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AF - 45491� City of Fridley, Minn. BUII.DING PERMIT Date: ..�.:...�� ......... .............. � N° 3648 ��/'�� _ Own� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder . �i✓�.Y.�°'. . .�� . �s�� .Y.� Addr�s ...................................... Address ............................................. LO�CI�TION OF BUILDING No. . f.�. � l. . . . Street . � . . . . . . . . . . . �zs-��_...,.� . . Part of Lot . . . . . . . . . . . .. . ........ Lot . . .`�� . . . . . Block . . .� . . . . . . . . . . . . Addifiton or Sub-Dfvlsion � . . . . . . � • . . . . Li�c1.�.�. Corner Lot ............ Inside I.at ............ Setback ............ Sideyard ........................... DESCRIPT[ON OF BUILDING To b� Used as: � i�,�� a c� r � // f� / ,!s�:• ... .. ..... Fro� ��:f� Depth .�.�.�'f.�..� Height �✓.:.� Sq. Fk��.�j.f.. Cu. Ft LC�'t�!/.IE' .................... Front ........ Depth ........ Height ........ Sq. F't. ........ (.ia. Ft. ........ 7.jrpe of Construction . . . . . . . . . . . . . . . . . . . �t. Cost. �vl(o � "J. . � . . . . . To be Completed . . . . . . . . . . In oonsideration of �he issuance to. me oP a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set fo and fn compliance wit� all provisions of ordinances of the dty oE Fridley. o � ................... . ...........�... /��J � � In conaideration of the payment of a fee of $..l.,( ..�'., permit is hereby gramted to ................... . . . .. . . .. .. . . . . . . . .. .. .. . to construct the building or addition as described above. This permit ie granted upnn the express condition that the person to whom it ie granted and Inis agents, employees and worlmnen, in all work done in, around and upon said building, or any part 'Chereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- fn the dty limits and this permit may be revoked at ax►y time upon �iolation of �ny of provisions of said ordinances. /� �--- � m NOTICE: � ..,�. . . Building 7nspecbor � Thla pe�mlt does not cover tha constru�ttion, Installatlon or alteration to� wi�ing, plumbing, gas heating, sewer o� water. Ba su�e to see tha Bulldln0 Inspecto� fo� separate permits fo� these Items. . r INOUSTRUL BUBIflB88 crrr �ore TOPOORAPNIC NAPPIN6 �toe�r- 2, P,�,��ryr��v ��G'��.s� .��;�-.�Q�w l� �'1 - C. E. COULTER LAND SURVEYOR REGISTBRED UNDER LAWB OF STATE OF MINNESOTA LICENBED BY OROINAN� OP CITY OP NINNEAPOLIB 3300 LYNDALE AVE. SO. MINNEAPOLIS 6, MINN. TAYLOR 4-0370 SUR VEV FOR �c�''�'%� E, `i�.PLS'�J/V r�s'Oti` lit/� �rargac'e �irrfifit�tr — —= — --76' - j --,• a � � .► '.� �� 0 a, �� ► ,i � N � t� i� � — PUTTINO FARM BURV6Y8 u►KesHOne �uoieis� N Sc.v�F; /�' 7/— /�,9 7",'~%�;% ��s��`` �.�/�"�` I h�reby certi�'y that the above is a true and correct plat of a sur�ey o�'s I�t Forty (!�0), Hlock Two (2), PAT�CiiIh�l I�EIGHTS ADDITION, Aaoka C�ounty, Minneaotat. As surveyed by n� thi s 16th dqy cif September 19,58 A„ D. - Si�ed .E��,F`�.. . •��;�..�.� _ _'` �' �� M3anesota Ftegis'� ',ti�n No. 258�, I /'=�o' I �, �"�, �� City of Fridley, inn BUILDING PERMIT Da�: OG°rOBER 11, 1965 p�r: DAVID J. STEINKE g�� SAME Adaress 1071 Hathaway Lane Addrese Frid7.ey 21, Minnesota LOCATION OF BUILDING No. 1071 s,�t NATHA4dAY LANE Part oP Lot Lot �'� _ Block 2 Addition or Sub-Divlsion PARKVIEW HEI�HTS Coraer Lot _ Inside Lot Setback � Sideyard Sewer IIevatian - --- - - -- ------ Fo�mdation IIevation N° 30�3� 8524 DESCRIPTION OF BUILDING To be Used as: D. GARAGE �t 26 �P� 24 H��t 10 �. � 624 �, F•t, 6, 240 Front Depth ITefght Sq. Ft. Cu. F't 1.y,� op ��q� �, �_ 1 000 00 _ To be Completed Ia consideratlon oP fihe issuance to me of a perinit to construct the the proposed work fn accxrdaace with the d�scription above a�t forth a ordiaances oP the dty oE Frldley. � � above I agree to do rl�h ef 1 provi�ione of 0 In camsfderatton oP the payment of a fee oP � 6. 00 , P�rmft fs hereby granted to DAVID J. ST�� to conatruct the build9ng or additfon as described abave. Thiape rmft fs gisn'ted upOn the egpres.a condition that the person to whom it ia graated and hfs agente, evnployeea and worl�en, �1n all work doae fn, araund and upon eafd huilding, or anypart thereof� shall conform in all reapects to the ordinancee of Fridley, M9nnesota reg�g location, conatructton, alteration� maiatenance, repafr and a►ov7ag of bufldiuga within the dty ]imits and t1�s permit may be revoked at aqy tiaae upoa violation of any of the Provisions oP said ordinancea. ALLEN G. JENSEN B��g �� NOTIC� T6b p�em8 dea ao� eavee �6s esn�lendien, lestall�tan 1'er �rle�, plumbteg, 0a 6�adng, ssrru� ee vra�er. B� suro to � fM gu�idtes let�etee tar ap�rab � Po� th�a N�m�, APPLIGATION FOR BVILDING PERI�BT CITY OF FRIDLEY, MI1�filESOTA OWNER' S NAME �� ,� / �� `�"TL�/ e�lY�' BIIILDER f� Ct�//� �' Y' ADDRESS /!� � ,/ ��J�iS/� lt ��ADDRESS S /� �9 � LOCATTON OF BUILDING: N0. STREET PART OF LOT LOT �� BLOCR �- ADDITION OR SIIBDIVISION�L tt-'��a�r� l��=m CORNER LOT INSIDE 'LOT �SETBACK SIDE-YARD ,� � SEWER ELEVATION FOUNnATION ELLVATIQN Applicane attach to this form Two CerCificates of Sui�vey of Lot and propoaed building lacation drawn on these Certificates. DE3CRIPTION OF BIIILDING To be used as; � � � �-}�� Front �. (o i Depth �j �{/ Height / _ Sq. Ft. Cu. Ft. Front Dept _ Aeight Sq. Ft. Cu. Ft. Type ef Construction i:�� /-��, � Estim,ated Coat '�/'. ��. o� To be co�npleted � %' � �i�" %, � The undersigned herebq makes application for a permit for the work herein specified, agreeing to do all work fn strict accordance with the City of Fridley Ordinances and rulings of the Department.of Buildings, and hereby declares that all the facts and repreaentations stated in this application are true and correct. � �, i � ,��r�� - i (Schedule of Fee Costs can be found on the Reverse Sicre). �„1 0 � .._� r 1 �� -- - BIIILDING PERMIT FEE SCHEDOLE SECTION 2. The Inapector of Buildinga sha�.l,.before i.aeuing any permit for the erection of anq building or;s.tructure, or for any addition to any esistin$ building or �tructure, or for any alterationa or repairs Eo any existing building or etructure, upon applicatioa therefore, require the payaaeat by the applicant for suc� p�rmit of fe�s.to the amount herein below set forCh and in the manner herein pravided to-wit; 2.1. For any euch permit for the erection of any fire•proof building, othei th��a garage, warehouse, factory or �rain elevator, or for the erection of any fire-proof addition, for eimilar occupancy, to any esis'ting building, ahall be at.the sate of $1.40 £or each one thousand cubic feet, or £raction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire-proof garage, warehouse, factory or grain elevatoz,.or for the erection of any fire•proof addition, for similar oc.cupancy, to aay esieting building ahall�be at the rate of $1.25 for each one thousand culiic f�et, classified as "fireproof" by Section 502 ..of •-the Minneapolis Buildia� Cotie. � BOUSES 2.3. For any auch perm3t for �he erectipn of any aon-fireproof building other than a garage, warehouse, factorq or grain elevator, or anq non-fireproof addition, for similar occupancy, to any existing bui�.ding » permit $1.00 for each one thousand cubic feet. GARAGES 2•4. I�'or any auch permit for the erection of aaq non•fireproof garage, warehouse,.factory or gra�ia elevator, or for the erection of any noa-fire-proof additian, for simil$r occupan�cy, to anp existing buiiding or for each such bu31d3ng or addit�.on - ninety ceats ($0.90) for ea.ch one thoua.and cubic feet or fraction thereof, 3n the cubical contents thereof with the miaimum of $4;00. For the purpose of computing fees for�building permita, the cubical contente of any building or additibn to a uniform height throughout by mulCiplying the ground area covered from a point six (6) inches below the floor line of t�e basement or cellar to the average h��ght of the upger aurface or to the average height of the roof surface of the �in gable of a pitched roof. 2_ 5. For repaixe or alterations to aa eu3sting at*�u�r.ure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars•.($5��;.GJ) or fraction thereof ia the cost of all proposed work. ' 2.6. In no case ehall the fee charged for any permit as aet forth in Sectio 2n be less than $4.00. . � STORM REPAIR DAMAGE ?�r�S; Reaideatial; Eat��n�red Cost of work up to $5�3�.00 -$S.�JO Es�i�a•ted Cost of woxk over ;_i;;�,�, �� -�;, Oo �0 Coma�ercial; Estim.ated f�t of wor�k �%t f�`±;:�+�'�s�0 -$IO,P� '°-� �, Eatimated_ _ at of woric over $SG'i1.00 -$20._ �,, �, .-�. ; sue�ecr PERMIT NO City of Fridley . 13242 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � • � • COMMUNITY DEVELOPMENT DIV. A�`„ ` �-7 r � y � PROTECTIVE INSPECTION SEC. ��j��J / I S � � /'��1 � CITY HALL FRIDLEY 55432 NUMBER HEV. DATE PAGE OP APPROVEO BY �---•� � �'� si2-5so-saso 910-F15 10/6/75 / / �oe a��aESS 1071 Hathawag Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. L,�O 2 Parkview Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE David Steinke 1071 Hathaway I�ane N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Leo Sanders 7813 Jackson 5treet N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install drain tile along front 9 CHANGE OF USE FROM TO STIPULATIONS � ��\ e �� L��,e� �.�`� �e � . \�� 'c� ��'�� Q�� ..y�� Before diggin� call loc�! u��iaidias �� ,a� TELEPHONE - ELECi�IC - �AS Ct�. ��,,�°��d1�=�~ ��U9��D �� a� , �� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEWDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`I. � rJOO .%S DOES NOT P ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R THE PERFORMANCE OF NSTRUCTION. yS9.00 PLAN CHECK FEE TOTAL FEE 9.75 SIGNATUREOFCONTRACTORORAUTHORIZEOA6ENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUF PERMIT �. 9� � � �° �. � � � I C� � t_,.— .�YSIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG iNSP DAT r. APpLICATION FOR RLSIDENTIAL, ALTERATION, OR AllllITION BU.ILDING P�RMIT CITY OF FRTDLEY, MINNESOTA OWNER' S NAME :�� G�Z�r% _�� BUILDER: �� .� ADDRESS : �' 7/ �/Gd-�Gr.�� L�_ ADDRESS : ��/,3 �� % � � NO•. STREET• LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYAIZD: Applicant attach to this form Two.Certificates of Survey of Lot and proposed building location drawn on these Certificates. To �e Used Ass DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: • Cubic Feet: �'ront: Depth: Height: Square �'ee�; Cubic Feet; Type of Cons truction o�JLa-L-� �f.�%� ___ Estimated Cost :$ %5 O�, �� To Be Completed: �j�i(�- � �S The undersigned hereby ma.kes applicativn for a permit for the work herein specified, agreeing to do all woxk in stzict accoxdance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declaxes that all the facts and representations stated i.n this application are true and correct. DATE: %C/�- C� — l�.S- SIGNATURE: � (See Reverse Side For Additional Information.) /� � � . ,�s � � � � �..�s � , � �� BUILDING PERMIT FEE SCH�llULE SECTION 2. The Inspector of Buildings 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 alieration or repairs 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: UIVIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches tielow the floor line of the basement o� the cellar to the average heights of the upper surface or to the average.� �height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee sha11 be at the rate of $3.00 per each five hundred dollars ($500.00) ox fraction thereof in the cost of all proposed work. Tn no case shall the fee charged for anq permit as set foxth in Section 2 be less than $5.00. V�RIFICATION Or FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed strv.cture and of the construction site. A Certified Survey of the lot, showing th.e location of the foundation, once it has been constructed, will be required before proceeding with the fxaming. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been i�sued; and said structure shall not be used or occupied until a Cextificate of Occupancy has been issued. . ` i .� Y �. � _ � O � � i � � � � � ; l r : 2 � . � � �. .; � � • � 5 � � y ` A f� � � �a�� ,. v �� 2S � � � � N �r w � � I ' � � �"i � � x � o�o � �' e, o � � � � O � �.aa� � 0 0 �, � .� °� I �r O � � a � 7 � � w � � w m. pv �� i '' o ? C p � � A ^ � � A 01 � � 1 0 � � o w � m � tiy o. 3 3 '0 • '� � i � I � I � � � �„ � k ' � � x � � � � � � � � � `ol � � � � O � � � � � � 0 � w � " �� m � � a. � � x W Q�a . '7- 7� ��'% d V � � a � � � � � � � � � � �� a � 70 7v o � O ',a' � $ � � � � a � � �a d b � � M O N � � � � � lN tJ :�1 O O ��g� M�a� , � O ^9 O � o � z d � � g m n �• � � a ao b �. x d O IS 0 x � � � � � � � � � �R� 0.r � �,n � � A y � �� a� � � � � �� 7 c � 7�' m v S a � � g • � g � � � W Q! Of 4: O 8 � � � � �� c � � �, � i .A m � `1 A y ��a�� 6� 4`" N y D A ~ A � !� 7 0 � � � ~�� m � �� , � � u � c � � T � CY � O . O � �,°o g � � cJ O� 9f O � 8 � � �1 � � ��« 'J � � .�. aa„ � z?a� �. t ��°pa� m 9 ,y� � �d ¢ � :°. C ro O N avv� Nrooa' a�vdS y �= y� N..'tiAr � � o+ p ` � v ,C'"pm c:a�,e� �� C=�.�+0� p��,�z �°'o� ,. ,7, �, o �,m'+ �dm � �< � � R�r �•� h � M �� ^� � �� A S � w � � �� _1 � � � � i°° � i5�7 � S � � �. � . a. � � �� c�+i � . � � �-' : �� ;, �� o. � �:� �-a Pi� � � <d. a, � �:� o, �,� <� �� m� � � � � �m �� 6"� � P+� �� sue�ecr PEF�MI O. c�ty of Fridley 0 5 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � • � � COMMUNITY DEVELOPMENT OIV. °� q ~ PROTECTIVE INSPECTION SEC. � ` / �� • _ � t -" r � " �; � .1 , � 1 /'�'1 � CITY HALL FRIDLEV 85432 NUMBER REV. OATE PAGE Of APPROVED BV �----� � �'� 612-571-3450 910-F15 �./27/90 / / 10B ADDRESS 1071 Hathaway Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oescR. 40 2 Parkview Heights Addition 2 PROPERTY OWNER MAIL ADDRESS Helen Steinke 1071 Hathaway Lane N,E, 3 CONTRACTOF MAIL ADDRESS D& D Home Improvement 7401 Central A�enue N,E., Fridl� 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS SEE ATTACHED SHEET ZIP PNONE 574-Q357 ZIP PHONE UCENSE NO. 784�7543 ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residenti.al 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION � REPAIR 8 DESCRIBE WORK Reroo� Gaxa,c�e (tear-o£�� 9 s.quares 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONS7. OGGUPA SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. AUTHORI2ED 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 COMMENCEO. NO. OWLG. UNITS 1 HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $45Q WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �`1�'jaOO STRUC 10 OR THE PE ORMANCE OF CONSTRUCTION. PLAN CHECK FEE �yya k'ire �C $, 4 (d/' C� SIGNATURE OF CONiRACTOR OR AUTMORIZED AGENT IDATEI yy N PROP R A iOATE� v ❑ MOVE O REMOVE UP OCCUPANCYLOAD CU. FT. FSTREET PARKING IGARAGES RTAX �e5Q ALFEE $15.95 HIS IS YOUR PERMIT �%O�V �� naTE NEW [ ] Effective 8/16/90 ADIl�T [ ] R-1 AND R-2 AI��.t [ ) Bui.lding Pesmit Applicatia� ,t•�� —� 1 � •_ � a .:. tw r �•. �w�1 • • rrr Owi�r Name & Address: CbntYactor: ,� Ii / �� z ' �,• - 1 t/ � 'Pel.. # — ��,5� 'I�el. # .� Attach to this ap�plication, a Certificate of Survey of the lat, with the prc�posed �uctiaai drawn an it to scale. �F�TVrr@T �' 71�OVB�Tr I,lYaTG AR�i: Iength Width Height Sq. Ft. Q�RAGE AREA: Lexigth Width Height Sq. Ft. DDCK ARII�: L�ngth Width iigt/Granu�d Sq. Ft. OTi�R• , . Corner Ivt [] Inside [] Ft. Yd Setbacac Side Yard Setbacks� Zj►pe of Construction: :�9 � ��Fstimated Gost: $�� Approx. Ccanpletion Date: � 4 �° � � � Pro�pc�sed DriveWay Width If N�w Is Desired: Ft. $ $ Width + 6' See Baak Page LIATE: Lf� �� APPLICANT: � l.- Tel. # �m+it Fee $ /�� . L5C7 Fire Surcharge $ '�� State SurchaYge $ - �� SAC Charge $ Driveway Escraw $ Park Fee $ sewer 1Kain ct�arge $ z,orrAr, $ /� . 9� �M+� a vM�•,��? CITY IISE �Y Fee Sch�le an Rever�.�e Side .001 x P�ermit Valuati� (1/lOth �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Etigineerin9 Agr�ment NecessaYy [] Nat N ' y[] jciil��e�sr�+:�v�4 ;��- ra�:��11 a� The Chief Buildirig Official shall, before i� »*� pexmits for the erection of ar�y ��; 7 ding or structure, or for ariy addition to ariy existitig buildiuxJ or structure, or for ariy altexation or repair to ariy existing �;iding or structure, upan ap�lication therefor+e, require the payment by the applicant for such ��+++; t of fees to the amount herein belvw set forth ar�d in the manner herein provided to-wit: � TOTAL VAIDE $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 � � a. $15 (Minim�an Fee is $15 plus su�charge) $15 for first $500 plus $2 for each ac�iitional $100 or fraction thereof, to ar�d including $2,000 $45 for fizst $2,000 plus $9 for each additional. $1,000 or fraction thereof, t� arid including $25,000 $252 for fiYSt $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to ar�d incl�ding $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and includirig $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and includirig $1,000,000 $1,000,001 arid up $3539.50 for the first $1,000,000 plus $2 for each additional $1, 000 or fraction thexeof DRIVE�iY DEPRE.SSI�1 Ec,QmW . (Concrete C1.irb Streets On1Y) Alternate ��A�� ; Remaval ar�d replace�nerit of curb and onl 9��' Y- Driveway width plus 6 feet times $13.50. Alternate ��Bn; Removal and replacement of ctirb and gutter and install a 3 foot wide aPproach with 6 inch depth - Driveway width plus 6 feet times $15.75. ►��; �al �: Y •�� • � ��,�i.i�,_ u •�.i �r+++;ts for oonstruction will be issued a minitmTm of 24 hou.rs frcaa the time of application to allaw for prcypex revie�a of the pr+oposed structure and of the c�onstruction site. ' A Certificate of S�.irvey of the lot, showixig the location of the f�ation orice it has it has be�n oonstructed will be requii�d before pro�edirig with the framing. ' - �, sue�ecT - P � V . � City of Fridley 2 9 7 5 4 ` AT THE TOP OF THE TWINS g � I L D I N G P E R M I T :, . � � o. � `y _ COMMUNITY DEVELOPM�NT DIV. �� r � � � PqOTECTIVE INSPECTION SEC. � _ � � �'��1 � CITY NALL FRIDLE� SS�3P NUMBEP pEV OATH PAGE OR APPROVED BY �--��' �'' 612-57�-3a5o s�aF�S 6/22/99 / / JOB ADORESS 1071 Hathaway Lane NE 1 LEGAL �aT NO. BLOCK tRACT OF ADDITION SEE ATTACHED DESCR. L}O 2 Parkview Heights Addition SNEET 2 PROPERTY OWNER MAII ADpR�S$ 21P PMONE Helen Steinke 574-0357 3 CONTHACTOR MAIL ADORESS 21P PHONE LICENSE NO Suburban Exteriors 9701 Penn Ave. S. Ste 107 Bloomin t n 55431 881-8232 4289 d ARCNITECT OR DESIGNER MAt ADORESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL ADDqE$S IIP PFIONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK � NEW � ADOITION O ALTERATIpN �x REPAIR O MOVE O REMOVE 9 DESCRIBE WOfiK Reroof house and garage (29 S) Tear-off 9 CHANCiE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOF ELECTFICAL. PLUMBING. MEATING, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTtON 20NING SO. fT CU FT. AUTHOR�ZED IS NOT COMMENCEO VjIITHiN BO OAYS. OF IF CONSTRUCTION OR WORK IS SUSPENOED OA ABANOONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTFEET PARKING I MEAEBY CEFTIFV TMAT I HAVE READ ANO EXAMIN�O THIS APPLICA710N STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS Of �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WQRK WILI 8E COMPLIEO @ WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT $2535 `P1 •27 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMlt fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOGAL LAW REGUTATING CON- STRUCTION OR 7HE PERfORMAN OF CONSTRUCTION �83.2.5 Fire .5�,' �2..5�F PLAN GNECK FEE TOTAL FEE °��.�t � License SC $5. 0 $92.06 S�GNATUpEOFCON'AACTOpOAAUTMOp�2E0oGENT IDATE� WHEN PROPE VA ATEO TMIS IS VO ��F�N��T_ � � ��l` S�GN4TUAE O� OWNEA��F pWNEA BUROEA� iOAfE� G�HSP � ��TE 1 - NEW [ ] Effe,ctive 5/10/99 ADDN [ ) CITY OF FRIDLEY ALTER � SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.DING PERMIT APPLICATION Construction Address: 1�% 1 �� `�.Ou�.�, �i M,.� Lega1 Description: � ��J l� p �� Owner Name & Address: �.� v Tel. � � p) �� s' Contractor: � ,�,�,��aiy, �i�n�c,e..� NIN LICENSE �# �"� � � i Address: � � � � 1' 4�vr, �v� � � �� O � Tel. # 8 �" � - �a 3 a Attach to this application, a Certificate of 5urvey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. n ` ��v�.�.� Construction Type: I� Estimated Cost: $�-��'��'� ��-�' Driveway G�Zrb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ - DATE: � `�2 - � �7 APPLICANT: ��" � �- c�Yv�� Tel. �` �' � � ' g � c3 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL �TIPULATIOIVS: 4% � $ v �•�� $ �-.s� $ %. � % $ $ � �C% $ $ $ $ $ � -� 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) �41t. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �� BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,(�?0 $2,001 to� $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,�1 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for ea.ch additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,Q00 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,0� plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $SOO,Q00 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 $1,0� or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15. 50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been �o��aa��d �iii be required before proceeding with the framing, � �� g D �� O a � a � o N � N � O N � � �, a> O � � � 0 � '�' a� `_o �•-a �• n� � n CD .a a o � � �' � N � Q- o `D � � `�° a . � .,: � 0 c � D � � < m a � � � 0 � Oq � � � � C�D � m z � -v m � � z 'T7 m rn E,9 � V O 0 � _ � � � X � *k � Q � 7 � � fl1 (D � �� 2 D � Z � C� O `-i q"' ri- (1 -i� � t� �, � D m cr m � � I � � i �, ` � � � � � o � � � a cu r � -n c m � rn � � a� ov �D � o D �_ cNn� ��O o��`� � _"�� y °' �:m m m c.S o � O �^� y' D � -a fZ� '� ci � ' �' a � �� A fD � c� � m � o 0 o �. � � O � � r�_- � �� a � � z � W D f) � v -C. c� � {�R 4fl 4�1 � .1 � o � � 1 a, � ^1 ti l/� �-�� •m csu ei m� co'� � ho o.� � ,..� N y _ � � �. y W �, fD c. � Q � o� s � � o � a � Q �- � ° ° `< � c � � � u,' � � � O � v � � y � A Q- � N� � � � �. � C�D � =► 0 � � � � � � � O � A a � � � � � � 'O c� � y (�p � �s� 3. (� � . rr O r+ � O-w � � ..�, � ,.n.r � <D 7�' m C7 � � � o N O � � �" CD (D p. N fD � �. � W W C 1 � m � � a m Z � � 2 � � N (D Z O m' 0 � D �s C7 0 Q �• Oq D v_� N m � � N � b 0 � pl N v N � L� G� D '*1 e�D C/ fl1 y � tl1 � �� n 7 � �.�� m a� cn au � = Z � (Ap tD � � � �D � Q . � o � .� .� a -t fl--T� —c �°—�� < �=oo�o � � � � � -� � ,� c pp v � � c�o � Efl v� t� r F-+ r 0 0 0 °o °o °o � w 0 °o � m {fl 6q � t� tf� `... --i Q o � r � -�ao-+z �-��,o � � � � Z a a� c� � �' m � Ori C _ � 2 O � n � � n� n C� fD O Q � � � fp fD � ^ � � � � . � r N ar"z� � � o � _ 0 � C � � CD .-. a`i � � v m � -�I D � m � n O � � i�� C '� m � � z � � �� .� � m N C� x m v C r m 9 ^�1�C7 �e; �p_w� ^ v (p h'' V Cn =� C � � V � � w n��•-n � WZcp .O (� �l � N � o r,: r � � � `� fTl r-� w < � � N � N v Z '0 m m n � O z 0 C � a � .� z ` °D � o C W � � � Z p L % Z7 7 C m � � m � � N \� I i �i S � F �V1 � tT�' � � s -� �' ` � � � � � �Il �o r �� O �Z �� >° -�i � O �- Z�� Z � v� a� �Z oN za vz .� v o= z �+ Z � '� Z � `n �� O rnp N r aZ � �rn vZ < � �y NO Z K Mi � n � r� < m L � G A� �t � � ti C C W THE BELOW MUST BE FlLLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED G�6"IL"pl� t�A!T t�f�T C�I`f�EGTnR 4f`D C�MBI ISTIC)I� �41R RIFICATIDN �� ;r �a in� an eYi�etii+p �ran -, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (� No () The venting system is plasticlPVC and meets all current codes and manufacturer speafications induding s'izing, length, number of elbows and termination. Yes ( 1 No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The p�p �emh��en 9ir is sized and installed to meet the current codes and manufacturers specifications. Wh@�111BljUl�d t0 �� a n w_emb �etien air it wi11 be s�ed and installed to meet the current codes and manufacturers specfications. y�� a new ver�tinAi�etpm, the undersigned hereby verifies that it is a listed assembly and meets the cuirent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Verrting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( )No( ) ! • • . � ' � ' . � � • 11 11 • � ' � � . � • ' � • / � ' N • � • � 11 . 1 • � AppGance #1 Type BTU Input Fan Assisted or Nat AppGance #2 Typs BTU Input Fan Assisted or Nat AppGance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ 1 1•► �- .� HEATING CO: Signed By: Date : Building �� Inspectionse� 7. 63-572-3604 DATE - o� 1 " O STI'E ADDRESS �� l THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WTI'H APPLICATION PERMIT TYPE TYPE OF WORK: � �� ,(�� M�C;HA.1�Ill;AL . ".".....`" RESIDENTIAL APPLICATION Received By: � CITY OF FRIDLEY Date Rec'c1: �� "�'�' YOUR E-MAIL ADDRESS �. ci.l� ., . . . � o .► �.._a. n �e Ni=_ ❑ OWNER �CONTRACTOR � PHONE: 1 Ce 3`�� -{ — C� �� COIvIPANY NAIv�: •••:•• y••�` ••ya• ` •••....__ � CONTACT PERSON: JOAN� ZI�EN STATE LICIIJSE # EXP DATE �r �� ADDRESS: 13562 rP'NTB� AVE NE CITY ANORA STATE �ZIP 55304 PHONE 763-757-620Z F,a3; 763-757-67U1 �SINGLE FANIILY O TWO FANIILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK li�`:�.�.[i]7by� 0 ALTERATION/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, exeluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FDCfURES: (1NDICATE TOTAL NUMBER OF EACH BELOV� Equipment I�stalled , MFG: �13� � r i e MODEL: fJ g v,g 6(0 0 SIZEBTU �o D � �8 O MFG: �o� MODEL: j�o"2�{ SIZFJBTU �--1-c� rr MFG: MODEL: SIZE/BTU , A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGF/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII.ER $35.00 �FURNACE $35.00 _GAS TJriIT HTR 510.00 Ci�IDVWEY L1NER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _,GAS PIPING $10.00 _VENIILATOR $15.00 , . w , ,� . ..:._ . _,... , . .... .... _ . .. -- Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 � x $25.00 = $ o? �' � Number of fixtutes @$35.00 t x$35.00 =$� State Surchazge = $ .50 Tota1= $ Cp0 . �� 7HIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII. PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with 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; tliat the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLIC ��° � PRINT NAME ROG�R �OFI�HEIN DATE !� a�� S° _. . _ . � __ . . . . ._ �_ - - � `�� , '� _ . ... . � _..�... . City of Fridley � _ Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED tNFORMATI�N NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS �EXISTi�IG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) . a. �il ar solid fuel TMC Chanter 7 with MN Amendments b. Natural Gas or Propane/1FGC Chapter 3 with MN Am.endments � 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments . 3. Venting a, Gas appliances IF�rC Chapter 5 with MN Amendments b. Fuel other than gas IlViC Chapter 8 vrith MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room � a. Required on new construction IMC 1346.0312 5. Ventilation . a. per M1�.T Energy Code 7670 or 7C72 6. Duct Design Per-IlVIC 13�.fl6@�:i - .a. ACCA Maaual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for comb�isfion and make up air calculations � �