AF-W - 46112SuBJECi
City of Fridley WRECKING
AT TME TOP OF iME TWINS ��� E R M I T
r,
�
� ___ COMMUNITY �EVELOPMENT DIV.
r � � PROTEC1�vE INSPECTION SEC.
� �
� � �"'1 � CITV NAIL FflIDLE� 55a72 eUMBFa eEv
1----� � ,'' 612-571-3450 970-F15
JOB ADDRESS 683 Glencoe Street NE
1 LEGAL �OTNO. BLOCK TRACTORRDDITION
DESCR. z,3, 24 S Riverview fleigh
2 PROPERIYOWNER MAILADDRESS
City of Fridley 6431 University Ave NE
J CONTRACTOR MAILADDRE55
Kevitt Excavating Inc 3335 Pennsvlvania Ave N
4 ARCHITECTORDESIGNER MAILADDRESS
?3��0
DPTE >AGE OL nPPROVE� B�
6(2/95 / /
SEEATTACHED
SHEET
ZIP VHONE
572-3591
ZIP PMONE LICENSE NO
�stal MN SSL97 545-7557
21P PHONE LICENSE NO
ZiP PHONE LILENSE NO
6 USE OF BUIIDING
Residential
7 CLASSO:WORK -
O NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE
8 DESCRIBE WOHK
Remove 24' x 24' Gara�e (HOUSE WAS REMOVED 10/28/94)
CHANGEOFUSEFROM
STlPULATIONS
To
REMOVE
Clean site of all demolition debris. Stipulation as per City Contract
SEPARATE PEFMITS ARE AEOUIRE� fOR EIECTRICAL. PLUMBING, NEATING.
VENTILATING OR AIP CONDITIONING.
THIS PERMIT BECOMES NULL ANO VO10 IF WOPN OR CONSTRUCTION ZpNING
AUTHORIZED IS NOT COMMENCED W�TMIN 60 OA�S, OH IF CONSTRUCTION
OR WOflK IS SUSPENDED OR ABANDONED FOfl A PERIO� OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. � NO. DWLG.
I HEHEBY CEATIFV TMAT I HAVE READ AND E%AMINE� THI$ APPLICATION
AND KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAWS VALUATION
ANO ORDINANCES GOVERNING THIS 7YPE OF WORN WILL BE COMPLIED
WITH WMETMER SGECIFIED MEREIN Op NOT. THE GRANTIN6 OF A PEAMIT None
DOES NOT GHESUME TO GIYE AUTHORITV TO VIOLATE OR CANCEL THE pERMtTFEE
GNOVISIONS OF ANV O1HER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OA THE PERFORMANCE Of CONSTRUCTION None
STAILS
GPOUP OCCVPANCVLOAO
CU FT.
PARKIN(
ARAGE$
si�Hn*UAEO�CON'eacr0e0ana*�oAizeoacE�+T �o�TE� � WMEN PH07ERL]%'�ALIDATED THIS 1S YOl1R PEAM
Job Address
Leqal Description
Owner & Address:_
Contractor•
Address: __ __ ::
CITY OF FRIDLEY
MOVING [ ] OR WRECKING (�J APPL[CAT[QN
� o/� �n
L� ef �,a�/os Te1. # 5'7�"3`�/
T i
.;� �c, �st, Tel. # S- 3SS�
�.�v�I�-Viq � //, State License k %%�/i
S � J �/ � � -h�use- �A(�e�-�D �`f
DESCRIPTION OF BUILDING
Living
Area: Length Width
Garage
Area: Length _�_ Width �_
Other: Length Width
Estimated Cost $
Aeight Sq. Ft. Cu. Ft.
Height � Sq. Ft. �� Cu. Ft.
Height Sq. Ft. Cu. Ft.
Approx. Completion Date
UTILITIES TO BE NOTIFIED
City Water/Sewer Mpls. Gas Company Northern States Power
571-3450 [ ] 372-4720 [ ] 566-912� [ j
Water Bill Paid:
Movinq Route:
Yes [�(j or Collect [
] Initials
U 5 West
663-6000 [ ]
�7�a a.n,r�-uo
U �_,, r
The undasigneit hereby makes application for a permit to wreck/move the building described above, agreeing
to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the properiy to be sealed by a State licensed water well driller, and
hereby declares t6at all facts and representations stated in this application aze true and correct.
T 2�- 9�
Date
rravinq: Principle suiiaing into rriaiey ... $ so.00
Ax�sSOYy �Lilditlg intA FYidley . . . $ 20.00 ?finia'n p�: $�.5.pp
4h�i, within ar out of City ...$ 15.00
WrerXing: Fbr each 1,000 ca�bic feet ar fraction ..$ 1.25
FoY � whidl WC7uld be ;r�mrarf�iCal tA cuhe, the fee shall 4e ba.,ed on
tlie total oost of tareclting at the rate of $6.00 far each $500.00 ar fractioal.
� a� i :+-
� ` �'
� SUBJEQ P . -
City of Fridley ° 12382
AT THETOC Of THE TWINS
�� BUILDING PERM RE�E�PT� .
� ; v � COMIdUNITY DEVEIOPMENT DIV. . ���
r � PROTECT4VE INSPECTION SEC.
1
� ` �'�'` � CITY HALL FRIDLEV 55432 NUMBEF REV. O�TE PAGE OF APPflOVED BY
�•'^� � '� 612-68p�3�50
s�o-F�5 11 5 3 � �
JOB AODRESS 683 Glencoe Stxeet N.E.
t LEGAL ��TNO. BLOCK TRAGTORADDITION � � SEEATTACHED
oesca. 23,24 S Riverview $01Q�1t8 SHEET
2 PROP�i1TYOWNER MAILADDRESS ZIP PNONE
John M. Hice Js. 683 Glencoe Street N.B.
3 CONTRAGTOR MAILADORESS ZIP P/10NE LICENSENO.
Gorco Cont. 3384 Brownlow 929-7868
t ARCMIT€CTORDESIGNER MAILADDRESS Z�P PHONE LICENSENO.
5 ENGINEER MAIIAD�RESS Z�P PHONE LICENSENO.
6 USE OF BUILDING Rea idential
7 CLASSOPWORK
� NEW ❑ ADDI710N � AL7ERATION ❑ REPAIR ❑ MOVE ❑ HEMOVE
e DESCRIBEWORK (,'OIIBtFLLCt ttifl cement 8n ISIDOWOT OY 8 X Garage
9.CMANGE qi U3E FROM 70
SnPUtATrONS � prwide a hard surface driveway.
�PERATE PER $tNG AND SiGNS.�Ft Wt�tMCh
HEA�1�tG, PWM
SEPARATEPEHMITSAREREOUIREDFORELEC7PoCAL.PLUMBING.HEA71NCa, ryPEOFCONST. OCCUPANCVGROUP OCCUPANCYIOAD
VENTILATING OR AIH CONDITIQNING. � WOOd FY8IIl6
THIS PERMIT BECOMES NULL AND VOID IF WOflK OR CONSTRUCTION ZONiNG � SQ.PL � CU.FT.
AUTNORlZEO IS NOT COMMENCE� WITHIN 60 DAYS, OR IF CONSiRUCTION a 1 5760
OR WOFK. IS SUSPENDED OA ABANDONED FOR' A PERI00 OF 120 DAYS AT
ANV TIME AFTEH WOAK IS COMMENCED. NO. DWIG. UNITS � �� �OFFSTREET PARKMG
1 MEREBY CEPTIFY THAT I MAVE READ AND EXAMtNE� THIS APPLiCATiON STALLS � GARAGES
ANOKNOWTHESAMETOBETRUEAN�GORR€CT:ALLPROVISIONSOFLAWS yq�UATION .. SURTAX
AND ORDINANCES OOVERNING THIS TYPE9F WORK WILL 6E GOMPLIED,
WITH WHEtM£R SPECIPtED HERfIN OR NOT. THE GRANTING OF �A-PERMIT 2 609 � 1.30
�OES NOT PRESUME TO GIV� AUTHORITY TO VtOLATE OR CANCEL THE pERMITfEE . SAGCHARGE
PROVISiONS OF ANV OTHER STATE OP LOCA LAW REGULATING CON- ��
�.. S�PiUCi1LtN p� THE PERFORMANCE OF CON _ UCTIOR �1:.00
PLAN CHECKFEE T07ALFEE y
, , .��� � $12 .30 '
Si NnryREOFC TRACiOROPPUTHOPIZEOAGENT IOPTEI
s, - . WHEN PROPEALY LI TED T¢IISJS VOUR PEFMIi�—
�� �
���51 0.�I1. OFpyVNENIffQWNER9pIl0ER1 � �DATEI BLDG INSP 0 E
_ --;,..-
� _ �•
� City Of Frid�e}
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�s rr� zoP oc n�e rw�«c
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3 � y CONMUNITT DEVCLOPNEHT dV.
� 1 i PPOTECTIV4 Wb'aECTIOi'� D€7T.
1
� j ���.� � �ITY MALL ffl10LEY 50472
�.�..,J`�/ �,j 012'360'3060
/"i%'� r't-r
BUILDING PERMI7 APPLICATIOi�
Lega2 Lot No. Block Trac
Descr. .'73 �� S �
Pr er y Owner Address
o tractor � Address
3�
rc.itect or Designer Address
�j �i
Engineer Address
i�
Use of Buildina
e
From
New LJ Addition tJ Al
Zip
�
Zip
Zip
ion
To
Permit No.
Receipt No.
See Attached
Sheet
Phone
7.rb -3C a
Phone License 270.
��Lx �'�� s'
Phone License iGo.
Phone Licease No,
Remove
ir :4ove
If lateral assessments have not been placed on this property, an agreement m�lst be
signed, agreeing to assume such lateral assessments befoxe a permit will be issued
Agreement Necessary:
Agreement Unnecessary: Finance Director
J UQiJilJ'3 UiILZiSLS_
Z Sewer �I.evation: Water Elevation:
� Stuh Location: Stub Location:
w
N
= BUILDII�G INSPECTION
}
F- PlumbinQ H.V.A.C. Electrical Fire Insp.
V Signature &
Date Approved
¢
O
� Registered Engn. Stamp. Legal Descripti.on Check
Exterior Devel. Check Performance Bond Check
Easements, R/W, Special Agreements
Final Approval Date
Certificate of Oecupancy
DaLe
_ � �'�a�a � `PF/ � S� bf N 'PC i,� %�/'p��i D ! �
d
DIMGNSIONS:
Length:
Width:
Accessory Buildings;
Length: �
FOR CITY USk: ONLY
Height:
Sq. Ft.
Height:
Cu. Ft.
Cu. Ft.
. _,,
Widtti: Sq. Ft, �
` w.?T )
VALITATZ�N' .,�` `�
.. �.�.��- _ --,.n-r-�r �`� _ . , r�
. 3��..��: � . . _ >
Sq. Ft. X Cost = Valuation )
) Tota't
) Valuation
_ — - __ — ---
---- - — _ __-
- — -- - � ____.
Basement X Cost = Valuation ) �
)
_ )
PERMIT FFE: Residential
Total Valuation Fee °
$1.00 to $SOD.00 $5.00
$501.00 to $2,000.00 $5.00 for the first $500,00 plus $1.00 for
each additional $100.00 or fraction thereof,
to ancl including $2,000.00.
$2,001.00 to $25,000,00 $20.00 for the first $2,000.00 plus $3.00
for each additional thousand or fraction
thereof, to and including $25,000.00.
$25,001.00 to $50,000.00 $89.00 Eor the first $25,000.00 plus $2.50
for each additional thousand or fraction
thereof, to and including $50,000.00.
$50,001.00 to $100,000.00 $151.SQ for the first $50,000.00 plus $1.50
£or each additional thousand or fraction
thereof, to and including $100,000.00.
-_ _ — ---- -- — -` - ---- - - - _. - .
YEI:MIT FEE: CommerciaJ. and Industri.al
Permit lee
Tota1 Cu. Ft. X$2.15/1,000 sq. ft.
_�L==— X � L� �' � � ✓ �
PLl�N CHECK: '
Take oxie half of per.mit fee =
STAT'E SURCi?Al:c;r:
paluation � $.50/$1,000.00 = %i � J
�(<o y, ��{ x $.so/Sl,000.00
- — — — --- — �
Pt�ttt���c°�:+VJCi: B�i;.D VALUAi.iQN
Blacktop
Curbittg
soa
Fc,^iicing
[3ushes and 7'recs
2. SO/sc�. yd.
2.00 ]in. ft.
�J. �1!1T<; , i�l.,
=.00 �.in. �-t.
S.QO - 30.00
TOTAL FE�
TOTAL BOND VAI,UE
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