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City of Fridley, Minn.
BUII.DING PERMIT N° 3 3 2 4
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Date: ..�.....�.�... � ....................
Owner ....................................... Builder ........ ...�c...E�' .�................
, F-�'�.f/
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Addr�s ...................................... Addresa ...............:..............................
LOCATIO�V OF BUILDING
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No. J .� .�/. . Street .�. .. .. .. . �?.. . .. . . Part Lot . . . .. .. .. . ., .
............ ... .... ° ....... ... e
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Lot ........�.�..�Btock ...� ........... dittion or Sub-Df " on ��:�� �'�`�� °
.......... ..... ....
-/ � ....
Coraer Lot . . . . . . . . . . . . Inaide Lot . . . f�. . . . . . . Setback . . . . . . : � . . . Sideyard � � �. . . . . . . . .� .�.�.o . . . . . .
DESCRIPTION OF BUILD[P1G
To be Used es:
.
��?°�:�'. . . . . . . . �� . .��. . �? . n�r� . °� . . . . H��t . . .�.�. . . . sQ. �. . � .��.' � cw. �. . . �. �.I �
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. . . . . . . . . . . . . . . . . . . . •ont . . . . Depth . . . . . . . . Height .� .� . . . Sq. Ft. . . . . . . . . �Cu. Fk . . . . . . .
Type of Construction . . . . . . . . . . . . . . . . . . . �st Cost. �. � `. �. � . To be Completed . . . �. . !: . . . .
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In consideration of ihe issuance to me oi a permit to conslruct the building desribed above. I agree to do
the proposed work in accordance witli the descrlpl3on above set fo and in compliance with all provisions of
ordinances of the dty of Fridley.
..�. . ... . .. . . . ............
-- - --- - — �
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In cansideration of the payment of a fee oP $. �........� germit is hereby
to ...................
... .. .. .. .. .... .. ... ..... to construct the building or addition as described above. This permit ia graated upon
the express condition that the person to whom it is granted and hfa agents. employees and worlanen, fn all work
done in, around and upon said building, or any part thereof, skall conform in all resgects to the ordinanc�s of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving oP buildings with-
in the dfiy lm�its and this permit may be revoked at any time upon violation of any oE the provisfons of said
ordinances.
'�,,��.4.1.�. � .�.����: Building Inspector
NOTICE:
Th1s perm(t does not cove� the construatlon, lneta�at��n d�,r alte�ation fo� wl�ine,
sewe� o� water. Ba sure to see the Bulldlrtg Inapectol�M� separate permlta fo� thes
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gae heating,
- —_---- 8ta�.¢ � -,�'�R,rY�Erv �/�i�.�rs �ovirio�✓
INDUBTRIAI C. E. C O-CJ LT E R
eue�weas LAND SURVEYOR
cirr �oTa
TOPOORAPXIC MAPPINC REGIBTERED UNDBR LAWS OF STATB OF MINNE60TA
LICEN8BD BY ORDINANCE OF CITY OF MINN6APOLIB
3300 t.YNDALE AVE. SO. MINNEAPOLIS 8. MI(dIV.
TAYLOR 4-0370
SUR YEV Fo R��Pt/�O G� Ci�iPdS'�.�` � So�! �Hl
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I hereby certify that the above is a true and correct plat of a survey of:
Lot Thirty-six (36), Block Two (2). PARKVIEW HEIGHTS ADDITION, Anoka County, -`
t+�innesota. - -= _ - -
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As surveyed by me this 27th day of August 1958 A. . �. '
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City of Fridley, inn
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BUILDING PERMIT N� , ?354
Date: � � �
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Owner: Bwilder �� i
Address Address
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, CATION �?F ILDING
No. �...�� street t �
Lot _.��.r.__ Slock � A tion or Sub- on �L i
Coraer Lot _ Inaide Lot � Setback Sideyard .� �
Sewer IIevat4on � .� Fo dation IIevation
,�'_ �,�,�/ ��� ,
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DESCRIPTION OF BUILDING
Front �� Depth ...�� Height � Scl. Ft %�� Cu. F't�_�
Depth _C��_._� Sq. Ft Gw. Ft
,r F�t. � �''T'o be Completed
In consideration of the isauance to me of a germft to construct the
the proposed work in acc�rdance with the description above set fortt� a
ordinanc�s of the dty of FridleY• ..�1
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In cam�fderatton of the payment of a fee oP °�� , pernzit ia hereby granted to
above I agree to do
�i� af 1 proviaions of
to c�natruct the building or addition as descrYbed above. This permit ia granted upon
the express condition that thepe�on to whom it is granted and hia agenta, employees and workmen, ia all work
done in, around and upon said building, or anypart thereof, st�all �ffiorm in all reapecffi to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance� repair and movYng oP buildings
within the dty ]imits and thia permit may be r�voked at any time upou viol�o� of aay of the provisiona of eaid
ordtnanc�8. �., f9 ,,. / �
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il� parmit dou am eewr ths coestroeN�, ImtaQdion �er vrWn9. P���9, 9a haHng, sew�r oe wnsr. B� ans io �
tia &rildleg lesp�etor fer a� p�emNs Po� fhsa tlana.
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APPLICATIt)N FOR BOILDING PLFSiTT
' CITY OF; FRIDLEY, MIrTNESOTA
OWI�R' S NAME � � �� y,� BUILDER � . '' L'�C f
nn��ss � . _ � A� i� ann�ss � �,, � ����
"� � LOCATION OF BUILDING
ATo. Street " �?o° .� T �� �!art o�' Lot
• �
Lot � � �` � Block �� Additio� or^Subdivieio .
„ . . . �.
Corner Lot Inaide Lot � �etback �'� Side-7�ard
SEWER ELEVATION FOUNDATION �I.EVATION
Applicant attach to this form Two..Cexti�icates of Suswey of Lot and proposed build-
iag.location drawn'on thesie Certificates. � � . �
DESCRIPTIOAI OF BUILDING
To be uaed ae:
�� �`i��j� Front �-� ����.h � d� Height �
Sq. Ft. Cu..Ft.. . �
Front Depth Aeight
. , • Sq. Ft . Cu . �t .
�
Type of Coristruatiaa '' Eatimated Cost �(l �6 U
To be Completed '
The understgned hereby makes application for a peronit for the work herein.specified,
agreeing to do all work in sCrict accordaace with the Citq of Fridley Ordina:�ces and
rulings of the Department of Buildiaga, and hereby declares that all Che facts aad
representat�tone stated�`in'tlais�application are true.aad correc�. .
/���
�Schedule of Fee Gasts caa be fouad on the Reverse Side).
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BUII►DZ1VG PT?.'RA",.,�TT E1"E� SG►IEDULE
Section 2. 7.'he Inspector of Buildin�s shall, before isaui�,g any pe�iC for
. the erection of any buildiag or atructure' or for any addition to aay eai.st-
�. ing building or strucCure, or for any alterationa or repairm to any existi•��g
building or stcructure, upon application therefoa, require the pay�ent lay the
applicant for such permit of feea to the amount herein below set fortYz ar.d
in the maaner hereia provided to-wit:
2.1. For aay such pe=mit for the erection o� any fire-proof buildin�, o�her
than a garage� warehouse, factory or grain elevator, or £o� the erection of
any fire-psoof addition, for similar occupaacy, to any �xisting buildir_g
shall be at the rate of $1.40 for each one thousaud c�bic feet, or frac�{�a
thereof, in such cubical contenta. -
2.2. For any such permit for the ereetion of any fire-praof garage, warehause,_
f�ctory or graia elevator, or for the erectio� of any fire-proof additio�,
for sim�tlar occupancy, to any eaisting building shall be at the rate of �1.25
for each oae thousand cubic feet, classified as "fireproof" by Section 5�2 of
the Minneapolia Building Code.
HOUSES
2.3. Eor any such permit for the erectian of any non-fireproof bu�lcl�r.� o4:Lea
than a garage, warehouse, factory or grain elevator, or any non-fireg�cr_��
addition, for similar occupancy, to aay exiatiag building - permit $�..�p �or
each oae thousa.nd cubic feet.
GARAGES
2.4. For any such perm�T.t for the erect<�� �r a.;,;� r,�Qo�3xa����g ga�ape,
warehouse, factory or graia elevator, �� ro;: �.'�z; �-,c:9�i�;� cs:� �.ray noa�er�..,�roof
additioa, -€or -s3mi,lar occupancy, to =d.-��� .�.���s�t��,r4} ;�;�;•;-ta;��o or for each s�ch
_ _ � buildiag or .addition - �inety �P�; � �„:; , �.?; �; �� e�,,,:;; ,��e thceasand cu�� � feet
or fraction thereof, in the cuz �c�r�. �:d�.��.:r�. t��e��ci• �ith a minimum of $4.0�..-
For the purpose of computiag fees . f�,i ?tit:. °_:�.c;.iz�g pe1�� � s� the cubical contents
of any building or additioa to a unifc�.a s.e�'�iit tiiroL�hout by multiply�ng the .
ground area covered from a point six (6) inches be1.:,� the flaor line of.ihe
basemeat or cellar to the average he3ght of t�r ;y:=:�er surface or to the -
average height of the roof surface �f the main �;able of a pi,tched a�oof.
2.5. Fox repairs or alteratfons to an existing structure, the fee ahall be
at the rate of $3.00 per each F3ve Huadred Do�lara ($500.00) or fsactioa
thereof in the cost of all progoaed work.
2.6. In no case shail the fee`.charged....for--.any perm�t � Bet forth in•
.Section 2 be less. thaa $4�pp�
� - � ��.
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sua�ecr PER .
City of Fridley o 18422
ATTHETOPOFTHETWINS gUILDING PERMIT
r
; � RE IPT NO.
� `y _ COMMUNITY DEVELOPMENT DIV. � � �
r � � PROTECTIVE INSPECTION SEC.
1 = �
( /"'1 � CITY HALL FRIDLE� SS4$Z NUMBER REV. DATE PAGE OF APPROVED BY
�----� • •�� 612-571-3450 910-F15 5/9/86 / /
108 ADDRESS 1031 Hathaway Lane N. E.
1 LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED
DESCR. 36 2 Parkview Heights Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Carol k'xentz 1031 Hathaway Lane N.E. 574-0602
3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO.
T. J. Roofing #5 Inner D�ipe, Circle Pines, NIDT 55014 786-9687
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
ReS].C1E:ri't7.11
7 CLASS OF WORK
O NEW ❑ ADDITION �.7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOHK
Reroof Dwelling
9 CHANaE OF USE FROM TO
STIPULATIONS
RQo� c�n be 2nd layer but not 3rd. Tnstall ridged galsranized valleys.
SEPARATE PEHMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF± IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEH WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
EREBY FY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AN NO THE ME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND DI ANCES OVERNING THIS TYPE OF WORK WILL BE COMPLIED
WtTH W ER SPE IED HEREIN OR NOT. THE GRANTING OF A PERMIT 5731 $.SO
DOES NO RESUME O GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE
ROVISION F ANY HER STATE OR LOCAL LAW REGULATING CON-
S UCTION O THE P ANCE � ONSTRUCTION. y��.S.00
PLAN CHECK FEE TOTAI FEE
l $15.50
SIGNATUREOf C N� CTORO THORI2EDAGENT IDA EI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT
i _ _ �
SiGNATURE OF OWNERIIF OWNER BUILDERI IOATEI BLOG INSP � TE
N� [] City of Fr�dley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
pLTER. [ ] Building Permit Applieation
Construction Address
Legal Description:
Owner Name & Address : �++� �+l r�' p�' � Z Tel . � � �� � �°�Z
Contraetor• T � �� � � Tel. # , �
Address: '�
0
Attach to this application, a Certificate of Survey of the
lot, with the proposed construetion drawn on it to seale.
DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECR AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [] Insi Lot [] Ft. Yd. Setback Side Yard Setback
� ��� � �
Type of Construction: Estimated Cost: $
Approx. Completion Date: �
Proposed Driveway Width If New Ope
�
DATE: � APPLICANT:
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAI.
STIPULATIONS•
Alt. A Alt B
Is Desired: $ �
� See Baek Page for Explanation
�
Tel. �l .�����
CITY 'IIS� ONLY
$ l� CSU Fee Schedule on Reverse Side
� 25`� of Building Permit Fee
$ 5Z �.50/$1,000 Valuation
$ $475 per SAC Unit '
� Fee Determined by Engineering
�
Agreement Necessary [] Not Necessary [ J
$ �� s�
.�- _ �
BIIII.DING PERMIT FEE SCHEDIILE
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 strueture, upon applicatio n
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 9aluation
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
�50,001.00 to $100,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof� to and including
$2,000.
$32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $u.50 for each
additional $1,000 or fraction thereof, to and
ineluding $50,000.
$283.00 for the first
additional $1,000 or
including $100,000.
$50,000 plus $3.00 for each
fractfon thereof, to and
$�33.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRI9EWAY DEPRESSION ESCROiiI
(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
approaeh Kith 6 inch depth - DriveWay Width plus 6 feet times $15.75
VERIFICATION OF FOIINDATION
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 onee it
has been constructed will be required before proceeding with the framing.
�__ -.-� -
sue�ecT ERMIT NO. —
City of Fridley o 18913
ATTHETOPOFTHETWINS gUILDING PERMIT
� ' RE O.
� �
� `y �_���_ COMMUNITY DEVELOPMENT DIV. �����
r � � PROTECTIVE INSPECTION SEC.
�
� _ �
' /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""'� � ,�� 612-571-3450 910-F15 4/30/87 / /
10B ADDRESS 1031 Ha,thaway i.ane N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 36 2 Parkvi,ew Heights Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Ca,rol Frentz 1031 Hathaway Lane N.E. 574-0602
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same �
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
RC'.51C�P.ri'tl.�
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION �J REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
• Rexoo� Gaxage
9 CHANGEpFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING 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
ANY TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING
I HEFiEBY CERTIFY 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $350 $. rJO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STFUCTION OR THE PERFORMANCE OF CONSTRUCTION. S15 e OQ
PLAN CHECK FEE TOTAI FEE
$15.50
SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATE� � WHEN PROPERLY . LDATED THIS IS vOUR PF�RMIT
- J �
SIGNATU EOFO NERI OWNERBUI dER �DATEi BLDG INSP qATE
� [ ] City oP Fridley Effeotive �/1/86
ADDN. [ ] R-1 AND R-2
AI,TER. [ ] Building Permit Applicatioa
Constructioa Address:��
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� . . - � �,_-�•�!�G.. '��� ���.��G:�' �:`,'����5'ifi
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Attach to this applieation, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
Length Width Height
V^,i
Length ��� P / Width Height r��. .
Length , Width _ Hgt/Ground
e
Sq. Ft.
Sq. Ft. -.�� 'zs�—
Sq. Ft. �_
Corner Lot [] Inside Lot [] Ft. Yd. Setback _ Side Yard Setback i
Type of Construetion:
Estimated Cost: $ �� �
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Baek Page for Explanation
DATE: �; � �O— g � APPLICANT: �P� �/�P�� Tel . � ���l�v�
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY IISE ONLY
$ �� , UU Fee Schedule on Reverse Side
$ 25� of Building Permit Fee
$ �v $.50/$1,000 Valuation
$ _ $ 525 Per SAC Unit
� Fee Determined bq Engineering
�
$ > �� ��
Agreement Necessary [ ] Not Necessary [ ]
�
BOII.DING PERMIT FEE SCHEDULE
The Chief Building Offieial shall, before issuing permits for the ereetion of any
building or structure, or for any addition to any existing building or strueture, or
for any alteration or repair to any existing building or strueture, upon applicatio n
therefore, require the payment by the applieant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-Wit:
Total Valuation
Feea
$1.00 to $500.00 $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
$Z,000.
$2�001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaoh
additional $1,000 or fraction thereof, to and
ineluding $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraetion 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
ineluding $100,000.
$100,001.00 and up $433.00 for the firat $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRIYEKAY DEPRESSION ESCROW
(Conerete 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 replaeement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway w3dth plus 6 feet times $15.75
VERIFIC�TION OF FOIINDATIOA
Permits for construction will be issued a minimum of 24 hours from the time of
application to allow for proper revieW of the proposed strueture and of the
construction site.
A CertiPicate of Survey of the lot, showing the location of the foundation onee it
has been constructed will be required before proceeding with the framing.
�
sue�ecT PERMIT .
City of Fridley 218 9��
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � CEIP .
� i L_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. `� �
i . �
� � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. OATE PAGE Of APPROVED BY
�"'"� � �'� 612-571-3450 910-F15 6/8/93 � �
JOB ADDRESS 1031 Hathaway Lane NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3Fi 2 Parkview Heights Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Carol Frentz 1031 Hathaway Lane NE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Twin City Storm �ash T�c. 10825 Greenk�rier d. tk 546-8160 3090
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOHK
Replace sashe.s
9 CHAN(3E pF USE FROM TO
STIPULATIONS✓'.1 T t�ll smAke detectars as �ex U&C 1210; adjacent to sleeping axeas and
U1 �in ba.seaient Bedroom `nri�.dows 'must � in compliance �nri,th UBC 12Q4.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINCi,
VENTIIATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION 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 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AL� PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETNER SPECIFIED HEREIN OR NOT. THE GHANTING OF A PERMIT $2 f2QQ $�'. �'O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- c�,4. OO �ire SC �S`Z. ZO
STRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. $
PLAN CHECK FEE TOTAL FEE
Li.cense SC $5.OQ $62,30
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHE ERL LIDATED THIS IS YOUR PERMIT
m � ����
SiGNATUREOFOWNERiIFOWNER8UIL0ER� IDATE� �BLDG NSP ��aTE
..
. .__ .. ....... .. . ..... . ....
rnEw [ ] ��� ������ l �
� CITY OF FRIDLEY
ADDN [ ] 6 Z �
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
.. ._.... . ......... . ,..
,�' %�-
Effective 1/1/93 �
�f �� z
, �
Owner Name � `��d�;e,�s: S ` � _ , �'��, Tel. #
� nr �:� - , .
Coniractor: 10825 GREENBRIER ROAD � . MN LICENSE #�( ;�' �
Address: � 812-548-8160 _ Tel. # �O'
Attach to this application, 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. T
DECK AREA: Length Width . HgtJGround Sq. Ft. �
OTHER:
Corner Lot [] Inside Lot [] Ft. � d Setback Side Yard Setbacks
Type of Construction: � �°r � -� Estimated Cost: $ � , � C�� � •
�
Approx. Completion Date: � �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ -
DATE: � � s � � �-� APPLICANT: � �� Tel. #
C
Permit Fee $ � • �
Fire Surcharge $ � - �'
State Surcharge $_ � _ � ('�
SAC Charge $
License Surcharge $ � . c�h
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL � � $ � � ° �
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
D �r�c,Zso �
,��
� u�C f 2�� �
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors
Alt. "A" or Alt. "B" Above � .
Fee Determined by Engincerir►g
Agreement Necessary [ ] Not Ne�es.tary [ ]
. - � _-
sue�ecr IT NO.
City of Fridley � � � ��7
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T
f
� � RECEIPT NO.
� i y______ COMMUNITY DEVELOPMENT DIV
1 � � PROTECTIVE INSPECTION SEC. %�J��
� , `7 �
� � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPHOVED BY
�"'"�'� �'' 612-571-3450 910-F15 9/30/96 / /
JOB ADDRESS 1031 Hathaway Lane NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 36 2 Parkview fleights Addition SHEET
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
Christine Spirit Wolf 1031 Hathawa Lane NE 574-0602
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO
Rite Wa Water roofin 448 Lilac St Lino Lakes MN 55014 786-0550
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION _O ALTERATION O REPAIR ❑ MOVE ❑ FiEMOVE
%
8 DESCRIBE WORK
Install basement drain tile �
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PEiiMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEHTIFV THAT I HAVE HEAD AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VAIUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2,597 �1.30
DOES NOT P UME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIO F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT R HE PERF_ R E CONSTRUCTION �7�F.%5 Fire SL' �2.6�
�� ��PLAN CHECK FEE TOTAI FEE
$78.65
SIGNATUAE OF CON'RACTOA OA AUTHORIZED AGENT IDATEI N P RLY VA ID ED THIS IS UR PERMIT
�
/ ♦
SiGNATUREOFOWNER�iFOWNERBU�LDERi IDATEi LOG �NSP qFiE
NEW ( J
ADDN []
ALTER (►�]�
ConstructionAddress:
Legal Description: _
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
�
E
Effecdve 8/ 1 /95
�����
� io3� �1-►-Au1�tt� ►-A� .1� •
Owner Name & Address: C' I-t2�5-�'I t� E�A �t i�o � c�,E Tel. #�} S�J �- � b p�
Contractor: ��-�_ � j� �n� ��� �� MN LICENSE #
Aaa��:�.� L►�� 5 c . L� �o (�� . !�� ��z�< <-I Tel. # �7�h - es��_
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
�ECK AREA:
OTHER:
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
HgtlGround
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [ � Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: ( i,r, t-�u o2. �n�; (�a., ��"�.� Estimated Cost: $�� �O°
.
Approx. Completion Date: ( p�- g-� 6
(Cost on Back)
�riveway Curb Ctit Width N�ded: Ft. + 6 Ft = Ft x$ _$
DATE: 9-10 - 9� APPLICANT :_ Tel. #_!"�'�""� S��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� N���� ���
$ .� • �G�
$ /- ,�(�
$
$ ��9 P-T"
$
$
$
$
$ �� � �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valua.tion (1/lOth%)
$.50/$1,000 Valuadon
$850 per SAC Unit
$5.� (Sta.te Licensed Residential Contra.ctors}
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agre�ment Necessary [ ] Not Necessary [ ]
�iJILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or.repair to any existing building or
structure, upon application therefore, require the payment by the appGcant 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,�
$2,001 to $25,�
$25,�1 to $50,000
$50,�1 to $100,0(�
$1�,001 to $500,000
$5�,�1 to $1,000,000
$1,�,001 •and up
��
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$52.25 for first $2,0� plus $12.50 for each additional $1,0�
or fraction thereof, to and including $25,000
$349.75 for first $25,0� plus $9.00 for ea.ch additional$1,000
or fraction thereof, to and including $50,�0
$574.75 for first $50,� plus $6.25 for each additional
$1,� or fraction thereof, to and including $100,�
$887.25 for first $100,0� plus $5.� for each additional
$1,0� or fraction thereof, to and including $500,�0
$2887.25 for the first $S�,Q00 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,0�,0�
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,� or fraction thereof
DRIVEWAY DEPRESSION ESCRO�V
(Concrete Ctirb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
Alternate "B" : Removal and replacement of cwb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 f�t times $15.75.
VERIFICATION OF FOUNDATION
Permits for consh�uction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showiag the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
�
t �
SuB�EtT
City of Fridley 2 8 7 5 9
AT THE TOP OF THE TWINS g u I L D I N G P E R M I T
r
; � RECEI .
• COMMUNITY DEVEIOPMENT OIV.
� ♦v _____ , �cJ ��
r � � PqOTEC7IVE INSPECTION SEC.
�
1 . �
i--__�; �"' �'; CITY MALL FRIOLE� SS132 NUMBEt+ REv OATE vAGE Oi APPqOYEO BY
i 612-571-3450 9t0-F15 12/15/98 / /
J08 ADDRESS
1031
t LEGAL ��7 NO. BLOCK TRACT OR AOOITION SEE ATTACHED
oescR. 36 2 Parkview SHEET
2 PROPERTY OWNER MAIL AOOR�S$ 21P PMONE
Christine Spiritwolf
3 CONTiiACTOR MAII ADDRESS 21P PHONE UCENSE NO
Tabor & Sons Inc. 1805 Polk t
a AfiCHITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADOFiESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
8 OESCRIBE WORK
Reroof house (12 S ) Tea.r-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS AFiE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SQ. FT CU FT
AUTHORI2ED IS NOT COMMENCEO WITMIN 60 DAYS, OR IF CONSTRUCTION
OF WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTqEE7 PARKING
I MEFEBY CEiiTIFY THAT I MAVE REAO AND ExAMIN�D THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORiiEC7. ALL PFiOVIS10NS OF LAWS yALUATION SUflTAX
AND ORDINANCES GOVERNING TMIS TYPE Of WORK WILI BE COMP�IED
WITH WHE7MER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT $lOLH $.SZ
DOES NOT Pf;ESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEL THE PERMIT fEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON•
STRUCTION OR THE PERfOfiMANCE OF CONSTRUC710N $37.50 Fire a5 $1.03
PLAN CNECK FEE TOTAL F
License 5.Q0 44
S�GNATUAE OF CON'AACTOQ OA AUTMOp12E0 4GENT iDaiE� MEN ROP L ALIpATE 7 �S VO R PERMIT
,� ,/�j
S�GN4TUAE OF OWNEA��c pWNEQ BU�LDEfii iOATE� Bl �NS� - �ivTE
NEw [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-Z
BUILDING PERNIIT APPLICATION
Effective 1/1/98
r��
� �
�� U�
U
Legal Description:
Owner Name & Address: ° ` " � Tel. �# fs'2/ -,�,�3 �;
Contractor: �� ��� � _ � _ MN LICENSE #�,,c�_/_�i��
Address:_ j �G �' �`°� � q� � �� Tel. # ���-/5��
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:
OTHER:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width HgdGround
Sq. Ft.
Sq. Ft.
Sq. Ft.
c�e U �
Construction Type: Estimated Cost: $ � �Q'o� �"
(Fee Schedule on Back)
D�iveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ / 0��
DATE: �a2-- I S'°- I�' APPLICANT: d � a�� Tel. �# `7 �r �-/9'6,�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ .� `l. ,5�
$ j� 0 3
$ , .S�/
$
$ .�� 00
$
$
$
$
$ �r0�%
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.SO/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� . ,
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2, 000
$2,001 to $25,000
$25,001 to $SO,OQO
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,OOO,U00
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,OOO,Q00 �
$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)
Altemate "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 $i5.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. �
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.