AF - 43482y y S�B E P� Mi�450
Cit of Fridle
AT THE TOP OF THE TWINS gU I L D I N G P E R
r
� � RECEIPT NO.
� 1 y____._ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 �
�4 � /���1 � CITY HALL FRIDLEV SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY
"•"� � ,�� 612-560-3450
910-F15 10/28/77 � �
108 ADDRESS 1060 Gardena Avenue N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE �TTACHED
DESCR. 39 4 Parkview SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Kznneth Krantz 1060.Gardena Avenue
3 CONTRACTOR MAIL ADDflESS Q % Z�P PHONE UCENSE NO.
Richard Peterson Circle Pines �/yMJ S�?)� �� _�j�
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
R�S 1(�Pllt].dl
7 CLASS OF WORK
❑ NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCHIBE WORK
Oonstruct a 10' x 21' Ar3diti.on to house and Fiseplace
9 CHANGE QF USE FROM TO
� STIPULATIONS provide 18" x 24" access to erawl space. Contractor t�o apply for
General Contractor's license to work in Fridley. �� ��
�ra�H��u�
SEPERATE PERMf TS Before digg�ng ca(1 I�cal uiiliti�s
NEATING, PLUI�IBf NG AN�UlRED FOR �/IRt1�Gt TELEPHON� - E��c��,c- G�s etc.
� SIGNS. REQUtRLD gY �qw
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDIT�ONING. WOOC� Frd1Q
THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 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 '' R 1 ZZO ZI.00
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT�ON 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORWECT. ALL PROVISIONS OF IAWS VALUATION SUR7AX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLtED $( �OOO $3.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISION$ OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- c2� ��
STRUCTION OR THE PERFORMANCE OF CONSTRUCTIOM. 4
P�AN CHECK FEE TOTAL FEE
�
r �t. $25.20
SiGNn7U OF NiRACTORORAUTHORIZEDAG T IDn7E� '- WHEN PROPER VAIIDATED THIS IS VOUR PERMIT
JO 7 I �0"�8-��
NATU W IIF OWNER ILDERI (DA 1 BLDG INSP �ATE
�
CITY OF F�ZIDLEY
' APPLICATION FOR RESIDENTIAL BUILDING PER(�IITS .
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNFR: ��rlR e�k• 1��''4r1� Z-- �UILD�R: �c C/l cir L'�` �2.�l�Sp i'( .
Address: j� � � � aN'�Prt� �U<< Address: CI�GIe ��7PS '
Tel. No.: �
No. : -/�� � Street: � O r 4Pn a� /� V�.
LOT: .� �� BIACK: _�_ ADDITION: �Q r�c V/ e G�
CORNER LOT: INSIDE IAT: �� SLTBACK: SIDEYARDS:
Applicant attach �to this foxm �ao Certificates of Survey of Lot and proposed
bui.lding location drawn on these Certificates. .
DESCRIPTION OF BUILDING
To Be Used As : � �r� .
�l � R .,�'/�
�OUSe. Qd t�a� ont: �� Depth: �/ Height:
Square Feet: Z� � Cubic Feet: ��` �/O�
. �
Front: Depth: Height:
� Square Feet: Gtiibic Feet:
Type o€ Construction: �t/oe oC FrQ �-r► �. Estimatea cost: S(,� � O O
Zb Be Gompletedo /�Ar�� 3( / 97� Alt. A Alt. B
Proposed Driveway Widt� If t3ew Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and eorrect. See reverse side for additional informati
DATE: I 4�� % 7 SIGNATURE:
�
Stipulations: ,�,`" � oZZ. 2d
�,,rG ' �6 � ��
/ �,� ,3. az� .
�?�a �� X , �d� _ ���� � � � �
� �, S�o : � _ � �— . S z0
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� � <�'f�� �-
BUILDING PER«IT FEt SCHEDULE
SECTION 2. The Inspector of Buildings shall,,before issuing pexmits for the erection
of any building or structure, or for any addi�ion to any existing building or structure,
or for any alteration or repairs to any exis ting 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 hereiri provided to-wit:
.,. ,
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet..
PLAN CHECK: 25 percent of building permit fee. �
DRIVEWAY DEPRESSION: (Concrete C�Zrb Streets Only) ,
Alternate A: Removal and replacement of concrete curb and '
gutter only; Driveway width plus�6 feet x$11.75
Alternate B:'Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch.depth; Driveway width plus 6 feet x$15.40
:11 � � 1 �C : �►
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 basement or 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 forfih �n Section 2 be less
than $7.50 plus $.50 state surcharge.
VERIFICATIOV OF FOUNDATION
NOTE: Permits for construction will be issued a minimtun 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 SuYVey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
-` � � � �:1
Application for a Certificate of Occupancy shall be made 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.
.
. !
Surveyors Certific�te
COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors
SITAVEY F08 1446 County Road J, Mpls., Min����V�1�, ��`-9346
Ken Krantz Proposed porch addition
1060 Gardenia Ave. on Lot 39, Block 4,
Fridley, rIn. 5��32 Parkv�ew�� Manor, Fridley,
� � .Minnesota.
G.4 fzo��viA A vE .
... .. '�
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�� �v O C7�0 £ ��A
�s o0
/d/'O�OSed B9°09 20'�
�o.-ch Add: t:o� --�
LOT
39
T: .. ;-
LEGAL DESCAIPTION
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Lot 39, Block 4, Yarkview Manor, Village of
Fridley, Minnesota.
SCALE: 1 '� = 30'
• O¢/7o�`2s sPi.�fe y�'OL/nd
�� Q¢r�ot�s �/z " iroh �i,oe fourd
O O¢hotes iror� mo�umaht sat
I hereby certify that this survey, plan or report was prepared by me or under my direct
supervision and that I am a duly Registered �,and Surveyor under the laws of the State
,
of Minnesota. . � '
�
�� �0832 , , Oct.2o, 1977 Lw 77029
Reg. No: Date Job Na
sue�ecr PER .
City of Fridley 18 8 8 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I rt
;,
,� .
� `y _ ._� COMMUNITY DEVELOPMENT DIV. �L/� � �
r � � PROTECTIVE INSPECTION SEC.
� . ,
� � /'��1 � CITY HALL FRIOIE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'""� � ,�� 612-571-3450 910-F15 4 / 17 / 8 � �
JOB ADDFiESS 1060 Gardena Avenue N. E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 39 4 Parkvieva Manor SNEET
2 PROPERTY OWNER MAII ADDRESS ZIP PNONE
Michael Hagel same 572-2476
3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
5 ENGINEEH MAILADOHESS Z�P PHONE LICENSENO.
8 USE OF BUILDING
R-1
7 CLASS Of WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTIIATING OR AIR CONDITIONING. treated �l1T0 d
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO 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 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2, 550 .00 ��- • 28
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON- �` 3 H. 5O
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CH CK FEE TOTAL PEE
� � 9.63 $49.41
SIGNA o �AnCtoao NORIZ GENt IDATEI " Vjl EN PRO E LI TED THIS IS YOUR PERMIT
/ / � ' / i
SiGNATUFE OF OWNER WN B ILDERI �DATE+ G�NSP
�nTE
NEW [ ]
ADDN. [ ]
pLTER. [ ]
Construction Addr�
City of Fridley Effective 4/1/86
�R-1 AND R-2
Building Permit Application
Legal Description: ^� �7 or�w '� Trl��u�w ••••�+��•� ---
Owner Name & Address : M r_1i 0 �. �� �fr:. Tel . � • ��
Contractors, �� M�� Tel. #
Address:
,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction draxn on it to scale.
DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length __ Width Height Sq. Ft.
DECR AREA: Length �_ Width � Hgt/Ground �Sq. Ft. �_
• ��c'?� � 80� i�/0,�� ��?�O T�c�. 3�.�_�[ t..�13 � Z S�•�
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard tback
Type of Construction: ���� wd� Estimated Cost: �
�s'�e .o.
Approx. Completion Date:
Alt. A Alt B
���
Proposed Driveway Width If Ne� Opening Is Desired: See Back Page for Explanation
DATE: � � � APPLICANT: Tel. #
CITY OSE ONLY
Permit Fee � �� Fee Schedule on Reverse Side
Plan Cheek � 25'� of Building Permit Fee
State Surcharge � .1.�2, �._ �• 50/ $1, 000 Valuation
SAC Charge � 3 525 Per SAC Unit
Park Fee � Fee Determined by Engineering
Seaer Main Charge �
Agreement Necessary [ ] Not Necessary [ ]
TOTAI. �
STIPULATIONS•
_ �6- - .
�
�,�- 3�.so
►x� -�
3�'��
BUII.DING PERMIT FEE SCHEDOLB
The Chief Building Official shall, before issuing permits for the erectio n of any
building or structure, or for 2ny addition to any existing building or structure, or
Jr for any alteration or repair to any existing�building or structure, upon applicatio a
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein below set forth and in the manner herein provided to-Wit:
Total Valuation Feea
�1.00 to �500.00
�501.00 to $2,000.00
�10.00 (Minimum Fee is �15.00)
$10.00 for the first �500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
32�007.00 to $25,000.00 $32•50 for the first �2,000 plus $6.00 for each
additional �1,000 or fraction thereof, to and
including �25,000.
�25,001.00 to $50,000.00 �170.50 for the first a25,000 plus �4.50 for each
additional'•�1,000 or fraction thereof, to and
irteluding �50,000.
350�001.00 to $100�000.00 �283.00 for the first $50,000 plus �3.00 for each
additional �t�000 or fractfon thereof, to and
including �ti00,000.
�100,001.00 and up
�433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIYEKAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times 313•50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach xith 6 inch depth - Drivexay xidth plus 6 feet times �15.75
VERIFICATION OF FOUNDATIOp
Permits for construction xill 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 been constructed xill be required before proceeding With the framing.
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C5"1
SuBdECT
City of Fridley
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� .
� �` _�_�_ COMMUNITY DEVELOPMENT DIV.
r � ~ � PqOTECTIVE INSPECTION SEC.
� '_ ��"1 � CITV HALL FRIDLE� 55432 NUMBER RE�.
�"""�'� ,'� 612-571-3450 9�0-Ft5
J08 AODRESS 1060 Gardena Avenue NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 39 4 Parkview Manor
2 PROPERTY OWNER MAIL ADDRESS
Mik� Hagel 106Q Gardena Avenue NE
3 CONTRACTOR MAIL ADDRESS
Handyman Helpers Qlus, Inc. 1821 Glenwood
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL
DATE I PAGE OF
1/28/91 / /
PERMIT NO.
20706
3 90 a�
APPIiOVEO BV
SEE ATTACHED
SNEET
572-2496
ZIP PHONE IICENSE NO.
521-0658
ZIP PMONE LICENSE NO.
ZIp PHONE LICENSE NO.
8 USE OF BUILDING
Res id ent ial
7 CIASSOF WORK � NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRiBE WORK
Reroo� Dwe],lix�g (26 Squa.xesl
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR EIECTRiCAL, PLUMBING, HEATING,
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED 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. U
I HEfiEBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS APPLICATION �-
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPUEO $1 f 3QO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEpM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31� OQ
ST�RUCTION R THE PERFOfiMANCE OF CONSTRUCTION. pLAN CHECK �
) � GGv+ y
, SIGNATURE OF CONTRACTOR OR ENT IDATEI WFIEI
�
CU.
OFFSTREET PARKING
STALLS IGARAGES
$.65
iAC CHARGE
Fire SC $1,30
fOTALFEE
$32 .95
LOAD
NE�T [ ] Effective 1/1/91
ADLN [ ] R-1 AND R-2
ALTIIt [ � Buildi.r�g Permit Application
(�.strwctian Address: �o� � ��/r1'+�'✓i.r � �¢ v
I�egal Desc,�'ipticn:
owr,ex xa�e & Address: �>1� ,� �1,s � � L Te1. # -s� Z' �l5z�
�': j �i9.o •✓y i'►� M � ���i �� � �''f� ...��,/L 'I�el . � -S2j- o L.s�
-�
,,.�,�. �: /82-1 c���•✓wa�oc,
Attach to this applicatian, a Qertificate of ��vey of the
lat, with the p�r��osed constructian dxawn an it to scale.
�(3tIPPI�i �' �AOV�l�Tr
L1YII� �: Ienqth Width Iieic�t Sq. Ft.
� Ait'�: Ier�gth Wirdth Height Sq. Ft.
DDC'�t ARE�►i: Ler�gth Width Hgt/Grotu�d Sq. Ft.
�:��
��
Oorner Iat [] Inside Iat [ y� Ft. Yd Setback Si:cie Yard SetbacJ�
Z�pe of Oo�.stnictioai: %2�1�� �--' Estin�ated Ocst: $ /�O� "
Appirox. oanQletiori Dats: zJ �, 9 �
Prq�osed D�iveGray Width If New Opening Is Desired: Ft. $ $
Width + 6' See Bacic Page
DATE: ��2� �/ APPZSCANI': �S r� �� J�^� �'� T21. # S 2>— e d.i8
CTl'Y � �Y
P�ermit Fee $ �< i �L�
F� s�� s � . 3 �
State S�rdzarge $ e �
SAC ChaYqe $
Driveway Escrow $
Park Fee $
sew�er Main Criarge S
�����`�
�IM.� :il�., �..,�.-�
$ ���
Fee �le an Reverse Side
.00l x Per,nit valuatian ��/lorh ��
$.50/$1,000 Valuatiari
$650 per Si�CC Unit
Alt. "A" or Alt. pB" �hove
Fee Det�ermined by F��qi.neerir�g
Agre�aoexYt NeoessaxY [ l � ��lY [ l
.�-
�:_������, c ;��;,��y �.�: _ �:�: �_�1 :
�e Ct�ief Buildinq Official st�all, befare issuiryg permits for the e,rection of ariy
buildinq ar�e, o� fa� any aciditian to any exist3t�g buildi.tyg o�r stn�cture, or
for any alteratian ar repair to any existinq buildirrl c�' stn�re� �z apPlicatiari
therefore, require ti�e payment by the applic,ant fos su�di petimit of fees to the ana�uit
h�ereirt bela�w set foYth and itz ti�e �ar�rar � jn p�wi,c�d to-wit:
TOTAL VAI�JE
$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
� a.
5�.5 (Minin� F�e �s S15 Plus s�ci�arqe)
$15 far�first $500 plus $2 for each additi,a�al $100 or
fractian th�ereof, to arid includityg $2, 000
$45 fo� first $2, 000 plus $9 far' eac3i additiar�l $1, 000
cr fractian thet�eof, to at�d includiuyg $25, 000
$252 far� fil'st $25, 000 plus $6. 50 for eac3i additio�al $l, 000
ar' fraCtictl thei�eof, to arld fTlCludinq $50, Opp
$414.50 fc�r first 550.000 Plus $4.50 for eac� additional
$1 � 000 0� fracticn thereof �'to ancl includit�g $100, 000
$639.50 far fizst $100,000 plus $3.50 for each additianal
$1 �� a'r' fractian thereof, to and it�cludirrg $500, 000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additio�al
$l, 000 ar fxacticn ti�eY,epf � t,p and j,r�cludirfg $1, 000, 000
$1,000,001 and u� $3539.50 for the first $1,000,000 plus $2 for each a�dditioa��a].
$1, 000 c�r fractian thereof
�IVS�1Y nBPlt'BSSZ0�1 B8G'liOW
(c7a�te C�rb Stre�ts On1Y)
Alternate ��A�� ; Removal and repl�oe�ent of curb and gutter anly - Driveway width plus
6 feet times $I3.50.
Alten�ate °g" ; Reaaval arri replave�ent of curb arri gutter ani install a 3 foat wide
appro�di with 6 incii depth - D�iv�eway width plus 6 fee�t times $15.75.
� _a• .- � . ., . �, .� .
�*�++�; ts for ar�stnictian will be issueci a minim�an of 24 haurs frcm the time of
applicatiasi to alla�r fo� p�aper review of the prq�osed skruc.�ture and of the
�iori site.
A dertificate of �uvey of the lat, showiryg the locatian of the fauydatian ar�oe it has
it has beeri aor�sttvcted will be xequired before p��oceedirrg with the fr�nniryg.
..,�
. �..,,
SuBJECT
�ity of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� .
� �
• COMMUNITV DEVELOPMENT DIV.
' � �: ----- �
r � � PROTECTIVE INSPECTION SEC.
� � �"'1 � CITY HALL fRIDLEv 55432 NUMBER pEv
�""'�'� ,'' 612-571-3450 910-Ft5
J08 ADDRESS 1060 Gardena Avenue NE
t LEGAL LOT NO. BIOCK TRACT OR ADDITION
oesca. 39 4 Parkview Manor
2 PROPERTY OWNER MAIL ADORESS
Mike Hagel 1060 Gardena Avenue NE
3 CONTRACTOR MAILADDRESS
Jansick 6480 Squire Drive NE, Fridlev
A AFiCHITECT OR DESIGNER MAII ADORESS
5 ENGINEER MAIL ADDRESS
6 USE OF BUILDING
Residential
7 CLASS OF WOFiK
O NEW O� ADDITION
8 DESCRIBE WORK
Construct an addition to atta
9 CHANGE OF USE FROM
"RMIT NO.
�4'7�6
J ��
DATE PAGE UF APPROVED Bv
11/22/9 / /
P
ZIP
ZIP
ZIP
SEE ATTACHED
SHEET
PHONE
572-2476
PHONE UCENSENO.
574-9679 8618
PNONE LICENSE NO.
PHONE UCENSENO
O ALTERATION O REPAIR ❑ MOVE � REMOVE
TO
7' X 26�
STIPULATIONS
3 foot side yard setback allowed as the total garage is 22' wide
and there is an existing double garage next door.
Pravide a hard surface driveway. See notations on plan.
rY�lR�:���
Before digging ca;i far
all utility locations
454-0002
REQUIRED BY LAVI�
s�Pa�aTE c���� A:TS ��:�l����o ���
WtRINC, ���"i le�i=�, PLU1�ei��i'�(a !�►C�u �iG�1S,
TVPE OF CON57
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING,
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN
1 MEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AN� ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �LZ�OOO
DOES NOT PRE UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISION ANY OTHE� STATE OR LOCAL LAW REGULATING CON-
T UCTI HE PERfO�AAA E OF CONSTRUCTION. iH7.2
� PLAN CHECK F
Lice e
51 AT aE OF CON' ACTOA OR AUT NT IOATEi N
� I///
OWNEA i�� OWNEA BU�LDERI �DATE�
OCCUPANCY GROUP IOCCUPANCVIOAD
SO. FT. -TCU. FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
$6.00
SAC CHARGE
Fire SC $12.00
♦ OTAL FEE
i . 00
Y VAL
1TED THIS IS V UR PERMIT
• �� � � S
NEW
ADDN
ALTER
�)
[l
[l
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 3/1/96
ConstructionAddress: �Q (o Q �dy�%►2� �%° ,
Legal Description:
Owner Name & Address: ��'f ;,� � G e( /D �� D���„ a�� � ci l e, � Tel. #� 7,� -� Si 7�
Contractor: _� ct..�-u �a Yl S i�/C MN LICENSE #� ��o ��
Address: �� ��D �'�OC� i /'P �r - %1 � Tel. # �'7 y�- 9l�7 �
LIVING AREA:
GARAGE AREA:
DECS AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRII'TION OF IlVIPROVEMENT
Length Width • Height Sq. Ft.
Length �_ Width '7 ' Height Sq. Ft.
Le idth Hgt/Ground Sq. Ft. �
, �
p Tv r si � ��`�`� 01� ` i" �-��'�STi�6
/3.5' D�c-6`G� ti�� r ,D�a/�
�'.5�� ����
'' Cor�r Lot [ l Inside Lot [�.]� : F#: Yd Setback °`, ` '. Side Yard Setbacks � �l/�� �
'T�►p�e of Construcrion: Fstimated Cost; $ /07 0 o a -
APProx. Completion Date: � .e � _ � � o �� t Q �'� ` : . '
,.. . , , ,
� : f Cos t on Back1 .
Driveway G�rb Cut Width Nceded: Ft. + 6 Ft = Ft x$ _$
DATE: //- /a -9 (v APPLICANT: %�,�' L�..,.��_ Tel. #
, � CITY � USE bNLY '
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
Lic�nse Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
��•��r��
STIPULATIONS:
$�� �, 2�:' : Fee Schedule on Reverse Side
$ �� d� .001 of Permit Valuation (1/lOth�)
$ �. �' $.50/$1,000 Valuation
$ $900 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 [ ]
� U Z 5�
�
BUII.DING PERMIT �'EE 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
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fiaction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
� _�$25,O�J1 #o $Sb,.00Q-�. . . . '. - • �349.75�€o�:fust $25,000 p}vs $St,00�for•each.addid'onai.$1,000 ....- . � . . ' �
. or fiaction theneof, to �nd including $50,000
'.. $50,001 to $100,000 $574:75 for first $50,000 plus $6.25 for each additional -
,$i,000 or fraction thereof, to and including $100,000
, �- : . .
,;$100,001 to $SOO,OOU $887.25 for first���100,000 plus $5.00 for each additional� •
. $1,400 or_ fractton ihereof,..to. and includmg
�. . $300,000
�$500,001 to $1����;. `� `,� �K.�s� �.��::= ��� „. .
., , , . .: �. ,.
-$2887.25 for.tl� first $500,000 plus $�.25 for each additional
; $1,000 or fraction thereof, to and including $1,000,000
' �� $1,000,001 and up
�'
�
°$5012:25 for the 'first $l,ppp,ppp plus $2.75 for each. additional
$1,000 or fraction ttier�f � '
DRIVEWAY :DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb a� gutter only - Driveway width plus 6 feet times $13.50.
�1lternate "B" : Removal and replacement of c�rb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15. 75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 2q. hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has be�n constructed
will be required before proceeding with the framing.
R
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�4D VANCE SUR VEYING & ENGINEER�NG CO.
5300 �-Iighway 101 Minnetonka, MN 55345 Phone (612) 474 7964. Far (612) 474 8267
Mike Hagel
1060 Gardenqa Ave NE
Fridley, MN 55432
August 27, 1996
Dear Mike:
This is to certify that on June 13, 1996, we correctly surveyed the west line of the
following described property:
Lot 39, Block 4, PARKVIEW MANOR, Anoka County, Minnesota.
and that we are Licensed Land Surveyors in the State of Minnesota. Our services were, at
your request, limited to recovery and replacement of corner monuments and no drawing
was prepared.
We have surveyed the above described property which the client claims to own or appears
to own from various government records. We make no representation that the client does
in fact own the property nor that a search of the records has been made to determine the
extent and nature of his holdings. If there is any doubt concerning the accuracy of the
legal description, competent legal counsel should be retained to perform a title search and
issue a title opinion for our use in preparing the survey.
Sincerely,
Advance Surveying & Engineering Co.
J mes H. Parker P.E. & P.S No. 9235
�
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AT TME TOP Of TME TW�NS g� � � p 1 N� P E R M I T
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f � � PROTECTIVE INSPECTION SEC.
i . �
L••"�: �' �.J CITY NALL FRI�LEV Sj�32 NUM/Ep NEv
i 612-571-3450 9t0-Ft5
JOB ADORESS 1060 Gardena Avenue NE -
1 LEGA� LOT NO. BLOCK TRACT Oii 11DGITION
DESCR. 39 4 Parkview Manor
2 PROPERTY OWNEii MAIL AOpRQS$
Mike Hagel 1060 Gardena Avenue NE
J CONTRACTOR MAII ADORESS
U S Restoration Contractors Inc 93 W Little
a ARCMITECT OR OESIGNER MAIL ADDRE33
5 ENGINEER MAIL AODRESS
6/12/02 � / /
2685
�
sr
SEE ATTACMED
SNEET
i1P PMONE
763-572-2476
21P PMONE IICENSE NO
Rd, Little Canada, MN 55117
IIP PMONE LICENSE NO.
651-765-9785 20325484
ZIP PHONE LICENSE NO
Residential ,
7 CIASS OF WORK �
O NEW O ADOITION O ALTERATION � AEPAIR O MOVE O REMOVE
8 DESCRIBE WOiiK
Reroof House & Garage (28 Sq) Tear-off
9 CHANGE OF USE FqOM
STIPULATIONS
J
TO
Underlayment must comply with the State Building Code.
TYPE OF CONST.
SEPARA7E PERMITS ARE REQUIRED FOR ELECTii1CAl, PLUMBING, NEATINCa,
VEN7ILATING OR AIR CON�ITIONING
TNIS PERMIT BECOMES NULI ANp VOIO IF WQRK Ofl CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCEO V�1ITMIN 60 DAYS. Oii tF CONSTRUCTION �
OR WORK IS SUSPENOED OR ABANQONEO FOii A PERIQO OF �2p DAY$ A7
ANY 71ME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS
I MEiiEBY CERTIfV TMAT I MAVE READ ANO EXAMINQp THIS APP�ICA�IpN 1
AND KNOW TME SAME TO BE TAUE ANO CORRECt. ALL PROVISION$ Of LAW$ VA�UATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�� @E Cf�MPl�EO
WITM WME7MEii SPECIFIED HEREIN OR NOT. TME GRANTING Of A PERMIT �3�001
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAI�ICEI TNE pEqMIT FEE
PROVISIONS OF ANY OTMEFi STATE OR IOCAL LAW REGUTATING CON- @97 .2S
$TRUCTI OR TNE PERFORMANCE Of CONSTNUCTION W
PLAN CMECK fE�
O
� �Z � Licens
N UpEOFCON'a�CTOpOpAUT�Op�2EO�GENT IO�TE� �, p�
i iwre�
S?A�LS
$5.00
NCV �OAO
CU fT
f PARKING
GARAGES
$1.50
AC CMARGE
Eire SC $3.00
OTA fE
$ 6.75
TMIS IS OUp PERMIT
�-/� -�,�
N� I J CITY OF FRIDLEY Ef%ctive 1/1R002
ADDN (] 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 5723604 Bidg Insp
A1-TER ( j SINC,LE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Cohstructton Address: _ ��—�, -� '�� �� K-���, l �� o� �.,.�� ��
Legal Description:
Owner Name � Address: M; k� 1�4�,e t �n�p ��.�.� � w� Tel. # ��3 -��2 -a y�6
Contractor. ___tU.S �L�s1�ak ,.a., Co,, ����o� 5 ZN � MN LICENSE #�� 3�s ti gy
Address: g � ti • 1: �! t e c.�. ,� 4.�,� � � . Tel. # � � � - =� � s � ��.�
LNING AREA:
GARAGE AREA:
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 V�idth Height Sq. Ft
DECK AREA: Length Width HgUGround Sq. Ft
OTHER: �e -�Ko�� �o� tc. t ���,,.ao,� 2 S( �-e4�� o�"�
�
Construction Type: Estimated Cost: $ �oO �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � IZ °a- APPLICANT: � � Tel.# G /Z � �' g� -�b��
Call (763) 572-3604 for PeRnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for canf number.
Pennit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$_ �'�. as
$ �i-D�
$ �. SZ�
$
$ �-DO
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1 �000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determi�ed by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ �C�Co • �%S STIPULATIONS:
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 $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 $1,000,000
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 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 $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
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. .
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
.
�.-�,
� ��
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE �
si� annxESS '�
THIS APPIICANT IS:
PROPERTY
OWNER/
TENANT
PLIJMBING
RESIDENTIAL APPLICATION
CIT� OF FRIDLEY
EFFEC'fiVE 1-1-2010
c� �ra
❑ OWNER
CONTRACTOR NnME:_�
SUBMIT A COPY OF
YOUR STA'IE STATE LiCENSE #
LICENSE, BOND AND STATE BOND #�
CERTTFICATE OF ppDRFSS:��
INSLJRANCE
PHONE
PERMIT 1'YPE INGLE FAM[LY
TYPE OF WORK: � NEW
DETAILED DESCRIPTION OF WORK
• � ��•a j�j:L
1 •'
� � �
, � ►� , �
� i
l�u,�� .� . . �
�ril� �I
�. 1 .
- �
�/L . ._
❑ TWO FAMQ.Y
�PLACEMENT
� TOWNHOUSE
Perrnit No.:
Received By:
Date �
�
r.
� � � � • f!'C1//I�J
��� � iI
� �
FFES ARE BASED ON St0.00 PER FIXTURE, EXCEPT WHERE NOTFA. FQtTURFS: (INDICATE TOTAL NUMBFR OF EACH BFdAW). MINIM(jM FEE
535.50.
BATH SINK/LAV FLOOR DRAINS SHE3WER WA"IIIt PIPING
BATfTf[JB GAS PIPING (NEID CITY LIC) SWIIVA�IING POOL WATIIt SOFTNER (S35)
_CLOTE�S WASHER KITCHEN S[NK t- WATER CLOSEf BACKFLOW PREV. ($IS)
_ DISHWASI�R _ LAUNDRY TRAY ` WATER HEATER (S35) FOR IItRIGATION
_ WATER METER _ OTHQt
��
THIS IS AN APPLICA770N FOR A PERMIT-NOT VALID UN'I7L PROCFSSID
I hereby apply for a plumbing pemut and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridiey and with the Minnesota Construction Codes; that I understand this is
not a permit but only an appli on a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the of 1 work hich requires review and appmv� i f plans. � ����) �
SIGNATURE OF APPLICANT � PRINf NAME
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977