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AF - 45318.w►��, 1 INCM� g� --�* LE ROY H. WIiVNER 8� ASSOCIATES, INC. �os No. .:._73: a5 .,�,.. e D�e1ot�� I�en plO� �� N'� BK. .A.�Z.... PG. ..�.�...... Regidered Under Lawa of Stats of Minnesofa . 8398 Center Drive • Minneapolis, Minn. 55432 Phona 784-0210 CERTIFICATE OF SURVEY SURVEY FOR: _ Kenneth Newnan , 'I DESCRIBED AS: Lot 9, Block 4, Parkview Ms�nor, Anok� County, Nfir�nesota� 35 �� P �� / �t�ntRitd(� IP�G�I'I�N ADD�D•3/30/19T3° R.R.S. �� T�,� ��q c� �,, s I hereby certify that on `�'3 19 73 I•urv�yed tM poperty dsscribed above and that ths above plat is a eareet r�pn��ntation of soid sursry. . ,�' � ��'� LAND SURVE OR REG. No. 49�7 ^e60?4�=�A ��,�-- sua�ecr � PERMIT NO. City of Fridley ,A� 12085 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T REC�F T NO. � � � COMMUNITY DEVELOPMENT DIV. � �L _.�.�-� r � � PROTECTIVE INSPECTION SEC. 1 = � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � •'� st2-5so-3a5o 910-F15 ��6�73 � � JOB ADDRESS 5882 Haclanann Avenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 9 4 Parkview Manor SHEET 2 PFOPERTYOWNER MAILADDRESS ZIP PHONE Renneth Newman 5822 Sackmann Avenue N.E. ��" -�.�� 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Lindner & Sons 1646 Jersey Avenue %��' r`J�� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING Garage 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK add 7 ft x 10 ft addition to garage(completed size 31x21) 9 CHANGE OF USE FROM TO STIPULATIONS ', . r TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �� frame VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 7O 7OO 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 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. �`2800. � 1./a,O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 18.00 ST U N OR THE PERF RMANCE ONSTRUCTION. e � PLAN CHECKFEE TOTALFEE 4/6%73 19.40 SIGNATUREOFCONTRACTORORAUTHORI2EDAGENT (DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �� A SIGNATUREOF OWNERIIF OWNER BUILDERI IOATEI �F.P�ICAT�QN ��A R��IA��, AGT�R,AT�A�, o� �AaTio� auz�D�� ta�� C�TX OF �ATDI,�Y, MINN��OTI# �4J�' S N� ��//�`/%'� �`% ��G'� " �iTBL�1ER s s,iL%��f .,� d° t��'°�.� �.ww.rP � �� o .� ■ 1s' i e � �en i� Ann�S S S ,,� �� r�'� .�lf,�l,�/U.l�� L� ��s s : ,,�,�s; ' ��.a°�..:_Y.sr.j: �l� . , , �. e i��i � �s � ��'�� d�++►+iAB+i � ��f�,..��s.:i�'��l�,dil O'/lff� .�.��, �' e1 �s..w www�eewi .� �w�+�...� s i A'� �� SLOCKA , � _ ,I�T�I0A1z s � ]',pT; �� ,0'!,';�S .F'1'BACRII �r>' SIDEY¢1itD:,,� ��_� ��,�� *p ��+Ar��i ,a, Certificates af Su� rvey o� Lat at�d propased �11�.��R$ �,i�C8t3,�i1 d�R � �88P. Celtif'Lt•.�ites s � ��CItI�'TItJN OF �iJILDI�iG �a � i� ,�a : � �� .�� / �,�....,..�, .. �.��..,_...,_....�'tt� s t :_.. ��'__ , , . Stj�t4M� �'lsv4'1„ri.w� CaL1�C �'�I�'b� .( L1 L'' i i w n�.i ww�� ''1'OAC3 D@�L�1 i H@�.�11C � gqtiea�e �'eet; Cubic Feet a �►{�+ ot Goavtr�,ta�i�s��a� ;�° ,� , ��° �atim,aL•ed Cos�: $ �-,�,�' C>CtC� c� �o � 4o�iq��d� T�t a�a�iBaQsl hereby �k�s a�lic�tion �or, $ pe�t fax th� wosk b�ereia ��$� agxee�.ag tD do a11 iqiari'k i.n att�.ct accordance witla Cite �ty' o� �l�► Q��e �d 3'�►1� �f t�e Deltart�me� Af Bu��di�$, � i�esaby dAl�las�iP i� ali #h� �$cts a�td s�reseatat3�ons atated i� t� e�g�►i�,aatian a� �+ �d cprrect, . —� � , I�iA�� l` ,. � �%s�� SIIGNA� s � �%� �'� � g�►�1� B#�de �o; Add�R.�ons�. Yn�os�atian.� ) ��, �� , �� do ��f �s � � �� s �� 9 BUT�ATN� P�IZMIT F�� GH�DU�E �F�� 2, Th� Inepecto� pf �u�ldiags s�a11, befaxe �esui�g permit� for �he ��on o� a,�y bu�lding �� structure, ox for any addition to any �cist�ag ��d� ox stxuF�ura, or fo� any alteration ox zepairs to any ex��i�g ��a�� o� stx'uctuxe, upon �ppl��ation theref�se, xequire t�e paym�m� by �he ��3��t fpx such p@rxn�t o� #ees Lro the amonnt herein below set fAr�h $�d �� xia��x h�x�#.� p�a�vided � �o4wiX s UI�EFQRM $U�LDTNG CODEt �Pe 1.�, 2� 4�$2. i5 �or each c�ae thou�a�d cub�.c �e�� p� �$8G�1.QA th��eaf, in �ucl� cubical coa��nts. Type 3& 5-$1e8� fo� �a�b ��s I�t4usand �t�ia �e�ets . FEi1i��i�[iaer: � ��f�rs�t�u : � ►I F�� pu�pp�e of Farmput�:�� ees for building peYmita, the cubical contents o� ax�y building or addition, i� det�rmined by mult�.piy�.n� the �rpund area �oV+��ct �'�rat � poi�� $.ac (f ) ine�es below Khe f7.4vr iine �f the basemet�t �? �he +C+��la� �o �he average #�eights of the uppeT surface or to the avera�� s ��i� �� e �o�� o�face of the maiA �ab�e pf a pi�ched xoo�. .� �iaes o7c ai��r�t�.ot�$ � aa�, existin� s�ttuare, �e f�e shal]. be �� he ��,�� v� $�.flU #►e�' �,� ��ve i��dsed dollars ($30Q,0t3) � ��t�.oa the��r�o� �.n i�� ca�� a� a1�. p�c�pr�sed wo�kP I� �v c�e s�a�l r��►e �es s�c�gci fo�c e�tY Pezmi� as set �o� �i Se��ic�m 2 b� �a t�aA ��.#1. � ��R��i�ATi�IN OF F��1NDA�'ION �TQ�� '�.ts �Qx �tr�st�t��$�o� wil�. be i�s�ued a mi�i�m o� �4 ��trs ��am ths �a a� applicatio�a, �v a��a� �or pxa�rer review of �ha p�ropos�d a�$u��re atid �t� �e ��st�u��ian ai�e. ' � ��'��i� i5ua�r�g v� �h� 1��.,, �a�ia� i� �ocat�a �f �hQ �aux�datia�u, o�� t �� .s�t.�da wiil �a �equired befe�e �arocee� wf�h tk� fr��g, e � C�RT'TF��Ai� t�F Q��PAN�Y �g��.c�t��a �cs� � tG�ac�#��at� �t Qaeupancy eh�l�. bs u�ad� teu (1Q) a�aX� p�i.ox �o �h� t��se A7r q►c�up�� rt�.c�e far which � bui�ldin$ pernti� has �i�e� is8ue+�l; � s�id st�tyc� �hai� pot be used a� occ�pied tt�$il a Cext�ficate Qf p��ugam�y i� beeA �sans�4, �, A �s SUBJECT City of Fridley 1459 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � ECEIPT NO. � ; y _ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. � ' i ' �' /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •"'� � ,•� 812-560-3450 910-F15 3/20/78 � � JOB ADDRESS 5882 Hackman Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 L,� P7,Y']CylEW Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Newman 5882 Haclaaan Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Rainbow Roofing Co. 701-69th Avenue North 560-3790 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE x 8 DESCRIBE WORK Reroof struature 9 CHANGE OF USE FROM T� ' STIPULATIONS Install ridged galvanized valleys. New roof can be 2nd but not 3rd roof . SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTFUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OP 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEflEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,135 $.56 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �S`9.00 �� PLAN CHECK FEE TOTAL FEE 3°•�b °7 � $9.56 SIGNATUREOFCONTRACT RORAUTHORIZEDAGENT IDATEI � HEN P PERLY VALIDATED THIS IS YOUR PERMIT �.i VO I � � SIGNATUREOFOWNERIIFOWNERBUILOERI IDATEI BLOG iNSP ATE CITY or- fIZIllLCY . ' APPLIC�TIOt� FOfZ (2L:SI1)[=NTI/�L LUILDI�IG �'EfZ1�1ITS " (��L"W, �LTL"R/1T1 U(JS, �lllll T l OtJS, OR RCP/�I fZS � � ow�i�R; / � �a�b� � tl �- �� .� ' �� c N >� � T � /1�� :; � Hyl -n� . 13UILll�12: ��r , � Address : >� � � 2 . ,��c ;�� A �,,� 1ldclress : ;' e ! � � ��= �� ,� �V, . Tel . t�o . : 5' � �' - 3 % y � . No.: �C�oZ 5treet: ��V . LOT: BIACY.: � FiDDITIOP7 : �"��J�J � � z'�.�.,� �i CORIQER L�JT: INSID� LOT: S;:T�ACY.: SIDL•'Y71RDS: Applicant attach 'L-o L-his fonn �ao CerL-iiicates of Survey of Lot and proposed bu�.lding locaL-ion drawn on these Cextificates. • To Be Used As: DESCRI PTIOId OF BUI LDI �G Front: Depth : Square Feet: Cubic Feet: Height: I`ront: � Depth: � Aeight: � Square Feet: Cubic Feet: ' 9 � �. O Type of Construction: %� ��t % r� Estimated Cost: $�� j�"'� 7.b Be Completed: ; � % � � ? � Alt. A Alt. B Proposed Driveway ��Tidth If New Opening Is Desired $ $ (S�� 12�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specifi.ed, agreeing to do all c.�ork in strict accardance ��i�h the City of Fxa.dley Ordinances and rulings of thc Dcuartment oi Buildings, and hereby deelares i:hat all the facts and representations stated in i:his application are 1:rue and correct. See revcrse side far aclditional i.nformation. e ' DAT�: S � ? � - % � STGN�ITUP.E: r,/�<� �"� - �tipulations: • . � �,�v° ,� � q �� ..� � 7 BUILDING PERt�1IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or sfixucture, or for any addition to any existing building or structure, or for any alteration or repairs to any existi.ng building or structure, upon application therefore, require the payment by the applicant for such permi� of fees to the amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 f�t wide approach with 6 inch depth; Driveway width plus 6 feet x$17.20 �� 11 � ; � � � � �, 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 th� cellar to the anerage heights of the upper surface or to the average height of the roof sur�ace of the raain 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 dollar� ($500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIOV oF FOUN ATION NOTE: Permits for construction will be issued a minimiuu of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. ' : - � � '`1 Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and sa,i.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. a > t �� . ,.� ' sue,,�tT • ' p�p(1T'Np:�_ =-_. c�ty of Fridley `, 2$ 3 p 2�r \ AT TNE TOP OF TNE TWINS g u I L D I N� P E R M i T � ! ;, RfCEiPT NO.` � `y � COMMUNITY DEVELOPM�NT pIV. �� n r � � PROTECTIVE INSPECTION SEC � i .1 � � 1 �'�'1 � CITY MALL FRIDLE� SSI� NUMBER NEV OATE PAGE OF ACPROVEO BV �"'"�� '� 612-571-345Q 910-F15 10/19/98 � � JOB ADDRESS 5882 Hackmann Avenue NE t LEGAL ��T NO. B4.00K TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Parkview Ma.nor SHEET 2 PROPERTY OWNER MAIL ADpR�$$ ZIP PNONE Jim Ringhofer 571-0814 3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO Viking Home Improv. Co. 4832 2 1/2 St NE M ls 55421 572-1820 4 4 ARCNITECT OR OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE � O REMOVE B DESCRIBE WORK Reroof house and garage (40 Sq) Tear-off 9 CHAN(3E Of USE FROM T� STIPULATIONS Underlayment must comply with the State Building Code. ' TYPL OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE flEOU�RED FOR EIECTFICAL, PIUMBING, NEATIN(i, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SC. FT CU FT AUTHORIZED IS N01 COMMENCED V111TMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONEO FOp A PERIOD OF 120 DAYS A7 � ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I MAVE READ ANO EXAMINED THIS APPLICATION S7ALLS GARAGES AND KNOW THE SAME TO BE TF1UE AND C04iREC7. AlL PqOVI310NS l7F LAW$ yp�UATION SUFTAx AND ORDINANCES GOVERNING THIS TYPE OP WOpK WILL BE CpMPUED WITM WME7HER SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PERMIT 3428 1.71 DOES NOT PFESUME TO GIVE AUTHORITV TO VIOLATE OF CAMCEL THE pEqMIT FEE SAC CHARGE PROVISI OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC, ION R 7ME PERFORM CE Of CONSTRUCTION S].25 Fire SC 3.�F2 � PLAN CMECK fEE TOTAL FEE �'"�`'� ---� License SC 5.0 97.38 S�GNATUAE OF �QMS CTQF OA AUTMONIjED AGENT �D�T i WMEN PROPERL � ALIOATEO THIS IS YOUR PERMIT 7 �/�s Pqi� �� ra t,wwvs�. v S�GNnrUpEO OwaEA��OWNENBU40Ep� ��E� - ' B�D iNS� � � ��E Q Y > rrEw [ 7 ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 �b �'� � �� O � ��2 '�-IA��"I/L��[�s w� N� � ConstructionAddress: Legal Description: � Owner Name & Address: � PA �,f � �� „� � � � v� Tel. # ,r' i % �%� �} ,� Contractor: '� ( IL� 1� (� �-i� M,C� ( iVl, �(d-.f�� a� MN LICENSE # Zj% 7� X Address: �`� �a �- �-�-CK M A N i�9 �4�-� /� � Tel. # LIVING 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. Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. c� Construction Type: L�b �-��,�-�.��,v�� Estimated Cost: $ ��D (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = �t x$ _$ DATE: Pe � 9d APPLICANT: Tel. #��Z �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ `7-�S $ 3- $ . � $ $ �� $ $ $ $ $ .�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) ' Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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 provided to-wit: TOTAL VALUE $1 to $50(? $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 each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $SO,OQO $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 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 $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 feet 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 location of the foundation once it has it has been constructed will be required before proceeding with the framing. SuBJECT , c�ty of Fridley 33900 AT TME TOP OF THE TWINS g U I L D I N G P E R M I T r ; ` fiECEIPT NO. � ; y __�� COMMUNITY OEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. i-__-� ��'��,', CITY NALL fR10LE� SS13I NU4BER REV OATE PAGE O: APPROVEO BY � 763-571-3450 s�aF�s 9/19/03 / / JOB AOORESS 5882 Hackmann Avenue NE 1 LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED oescR. 9 4 Parkview Manor SNEET 2 PROPERTY OWNEii MAIL ADORESS 21P PMONE Kim Ringhoffer 5882 Hackmann Ave NE 763-571-0814 J CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO Osborne Builders Inc 5869 Hacl�ann Ave NE, Fridley, MN 55432 612-363-6512 A ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 20332034 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION �I REPAIR D MOVE O REMOVE B DESCRI9E WORK Install fascia 9 CHAN(3E OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD SEPARA7E PERMITS AFiE REOUIRED FOp ELECTfi1CAL, PLUMBING. MEATING, VENTIIATING OR AIR CONOITIONING THIS PERMIT BECOMES NULI ANO VOID If WORK Ofl CONSTFUCTION 20NING SO. fT CU FT. AUTHORIZED IS NOT COMMENCEO WITNIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOFi A PERIOD OF 120 OAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yALUATION SUqTAX AND OfiDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED @ WITH WHETNER SPECIFIEO HEREIN Ofl NOT. TME GRANTING OF A PERMIT y�2 � lOO �1 .OS DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOIATE OR CANCEI THE pEqMIT FEE SAC CHARGE PqOVIS10NS OF ANY OTHER ST TE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFOfiMA E Of CONSTRUCTION �83.2.5 Fire S�,' y�2.lo �% � /� PLAN CMECK FEE TOTAL FEE "�ti �� V se SC $5.00 $91.40 S�GNGTUAE O� CON'AACiOp Op 4UTMOA4E0 AGENt �o�rE� - MEN PROPERIV VALIOATED THIS IS VO F PER IT S�GN4IUAE O� OWNEp �� OwaEp BW�OEp� iDATE� DG �h5� r��tE NEW [ J CITY OF FRIDLEY Effedive 1/1/2003 ADDN �[ J-/ 6431 University Ave NE, Fridley, MN 55432 (763j 572=3604 Bldg Insp ALTER `� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax l BUILDING PERMIT APPLICATION Construction Address �> oD � Legal Description: Owner Name & Address: ` M Contractor. QS � °�'� '� �� 9 �/� c_kv� � �'j G � ��/� l V �" i �� -� �' � ' �"� �_. C � e / i� r Tel. # ��/� =��`�0�/ � MN UCENSE # �� G � � Te�. # � ��'�� `�� Attach to this appiication, 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. Ft. GARAGE AREA: Length Width Height _._.__ Sq. Ft. DECK AREA' Length � Width HgUGround Sq. Ft. OTHER: � � Construction Type: S� d� Estimated Cost: $�� P� " Driveway Curb Cut Width Needed: Ft. + s Ft = Ft x$ =$ . ��( —�� APPUCANT: � Tel.# �r��r�`S r� DATE. l Call (?63) 572-3604 for Pennit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we wiii cali you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Cur�b Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �-� �� $ _(U $ /, D � $ $ �� U $ $ $ $ $ 9� a Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] �r�tr`�r•�� BUILDING PERI�IIT FEE SCHEDULE The Chief Building Official shall, before issuing perinits 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 exis�ing 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 �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 fust $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,Q00 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,0(?0 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW �Concrete Curb Streets Only) Removal and replacement of curb and gutter only --driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation� will be required before proceeding with the framing. New Houses Onlv � F�� , ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 572-36U4 FAX: : 5882 HACKMANN AVE NE : 243024240083 : PARKVIEW MANOR : LOT 9 BLOCK 4 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-1287 PERMIT NO.: 2004-01461 DATE ISSUED: 09/Ol/2004 VALUATION . NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- �� ./►1 : RINGHOFER JAMES & KIlVIBERLY 5882 HACKMANN AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time aflter work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIlV (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 117431 J�YAtCA l r, Y�K1Vll 1 J tC�11U11(�1J t' UK W VKK U 1 t1�K 1 t1AN ll�JC:Kl�ti�ll Ati V Vr:. 20.00 0.50 20.50