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AF - 45461� City of Fridley, Minn. �� BUII.DING PERMIT N°• 3 3 2 2 nate: . �:°' . �. J�' . ��. . . . . . . . . . . . . . . . . . � ••!•... Own� ....................................... Builder �!q!!.r�%................... ... .�...... � � Addre�ss ...................................... Address ............................................. LC}CATIOIV OF BUILDIiVC � �., � No. ..�........ 5treet . . ...... . .. . ..... ........�."�:.�r�.�... P f Lot .. ........ ..•.. . � ... .. . ... ..... , R . � Lot . . . . . w!. :?- B�ock . . . . . . . . . . . . . . . . . . Ad on or Sub-Division �!i�! � `�. . �� ° . . ... Corner Lat . . . . . . . . . . . . Inside Lot . . . . �. . . . Setback . . �.�, . Sideyard ��. .� ,/.1.� .4.....••...... DESCRIPTION OF' BUILDI[�G To be Used as: � � :.. ......... Froat ........ .� v�� DePtY► . . . � . . Height . . . . . . . Sq. Fk . .�� . Cu. Ft � :r°. �� . . . . . . . . . . . . . . . . . . . . ont . . . . . . . . Depth . . . . . . . . Height . . � . . . . 5q. Ft. . . . . . . . . G�. Ft. . . . . . , . . Zjrpe of Constructfon . .. . . �c.�, . . �st Cost. �.�' ��. .�'�. . . :°.�. . To be Completed . l;�. .�� :4a. . . . . . . . �� . �i��fO�� (°� ` � � � � � � In c.ronsideration of i�e issuance to me of a permit to con�truct the building desribed above, I agree to do ttce proposed work 3n accordance with the descriptton above set fo and in compliance with all provlsions of ordinances of the dty of Fridley. ..�� ..... .. ............. .................... . • / �� In considerat3on of the payment of a fee oP $. !.� ��. � permit is hereby granted to . . . . . . . . . . . . . . . . . . .. .. .. .. .. . . .. .. . . . .. .. . to construct the buflding or additton as described above. This pernait is granted upon the expresa condition tha.t the person to whom it is �ranted and his agente, employe� and worlflnen, fn all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanc�s of Fridley, Minnesota regarding location, construction, alteration, maintenance, repatr and moving of bufldings with- in the dty limits and this permit may be revoked at any time upon violation of any of the prov3sions oP said ordinances. m NOTICE: Thls permlt does not cover the construotlon, Installatlon o� alteratlon fo� wl�tnA, plumbing, as hoating, sewa� or water. Be sure to see the Bulldlnp Inspecto� fo� separate permit� fo� these items� �i /M�� '��` .'•:' �'"' Jj�� _ .. , ,. �, . � . b : . . - : � �s',� r�if`v - . = ��,ro.�r - .. � . . , _. -, �` . �� . E. Cc�uL.T€� "'; '" , `. .�„�,� .,,� .,�;� : �nw co�rs LAN.D SURVEYOR u�c■� ; : rorosrunKaw►..��o Rcet�res�D. ut�tbtR uws o� aT�►ts.of M�Nr+t�oTw �uacr�. : . � � . . . � . � LiCtMf:O � bllOtMANC� Of CITY Or MqINiA�OLIf � " . , ' , n ��' � � 8900 LYNDAt� Itaf�[. SO. MtNNBAPOLIB 0, MtNN. ��v • TAYLO�t 4-0970 Sti�r�r FoR •f��rv �: C�;��s�,v �Sair ,Z"�vr i3�rm�qar'� �rxt�r _ __76=- - . ; D�a�i�eqa ,E`!/1i/ify �'��em�� f � . SGAt t % % �"?� � C� �. — � — -...- — -�- .D. o � � L , ,. ; � � i � . . � . . . . . , � �. �..,� .. . , . �� ...'�. .. ' . . � _ . . . � � � -. � � � � . . � � . � i . , ' �. � .. - . . . . � � . . � - � . - h � �� - _��d'� _ � , , � � � Pi-oposed � iS'BSio�'�/�c a' , N Q - 36" 4 � � � � /� � � � � - '� � • s; V � ��tOt � _ h t��i�►g�a � �, � ��► , � c Q'� �e :. . o �►'� _. � � ��' � � lD�/ -- H�r,��r��` , 1,��-�' �_ T h�r�by certify that the above is a true and corre,ct plat of a sur�ey ofs Lot Thirty•five- ( 3� ), Block T�to ( 2), PARKVIEW HEIC�ITS ADQITION, A�noka .G±�un��:, �innesota. �� +��- l�; r�e thi,s 27th da�r of Ata� st 1�58 A. D. ..� ___ . , � �-�: - _ .." �`° : � �...t :�� _ _____ _.,. �'�" _-- -� � � . _ �_ °. — • �., _ J,��li'� � � �w a - ��, �:, � ,_ ° � � nes_ �� _�. � s_ , . -, � �. � 84 � �� . .., ; _ .. .-. .�._�, ' : _. ., , ..,. � .. - _... .. �,. . - . � -`' F, t , . _: � � � . / �'t � ; �� , , � _ .> ��e � . � _� . � .�. sa�-�— _. <� °` . .;�. . � �� 'i�" - � � � � � �. � • t' t. �y. p �s9 ♦� �� I � � � � � �I � � � � Ex � p � :� . x . � . m . 0 . ~ : O : � r3 � � : � • � � � U � � � F+ � � � W � � p �� • O • o . o : � : . x � � � o N N � C O O � �y �� r � z � � z � z x" � � � � e � � � � x � � y � 0 � �i � `� �� tl : R' � � �i °�� I7d _°o . mS : .. � � � � . . � . . . . . � � : : : 0 � � � � � � Gt N W r+ i-+ N � � O � O O O � {� {fl .� O � 4� e '' A V � p ro � � � O � � �: �, : �� I"�� m N _ � C r m � � o a �, � � � 'd �: s�- � �' � W � S' � � � �' w �, `� � � „� m Stories � � WATER � ao� p URINALS m � BATIi O n'� � p _ easlNs �'� SINKS � WASH � �p � 1RAYS � DRINK. FOUNT. SH1VR5. FLOOR � DRAINS CATCH �tl BASINS � AUTO � WASHER GAS APPL � GAS RANGE GAS OPENINGS T • 2 � � � iA � �n D �8 � �h � � ]❑ � � � � � ow � � � C � z � � � � � ° O � s � 0� � b - � `�i 7 f N �, m I F+ I m I � a� � '� �`�,� �� o ��•�. � � � � � ��°p�. `� � � p G `4 � ~' �. � � b�� =' �w p m � 0 � � � p � Q, O F! � �� o � fp M y-r � W �, `9 � O ��D�' cp � ks' � � � W 0 � � � ;'M u,� � 7� w � � p �_ � �.�' �x° � � w, � M � �� .�- �� ' '! � � � '� �, �i � � � � � � �' � � r e 4, �- � � \ � �, 4 N W � � �. O � � � � �' � �. ` � �F 0 � � � �� ¢ � p � : � : � � s � s � N . � . � . � . SY M ,�, . � � � � �� x � � � m � z � W� 8 A� 8�� R] �° � � � �C � � ►� � � � � � � � � �' � � � � � � � � � � � � � Q '� � � � Y 25 . � a ° '� � � my : : bd � : �. � 4 : : °. Q : °° : . . oa 25 . . . . . � o �� o i! a4 4Q • M 11 CQ k k X il • � � � � � � � � � � 8 � 8 �8 � $ � � $ 8 � y bi �li V► is �i a o yy ` �1 E" �' � � t °�, , � 0 Q x D � I'D' � m �^ �I m v rC m �' �� .■.�� _ .■., � , • ■�■■� • • ■�., � ■�., �� a � � a � � � � o � .. � � �� A 'd, a � � � � � � � j '� � \ � f 6 tlYATtR � uww►� MTM � ews��s suvas w�sn rnnrs DRINK. FouNr. SHMIRS. DRAlIVS GTCM lA41t� AUfO W/ WIER � � � � �� .. 2 • G) � � � � n � �'�'�� M �� A � » o. g� � ��' � �,�aR � � �� M M � � � � � � � b � � is . � � ��; �° �, � � ,_; � � m ► �� a�� .,��.. °r�� o � � � M � � � � d DC � � � � � � � &A �°n P � rw � � w � � � � � � � � � � � � �+ � �. � x �, � � ,� � ~ � � � � �� I I i� 3� � ( � �� City of Fridley, Minn.. � B ING PERMIT �� N° 7181 ,--� . _ nate: °_' � `°" i f owaer: Builder AdBreas ____�._� Address � CATION O� No. .�0 �..� s+�t � Lot _� �L�_ Block A tion or Corner Lot _ Ineide Lot �Setback Sewer IIevation IIevation DESCRIPTION OP BUILDING T / �� Front Depth _.�� Height .� Sq. Ft Cu. Ft��r � Depth FTeigk►t �� Sq. F't. Gw. F� Type of Conatruction ' .� F�t, ��'�� ° �_ To be Completed Ea consideration o4 the issuance to me of a perm4t to consh��building d�cribed above I agree to do th� proposed work in acc�rdance with the descrlption above set forth and 3�0 ance with afl provia�tons of or8inances of the dty of Fridley. � �,�y �� , ��° In con�deration of the �yment oP a fee of , permit ia hereby granted to to construct the building or addition as described above. This permit fs granted uPon the enpress condition that theperaon to whom it is gra.nted and his agents, employees and worl�nen, fn all work d ae fn, asound and upon eaid building, or anypart thereof, shall con4orm in all reapecta to the ordinance� of Fridley� Minnesota location, conatruct��on, alteration, mafntenance, repair aad moving of bufldiub's c within the dty Ifmits and permit may be revoked at a.�► time upon viola,�iop of a�► of the Proviaiona of said ordinancea �, _ � / 1 BuilainS Inspector Nonc� 76b p��mit dea aot eowe �hs comtruaHon, 6nfallafioe ier �rlein9. P��6. 6n hadna, s�nne or walsr. B� sms to � dn Bvildine lesp�etoe tor »paraf� p�em6s fer f6� hues. r. � �— ,, � . APFL�CATIQN FOR BUILDING PERMIT � ,. . , ' . . ._ :CITY_.OF FRIDLEY, MINNESOTA . .. . ' , ,.. OWNER' S NAI� �� i� �� (�� r�S��a '� HUTLDER ��° r`� � �: r",� %�� '�?' �,nna�ss � ��. ��f�� dm� ��.� � %' � n�.ss � ��' �'� � ��c �� ' 'S�� . . �'�W�� I 1 , ' ' . , • �. . . ' , � . .. . _. .� ,'. . .. . � ' ,�� . .. . • � LOCATIOPI OF BTJII,DING . , , • ,� �C No. � � ��! ��'a�'� ��S�reet . . . - . �art �� of Lo� ,� ��_. _ ,_-- . Lot�� Block,. � .� . Ad�ition,��or �Subdivieion �fl�6"D ��e� � �� %� . �"_ � � �.,� � � : :. c Corner LoC��Inside Lot Setback �_ Side-Yard , � '}t SLiaER ELEVATION FOUNDATIOIQ ELEVATIOAI Applicant atCact► to th3a,.form Two Certificates of Survey of Lat a�d�proposed build- ing_location dr�wa aa �hese,Ceitificates. . , . , . - , . . . � � . . . . � 9. . " _ . .. . - � . � DESCi�IFTION OF BUILDING . � . � ,, To be uaed as: � �%' �- �.� :, , : . c�-��''��-- Front `� � Depth . � �� $eight . �f�� ; � 7� Sq, Ft. Cu. Ft.� - �� Front Depth. Height , '. Sq.. Ft. � Cu. Ft � _ � . � ' , i� . , � Type of Constructfon �'� ��1��-A � ��ce�' Estimated Goet � ��'� � � `�' _ �.. . To be Completed �� `� � , `�� ' ' � � �. . - . _; . . , The undersigned hereby makes application for a permi� for ths�,work herein specified, agree3ag to do all v�ork�ia strict accordaace with the City of Fridley Ordinances aud rulings �f,the Departmen�.of..Hµildings�_�nd,;hereby de�clares that a1l�ehe fact� and represantations stated in this appl3cation are true and correct. _._ � DATE '� - �' 4 ' � �' SIGAIATURE ��'� `� ��`� � �L��%-��-� �- a� �-� ' �(Schedule of Fee Costs can be found a�in�he Reverse Side). 4 ,1� @ a Y d s!" 'a° � 1 I I �.P s . � _ Q BUILDING PEitMIT FEE SCHEDULE f .Z ' Section 2. The Inspector of Buildings shall, before issuing any per�►it for the erection of any building or structure, or for any addition to any exist- ing buil�ing or strucCure, or for any alterations or repairs to any esistin� building or s�ructure, upon application therefor, require the paymeat by the applicant for such permit of fees tc the amaunt herein below set forth and in Che manner herein provided to-wit; 2.1. I�or any such permit for the erection o.f any fire�-proof building, other than a garage� warehouse, factory or grain elevaEor, or for the erection of aay fire-proof addition� for similar occupaacy, to any enisting building ehall be at the rate of $1.40 for eaeh one thousaud cubic feet, or fraction thereof, in such cubical contenta. Z.2. For any.auch permit for the erectioa of any fire-proof gs�rage, warehause,.. factory or grain elevator, or for the erection of any fire-proof add3t3Dn, fox aimilar occupancy, to any exiating buildiag shail be at the rate oi $1.25 for each one thousand cubic feet, clasaified as "fireproof" bq Sectioa 502 of the Minneapolis Building.Cale. � AOUSES 2.3. FoY �ny such permit for the`erectioa of any non-fireproof buildiug othe= than a garage, warehouse� factorq or grain elevator, or anq aoa-fireproaf addition, for similar occupancp, to �ny existiag building - permit $1.00 for each one thousand cubic feet. G_ 2.4. For any such permit for the erection of aay non-fiseproof garage, warehouse, fsctory or grain elevator, or for the erectioa of any non-fireproof add�ti,oni-€or-s�3milar occupancq, to anq existiag building or for each such .r_ ,--bvilding or. addition - niaety. cents ($0.90) for�each oae thousand cubi� feet or fraction thereof� in the cubical coatents thereof with a minia4um of $4.00.• For the purpose of computiag fees for building perm3te, the c�bical coatents of any building or addition to a uaiform height throughout by muitipl,yiag the ground area covered from a point si�c (6) iaches below the floor line of_the basement or cellar to the average height`of the upper surface or to the � aver�ge heighe of the rpof surface of the main gable of a p3tched roaf. 2.5. For repairs or alteratioas to an exiating structu�, the fee ahall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereot in the cost of all proposed work. 2.6. In no case shall the fee_. charged, ,for..aap_permit� .a� set forth ia Section 2 be less. than $4.00, t o _ .� ,—, ,�.� �» � .� .. , , , ... --.. .,.r-� �,�� A '�' � < � � M Y �s � � � I � � f0 � � � 9 � 0 � 0 � � � � � �' b � � �' � � '�� y �:S �.oa� � � � �• �• II r. `z ~. � F�o' ��;�� o��':�°,� �o' '� °� ��,, ti'�`� �� .��o°R' R tn n. `� � � � �' �o rf. � � � �. � A �. � � �°. Q � � b y � � � �•��` � � � � �� o � `0 � Q o � � � � � � s O �. `� i�'� �O Qb � � �' C °, � �,. tn �• �' y � O b � C� � b O �' � `t �. � �' `l Q O is � � � � 0 � � � A: b � e+ � � � � �• �• a� Orq � � �. o�& � �, 0 � � � c�a � � O � a � � � a `* � � O � � G- i � I y n � � � � 0�4 O t'! C� �� m � o y � � o � � � � A � � � o � � � � � � �°�, � � I� ` n. �'o' �. a � � � � I� I � �' WATER CLOSETB BATH : TUBS � BASINS 0 � �SINKS z � WABH h C�TJ �; � � TRAYS � �'(t ky � � DRINK ag � � m� FOUNT. %� �,�, � O � o� �� SHOWER6 A O � �'� b'' � •i FLOOR p � p � � o� �O �, � �� , DRAINS CATCH �' � � BASINS m p�' � _ a �{Th��y W RAINW. m f�yD - LDRS. b p � F+ MISC. � �• � FIX. �� y H � GAS F!1 � � A APPL. � 6A9 � � RAN6E :+ ro � ° � � 0 m m ��' .A � 9/1 �m = p ^ ww z �+ � ■ �� p � � � �� , o �• G� � � � � �� ~ � �. 0 . y $ � � , .c�, . • O e�h � � � ; �� '� ^ � � wW� �p _ V li �. � � � MINNEAPOLIS GAS COMPANY To the Building Inspector City or Village of Frir7lA�,r Auth. No. ' � +L For your information, the Minneapolis Gas Company has received a survey from the Installer indicated below and has this date authorized the use of natural gas for this residential,space heating installation. If survey is for new construction, we will have the capacity and facili- ties to serve the installation when we have installed the gas service pipe and/or meter. City or Customer address l_09l Hathawav T.aT�a,� � Village Fr-i,d1P�T Customer Marvin T,� �hnenn Installer ' ' City or Installer nddress l Oh F:, T.akA S�_ � Village Mp1s Equipment �iQ�ler —�F' �K �o ?� Heat Loss ��,v Construction: New ❑ Old � Input T 2,r,�.f>.�1.A BTU MINNEAPOLIS GAS COMPANY Dated �] 7 19 � . by Form 26 Authorized Signature � � � D � � 8 0 � x N � � � � A � � � � z z � � r � o �-yi H 'b x x z � � � � o � m � z �� M ^ � rA (A � � � � � �ay y �a y ¢�-y x �:��o� �� k .,� :: o '�„'1, � ,��n c0 0 ��y ��Q � � � y . G : : m � ; ; � v . . . � . . . . � . : : : �' ' : : : � : � m: � : o $�. : � ° � �a � o : � � o�� o �y r b0 C�] � � � � � � O � � �, � 9 6 o w � ny �' n o�y " V � � � � � � � � �. � � � � � � � �� i � b `� R. � 0 r a� � � z � < �' � I w 00. W � � � �' �i � �' y o � � o � � �f � N . � t� • � � a � E: � � �� a � 00 a n �� eb eb x� � � � � i F�'1 ' � � � � � b � � � � m �' � �M �� o � � � � � ��y ��y±`�� ' (� � y i�j p's a Fi° � � ' r � o o � � �� p �� W � � � � ro � ° � �, Cr . � �' o a �' : o c �' � � � ~ O . � �a,+ v Q . . p v p � ° : : : ri � : : : : � � � wwoo g g � o 0 � � � � � � � b x° M � � , y0 l] � a �' Y O � � � m v � a bd n N � � � � � � �+ ;s o � m � ert O Q1� , � 0 0 � � 0 � � � g � � W��wo a � S � � � � � � � � � E w o ti �1 F•y bd � � os � �'• � d ,_ � m � � b � b � S � m m � �� m � � t�t�� ,y �a�.� � � (�p O ~ R° � �! O O d �,�, � � � �. � � � o � � a � � � � f!! . . G� . . C�1� Q � . O p . . 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Ga ~ '.,• � � ±, �?9 � �� f'a .�-� o. � d�� C� v E b ) <�e �.) � � � �' <° �o sue�ecr P O. City of Fridley � 8 S � 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' ' R � � • � `y � COMMUNITY DEVELOPMENT DIV. y r � � PROTECTIVE INSPECTION SEC. � y�/� 1 ` � t /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""'� � �� 612-571-3450 910-F15 4/10/87 / / JOB ADDRESS 1021 Aathaway Lane N.E. t LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED DESCR. 35 2 Parkview Hei.ghts Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Peterson 1Q21 Hatharnray La.ne N.E. 571-3386 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING ' Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ HEPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof IT�,rellin 9 CHANOE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINO, HEATIN(3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12� DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PiiOVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2OO �,� $. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ZrJ.00 PLAN CHECKFEE TOTALFEE $15. 50 SI � ATURE OF CON i RACt OR Al RIZED AGENT IDATE � c WHEN PROPERLY �LIDATED 7HIS IS YOUR PERINIT � /o `�, � � �d� � v'� SIGNATURE OF OWNE �IF O NER BUILDER� IDATEI BLDG INSP ATE NEW [] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 pLTER. I] Building Permit Application Construction Address: �� / i��Tfi��G�� Y � ^� � �� Legal Description: owner Name & Address : p (!%� N � �� `Td � Tel . # �S�/--.�� Contractor:, ��''� e-- " Tel. � Address: LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �o o �`N � � I� � c�, .� �� o �� Corner Lot [] Inside Lot [�(] Ft. Yd. Setback v Side Yard Setback Type of Construction: �`-/�06 �' ' Estimated Cost: $ �0 b�00 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If NeW Opening Is Desired: $ � See Back Page for Explanation DATE: l —ld °D � APPLICANT: � U�N-� �P ��°�fo� � Tel. ��/ �� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge r�Z�i!!L�+� STIPULATIOtJS • CITY IISE ONLY $ j� av $ $ �� $ � �... i� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 Per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BIIII.DING PERMIT FEE SCHEDOLB The Chief Building Official shall, before issuing permits for the ereetion 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 sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation �1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2�000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000:00 $25,001.00 to $50,000.00 $32•50 for the first $2�000 plus $6.00 for each additional $1,000 or fraetion thereqf, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and ineluding $50,000. $50�001.00 to $100•,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1�000 or fraction thereof, to and including $100�000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional �?,000 or fraction thereof. DRIYE4IAY DEPRESSION ESCROH (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 xidth plus 6 feet times $15.75 VERIFICATION OF FOONDATION Permits for construction Will be issued a minimum of 2u hours from the time of application to allox 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 onee it has been constructed Will be required before proceeding aith the framing. � '�1 ��i � � �� J� 1-° �`.C' � " �— --� - --. - SuBJECT c�ty of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r i � � � COMMUNITY DEVELOPMENT DIV. y PROTECTIVE INSPECTION SEC. � ` _ , _'_ r � ' '; � , , � _ ��"1 � CITY HALL FRIOLE� 55432 NUAABEH �""'�'� �'� 612-571-3450 9t0-F15 JOB ADDRESS 1021 Hathawa Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3S 2 Parkview He 2 PROPERTY OWNER MAIL ADDRESS ERick Kuubits 1021 Hathaway Lane NE 3 CONTRACTOR MAIL ADDRESS Same 4 AHCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAII ADDRESS 8 USE OF BUILDING Residential REV OATE PAGE OF 4/18/94 � � its Addition 21P PHONE ZIP PHONE ZIP PHONE ZIP PHONE 22429 EIPT i31� APPROVED BY SEE ATTACHED SHEET —J07V IICENSE NO. LICENSE NO. LICENSE NO. 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � .. �n� 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. Provide a hard surface driveway. TYPE OF CON; SEPARATE PERMITS ARE REOUIIiED FOR ELECTRICAL, PLUMBING, HEATINQ, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 AUTHORIZED IS NOT COMMENCED WITHIN 60 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. I 1 HEREBY CERTIFY THAT I HAVE HEAD AND 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �7sO�FO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �99.00 S�GNATU/,jiE OF CON' CTOR OR AUTHORIZED AGENT 'L / L.! � �--�v✓l� �DATEi �— c �—� �r �DATEi �� Before digging call for all utility locations 454-�002 REQUIRED �Y L�A�iI SO GROUP OCCUPANCY CU. FT. OFFSTREET PARKING STALLS GARAGES SUHTAX $3.52 SAC CHARGE Fire SC $7.0 TOTALFEE $109.56 � NEW ADDN ALTER ll � �l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1 / 1/94 , 3�� ConstructionAdciress: _ � �� -� �91��i�� Legal Description: �-o�" 3a . `3�� `� .� ��az��,�s �1�,�t�Ts A�e o� . 01�� C.T,o . {kay Owner Name & Address: �� p (��„�,� Tel. # �� ` - �'�g � Contractor: �.F MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction dra�vn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length �� @Vidth � o v Height �`�" Sq. Ft. � c{ 8 DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: T�Er� tS To P�aZ k1�S 1�9D�zto� °To �x��,-- ��R�U� Corner Lot (] Inside I.ot �Q Ft Yd Seffiack Side Yard Setbacks '� � iS _��} �'�}C� Type of Construction: ��c' � f �ea,�,� �.,� � Estimat� Cost: $'�-� ��. B�iP 2� Approx. Completion Date: �%u,� � e / � �� (� ,/G�, � _ �� c�� C — Driveway Curb Cut Width N�ded: �ATE: `-i� - I'� -�' `� APPLICA Permit Fee Fire Surcharge 5tate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $ �i � � / ��- � �.,�- (Cost on Backj + 6 Ft = Ft x $ . i _ 7 _ a � [�r=i��3!��A�i F� Schaiule on Reverse Side _$ �el. #__�`71-��0 .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licens�d Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Revie�vv Fee Determined by Engineering Sewer Main Charge $ Agreement Ne�cessary [] Not Necessary [) i�� TOTAL STIPULATIONS: � ' . �, �, � � _ n�„�'�°`�� P„�,�e�� r?�' p � �,�+ � BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any add.ition to any existing building or structare, or for any alteration or repair to any existing building or structure, upon application therefore, require die 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,OQ0 $25;001 to $50,000 . . $50,001 to $100,000 � $100,001 to $SOO,OQO $500,001 to $1,000,000� . $1,OOQ,001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 pl�us $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for fust $2,000 plus $9 for each additioaal $1;0()0 or fraction thereof, to and including $25,000 $252 %r first� $25,000 pl�s $6.50 far ea.ch additional $1;000 or fraction thereof, to. and including $50,000 $414.50 for fust $50,000 plus $4_50 for each additional $1,000 or frac.�on th�eof, t�u aad including $100,000 $639.50 for first �$100,OQ0 plus $3.50 for each additional $1,0� or fraction th�reof, to and inciuding �$500,000 $2039.50 for the first $�0,000 plas $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the first $1,OQ0,000 plus $2 for each additional $1,000 or fractioa thereof - DRIVEWAY DEPRESSION ESCROW (Coacrete Gtirb Streets Only) Altemafe "A": Removal and replaceme� of curb and gutter only - Driveway width plus b feet times � $13.50. Alteraate "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 coast�uction will be issued a minimum of 24 hours firom the time of application to allow for proper review of the proposed structure and of the conshtiction 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 procceding with the framing. Design'Ynlorks (SM), Rnox Lumber, �220 Coon Rapids 3�10/94 16:12 The materials in this garage will cost $3082.50 This Price does not include any Special Order Items. 1'�. �l" �� ls� , � C��t� � �s G ��P Ur �`� .� � 0� � Design Works (SM), Rnox Lumber, #220 Coon Rapids 3/10/94 16:12 - _''xlo �20+.� � l/S �3�� • Design "Works (sMj, Knox Lumber, #220 Coon Rapids 3/9.0/94 16:12 � � � � �+1� � �� t _�•c4.,�,, � �..._.__ �. in 80 X � Design Works (SM), Rnox Lumber, #220 Coon Rapids 3/10/94 16:12 � —�--- - - 22' - - -- Vj �°� 1�.1 d� L.� _ • a � � � , �� Design*Works (SM), Rnox Lumber, #220 Coon Rapids 3�10/94 16:12 L�S � t,�.3 � � � . ry . 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Z � � Z 1� � m C- o � ` V � � c � � � � � � � C7 (` � 0 n a��a �g paubig �rIKdWO� �HIZ��H :aIIOQ uiag sIIOi�pza�Tt� �stZ Sx.�E�� S. n.za �rsos s � 11Sfl �au�o tT�T 3o S�ILbS but�Qaq t��o� S�g •9 �)°H i) sa� pa�oauuoo s�llsg i��o� pu� azTs .zo3 s�uauta��nba� apo� �ua.z�n� TTQ s�aaY1 • 5 � � °H � � Sa� pa�,zoddns �Cta.zn�as s2 • �, i) oAi () sa� ut�iM pabpot s��a Cqo ubia.zo3 ou s�g •� � � oN �) sa� uoT��ot�a�ap �o �snz u[o�3 aa.z3 sI . Z i) o1�I i) Sa1� pauTUt�xa �TTn3a�t� uaaq spg •T :3[��s �0 1Cauiuiq� bui�sixa a�, �Et� saz3Taan �Tqa.zau paubTS�apun aus Hors�r�i�t�xse x��ss u�r x�$� SuBJECT c�ty of Fridley � �. � � 7- � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ' � RECEIPT NO. � � COMMUNITY DEVELOPMENT DIV. � • ' j L _"��' �� r � � PROTECTIVE INSPECTION SEC. � � � � ' /'��1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVED BY �""'� � �'' 612-571-3450 910-F15 10/11/9 / / JOB ADDRESS 1021 Hathaway Lane NE 1 LEGAL ��T NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. 35 2 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Eric Ruubits 1021 Hathaway Lane 571-5890 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Custom Remodelers Inc 8729 Central Ave NE Blaine 55434 784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O A�TERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOI;K Reside �.ouse 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERM�TS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING 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 ANV TIME AFTER WOfiK 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 WOFiK WILL BE COMP�IED @ WITH WHETHER SPECIFIED HERE�N OH NOT. THE GRANTING OF A PERMIT `P7f70O �3.85 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION �137. LS Fire SC �7. %O � PIAN CHECK FEE T TAL FEE ,��d /�'� � Licens SC . 00 $153. 80 S�GNATU�7E OF CON'RACTOA OR AUTNOR�2 �ENT IDATEI pA V VALID THIS IS YOUR PER T� � � �V / � S�GNATUREOFOWNERUFOWNEABU�LDERI IDATEi - LDG �N P pFTE NEW ADDN ALTER t� �l �] ConstructionAddress: `p Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R 2 Building Permit Application � Effective 3/1/96 s I- Owner Name & Address: �' �.. !'�-Gc � ,� j T . # S � � -S� � Contractor: �Gc-B ?'o A.c ��'+ o-�.e/c/L-'.� —�NC_� MN LICENSE �� 7�� Address: � �% � � �t�� /L9 � �'!�< < /fJ /=. , Tel. # � ��i -.� �o �,( LIVING AREA: GARAGE AREA: DECK AREA: 01'HER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROVEMENT V�idth Height Width Height Width HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lo� ] Ft. Yd Setback Side Yard Setb ks Type of Construction: �f i�� Estimated Cost: -� !> ��` Approx. Complerion Date: � � ��- � � � (Cost on Back) Driveway Curb C�t Width Needed: F.+ 6 Ft = Ft x$ _$ DATE: � D - / / � �% G APPLICANT: �- �� Tel. ## � y � `�-G �� Permit Fee �ire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � J� . �� s � $ �. �� $ $ �- v� $ $ $ $ � ��. �o CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation � $900 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 [ ] STIPULATIONS: , -- ` a 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 applicadon therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the maaner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,(?Ol to $50,000 $50,(�1 to $1(�,OUO $1(�,001 to $500,000 $500,(�1 to $1,0�,(�0 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� plus $2.75 for each additional $100 or fraction thereof, to and including $2,� $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,�0 or fraction thereof, to and including $50,�0 $574.75 for first $50,0� plus $6.25 for each additional $1,000 or fraction th�reof, to and including $1�,000 $887.25 for first $1�,OQ0 plus $5.00 for each additional $1,D00 or fraction thereof, _to and. inc�uding $5�,� $2887.25 far the 5rst $500,000 plus $4.25 for each additional $1,0� or fraction thereof, to and including $1,(�0,000 $5012.25 for the first $1,0�,000 plus $2.75 for ea.ch. additional $1,�0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�,irb 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 $15.75. VERIFICATION OF FOUNDATION Permits for constxuction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the conshuction site. E1 Certificate of S�vey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding v�th the framing. �' � .. City of Fridley AT TFIE TOP OF TME TWINS i� � � � ; V _�� COMMUNITY OEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � . . � _ �"'1 � CITY NALL FRIDLE� SS132 �'""�� '� 612-571-3450 �U ILDIN� PERMIT NUMBEP REV DATE PAGE Oi s�aF�s 2/15/00 / / JOB ADpRESS 1021 Hathaway Lane NE t LEGAL �07 NO. BLOCK TRACT OR AODITION DESCR. 3S 2 Parkview Heiehts Addition 2 PROPEiiTY OWNER MAIL ADDRQ&$ Erik Kuubits 1021 Hathaway Lane � CONTRACTOR MAIL ADORESS Midwest Cedar Timberoof 1001 E Cli 4 AFiCHITECT OR DESIGNER MAIL AODRESS S ENGINEER 8 USE OF BUIl01NG Residential 7 CLASS OF WOfiK ❑ NEW 8 DESCRIBE WORK Reroof House & Gar 9 CHAN(3E OF USE FROM MAII AODFESS Burnsville, MN 5 O ADDITION O ALTERATION 13 Sa) Tear-off lZ•7 � FiEPAIR STIPULATIONS Underlayment must comply with the State Building Code. ��ALL FOR �IN�1�. ��I��'��t�1� W�THIN 10 d��'S �� WV��K COMP�.ETION ERMIT NO. 30665 SEE ATTACMED SMEET 571-5890 PNONE LICENSE NO 7 808-1149 PHONE LICENSE NO. 20147336 PNONE LICENSE NO O MOVE O REMOVE ��'��t ��sp�c�ion �ards To ��il �� iled �o��n�n�r % Pos� SEPARATE PERMITS AHE REOUIFEO FOFi ELECTFICAL. PLUMBING. HEATING, �� VENTILATING OFi Alp CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WOiiK OR CpNSTRUCTION 20NING AUTMORIZED IS NOT COMMENCEO W.ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 1pp DAVS AT ANV TIME AFTER WOqK IS COMMENCED. NO. DWLG. UNI7S I HEREBY CERTIFV 7MAT I HAVE READ ANO �XAMINEO TMIS APPLICATION 1 AND KNOW TNE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS Of LAWS yp�VATION ANO ORDINANCES GOVERNING THIS TYPE Of WQRK WILL BE COMP�IED WITH WMETNER SPECIFIEO MEREIN OR NOT. TME GRANTING Of A PERMIT �1 a 136 DOES N07 PRESUME TO GIVE AUTMORITV TO VIOLATE OF CANCEL TME pEqMITfEE PROVISIONS OF ANY OTHER S7ATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PERfORMANCE OF CONSTRUCTION $44 . SS S�GNOTUpEOFCON•AACTOAOpAUTNOp�2E0oGENT IDAT�i i iDAT�i SO. STALLS $5 A OCCUPANCVLOAO CU fT. OFFSTREET PARKiNG IGARAGES ' $.57 SAC CMARGE Fi e SC $1.14 TO A� FEE $51.56 ) E TMIS IS VOUR PERMIT �,+ a-�� _� f�pTi ��[ � ADDN ALTER Effective 5/10/99 I l CITY OF FRIDLEY �] SI�i 1GLE FA1�,Y A1�TD DUPLEXES R-1 AND R-2 BUII.DING PERMIT APPLICATION Construction Address: � I��i�s�� Legal Description: �2� � Y_D o � � �fi� kuu6�` Owner Name & Address: � p � � 1�G,-F� � y„>�,,� Fr � �( ( y N/�( ,S� �j �� Tel. # ��I = S � � d Contractor: � ` W� � Cp�,Cc�� t ,(�� p�p� MN LICENSE � �2O � �% % �� Address:�D/ � Gli�'� � � �ll � ►/�ff� ,5�� Tel. ��a-�rJ�'- ll � % Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Construction Type: DES��1.P'�iO1�J �F �RO��NN'� Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgtlGround Sq. Ft. Estimated Cost: $ (o J�, 4$ � �,1r ?��o � Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$, _$ DATE: �.-q-C� APPLICA��1T: Q�y � ' p� Tel. �# (� I Z- �- I i�-1 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ LI�•�S $ l�ly $ ` 5rl $ $ 5 � C.� $ $ $ $ $ 51,5� 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 Determi.ned by Engineering Agreement Necessary [ ] Not Necessary [ ] 1 .. . .. -• w BUII,,DING PER1tiII'I' 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 buildinD 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 $S00 plus $3.05 for each addidonal $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for ear.h additional $1,0(� or fracdon thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each addidonal $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 $100,000 $993.75 for first $100,000 plus $5.60 for each addidonal $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 $1,000,000 plus $3.15 for 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. Altemate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construcdon site. A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been constructed will be required before proceeding with the framing. SuB�ECT c�ty of Fr�a�ey AT TNE TOP OF THE TWINS g U I L D I N G P E R M I T r � . � �� i y�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i . � L_-_-� ��"' �,� CITY MALL FRIOLEV 631J2 NUMBER � 763-571-3450 s� a F � s JOB ADDRESS 1021 Sathawa Lane NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION oesca. 35 2 Parkvie� 2 PROPERTY OWNER MAIL AODRES$ Erick Ruubits 1021 Hathaway Lane NE 3 CONTRACTOR MAIL ADDRESS Same 4 ARCHITECT OR OESIGNER MAIL AOCRESS 5 ENGINEER MAIL ADORESS REV O�TE vAGE OF 5/6/03 / / �ERMIT NO. 33496 IPT NO. � �� AVPROVED 8� SEE ATTACHED SNEET 763-571-5890 ZIP PHONE LICENSE NO ZIP PMONE LICENSE NO. ZIP PMONE LICENSE NO Residential 7 CLASS OF WORK O NEW � ADDITION � ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOqK Construct a 22' x 20' Addition to Gara�e 9 CHANOE OF USE FFOM STIPULATIONS See notations on plan. TO � � ��ffor� c1i99�ng call fo� �� iI''�Y locations �5�0002 REQUIRED �Y LA1IV TYPE OF CONST SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMB�MG, MEATING, VENTI�ATING OF AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO POR A PER100 OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UN 1 HEREBY CERTIFV THAT I HAVE REAO ANO E%AMINED THIS APPLICA710N 1 AND KNOW TME SAME TO BE TRUE ANO COFRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IE� WITM WHE7HER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �9 f 728 DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TF�IE pEqMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON• @181.ZS STRUCTION OF TNE PERFORMANCE OF CONSTRUC7ION •{� S�GNS AE 0� CON �� ( /. 4UTHOp12EDeGENT iDAiEi � � `�� BU�IDER� �D�iEi SQ.FT S7ALLS SE�PAERATE PERNifTS QUIRE� �p�� PLUWM��ING A��T��;��y� GROUP �OCCUPANCVLOAD CU fT. OFFSTflEET PARKING GARAGES SURTAX $4.86 SAC CMARGE Fire SC $9.73 TOTALFEE $195.84 ED THIS IS VpUp PERMIT ' �s--�-o3 NEW [ ] ADDN � ALTER [ ] Construction Address: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � N� Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax � �. ,\ �- , � . \ �', �i• , , ' �1_ �4 ,�, � Legal_ Description: Owner Name 8� Address: �. � � a t�� l Tel. #`? 6��7 /- S'�� Contra�tor. �� MN LICENSE # Address: ��a�a�. Tel. # LNING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT " i' '% . � � y Length �� Width �� Height Sq. Ft. " ' Length idth � Height Sq. Ft. � �- DECK AREA: Length �dth Hgt/Ground Sq. Ft. OTHER: � � /�-- �f� �� ,��-�� O ��%�'��'� � . �� , � - � ��.� � �-� , � - Construction Type: �l�� - Estimated Cost: $ ��--�� %� �O�- � ,, � � Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �'2- �� APPLICANT: f l�' � I �� Tel. # � �� ' � 7 ( - �� p � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITIf USE ONLY - Permit Fee �� l�S $ � Fee Schedule on Reverse Side Fire Surcharge ��3 $�' .001 of Permit Valuation (1/10th%) State Surcharge��$ _ : ____ $.50/$1,000 Valuation SAC Charge ` $ �— $1275 per SAC Unit License Surcharge $ �— $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [] TOTAL $ • �TIPLILATI�NS� /�� C�� BiJILDING PERMIT FEE SCHEDULE The Chief Building O�cial 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 $500 $501 to $2,(�0 $2,001 to $25,000 $25,001 to $50,000 $SO,QO1 to $1�,Oa} $100,(�O1 to $500,� $5�,001 to $1,OQ0,000 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 add"itional $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 $50,0� $643.75 for first $50,000 plus $7.00 for each additional $1, 000 or fraction thereof, to and uicluding $ l0U,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, OQO or fraction thereof, to and including $1,Q00,0� $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional � $1,000 or fraction thereof cux� cu�r Escxow _ , (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for construetion 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 5urvey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv �wsi�i��errks (SM) , ECnox Lumber, #220 Coon Rapids 3/�d/94 16:12 1"lie materials in this garage will cost $3082.50 1'his Price does not include any Special Order Items. 'PLA� SU61� � ��T�� -z��:sf �, . �:. � �� -.�11 ... � (�1,�� SS�� ,.�.�: �� N,� � ,,� � //�! � '� �� ,:. / f 4, l, � ^' �� . �... � :_. ,-� ! -� � ;. +�.��., .iL /.',_ . ., ..., .� :: . k ,�, s. . '~ .'�, .. 4s � "'`�,. ::.. j� -% /y�� „j '� �. . � �' ..,., �::: � - �,r� v:j;�'. f �/ �. Y � � i/ .. ; .� ,, i /� � . ' �. . �'Cxk,. � . �' ' J'/ % /. �. � . , . :.. _ ' / �.• f/: �'� / \ � � . h . ,� �'_�.�,Z .' � -�� ..� i ��\�. � .�� - �� `�. i : �' �� ' � � . .. > <a � � . <: � «Y. ��:��.! ��_:��.�_ �.�y: _::l�_..- �� x 8 i '� ��. � !i' �\ � ' I ;$,\� _�' i ` _'' \' �`�k . ..:..- __.� ._�,..:�'..!.......`�_ �. �..�� l'�',,: ,.: IE ; .� �,F, �A7�I^�Tv � �/s ��t�' � �..�� /�U tJ� /'1!/.�! - � �- �. � ' �'r �.w ��° � Mo��- p oo ct- 5 �9£ �,�S�c� � 'o �-P�S i ��-L . Design Works (�i), Rnos Lumber, �220 Coon Rapids 3%10/94 16:12 20' �v �2.. 6�� i t �� .3�sign Wo'rks (SM), Rnox L�r, �220 Coon Rapids 3,�10/94 16 :12 ;��-� � ��'''' ��s, ff..��a�; �,, .� i X, ��0.�. ��. � ��.� �2�� T W +�L� ��s . � ,s�i.� /Z �:�� GL. �esign Works (sM), Rnox Lumber, �220 Coon Rapids 3%10/94 16:12 i��ilG / � �� a� � ��2 w � L.L. — - ----�� «p� �� o� �v��s g jesiga Works (SM), Rnox Lumber, #220 Coon Rapids 3/10/94 16:12 ��w ��.� ?ssi.gn Works ( SM) , Rnox i,umber, #220 Coon Rapids 3,(10/94 16:12 ��S't" t.J s � L �.. ...... . . .... . . �..__..._ ._ . ... . .. ... .. . _ _ _ _ _ _ _ __ _ , ,.�.,. ._._. � ._. _..- �-- - .... ,,,.,.,7 , , ♦ '� . '-G, !,� ".'4'yt'{'p A 1�r.�� —!:nus'n�n� C. �. C: c� l! L. T� R �.. iARM BVRVEYY eus�r.ess L�1ND SURVEYOR . uKesHOns GITY L0T3 70PO+RAPHIC NhPPINO REGISTERED UNDER LAWS OF STATE OF tdINNE90TA �uoteint, LIC6NB6G BY ORDINANCE OF GITY OF MINNEAPOLI9 � 3300 LYNDALE AVE SO MINNIEAPOLIS 8, MINN. �� r� \ � . TAYLOR 4-03?� � �- ,: -�-, , _ � S.J �.. `, , ,- . �- At•�,,: . � . , ,�� i - J✓rt.�i�i.. I i li� i •:. ✓: �./ili1�.-'.:!r'!� i� :r .n.i�i'�[. �urnr�iu'� (�rr,ifu�ir _ nJ � .. _.�. J;:�',•:�<f�'r�' �.��,: : `: .�-1,• . ' �'y°;;, 1 7 / � � � IG -\ ��' � 2� � � � �f �. ti. _ = ��- /� . �(/ �,N`� ,v` , � ��,-(� _� � c�j � z'° � �j- �! /�� i V _�� _'f- � �, • p ` � tV �� \ � ,;c�� E= � I �_�� f,�1 i � i � i � I• i �, � ,h/ �, �, ��-- , �yo ? � � � .. .. _ _._�� ------- /�J=--I� � � , � � �. Prvpv�� , i /l E5/G��/.'GG• �a . _. . 36 � ------�-/� =~ � � � � ! � f �✓ I � '�0� ; � �, ' � �� s�e . i . �' �y ��°�` � , ; _ �� v �� ; ��'�'`,� . �, � �� • � i �� ., _< L _�� '�__ / D�/ � �/�i�• ,�`.l,,;,: %''�`+'!r'�Y � �: ��i y :' • r- � I hereby certify that the above is a true and correct plat of a survey o£: _ ,+. Lot Thirty�five�(35), B1ock Two (2), PARKVIEW.HEIGHTS ADDITION��Ano.ka;:County; Minnesota. � ` � As surveyed by me this. 27th day oi. Au.c�u st 1958� A. D. .. �,' - Siq��ee� ' _.f' �.-�-�-, ; �, --� �, , _ � - �Mihneso� .egistration No. 25$4 � , .. ,�.. , , . . �L'� � . �� . ' . � �y f� ;15"P.: A L / dU5fNE85 CITY LOTS TOPOaRAPNIC MhPpING �, i L � _ .�., — — «._.___.. ,.__..___.._.. ._ _ . _. .. ._ _ �� ... _... . _ . �i f ��i+ A . _l� / _ , .,.� � C a C..� • �.I � @� � 1 � � �,y , ti.yci��t. � �, ��/+y/'/ PLAT7'th'S 7 / FARM BURtlEYB L�iND SURVEYGR � LAKE9liORE REGI6TERED UNDER LAWS OF STATE OF �dINNESOTA JUDICIAL LICENBEG BY ORDINANCF OF GITY UF WINNEAPOU9 {� ( 3300 LYNDALE AVE. 50. MI►dIVEAPOLIS 8. MINN. I�t � TAYLOR 4-03?O `� // J✓ii�i'`:.' F� F�/C� /7��'i.% L �/i'.'(L��:i:'t� r�t�/i� i%� � ,41 r� � C ;� ; `�, � i � � . � `I �uCUPgitt�� (�tY'iiftt�ie �':Y, il:i'<.'��. � �i:�iri ''� s�.�°' • ' ^'c°.'%f '� �1 \ � " . .�L/.�' � - — — — — — — — � e� ' D _ � �, � �� j � � i�� - i �� f � r�, � . � � : ��c� � - � I� rG+ �� ,� � v��° � � L Z'° � -�� - \ �✓ u � �� , �o� . � .. _ _.-t'�d� � ! %UfJCi.?c.`��% /1 E'S /�C'!.''tN 36" r%� � I �, �� 'V � _-I � ,� �' � � . � M �� e`�� . 4 . _ d � \ /V�/ � �/? �_ =1,.c;a /�, i �� .4 � 1" /� — / �//. J: . . //`�+'�'i�' ..._:, ir'� �. ! I hereby certify that the above is a true and correct plat of a survey of;: Lot Thirty�five (35), Block Two (2), �ARKVIEW HEIGHTS ADDIT:ION� Anoka,Co.unty,. Minneso�a. - As surveyed b� me, this. 27th day of Au:�u st 1958� A. D, . „�;; :, -- - - � - S�� 'F �.r��..r�.�► _ - - � �. ,. . . , \ � ;�,,, ; , � s� .�+l3:hr�es�� .egi's�rat'ion No. 258� �� .� _ � F -. _ � , _ _.. _ � _�� .� .,,.. � . ,-� �n � ^ SuB�ECT City of Fridley AT THE TOP Of TME TWINS g U I L D I N G P E R M I T r � . � � � ; y �� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC i.--.�; �"' �'� CITY NALL FRIOLE� SSAJ2 NUMBER i 763-571-3450 910-F15 JOB ADDRESS 1021 Hathaway Lane NE t LEGAI, �OT NO. BIOCK TRACT OR ADDITION REV DATE 6/12/03 oescR. 35 2 Parkview Heights Addition 2 PROPERTY OWNER MAIL ADDFESS 21P Erick Kuubits 1021 Hathaway Laae NE 3 CONTRACTOR MAIL ADORESS ZIP Custom Remodelers I�e 474 Apollo Dr, i.ino Lakes, MN 5501 e ARCMITECT OR DESIGNER MAIL AOORESS ZIP 5 ENGINEER MAII ADDRESS P 8 USE OF BUIIDING Reside�tial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X 8 DESCRIBE WOHK Replace 1 window within existi�� openia�s; trim 9 CHANGE OF USE FROM TO PAGE Oi � / �nnir No. _ i 33605 RECEIPT NO. �� 7 APPROVED BY SEE ATTACNEO SHEET 763-571-5890 PMONE LICENSE NO 1-784-2646 PMONE LICENSE NO. 1748 PNONE LICENSE NO O MOVE O REMOVE STIPULATIONS Provide smoke detectors ira all sieepi.ng rooms aad on ali levels o� the dwel�ing per Section 310.9.1.2 of the 1997 Uniform Bu.�.Zding Code. Co.u�k and �lash al? exterior openi�gs. SEPARATE PERMI7S AqE REOUIRED FOF ELECTfiICAL, PLUMBING, HEATING, TYPE OF CO VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. Op IF CONSTqUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCED P�rmit Insp�ction Cards �iVi01 �e INalled To Homeowner To Post NST OCCUPANCVGROUP OCCUPANCVLOAD NO DWLG. UNITS 1 HEREBY CERTIfY TMAT I MAVE READ AND EXAMINED TNIS APP�ICA710N 1 STALLS AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIEO WITH WHE7MER SPECIFIE� MEfiEIN Oti N07. TME GRANTING OF A CERMIT �Z �315 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLA7E OR CANCEL TME pERMl7 FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- @ STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION �pSO.9S "Lice e SC $5.00 S�GNA/UAE 0� CON"AACTQR OA AUT110�7IZED OGENT IO�TEi MEN PROPERLV V/ iA ■ � 1\ w � ��OWNEpBWIDEpi iD�TEi I � CU FT FSTqEET PAFKIN( IGARAGES $.66 iAC CHARGE Fire SC $1.31 'OTA� FEE $57.92 i TMIS IS OUp PER�AA NEW I � ADDN [ l �.T�t Il ConstructionAddress: ► i Legal Description: Owner Name & Address: Contractor• Address: �, � LIVING AREA: GARAGE AREA: DECK AREA: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION � � Effective 1/1/99 Tel. #� 6'� °� � `- � �� MN LICENSE # r� �°.� S�; 6( 4° � Tel. #��l•''�� °"��0� 1� Attach to this application, a Certificate of Survey of the . lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length - Length Length ______ Width Height Width Height Width Hgt/Ground Sq. Ft. _ Sq. Ft. Sq. Ft. OTFIER: s � �J�� Construction Type: Estimated Cost: $ I ��.�d �..� � _ .. .. _r . � . . . .. . .. ,., . (Fee Schedu'le � on Back) .', �.�.�;;: ��,:�,. � ` $ Driveway Curb Cut Width Needed: � '��Ft. + 6 Ft = � � Ft�x -�$ � � � _ DATE• C� '� 0 °'0� APPLICANT: Tel. # � t �� . Permit Fee Fire Surcharge State Surcharge SAC Charge . License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATION5: CITY USE ONLY $ �ri. �� Fee Schedule on Reverse Side $ } . 3 / .001 of Permit Valuation (1/lOth%) � � $ � � � $.50!$1,000'Valuation $ $1050 per SAC Unit . $ �,Q(� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ - �ee -� termined by Engineering - $ Agreement��Necessary [ ] Not Necessary [ ] ��- . �. � � ., .„ _ _y_ . 3. .� . s NE1N- ADDId ALTER Il Il [l Construction Address: Legal Description: Owner Name � Ai Contractor. LMNG AREA: GARAGE AREA: DECK AREA: 0 CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 4/1 /2004 (763) 572-3604 Bidg Insp (763) 571-1287 Fax ',!�c?S �1�� -- Tel. # � � - �� MN UCENSE # b Tel. # `� ��j Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft OTHER: �2 • Construction T Estimated Cost: $ � �.• �� 3 �Q,�wo� u��:,�- � Dr�iveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: ' ( I �a APPLICANT• Tel. # Call (763) 572�604 for Permit Fees if mailing in app ication. Fax to 763-571-1287 if using credit card and we will call yo� for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � 6 �0 $ � r.ao $ � �,h $ $ � �U $ $ $ � -- � `� o � C1TY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determiped by �ngineerirrg—_ _ _� __ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: , . � �� 1 � � % � 1 i � � � ' �-: - 1 '�.7 BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing �rmits for the erection of any building or structure, or for any addition to any existing building or structure, or for any altera.tion or repair to any existing building or structure, upon applica.tion therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the mann�r herein provid�l to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $1�,000 $100,001 to $S�,OQO FEES $23.50 $23.50 for first $5� plus $3.05 for each additional $1� 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 $25,0� plus $10.10 for each additional $1,000 or fraction thereof, to and including $SO,E�El $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fra.ction thereof, to and including $1�,000 $993.75 for first $100,� plus $5.60 for each additional $1,000 or fraction thereof, to and including $5�,0� - $SOE�;98�-�a-�1,AA�;BAA — -�3,��'�--5-�o�-�f�rst $5�0,� g�s��4 7i-��addi�a�---- $1,0� or fraction thereof, to and including $1,000,000 _ $1,000,(�1 and up $5,608.75 for the first $1,000,�0 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Conerete G�rb Sireets 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 proc.eeding with the framing. New Houses Onlv � From: City oz Fridley To: 651-783-9050 Page: 2/3 Dat2: 7/25/2006 9:32:19 �Nl Build.ing � BTJI�.��NG i Permit �ia: ^�� -� T Inspection� , �;Sj��j�j�jj., �ppl,j��j�� Received By: 763-572-3604 CITY OI' FRII�L�+ Y nate xeo'd:. �� °�� s�?� DATE { � � STfE ADDRESS __ _ �/� ; —�-o� THIS APPLICaiVT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: e . ��y �:' �t'��L . _ ��_ L �� ■ • . � : �� * ' i �/��!r� �..� � �� . , � � � � ;.,. '_� � � •r •�- ' - �� ❑ TWO FAMILYiNEW ❑ ADDITION ❑ BASEMENT FINISH 0 DECK ADDRESS � EXP DATE " � – � CI F� 6�- �- 7 Q'�. a ❑ GARAGE/SHED � ROOF 0 SIDING ❑ SWIMI�IING POOL ❑ ADDITION ❑ DRAIN TILE � OTI�R A��f 3,� STATE='� �j �J' O� yF ❑ MAINTENA�TC PAIIt � REMODELING DESCRIBE WORK BEING DONE: _. SIZE OF IIv�ROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING – ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE Fi GARAGE BASEMENT REMODELING SUBMIT: GARAGES O ATTACI�D GARAGE 1. E�sting Floor Plan PROPOSID SIZE: ❑ DETACHED GARAGE Z• Proposed floor plan PROPOSID IiEIGHT: 3. List of structural members to be used SIDING � FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vitryl OSoffit ADDITIONS. & PORCHES SUBMPf � Aluminum ' ❑ Trim 1. Site Plan/Survey sho�ring the e.risting structures � ��' ❑ Fascia and proposed project. WINDOWS 2. 'Pwo sets of construction plans IN EXISTING OPEI�TINGS �Yes �1Vo C ION 0 OWS 3. EneYgy CalculaUons OR FOR iVEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & 0� TYPE OF WINDOW TO BE INSTALLED P 0 OWS ALL FEES ARE BASED ON VAI,UATION, INCLUDING THE COST OF LABOR AND MATERIALS: (U$IN THE 1997 U.B.C. FEE SCHEDULE) __ TOTAL JOB VALUATION $ I(..O D OCCUPANCY TYPE Permrt Fee $ � aj, as' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge _$ ,�, 7J�- .001 times the total job aaluation Surcharge _$ 1,1 � .0005 x Permit Valuation Minimum $.50 License Surcharge $ cj.�tj �5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determina,tion) Curb Cut Escrovv $ ft+ 6 ft= ft x�21 =$ Erosion Coi�trol $ ` $450 Gonservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Due $ 1`I � Make c6ecks payable to• City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNfIL PROCESSED I hereby apply for a building pemut and I acknowledge that the information aboae is complete and accurate; that the work will be in conformance deith the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan,in the case of all vvork w'ch requ' es r view and approval of plans. SIGNATURE OF APPLICANT � 14�U+ l PRINT NANIE �(i �"' �.�1��/ � R D 1.� �� %"� k� 'O � �_ � � � � �.�.... . From: 952 474 3748 Pa�e` 2/2 .. Date: 8/21I2008 8:52:05 AM . ... b . . . .. ....... .... . � . . . ... . . .. w. - from: Cityof Frldley 70: 8524i43748 Pag�: 213 Date. 8/?�� 8-24:47 AM Buildiag VI�ATER 4R SEWER Inspections PERMIT APPLI�CATION 763-3�Z'3604 CITY OF FRIDLEY 763-542-4977 fax F:FYtC:T1Vk 1•1•� Permit No.: Received By: r•� APPUCA'f10N DATE: __,��0 g YOUR E-MAIL ADDRESS: '��i��S ��0%"1� THtS APPI.lCANT IS: �i CON'i'RACTOR O C? �ER �� lOBADDRBSS: �d�% ��'��--.-� � NEW CON6TRUCTION PB[tMlT # (lF AE'P'WCABI��): _�____ ---- PR�PElt'i'Y OWNBR/ TENANT NAME �/'�fC�C, fJ � �_ I�� ADDRE55: CITY: _ ST'ATB: ____ ZIP: PHONB• —�'3�.�� „ CONTRACTUR NAME: ,^._, BUHMIT A COPY OF AODRBSS: , YOUR S'CATB LICBNSB PHONE: ` AND BOA1D STATE LiC: y� v� � t� �e�� . �� CITYI (:ELL PERM[T TYPE SEWER CONNECTION PERMIT �►SO WATER CONNECTION PERMIT $SO WATERISEWER L1NE REPAIR PERMIT �40 ADD STATE SURI.:HP►R.GE $.50 SAC C.HARGE ATB: (c� $182„5 T�TAL � � i� % UTHER CHARGES (IF APPLICABLE) PAY TO UTlLiTY BILLING NEW WATER METER COST Stit UTIl1TY 81LL1TVCi SPECIAL ASSESSMEN'I� Sr:E N11VANC'� Vi/ATER TAP 5�� ENGINtirkINCi NOTE: R�ATER METF1t REPAIR, INSP OR SHUT�OFF % WttlCkNVS & NnL1vAYS $1251 HOUR-BILLED TH15 IS AN APPLICATIAN kilR A PF:1iMlT•:�T VAL1U UNTIL P1tOL�SSkO 1 h�cby apply fur a�vat�a or �wcr (new connr.elion ur rvpair) purmit and I acknowlcdgc that thc information abovo ic+ complctc and acauratc; that tho v,�ork nilt bu in conformanoc witl� th� ordi�na:s and c�:dc� of thc City af Fridlcy. 1 undcr:stand th�c is nat a pc�a�it but only en apptication far e pcxmit work iy��,not ro�ta�t yrithait a�pnimit. . SICiNA'TURE OP APPLICA� APPROVBU BY; � COPY CiiV&N T0: � U IVAME��DATL ' DA'CE I�G City �of Frtdley �ailding Inspections Dep:rtment 6431 University Avenue NE, Fridley, MN SS432 763-572-3b04 FAX: ?63-502-�9?? _,,., , From: 952 474 3748 Pa�e: 1/2 Date: 8/21/2008 8:52:04 AM ....b � � .......... .. .. ........... . . .+..... .....� . . . ... . ... � i � ,..� �..._ �_�.,�. � , " From: Cfty af F�idley To: 8524�43748 Page: 'IJ3 Date: 8/21/2�8 8;24:47 AM ` � City ot Fr}dlsy Bul4di� Mspeotions Divisian � F�� 8d31 Unwersily Ave. N.E. FNdley, MN 55432 � Te1:�783�.572-38Q4 Fax:(783) 903-4977 Ema1l:Inepedlons�ci.tddiey.mn.us W�be�e:w�nv.cl.Uftlley.mn.us �� r To' _. _�� . �f0111: �� . Sub�eot: sa�re►pertnt � Nlea�gr. Please camplete the atWohediotm and eend baok. Dvn'1 forget Io efA� the applioaGan. Thenkyou! bGiry F� B+,ildinp Permit Technician Cily of Frldlay 6431 UnNrerakty Ave PI.E. F�Idlay, MN 55452 783-572-3605 783-502-i1877 FAx Abem�oi.frldley.mn.ue ��i Q-nns 1�Jb. ��-, � C�'°�.C'4��.-1 p�.�� t,�t� vJ . � ��. � .......................................................................... ..... ... ........................... .......................... ...... ................................................................................................ ............ Infottnation conlained In �ie trensm�lal Is for the sole use of the 4ntended ►eoip+9nt. ff You have received thb fax ln e�ror, pFeaes nodfy the Cftyr of ' F�{dley. - Page 1 of 1 Fitz, Mary From: Allen, Jeana � Sent: Tuesday, December 02, 2008 1:10 PM To: Fi�, Mary Subject: Sewer Inspection Mary: If you would like you can close out the sewer permit for 1021 Hathaway Lane. Greg signed off on it today & I have faxed a copy to Community Reinvestment Fund. I will also call the homeowner & let him know everything is fine. Jeana 12/2/2008