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AF - 45336�, �1 � BUII�DING PERMIT Village of Fridley, Mina. No Date ...� .. . �C�y,r..(.1..°'..`!. �'•�i•�'/!��. . . . f . . . /��Builder Owner� Address �� .. ...... ..... .. .�� Address 2951 ��•�•...�%/i��'�� ............... .��...��„� ...��...` .............. LOCATION OF BUILDINC; No. �� . � Street . a . . . . . ��. .�. "4'�. Se�fY �-. . . art of ot . . . . . . . . . . . . . . . . . . . . Lot . . . � .. . . .. . Block . . . �'. . Addition or Sub-Division . . . . . . . . . . . . . . . . . . . . N�"`s% f'� � �� ' _ // /� D 6A=`! ,_ /�� Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback �� . . . . . . Sideyard�� ,•v� ; ,� �,. . :i'�a� �. i/. DES�RIPTION OF BUILDING To be Used as: • /�, . � f �� /� . ..... .... ... ...... $ . ........ Front ... Depth . . Height ��ESG?D� Sq. Ft,��.� Cu. Ft. . . . . . .��. .�. Front �. . . Depth �-:Y� ° . Height . . . . . . . . . Sq. Ft. �� . . . Cu. Ft. . . . . . . . �f� , � . Type of Constructio . . . . . . . . . . Est Cost . !�!`�y. ��. .�. ..�,� . . . . . . . To be Completed . F. � . . . . . . . . . . . . . / �� /�r-ti`'� �;�A��,��i��'-�'° �� r � . � �� 11�' �� G��i� ,�- �- {��/I � '��4//�� '�y ! V// // O�I� / \� In considerati�n oY thc issuance to me of a perinit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and�comp ce with a11 provisions of ordinances di th� village of Fridley. �� LJ,�'� � , Tn coi�ide•ration of the payment of a fee of $. .,(.�C's.. .', permit is hereby� granted to ..��..�.� �,G�!�.�?!�� . • . . • . . . . . . . . . . . . . . . . . . . to construct the building or ad dition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the orclinances of Fridley, Minneso�t�. regarding location, construction, aiteration, maintenance, repair and moving of buildings with- in the village limi�a and this permit may be revoked at any time upon violation of.�any of the provisions of said ordinances. /� � ° / � NOTICE: Thls permlt does not cover the constructlon, (nstallatlon or alisration for wlring, plumb , gas heating, ,�,�,., ; ., .a sewer or water. Be sure to aee the Buiidtng Inspeotor for`separa4e permlts for these ite . 4 � � /^► . �,� � � • 4� �i/ �l / � • / • I � � lf. � �! P �, �, k f e a y ' �_� _ . 4 i • � �� - —� � � � u.,..� � V' � , � � � � y �� ()_`� ��/ M�I u II ��yl �II � � sue�ecT PER . City of Fridley 15 3 8 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T -�� ; � R IPTNO.., � `L _ COMMUNITY DEVELOPMENT DIV. �� / � r � � PROTECTIVE INSPECTION SEC. 1 i � � /��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"'"'� � �'' 612-571-3450 910-F15 8/13/79 � � JOB ADDRESS 5925 Hackmann Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wm R. Tonco 5925 Ha.claaann Avenue N.E. 574-0250 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE % 8 DESCRIBE WORK Reroof and install tters 9 CHANGE OP USE FROM TO STI PU LATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 STALIS 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 2 OO 1 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $13. 00 SIGNATUftE OF CON i RACTOR OR AUTHORI2ED AGENT IDATEI WHEN PROPERLV LIDATED THIS IS YOUR PERMIT �n _-_ � � `� �� .�...� � --.�� --'� SIGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BLDG INSP �aTE CITY OF FRIDLEY - ARPLICATIOPJ FOR RESIDENTIAL BUILDIPiG PEFtMITS (New, Alterations, Additions, or Repairs).. � OWIJER: /, le� �` � 1�' N� � t� ADDRESS: .�„�,��4�1�C�,�� TEL N0: � � �° � � � J . �� BUI LDER : i �.h� .� � � J�1`f �a� � � �� - ADQRESS: �� ( �--�'�,� �- �� TEL N0: � �/ = i s `{ �' , . Construction Location STRF,ET NO : S � �' STREET: ��- � � � � � � � `� �' LOT: � BLOQC: � — l . ADDITION: �� I�ICS'�A� ��)`�i�t�`�� Corner Lot: Insic7.e Lot: Setback: Sideyards: � Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. � DESCRIPTIOtd OF� CONSTRUCTION � � Front: Depth : H eight: Squa�e.Feet: Cubic Feet: • . 1 Front: Depth: Height: Square• Feet: Cubic Feet: . � � '��u v V Estimated Cost: $ � �� Type of Construction : �� '/ T/k , A 7lb Be O�mpleted: Alt. pi Alt. B Propnsed Driveway Width If New Opening Is Desired: $� $ _ . S�E REVERSE SIDE OF SHEET , The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of IIuildings, and herc�by declares that all the facts and representations stated in this application are true and corr,�ct. �.�.. `, DATE: ` �� ° � SIGNATURE : � �-; � �. ` --r�- 1' Stipulati�ns: . ��" �� C� ° j� _ c� a � y_ a a BUILDIIJG PCRtdIT FEE SC{iEDULE'. . _ S�CTION 2. 7'he In::i�ector ot ]3uildinqs shall, betore issuing Pei�niL•s for the erection of any building or. �trucL-urc, or for any addiL-i.on to any exisL•ing building or strucL•urc, or for any altcration or rel�air� L•o•any existing }�uilding or �tructure, upon application thexetor.e, require the p�-�ymenL• by the applicanL• for such permit of fces to_trie amount hercin below set forth and in the manncr herein provided to-wit: � NEPI CONSTRUCTION: Single r�nily }I�mes and Garages: $4.00/1,000 cubic feet. PLRN CIiI:CY.: 25 percent oP building permit fee. , DRIV�WAY D�PIt�5SION: (Concrete, G�rb Streets Only) • � . • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$],�.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$17.85 � : � .1 � ; . ► � ' ' ��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 tY?e 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 the riain gable of a pitched roof. � For repairs or alterations to an e�cistinq struci:ure, 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 pezmit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. e • � � � � ►/: 1�� NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the consi:ruction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. � Z � ' ' ► �� Application for a Certificate of Occupancy shall be made ten (10) days prior to the d use or occupancy of any structure for wiiicli a buildi�.ig pexmit has been issued; and said strucicure shall not be used or occupied until a Certificate of Occupancy has been issued. . "+ • V, sue�ecr PERMIT NO. City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � ECEIPT NO. � � COMMUfJITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. /� r � -----; � _ , � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"'"� � �'� 612-571-3450 910-F15 4/6/94 � � JOB ADDRESS 5925 Hackmann Ave NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 3 2 Park e 2 PROPERTYOWNER MAIIADDRES$ Z�P PHONE William Tonco 5925 Hac 574-0250 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Milton L Johnson Co 525 Lowr Ave NE M ls. MN - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING • Residential 7 CLASS OF WORK ❑ NEW 0 ADOITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORiC Reroof Dwellin (Tear-off 21 S uares 9 CHANOEOFUSEFROM TO STIPULATIONS Underlayment compliance with State Building Code required. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1s575 �.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHM1T FEE • SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STPP UCTION OR THE PERFORMANCE OF CONSTRUCTION. �3%.00 Fire SC �I.SS . \/ . PLAN CHECK FEE TOTAL FEE j � � Q ��P,.- �f-� �y `7� License SC $5.00 $44.37 � SIGNATUREOFCONiRACTORORAUTNORI2EDAGENT IOATEI - WH OPE Y VALIDATED THIS IS YOUpR PERMIT ��/_ � �4J SiGNATUAE OF OWNEA i�F OWNER BU�LDEA1 �DATE� •`�,DG � OaTE I+1EW ADDN ALTER �l [l fl CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application CUnstructionAddress: 5925 Haclanan Ave. N.E. Legal Description: Owner Name & Address: william Tonco Contractor: 1Kilton L. Johnson Company Address: 525 Lowry Ave. N.E. Mpls 55418 LIYING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1 / 1/94 �i zz,3 Tel, # 574-0250 MN LICENSE # 2083 Attach to this applica.tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I.ength Length Length DESCRIPTION OF IMPROVEMENT Corner Lot [] Inside Lot [] Ft Yd Setback Type Of COnst[uCtiOn: Tear-off, re-roof Approx. Completion Date: 4/20/94 Width Width Width Height Height Hgt/Ground Tel. # 781-9548 Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Sethacks Estimated Cost: $ , . Q- � � � . ��%�t� � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 4/6/94 APPLICANT: /' �'' �- 1--- Tel. # 781-9548 ��.,T— Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $�� Fee Sch�ule on Reverse Side $ /. � .(�1 of Permit Valuation (1/lOth%) $ ,'�� $.SOJ$1,000 Valuation $ $800 per SAC Unit $ ..� - C� �, $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Detetmined by Engineering $ Agr�mem Necessary [ ] Not Ne�essary ( ] $ STIPULATIONS: �. _ } n.. BUILDING PERMIT FEE SCHEDULE The Chief Building Offtcial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing build.ing or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 ' � to $500 $501 to $2,000 $2,001 to $25,000 $25;001 to $50,000 - $50,001 to $100,000 � $100,001 to $500,000 $500,001 to $1,0OO,ODO $I,004,001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $S00 plus $2 for each additional $1(10 or fraction thereof, to and including $2,000 � $45 for first $2,000 plas $9 for each additional $1;000 � or fraction thereof, to and including $25,000 - $252 �for first� $25,000 pl�s $6.50 far each additioual $1;OOQ or fraction thereof, to. and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or frac�ion th�eof, to and including $100,000 $639.50 for first �$100,0U0 plus $3.50 for each additional� $1,000 or fraction thereof, to and including �$500,000 $2039.50 for the fust $500,000 pins $3 for each addit[onal $1,000 or fraction thereof, to and including $1,OOO,IXiO $3539.50 for ifie first $1,000,000 plus $2 for each additional $1,OU0 or fraction �thereof - DRIYEWAY DEPRESSION ESCROVfr (Concrete Gtirb Streets Only) Altemaf.e "A": Removal and repla.cement of curb and gutter only - Drivewa.y width plus 6 feet times $13.50. Alternate "B": Removal and replacement of c�rb and gutta aad install a 3 foot wide approach with 6 inch depth - Driveway width plus 6�ee� times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a miaimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the coastcuction site. A Certificate of Survey of the lot, showing the location of the foundatio� once it has it has been constructed will be required before proceeding with the fcaming. �,' �` � � SuBJECT City of Fridley � � � �; � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � NO.� � • COMMUNITY DEVELOPMENT DIV. � � �: ------� � (i r � � PROTECTIVE INSPECTION SEC. � . � 1 � ��1 � CITV HALL FRIDLE� 55032 NUMBEP AEV DATE PAGE OF APPHOVEO BY �'""'� � �'� 612-571-3450 910-Fi5 3/8/96 / / JOB ADDRESS 5925 Hacl�ann Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 3 2 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE William Barbara Tonco 5925 Hackmann Avenue NE 574-0250 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Advance Home Products 3 70 W - 1 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE % 8 DESCRIBE WOHK Reside dwellin 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMiTS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Oi; CONSTRUCTION ZONING SQ. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 @ WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W4 f 6OO �2.30 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR GANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R TFiE PERFORMANCE OF CONSTRUCTION �99. %5 Fire S�,' ��F.60 �' � PIAN CNECK FEE TOTAL FEE L ense SC $5 $111.65 SiGNATURE OF CON7RACTOR OR AUTHORIZED AGENT �oArEi � WHEN PiiOPER�Y VAL ATED THIS I YOUR PER IT � �'� �s � � SiGNATURE OF OWNEA UF OWNEA BUILDENI iDATE� '*!A DG iNS� aTE NEW ADDN ALTER [] [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/95 6�0 � ConsiructionAddress: �%a�- ��,,�aN„ �e. Legal Description: 5/f �+� Owner Name & Address: ` �� - �� Tel. # �$'�f-.j- �� Contra.ctor: vak� � � MN LICENSE # �33� Address:3��— ��eg Foa �r� y Tel. #�,�2�- 9a�.� Attach to this applicaition, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks , Type of Consh-uction: ��' r'� � Estimated Cost: $�/�,�,� p� p Approx. Completion Date: 3- a�-q- �,6 (Cast on Back) . Driveway Curb Cut Width N�ded: Ft. + 6 Ft = t x =$ DATE: 3 � �O ° `�� APPLICANT: � Tel. # �02/- i�/% Permit Fee Fire Surcharge State Surcharge. SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �% `�- � $ � �� $ .� 3 �� $ $ � � C� C� $ $ $ $ $ lll. 6S' GITY USE ONLY F� Schedule on Reverse Side .001 of Permit Valuatioa (1/lUth%) $.50/$1,(l00 Valuation $850 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 [ ] 1 I3UII.U(NG 1'13RMI"(' I�EL' SC!{EDULE �I'he Clii;:f t3uilding Ofticial shall, tx;fore issuing permits for the erection of any buifding or structure, ur ti�r any :i�iclition to eny cxisting bui(ding c�r s(ruclure, or for any altcration or rcpair to any cxistin�; I�uilciing c�r s�ructure, u�n aPpGc'aU<�n therefore, require the payment by thc appticant for such Permit c>f� t�cti tc> thc; amount hcrcin t�clow tict t<�rtl� and in the manncr i�crein �rovi�fui to-wit: "I'O"I'AL VAI_Ul:. � I to $500 �SO1 to $2,Q00 �Z,001 to $25,000 $25;001 to �50,000 - $S0,(?Ol to $100,000 �100,401 to $500,000 , $500,001 to $1,OQ0,000- . $ I,000,001 and up r-r_is $15 (Minia�um Fee is $15 plus surcharge) $15 for ficst $S00 plus $2 for each additional S 100 or fraction thereof, to and 'mcluding $2,000 - $45 for fust $2,000 plus $9 for each additiona! $1;000 or fraction thereof, to and including $25,000 � $252 �for Grst $Z5,000 pius $6_SO for each additional $1;000 or fraction theareof, �o. and incle�ding $50,000 -- $414_SO for C�rst $50,000 plus $4S0 for each additional _$1,000 or fraction theareof, to and including $100,0(}0 $63950 for �rst -$100,000 plus �$3_SO for each additional • $1,000 or fradion thereo� to and including -$500,000 $?A39.50 for die first $500,000 pins $3 for each additional $1,000 or fraction thereof, to and includiiag $1,000,000 $3539_SO for the fust $1,000,0(}0 plus $2 for each additiouai $1,QU0 or fraction thereof - DRIVEWAY DEPRESS[OiV ESCROW (Conccete Ceub Streets Only) Alternate "A": Removal and replacem�t of curb and gutter only - Driveway width plus 6 feet times S13_50. Alternate "E3°: Removal and re�(acement of curb and gutt� and install a 3 foot wide approach with 6 inch depth - Driveway width pius 6 feet times $15_75_ VLRtFiCA"I'ION OF FOUNDAT[OIY Permits for cot�sl�uction will be issued a minimum of 24 hours from the time of applicaUOn to allow fvr pra�cr rcview of thc. proposcd stn�cturc and of thc construction site_ A(:c:rtif ic::itc of Survcy of t1�e lot, showing the location of die foundation once it ha� it has hcen constructe�i will be re;yuirut I�et<�re proceecling with lhe framing. -�- :. ' � ��1"J�J � -�a � � � � �� . �� . � � � � � � � � � � � y � � 13=1� �"1 GIT� t.� E�YIILEY !dA � � � � � � � 3� � � � --9 � � � �. � � � � � � � -;$ � E� �A � � � �' � � � � � � � i� :� � .�� i:� \ . . � � � � � �. �� ? � � � � �� a -a a �� .�_�� m � �� . �. � � �� v►�� , �- «� �� - � �a� �D � ? n �� —� � ,—� � � � � �� 0 � e� � �� tL1 � �� vr � Ri � C � 't � O 3 �. � � � � � � � � _ � Ti1 ��.s.�1rn,� gd L W � � �' � � � � � � � S �� _�.� � �� s�� . � � � � � � � � �` _ _ - � � _ ; � � � � �� .�,a, � �� ffi � Q�� . � � � � � � v � � � � � a= 0 � � � � e� � � � � � )� � � ..: _� � r.�v� r4 �` l � iA� � �.. �-� � �� . �� . . _ -� � . �� ,. ,� ` - � . � - . � .� �l� � t� � � � � � �� tdt �: � � �� .� - � �� :�. . � � 0 � � � � � A I�i` � � �. � _� � � � ro . � Ka W � – ` << � , � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 LINIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-36U4 FAX: : 5925 HACKMANN AVE NE : 243024240064 : PARKVIEW MANOR : LOT 3 BLOCK 2 : HEATING : RESIDENTIAL : FIREPLACE VALUATION . NOTE: INSTALL A GAS INSERT (MAJESTIC, 30,000 BTLTS) APPLICANT PRACTICAL SYSTEMS 4342B SHADY OAK RD HOPKINS, MN 55343- (952)933-1868 OWNER ' TONCO WII.LIAM R& BARBARA L 5925 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 after work is commenced. I hereby certify that I have read and examined this application and lmow 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 const�ucrion. . Bldg 571-1287 PERMIT NO.: 2004-00375� DATE ISSUED: 03/23/2004 0 '7�c HEATING PERMIT NIINIMUM FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 1585 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 25.00 0.50 25.50 r Building pj,�$j�(r Permit No.:'� Inspections 12]ESII�]E1�TIAL �PPI�I�ATIaN Received By: � 763-572-3604 CIT'Y OF FRICDLE�' Date Rec'd: � �/� DA� December 8. 2006 YOUR E-MAIL ADDRESS wnelson(a7larsonplumbing.com s�r�anD�ss 5925 Hackmann Avenue NE i'HIS APPLIGAA''I' IS: C7 OvV1�lER 181CAt3?RACTOR � PROP�RTY N�:_ Vi(m R_ Tonco �� nnD�ss: 5925 Hackmann a��nue NE crrY _ Fridley STATEMNZtP rJ�J�Z 1TLNANT PHOIJE� 7��/�5Z4-OZr'JQ CoNrRa►C�roR �: Larson Plumbinq, Inc. SUBMIT A COPY OR STATE LICEAtSE � 3341 PM EXP DATE 12/31 /20Q6 YOUR STATE .a�Ax�ss: 3095 -162nd Lane NW c�rr Andover srar�IVIN zir 553Q4 �.icsrrs� wrTx pxor� 763/427-7680 Fnx 763/427-9448 APPLICATION p��..j.Y,p� I� SINOLE FAMlLY O T"WO FAMILY ❑ TOWNf�OUSE TYPE OF WORK: O NEW � tt�PLACEtv�N7' DE7'AILED DESCRTPTION OF WORK �Nater Heater Replacement PBR MS i 6B.665 the permit fee is a minimum of $15.Q0 or 5% of the total cost up i.o $SOU.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should refIect only the cost of labor ) La.bor cost under $30Q =$15.00. Labor cost between �300 to $500 a cost of tabor x.OS = FOA PROJECTS 1�rHERE LABOR EXCEEDS $500, FEES ARE BASED OTI $10.00 PER FIXTUftE, EXCEP? �RE NOTED. FIXTURES: (111DICATE TOTAL NUMBER OF EACH BELOW} BATH SINKlLAY _FLQOR 17RAIN5 SHOWER WATSR PI'PING BATHTiJB GAS PIPING (N� cmt�c� SWIMMING POOL � WATER SOFTt�rER ($35) CLATHES VVASHEI2 KI'FCHEN SIMC WATER CIASET BACKFLOW PREV, ($15) DISHVJASHER _ LAUNDRY TRAY WATER TiEA'CER {$35) � FOR IRRIGAT'ION • _ WATER METBR `OTHER . ....:..� .................. ............�..........a.. ..�.. ..)M?� .�t a _ _ ��y�. . . .. .. . . .. . ....�.. .. . �. r {v... ., i... . ..... .x < i.-YYa ..yt.. �-55 •.�;- :s,..-s:.., ..�:r,.�:. ;. �3:�: 3+',...; t<'k'j. .F: � a. � �: y, f.'; " @ .. . . . . �+�.� :. . _ . . ,s�. . :: - : .;: : .�. . .a:;": . � _.� < .T... . "^ti.,. . •r^,�.; ..... -. �:i �. µ -}�}�y��,y�.�. . .. �,.. ... .. ....... .. _. T'. >::�:- ..�,;, •a1:.s.•. .r...�:.�"�:. :s'�.< � •-r., ;, PE : �- : �::��R�JE£ .rts:�`�Q1t.. .. �'�R��flb ..�s-�� ...� ,.��. .£� . �.. ��!.i� .................... :.,...,...c,. ..... .� ,. ._ ..fi.. ..�J'x.., ..::r.... ,;...:x�z. rL..�L`e�li��`:S',uC,��i�lt'IJJT.��lT2;��;.Y;�.LRFcP��O?i ='r7 ...... .:. ... .. .:.... ..=::::'e ....,: s-•.. ..... , a+.:,.<: w . . . . . .. . . .. .. .. . ... .. .. .. . ... . � . . . .. . Permit Fes $�_.,,� Number of fixtures Q$10.00 x$10.00 �$ Surchar �e .54 Number of fixtures @ $15.00 x $15.OQ = $ TOTAL DUE $_��.�Q Number of fixtures @$3�.00 x$35.00 =$ State Surcharge = $ .50 Tota1= $ THtS tS AN Ai�PLICATIt'�A! FOR A PERMIT NO'f VAL1D LTTI'IL YROCFSSEi3 I hereby apply for a building perntit and I acknowledge that the infarmation above is complete and accurate; that the work will be in conformance witlt the ordinances and codes of the City of Fridley and with the Minnesota Consiruction Codes; that I understand this is nQt a permit but only an application for a permit and work is noi to start witbout a permit; that the work will be in accordance with the approved plan in the c ' all worl v��iii quires r view and approval of pians. S[GNATUREOFAPPLICA �� Pxnsrr�nn�c� Michael Malinoski nA� 12/$1Q6 ::.�,....,_ ..... ........ �:... .. . ... "'�i . ... . '�t.' . .5. : Y:.... 'r'�'d ". f.' . . .�.. � : : : . . . �{� �}�yY .X �y�,�.�,�(y,�ry;�y. ��+y �i4�; . Y F ' •.i '�rr� �, '�y� �� . i �.y'.l.'"° i ' '� • S' • � .�l"ii j� Y' : 3�:� � r-.%. �! ;"r`,`:�7:,.::e. w� �� . �. 3'.,a:C� .':i,S7 %.;V" � 1',Yl°��^ CS11�]�1��111:r:f19.�r�V1�.L1:;.�:.hY.•.` ,.. • �. , :��.�;$_ ,. : �; . : .::.>:., j . � Q.. ��.. �. City of Fridley 36ailding Inspeciions Department 6431 Uni,versity Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 / Building Inspections 763-572-3604 763-502-4977 FAX DATE `-� - °', � � SITE ,ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CER'f�ICATE OF INSURANCE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE I-I-09 YOUR E-MAIL ADDRESS 4�� /%�/L�/'!i? C( L�' Yl �� ❑ OWNER ❑CONTRACTOR � a Ess: .5 �! c. `7i�c—p'i/_ied�C , '- � I ' r'� �� ._ _, ; 7 � . - ';;; � r � ' i�� R i i STATE LICENSE #��b-T EXP DATE �` 3� "/� ,�wnx�ss:� ��'f ; � � 9��v/ � �' ,� crrsr ��i��' ��sTA��v(z� `'-�—��.-� �-r�: � PROPERTY TYPE IAIGLE FAMILY/NEw CoNSTRUCTION ❑ TWO FAMILYMEW CONSTRUCTION PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING SIZE OF IMPROVEIVIENT FAX SIZE STORIES u AllDITION 0 GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �FROOF � DRAIN TILE ❑ DECK �iSIDING 0 OTHER ❑ SWIMMMG POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING ROOFING NUMBER OF SQUARES .„�_ � GARAGES �j PROPOSED SIZE: PROPOSED HEIGHT: SmING , f � Vinyl (�� )�� ❑ Alwninum � � � �� ❑ Other ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim 0 Fascia WINDOWS IN EXISTIlVG OPENINGS ❑Yes QNo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT• 1. Site Plan/Survey showing the existing strucwres and proposed project. 2. Two sets of construc[ion plans 3. Energy Calculations TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ E� $ $ $ $ $ $ �1n� � l See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pernvt and I aclrnowledge that the information above is complete and accurate; that the work, wi11 be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 understand this is not a permit but only an applicarion for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of�ll,,work whic,� rre_quires review and approval of plans. ) � SIGNATURE OF NAME��c!��l,+J/GPG� � J> % DATE__,� �� Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any�existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 � $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,Q00 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 �., Fax: 763-502-4977