:
,�_ Framt /.�.... Depth -,/-•.-!�.?.__ .Height ��..._. Sq. Ft�.,�� Cu. FL �.,�.�.%��
._._.._.__._..._._....._...._.____ Front .._._..___..._ Depth .:.......... _ H'eight ._..__. Sq. F� Cu. F�
d.�-_ _.___.._..�.... _.._..._......._..
�ype of Conatruction __.._.. �.. Es� t/-.�,Gr.�,,,r.._..°��To be Completed _..:....._.._..._....._...._._.._...�_._
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinancea of the dty oP FridleY• c-Z, e ,�
In co�siderati� of the payment of a fee of �� s.___._.., permit fs hereby granted to�__._� _._._...._—
to vonstruct the building or addition as descrlbed above. This permit is granted upon
the exprees oondition that the person to whom it is granted and his agents, employees and workmen, u► all work
done in, around and upaai said building, or any part thereof, shall oonform in all respects to the ordinances of
Fridley, Minuesota regarding location, construct�an, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked a t any� upon vio�pn of any of the provisions of said
ordinances. .. / )
Building Inspecto�
NOTICE:
TNs p�emit dou no� �owr th� eondrueNay hahll�Men fo� wie�y. Plu�ubi�W Yas MNtao, swwr or waNr. !� sun ro sM
fM 6ulWlsa tn�p�doe for a�p�nN p�e�ib for flN» i1�ms.
a. �>�. - � „ ,c.. .-n._. 4� .:n . ,a�. '.,u� � �.�,,,, . .. r . . . . . �.�. . . �...w.:� ' +c� :�c-. . �� . . �. ,.. . . � ,.,. ' :r. . _, .. . +
� -.. .. .. .. �: � .. ..
� . SUBJECT . P
City of Fridley ��^����
ATTHETOPOFTHETWINS gUILDING PERMIT 22448
i � RECEIPT N
� �
� • COMMUNITY OEVELOPMENT OIY.
r � L � PROTECTIVE INSPECTION SEC. �SOS
� �
� � �"'1 � CITY HALI FR�DLE� 55432 NU�BER REV. DATE PAGE OF APPROVED BV
�'•"'�" �'' 612-571-3450 910-F15 4/26/94 % �
JOB ADDRESS 5353 Fillmore St NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
�escR. OuClot 1 Hut-Ber Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Edmona Davis 5353 Fillmore Street E 571-9315
3 CONTRACTOR MAIL AODRESS Z�F PHONE LICENSE NO.
PTL Contractin 2526 Ferr 323-7 00
4 ARCHITECT OR DESIGNER MAIL ADDi;ESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Breezeway (4 squares) Tear-off
9 CHANGE qF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UiRED FOR ELECTRICAL, PLUMBING, HEATtNCa,
VEIJTILATING OR A�R CONDITIONING.
THIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOqK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I HEREBY CERTIFY 7HAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PFOVISIONS OF �AWS VAIUATION SURTAX
AND ORDINANCES GOVERNtNG THIS TYPE Of WORK WILL BE COMPLIED ��OO �.SO
WITH WHfTHER SPECIFIED HEREW OR NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIYE AUTHORITV TO VIOLATE OR CANCEL THE pEqMiT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
ST C710 OR THE P RFORMANCE OF CONSTRUCTION. F1Te SC �. 7O
PLAN CHECKFEE TOTALFEE
`y Z6-�� License SC $5.00 $25.20
' SIGNATURE C �RACTORORAUTNORIZEDAGENT IDATE� HE EALY LIDATED THIS IS YOUR PERMIT �
S�GNATURE OF OWNERiiG OWNER BWlOER� iDATE� ���JR9MG �NSP ��TE
NEW
ADDN
ALTER
fl
tl
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CiTY OF FRIDLEY
S[NGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit A�lication
Cc>nstructicmAddress: ____ _�� S� ___ �' �w� a/'�
Legal Description: ___ � ✓� �v �
Owner Name & Address:
Contractor. �L �G � �'� �-� � �
Adciress:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
� �
Effective 1 / 1 /94 �
� �o
(
Tel. # ,�`- /����
MIV L[CEI�ISE # �^o�iy
�- �f/ _ ��Tel. # ,��'7 y�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn �n it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�� � �
�� LS/? F f' 'l_" F,e�� ` j�i�-� -o� �% '�_
Corner Lot [] Inside Lot () �Yd Setback Side Yard Setbacks
Type of Construction: �/'�i c` � 1� /�G Fstimated Cost: $ ��J U
Approx. Completion Date: " ��� � -�'i �f
(Cost on BackJ
Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ _$
DATE: , �6 'S� APPLICANT: � Tel. #
�
Permit Fee
Fire Surcharge
State Surchatge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Patk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE OI�iLY
$ l.�6 Fee Schedule on Reverse Side
$ - �(� .001 of Permit Valuation (1ilOth%)
$ , �� $.50/$1,000 Valuation
$ $800 per SAC Unit
$ � � C) U$5.00 (State Lioensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Coaservation Plan Review
$ Fee I�termined by Eagineering
$ Agreement Necessary [ J Not Necessary []
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BUILDING PERMIT FEE SCHEDULE
The Cbief Building O�cial shali, i�efore issuing permits for the erection of any building or stcucture,
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 amoant here�n beiow set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 � to $S00
$SOl to $2,000
$2,001 to $25,000
$25;001 to $50,000 � .
$50,001 to $100,000
$10(},001 to $500,000
$500,001 to $1,000,000 �
$1`,Q04,001 and up
FEES '
$1 S(Minimum Fee is $15 plus surcharge)
$15 for fiist $500 plus $2 for eacf� additional $100 or
fraction thereof, to and including $2,OOQ �
$45 for fitst $2,Opp plus $9 for each additional $i;000
or fraction thereof, to and including $25,000
$252 for first� $25,000 ples �6.50 fvr each additional $1;000
or fraction thereof, to. and including $50,000
$414.50 %r fust $50,000 plus $4.50 for each additional
.$1,000 or fracaon thereof, to and including $100,000
�639.50 for first �$100,000 plus $3.50 for each additioaal�
$1,000 or fradioa thaeof, to and including -$500,000
$2039.50 for die first $500,000 plus $3 for each addition,al
$1,U00 or fraction thereof, to and iacluding $1,000,000
$3539.50 for the fiist $1,000,000 plus $2 for each additional
$1,000 or fractioa thereof -
DRIVEWAY DEPRESSION ESCROW
(Concrete Ctirb Streets Only)
Alternafe "A": Removal and repl.acement of curb and gutzea� only - Driveway width plus 6 feet times
$i3_50.
Alternate "B": Removal a.ad replacement 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 constiuction 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 conshuction site.
A Certificate of Survey of the tot, showiag the loca6on of the foundation once it has it has been
constructed will be required before proceeding with the framing.
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