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AF - 45495_!�, !�l City of Fridley, 1Vlinn. BLTILDING PERMIT N° 3 3 6 8 �� , nate: ....9.—. � ?�:.� ....................... Owner....................................... Builder ��...................�.............. Addre�c.c ...................................... Address ............................................. LO�CATIQiV OF BU[LDING NO. � � �i�....: Street ..:.f� ............ ................... P�f Lot ....�........ . .. . ,_.... ... � Lot . . . �. t . . . . Btock . . . . . . . . on or Sub-Di ° � �� ....... .................... .... ..�.. ..;.... Coraer Lot .. 7nside I.ot •. � . Setback �..� ..... Sideyard ..�� .... .: .9�f � � DESCRIPTION O� BUILDING To Used es: � � O . . . . . �m . . . .��.-. � n�n . �:� x�� . . . . .�. sq. r�. .1.6 � c�. �. � $. . .: . ...........:........ ........ nepth ........ ��r,t .....,.� sQ. Ft. ........ cts. Ft. ........ / , Type oP Construction . . . . . . . . :�?:�. . . . . . �st. Cost. ./. : r. �:o. �. �"°To be Completed . . !�s . ��: �� . . . "�� '� ,� � ��.J -�, �� 4 $ ' �� E,�> . ...�- ' : tl In consideration of tihe iasuance to me o! a permit to construct the buildittg desribed above. I agree. to do the propased work in accordance with the descrYption above set forth and in compHance with all provlsions of ordinaacea of the dty of Fridley. .� .......................�. .......... . ..... � `� �' In consideration of the payment of a fee of $: � . . . . ��. permit is hereby granted to . . . . . . . . . . . . . . . . . . . . .. .. .. .. .. .. .. . . . . . . . .. . to construct the buildiug or addition as described above. This permit is granted upon the express condition that the person to whom it is �ran� and ilis agents. employees and worlQnen, in all work � done in, around and upon said building, or a�► part thereof, shall conform in all respects to the ordin�nces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the dty limits and thia permit may be revoked at any time upon violation of any of the prov3sions oE said ordinances. ;�.�. � �- � �. �'�`�:: ..�. .,�� r NOTICE: Thls pe�mit does not aove� the construaRlon, Installakton o� alteratton fo� wl�ing� plumbing� gas heating� sewer o� water. Be sure to see tha Bullding inapeotor fo� separata parmlts fo� these Itama .. - �� uvnussaw. 9YBIN288 emr �ore TOP06RAPHIC MAPPINO �� 3 �'� � � � �p�. � t �� , ��0 � � ��► � B�ac.c� 2, /��'�r��r��w �&��.��ors Aoo� �ro,�o C. E. COULTER LAND SURVEYOR REGIBTERED UNDER LAWS OP STATE OF MINNE50TA LICENSED BY ORDINAN� OP CITY OP NINNEAPOLIB 33Q0 LYNDALE AVE. SO. MINNEAPOLIS S. �11NN. TAYLOR 4-0370 SUR v�Y Fa R AR vro E. l.9iP�so.� �So� 1'�c �ttrnYgar'e �Irrtiftratr --76=- � - PuTr�No PARF4 BURYlTB uKesHOne �uo�eu� N ` �c�t �; i �"2a' � c � a .o � e I �. � .. � e � �., 76� ,� /°�'�/ � h'��'�"!�'.��`�i` L��-. . I hereby certify ttn�t the above is a true and correct plat oP a survey crf: Lot FQr�y-one �1�1). Block �vo (2),, �'ARKVIEYd I-I�IGHTS ADDITTON. Anoka �munty. b�inneaota. As �urveyed by me this 16th dqY of September 19j8 A. D� � rai�� . ` �� , � 'f� � Z�,., , .�`� �G.-v /"� ��N�ir� esota R�'`stratioa Dio. 258I8I�.. � �1 r^ Date: City of Fridley, Minn. BUILDING PERMIT SEPTEN�ER 19, 1966 �el: WILL?AM E. EJOVIC B��r SUSSEI, COMPANY �o Addre� 1081 I�ATHAWAY LANE N.E. Ag�e 1850 COMO AVIIQUE FRIDLEY� MIla1�SOTA 55421 ST. PAtTL, N.�SOTA LOCATION OF BUILDING No. 1081 S�t HATHWAY LAN'E 1V.E. Part of Lot � 41 __ gl� 2 Addition or Sub-Divlsian _� p�W HEIGHTS Corner Lot Sewer IIevation Inaide Lot — g Setback _____ Sideyard _ _.._ Foimdation IIevation �� i� 9 (i 1'7 DESCRIPTION OF BUILDING To be Used as: DET. GARAGE �nt 22 Depth 22 Height 10 �, � 484 ��•.� 4, 840 Front Depth I�eight 5�1. �. — � � Type of Constructioa � Fs� Coat — 1 375„R 00 To be Completed In c�lderation oP the iasuance to me of a permit to construct the building descrlbed above, I agree to do tha proposed work ffi accordance with the description above set forth and in compliance with all proviafona of ordinancQS oE the dty of Frldley. ' _ � — .�`� In consfderation of the payment oP a fee of $ 5.00 ��t ��by �}� � SIISSEL COMPANY to conatruct the building or addition as described above. This �rmit ia granted upon the express condition that the person to whom it fs granted and h3s agenta, employees and workmen, in all work doue in, around and upon said building, or anypart thereof, shall conform in all respects to the orainances of Fridley, Minnesota regar8in� location, conatruction, alteration, maintenaace, repair and mov9ng of bufldings within the dty ]imits and thia permit may be revoked at any tinae upon violation of aay of the prov9aions of said ordinanc�. CLARENCE BELISLE �� NOTICE: 'Ihis peemh d�r net eevsr �hs eoastrocNoe, im�alNttoe fe� wiriae, plumbing, en huHne, s�rse or w�tsr. B� wn to. a� tire BniWiue I�p�tlor Por aparata pam�hs �o� H�as it�nu. APPLiCATION FOR BUTLDIIQG PERMIT CITY OF FRIDLEY, MINNESOTA � A OWNER' S NAME �r � dH-► �� r c;� BUILDER _ c� f� ��? e c� ann�ss � �/ � nDD�ss � o �� LOCATIOAT OF BIIILDI�TG �� N0. STREET PART OF LOT LOT BLOCR ADDITION OR SIIBDIVISION CORNER LOT INSIDE LOT�_SETBACK � SIDE-YARD SEWER ELEVATION � FQDNDATIQN ELEVATION Applicant attach to thia form Two Certificates of Survey of Lot and propoaed building location drawa on tlseae Certificatea. DESCRIP7.ZON OF BVI�DING To be uaed as; �� _ Front�Depth � �- Height � Sq. Ft . � , . Cu. Ft .-y�� Front Dept �_ Height Sq. Ft. Cu. Ft. Type of Construction F/- c+.�-�-�. Eetimated CQst ��. °j,.� °� To be completed ' % o � The undersigned hereby makee application for a permit far the work herein specified, agreeing to do a1�. work in st�fct accordance with the City of Fridley Ordinancea and ruZings of the Department of Buildings, and hereby declares that a11 the facts and representationa stated in ehis applicat,ion are true and correct. DATE �� % ,� � �y SIGNATIJRE (Schedule of Fee Costs can be found on the Reverse Side). i � � .� � ^ . _ . J �. -- _ ° - _ - BIIILDING PERMIT FEE SCHEDtILE SECTION 2. The Inapector of $uildings shall, before isauing any peronit for the erection of any building or atructure, or for any addition to any existiug building or etructure, or for any alterations or repaira to any existing buildiag or structure, upon application therefore, require the payment by the applicant for such permit of fees .to the amount hereia below �et forth and in the manner herein provided to-wit; 2.1. For any such permit for the er2ction of any fire��roof bi�ilding, othei th n a gara�e, warehouse, factory or gr�in elevaltor, or for the erection of any fire-+proof add�tion, for aimi].ar occupa.ncy, to any esisting building, shall be at the rate of $1..40.for each one thousand cubic feet, or fraction thereof, in such cubical conteats. 2.2 For any such permit for the erection of any .fire-proof garage, warehouse, factory or grain elevator, or for the erectiori of any fire»proof additfon, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minne�polis Building Code. HOIISES . 2.3. For any such permit for the erection of any non-fireproof building, other than a garage, warehouse, f�ctory or grain eleva.tor, or any non-fireproof addition, for similar occupancy, to any existing building - perm3t $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the.erection of aaq non-fireproof garage, warehouse, faceorq ar grain elevator, or �or the erection of any non-fire-proof addition, for aimilar occupancy, to any egi�ting building or for each auch building ar addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical content� thereof with the minimum of $4.00. For the purpose ot computing fees for building permita, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered fram a goint six (6) in�hes below the floor liae of the basement or cellar to the average hes�ght of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2,5. For repairs or alterations to an existing atructure, the fee sh��l be at the rate of $3.00 per each Five Hundred IIollars ($500.00) or fractivn thereof ia the cost of all proposed work. 2.6. . In no case shall the fee charged for any permit as set forth in Sectio 2n be less than $4.00. STORM REPAIR DAMAGE FEES; Residential; Estimated Cost of work up to $50ns�� _ S5a^� Estimated Coat of work over "'.��:;-:,.p>;� R;�;�,� �;p Co�ercial; Estima.ted �t of wo�?� v~� t,:, '�'=.��,;,;t�� ,. ��,y� Estima�ed (...dC of �oa'_� �; �-r Y��;+:°o UU - ;�.i%. �., ` ' ` '�. ��8 . LOT BLOCK ADD'N. � J NAME Vv��.i�� ADDRE33 � � 8 � i� AREA � �� o�� 3' 22� - � G . ��ov�v /�-1' H A W.�•Y �--.AI�I SiZE 22 x 22 VALUE 13'�7 S � TYPE � 2,�. t.� �. O SC�UA2C. V1� lT1-1 �OL1SE- � �2 �20�.JT OF C�A'2AC�E �Tp S"t�.iZT 'L - 2OW 5 k3�OL� ��+ �20M 1ZEAiZ O F l--IC?t�S � .�S � �-� O W 1.! � � Q3 S ► � � o � _ C�a,r��•c -ro 5-r.o,�� 3' �PZ.o+� S � QE �r,�o�Er��y , �� ,�.s ,5�ao�� -.� !Fr�GAV.hT� AS l�JEGE.�S�.TZ.�I ! Ct RnESN �Q2 sL- �Z��A1S OF �," �1 1L5 � TI r,o � � 2' 2+ 6t�1 �.- S 1 pE5 A'S Si--1p W 1J G0�1 p U 1 T �� S i.-1 � C.0 IJ � t� f'P �� . fc W tl�T �2 f� 2O0 F �j ��A�. IL � I Ll.,. �i 0 �i � 1►`lST1�L�. i�1EW Stp�WAL1L � a Q �S 5�-[Qv�l �.l V\I#-1 E t�1 ,Ob �' 17002. 3 � 5 cot�► P L-�,- �- . AP2oa� � BoiTS �2" ' z =� � x � s'f � til C� �1 DEWA t_�L.'� s'S�OP � F v s� eP UT �.�. AS p `� A, �--'S przr v r w,o.y � �I�us� / / ,� `"� — 20 -r -- �� $ , °�.- SUBJECT T NO. City of Fridley � 16 4 5 0 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � r ; � R . � ; y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ��`/ 1 . i � � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV 1""'"� � �'� 612-571-3450 910-F15 11/2/81 / / JOB ADDRESS 1081 Hathaway Lane N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. L}], 2 Parkview Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Robert Nienaba 1081 Hatha.way Lane N,E. 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. Northwestern Builders 8053 E. B.loomington Freeway, Bloomin ton 884-8868 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Construct an 18' x 16' Bedro m Addition and a 9' x 8' Front Entr & Deck 9 CHANGE OF USE FROM TO STIPULATIONS SEPERaTE PERMiTS REQui�EO► FOR W�f�r� HEATINC, PLUI�f�t�lG AiVD SICN�e �� Before digbir�g call Iac�I ufili�;�s TEkEPHON� - ��C��e� _ � ��. �E�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI FZ'dilL 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 120 DAYS AT ZSH '�' %2 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD 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 WOFK WILL BE COMPLIED $1L�iOOO $%�OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TR CTION OR THE PERFORMANCE OF CONSTRUCTION. S1O4.50 NONE /� PLAN CHECKFEE TOTALFEE � 5E� �/ °;�'�� $ 26.13 $13 7. 63 SIGNATUREOFCONTRACTORORAUTHORI2EDAGENT �DaTEt WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ° 1( ��T SIGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BLDG INSP � E CITY �F FRIDLEY Effective Aug. l, 1981 APPLIC/17Ia,J FOf; RCSIDE�dTIA� BU1LDIi1G PERf�iITS (Ide�r, Alteratians, Additions, or Repairs) 01�ltdER: a ' � � ADDRESS: � � � e i� TEL �VO: I3UI LDER : ��,i��G`'��`'�''� C�l �� RDDRESS: �(�1�� y��, r��Y ��b��,��-� ��-�c� �� T�� da: -�-- Consi;ruction Location � STRI�T NO : � '� d ST1tEET: � � `°J`°� � �1 � � '�/' p� �'�% . —� � �/ � LOT: �� ' BLOQC: � ADnITI0I3 : �'�'K �/° l' �� a �OC y' � Corner Lot: _,_, Inside Lot: � SetbacY.: Sideyards: Ap�licant attach to tliis form twa Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF COh�STRUCTIOPd ��, ,.��, � , --------- Front: j Depth: i��, Height: �� Squane. �'�et_ C�bic Feet: o� �� sP ��`� Front: g/ Depth: Height: � Square� Feet: �� ' Cubic I'eet: �7 `� 28�x yv.Ig-. ti�s�t9u �Zx3�,y3=ezy�.4� ?�3.�5��.�� Ic{,o�d �%�% , Type of Construction: ��ti9E' ��°'�'��`�`°� Estimated Cost: $ i° Rb Be O�r.�pleted: ��' /� �% Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $� $ • , SE� Rc^�VERSE SIDE OF SHEET . Riie undexsigned hereby ma}:e� application for a penait for the t�ork� herein specified, agreeing to do ,all work in strict accordance with the City of I'ridley Ordinances �azd rulings of the Departmen� of Duildings, and hereby declares that all the facts and representations stated in this applicatian are true and correct. n.��: ��i � �/� — �,�______ szcN�TU� : � C � � ��,��' Stipulations: �y,,,r,,,� l o �l . �Z' p.e 2�.r3 � �3 � , + � e r • BUILDI1�iG PERM•IT F�E�E SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structnre, or for any addition to any bxisting buildinq or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUATION $1.00 � $500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 FEES $10.00 Minimum Fee $15.00 plus surcharge $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 $�,000 or fraction thereof, 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 including $50,000 $50,001 to $100,000 $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 and up $443.00 for the first $100,000 plus $2.50 for each.additional $1,000 or fraction thereof PLAN CHECR: 25 percent of building pezmit fee DRIVF�nTAY DEPRESSION ESCROW: Concrete Curb St�eets Only Alternate "A": Removeal and replacement of curb and gu�ter only � Driveway width plus 6 feet x$13.50 Alternate "B": Rmioval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDAT�I�ON Permits for construction will be issued a mini.mum of 24 hours fr�a the time of application to allow for proper review of the proposed structure and 4f the construction site. A Certificate of S�rvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with. the framing. I �, oou Z o00 - 32. �� 12�� 2�-�.� � 72,,00 ��y �o � i'3 z�. -he 7 . t10 _ � 13 7.•'� 3 _ .�..�., , �. �...F o.. •- . __-__, . . , ..� ,�..�� .-_-,-��....�: . _ .,. �,� _ _ _ _ _ . _ .�; :�-� • . . EXTERIOR EtJVELOP� AVER.AGE "U" 'COt�IPUTATION 01•JNER �o'��f1" �fC'��6�'�> . _. SITE ADORESS �� y /t!� ` �� wGi' �.'v �✓t�� e /v1� CON`GftACTOR �/„�-$cJa�?8°��,._.�,.G,��`� DATE /�.10�-',� PHONE d't��/ �Jl�� .. Determine wnrking square footage of each. , 1. Tota1 ex osed ua11 area �•" �� sq. ft. x.185 = , p .:. �� 2. Total roof/cei l i ng area . .� rSb sq. ft. x. 04 �_ �. v� ` __" Total exposed ; , wal t area abo've fl oar = �� '':'- ; � . a. Toial wall windr,w area ......:.................... .�6 ;,^ ; _ ", _ b. Tota] ,door area` .... ...,.....,........ . ... .. ,_,_ ... ... , c..Total siiding g�ass doo� area ...............;..r• � d. Total �irep�ace wall`area........ ............ .� . � ��. Total wa11 .frami ng area (average 10�) . . . ;,.... ... . '7' 7, 2- . � f. Total ne� wall�area above f7oor ................ 3�i � g: Total rim joist area ...,..'.:.� .................. . S 5' :` � Total�ezposed found3tian area = �, . h. Total faunda�i on wi nd�w a:rea . . . . . . . . . . : : . . . .. . . . . l � ° , ` i. Toal:net`foundatian area above grade .......:.... �.I � , , � .. . ; : `"� Deternine "U'�'value of each waTl. segment. , a. �� U�� , � � /% . b. / � X ��, �' _ / � � . � . --- C. X uUn a a. :.� ►�u" _ :_ , y �. y�, - :� ��,� . � _ �. �� X ��u��' ' �6 a �� _..��.�.—..-. , 9.� �... "�H oTY = .3 � � ��. � ,,�,� � - . .. � . ; "�N :. � � �II � - . ... . � � 1 • / � ,' /t . �.�� .. � . � ��. •.,�. , •�. .r��.��t,�TQ��a� �� , .. ` I�' item n3 is the same as, or.less.than item �l, you have met the intent of S�C 60�6(c)2. ` ti� ' y - .�---- --s-.,,, . _ : _ �.,._ � . � . _ _ --'�'�-_-�"�.x_..._ �.-�----� �°°�-- ,_ _._ - _._... . .��,;, � � , Y Tata•1 ex osed roo .;;. ; ' p f/c��ling area � �� j. Total skylight area ..� .... ............: .. ... ��' ._ � k. Total roof/ceiling framing.area (average�l0�)... � $ ' T. ToCal net`insulated roof/ceiling ar�a....,...... '��y Qetermine "U" value far each r.00f/ceiling segment.' �� ! �U�� _ ' . k, :�� p : !�"'�! . _ �.�j��. 1. � . °�`t,� X 'uU„ * ,�� . � �� _: , _ ,� . : , . . � 4 ......::......`.....:`....:,.....':k;::To�al = �' ;;.: , ' `If total pf #� is the same as,�ar tess than �2, you have met �he intent of . SBC'6006(c)1. Alternate Bu;�ldinq Envelape Design �: i o uti l i ze tE�e tota� er�vel ope system mathod, �. the va1 ues establ i�hed ay the -.. ; sum of items �3 and,�4 shait �zot�b� great�r than the sum af items �l and �2. � , �_�� 'r.f .. + ' � . j �%,' `�' I% a / ��1 '� � F , , , �_ � �.�._� , : . . 3. �.�/ +'4. �l, S = � �, S�D ;€ , , � � . � � � �;�_:� � . , , ,. . ; ., , ,,. -, >.. , . ;,� . _ .. _ , , . , . .. , ,.. . f ,. .. . _. , r - * _.. ... , - ; ;: ; _ , ., � a �-- " �.; `- , '� � l �"' ... . d - ''+ f� .,�. �a 5 t ��: ' � `�' r - : � ' BLac,� 2 p.��PKI'/EN/ H�/E//TS AOD/ T/4/✓ �pousrRtw� wsuaess emr �ors TOPOORAPHIG MAPrINO 3 �� 3�,�� 0 t � .� � �� ,�� ' C. E. COULTER LAI�1D SURVEYOR REGISTHRED UPiDER LAWS OF STATE OF MINNHSOTA LICENfED YY ORDINANff' OP CIT1/ OF MINN[A►OL18 33QO LYPIDALE AVE. 50. MINNEAPOLIS 8. MINN. TAYLOR 4-0370 SUR VEY fo R AR V!D E. C�i�,QISoN �,S'pN TiYC, �urarqnr's fQtrtfii�c�tr - --76=- � - �urr�No r�nw euavcrs uKSaHOrt� �uo�ei�� N ` SCALE: /'"ZO' � 0 \ ' � .� � , � � 4 \ �� /D�j — /�''�1T/�.�lti'�Y L�N� . �-�- I hereby certify that the above ie a true and correct plat oP a survey af: - _. �L��. Block �o (2)� PAF�VIEW HTIGH� ADDITION, Anoka �ouaty. D:innesota. . _. - �p September 1958 A. D. � � �� __ _ . � . .� . ^ .� f . �,,�. , _ . _ � . . -e+ion No. 2584 ,� � sue�ett P City of Fridley 3 916 AT THE TOP OF TNE TWINS � � I L D I N G P E R M I T � R T NO. � � � � • COMMUNITY DEVELOPMENT DIV. � �� ; V ��.�� f � � PROTECTIVE INSPECTION SEC. 1 . i i----�; �"','� CITY MALL FRIDLE� SS�32 NU4BEN pEV D�iE PAGE OF ��vnOVEO Br t 612-571-3450 gt0-F15 5/8/00 / / 10B ADORESS 1081 Hathaway Lane NE 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACMED oescR. 41 2 Parkview Heights SMEET 2 PFOPEiiTY OWNER MAIL ADDRES$ 21P PMONE Mike Donohue 1081 Hathaway Lane NE 574-1663 3 CON7HACTOH MAIL ADCRESS 21P PMONE LICENSE NO Suburban Exteriors 9701 Penn Ave S, ��107, Bloomington, MN 55431 881-8232 d AFCNITECT OR DESIGNER MAII AODRESS 21P PMONE LICENSE NO. 4289 5 ENGINEER MAII AODRESS ZIP PHONE LICENSE NO 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION D ALTERATION � REPAIR ❑ MOVE O REMOVE 8 OESCRIBE WOqK Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS AFiE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OP CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONING THIS PEiiM1T BECOMES NUIL AND VOIO IF WORK OR CONSTRUCTION 20NING SQ. FT CU fT. AUTHORIZEO IS NOT COMMENCED V�IITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 1� DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DW�G. UNITS OFFSTREET PARKING I MEFEBY CERTIFV TNAT I HAVE READ AND El(AMINEO TMIS APPLICATION 1 STA�LS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW$ VALUATION SUFTAX ANO ORDINANCES GOVERNING TNIS TVPE OF WORK WILI BE COMP�IED WITM WMETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �2 � 185 $1 .O9 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TM(i pEFMIT FEE SAC CNARGE PROVISIONS OF ANV OTMER S7ATE OR LOCAL LAW REGUTATING CON- ST UCTION OR TNE PERfORMANCE OF CONSTRUCTION �H3.25 Fire SC �2.19 PLAN CMECKFEE TOTAL E , , Licens $5.00 1.53 S�GN4TUAEO�CONCAACTOAOpAU�NOA�2ED4GENT IDATE� HEN ROPER i1DATE IS IS M1� I � S�GNATUAEO�OWNEAi��OWNENBU0.D@Ai iD�TE� BLD �NSo � ppfE NEW � � ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION �� o � Construction Address: /vU/ ��i'9�/ � 'a.�� Lega1 Description: Owner Name & A� � Contractor. , Address: 1 LIVING AREA: GARAGE AREA: DECK AREA: 01'HER: Construction Type: � �j/� �� 5 �. � dress: i%%/,� /�'O�i�� Tel. # �%�' /�'�J� l /(O �C /D�S MN LICENSE # �� / Tel. # L�� 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 Width Height Width Height W�th Hgt/Ground c, - !� � Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ � � / �� Driveway Ciirb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: ��`5�� APPLICANT: ' �d�i�� /��G►�e�� Tel. # �� G�� Permit Fee Fire Surcharge State S�ucharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��.> �.� n $ �' $_ � O $ $ - �? � $ $ $ $ $ �r,� _� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Elgreement 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,(�1 to $50,000 $50,001 to $100,(?00 $100,001 to $500,000 $500,001 to $1,�0,000 $1,000,001 and up FEFS $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,0� $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,(�0 $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 $1�,000 $993.75 for first $100,�0 plus $5.60 for each additional $1,000 or fraction thereof, to and including $SU0,000 $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 fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SuB�ECi c�ty of Fridley 3 3 2 5 AT THE TOP Of TME TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � ; � __�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� °�� (---. w��'�','� CITY HALL FRIOLE� SS��2 NUMBER REV DATE VAGE OF AGPROVED BY � �� 763-571-3450 s�aF�s 11 /13/02 / / JOB ADDRESS 1081 Hathaway Lane NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMEO oescR. 41 2 Parkview Heights SNEET 2 PROPERTY OWNER MAII ADDFiESS ZIP PMONE Mike Donohue 1081 Hathaway Lane NE 763-574-1663 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Career Homes Inc 768 ione Ave, Sprin Lake Park MN 55432 763-756-7313 a ARCNITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 20057634 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS Of WORK O NEW O ADDITION � ALTERATION C� REPAIR O MOVE O f1EMOVE 8 DESCRIBE WORK Replace nine windows in existing openings; reside house and garage 9 CHAN(3E OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uni�orm Building Code, requ�res that a weather resistive barrier be placed over ex�erior sheathing to protect the interiar waZl covering. E�:ceptions for this provision would b� if sheathing is an apgroved weatherproof panel or whea the siding is an approved weafiher bdr�ier. Vinyl sgding is not a wea�herproof covering unless the mar,ufacturer states this in �their applicatio:� guide?;zes. Call for inspection of wrap be=ore covering. Cau�k 2nd fiash all exterior open�ngs. Prov�de smoke detectors in a1S s�eeping rooms and o:� �i3 levels af the dwell�ng per Section 310.9.1.2 of the 1997 Uniform Bui?d{ng Code. CauZk and fla�h aIl eYterior openings. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIqED FOR EIECTRICAI, PLUMBING, MEATING, VENT�LATING OFi AIR CONDITIONING THIS PERMIT BECOMES NUII ANO VOID IF WORK OR CONSTRUCTION IONING SQ. fT CU FT AUTMORIZED IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENpED OR ABANOONEO fOii A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED NO OWIG. UNITS OFFSTREE7 PARKING I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUq7AX AND OiiOINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �8�000 ��l.00 DOES NOT PFESUME TO GIVE AUTMOfi17V TO V�OLATE OR CANCEL TME pERMITFEE SACCMARGE PFOVISIONS OF ANV OTHER STATE OA LOCAL LAW REGULATING coN- �153.Z.rJ Fire .SC, �8.0� STqUCTION OA TME PERFORMANCE OF CONSTRUCTION PLAN CNECK FEE TOTA�FEE ic se SC $5.00 $170.25 S�GN4TU�7EO�CON'AACTOpOpAU�MOA�2E0AGENT �D�rE� WMEN PqOPERLV VALIDATED THIS IS VOUR PERMIT S�GHaTUaEO�OwHEp��OWNEpBwIDEfi� iD�TE� L G�h5� �� \ o� �� NEW ADDN ALTER [ j CITY OF FRIDLEY Effective 1/1/2002 [ J 6431 University Ave NE, Fridley, MN 55432 (763) 5TZ�604 Bidg Insp (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cohstruction Address: �v g, f t��' Legal Description: Owner Name 8 Address: �<<� �oY1 �/�U�� Tel. # 7�3 -��Sl- l�� 3 Contractor. ��2�� J� S �-1 � C. � MN LICENSE # oc D U�� ,�� Address: 7�� -�-O.Me �(1� �,�- •%�, 6/►�t eV ��! 3 2 Tel. # 7l0� - 7��- 7 3/� Attach to this application, a Ce�tificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. FL GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: I?2�� (.Jr �r�o�v s i� E,XIJ'7'i n� pp.p�v,viet�S � f�si � w, � V i•�Y�, Construction Type: S i o i nQ y- [,c� ►�r,o�v � Estimated Cost: $��°� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �� 3'6� APPLICANT: � � ��J�.�. Tel. # ��3'7�� 73�� Call (763) 572�604 for Pennit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 0�.�. �� $ �� . �o $ y, o0 $ $ (' O $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] $ �''%D . �S� � STIPULATIONS: BUILDING PERMIT FEE SCHEDUL� 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 sucl� 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 $100,0� $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 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 tllereof, to and including $25,0� $391.25 for first $25,000 plus $10.10 for ea.ch additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,(�0 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 additional $1,000 or fraction thereof, to and including $SOO,OQO $3,233.75 for dle first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0�,000 $1,000,001 and up $5,608.75 for the first $1,000,0� plus $3.15 for each additional $1, 0� or fraction dlereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 5urvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv � Engineering WATER AND SEWER Permit No.: 763-5�2-3552 PERMIT APPLICATION Received By: �� 763-571-1287 fax CITY OF FRIDLEY - R � ,�� ;�.� EFFECTIVE 1/1/2010 Date �e�: APPLICATION DATE: _ "( YOUR E-MAIL/FAX: THIS APPLICANT IS: ❑ OWNER �CONTRACTOR ,�n JOB ADDRESS: I(9 R � 1�� Qtl.� in /V �` NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: Gt, � J O�n f OW�� ADDRESS: IOg I I°l�i-"��✓al Lv► u%L CITY %'a�Glfi� STATE ZIP TENANT PHONE: %!Q� —3 V O —/ � ciS CONTRACTOR Nq�: {-�, _ �,�� SUBMITA COPYOF �DRESS: t �J`t p �� YOUR STATE i�'� w` �I"►'Y_ S n'' °�� STATE�%W ZIP � S'�%� �% ' LICENSE WITH PHONE ''��e� -�; � C_�4 p—� CELL PHONE: 7(p'3 - a�( (�-�`� I APPLICATION STATE LIC # STATE BOND: EXP DATE: � 3�'/O 1. Narrative/written des ription: p � v� n �If�ef �i r ��C T VC ,� w �/.�1 e til�. %�G� ' •'" � 61i7f' iP R/C ;! ccr.� C'�1' C�.rGJ. 2. Please a ach sketch s6owing curb line, utility line, building, etc. with distances on back page. 3. Stipulations: PERMIT TYPE �. SEWER CONNECTION PERMIT $50 . ❑ WATER CONNECTION PERMIT $50 ' ❑ WATER LINE REPAIR $q.p C SEWER LINE REPAIR $q.p ��_ ❑ ADD STATE SURCHARGE $.50 ❑ SAC CHARGE @ $2100 = TOTAL $ `� o � OTHER CHARGES (TF APPLICABLE) PAY TO UTILITY SILLING NEW WATER METER COST — SEE UTILITY BiLLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLiCATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge 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. I understand this is not a permit but only an application for a permi wo k's not to start without a permit. SIGNATURE OF APPLICANT �` "—� _pRINT NAME: _ ��L 'iSl DATE: (�3b l i� � APPROVED BY: DATE: � � �C� COPY GIVEN : D UTILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING �.�ry oi r riatey EngiHeering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3552 FAX: 763-571-1287 �' .� J h / c Q SS � � � � � o � s li � �' � � s � � � � �� v� � � � 2 �� .� o� � � a J \ � v .� � � � � � � � � � �� ' l 5 � �� o n �v -- v � � �� g \