The URL can be used to link to this page

AF - 45341SUBJECT PER City of Fridley 1305'7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • f � � RECEIPT NO. � `L _ COMMUNITY DEVELOPMEN7 DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 ` � ' �'��i � CITY HALL FRIDLEV 55432 NUMBER REV. OATE PAGE OF APPROVED BY �"-'� � ,�� 812-580-3450 910-F15 � / JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGPIER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE QF USE FHOM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTAUCTION ZONING S�. 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 ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�. i OOO $.'rJO 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. � yS`G.00 .�� J�jI PLAN CHECKFEE TOTALFEE �� s��'" �d�y�� `� � � $6. 50 SIGNATUREOFCONTRACTORORAU� ORIZEDAGENT ( A7E1 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �a.��_euuNE 27, 1975 SIGNATUREOFpWf�ERIIFQ�/JNERBUILDERI IDATEI BLDG WS`P ',fY$fE w s . ' , . � . . � . , • . •APPLICATION FOR RESI'DL'NTIAL., ALTEItATIOIV, OR AllllITION.BUILDING P�RI�ZIT ' CITY OF FRIDLEY, NiINNESOTA owN�x's rr�r� • �-I� � � � �� 5� � 6� s G � BUZLVEx : � � `. �, A � � l�� .� a �� . ADDRESS : $P� � 5 . f�Ac 1�"� �4 �� vE , ADDRESS : � s � t � l +r � 1'� -� d � � ( � l2 . . . N0: . =5 �'iS STREET : �t�� ni+ �4 �f � � � t= � � LOT : / BLOCK : L-- ADDITIfln :�R R k v�� u� �t�C �� 0 2 CORNER I.OT: INSIDE LOT: SETBACK: SIDLYAr.D: ApplicanC attac�. to this fora� 7.t�o Certificates ��f Survey . of � Lot and . pxoposed . ' building location drawn on these Certificates. � HESCRIPTION OF BUILDING ' . e Used �is : . . ' . � Front: Depth:� � Height: .• . Square Feet: Cubic.Feet: � � Front: Depth: Height: � , . Square Feet; Cubic Feet: � Type of �Construction: �� E�� F �� Es�imated Cost; $ le��c� � o� To Be Completed: 8//5��5— • . � ' The undersigned hereby malces applicativn for a permit for the work herein " specifiec�, a�reeing to do all worlc in stTict accordance with the City of � Fridley Ordinances and rulings of the DepartmenC of Buildings, and her�by declares that all the facts and representations stated in this application axe true and correct. � � DiATE: 6 �� >`7S SIGNATIJRE : r? � . � � . . , • (See I�everse Side Fox Additio �nformation.)� , �� u • � �-��. • . . • . V � � � . '• �!__- _. . . Y � � C� �> � . . _ s , s � . , • �.� , . . , . , r ° - ' '•panss� uaaq s�q �C�u�dn��0 3a a��t;z�xa� E jz�un pa�dn��o zo pasn aq �ou Tt�qs ��n��ns�s pi�s pu� :panss� uaaq s�q �iuuad 3uipjtnq s u�iuM xo� �zna�n�as �Cu� �o eC�uEdn��o xa asn aq� o� , �o�.zd s�CBp (OI) ua� ap�u a4 II��Is ��usdn��p �o a�s�-�3z�za� �.zo,� uo��jdd� _ . � x�udan��o�30 �sd�zsiia�� . •�utiu�,z� aq� q�'cM uzpaa�ox axo�aq pa�znbaz aq ZZzM `pa��nz�suo� u�aq s�q �� a�uo `uoz�spuno� aq� �o uoi��oj a�� utt�oqs `�oj au� �o �Can.zng pai�z�aa� y � ' � � •a�zs uoz��nz�suo� au� 30 � 'pu� axn��ns�s pasodozd aq� �o Mainaz xado�d ao� Moj°��e o� `uoz��zldd� �o ansi� " a� aaoa� s�nou �jZ �o m�-�uzut s' panssi aq lliM uot��nz�suo� zo� s�tuuaa :�ON. . ' •, . . . . 9 � NOIZ1fQNI103 30 NOIZd�I3I2t3A � . . � '00'S$ u�c� ssa� • � aq Z uoi��ag ut q�ao� �as s� ��zad .Cus so� pa�z�qo aa� a� jtE�s as�� ou uI � , •xxoM pasodozd jZ� �o �so� au� ui �oa.zaq� uoz��ea� zo (00'005$) Sz�TZaP paxpunq a�z� u�Ea zad 00'£�' 3° a�� . a� �� aq jt�c�s aa� aq� �axn��nz�s �uz�sixa uE o� suoi�sza�t� �o s�iEdax xo3 • e � , •�ooa pau��td E�o aZq�� ut� aq� �o a�g�zns �ooz aq� �o �u�za�. ra��aanE aq� o� zo a�s�ans zaddn au� �o s�y�iaq a�BaanE au�-��. zsila� au� xo �uauiassq au� �o au-cj �zooj� au� Molaq saq�ui (g) xzs �.uzod s uio.z� pazano� paz� punoz� au� •�ut�tdt�Znui �q pauicuza�ap si � uot�Tppa zo �uip-�inq �Cus �o . •. s�ua�uoo Z��tqn� au� �s�zuuad �uzpj-cnq xo� saa� �u-c�ndtuo� �o asodznd aq� zo3 NOIZdNI2I03NI 'IX�IOIZIQQ1i ' . . • �a�� i qn� pu� snoc� auo �,��a • ��a� S8'Z$ - S'4 £ ad� •.s�ua�uo� ZE�iqn� u�ns ui ��oaxaq� uoz��z� zo :�aa� ��qn� puESnoq� �uo q�Ea �o� c,j•Zy� -+� '4 Z`T �d�,i ��QO� ��IIQZIIIS I�I`S03T.�Ii1 • � ' • . : �-�M-o� p�Pzna.zd uza�z�q zauu�u ac� �t� pu�e u�zo� �as Motaq uiazau �uno•,us aq� o� saa3 30 �iuuad q�ns xo� �u�e�ttddE aqa tCq �uauuCEd au� asinbaz �axo3a�aq� uoi��YZdde aodn �azn��n��s ao Suzpt-cnq �u�C�s�x� �Cus o� sz-cEdaa xo uo-��aa�t� �Cu� xo� io °azn��nz�s zo �utpjinq �u�as�xa �Cus o� uai�zpp� �Cu�. zo� zo ��.zn��nz�s �0 3uipTznq �CuE 3o uo��axa aq� ao; s��uu�d su�nss� axo;�q �jZEqs s3utpZ�nQ �o so��adsul auy •Z NOIZ��S � d� . ,- - �- - •, . � � . � � ' � • . '. � . . ..............n n�►_r T TT.I�lR•.? n�tTrt�TTftQ SuB�ECi City of Fridley AT TME TOP OF TNE TWINS g � I L D i N G P E R M I T i� � � � `v _ COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � _ � � �"'1 � CITY HA�L FRIDLE� SS132 NuMeEp �'""� � �'� 612-571-34b0 910-Ft 5 JOB ADDRESS 5945 Hackmann Avenue NE 1 LEGAL LOT NO. BIOCK TiiACT OR ADDITION oescR. 1 2 Parkview Manor 2 PROPERTY OWNER MAIL ADORESS Diane Swanson 5945 Hackmann Avenue NE 3 CONTRACTOR MAILADDRESS Custom Remodelers Inc 474 Apollo Dr, Lino 4 ARCHITECT OR OESIGNEF MAIL ADORESS 9350 —� 1 NEV D�TE v�GE Oc �pvqOVED Br 4/29/99 / / Lakes, MN 55014 ZIP SEE ATTACFIEO SFIEET PMONE 571-3203 PHONE LICENSE NO 784-2646 1748 PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO 8 USE OF BUILDIN(i Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear-off 9 CHANdE Of USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TYPE OF CONST. SEPARATE PERMI7S AiiE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING. VENTILATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTMORIZEO IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCT�pN OR WORK IS SUSPENDED OR ABANOONED FOR A PERIO� OF 120 pAYS AT ANV TIME AFTER WOAK IS COMMENCED. NO. DWIG. UNI I HEREBY CERTIFY THAT I HAVE FiEAO ANO EXAMINED TMIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE AND CORIiECT. ALL PROVISIONS OF LAW$ VALUATION AND OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLtEO WITM WHE7MEq SPECIFIED HEiiE1N Op NOT. TNE GRANTING OF A PERMIT �1,799 DOES NOT PRESUME TO GIVE AUTHOFITV TO VIOLA7E OF CANCEI TME pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TpUC N OR 7NE PERFORMANCE OF CONSTRUCTION �56.75 PIAN CNECK f EI � °%pl"�9 Lice S�GNATUAEO�CON•AACTOpOAOUTNOpQEOaGEN� IDAT6 �uau �� OWNEp BU40EA� iD�tE� � SQ. STA�LS $5. UP OCCUPANCYLOAO CU FT. FSTREET PARKING IGARAGES $.90 SAC CMAR Fire $1.80 rorn e 64.45 NIS IS y0 Pbqly 1vEW ADDN ALTER [] [l [] construcdonAddress: � Legal Description: ,5 Owner Name & Address: Contractor• ' Address: � � � � LIVING AREA: GARAGE AREA: DECB AREA: 01'HER: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R 1 AN,D R-2 BUILDING PERMIT APPLICATION ,— � S� c�'" 1�� % N.�'!P�- ��''f/�►-�r ,� : .9.,v /v- �e � z Effective 1/1/99 � �� s� �� D-� Tel. #G,/�. - S?/- 3 ot-03' �-�✓C, • MN LICENSE # 1 � � �T o i?-� �. �`�YJ �.�lLP `8 � SC /'� Tel. #� 1v-�l - '1 S S/�.�.1►�110 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRII'TION OF IlV�PROVEMENT Length Width Height 5q. Ft. Length Width Height Sq. Ft. Consiruction Type: I`e. �.�a `iQ Estimated Cost: $ .�� (Fee Schedule on Back) .Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: y- oL `j '�} i APPLICANT: Tel. #GS/- �$�/- 02 �o'y�p _ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� - 7� $ 1� $ � $ $ � C� D $ $ $ $ $ (p %� �I' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 Cluef Building Official shall, before issuing permits for the erection of �ny 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: . � �OTAL -VA�,UE . $1 , to .$SOQ $501 to $2,000 $2,(�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,�1 to $500,000 r, $SOO,UA1 to $1,0�0,000 $1,000,001 and up ' �FEES $21 (1Vlinimum 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 $50,000 $574.75 for first $SO,Q00 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,OQ0 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $SOO,OQO $2�87.25 for the first $500,000 plus $4.25 for each,additional $1,000 or fract'ion 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 $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. r a -. '