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AF - 45423City of Fridley, Minn.. BUILDING PERMIT DSte: - A ri 1 s 1970 Owaer: _Donald W. Ecker g�� Same Address ��.encoe Stxeet N,�. Address _ Same �5�� N. 1061 LOCATION OF BUILDING No. 547 S�t Glencoe Street N.E. part of Lot LOt ��_— B1oCk N Add3tiOn OP Sub-17IViefOII Ri�rv i Pra Hta i t c A �l ci i t i on Corner Lot — Inaide Lot X Setback ,_ Sideyard Sewer IIevatian � ._ Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: B�$ Re-Roof House�t —. Depth Height Sq. Ft Cu. Ft Front Depth I�eight Sq. Ft Cu. F'� 1�pe of Construction �hin,g�� F,�st. Cost ��..QQ4.Q�.._..__ To be Compieted 3 Mo�.ths In conaideration oP the isausnce to me of a permft to construct the building described above I agr�e to do the proposed work fn accordance with the description above t forth and in compliance with a'll pravisions of ordinances oP the dty of Fridley. � In conaideratfon of the payment of a fee of $ ti- nQ , permit fs hereby granted to nonal d W_ F.rke� to construct the buflding or addition as described abave. Thia �t is granted upon the express condition tYiat the person to whom ft is �anted and his agents, employees an workmen, in all work doae in, around and upon said building, or any► �art thereof, shall conform 3n all respects to the ordinances of Fridley� Niinnesota regarding location, conatruction, alteration, maiatenance, repair and moving of buildings within the dty liimits and this permit may be revoked at any time upon violation of any of the pravisiona of eaid orodinancxe. NoncE: Tlds psrmh d�s not eorsr t6e �ons�rneHoe, inshpalloe }or wirine, plumbtee, �a 6eating, tewar er water. B� son to � fha &ttldin8 lespsetor for �parals pormhs foe fheas It�ms. � /'�I . . �"'`, �.. '� APLICATION FOR R�SIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S . NAME : � � � G�J� '�/ � �, G �%�/�BUYLDER : _ _ S � � annxESS :��-�,7 L � Siv;� an�ss : NO:. STREET: LOT: G o� �^ BLOCK:� ADDITION: /�' i I/�'� , �%_G�f /-�i�'�jl,'.�' CORNER LOT: INSIDE LOT: � SETBACR: SIDEYAR,D; '" .�._ Applicant att�ch to thia form Zt�o Certificatea of Susve�► of Lot and proposecl building �ocation d�awn on these Certificatea. BESCRIPTION OF BUILDING • To Be Used As: ` � ` � �%�T /7`��5� Front : Depth : Height : Square Feet: Cubic Feetco Froat: Depth: Seight: Square Feet; Cubic Feet: �►pe of Constructioas $atimeted Coat: �� Q � To Be Completed: ��' The undersigaed hereby makea applicatifln for a permit for the work �erei.n speci�ied, agieeing to do all work in ettict accordaace �itit the Citq o� Fridley Ordinances and ruliage of the Departm�nt of Buildi�ga, and �ereby declarea that all the facts and representatione etated in thie app].icatioa are true and correct. DATE: � � SIGNATURE: , � (See Revez�e Side For Additional Information.) � � �, _ 6'�� -�v ( �� ' �� _,�. {_. BUILDING PERMIT FEE SCHEDULE SECTION 2. Th� Inapector of Building� ehall, before $ssuing pexmits fos the erection of any building or stYUCture, or for a�y addition to any existing buildia.g or �tructure, or for any alteratioa or srepairs to axiy existia�g building og structure, upon a,pplic�tion therefore, requ�.se the payment by the applicant for such pe�mit of fees to the amount herein belaw set forth and in the manaer herein pravided to-wit: UDTiFORbI BUILDING CODE: �jrpe 1, 2� 4-$2.15 fox e�ch one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3� 5-$1.85 for each one thoussad cubic feet. ADDITIONAL INFORMATION For the purpoee of computin� fees for baiilding p��it�, ti�e cubical coateate of any buildiaig or additi�a, iQ determin� b� multiplying the groua�d area cavered fro� a point �ix (6) inch�e b�low tia� floac lfne �f th� b�e�nt o� the cellar to th� average height�e of the �►pper su�fue os to t:h� �e�cage.► �height of the roof surface of the m�in ��bl� oE e pitehed r�f. For repair� or altexatione �o � existi�g �t��a��h� f�e s�all b� at the rate of $3.00 per each five lnundsed doll�rs ($500.00) or �ac�ion thereof in the coet of all proposed work. . In ao caee ehall the fee ch�rged for �� a�it sa a�et for� ia Section 2 b� lesa than $5.00. VARIFICATJEON OF FOtiNDATION NOTE: ,Pms�mits for c�anetruction will be isaued a m�immm of 24 boura from tiia ti�o of application, to allaw for proper review of the proposed eCructura and of the conetruction eitee A Certifiad Susveq of the lot, ehawiag the locat�.on of the fo+uidation, onca iC h�s��besn const�cted, will be requir�d before asoa��diax vith the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupaaay 9ha11 be made ten (10) daye prios to tlne use or occupaacy o£ any structure for which a buildiag pesmit hau beeu �:eeue�d; and said �tructure ehall not be u�ed or oceupi�d uatil a Csrtificate � of Occupancy hae been iesued. . ... � �v � j."� ,, � City of Fridley, Minn. BUILDING PERMIT Da�; .�u1X 8, 1970 p�r; Doaald W. �cker g��,. Exterior Design Service Adar�s _ 547 Glencoe N.E. Ad� 6391 Mon�oe N.E. LOCATION OF BUILDING No. 547 3treet Glencoe N.E. Part of Lot Lot ._._ __ Block Addition or Sub-Div:isi� Coraer Lot Sewer Elevation Inaide Lot g Setback � Sideyard —. Foimda.tion IIevat3on s- � �g � N.'�1��41� DESCRIPTION OF BUILDING To � v�a �: .B� i i g� Fmnt Depth Height Sq. FL C7u. Ft Window Alterati�nt Depth �Teight Sq. Ft Cu. Ft Type of Construction F�t Cost —$2��. 0�___ To be Completed �:g... �,? A70 In conaiderat[on oP the isauance to me of a percnft to construct the building described above I agree to do th� proposed work ffi accordance with the descripiion above set f and in com with a'11 provlafona of ordinances oP the dty of Fridley. � In consfderation of the payment oP a fee of � 15 . QO , permft is hereby graated to ExteraLor Desi�n Co. to construct the buflding or addition as described above. Ti�is �rmit ia granted upon the express condition that the peraon to whom it fa granted and hia agenta, employees and worlmnen, in all work. daae fn, around and u�n seid building, or any part thereof, shall conform in all respects to the ordinanceg of Fridley, Minnesota regarding local3on, conatruction, alteration, maintenance� repair and moviag of buildinp within the dty ]imits and this permit may be revoked at any tiane upon violal3on of aay oE the provisions oE said ordinant�s. i� \ �� s,�a�s � IiANK MUHICI3 NOflC� 'fYs psmdt doa aot eover �hs eoastrocHoe, trataQatioe toe �hta& P��+6+8. 0� 6�s, awar er watsr. B� wea to tss ' t6a BniWing laspseto� to� wp�rab parmhs for f6e�s hxos. I"`� ' � /�� .� a _ � ��--�- -. APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :�lli�Y./�%L!� G� . �G�C� �'BUILDER: .��i-6��l�' � � �S l��dd �C(?9/' � �� ADDRESS : ��' % �L-6t':��D E � •� F _, ADDRESS : R E' ��C � `�'�- � NO • . Jr � ,% S TREET : �C��C'p � i � LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARD: Applicant attach to this form Zt,,io Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As: ��S r k��N� -�- � r�vodr�% � ��"'�,�T�� : Front• Depth• Height• Square Feet: Cubic Feet: Froat: Depth: Height• Square Feet; Cubic Feet: � Type of Construction: Estimated Cost:_ $��c� �' To Be Completed: ��. �, / Q% `7� The uadersigaed hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declarea that all the facts and representations stated in thia a�plication are true aad correct. � DATE : �% ,�, 8"� � !i ' S IGNATURE : (See Reverse Side For Additional Info�nation.) � <;; / i + � � � / °°` � ��_� � � � - P i`� � ' �1 �- ... � - BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings s�all, before issuing pexmits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the apglicant for such perniit of fees to the amount herein below set forth and in the manner herein pxov3ded to-wit: UNLFORM BUILDING CODE: Tj�pe 1, 2& 4�$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION 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 ma.in gable of a pitched roof. For repair� or alterations to an existing s�ructure, 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 pexmit as set forth in Section 2 be less than $5.00. VBRIFICATION OF FOUNDATION NOTE: 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 coastruction site. A Certifi�d Survey of the iot, showing the location of the foundation, once it has been constructed, will be required before uroceeding with the framing. CERTIFICATE OF OCCUPANCY 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 pexmit has beea issued; and said structure sh�ll no� be used or occupied until a Certificate of Occupancy has been isaued. • � 9 � -� �, 0 � w � � = � � � � � � � I � r � � � � m � I� .� � � � � � � �� o � � p � O R � � p � � : � � � � � � � � s � a � �S W �� -- � e g � �� S � �� : �� . . �� : :: �"�o : ��8� 8 N � Q � O � t-� � � � � � �� ,s W � w �. � .� � '� �� a � � � � 0 s M � � ° � �� °'��xq � � �. � y S S � � � x � � � � � ��ss� x� � 0 � � � ,� � � � �� a� � �� ro �o 0 0 $�s� � � � � � �. 8 i!� Rr $ � � B� � �� ,8 R � �� : � S � :� ��: : � g:::�. . . . � s�8s$ I � � � � � x $ � � � � � ti�+ i � � � :S � Q. O � � �, ; �' z � g �� . � , � � � �� x �Q �� i � o �� I`� a � A I I `.� � I � �1 I� �. 0 � I� � I� �� ,� a � � � �. � �� d �_:. � � � � ° �'� � � � � ��a� . �. ms: �. � , ��:_: ;�� 8 : -� $ : . �„ � � n � � : v .. c � . : � . �� wp�p�pop � .� C: O G C. �� r � C r� � � , �. �� m � a o.� � �,� �� 4 e � � � � � �� . �. ��s� : � � ��a � �. Q � � - � � 5�e �'J � ..» � �~'71� � b�� r�� , � � �� m �,a�� , << SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R i � � � � ; y __��_ COMMUNITY DEVELOPMENT DIV. � � � PROTECTIVE INSPECTION SEC. � ` � �� "'1 � CITY HALL FRIDLEY 55432 NunneER REV. ""� � ,�� 612-560-3450 910-F15 JOB ADDRESS 54'� Glencoe Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 21. � 2 Z H Ri.verview Heights 2 PROPERTYOWNER MAILADDRESS Donald W. Ecker 547 Glencoe Street N.E. 3 CONTRACTOR MAIL ADDRESS Same 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER MAILADDRESS DATE 10/21/77 ZIP ZIP PERMI . 1443 � ECEIPT NO. PAGE OF APPROVEO BY. � � SEE ATTACHED SHEET PHONE 786-1718 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING , Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ° Construct a 12" x 12' Addition to house � 9 CHANGE OF USE FROM TO STIPULATIONS _ Slab type construction must be insulated below concrete slab with R-7.5 styrofoam of the type made for load bearing. SEPER�+T� PERi�1��S �3��I�E� �'��' �'t�l.�� h1EAT1��, PLlDt�1�IN� �+�� SIG�S� �A�'��:�� fiore dig��ia�e c�ii l��; l��,;ir�.��,i:, TElEPHO�lE � Gp I:��d�'�10 C2fi'.a �i:%we REC�lJ1R�� `�� ,��,�;� TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, W�d Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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 �- STALLS IGARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURT AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3 � G%4 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC C PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S`%.5O PLAN CHECK FEE TOTA .82 FEE Y+ Y+ OFCON AC70RORAU7HOaiZEDAGENr 1DATE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �I/� �:e�'/ I � � ' � '� g /O —� /- )F OWNER IIF OWNER Hl11LDER1 (DATE) � BLOG INSP DATE 0 � CITY OF FRIDLEY APPLICATION FOR RESIDCNTIAL LUILDING PERt�IITS � �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) a owc�rR: ��)il �}L,U w� � C�E' \ BUILDER: � fl M�. m Address : s y' I� G�l� G� E sT f�l F Address : Tel . No . %��i �� No.: .S�% Street: �LEN Go� LOT: ��^ o� d� BLOCY.: �_ ADDITIAN : %� i l/�/Q f/' .' �' L✓ /7� � i G� I S CORNER LOT: INSIDE LOT: SLTBACK: SIDEYARDS: Applicant attach �to this form �ao Certificates of Survey of Lot and proposed bnilding location drawn on these Certificates. . To Be Used As: DESCRIPTION OF BUILDING �. � � � ; T ,° , r' Front: / Depth: � � Height: 1 � - . , Square Feet: � Cubic Feet: �� ° Front: Depth: Height: � q Square Feet: G�,tbic Feet: i �� Type o€ Construction: �.✓ � p D �1� RN1E Estimated Cost: $ � `'�(,p� ✓ Zb Be Completed: � /✓lp�/ �%�S Alt. A A}.t. B Proposed Driveway Width If New Opening Is Desired $ $ (SE� REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accardance 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 correct. See reverse side for additional information. DATE: �- �02-7 � SIGNATURE: � (►'al. �` ��=�``� / 2 Stipulations: ' //�� ti � �� r`��, ,, � i�� -� ,� � . � � .�'�� °_ —��SY�"`°—� � � ° �• c �� a� � � _ � � � � �� ,� � � � � �; �. �,� � , � � R t l� i � �� ,� � : . BUILDItJG PER��IIT' FEt SCNEDULE SECTION 2. The Inspector of Buildings shall, be�ore issuing permits for the erection of any building or structure, or for any addition to any existing building or �;tructure, ox for any alteration or repairs to any exis ting building or structure, upon application therefore, require the payment by the applicant for s.uch permit of fees to the amount herein below set forth an�d in the manner herein provided to-wit: �TEW CONSTRUCTION: Single Family Homes and•Garages: $4.00/1,000 cubic�feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutte'r 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 �DDI TIONAL I NFOR�'NAT I ON 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 poi.nt six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of fihe 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 praposed work. � In no case shall �the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. � � VERIFICATIO� OF FO NDATION ' NOTE: Permits for construction will be issued a mini.miva of 24 hours from the time of appTication 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 will be required before proceeding with the framing. _i : • � '�► - Application for a Certifica�e of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issuad; and saa.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. . s 9 �IERGY COIUSERVATION SUPPL�MENT TO BUILDIt1G PERMIT APPLICATION pLANNING AND INSPECTION DEPARTMENT CITY OF FF�IDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "rJ" FACTOR INFORI'�IATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; refl�ct the proper DESIGPJ CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is"per approved plans. , JOB LOCATION : c� � � � �_ � � � fC�� l�_ � �CONTRACTOR: � Q N � �� I�r � � �C� � ADDRESS : � � C�i � PHONE: / � � � � ` I� A. Determine the Total Exposed �Vall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total f ireplar.e wall area 5. Total wall framinq area (average 10 a) 6. Total net wall area above floor(average 90°�) 7. Total rim joist area Subtotal: To-�.aJ. ex�,osed wall .area above floor 8. Total foundation window area 9. Zb tal net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL E�{POSED WALL AREA "i � � ,�%, � 4 c� � p �� ,� o ��rf � � !�� /� . � ��.��=r. � ��Qo ��°f B. Multiply the GRAND T�TAL EXPOSED WALL AREA X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11� Total roof/ceiling framing area (l00) 12. 7.bta1 net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA � _ : / ��` / �� D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X.OS = � ,�� ,� Item I a� ?, l'° c Item II C° f3 �� ,:� �--^3 r � •E . � Determine the "U" value of each segment (1-9) and multiply by the area as follows: . 1. � � X "U" _ 2. X ��U�� - 3. X "U" _ 4. X "U" _ � 5. �' � X "U" _ 6. �-�o � }( njJn = � . 7. 1 �- X °U" - 8. X nUu ' _ 9. X "U" _ ADD 1-9 FOR TOTAL 6VALL SEGMENTS = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: ' 10. �' X "U" 11. " ' X "U" ;; 12. � . g ��U�� ADD 10-12 FOR TOTAL ROOF/CEILTNG SEGMENTS = ITEM IV = G. If Item III is the same as, or less than It�i I, you have met the intent = of State Building Code 6006 (c) 2. � H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Iters I + Item II = J. Add Item III + Item IV = K. If the sum of Items III and IV are less than.Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents ttYe information with required plans in support of the building permit application. By : �C./ C� �'I/ r DATE : `' � r ° � � � 3 AGP.rEME1VT I, � C V�,V�,� S � qv`�,y� e 1�' , owner of the property located at �' 4� C� I e�c � e , have no objection to the Citg allowing the construction of a�s� +%� /� ,` %�°pl� to be located at �Y ,� ,�,' C/' I�( ,� �/� S�- t�� without the required certificate of survey that the City ordinarily requires for all new canstruction. 1'1.`.�� •� , �- � � . �- �C / %1/ � 5 S � ,% .� �� % �� ,�" �g �! .��r. ��,�°� .�, �,� �� ` r r�-� J ' �^ �;� e._/ �-/ �-��s'''�C ac`�?�r , ,�� . �� s�l�� Address � �_�; � � !Y � a Date F a ` SuBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � � � ` ___��__ COMMUNITY DEVELOPMENT DIV. �' PROTECTIVE INSPECTION SEC. r ; ; , . , � _ �"'1 � CITY HALL fRIDLE� 55432 NUMBER pE� !"""'�'� ,'� 612-571-3450 910-F15 JOB ADDRESS 547 Glencoe Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 21r22 H Riverview Hei,ghts 2 PROPERTY OWNER MAII ADDRESS Betty Ecker 547 Glencoe Street NE 3 CONTRACTOR MAIL ADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRESS OATE I PAGE OF 7/2�/93 / / � y..' , 2200 RECEIPT NO� �� APPROVED BV SEE ATTACHED SHEET 786-1718 ZIP PHOWE IICENSE NO. ZIP PNONE LICENSE NO. ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEw ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE a 8 DESCRIBE WOHK _ Reroo� Hous.e (12 Sq;uaxes� Tear--o,f� 9 CHANGE OF USE FROM TO STIPULATIONS Underlayznent must comply w�tY�.. the State Building Code. Provide adequate a,ttic yent�,latian, Izistall sutoke detectors as per UB�C 1210 adjacent to all sleeping azeas� and in b.aseauent� TYPE OF CON SEPARATE PERMITS ARE REQUIRED POR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORQED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. i I HEREBV CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1' AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $648 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW HEGULATING CON- $19 e QO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ___ OF C�Qi,N'HA TOR OR AU/j NORIZED AGENT IDATE� \l� �i� I \ / / �/JAnn ns. � � � Do �IYJf / STALLS LOAD CU. FT. OFFSTREET PARKING IGARAGES $.50 SAC CHARGE Fire SC $.65 TOTALFEE $20.15 D THIS IS YOUR PERMIT ' �-�9 �'3 f1ATE NEW ADDN AL1'F.R [l [l tl Constivction Address: Legal Des�'iption: CITY OF FRtDLEY SINGLE FAMII.Y AND �DUPLEXES R-1 AND R-2 Building Permit Application J �� /t S ee � � Effe,ctive 5126/93 U� �S� tt � �, Uaner Name 8c Address: �j �� -l� �(' Tel. # Coatractor: ('j l.J /"t�L %Z . MN LICENSE # �f �. Attach to this application, a Certificate of Survey of the lot, with the prc�pas� coashvction drawu on it to scale. DESCRIPTION OF 1MPROVEMENT Tel. � LIVING AREA: Le�gth Width Height Sq. F� GARAGE AREA: Length VVidth H�ight �. Ft. DECK AREA: �.ength Width Hgt/Grouad Sq. Ft. OTHER: C�^c �-F-F l� ��-•J' e I� � c, �.� s -f ,e c� r o-� C�m�' �[ l �� C] Ft. Yd Seiback Sid� Yard Setbacks � Type of Conslruction: Estimafied Cost: S ��{8 °� Agprox. Completion Date: (CosE on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x$ _� DATE: � Z APPLICANT: Tel. #��C � �/ �U Permit Fce Fire Surciiarge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Controi Park Fee Sewe� Main Charge TQTAL �, % 7 � � $ �,�� $ , .�� $ $ $ $ $ $ � �� . J� �l.I�_M. ' � .�� F� Sche�iWe on Revers�e Side .001 of Penait Valuation (1/lOd►3�) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (Stat,e Licens� Residential Cor�ractoss) Al� "A" or Alt. "B° Abawe Conservation Plan Review $450.00 Fee Determined by �Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: � � F' _ 'u y`<' �� :.. - BUII.DIN(i PERMIT FEE SCHEDULE The Chief Building Ufficial shall, before issuing pea�mits for the erection of any building or structure, or for any addition to any existing bnilding or structure, or for any alt�ration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fee.s to the amount herein below s� 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 $1�,000 $100,001 to $500,0� $500,�1 to $1,000,�0 $1,OOQ,001 and up FEES $15 {Minimum Fee is $15 plus surcharge) - $15 for first $5{XD pins $2 for e�ach additional $100 or fraction thereof, to and including $2,000 $45 for first $2,�0 plus $9 for each additional $1;000 or frdction thereof, to and including $25,000 $252 for first� $25,�0 pl�s $6.50 for each additional $1,000 or fraction thereof, to. and inclnding $50,000 _ $414.50 for first $50,0� plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,0i10 $639.50 for 5rst $1�,OOU plus $3.50 for each addirional $1,000 or fraction th�eof, to and including �$500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,0� or fradion thereof, to and including $1,000,0� $3539.SU for the first $1,000,()00 plus $2 for each additional $1,000 or fiaction �thereof � DRIVEWAY DEPRESSION ESCROW (Concrexe Curb Stree�s Only) Alternaf.e "A" : Removal and replacemem of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate °B" : Removal and replacement of c�rb and gutter and install a 3 faot wide . approach with 6 inch depth - Driveway width plus 6 fee;t times $15.75. VERIFICATION OF FOUNDATION Permits for consiruction will be i�ssued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the coastruction 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. - -_ e� ° � s, SuBJECT . City of Fridley WRECRING ?� 4� 1 AT THE TOP OF TME TWINS � P E R M I T r � � RECEIPT NO. � ' COMMUNITY DEVELOPMENT DIV � `a: ------� r � � PROTECTIVE INSPECTION SEC i � � � � � /'�'1 � CITY HALL FRIDLE� SS432 NUMBEH REV DATE PAGE Of APPROVEO BY �'""'�' �'' 612-571-3450 9t0-F15 6/2/95 / / JOB ADDRESS 547 Glencoe Street NE t LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCR. 21 � 22 H Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley 6431 Universit Avenue NE 572-3591 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Kevitt Excavating Inc 3335 Penns lvaniz Ave N Cr stal MN 5 2 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION O ALTERATION ❑ REPAIR ❑ MOVE �O REMOVE 8 DESCRIBE WORK Remove 34' x 20' Dwellin 9 CHANGE OF USE FROM TO STIPULATIONS Clean site of all demolition debris. Stipulations as per City Contract. TYPEOFCONST. OCCUPANCYGHOUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES 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 N�A None WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOII2 None PLAN CHECK FEE TOTAL FEE None No Fee SIGNATUREOFCON'RACTOAOAAUTNORIZEDAGENI IDATEI . WHEN Pf;OPERI% VALIDATED THIS IS YOUR PERMIT / � A / / S�GNnTUREO:OWNERiiFOWNERBULLDERi iOATEi BL �NSP ��FT � � CITY OF FRIDLEY MOVING [ ] OR WRECKIN�'r�ll APPLICATION �— • Job Address : �� /��LD e J�i��7'- // � Legal Description: Owner & Address : �i �,� �� `��i Tel . � �'7�-' 3,S-S'� contractor : �� v �� c. .� e � Tel . # �y� �7 Address: J33.� ��s�/G�� /i`r,� i� State License #_ �//� �� Q� � DESCRIPTION OF BUILDING Living � �Z �y Area: Length �,Width � Height.� Sq. Ft. � Cu. Ft. Garage • Area: Length Width Height Sq. Ft. - _ Cu. Ft. Other: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost $ Approx. Completion Date UTILITIES TO BE NOTIFIED City Water/Sewer Mpls. Gas Company Northern States Power U S West `• 571-3450 [ ] 372-4720 [ ] 566-9120 [ ] 663-6000 [ ] oWater Bill Paid: Yes �j or Collect [$ ] Initials � Moving Route: The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accorda.nce with the City Ordinances and rulings of the Building. Division, and the State Code which requires any water well on the properly to be sealed by a State Gcensed water well driller, and hereby declares that a11 facts and representations stated in this applic�tion are true and correct. S' � �' �-. �f' ��f� GGe'� Date $Iglla.tlll'e rsovir�: Principle suiia.inc� into r�i.cuey ... S so.00 Acce.ssory Building into Fridley ... $ 20.00 �nim�m Fee: $15.00 'I�rough, within or out of City ...$ 15.00 WrecJcing: For each 1,000 caabic feet or fractiar► ..$ 1.25 For structu�es �iah wnuld be �-^-�; cal to cube, the fee shall be basecl � the total oost of wrecking at the rate of $6.00 for each $500.00 or fraction. P�r F�• S3'IPIILA'i'TQ�TS: 0 IMCOAPORATED WELL DRILLING FOR FOUR GENERATIONS 166a8 JARVIS STREET N.W./ELK RIVER� MN 55330 PHONE: (612) 427-6100 / FAX: (612) 427-0b33 I,NV�IGE INVOICE N0.:40963 CUSTOMER N0.:4219 DATE: 06/09/95 SOLD TO: SHIP TO: CITY OF .FRIDLEY ABANDON1�iENT 6431 UNIVERSITY AVENUE ( H59296 ) ATTN : CLYDE MORAVETZ ��f '7 �9' GLENCO� STREET FRIDLEY, MN 55432 FRIDLEY, MN SALES- ORDER SHIP DATE SHIPPED VIA F.O.B. TERMS PERSON DATE P.O. NUMBER ______________________________________________________________________________ / / NET 30 04 ______________________________________________________________________________ UNIT QUANTITY DESCRIPTION PRICE AMOUNT ______________________________________________________________________________ 1 -SET UP CHARGE FOR GROUTING /TRIP. 100.00 100.00 1 WELL ABANDONMENT REPORT /EA. 50.00 50.00 � I� 9 �� '� � ��- ��l �t �� 6:'�'�y� I . 1 �� 5UB-TOTAL 150.00 SHIPPING CHARGES 0.00 " T H A N K Y O U " SALES TAX, 0.00 WHITE-CUSTOMER YELLOWAFFICE PINK-REMITTANCE TOTAL 150.00 � v Minnesota Well and Boring H �� we�� oR eoRiNG �ocanoN MINNESOTA DEPARTMENT OF HEALTH Sealing No. Couniy Name WELL AND BORING SEALING RECORD M��nesota u��q�e No. �0� Minnesota Statutes, Chapter 103t or W-series No. (Leave blank d not knownl T��rry�* Township No. Range No. Section No. Fraction (sm. • Ig.) Date Sealed Approximate Date Well • n. 30 2� 3 E�„SW�„NW, ,�`� �� 1 g g g or Boring Constructed 19 b� • s N a7�£treet Address or Fire Number and City of Wefl or Boring Location .�i GL��i S"T� '�i'� Depth Before Sealing 3� N. Original Depth % fl. Show exact location o� well or boring Sketch map of well or boring Static Water Level �Accurate in section gnd with'X". � location. showing propeRy lines. N roads. and buildings. ❑ Approximate i i i i _� _ i_ _i' 'i N Single Aquiter ❑ Multiaquifer �— N. below above land surface , , , , � W - �- - L- -� E Sp CASING TYPE i i i , �,,yy- Er � � � � T �� ► �`"" -r -�- -r- -r i i i � �m.�e �Steel ❑ PlasGc ❑ Tile ❑ Other _i i i i_ � _ ___ _i_ '' S Screen from 2 9 l0 3� R. Open Hole from to fl. � � �^j� � � � OBSTRUCTIOWDEBRIS/FlLL Obstruction ❑ Debns ❑ Fill PROPERTY OWNER'S NAME ci�r aF FRZn�r . ,d Type of debris/obstruction Mailing Address if different than property a mdicated above. _ _ _ _ _ _ _ _ _ _ __ ____ __ _ _ __ _ ��i3�. ��a�.�JT_ A�%�U�i �' Obstr�ction/6ebri�fi-removed7 �Yes- ❑� PUMP FRIDLEY, I�+II��543� f A�' `�'�� '�Z ❑ Removed Not Present ❑ Oiher i �. ' CASING GEOLOGIGI4L MATERIAL COLOR HARDNESS OF �OM TO FORMATION If noP known, indicate estimated tormation log from nearby well or boring. Diameter Depth Set in oversize hole? Mnular space initially grouted? S� T� O o 1� in. from � to � g ft. ❑ Yes � No ❑ Yes ❑ No ❑ Unknown {��Y �� 0 1 Q in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown �'^`,+��a�TO�.r` GRAY 1 $ �, Q in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: ' ❑ No Mnular Space Exists ❑ Annular space grouted writh tremie pipe ❑ Casing Perforation/Removal in. from to (t. ❑ Pertorated ❑ Removed in. from to ft. ❑ Perforated ❑ Removed Type of peAoretor �_ . ❑ Other i. GROUTING MATERIAL �;,^ -,..,—s.i`—,/,- � � I�' �R, " " �'� 3 Z to ►�� ft. yards _� bags -`" y Grouting material P+DRTL�IND trom � from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFlCULTIES IN SEALING GEOLOGY FROII�i: 81 & EAST RIVER lt0 from to k. yards bags WATER LEVEL IIJ ABOVE WELL: 19' . DATE WATIIt LEVEL TAKEN : 09 / 2 3/ 4 9 from ►o n. yams bags UNSEALED WELLS AND BORINGS DURING DEMO OF HOUSE. �'..' Ta1a ��' p�her unsealed well or boring on properry? ❑ Yes � No F�UND UNl3ER FY�QOR . HAD OHSTRUCT NSED OH REGISTERED CONTRACTOR CERTIFlCATION AT 6�. �UCi �� 15' REMOVED �BS ��yy��l ar boring was sealed in accordance with Minnesota Rules, Chapter 4725. The informatlon contained in this report is IQN . SEALEU WELL WITH HENTQI�I�TE , true to the best of my knowledge. E o I3 e RENNER & SDN�r , IIdC . 71013 Conhactor Business Neme License or RegistraBon No. � 6/9/95 Authoriz�al Re sen a� e Srgnature Date IMPORTANT— FILE WITH PROPER i 1' H � 9 2 9 6 �ON WA /REVIN HOPgE P(�pEC�S — W ELL pW hiER GOV'Y Name o/ Person Sealing Well or Boring HE-01434-01 sue�ecT PEEiMIT AI.Q._� c�ty of Fridley � ,� �� ' ' AT THE TOP OF THE TWINS B U I L D I N G P E R M I T �- ---�� RECEIPT NO. � ; y ��_�_ COMMUiVITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ��Q 1 � � i � � �'�'1 � CITY HALL FRIDLE� 55432 NUMBEP REV DATE PAGE OF pPpqOVEO Br �----�: `•� 612-571-3450 910-F15 11/1/95 / / JOB ADDRESS 547 Glencoe Street NE t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oesca. 19-21 R Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Felix Construction 4410 379 St, North Branch MN 55056 674-8546 8682 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIIADDRESS ZIP PHONE IICENSENO. 8 USE OF BUILDING S� Residential 7 CLASS OF WORK �1 NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 40' x 28' Dwelling and a 30' x 20' Gara e 9 CHANGE OF USE FROM TO STIPULATIONS Provide City with verifying survey before capping. Provide sod in the front and side yard. Provide a hard surface driveraay. See notations on plan. SEWER & WATER LOCATIONS: See City Engineering Dept. SSs �� Before digging call for all utility locations 454-0002 S�i�ARATE PERI�6TS RE�U�;��p �� REQUIRED BY LAIN 1NIRiNG, h1EATIfV�, �L�}�� q�p S�G�S, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VEN7ILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ON WORK IS SUSPENDED Oi; ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CEFiTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFEC7. ALL PROVISIONS OF LAWS VALUATION SUHTAX Fire SC AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �$8f2OC7 �y�F�F.lO $88.21 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PR ISIO ANV OTHER ST TE OR LOCAL LAW REGULATING CON- TR TIO OR P RF RMA E OF ONSTRUCTION. �SI.B.SO �$�SO.00 PLAN CHECK FEE TOTAL FEE 11� � J� License SC $5.00 $1,805.81 S�GNAIUAEOFCON'RACTOROHAUTMOAIZEDAGENT iOATEi �HEN PAOPERL ALIDATED THIS IS YOUFi PERMIT _ f �� % �" S�GNATUAE OF OWNER iiF pWNEA BURDER� �DATE� BlD �NSP qpiE NEW [ ] ADDN [ ] AI-TER [ l ConstructionAddress: _ Legal Description: � Owner Name & Address: Contractor: j Address: ��a LIVING AREA: �GARAGE AREA: �ECS AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �� v`�� i' ''02.1 ��4C.� i< I � C -� 7 L%-f � �.1 /.� 9.,� Eff�6ve 8/ 1 /95 ��I 1� T�el. # � �� b��, MN LICENSE # b 8 ��Tel. # (�� 5 � Attach to tUis application, a Certificate of Survey of tF'e lot, with the proposai construction dra,wn on it to scale. DESCRIPTION OF IMPROVEMENT Length �-0 �Vidth � Height Length ?�� Width _ 'Z,� � Height �j' Length Width Hgt/Ground /��/�"�1;�J�'�%5;��- /G, kiZ.�y G �' /�t'_, �x �J� �'41'= f�/ �J'i', ,� � Sq. Ft. � Sq. Ft. D X l'. �� Sq. Ft. � �:��; L-.�'1, L� .a.,,.a,m.._..�-- _ � �'�%; �'� Corner Lot [] Inside Lot [] Ft Yd Setback Side Yard Setbacks r'� $ r � of c��aon: �(1 � �-1 �a,, � �r�a c�: $� 4 �o� � t,� �G� �� Approx. Completion Date: / �-- � s'" � $ ��'A � �'�', y,� (Cost on Back) ` Driveway G�urb Cut Width Needed: DATE: l � � � ' APPLICA Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATI�NS: � �` � � � � 9 � � , � $ �/��.� $ �'5�4,� $ �j ; � $ $ $ — �� `_ $ — �' '� � � �'` j Ft � ,Ft x $ �ITY USE ONLY Fe� Schalule on Reverse Side _$ Tel. # .�1 of Permit Valuation (1/lOd�%) $.50/$1,� Valuation $850 �r SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determin� by Engia�ring Agreement N�ssary [ ] Not Necessary [ ] BUILDING 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 e�sting building or structure, upon application therefore, require the payment b�► the applicant for such permit of fe�.s to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $5� $501 to $2,000 $2,OQ1 to $25,000 $25,�1 to $50,0� $50,�1 to $100,Q00 $100,�1 to $500,000 $500,001 to $1,0OO,Oi?0 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $S� plus $2.75 for e�ch additional $1(W or fraction thereof, to and including $2,000 $62.25 for first $2,0� plus $12.50 for each additional$1,000 or fraction thereof, to and including $25,Q00 $349.75 for first $25,0� plus $9.� for each additionat $1,000 or f�action thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,� or fraction thereof, to and including $100,� $887.25 for first $100,0� plus $5.00 for each additional $1,000 or fraction thereof, to and inc�uding $500,� $2887.25 for the first $500,000 plus $4.25 for each additional $1,(?00 or fiaction thereof, to and including $1,0�,000 � $5012.25 for the first $1,000,� plus $2.75 for each additional $1,0� or fraction thereof DRIVEWAY DEPRESSION ESCRUW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutiter only - Driveway widtb plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 fe�t times $15.75. 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 locati.on of the foundation once it has it has been consbn�ded will be required before proceeding with the framing. �1� 5�3 1�37 =�EF' �� "�� 1:=;•��+ F�1E�'ILH 'u• i��:=[�r•.. If•�I�. 4��/`1�� — �JR�1"1 Y � T �+�F�: WHlTNE1/ F�C]M��, INC. ;. L�G�1L G��CRIPTlON: LOT 19 7C7 2� �NGLUSIV�, . BL{7CK H, RfVERVfEW HElGM75, APJOKA COUNTY, MlNNESOTA. � ��.�}Q � � � � � ti L�.�� g. �t}. 2 i� AlVC� 22 �.� � �� ..za.oa. 1 � .� PROPUSE.C► ��5� � � r �� s;oo .............. ...... ..i... � � � t ; GARAGE �+ ° i .... �s s7 ......................... .................�..SS�oo� oa�� E � f I � � i � � ��.aa {Gt�EN�� AL� !N FEET 1 [�ICFI � 3q fEET � _,.,.� �C�'��T�� Eh�CaI1VEERING SUfiVEY11�Ca Plr�ii�lhJllVG $44� 73r� �►v�r3u8 N�th, Suite $3 Bt�klyn P8a'{�, hiinnesot� 5�a42$ 'iet�hon� {�12) �-75�5 F�x (812) 53�-1 �a37 � � � . 1� iP . 2 �'� .� ��l7�n�,tes Propc►sed ��►a�kl�� 5i ��147tQ� �Stltl� �iB1F8t�t �°c�p of ��.mdaYl�rr q`op Ot ��ethetlt Fla�or ia�p �f t�aakourt W� h�raby autfly th*� thit it s tru� �r+d aorr�et r�p�wslrit�eion ef a wnr�y v! the �iund�ries oi t,h� �b�ve describad iand and ot tha loc�tian tat �It buil4in�t, il any, tb�eveor; ar►ai ali visible e�crv�hrnonsa, if �ny. fra�r► dr �3r� �aid t�n�d. As �wrvey.d thts �� day of � �`; 19�. ��'� r � " Minn. Rp. No: � u�d ,5tervo�/ar Jnb No. --� � Book • Papr . � i b1L �JJ lyJf �;CT �4 ' �5 1� � 5�, t�IERILH fs �tSS�=�i:. , If�IG. ��'i��i��1T� C3� SURV'�Y �C)�:1tVHl�'NEY Ht)MES, IhIG P.2i2 LEGAL DESCRIPTlQN: _ __ . _ ..... __ _.._.__ __. LQi 19 TO 22 lNCLUSIVE, � BLOCK H, R1V�f�V1EW HEIGHTS, ANOKA COUNTY. MlNNESOTA. �, � 10�.a(� �' "�$�� . j�, �� b - �. a �' �� JVO %� p ��ENL� .�/ � c� � l9 q.w� zv��.� � � _�_ .� ��,12� a►� �,? � � �'�c�o � �' �' �--s �.,c. , �s� �o �� s ��-� � rd-�� p�ot�s Prp�ased Ele�ation x �snates E�cist�n� E.�evatian g.S'�7 � Top �f Fotindatii�'t � . 9.,r� � . Top o�1 �sem�r�t � ��'' ,� Ta� af l.c8iccwt � �� : ��,/��E� ERlGIIVEERING SUR1tEYNUt3 PtaA�tIViNG 840i 73rd Avenue t+tcctin. Suite 63 8a�kiya P�rk. Minnest?ts 5542$ T��h4�►e (612j 533-759� . . _._ ...�ax E��2) 5�-s�a �lENcoE �f� � 9 � Q ��y l'„ e 5anitary Sewer� Invert Ele�..... 8��9' o so � o0 SCALE !hl FEET 1 �! � $U FEET W� h�rabY ��rtitY•that Lhia is s t�w a�d corract rrpr��ntstit+n o! � �ue'vW of rhe baundaries o! che abave described land *r,d ot ch� lacst�on of al! fx►�1dirt�s, i/ ie�y, ih�r�Ori �ftd �11 �iflbli tnuoachm�ntt� if �ny from O/ Qn k+d land. As wrwY� thk �� day ot �°`o`��' , 1S�S. .. AAua�. t�tp. No. :,.L'�' �v Jab No. "��`•G% ' 800k - Pspt • ' n e�m�s'°=. _ :a �e �i ��1 �' ��'�'� `�`��, FELI�' ��i:il�J'�Te � LL�_� �`r � �V1�� 1 �i�� R V �� ; : ° y { �� -a�� ■ � L-ti A�, L�E�C=R1�'il�N: L�}T � � T!� 22 ihJ�:L1�i�!VE, }�I`��1IIEW N�I�HT�, A1J�J�.�� C�Ui*1T�', �� -_ :— =`=_�y'�1 � : �� '-' � �- �� .—�— r� _ _� ,� . � -,. �"-`� �`� � - � � s � �� ' �� . �� , �_ �_ � �� Qj�:- 'Thl5 �3 b'JIIL 8UN8Y 1Nes p�r(Drm�d tv W�riiy th8 �' Noc�tit�n af tha found8tion relative to propt�rty llne, n� other Into�mation has � E�LUCK ��_ _---��n ch��ked. _ -- . Ml"J�JESt�TA. �� _ --- �-- r�'r � ;; �l,s .a, � ' x _ � . t') y+ / � ��s� � _ _ h rL+'1 �Tj� � ��i✓V� � � , ,ti /,,� iv ,��41 � � = � ' � f�� hJ C.� ! } � ��e� 2 i A1dI�. ��-�F; ? ��1�"' ��"' � `- "'r' LOT� ri29' � ; r`�� -_ '{ '�:r i,tr ,�i �4 `'��,'�;� ?,;:i_-.-__ -7 �+ �'�. , . ... � ` •-f'~`�. 4a.00`� .y.c y. � - - .�a:c`� '� � ;r �S� l� .1 '`� FRC7F'DS�C _ __ � ' � N�USE � �``�,+ ; � 1 �� od � � ��, � , c� � -��, - � -, ti.a� �i ` I ��, •- Z� ' �; ��_-��..'�..��: = r" `�,r,-1 „�!:' i:�-' _ if �]; { .' � i '� �/ � ' �'�( . F, J-�-: r_�. � e � = �-_ ,, ; � .� � ?i._; �7 r r .�• � j' �.--.,�... I .. -� i ';�. -� � _ _�� ^_ ;i^ R�r✓ - -r- ---; �,,1 A� �� f<-�: . �: ___--,::;��e,�b�.: �;«p�s�d ��e��raesor� � J� ��,�,.�°: �:�iS#Ie,� �k8vi9tlOn ;�,, e� �ji_,�,° �j �'� ;r= �:;'Jtic�l�ti6[i s� � ��, _� �:��ns�tE �l:�r�C �=i �" � 6 y� '� � � rr�, ,� T�p �f 1�c�6kr�+s� �' t � ti a.s � � ` i7ti .L7- ��RA�E_ � i '� 1 t� ' ��.�_°..r . . .� �/ � ,� G _ _`—..-. � 3, ,; k,-N...SS,Od' b4" •. �i F�?�. , �'��1�� ~ , l ,c'�;�= i � f t/ I� jF. � 4 D 1 f-1 /`!1 `} `, �� . (.� ' F 4 iC. `J/ `�.'^ ' � M , �l 1 �� "� ,� , � , a- ., ;, i i�,� v� ,l��. � �� :�f � � �C1.t� 5anita�'y Sewer Inv�rt El ev e = �`��- � U � -- �CAL� il�� T 1 1NCha � 1ti FEES _ ,�.o. �� ,3�-�� --�-�� _ � �� (��\�� °�,..�;g«_�•��d�"t'eoa �i�i�V�Yf.^JCi �'6�°�NIN�+ ==T € �5�� =ti�� t��eiYt. 5uii6 6� � ` =•�i�`4 �'�r4�: !�� tt� �i42� �: -:s;. �-��e��,� {�1�) ?;3b-75�5 �� s�a��) �3-��7 �o��`.rvG't5� - _�: �'� � �� t� -' �7 �' � E x' �� °� -_ � � �. � �� ,_ �� ,_. �: � � }� .� � � L' ,�� u� 4_ _ -- .� ; �� _�� 1� ��I I, W� heeeby csrtaf-�+ bi�at [hi� �s a lfU� fr�d �Olf�Ct ffptfifBt�tian ot ��urv�Y o4 t�+ ��,�,ndarirs �i4 th� abcsv� d�urib`d Ibn�i and of th� �of�4lO �p�� iddC� d. O j f s�y, t��r�er� en� •N rieabia �ncrouhm�nta if �n�, n �►� �tvy trats �-"�"«" aay ca �� , ti0�� ► , Minr�. R�. No. ��89 s»d Surv� .i�b �1�.�°P� 600k - P�q� ,�'�v.� >� ��► �"'� �.. �� s � cXiE�IOR ENVELOF'E 'U' CDMF'UTATId� HEAT LOSS STATEMENT � OW�EFS �AME " F�OFERTY ADD�ESS CONT�ACTO� FELIX CONST�UCTION LLC TELEFHONE HOUSE S7YLE FLOOR A�EA 1. TOTAL e.c posed wa 11 are� 1769 �: . l i= :. TOTAL cei 1 ing area 98�"a �. Cs�b= 194.5q ?5.48 A o WIh{DOW AREA Ft VALUE U VALUE Interiar air film �=�•59 G1ass •'-'•9= E�;terior air fi7m �7.17 Total f; 4.78 c_�..� c:�9?�:�y 1/F =U va 1 ue X i41. �:? SC� . FT .=s9 . 6C�b69 B. DOOi, AF4EA Ft VALUE U VALUE Interior air fi�1m t7�� Door 14.44 Storm Door E::terior- air film �:�•�.7 Tota1 Fe 15.�9 c:�.t�b54�� i/ F� =U va 1 ue X 4� SC! . FT .=y . 7468'3� C. SLIDING DOOR AFtEA % VALUE U VALUE Interior- air film �-�•bg Glasg =.11 � E;.terior air film �-��1�' ' Total � T49b i:�e^'�� i/F =U value X �� 5Cl. FT4 =1c.7.bi�b�=�b D. F I REF'LACE AREA � �i VALUE U VALUE In�erior air fi�.m t-�•�� Fireplace =dy� E:•:terior �ir film �-�� Tota1 � 4 e 1 �:� o�4�9�"a� i/�t =U value X �_� SG2 . FT . _ E o WALL FF:A�I T RIG AF�EA Tnterior �ir �ilm Wallboard Fr�ming �.:b Sheathing �iding Other Exterior air fiilm Total F � F. VALUE U VALUE C.� . b 8 e:y . �. � 8vi�b c> , � i_r . � �>.17 J. C� a'� �-� u� f��► �i,� �I 9 z � � �/� = U Ve1ZU2 X F. TNSULATED WALL Interior W�1lboard Insulatia She�thing Siding Other E:aterior .^'r�0`,�ti� Sli' • FT■ yi��01i7ti� .. EA F� VALUE U VALUE r film " �=��6� �:� . 4 5 19 V.� c} . 5 r- fi;lm t:�. i7 ta1 R �1.'� U.�:�46948 i/R = U value X ii�b.i� S�. FT. =y:�.��94_ G. P; I�t JO I ST AF�EA R VALUE U VALUE Interior air fi�1m �=�.6� Framing � �•�� In�ulation �9 Siding �� • � E�terior air- film �?.17 Tota 1 �t �� .�=)6 C� , t_)45.�,.:,c'a 1/R = U Va1ue X i4.�s. S�.�T. a b.4:sb99�:y H. FOUI�DAT I OIV W T IVDOW AREA F� VALUE U VALUE Interior air film C�.68 Glass Y E:aterior air film �:�..17 Total R �.8� C�o:��c:�877 i/R = U value X SCI. FT. �:� I. FOUhIDATIO�I AREA Interior 2ir fi,lm H1acF; Insulation E:.terior air film Tot�1 Fc i/F = U value X �:� S0. Fi"4 = J. WOOD FOUNDAi S QN AFtEA Tnterior air film In�ulativn F' 1 ywood E:aterior �a.r film Total R 1/R = U value X k:: . Sh;YL I GHT A�EA Interior air film G1a�s E:.terior air film � Tot�l �t i/� = U value X L. CE T L I NG F�,A�I I NG AF�EA �C VALUE U VALUE C�e68 �.1= �,� c:� „ 17 � 8 . 48 `> 01 ii9^4 c:� F VALUE U VALUE c:� o b8 i'9 c:� . 66 c_f . i 7 ^�:�e�i ��.ty48756 Sl� . FT . _ �:� � VALUE U VALUE i_� , 6� .?� , 9.:� �:�.17 4 . 78 �:� o �"�:�9�c:�� SG! . FT . _ �:� �t VALUE U UALUE � � � ` � • Interior- �ir fiilm W�llbo�rd Framing Tnsulation over fr-aming Interior air film � Total R �_) . � 8 c.� . q. � 6.1 �6 t_� . 68 :•_+a91 i�e�:>:9�489 1/ R= U va 1 �.te X 117 . b 8Gi . FT .=.y . 4b8t,�c:a•_, M o I IVSULATED CE T L T NG A�tEA � VALl1E U VALUE Interior air film C�.bB Wa 11 boar-d �� e 4� Ins�.�lation '�� Interior air- film ��.68 Tot�l R 4�e81 �:�.C�?i8�9 lIR = U value X 862.4 SQ.FT. = 18.8��58 �e TOTAL U VALUES A...J 4. TOTAL U VALUE5 ��:: ... M 128 . _ 49c:> a'�'�? e .^�'.9•� t�8 � TOiAL L T NES i and �_ ��ta .�>7 TOTAL LII�ES •� �nd 4 = i��:�.b4�� Tf the sum of i�ems i and � are greater than the sum ofi items .� �nd 4, the intent of the state building code h�s been mete J UlY �y '`J5 bJ � 1GFil'I I"'iSd`I I KlJbb bl •'�-:L'�. •� • . . 1 • V ♦• • � �. � � � � � � � � 'sa..s�s aso. o a-s.-s�� s.-�� .00 a-�. a iaas. s�� o-u. a• �.au �.vo s•i..i�" i3.s�. i�r� ass.aas a�i�si i:-i. is=� s-ufso � w..uo� au..�so �.7.1iui �-�s. s� I benbr eatlt►►t thf� T.f..li� i•i0w609 (10it10n Or NpO� I ao. i� v3ofi�s nu v� undu ■+r � MsO• i97f , 1nd th�t � �m tu� Nt � (Hi•M11 En4�AN. �s as�ea� �:�►�cisa�.`�.tiu.��, � th� �taW � 4I�D Y� t 6-- li m$3. d i�ohva ._.,�..... ; . G! HAd� A. 'rE� : DATC NO. � 6 �P�V� �� i�iii�Y YA� �'�AN�pR� pAt�. �8 =noi�� OpEHING � i =B i1.6 Yeoi�� 0 r � �KS a� • ' � � � �.sxa � si � � 1� �`� :'� '�� s.�sa t . .�� , . , �; , , . ,x�t � .�� s;'�•�'}��'' . , . � , ;� , 4X6 a� , , 91�i :,i0 1 6� . . 3X� � .5�i� F--ii��6-4 ' .. > � � , L�F? B�A�iINC:4 HEIOHl: i8 SFAt'1: i3�8 ' �•� AIGH! ARAAIt�:� ,:; :-;. � 'LOADI�IG ( PI�F . 8T � ��S 8 4�Rp a � � � � p8 . � �� o -� � �� . � �c s�a : � �� , . .�r � s � .� a �.�b �� s��siv$L�i�a��°�ss�� " i.00 . �o'��c� : � �ni a:, o. . .- . , . . . . . . :,. ' i� �-10 � TO HS �XZ 1660f1:�iB •MRL BI+F � '' ' ' �.�'� ' � .� aos �no a�e�o-sfi,su �� a�ar a Ni artA a �i�►�u� s�ls'�e�r,� a�ee�� • . . ' ' ;� - ;i��S� d� �# """••-"` 011 !0� !JL'�i 1/ 00�,/�i�S.Td{�'� JO s101��1'/M�� +�/ �1��' +� �� µ ''' ;•; ��• • �e.s'� e�mr � iv. s�► .�+q►sse. e�ac.�ea � � 1� �t+�r �• ,!� '��s +�oo � �! l��Mi�14 ,. . �'.s�irv� oe�m�rneas �a�c �mq�a� as s*aa�m� i� �e s� io� o:e. oa�o ui � i�o,irr�om m=�as ipmn rt s sai at�s'� 4' i�� • � ' . • • ' � • . ' . , , . ,+�►r �'1' �Qa �� . . . `%�.'..e �. . r ' ' •,'�,• ' . , ' � , . , � ' � ' ; , ., � . � � • � ' ' . . • ' , • �I , . .� �4''�• • � M�� , � � . �• • , � ' ' 1. , :y �ir , , ' � •1 , . . � ., • . •'�''•i -------•---------------------------------------•---------------------------------------------------------- TI IA I �'i/'1 A P1C rA1'1 � �^IPhM nA M TI"11 IYH"� , �' �u�r c7 �� t�7• icru�i rad�i inuaa , . �`e��C� ( <�'e=i�Ofl �)GHTONoama.aaasa[' $573�0 je�••�aaaooaa We pro eG� #. � Trus� ID . F04 u • ,� �P - � �- �-8 � ei ht . 8 � � ,� g -- • s.s.da�r....�ssss..�r*rmeeeo0o�tiew*��sv��ossasa�o�aer�mce�r�v REACTIQN9 - SIZE i0�'i �9� 6.5� . 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O • `. ��7Q . - - v -Q �� a� z -o vs -� Z z v�i z � � ' v� v W u�i = � � � m v' � � -N � t'y v� m°� o �. r a► m � 1 �_ � � � � � � S Z � � � 0 c c� � j � � CHIMNEY AND STACK YERIFICATION The undersigned hereby verifies that tt�e 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 , Y� () No () 4. Is securely suPPo� � - Yes ()� No () . 5. Meets all cucrent C�e requirements for size �. and total BTU's conn� Ye,s () No () fi Has total heating BTiT's of � All other BTU's � � -. � TOTAL BTU's 7. Has a liner bee� provided for water heat,er Yes () No i) 8. Has combustion air t�een provided for water he,ater Yes () No () Remarks: . -._.Y _L , � / , � �.i� � � , �� ' , HEATING CO: Signed By; Date: E �b NEW j ] ADDN [ l ALTER [] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Buildin Permit A 1' t' Effective 3/1/96 g pp ica ion �� y� ConstructionAddress: �� % �� f�s�� Legal Description: Owner Name & Address: _� � � ��/� `yyl. ��J,'�� Tel. # � �� / � Contractor: MN LICEN5E # Address: LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this applica.tion, a Certificate of 5urvey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Width � Height Height Hgt/Ground Tel. # Sq. Ft. 5q. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Con�tructibn: Estimated Cost: $ Approx. Complerion Date: x/� S-� ` (Cos t on Ba k) /0'�S av � Driveway G�rb Cut Width Needed: Ft. + 6 Ft =�Ft x$ _$ ATE: APPLICANT: �w o� ..� a e /�1, i� �� Tel. # Permit Fee Fire Surcharge Staxe Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $, $, $ $, $, $ $. CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valua.rion (1/lOth%) $.50/$1,� Valuation _ _—_-- — $900 per SAC 7 $5.� (Sta.te Liq Alt. "A" or Alt $450.00 Conser Fee Determined M� ` � �� Agreement NecE p��" o u.r ec ��h � Gw� sn.ys �Ur , / , CK � $ � � �'ci� f � f � "'i' �?f��' � t3� � LOCKNEED MART/N BUII,DING PERMIT FEE SCHEDULE The Cluef Building Official sha.11, 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 e�sting 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 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for ea.ch additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $l,Ot?0 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,� $574.75 for first $50,0� plus $6.25 for each additional $1,000 or fraction thereof, to and including $1�,�0 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $5�,�0 $2887.25 for the first $5�,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,0�,(�0 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Sireets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�. Alterna.te "B" : Remaval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for consixuction 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 praceeding with the framing. � CIiYOF FRI DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN SS�132 •(61?) 571-3450 • FAX (612) 571-1287 March 8, 1996 Felix Construction 4410 379 Street North Branch, MN 55056 / Re:, Final Inspeetion at 547 Glencoe Street NE, Fridley Dear Sirs: A final inspection was conducted on February 27, 1996 of the above address. The following items were noted which must be completed before the construction can be finaled; 1) Provide a hard surface driveway by June 15, 1996. 2) Coinplete f inal grade and provide sod in the f ront and side yards by June 15, 1996. 3) Provide the front stoop and steps by June 15, 1996. 4) Pour garage floor by June 15, 1996. 5) Fire tape garage wall by March 22, 1996. We will expect the above items to be completed by the scheduled dates and reinspections called for. Occupancy of the structure is approved. If you have any questions concerning these items, please feel free to contact me at 572-3603. Sincerely, RON JUL��fc�SK2 Buildi x/Official RJ/mh NEW [ ] ADDN [] ALTER [ ] �5 CITY OF FRIDLEY �' `� ective 1/1/2002 6431 University Ave NE, Fridley, MN 5543 63) 572-3604 Bldg insp SINGLBUILDING PERM TAPP C TIONN�. C�1 �7.� �� Construction Address: �� .\��!��,Q� � ��, � Legal Description: Owner Name 8� Address: � � ��1 C—�,\Q �� Tel. #`�'1.�� '16``� Qtcil�� Contractor: �-- �, � � MN LICENSE # '�� Address:�� 'i! C-� � ��.�, ^� P�'ir1 ��f�3Te�. # cr�SC�-��(O� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. F� GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: L. Width T_ Hgt/Ground Sq. Ft. OTHER: �-�� _ ��' U .. : ��I �� ty" �� ' . � Construction Type: Estimated Cost: $ � a�� 7 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �A /�L � DATE: APPUCANT•.'� � i�.�� C�iet.�._____ _Tel.# �l�-k�� Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and vve will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - o�� $_ . �3 � Fee Schedule on Reverse Side $ a .001 of Permit Valuation (1/10th%) $ /- ��7 $.50/$1,000 Valuation $ °--° $1200 per SAC Unit $ ,a ,L�(� $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 [ � ..�� .. i' r STIPULATIONS:� � .,�� ` � " r BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: TOTAL VALUE $1 to $500 $501 to $2,OQ0 $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.�0 $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 fracdon 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,�0 $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 fust $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 f�r each additional $1, 000 or fracdon 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv NEW ADON ALTER ( j CITY OF FRIDLEY ., [ 1 ° 6431 University Ave NE, Fridley, MN 55432 �) SINGL.E FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � Legal Descripticn: Owner Name 8� Address: Contractor: Address: r�.q�� c��:�—�� "` Ei�ective 1/1/2002 (763) 572�604 Bldg Insp , �. I�� , _ - �- � � �;�d`' re�, � G71� 3 7�G' 91��T� MN I.ICENSE # �Gr -" �59� i�%c%SS'l/�3 Tel. # G.S/ y�''4�/5�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT . i.IV1NG i�RE�: �ARAGE AIZ�: DECK AREA: Leng4h Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. OTHER: Construction Type: � � �SICI�� ' stimated Cost: � �J�7 7�� Driveway Curb C�� VJ�Ih tJe�deil: Ft. + 6 Ft = Ft x� =$ � � �-�r L/ // DATE: (� dS APPL�ICANT: � Tel. #�ov/ ��I7b l� Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you fvr card number. CITY USE ONLY - Permit Fee t=ire 5urcharge Stafi� Surch�rg� SHC Lliafge �icense 5urcharg� Driveway Escrow Erosion Control Park Fee Sewer Main Charge � 9�,�� $ $ $ � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.5�0/�1,000 Valuafiion �120G per SAC Unit $5.00 (State Licensed Residentia) Contractors) Alf. "A" or Alt. "B" Above � $450.00 Conservation Plan Review Fee Determined by Engineering � Agreement Necessary [] Not Necessary [ j roTa� g ,�- � � STIPULATIONS:� � 0 'I'AC�I��1Y ROOrING & SIT�ING, TNC 2980 RJCr STREET � I.iT'iLE CANt�]�,A, IvIN 55113 (G51)484-1466 FA� (G51)4�82-83�77 � NY:. I► i /l • r�nx. n�un� � 1'I IUNIS N � P� FAC5IM7L8 TRA.NSMITTAL SI3EET C RROM; 8G DA'1'G, Iac TO"1'�1. NO. 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