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' � e �i-� �'---..._r . _.. .. . . • � � _- _ - I i ., . ^ • � �r _ � . /' ' - � t ,� City of Fridley, Min�u.. BUILDING PERMIT Date: �y 8 � 1969 p�,r. Elmer fl. Flowers B��r Same Ad�re� 1400 Fireside Drive Ad� Same ���s� N° 10222 LOCATION OF BUILDING No, 1400 S�t Fir�side Drive p� of Lot Lot 6 Block � Addii3on or Sub-Divis�ton .____ Gunderson Terrace Corner Lot _ Inaide Lot —. Setback � Side�►ard Sewer Elevation Founda.tion IIevation DESCRIPTION OF BUILDING To be Used as: Move Ga�ge , Put in S1a�nt 14' Depth 22 � Height 11' �. � 308 �� Front Depth ITeight Sq. F't. Cu, Ft Type of Conatruction Frame �� �_$200.00 To be Completed � In cons�tderation oP the issuance to me of a permft to construct the building described above, I agree to do �►O���Pro� f� �� �� with the description above set forth and in campliance with all provisions of ��- � In c�sfderation of the payment of a fee of $ 5• �� � permit ia hereby granted to Elmer H. Flowers to constcuct the building or addition as described above. Thiape rmit is granted upon the express condition that the person to whom ft ia granted and Iua agents, employees and worl�nen, in all work done fn, around and upon said building, or any �art thereof, shaA conporm in all respects to the ordinance� of FridleY, Minnesota regaraiag location, conatruction, alteration, anaintenance� repair and movtng of builaia�re with�n the dtY 7�1mi'ts and thia permit may be revoked at any time upon violation of a�nyy of the provieiana oP sa�d ordinancxe. ence Belisle � � NOTIC� 'flds psemh d� nM eevsr the coesfrocHoe, iestaUatloe Po� wd3eA, plumbtae, ea headng, ssvn� or wNsr. B� wro to ae the Buildieg Insp�etor for qparai� parmhs fo� t6as (tems, � 4PPLICfl`�ION FOR BIIILDING PERMIT CITY OF F�IDLEY, MINNESOTA .. � , • � �+ = � � y � � � s� � 1� :� ►�• � . � i_ � � a�. � � � '" � �% ;1 � � ' E / LOCATION OF BUII,DING NO .�,� /'� O STREET � i 1���°lli� �� 1�� �� / I/.� ,�Y � LOT BLOCK ADDITION OR SIIBDIVISION �r��d'�i�'I3.S�l�% CORNER LOT INSIDE LOT � SETBACK ��� SIDEYARD�, SEWER EIrEVATTON /�O�(%� TOP OF FOOTING ����Q� ,� ��1�Ap�� Applicant attach �to thia form Two Certificates of Survey of Lot and p�opos��l build7Lng locatioz�. drawn on these Certificatea. DF��CRIPTION OF BfTILDING To Be IIeed ge: _ �s�.r48 � AQI� Y j% G%/�� �'' e'r� , , � � �l',¢ % �' . �'ront /d� Depth � a� Height l I . . . Square feet Cubic Feet � �px�� AQ�th Heigh� _ _ _ Sque�ea £��� �ubic Feet — - - �yp� of Coa��truotion. y�1/���,,�'�,�� ���ima��d Co��t =� ^ To He Completed �,�� '—` � % ,,.._ The unde�ei�ed hereby makes application for a permit for the work herein �speaified, a�r�eing to do all work in strict accordancQ with the City of Fridley Ordinances and rulin.ge of the Department of Buildings, and hereby deolaree that all the facts and rep�esentatioxi.s stated in thie appliaatiort axe true and coxrecte DgTE w; �°� " � / SiGNATURE � ��,.�� _ �Schedule of Fee Coate can be fourid on the Rever�e Side,) �� � �.,-�a �-��` `�- - - w ,� � �_� ^ �`1 � � F, �• `°'° f BUII,DING PEftli'�IT � �"EE SCHEDULE SEGTION 2o The Inapecto� of Buildinge ahall, before is�uing permita ior the erection of ax�.y building or �tructure 9 0� ior a.ny addition to any �axi�ting structure or buildingfl or ,for a:n.y altera,tion or repa.irs to any egieting builduag o� structus�e 9 upox� �,pplieation the�efore, require the payment by the �,pplicantufo� �uch permit ,�f fee� to the amount herein below �et forth and ua the ma.�er here�aa. provided to-wits IIniform Build° Codeo Type 19 29 & 4 m$1075 for each one thousand cubic feet, or fraction thereoi9 �s �ueh cubical c.�zatenta: Type 3& 5- $10 50 ior each one thousax�.d eubic feet o For the purpoae of computing fees for building p�rmits9 the cubical cz�nt�nte of ��u�.%li�a3'�azizii�-��, ut�si'orm heigti`l.`�t�oug���'��r_^� multiplying the $round area covered from a poirt six (6� inches below the iloor line of the basement or the cellar to the average height of the upper �urface or to the average height of the rooi surface of the . ma.in gable of a pitched roo£. � For repairs or alterationa to asb existing structure, the fee sha,ll.be at the rate of $3.00 per eaeh iive hunclred: dollars (�500.00� or frac�ion thereof in the cost of all proposed worka In x�o case ahall the fee charged for a�.y permit as set forth in Section 2 be leas tha.:�. $5o00a � - -_ -- .. � _ . - NS���o�5a.ectio�. �arges`�"6���.-o� Tocat3dn - Area �-" or 2: �-- - - - - -- =------ � s � � � �� � � � , �. � � G � � � '�� r o � p � . M � :Y . � ; M : o : � . m �7 : � : � � � Jp-^✓ `U ` ; �, ;�,% � � � � '� � � "� p � � w e�"a � �" x � o � � �n " � � � � � � � �� p� �°���� � o � � � �, � `K° � `D �, � �,,, . x ��'d : O � � � � : � � � a' p � � �. : � ° a : � � : � . . a � � , r� ���y7 � � w � : �• �+ . �-i ' . 7a � . . . . : : : . � : : : : : ' : : � : : : : O � �a �a �a °1 �e x k �e x�e p�i � N N W C�i � N N N $ �c�i g � � � � � o o � �y � hl es �» es R� � tn s» fn t» �» �n H l�;�, ''� O . y � � � � � � � O � x D � � � m � n 2 m C r m �O � m 8 � a�a � � 0 3 'r^. . m � 'i Q � i� � � � .�. . �a ta � r• pp � c�. a, � y y� � � a� `� • �� � � � � � �� ,� m 8 M � o � � cr i a � �, � ° `�° A � � � A ,a � `;-- � � a � a � � � � � � �� a � i, � �. 1 I WATER aosErs URINALS e�TM � s�si� SINKS W,� ra�rs ORINK. FOUNT. s►+wRS. �oon DRAINS CATCH B�SINS AuTo i�/l� GAS APPL c�s RANGE GAS OPENINGS � • z • � �n i p � � � a� � b ��� °�' ��� � �oc�a � o ��� .. ��o� ��o � �pG� � 1py ��y Ti � i�"i b � � � � � �� �� p � � o � p' o d � `S �O ���w b � � ��� ��� �`��y n� .��� � =oo �aa' � � 7 �e � 3 � w G � � � x� � � a M' Rx & �°, p � M � M � � � m � � � � � • � � � f� � � a � G � � � M a � � � x 0 m � ( � � . � � -�- �-�__ � SUBJECT PE . City of Fridley 2 0 3 3 5 , , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T ECEIPT NO r � � � � COMMUNITY DEVELOPMENT DIV. , ; ,: ----- , 3� /a� r � � PROTECTIVE INSPECTION SEC. 1 = i � /'�'1 � CITY HALL FRIDLEr 55432 NUMBER REV DATE PAGE OF APPROVED BV �""� � �'' 612-571-3450 9t0-F15 5/4/�0 / / JOB ADDRESS 1400 Fireside Drive N,E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. � 2 Gundex�snn Terxace . SHEEr 2 PHOPERTY OWNER MAIL ADDRESS 21P PHONE Morris B.enson 14Q,Q Fireside Dri�e N�E, 780-4097 3 CONTRACTOR MAILADDRESS ZIP PHONE UCENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW �1 ADDITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WOHK Cons.truct � a 22 t x 24 �& a 1Q'•' x 20 `•' Addition to tfis dwelli,n 9 CHANCiE OF USE FROM TO STIPULATIONS g .__ ���� ����� �}.$�� �='- r---- -- ��" `�ttg'= 1�'i l�'g`�l' �--C�'rL-�+��our�-�-. S'ee notations on pla,n� Variance ap�x'oved for side yard setback from 10 £eet to 5�eet on April 23� 19�0 FX City Council, SE �������'���' � � .°.! .� a� i� �;°',� r �r� �� TF p�RM/�� �efore diggin� cail for all utilit (ocations . d�IF.�iTlt��. l���� �`;�?�-� �� y 454-0002 ���� ��� �1� REE�1tR�D BY LAI�► �s. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONINO SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTfiUCTION OF WORK IS SUSPEWDED OR ABANDONEO FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIEO $36��rQ $15�48 WITH WHETHER SPECIFIEO HEREIN OH NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAfiGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $33QaOQ STRUCTIO OR T ERFORMANCE OF CONSTRUCTION. f PLAN CHECK FEE TOTAL FEE � � � $348�48 SIGNAT oFCON�a CT AUThIOF12EDAGENT i W N PROPER V I T D IS IS YOUR PERMIT �� ��� V Si NATUREOF ERiI OWNERBUILDEHi IDATEI "� 8 INSP npTE � [ ] EffeCtive 1/1/90 � [ j R-1 AND R-2� �T� [ ] Buildirig Permit Application constivction ��: _ l Li d 4 �" �� �� � s,-cf' �� �l � ��� , e���e / dL � Gf,� Legal Description: OF�Y' TTa10� bt �.a'a �(�'`( (r v� f e�iL� � �' 1'� �2 e . �/ � c�.=+: _ �J r.S f.� c? �-. s o G. S�/ /%/C�1 # 7 b v��n �i 7 CAT1t,Y'dCt.OY'L ,��I�° 'i�21. # ��� -�04 > Addi�e�.S: ��/O �) �� %2 sic�P 6/� ft /�e' � ��. r����e y G�i �z Attach to this application, a Certificate of S�vey of the lot, with the proposed v�nstruction drawn on it to scale. D�CitIPTI�T OF Il�9IIN�Tr LlVII� AREA: i�ngth ���� / C/Width �� Height � Sq. Ft. �7 / O C�iR�GE AREAs Iength Width Heic�t Sq. Ft. DEQC AREA: Length Width Hgt/Graund Sq. Ft. ORR�R: � FT Cornex Iot [] Inside Int �, Ft. Yd Setback G � Side Yard Setbacks � O " Z�pe of Construction: __ �i!/oa - Estimatsd Cost: $ � , Approx. Ccenpletion Drate: T �-t � �C � v � b , � � � � �� ,�'L Proposecl Driveway Width If New Opening Is Desir�d: Ft. $ $ „�. f' �� f Width + 6' See Back Page DAZ'E: %i;-�i `�'� ` APPLICANT: ;�` ° z •� ��e � �.� Tel. # ��� _e��g � Permit Fee $ ���,� State Surrhazge , $ � i � , �Q SAC Criazge $ Driveway F�crcyw $ Park Fee $ Sewer Main criarge $ CITY IISE �Y Fee Scheclule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abave Fee Determined bY �J��4 Agrepment Ne�ssaYy [ ) Not N�ssaty [ ] � $ � �� �'� ���: r ''� ��� �� ��:� ����� � =: � ��� ��y..r�,-� . � , .-�_ �- � :+1 r � � '�:+i'� � " 51` :�.:I:H� 1 7he Chief Building Offici.al shall, before issuirig permits for the er�ec.�tio�► of ariy building or structure, or for arry additian to atzy existirig b�ilding or structure, or for ariy altexatio�n or repair to any existing building or structure, upon ap�lication therefore, require the payment by the applicant for such permit of fe�es to the amount hexein belcyw set forth and in the manner herein provided t.�wit: TOTAL VAIIJE $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 i,�� $15 (Minitmrm Fee is $b5 plus surd�arge) $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 thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each aclditional $1,000 or fraction thereof, to and includirig $50, 000 $414.50 for fiYSt $500000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each actiditional $1,000 or fraction thereof, to arid including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each ac�ditional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 azid up $3539.50 for the first $1,000,000 plus $2 for each additional $l, 000 or fraction ther+eof DRiVEi�iY DEPRES,SI�T � (Concrete GUrb S�:reets On1Y) Alternate "A" : Removal arid replacement of curb ar�cl gutter only - Drive�ray width plus 6 feet t�mes $13.50. Alternate "B": Re�noval arid replac�nt of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. � �,•ii- �� ., . i . u �.,� .; P�eYmits for construction will be issued a mininnnn of 24 ho�urs frcan the time of application to allow for praper review of the praposed structure and of the oonstruction site. A Certificate of S�YVey of the lot, shawing the location of the foundation onc� it has it has beexi construct.ed will be required before prooeedirig with the fYaming. � "��$ ,,�: , _� w v i� � �«� `rYE.' � . l[ d��; . � l�� ,�II�F/�.!Y �. h � t� I � �� Pj ���� a � i� r �; f � a�+i.�;- �� 3��.������ � , ` , w.' � �y ^ � #,;'�4.'':�- . f �. �; i� b 4 �h;,! �;4.a�i�y I,S,r � . t �� u y F �h l � �':. � 3 t � i ; I . h9 �" i r. , � ` � , T.�..� �". . .�� ���'� r ' � �` . ¢: k� �,. � ,r � � .:; �:, _. . � ' .� ;:�`� ' �.Y�Y " �..: I 0 -r- I , _ _ + A 0 � O � � � F i l� � � � A I � � � � � � �I s � � � y � �� � ,p — ` L � � � �` �� � 4 �: 1 � � y � � � � � � � � r� °� � � �� � y � ; � y '^� (� T_ � \ � \1 v �. . � � `� �. �` , ��► c � �` �. o. � �1 � � d o c � � (� . � � � V � `1, � I ' \ � � � e � � "/ \O O e v r� . fi � Y � � �--� n i ��� �z O _ � :�. 3 N � � O N d � � y C �' H 00 � � � .��' � 3�??� �..c�, �dw 'n o _,. — o �' ;+ a � 3 61 �, � ' H n o � ? d �. d v � d ��-o; w a � a o � g d � co c� T � � � r� � ,a � � o� . � � �j �� N x 6� a b V! 1 � �� �. V ' r � P _{ a� �i G e � � � � L� � O �. C O � i p � Q .—. � �= �X � � ,` ^.. e� -, ° s,c, �; m � � =. � � �01 � N • ��� � "*��' r %i N .d+ LS � ~ ' � a� - 3 0 � ., e, °� .. °t o _ � � �' . �� ���-: � o�� � � fi �wT � g N � � C oG � � � r 4 � i i I � i � ' O � c� -� , � �� . � _ �� � �� ' � — ---- i • ,— -- — — — — — - � ' I .- ' ._ _ _ - _.� I i 1 I � ' � ; I, i ; I �� I . �i I � ', I I � ; � . ��� � � � �� � � � � �. 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ITY DEVELOPMENT DIV. /� r � y � PqOTECTIVE INSPECTION SEC. �(/ �� � 1 1 . , � _ �"'1 � CITY NALL fRIOLEV ��J2 NUYBEp pEV D�TE v�GE OF �vonOVED Br �----� ' �•' 612-571-34b0 910-F15 8/5/99 / / JOB ADORESS 1400 Fireside Drive NE 1 IEGAL �07 NO. BLOCK TfiACT OR ADOITION SEE ATTACMED DESCR. ( 2 Gunderson Terrace SMEET 2 PROPERTY pWNEq MAIL ADDRES$ 21P PNONE Alex Theobald 784-7626 3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO Owner d ApCHITECT OR DESIGNER MAtL ADORESS 21P PHONE LICENSE NO. S ENGINEER MAIL ADORESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION x� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house 20 S Tear-off 9 CHANQE Of USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LpAD SEPAfiATE PERMITS ARE REOUIRED FOR ELECTfiICAL, PLUM8ING, FIEATING. VENTILATING OR AIH CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK Oi; CONSTRUCTION IONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DW4G. UN17S OFFSTREET PARKING I HEREBY CERTIFV 7HAT I HAVE FiEAO AND EXAMINEO THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AWS yq�UATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED ¢ WITM WMETMER SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PERMIT `P174'8 �,g7 DOES NOT PRESUME TO GIVE AUTMOIiITY TO VIOLATE OF CANCEL THE pEFMIT FEE SAC CMARGE PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PEFiFORMANCE OF CONSTRUCTION .�63. �.rJ Fire aSC .��.. %rJ PLAN CNECK FEE TO AL FEE 65.77 S� 4TUAE OF CONCRA TOAOA AUTNOp12E0 AGENT iDATE� ME P Y VALI D TMIS IS . R PERMIT � � r �GNOTUA O�OWNEA��FpyVNEABWLOE:�� �DATE� B �NSp p6tE ���.. ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 � �� BUII.DING PERMIT APPLICATION � �� (}� _ � Construction Address: � �(� �112� �O� ��L �lJ� ��/01.�i' �iL�/ `�.3L Lega1 Description: _ RC� 1 p�C'� D1 c. ld�m.E Owner Name & Address: , Q(-�X `���VI o 5� q s q�v✓�= Tel. #(, I 2` Z 8S�- ?6 Z 6 Contractor: ��n� oWalt�2. MN LICENSE # Address: /�c;� �,2t�5r/�� J�/� ��s r F2�d��`1 m,J ,STfS�- Tel. #�/2- 7Bt%' 762� Attach to this application, a:Certificate of Survey of the lot, with the _progosed construction drawn on it to sca�e. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION 4F IlVIPItO�ElVIENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. _ Ft. Sq. Ft. '/�n/6e.� _ �c; - i v ��� C_ EStIiri1�C� COSt: $ � L � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: Sf APPLICANT: Tel. # ��Z - % � �-% ?�2 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �.� �s� $ ! ,�Sd $ $ $. $ $ $ $ $ �pS.� CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (Sta.te L,icensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review. Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] t; 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 �rmit 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,� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $10(l,QOQ $100,001 to $500,000 $500,001 to $1,000,0� $1,000,001 and up FEES $23.50 $23.50 for first $SQO plus $3.05 foreach �dditional $1(l0 .or fraction thereof, to and including:$2,00�...• �-: $69.25 for first $2,000 plus $14.00 for each additianal $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.Q0 for each additional $1,000 or fraction tliereof, 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 $1,0(}0,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Aiternate �"B": Removal and replacement of curb and gut�e� and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction s�te. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �,�_ � sue�eC1 City of Fridley AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T i � � � � `v __��� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i ; � � �"'1 � CITY HALL FRIOLEv S5132 NUMBEf1 �'""'� � �'' 612-571-3450 910-F15 JOB ADDRESS 1400 Fireside Drive NE t LEGAL �OT NO. BLOCK TfiACT OR AODITION OESCR. (� 2 Gtmderson T� 2 PROPERTY OWNER MAIL ADDRES$ Alex Theobald 3 CONTRACTOR MAILADDRESS Cornerstone Const. 222 N Con� 4 ARCNITECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAII AODRE3S 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION � ALTERATION O REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK DATE 9/20/99 21P � / PHONE •450_ PMONE PFIONE �''ERMIT NO. 3 0� RECEIPT NO. ���� APVROVED B� SEE ATTACNEO SFIEET LICENSE NO 200742E LICENSE NO LICENSE NO ' sec & repair 8" hole in foundation 9 CHANdE Of USE FROM TO STIPULATIONS See stipulations on plan SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATIN(i, "rc vr VVry.I� vG�.ur� VENTILATING OR AIR CONOITIONING. THIS PERMIT 9ECOMES NULL ANO VOIO IF WORK OF CONSTRUCTION 20NING S�. fT AUTMOR12E0 IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 DAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO OWLG. UNITS I HEREBY CERTIFV THAT I MAVE READ AND EXAMINEO TMIS APPLICATION STA�L$ AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION AND ORDINANCES GOVERNING 7NIS TYPE OF WORK WIIL BE COMPLIEO WITN WHETMER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .�23],O DOES NOT pRESUME TO GIVE AUTMORITY Tp VIOLATE OR CANCEL THE pEqMl7 fEE PR VISIONS OF ANV OTNER STATE OR LOCAL lAW REGUTATING CON- ST CTIO OR 7HE PERFO ANCE OF CONSTRUCTION 83. ZS PIAN GMECK FEE � Licen S S. 0 GN U�7E O� CONCiiACTOA OA AUTMOA�2E0 AGEN1 IOATE� FN A[1PP e v CU FT. OFFSTREET PARKIN( IGARAGES E 1 PERMIT LOAD ��_r � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII..DING PERMIT APPLICATION Construction Address: �; D O ,�r,.��y, ��,e ,� �- . � �', Legal Description: _ �Y 6� � Owner Name & Address: /� ,� �'"�� ea�� ���� Tel. # % g/— 7� .2� Contractor: �'a�� �� �. ��,,, � �'o h .� � > MN LICENSE # � o c� � ,��� � Address : ,� � �U C�o �-� � �� �'x� So 5 ?' /�� �.� %r �i u✓ .s�`s-,� �-Tel. # � s/ Y.�-o s� Attach to this application, a Certificate of Survey.of the lot, with the proposed construction drawn on it to: scale, - DESCRIPTI�ON OF IMPROV�11v1ENT ` ` LIVING �REA: Length Width Height Sq. Ft. GARAGE AREA: I.ength Width �ieight Sq. Ft. DECB AREA: Length Width Hgt/Ground Sq. Ft. OTI�R: / Construction Type:���` �,�-ov� //' `s«,l.o� Estimated Cost: $ ���� • B 6 , Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: % —�4 ` 9Q' APPLICANT: � �e ��i-a-v Tel. # �s/- �so =sr��' , Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � c�.��.� $ -�/ $ /, /S^ $ $ .SD� $ $ $ . $ $ �� 7� CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licenseci.Residendal Contractors) . _ Alt. "A" or Alt. "B" Above $450.00 Conservarion Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _ _- � 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, ugon applicadon therefore, require the payment by the applicant for such permit of fees to the amount herein helow set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,(�?0,000 $1,000,001 and up FEES $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,U00 or fraction thereof, to and including $25,0� $391.25 for first $25,000 plus $10.10 for each additional $1,(�0 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,(�0 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 $1,000,000 $5,608.75 for the first $1,000,�0 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb 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 ph�s 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 consmacted will be required before proceeding with the framing. CCM Cornerstone Construction & Management Alex Theobald 1400 Fireside Dr. N.E. Fridley Mn. P#784-7626 Bid to include the following. F#540-1364 222 N. Concord Ecxh. South St. Paul, MN 55075 Phone:651-450-5668 Fax: 651-450-8991 License# 20074263 Proposal Number 99-214 Date: 8/24/99 '' Excavate side approximately 11'-15' across and down to foofing level '' Patch hole at bottom of block '' Instali Bituthane waterproofing membrane to exposed block "` BackFill and compact to create positive pitch away from foundation " No steps included at this time *'TOTAL LABOR AND MATERIAL $2310.00 DOLLARS