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AF - 43509� i ,; Date . . . . . �. . .� �� . Owner. . ......... Address � � . /. .� . . .���� No. . /. : �.9�.. . Lot ...:� d..�...... Corner Lot ......... r�� � BUILDING PERMIT Villa.ge of Fridley, Minn. No � /.�., ,, 295� Builder .... .... .. ..... .� .. ... ..... �� Address ...�.� ...... . .....��� ..: � � LOCATION OF BUILDING Street . . !'�6L�" ................. Part of Lot ....................... �j ` `� Block . . . . . . . . . . .. . Addition or Sub-Division . . .(� . . . . . . . . . . . . . f���� .� � ,� ,�% �� � d ... Inside Lot ...�`... Setback �. /.... Sideyard ��.w�?�.?�.� . '� _ � ��G/ DES�R[PTION OF BU(LDING To be Used as: , � ��> � . . . . . . . . . . . Front . /. . � Depth � .�I .�. . . fiei ht . . , . � g Sq. Ft.�� ���`�u. Ft. . . . . . . . . � r . . . . . . . . Front��! �. . . Depth � � . . Height . . . . . . Sq. �D'. � ! ! � Cu. Ft. . . . . . . . . �� a� c� e of Construction . . . . . . . . . . . . . . Est Cost . � � . ��.�. . . . . . . . . . To be Completed . . �.��'. � . � � In consideratian of the issuance to me of a pe�ut to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ardinances of the village of Fridley. ......................., ............ In consideration of the payment oP a fee of $ �� � . , permit is hereby granted . . . . . . . . . . . . . :' • • • • • • • • • • • • • • • . . . . . . . . to construct the building or ad dition as described above. This permit grant upon the earpress condition that the person to whom it is granted and his agents, employees and wor en, in all work done in, aroutnd and upon said building, or any pa,rt thereof, shall conform in all respects to the ordinances oP Fridley, Minnesota regarding location, construction, alteration, ma.intenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � Building Inspector NOTICE: This perm(t does not cover the construction, (nstallation o� at4eratien for wiHng, plumbing, gas heating, sewer or water. 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Z � � a � � 1 M R �N "p wmaK Wr 'm rn o. o .`OS ►m- a ►a- �°+ � ro m � o� � r m �' -i m �'° � a o � m° o m v�o O � K o � ° . 0 0� � m � m rat~m m � � � ro M ¢ ,.0 h". �u x �o � � p'ra o _ � - ►-� a m a - � 7 ►" �t � � R� 1�+0 "� 0 ii '.7 m � � ro �' �o.�� N F�+7�M p pp r m a b � Q M Oi m � � W � � M' �at° p O ff O � r S M • G ��s � �E � w 7►w6 � '.�i r � 7��' I �a �a" 1 / / SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � 1 L_____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY HALL FRIDLEY 55432 NUMBER aEV. !'"""�� � ,�� 612-571-3450 910-F15 JOB ADDRESS 1090 Gardena Avenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 4�L 4 Parkview Manor 2 PROPER Y WNE MAII ADDRESS Ric�iarc� Otley 1090 Gardena Avenu e N.E. 3 CONTRACTOR MAIL ADDRESS 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW � ADDITION B DESCRIBE WORK 9 CHANGE OF USE FROM STIPULATIONS DATE 5/ 1 /84 ZIP ZIP ZIP PAGE OF / / � 1747 �EIPT NO� APPROVED BV SEEATTACHED SHEET PMONE 572-0948 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE basement bathroom TO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORR�CT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT GOO. OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. ��i nn Y' AGENT IDATEI �• //� X � a OCCUPANCYGROUP OCCUPANCYLOAD SQ. FT. CU. FT. 50 OFFSTREET PARKING STAL�S IGARAGES Y V .50 SAC CHAI ALFEE 15.50 �IS IS Y,�OU PERMIT J// %l�� p� [] City of Fridley Effective 4/1/8� ADDN. � �R-1 AND R-2 pLTER. L l Building Permit Application Construction Address 3 � Legal Deseription: Property Owner/Address: � �01���r1 GuF,.��,� ,luc� �h���`� �-32- Tel. � S7w2 ° Og�/� Contractor: /�2��r s� � Tel . � Addreas:—,�4� � ���n��e�..o �v�f�l�� �'1 � ��r� SS��f.� � -- � LIVING AREA: GARAGE AREA: DECR AREA: OTHER: 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 Length Width Height Sq. Ft. Sq. Ft. Length Width Hgt/Ground Sq. Ft. ��SPLsi Po'G� �' lc��°"e �0��% Corner Lot [] Inside Loti [] Ft. Yd. Setbaek Side Yard Setback cr'� Type of Construetion: Estimated Cost: $ �� Approx. Completion Date: ,�e� � 7 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page For Explanation DATE: � � % APPLICANT: c �i' - Tel . ���� ` ��`�� Permit Fee Plan Check State Surcharge SAC Charge Park Fee �Wer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY 0 � i S A � Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ _�^U $.50/$1,000 Yaluation $ $425 per SAC Unit $ Fee Determined bq Engineering � !�` �� G Agreement Neeessary [] Not Necessary [] � s � �- -,. BIIII.DING PERMIT FEE SCSBDIILE 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 applicatio n therefore, require the payment by the applicant for suah permit of fees to the amount herein beloW set forth and in the manner herein provided to-Wit: Total Yaluatioa Fees �1.00 to �500.00 . $10.00 (Minimum Fee is $15.00) �501.00 to $2�000.00 $10.00 for the first �500 plus $1.50 for each additional $100 or fraction thereof, to and ineluding �2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $�1.50 for each additional �1,000 or fraetion thereof, to and including $50,000. �50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1�000 or fraction thereof� to and ineluding $100,000. �100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROY (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With 6 ineh depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION Permits for construetion will be issued a minimum of 24 hours from the time of applieation to allow for proper review of the proposed strueture and of the construction site. A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been eonstructed will be required before proceeding with the framing. � �p r �+ W ~ 0 � M � � Y fp O ~ .'7 � m � M O N N � � u� r � g k G � M � O � O M � �0 d � b �er r a r� y n a �m 5 y m H b � � r a '9 W � m N N N � Q � 0 C rox cz N M � �3 N � O O H� � [y+7 �K ��� o� M ai c� [iJ � t� �t M H N � N r 0 0 0 c� c� m e m rs ao a m ao o m z O�o m K tf 9 O� ►� R O m O� tt i �f m�O M 5 f1 t M G '� 7 K H M r W trl r�e r�• m � M !p �0 O M W R 0� M � a 'q R f1 m M 1p $o O m to 'O 1+ 1� G m W m A e+ � m m`.� K m F � K w a a a a►mi se m M S� 5 � m � � b � M r� O k � �A' G m � '� r c � z L7 'f7 y C � � [if y � � � m N 2 z ec ° � N N N N f// N fIl N N N N N N r � �0 0 lJ� �I tJ� V� N� Uf Y1 A F+ w{n y O O O O O O O O O O tJ� UI O � O O O O O O O O O O O O O N N t4 {A fp N N N N N tp y N � y p r � � � � � z � � a � �,�\�� � \� �. �\y 3�� � \' � � \ V � � � m ►�'- � � � � • � � � � � 1 3 � � 0 C � N�+ O y M ci ro M � H 0 �� tN � H O 1 � � CMD � � � a �.r w r gtozies � p 'RJ G� 0� R � 0 C108@te E �,� UlinalH „ � �f � 88th Tt1bs m 7 � easina O a � Sinks � '� Wash Trays � � Drinkinq �q Fountaina SIlOVPSS � Floor Drai 5 car.�n n easins aantamat�� � washer � Gse Appl. � Misc. Fixt � �n cae Ranqe r* �° h Other m csp w �r � ►f°, � z O N ro � M � r � �wi� ►� �nb ?d W C ►�`n � m 0 � o rr� u+rn� �aaaa �m�° � m�0 m Ad0 � M M� �0 O� M � � 7 �C 07 � b �x � w w �' �°iOa a s °' ��p�M 5 � W M O � � � ���� m„ m � Y� R� � � '� 9' N � G r r m � W � W :� �-am a ''� r K IK+� � � R �0 W C s m e � m ` � M � m�n�°+ p � 7o m ` n�i�� � w�m � n �M-M M �'S M ��,���� . � � IA+� � t0 � P► �C ii' j^ 8�ah i �� � � � �► O rr � m 0 m � �t � a � � r ., A a "'� 0 Z T O � � E �' 3 � 00 � o a „ z b T � C� � a t� � � T � � Z G'f "O m � h7 M � < � w : F- � a � sue�ECT P IT N O. ' City of Fridley o 19752 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M i T RECEIPT . r � `L _____ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. �l1 � y� 1 i � l•-_.� �����,•� CITY HALL FRIDLE� 55432 NUMBER HEV. DATE PAGE Of APPqOVED BV i 612-571-3450 9�0-F15 11/15/88 � � 10B ADDRESS 1090 Gardena Avenue N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 42 4 Parkview Manor SHEET 2 PROPEHTYOWNER MAILADDRESS 21P PHO Otley 1090 Gaxdena Avenue N,E. ��/2--0948 3 CONTRACTOR MAIL ADDRESS ZIP PHON C SE NO. D& D Home Impxeavement Inc. 740T Central Avenue N.E. �784-7�4� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 1�esidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR � MOVE ❑ REMOVE 8 OESCRIBE WORK Rexoo� D�rellin� 9 CHANGE OF USE FROM TO STIPULATIONS �o� can be 2nr1 layer but not 3rd. Ihstall ridged galvanized valleys. On all t1�W �obfS B� �ear-bf#s �nci P�p��Cer��ni roo�S, State Code requires f�iat 2 layers o� 15 Ib. felt, mopped tog�ther, b� ihs�t�l��� �� ��oint 24 incheS up from exterior w�ll lilte, �r �fie �ase o� �ther approved underl�yment me�6ranee SEPARATE PERMITS ARE REQUIRED FOH 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. 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 STAILS 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 $]_� O�JO yfi. 53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2']�OO S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. P AN CHECK FEE TOTAL FEE $27.53 SIGNATUREOFCONiRACTORORAUTMORI2EDAGENT IDATEI c WHEN PROPERLY A IDATED THIS IS VOUR PERMIT SiGNATUREOFOWNER�IFOWNERBUILDER� �ppTE� ( !J U - BLDG INSP pTE I�7�1 [ ] - �: � ra+• ���� (bnstruction Address Legal Descriptian �� City of Fridley R-1 Al1ID R-2 Building Penait Applicatian � �� EEfec�ive 5/L88 �� � . , �� ��' i � r Owner Naane & Address:_�' "�I ��� / Tel. # � %� � 9` `� �3 a�ntractor : _ �1� I ic-� aY�� �"►� �rr2� l�Al�t�eG'1 �f -�� �° - Te1. °� � "' /.��� 1�ress: �`T� 1 ����`��1 � �G�� - �� Attac� to this appl icationr a Ce�ti.f icate of �uyey of the lat, with �h� propn�ed! wnstruction drawn on it to sca].e. �� r N• .� •� i�•• a i� LIIa1�G AREA: Length Width Height 9q. Ft. C�iiRAGE ARFA: I,eligth Width Hei�t Sl�. Ft. DEC�t ARFA: Length Width Hgt/Gro�md 9q. Ft. �� (br�er Lot [] Iriside Lot � Ft. Yd Setback Side Yard Setbacks T.ype of Construction: ��Slli��l i°��.S� ���i�q� �.l �' Estimateol Cost: $;� L� ��-E'� Approx. Comgl etion Date : _ �l �- `� �J P � � Alt. A Alt. B Prop�sed Driveaay Wic7th If New Opening Is Desired: S $ Width + 6' See Back Page �: 1 l -� l - ��� �z�: �f�ll �/�� � � CLTY OSE G�Y Penmit Fiee State Surcharge SAC Charge Driveway Escraw Park F�ee Sewer Main Qiatge Z�OTAL Sl'IPOLAl�IONS: S �%Ub S S� � S $ � S �7.5 ; Tel. � � _� ��� �1ee Schedule on Reverse Sicle 5.50/�1,000 Valuation $550 per SAC Unit Alt. '7�i° or Al� '�° l�bave I�e Determired by �girieering Agre�netit Neoessary [ l Na� Neoessary [] �: 1���� ' �I�iy1�1 ;�i�1 '��i:l�i�, J ' �e Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any ac7dition 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 applic�nt for such permit of fees to the amount herein below eet forth and in the manner herein provided to-wit: TOTAL VALUE S1 to $500 5501 to $2,000 S2, 001 to $25, 000 $25,001 to 550,000 �� S15 (Minim�n Fee is S15 plus surcharge) S15 for first 5500 plus �2 for each additional 5100 or f raction thereof, to and including 52,000 $�5 for f irst S2, 000 plus �9 for each additional S1, 000 or f ractioai thereof, to and including 525, 000 5252 for first 525,000 plus �6.50 for each additional $1,000 or fraction thereof, to arid including 550,000 550,001 to 5100,000 $414.50 for first �50,000 plus $4.50 for each ac'�itianal 51,000 or fraction thereof, t� anc7 including $100,000 5100, 001 to $500, 000 S 639.50 for f irst $100, 000 plus 53.50 for each ac7ditional Sl, 000 or fraction thereof, to ar�l including �500,000 5500,001 to 51,000,000 SZ039.50 for the first �500,000 plus S3 for each additional 51,000 or fraction thereof, to and including $1,000,000 51,000,001 a�d up 53539.50 for the first 51,000,000 plus �2 for each aclditional $1, 000 or f raction thereof (Concrete Curb Streets Only) Alternate °A°: R�nwal and replaaement o�f curlb and c�tter only - Driveway wic7th plus 6 feet times 513.50. Altsrnate "B": R�naval and replaoement of curb and gutter and install a 3 foot w��e apprnach with 6� ir�ch depth - Driveway width pltis 6 feet ti.mes S15. 75. ��!; :� �: �l � � • � �•��1� ��� �l •)� Permits for construction will be issued a minimum of 24 hours from the time of application to allaw for proper review of the propc>sed structure and of the �nstruction site. A Certif icate of S�rvey of the lo�, shawing the location of the fo�dation once it has been o�nstructed will be requirec� before prooec?ding with the fr�ning. �- � R. � SUBJECT • ��-- City of Fridley _~ ATTHETOPOFTHETWINS g�IIDING PERMIT �0935 r i � � � • � � COMMUNITY OEVELOPMENT OIV. r �~ � PROTECTIVE INSPECTION SEC. � 9� D � � , / � � �'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OP APPROVED BY �"""� � �'� 612-571-3450 910-F15 7/11/91 � � JOB ADDRESS 1090 Gardena Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. 42 4 Parkview I�c'illOr SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE Richard Otley 109Q Gardena Avenue NE 572-0948 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. � 5 ENGINEER MAII ADDRESS 2�P PHONE LICENSE NO. 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW �J ADDITION O ALTERATION ❑ REPAIFi ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a, 16t x 16'� Three Sea,s.on Porch. 9 CHANGEOPUSEFROM TO STIPULATIONS See notations on plan. 1AIAR�II�IG Before digging catt for �II utiEity l4eataar�� 454�-00�'I �EQUIRED BY LQ� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 FOH A PERIOD OF 120 OAYS AT ANV TIME APTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION �- 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 OFi NOT. THE GRANTING OF A PEFMIT $S � SOO $2 ��O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMITFEE SACCHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- 'STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S8�-•OQ Fire SC $'rJ�SO PLAN CHECK FEE TOTAL FEE $89 . 70. SiG EOF ONTRACT , Q54,AUT i D EN'r IDATEi yyH P OA RL VAUDATED TNIS IS YOUR PERMIT /� �' ✓i.i � , ' �`//— �/ `�° _ • Si NATURE OF OWNERiIf OWNEA BU �1� �DATEI - BLD INSP nATE �ia � � � �%�- �- P-1 AI�ID R-2 w,; i dirg Petmit Applicatian Effective ],/1/91 �,,...�.... a p � ���� - . � ,S�.S��,�.� A� � �iaai -- • �. -- � �� �r�G� - �c��e� �� /4�<� �`��, �� �o ++oy�++ L1C�L��� ���� / � �.O /C�� � `� ' �Ov'� � �A CLkJ ���L'°�uGZ�� OW!]P� N� & �.Z'�2S.a: r`G G"lC�yC/ " `/E' C ��� �l�l��'a' i�✓6m�El. �—��� �� <�iY / ��: �� � �. � �: Attach to this applicatiari, a aertificate of S�nvey of the lot, with the pz�q�osed ar�iari dra�wn on it to scale. � "�M' �' •' •I` ••• �iiR7 �i �� W1�ili1 iT.1�1. �• �• �AGE 11REAi: Iergth Wicith He,ic,�t Sq. Ft. DiECR AREA: Lesx3th Width Hgt/Grotn'�d Sq. Ft. �• �'� S�'A-��J v�GfLrz.�,2s �� � • —....: �� �a�� r z ��i`3,7� Corner Lot [ J Inside Iot [] Ft. Yd Setback Side Yard Setbac,J�s Zjrpe of �ioai: Estimated Cbst: $ �QQ O c) A�rox. Oa�nq�letian Date: Pr+oposed Driveway Width If New Op�inq Is Desired: Ft. S $ � � ` + 6' See Back Page DAZ�: �°�i �7/ APPi.ZQ�Nr: � �C'�c�Ll '��e/-C����� Te1. # 5�7� - C?���� P�ermit Fee $ � Fire S�urharge $ . b state S�arge $ � . �t � SAC Q�atge $ Driveway ��tiw $ Park Fee $ Sewer Main Q�azge $ ,,A ` _ �_ ___ ... __.,_._ � �-- � - �+o►r�,�, ;-�$ , � .����: � ( V� �l — /� � _�� � QTY � �TLY Fee Sdyec�ule an Reveise Side .001 x Permit Valuat3oci (1/lOth �) $•50/$1,000 Valuatian $650 per SAC Unit Alt. pAn C�'Alt. pB" AbOVe Fee De�termir�ed by �i r,�,-; r7 �„t p���,v � ] Not Neoess�.-t�Y [ ] ��cr v a��� � `�� l � � /C Y� . l/o � `i�, c�U �� i:_�l■ � �, c :=�:�v�4 �:,: : �:i.-� u : �e �ief Huildirg Official ehall, befame ie.suinq petmits for the erectiaaz of ar�y �,; � dir�q or st�cture, ar fos any ac]ditian to anY e�st3n4 buildinJ os �, or for ariy alteratian a� repair to anY �4 ��T� �' �. �l ePPlication therefore, r�aquire the payment by the a�pplic,ant far euch permit of fees to the aam�uYt hereifl belu�l F,�t fo�th aild 311 the �ar�r,ar hernitl p�Wicleci to-rwit: ZO►PAL VAiIJE $1 to $500 $5oi to S2,000 $2,001 tfl $25,000 $25,001 t4 $50,000 $50,001 to $100,000 $100,001 to $500,000 � �� Sls (Min3n�m► ��ee 3� $15 �]-us �) $15 for fiist $500 plus $2 for each additiaa�al $100 or fracticaz tlyereof, to �rid 3ncluding $2, 000 $45 far�first $2,000 plus $9 for each additianal $1,000 o� fracticn thereof, �o atYi includirq $25, 000 $252 for first $25,000 plus $6.50 for each additianal $1,000 or fxactian tl�ereof, �o at�d it�cludit�g $50, 000 $414 . 50 fa�r fitst $50, 000 plus $4 . 50 for eacii additica�al $1, 000 ar fractiari ti�ereof, to aryd includiulg $100, 000 $639.50 for first $100,000 plus $3.50 far eadl additional $l, 000 or fractiari thereof, to at'id ir�cludir�g $500, 000 $500,001 tfl $1,000,000 $2039.50 for the first $500,OQ0 plus $3 for each additional $1, �0 or fractian ther+eof, to and includirig $l, 000, 000 $1, 000, 001 arid up $3539. 50 for the fixst $1, OQO, 000 plus $2 for eadi additio�nal. $l, 000 or fractiar► ti�reof L�tIVEi��IY �Plti�Bl� E8�3i0W (�oax�+c.�te C1irb Stre�ts �lY) Alte.rnat� "1�" : R�oval ar�d replav�nent of asb ani gutter anly - Driv�ay width plus 6 feet times $13.50. A1tQrnate °B" : Re�oval a� r�lavement of c�rb ani guttQt ar�d install a 3 foat wide approach with 6 incii de�th -�iiveway width plus 6 feet times 515.75. •��; �� v� M �_, •r ��_u,n�. M � . Permits for �.iar► will be iasued a minin� of 24 hairs f� the time of applicatiaci to allow far p�c�per review of the pmq�ed etn�cture ar�d of the o.o�aai site. A Oertificate of S�nvey of the lat, st�owing tiie locatica� of ti�e faur]atiaai ac�oe it has it has been oonstructed will be required before prooeedim� with the fraamir�g. p ; --- �; � � : �� �'a ���,v� \ • � 1 V `, \. 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J ��, �x;s�:� �� � � ��k ��� : . /;�* ' - � t,' �G f .r �� / }. „. V c�. l uo i!. �,°- �� Q� >,� [ �i � � Q�� C�dn ►.� � � 'iti '3g- 1�' o �i�r A-t� �c�T'�awa � VV�Ih. Q�'L�� Cf�P.'Q _ ( �' " . Gt�+a�t '2,��� R+�, �1t- % � ,� s. ��a+tkcr �o ��P.u�e i �L 9�� �fe :-� tI✓ w/T bG6 �l �a I an�tS _I �i 7 LOn,�.���I c s'�:le �•�t�k. �,d!�. `Y� 7-.t:-i�f 6i'. � d�j"a" �hea� Tlnr�v� 5u��,L��'� $ C: .���t �°�e �J 1 � r�s 4r ��1.qGfacrJ I�tic/%.:: �:��.r �C'Y:� •4Ll 4' / v~ �h�{Gi�' lfl'll �oo� � � I'r �lwr 13.�roo,�e �l-• �'t'�� i� a: a+< <-Ji n �a �� % QVCN /7G� o� �o�� hN � �o���-�1�� �l itoksc �e��eNier, /o, z w��« vu���, .��us �O c�y�Crjv P �� �.� �arcy �'T��� o� �-�j � � � ��.� y1� uS � �� � sa ��y � �..�5 � Pa.a�.�o1 sw►dcc A�n� IN E.c,;rt+� us� � � 7 � _ _ -- — -- -- ! �y) Pa�n. �1r�.�� �' a�+ '�wa�ov+�J.' ,� ;, m_. , �, � ``� i �;�,"� ��!�! %To o cfEfide� \ 1.�4 sl,_,�k�,�! 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I m�� 4z�� o�c�. � � ... . � Dt�+a�t '2rr� 'C��, � 1 � �� � wV.�04•,� •+iri`y �'L" oF `�j � � C.�pGR yY� US � �� 5 d�'rL y���r' S � � C�j Pc+..c�uea sw�dc< a�a,u:,. rti �E,�,�t,r�c �,►� �,s� °�' •" .k-' � f,' � �lifr�l�r� ,:.u�,��/ � �i �: �1: i'��G �.l i �- i'S � �zl:ndacv �rJel/. y ` ,,�.(. i,�i'r� �-r•i c�' . 7 � D�� E�, �oa b i"('f ���vy- %��±��+a:br �' �.:,-��� P a:: � ,:di .rc/a tc.v: 9, �vt��{��t�� a� �'v�/ � h1 �»o���-��u �� � ilouSc ry-�eHioh, /o, !� w���� vul��, -�lusl '`O c��crJv �^ �� i " � n 0 � a � o �� o' �, � � o � � � a o o m 3� �� � a � � � y � m � � �a G � � 0 c � �o m � � m � m z -i T C �o Z n m � m Z N � m n � z � m m � w 0 b 0 D -o � 0 � n W � � 0 c � � � � � °: � � � � v � m O � �1 1 � � � a � m z 0 � � 1 � � _ � Z � Ci � -o a Z � 0 > r � m m � Gl � � � m � c � w co � � 0 C � � � � a m z � m _ 'D � N m z 0 m� v � n �o ��D < m �o � c m � � � m� mm o. � o 'o �� � � > �; m � � � � � v m � �o ,� �` ° o o ��y � �� �� � � � Z � n � � � c � � o m c n • _ � °, � m � � � � � c � � x -� � n � m C� � m m m N fl. (n � °�mm� a � o ^ �• x � � m �.�i � 3 � D n 0 � 0 � � � D � m � � y v m � � y � � � m � � � � J � � � 0 � � 0 0 0 0 � � � m � a � m v ci � � m �o � z 0 4, \, 11 '� �_�, � A-' W c v Z � c � m v � y � � z m �. m � � m � � � A � � 0 0 0 � �� � � � � �°- � � m N �? � m � � a c � � � � o � � c � � � 1 � o � � � o m � � 0 D r p "' � �?. � -i � m � � m m m � m o > > 7D a •_• � y a � � c� �p tn � o �, p� n v_, � �t � -�: c� CD A C. m � ' � � c � a a �c �Q � � � cu °, �D• Q `� � .. � �G � ? � �°a� _. o � a � � y m f v y � x � � � a O y � � .•► �, � � � � o N ��� � m o � ma �``��, o � � � � � � :. m m y � � � � c�o � � a � m n _ � � � � O \ � �� � � \ \ � V � A � i�o.w� � � � =� � 0 � Z � T � ,� v m N � '� zz m N � m � z �a ° G � r � � ma -a DZ O � Z 0 a � z � �O > � �m �� O� vZ -� N Oy zz �v _ � � mZ � � >n z � r m� < C nm mZ N � � Z � _ m � m O � � c � � � � j CHI�Y AP1D BTACR VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected 6. Iias total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Beinq Done: Yes ( ) No ( ) HEATING COMPANY Signed By Date sus�ecr PERMIT N0. City of Fridley � � � � 8-, AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ��� RECEIPT NO. � ; L ______ COMMUNITV DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. j�/i i � / �� ' ' �'��1 ' CITY HALL FRIDLE� SS432 NUMBEA AEV DATE PAGE OF APPROVED BY �"""'�� ,'� 612-571-3450 910-Ft5 5/1/95 � � J08 ADDRESS 1090 Gardena Avenue NE t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. � ��L /l I�s*�� SHEET 2 P PERTY OWNER MAIL ADDRESS IIP PHONE i (� � � %� �' ��Z � -D�t 3�i 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �'G�i � cts �6ov� 4 ARCHIT OR D SIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. I( 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. G� 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WOHK Construct � a 12' x 12' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. 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 ANY TIME AFTER WOHK 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 CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �I�ZOO �.C)O DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT TH PERFOR NC OF CO STRUCTION. �L9.00 Fire SC �Z.LO ��`/%/L �� � PLAN CHECK FEE TOTAL FEE °� C $30.8D IGNATUAEOFCON'AACTOAORAU7HOAIZED ErvT ATE -WHEN PAOP Y VALIDATED THIS IS VOUR PERMIT � L V`� o � '✓` � SiGNATUREOFpWNERiiFOWNERBUILDERi IOATEi � DG iNSP . 1iTE NEW ADDN ALTER [] [l �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Buildin� Permit Application � i � � � � /I � .+ . � �. / � / Legal Description: Owner I�iame. � �1,dd�ess; Contr.actor:. . � Address: Effective 1 / 1 /95 �-1 �� . Tel. # .�7�..=.0 Q�o' . . MN LIC�NSE #. � ... Attach to this application, a Certific�te of � Survey of the lot, with the� proposed construction dra.wa on it to. sca�e. DESCRIPTION OF IMPROVEMENT Tel. # � � LIVING AREA: Length Width Height Sq. Ft. GARA.GE AREA: Length Width - Height Sq. Ft. DECK�AREA: � �Lengtti � � Width � " � HgtfGrround Sq:� Ft. � � � � � o'rHER: ' �'-���—� �2 ' G�> � l� � Corner Lot [] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: _����� Estimated Cost: $'� v� —� Q Approx. Completion Date: dcn 7� �.S ��`'` `�' (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: $ 9• �' $ /, 2U $ ,�� $ $ $ $ $ $ � o , �� CITY USE ONLY Fee Schedule on Reverse Side _$ Tel. # .�1 of Pernut Valuation {1llOth%) $.50/$1,000 Valuation $850 �r SAC Unit $5.� (State Licens� Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] ATot Nece.ssary ( ] � �13UY1_I)ING . I'GRMI"1'. TIyE SCl�ED(1[:(3 . . . . . . , ..'I�t�e Clai::t 13uildin�; Ufiiciai shall, �tx:forc issuing permits for thc ercctinn of.any builciing or�stcuclure, ,, c�r 1c�� any a�ldi�icm tu any czisting �buildinf; or'. struclurc, or for any allcration or repair ,to any� cxistin� . : l�uiliiing vr ��ruett�re, u�n :appliceUon Ihierefore, :rcqaire the _paymerit. by tfie ap�ilicant �fnr �uch .�ermit� . c��l� t�cs t<> tlie anaciunt t��:rcin��t�clotv ,�ct f<�rtli and� irr thc manncr frcr�m Prc�viaul "tn-wil:° �� � . � "I'O"f'� L V � LU li . . . . � . . : � rr (:S: � : � �1 to � $SQO . $15��(Minimum:.Fcc is �$l.S. plus surciiar�e) • � � � � � . . �:'. :� - � � 1 : $50 i . . � to $2;U(}0! ' - $15 -fo�r � Ccst . $S00 � plus $2 for each �additional . $1{30. ac :.' . `; � fiadion thereof, to and inctuding �$2,000 � �� $Z,001 ta $25,000 .$45 for first $2,OQ0 plas $9 for each additional $1;000 . or fraction theroof, to and including $25,000 � $25;001 w�SO,IX?0 � $252 for first� $25,000 plus $6_SO far each addirional $1.;000 . - � or fraction thareof, �o. and including $50,000 . $50,001 to $1Q9,000 $100,001 to $500,000 $500,001 to $1,000,000� $ I,OOQ,001 and up $41450 for fi�rst $50,000 plus $4S0 for each additional $1,000 or fraction theroof, to and including $100,000 ;$639.50 for 5rst -$100,OQ0 plus- $3_50 for each additional- � $1,000 or fradion d�eo� to aad including -$SW,000 - �2039_SO for die 5rst $5(10,000 pins $3 for each $dditional $1,000 or fractioa th�eof, to and including $1,000,000 $3539_50 for the fust $1,000,000 plus $2 for each additionai $1,ODU or fraction �l�eof - DRIVEWAY DEPRE.SSIOM ESCROVY (Conccete (�trb Streets Only) Alternate "A": Removal and replacement of curb and gubter only - Driveway width plus 6 feet times �13_SO_ Alternate "B": Removal and replacement of curb and gutt� and install a 3 foot wide , approach with 6 inch depth - Driveway width plus 6 feet times $15_75. VL'RIFICA"CION OT FOUNDAT[Ohf ('ermits f�r cocLSt�uction will be issued a minimum of 24 hours from the time of application t� allow for pr<�per revicw of the �roposui stn�cture and of the co�struction site_ A Certitic:ite of Survey of tlie lot, showing the locaUon of the foundation cmcc it h3c it has t�cen cocistructc�] �vill bc rc;yuirul (�cf<�re proceediag with lhe fcaming_ n \ R s. �' xtiA�r � '_, �.A�pn F� . `Z'�fy � . � . ir,�aq ;";j �,^ - - :9; . -. ,_, LAND $URVE'YOR : �.° - ' �' _ . . - ,' _ . . , REOIST6R ueSNSeti , .:,.. S �i � y4:, ��, � �7��� r.'.f�:i� -f �. � i .�' rr_ T1 � ,� i' �., i� �i �. r _. 'ty. � :� r �,s� 2� T� �- � .p ,,• ,cqt� t :T y� t� '. { ��N:4 4 �d?� � + i Y !.' ( 'i �L". a rk i d,:j6. } .. - .... "' _ ... . . �� ��I� � � /0% 4S . . O . � � ��0 : �_ - �;o :.� �'. . , .� � � �� . w . �, . . l . ��� , , l ' f ••J / �V //„/ e _ Y",:� . N ��., ss � _ � � .. . 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'�' �, q� � a� � m � v o .� � va-,' Q=' � en o � � o m ���:� °- ' .� o � � � � m � s � �' � � � \ 2 � o 0 m � m °' :: m¢ � O �« S � � � � -• m � � � � � � � � �+ ... yn 7Z' ' N v a � Q. � � � ' �.1. a 0 � v �o m � � � �'.��n � �� � N: p, I � C 0 �z� J � � a `�: N C � fD z � m m n 1 � Z � .� A O � z C 7° a m �z � �. Z � � � v 7D � � �� �N Z � v �v o= z� z� � Z �8 � O N C Z �� v� � � m� �n � _ z ��. � � N O � aL'i � C � � � � � �F . � � � CHIl�INEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: , , � 1. Has been cazefully examined � Yes (� No () 2. Is free from rust or deterioration Yes � No O 3. Has no foreign al��ects. lodged within Yes (�j No () 4. Is securely supported Yes (�'` No (. ) 5. Meets all current Code �equirements,�for size and total BTU's connected 'Yes ( a�No ( j 6 Has total heating BT'iJ's of %� G��p - Ail other BTLJ's • TOTAL BTU's 7. Has a li.ner been provided for water heater � Yes () No (a�'' 8. Has combustion air been provided for water heater Yes �O No (�' RPmarkc� List ALTERATIONS Being Done: HEATING CO: Signed By: Date: T- a � , g � � CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Mr. Thurner 1090 Gardena Ave NE Fridley, MN 55432 Re: Final Inspection at 1090 Gardena Ave NE Contractor: Anderson Heating and Air Conditioning Dear Mr. Thurner: A mechanical permit was issued on June 24, 1999 for the property located at 1090 Gardena Ave. NE for a furnace and an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be perFormed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, sue�Ee, PERMET N _ c�ty of Fridley � 3 2� o AT TME TOP OF TME TWINS � � � L D I N G P E R M I T r '� � � ��� �f�, %'-��� RECEIPT NO. � `y __�__ COMMUNITY DEVELOPMENT O1V. o ���� r � � PROTECTIVE INSPECTION SEC 1 = � � �'�'1 � CITY HALL FRIOLEV SS132 NUMB@R REV OATE PAGE Oi AVPNOVED 8Y �"'"�� ��' 612-571-34b0 9tQ-F15 10/23/O1 � � 108 ADORESS 1090 Gardena Avenue NE t LEGAL LOT NO. BLOCK TRACT Oii ADDITION SEE ATTACHED oescR. 42 4 Parkview Manor SNEET 2 PROPERTY OWNEFi MAIL ADDRES$ 21P PMONE Ken Thurner 1090 Gardena Avenue NE � 3 CONTiiACTOR MAIL ADORESS ZIP PHONE �ICENSE NO Fridley Roofing 830 W Main St ��'105, Anoka, MN 55303 763-780-6210 20269030 1 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAII AODRESS ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION �] REPAIR p MOVE O REMOVE 8 DESCRIBE WOFiK Reroof House & Garage (29 Sq) Tear-Off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMI7S ARE RE�UIRED FOR ELECTRICAL. PLUMBING, MEATIN(i, tYPE OF C�NST OCCUPANCY GROUG OCCUPANCV LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION IONING SO. FT CU fT. AUTMORIZED IS NOT COMMENCED Y!!ITNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSIREET PARKtNG I HEiiEBY CERTIFV TMAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW$ VALUA110N SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP�IED @ WITM WMETMEii SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �3 s lO9 y� 1. SS DOES N07 PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS Oi ANY OTNER S7ATE OR LOCAI LAW REGULATING CON• @97.25 Fire SC �.3.11 STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION W '� � PLAN CNECK FEE TOTA EE � �A � D Licens $5.00 106.91 S�GN4TUAEOFCON'FACiOAOAAUTMOp12EOeGENT �DNE� EN PFOP l VALIpATED T 5 IS VpUR PERMIT — /`�-� -D S�GNeTUAEO�OWNEA���OWNEpBWLOEAi iOAfH� Bl G itiSP � p�tE N� II ADDN [] ALTER [ ] Construction Address: Effective 1/1/2001 CITY OF FRIDLEY ,(763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal Description: Owner Name 8 Address: ��v� 17i,.�, r� ��.d- Tei. # Contractor. I� ' c�. 1— i n MN LICENSE # �U� ��Q�O� Address: � � A'� Se` �OS^ Ul � � Te�. # _ 71�3 - %� ���t'd LNING AREA: GARAGE AREA: DECK AREA: OTHER: 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. FL Length Length Wdth Height Sq. Ft Width Hgt/Gr und S. Ft ._._ �j / � -f�� �.t .l'F � � Cd 17���� Construction Type: �e -- �o o� Estimated Cost: $.�.�� �/a g Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x� _$ DATE: � �.'� D / APPLICANT: ��-ti� Tel. # ( 7�� ) r .3�'`��O CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �%�S� Fee Schedule on Reverse Side Fire Surcharge $ ,�. l/ .001 of Permit Valuation (1/10th%) State Surcharge $ ���5� $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ �:OO $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Contro) $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: � �d � - i/ � BLTII.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 $SO1 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 $1,000,001 and up 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 Por 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) 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 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 � . , � D rn "� z � o N � � � Q m c� n � _ �"� N� � Q N. � Z O y � � m �d m 3 � � O A ,T v —°= c�n o° O � . .� j. � 2 a�a � . cc � a. o �� f�D � 1 H � Q � � � � � �`�° a f rt ? O C w a 'D v 0 < co Q � 0 c � � � v � � � � � � n� � \. � � � � v; a�a' O � .-► D � r N m � m �. 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N S o � n a � � � � o � 7 � � fD A � c"D � � � m r n� Q�"Z3 0 � o = 0 � �� � v M � �� � �. 3 a 1 V 69 64 �-' GU O O � O O '�'' cD � � �--I � d I D r m � � D --i m v C� O � -i � 1 � m � � z O � .� a -� � N n S m � C r r*� c c o` � p v � Q Z C �ii � C m N � m � v ,�„ b � Q � � � � � �. � �. � � � CHni INEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been earefully examined Yes O No (� 2. Is free from rust or deteriot�ation � 3. Has no forei�n o�iects lodged within 4. � Is securely supported 5. Meets all current Code requirements for size and tocal BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's Yes()No() Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) 7. Has a liner been provided for water heater Yes (} No () 8. Has combusiion air been provided for water heater • Ye� O IVo O l�emarks: List .AI.'�ERATIQNS Bein�,i?on�: HEATING CO: Signed By: Date: