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AF - 45466�� Gity of Fridley, Minn. BIJILDING PERMIT N° 3 2 3 2 ' k � �'fi' ! � � 1 �^ �' � Date : ...:..........:... ..................... �� `��', �, , � �.t Owner ....................................... Builder =.... :.. .......��....: ..:.-.....:....... Addr� . ........... Addre.5s ............................................. .......................... L.�CAT[�I OF BUILDING No. . � � ""`F'._`,�,. . Street /•'� � �: :' . � ._ : . : s � <.`� : .-�.': . . . . . PaFt of Lot . . . � . . . . . ,, .. , .. �� , , �`� �-� � � ' �� : . � . : : : . . " . : '_ l. ." . . ' n _ Lot . . Btock . . . . . . . .. . . . . ,;Addil:ion or Sub-Division�r� ; , �` . � . • . . y � �- _ � , � ��.,•�, ...... • , • `f, ._--� ............. � � „ Inaide Lot . . `�. . . . . . . . 5etbaek :�'. .� . . . . . . Sideyard / `� . :'.�e . ::° .a . . . Corner I.ot . .. .. . . .. .. . DESCRIPTION OF' BUILD[NG To be Used as: . � � � � r `� _�",� /� �; / � . f :a�3 ti . .��: . . . . . . . F'roat� : :' �. . . DePth . � : : . . . . Height . . . . `: �:�. . Sq. Ft. . : . . . . ., . Cu. Fk - . . . . . . . . . ......... FFOnt . ... D@pth ....... Height ... Sq. Ft. ...... ........ ........... �, � �, �, ^� *�, � �°�f� �� .� :: . To be Completed '�, � ' -, e Type of Construction . . . 's . . . . . . :�. . . Est. Cost. . .°: . � . : . . . . . . . . . . � . . . . . . . . . . . . . . �� "�."'�k�',� � � �,, �, � �� . � A ,, , i � , * �, ,.. - �-- �- � �. , *'' � ," � f � ;! , ` f . 4. � � , , F , �� _ -* _ ' � `/ : _ - . �r� r!� 0 In consideration of Y.he is5uance ta me oP a permit to construct the building desribed above, I agree to do the proposed work in accordance witli the description above set forth and ia comPflance with a11 Provisions of ordinances of the dty of Fridley. .................................................... �' - n . - - In considerat3on of the payment of a fee of $`::. �°:`.., p�t � hereby granted to r:..: ....`.. ....: ......................... to construct the buildiug or addition as descrlbed above. This Pernnft ia S�� the express condition tha.t the person to wh�n it is �'anted and his agents� emPloye� and worlmnen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, con�truction, alteration, maintenance, repa3r and moving of bufldings with- fn the dty limits and 'this Permit maY 1� Tevaked at az►Y '�e upon violation of any of the provisions of said ordinances. ° ° A,` .` F� `-� `'r -1: 'B Inspector y.f •r��- • . . _ l7, . . � � ildiAg NOTICE: Thls parmlt does not cover the constructton, Installation o� alteratlon tor wl sewe� o� water. Be su�e to sea the Butlding Inspeator for separate permii� fo� �lumbing, gas hea4ing, iteme. 9 , �,I � BL OG/� .3 �A,4�i�Y'/EW /7�c�/G'd�'T.S r�I D f� / T1 �' �°r/ . „� _ __ „ • I� � INDYBTR�AL C• E: C O U L T� R �" °�' � PuTTINO eua�Nesa " r�eee aupvere Q,.ry, �o.�, LAND SURVEYOR LANEBHORL ToPOOw►vNIC �n�PPtNO REOISTERHD t1N�ER LAWS OF BTATE OF MINNESOTA �UO�eIAL 0 � LICENBED BY ORDINANCE OF CITY OP MINNFJIPOLI6 3300 LYNDALE AVE. 50. MINNEAPOLIS 6, MINN. TAYLOR 4-0370 � SURVE'Y FO�P BE/1/SoN COHSTRGGTtaN � �ntt�B �QtYtiflt�e � Se.��E � / �� o— y,4 T/-�� °Y'�9 Y �.9/�'� . _ - -76 =- �c �� , i �i � � � . � _ j8-_ , , .� . i �ro� v� �� N I�es�d'�nte �, , � � � .� � , � I /'_ �� , �" � � 3 � . o , _ �' _� _ � c o, ,� � � Ora�i�ay� sf UfiO.frl Eas6rrne�nt � � --- ,_ _^�6__ ---- I hereby cer�ify that the above is a true and correct plat of a survey of: I.ot Seven (7), Block Three (3)� PARKVIEW HEIGHTS ADDITION, Anoka County, Minnesota. - As surveyed by me this 6th day of August 1958 A. D. � ' � `. �.s 5igned , r' , {- :� � ��3�' � nnesota Registration No. 25 4 i - SZB�` Approved by Building Inspector , .��;�- �e � .,�e� .�+r ,� _ _ � _, . = — r'"� —, � �--..�� a�� Y � � � �:� � �� C� bd �� . �� ~ I � � � � � 3 �� O� � ^� °:a � �� Q �� r, �� t�o � � � � � � 0 �y�� o �� Q � �-�,.�- � � H � Hy t" m � � Ca, m � � O fn tn r � �, � � � o w � � W � � � � 0 " W � � °° � -° b �' o � � � a a � � � � � : � � � : : � : : : �: : : � : : : � : � �, c °o \ o�� n O � � � �� , �� a � � � � � � � � ��e� a��o �. 6� � '��"� �" z � �. `.r , o �, " ' � � v _.-- 4 � �°� � \`, r? b i � , � � l^e i, � � �� %a:� b b � � � � �� , a � � � x w n+ � � ,,�,� o °o p G � �� °�°� �� .�� . �D' �o 0 �� :�� : g� . � � � : : � � : : � : � N � � � $ o o °o o° fn � � 0 x M O � � � 0 � v� � � � �� '�� °� �� o � G � � � � G � b a � � � � � o � � � � � � �o� �� m � � � � �,c� � � a, � � � o a � : � W e�i� ; � �. a o . . fA C . . p � O : . ��: : ° °$� : o Q p . . . m p . . . : : � � � . . . : � N � � � � N w � � �y o g o 0 0 0 0 0 0 l+l �a tfa v► O � � �'�� y P � a � ��°� , �. � �'� � � � m � g � � � ;;�, � �� , �t` � ��,�� \ � y � � m � � m � � m � �.�.� � ,� �� `° � � �q� � � ��. � �� d � ��o �� O W G• � �� . � � ��ro � o��. a�m� �R'op �'�o ��" �� M � �' � � �� 5' � � r � T N _ m C r m n � M � � � � a � � 0 � � �� —� � � � �� R 4 � � � � � 9 � �. °� �' O. �I = � �� O N /� � ,+ � � �.� � � e, �,. �� . � � �: ro 3. � i�. � City of Fridley, Minn. � BUILDING PERMIT No; ' 4786 ��,.,,� � Date: _.. ; ..____.�._'_"��? ��_._._._____ .—_..�._ �� ;� ' , 1' `� �r�' � Owner: � y �=�'::L.:4�+.��..._�` ,;.�..��t :�.�-�'.�,�� Builder ••----�--�--_..---•-- -�y� � , ...�..-•---.._. ..._ _--._--__.. Address ��:,:�.�� •;�t...,��..�,ac��.1.,� `�„�'' Addness .�"`d ,_.��,• y;,,� - �___..—.__.._.__.__..� � L,OCATION OF ..�UI4DING � � � � , � � � .� .. „�._ .. No � . . . ��,..s=�.'�.� �. _. Pa� saf �ot ._ ..__..._ ..... _ .--- _.� � �� .... Block .. --- - - � �_Y ..._ Sfreet _ :�- -� .�.. � � � ,�' � � Lot ...._..�,��. . . ..._ .. � . . ._ �dition or Sub-Divlaio�:::. +�,�,-..�;.:. .�.: � . ...-- - ,a f � �-�;r--• i�-.. "��" .:� -----� �-••- .�-- .: .. - f Corner Lot _ ......................._....... Inside Lot .........�*''J.....----.... Setback ...._. ." �-�------.....---•---• Sideyard .----..�s:...._.._..._........--�----------...---------- Sewer IIevation Foundation IIevation DESCRIPTION OF �UILDING To be Used as: � �� : ,�' ;; �"�"' - lr` �,r' ..� ''�!..." ..s.�� _� ��------. ront �''� �!---- Depth ..�.�---. FIeight �'`�.._�__.. , ,-- .. .�..._�. :,� _�.. . Fron �� ;,, Depth ....�r.'`.�� Height ,A;� .... �� rt � , �'� ��. ' , �'" Es� C ` a r y ... Type of �onstruc on ...�. _*�..._. .... �. ��aaf,.. �.. ....----... .,�: � Sq. Ft,��_,�:.�_��,' Sq. Ft �«��,..��:_. To be Completed .. ��;� �,,f�� Cu. Ft �. `.. . Gii. Ft. ,,�"f ��.., ---Z...� Gi �'" .��,� � �-�. �F� � `.---`°,�P,7r_ "J117L > � :. ----- � � . � � �,`R,;;c'�-� t�.ti)'-`-`'��} ��L� C'.)��vP�al� �5�� '1 r�;={iV�a(''� '� , It75`� �� P,�'.�� =�,i,,,.�� jli�;'d�,. �3UILL�!�`,u �J In consideration oP the issuance to me of a permit to construct the building described above, I agree to do the prnposed work ia accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. ;�._.._..----_..___..__._..__�_,._.......__._.._..______.__....._.________....._._ � � � _.�;_ In considerataon of the payment of a fee of $,�,__._:_:..__._.__..., permit is hereby granted _._..._ to construct the building or addition as described above. Thia permit is granted upon the express condition that the person to whom it is granted and his agents, employees attd workmen, in all work done in, around and upon sa3d building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Ntinnesota regarding location, construction, alteration, maintenance, repa.ir and moving of buildings within the city limits and this permit may be revoked at any time upon vi�lation of any of the provisions of said ordinances. �, - � �f� � t ' � ! °}I' p°, -' ,� fr- i v.. :— ��.r .�_,..__,': ��:....._---� 811��Dg L1S�CtOT NOTICE: ' This permi� does not eove� the wnatruetion, inslalladon fo� wiring, plumbing, gas heaiiag, sewer or water. Be aure to see fhe Building Inapeefor for separate permits for fhege Nema. �-. 4 �^. �, c ... . , u�. _y '. � .y �. APPLIC6TION FOR BIIILDTNG P� CITY OF FRTDLEY, MIlVNE30TA Owners Name �,�eL�,.�� ..�� -� �Buil.der l��%� ��'.,��".�'� Address �;�� c,�,�,��.�.-�`�tidcvicess��'� , .��".�� ; OF BQILDING �O. � �° � �i c c � �. � Iat Hlock . �� tion or S�.b.Di . ��-��2 -�- � r��. \ � Corner Lot� s3de Loti t Back Side-Yard , S� ELEVATION � FQONDATION ELEVATION� �__.,_,_ .�.._,,._, , �_ � -- - - - - _-� - lppliaant �ttaeh �o this �'o�=�e��i�a#,e.-�f �u�r�-�f L�t �ad propo��=�d�' - location. � DESQtIPTTON OF BUILD]NG .� -- �e-�.sed as s - ��;�� --�..,� � ,� � Froat Depth `� � He3.ght Sq. F't. Cu. Ft. � ' _ ' � . � � �. T__1L. � � / tiw`i .��i` �• 1' Y• w �� VLL• F4• � T�pe o� Construct3on"��. ,,,� .�..� . I''+,S'tj.IDe,'tefl COS't °�j C� C" t� To be completed_,.,�,_�,�_ °�"`�° The undersigned hereby makes application for a permit for the work herein speciPied, agreeing to do all work in strict accordance with the Cit�* Ordinances and ru].ing af the Depart�ment of Build3ngs, and hereby declares that al]. the facte and representa- tions s�,ted in this e.pplicat3on are true and correct. , �� /� �` � !� ' SIGNATTJRE ��-.� /P� '`� ��:�--�-,��°f�-�..�_._ DATE ... _.�_...,..._... (A Schedule of Fee caste can be found on the Reverse 5ide,) � �. � �� ;. � � 80ILDING PERMIT FEE SCF�DIILE �ection 2_ The Inspeetor of Buildin�s sha11, before 3asuing ang permit for the ereation of any builcling or atructure, or for any addition ta ang exist9.ng buildin� or structure, or for any alteratiane or repaira to any exi.st3ng bu37.ding or structure, upon application therefor, require the payment by the e.pplicant for such permit of fees to the amount herein be3ow set forth and in the manner herein provided to-wit: 2.1. For any suc13 permit for tFie erection of anv fire-proof building�.other than a garage, werehouae, factory or grain elevator, or for the erect3on of any fireproof a�ddition, for similar occupancy, to any existing building sha11 be at the rate of �l.l�,0 for each one thousand cubic feet, or f"raction thereof, in such cubical cantenta. 2.2. For any such permit for the erection of any fireproof �arage, ware- housQ� factory or gra3a elenator; or for the erection of any fireproof addition, for similar occupancy, to.�ny exist3ng building shall be at the ra.te of �1.25 for eac�i one thousand cubic feet, classified as "ffreproof" by Ssctioa 502 of the Minneapolis Building Code. OUSES 2.3. For an� such permit for the erection of any non-fireproof buildi.ng other tr►an a garage, warehouse, factory or grain elevator� or ar�y non- fireproof addition, for s3.mi7sar occupancy, to any exist3ng building. . Permi.t �1.� for each one thousand cubic feet. GARAGFS .. 2.4. For any such pex�mi.t for the erection of any non-f3.reproof garage, warehouse, fac'tory or grain elevator, or°for the erection of anyr non- fireproof addition, for similax occupancy, to any existing buildin� ' for e�.ch auch buiZd�.ng or addition. Ninety Centa for eaeh one tho �d cubic feet or f'raction thereof, in the cubical contents thereof with s minimum of �l�.00. � �'or the purpose of aomputing fees for buildin� permits the cub3cal contents cf an�r building or addition to a uniform height throughout by mu].tiplying the ground area covered from a point six.(6) inches below the floor lins of the basement or cellar to the average height of the upper surface or to the aeerage height of the roof surface of the main gable of a pitched roof. _ � 2.5. For repaira or a.].terations to an exis�ing structure, the fee shail be at the rate of �3.00 Eor each Five Hundred Da�.l.a�„s ($500.00), or fYaction thereof in the coat of all proposed work. , , 2.6. In no case aha11 the fee charged for an�r permit as set forth 3n Section-2 be less than �L�,00. %"`\ .,e"` � � �" , � � �� « . ,�� s 0 � � �� ` ✓ � J0 � - ��,�� Q"a, _ a � �. � U_. � �. r r6,. �Q - _°._ --_-- �� /�'i ( � �.-. v.e� ro� Nz � � o� tA C�J HO � �o � �K � ac �� [�7 � K! � � H N N 1� 0 0 0 y N :� a ro � w � � z V O � n I--1 � N fD V At V � O� fT `` m rt � � � o �r � ~ m o�o o �•° �° K � �Gg �- a � a � � � m � � 6� � w � b � w � � � � r � 0 o N � rt � K � � � � � � w � � c d� �' a �' '� � � � g � µ � � � G'1 `� � O M � � o � m � � � � �' ro a �� m c�u � � � :' � '� � � f� � � K � � � � � � �� o w �° m � � � m a � � � � O M y W Sd �' 0 7 r � � • C�J b � � � � N � N � � o � � � � � � r �° v oM c b � b �r w � � M � K a�r � � � � � � � � � bd � c � �H y � . � � � � � y � ' M � � W «3 � � � � �r �O A ►°,� � a m� w G � y �ro w °� K `° o� r. s� a �a ~ W'y 0� p cT � �K � Krt o� M m ii' N N O 0 0 � � C � � � � � � po O V O v� o c� c� c� aCe �t � � � �O m M M C � • �,� w � � � �i �n �w � � � � ~ � w � � � � � 0 � � � h � � N i/l iA Vl 0 0 0 � � 0 0 0 0 l�f 0 0 o r.s � N Sm C c �n � � � � � � � ° °'c� � ~�� M W m 1�-� 1�+p� N M � W � W � �1 M R � � � � � � O m � � � O � M �p p � 7 W �O � !µ+ � � 8 S' M � � ��g� m � ��. ' W M� �� m � g p- ^ :3 � �+ �M�, b 1+. m � � � w5 w K � �w�� m ��.°s z ��ro � �g� � K a �� f�„o r a�� m�m � a�w� � 8n�ar � A N �O � 1"� W � I I� � � m � O ' 4 a � m m W \s� � � r n a � O 2 0 � -v O � m � a� a z � � N Z a a ., � � O 2 � > � � z N � � � H 3 O vi r o �' t7 < < � n .+ m � N � � 0 Z a m � � C1 m � D -� 0 Z � z v � �"1 � 0 T T � ... v � ❑ r�+1n � � < m � r r �o m � � ' CITY OF FRIDLEY � � APPLICATION FOR HEATIIVG REPLACEMENT CHIMNEY AND STACK V.ERIfICATION THTS FOR14 MUST ACCOFIPANY STAPaDARO APPLICA7ION FOR IIEA7ING PERMIT FORM. LOCATION 1030 Hathaway Lane NE DATE May '83 OWNER Pederson ADDRESS same The undersigned hereby veri�Fies that the existing chimney or stack: 1. Has been carefully examined , 2.� Is free from rust ar deterioration -� 3. Plo foreign objects are ]odaed within 4. Tl�at it is securely supported 5. That i� meets all current Code requirements for size and total BTU connected 6. Total Neating BTU All Other BTU TOTAL 60,000� x X • X X x REi�IRKS Replace furnace, gas to gas; install 3" liner dov�m existing ehimney • NEATING PERMIT # S SIGfdED �,Q � Q��,�,e� . Licensee byl Northeast Sheet Metal Address 4347 Central Ave NE Telephone �81-2��6 Fridley City License �` 18728 ., sue�ecr p . City of Fridley �� 4 � � � 97 THE TOP OF THE TWINS g U I L D I N G P E R M I T r �� RECEIPT NO. � ; L __.___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i � � �'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED Bv �'"'"�� ,�' 612-571-3450 9�0-F15 4/23/97 � / JOB ADDRESS 1030 Hathaway Lane NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 7 3 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE John Drews 1030 Hathaway Lane NE 571-3960 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Custom Remodelers 474 Apollo Dr, Lino Lakes, MN 55014 784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION ❑ ALTERATION ❑ REPAIFi ❑ MOVE ❑ REMOVE X 8 DESCRIBE WOHK Reroof House & Garage (Tear-off); Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturers specifications state it is not required. Underlayment to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REOUIRED 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 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1S�OOO �J.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 2Z4.7S Fire SC �ZS.00 STR C ON OR THE PERFOFMANCE OF CONSTRUCTION. � � PLAN CHECK FEE TOTAL FEE License SC $5.00 $252.25 SIGNATUREOFCON�RACTOAOAAUTHOAi2EDAGE IDATEI WHEN PNOPERL AI�tDATED THIS IS VOUR PERMIT - - y_Z� -�� SiGNATURE Of OWNER iIF OWNER BUILDERi IDATE� BLO INSP ppTE NEW ADDN ALTER Effective 1/1/97 [l � � CITY OF FRIDLEY �� SINGLE FAMII.Y AND D[JPLEXES R 1 AND R 2 �� BUILDING PERNIIT APPLICATION - ConstructionAddress: GJ �� Legal Description: waer Name & Address: a � g - 0 3 0 G� Tel. #�� S'r% 1' ��''� U� 0 �� . � � c1�L,� `�2 s �MN LICENSE # � Contractor: � C� S � � � � �,; „ �� iJ-� , .` , _ /1 _ i � _ n.r� Tel. # -ri � .% Address: Attach to t1�is application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale• DESCRIPTION OF IlVIPROVEMEN`r LIVING AREA: Length _--- Width Height GARAGE AREA: Length __. Width Height Width Hgt/(�round DECK AREA: �n� Sq. Ft. Sq. Ft. Sq. Ft. OTHER: � �'P,��'�'.�'a e a-w �T� �2.a- �+.� �' �!M � Ce S Construction Type `� � �'� ji�.> Estimated Cost: $ i ' �`i� �L B � {Fee Schedule on Back) Driveway Curb Cut Width Ne,eded: Ft. + 6 Ft = Ft x$ — $ PLICANr: �� Y� Tel. # % S �f -•2 � � G DA�`E: '� ` � v � � Permit Fee Fire Surcharge State S�rcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIpULATIONS: � �� , 7.� � l�. �b $ %- �� $ $ ��Oa $ $ $ $ CITY USE ONLY F� Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 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 [ l � ��.�" BUILDING 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 thcrefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 . $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $lOD,001 to $500,000 $SQ0,001 to $1,OQ0,�0. $1,000,(}al 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 e.ach additional$1,(�0 or fraction thereof, to and including $25,OQ0 $349.75 for fust $25,000 plus $9.00 for each additional $1,�0 or firaction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction ther.eof, to and including $1p0;1}QO $887.25 for first $100,000 plus $5.00 for, each additional $1,DQ0 or. fraction thereof,..to and including.$500,� . .�. . �,. _ , .., . - � : $2887.25 for:the �first $500,� plus $4.25 for each;additional Y, v.�. '- .'.`e�. •- .. $1,�0 or fra.ciion,thereof, to and includ �'g'$1,{�0;000 � , , � , . . . ._ _._: _. ._ _ _ _.. ... ,� $5012.25 for the first $1,0�,(�0 pius $2:75 for each additional $1,0� or fraction thereof = .,.. � DRIVEWAY DEPRESSION ESCROW '� (Concrete Gurb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drivewaywidth plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to aliow for proger review of the proposed structure and of the construction site. A Certiiicate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with tlie framing. �� Ntw t 1 ADDN [] a��R Il Construction Address: Legal Description: Owner Name 8� Aa Corrtractor. LMAIG AREA: GARAOE AREA: DECK AREA: OTHER: ��0�- 01 � � / c:l I Y Vi- I-KIULtY Effect�ve 4/1l2004 ��6431 University Ave WE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDIIdG PERMIT APPLICATION � � �t� 3� /�, � a�.ss: � ��i� � � �T��.�!� -- �� rei. # �� s.�✓a �'�✓ S -�� MN UCENSE # � s� 3 �i �/ , � '� � �S`, Tet. # /o/� - ?Z Z — 5�� Attach to this applic�tion, a Certifica#e of Survey o# #he bt, writh the proposed canstruction drawn on it to sc�le. DESCRIPTION OF IMPROVEIMEAIT Leng� �dth Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: 1��v ��lrrrr� � �f-f Estimated Cos�t: $ � �� . �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: ' �� / APPUCANT: ►�� . Tel. # �v� �� 2- Call (763) 572�604 for Permit F� if mail€ng in appl tion. Fax to 763�i71-1287 if using credit card and we will call you for car9d m�mber. Permit Fee Plan Review Fire Surcharge S�� Surcharge ��►� �h1�Irge L� �urcharge C� Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAIQ CITY USE ONLY - $ � 0� $ $ • S(� � .7� $ $ -D� $ $ $ $ $ lo l- o�� Fee Schedu(e on Reverse Side 65% of Permit Fee , .001 of Permit Valuation (1i10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Ait. "A" or Alt. "B" Above $450.00 Consenration Plan Review Fee Determined by Engineering °'� Agreement Necessary j, ]. � R�o��Necessary [ ] STIPULATIONS: Building Inspections 763-572=3604 BUILDING RE5IDENTIAL APPLICATION CITY OF FRIDLEY DATE b ��'� ��' YOUR E-MAIL ADDRESS srrE anDxESS _ Ic� a�_ �-fP#°r(�crc�+��sp L,�o r�� i- TfiIS APPLICANT IS: ❑ OWNER PROPERTY UWNER/ TENANT CONTRACTOR SUBMTT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: i�� i� � %�^��!-�, G��l ��...1 CITY ��-� ag�`� `6�i /lJ � Y� It� QY► s� Y1�I 4�n STATE LICENSE #�) ADDRESS: � Pxot� 6 3 �SINGLE FAMIL /M ❑ �rwo F�.Ym�w � ADDTPION ❑ BASENIENT FINISH ❑ DECK Permit No. Received By: Date �: O�l.X� -� .��9„ �.� �� i��}� � � F.}� DATE �% ,� `° � f � O �j �1 � � �7` Y' %V1/ � � CITY �" L� �7 STA7'F1�i�1LIP �� 30 - �g�� FAx / 7� �> �,�01- /�cr� ❑ ROOF ❑ SIDING ❑ SWIlvIM TILE DESCRIBE WORK BEING DONE: � SIZE OF I1V[PROVEMENT LENGTH WIDTH HEIGHT ��' Sa. F� NUNBER OF SQUARES _ GARAGES PROPOS£D SIZE: PROPOSED HEIGHT: ❑ HOUSE ONLY ❑ HOUSE & GAR.AGE ❑ AITACI-�D GARAGE O DEfACHED GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Propos� floor pfan 3. List of structrna! members to be used SIDIIVG FOR NEW CONSTRUC710N INCLUDAdG DECKS, ❑ Vinyl OSoffit �DDI110NS. & PORCI�S SUBNNUTT: ❑ Aluminwn ' ❑ T»m 1. Site Plaz�/Survey showing the existing struciw� ❑ Other . • ❑ Fascia and proposed project, WIlVD�R,S 2. Two sets of construction plans IN EXISTMG OPENINGS OYes DIJo IACA170N OF W WIIOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPENWG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF�WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a.� �30 � p OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge S�rcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $�� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 4�': .001 times the total job valuation $ �/ .0005 x Permit Valuation Minimum $.50 $ ,� $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 1'� �,.,�`� Make checks payable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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; thai I understand this is not a pernut but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approvexl plan in the case of all work whic equires review d approval of plans. SIGNATURE OF APPLICANT � .,��'�INT NAME , ,� c�?P.�=��iATE �� 0i S f� � Page 2- Building Residential Application BTJII..DING PERMIT FEE SCHEDULE The Chief Buildin.g Official shall, before issuing permits for the erection of any building or stiucture, or for any ad.dition to any existing building or structure, or for any altera.tion or repair to any existing building or structtire, upon applicaxion therefore, require the payment by the applicant for such perm.it of fees to the amount herein below set forth and in the manner herei.n provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraetion, to and including $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each addirional $1,000 or fraction, to and �including $$25,000 ' $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�' $100,000 plus $S.bO for each additional$1,000 or fraction to and includin $500,000 $SOO,OU1 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,400 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fiaction VERIFICATION OF FOUNDATION Permits for construction will be issued a m;nimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificaxe of Survey of the lot, showing the location of the existing foundation will be required before proceedin.g with the framing. New Houses Onl� City of Fridley Buildi.ng In.spections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572=3604 oA� �7— r3 --O � SITE ADDRESS %� 3Q I'HtS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY -�� G�Gr O OWNER YOUR E-MAIL ADDRESS C.v /�� CONTRACTOR l-+-� ,cJ Permit No.:� Received By: Daxe�'�1:.� S� �'i 3 2 � NAt�: I«rn s�NN ��G�S Dssi i2.�-� r� ADDRESS: /(J �O �//`�7�G -�i'I�t/R �/ G�t/ CITY l�f� �� D �� t1 STATE/l,�'�c( 3 Z PHOIdE: N,aME:__SN/S �•�i,�,v`�� r�� iOD� %�� .� STATE LJCENSE #�62 �� 2 Z F.XP DATE �3��8 ADDRESS: �! 6� � BTT �U� �C/'� CTfY �-� C9 STATE��'�3�0 PHONE G�% _Z�� " 5�� FAX( �� 3% ay/ ' IG�Q � FAIvID.Y/NEW O BASEA�M' FW1SH ❑ RQOF O DECK O SIDING ❑ SWA�IIJ, TYPE OF WORK: I 0�' ❑ 1vIAt� DESCRIBE WORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GAItAGES PROPOS£D SIZE: PROPOSED HEIGHT: 5IDIlVG ❑ Vinyl ❑ Aluminum ' ❑ Other . LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACi�D GAR.AGE � DEfACF�D GARAGE OSoffit ❑ Trim 0 Fascia WWDUR'S IN EXLSTIIdG OPENII�iGS OYes DAio I.00A170N OF FdWDOWS OR FORNEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�iDOW TO BE 1NSTALLED AiU1vIBER OF �V ❑ DRA1N TILE ❑ OTHER �s4��gs� /�/ WID'1'HH __ HEIGHT � �� BASEMENT REMODELWG SUBIvIIT: 1 • Existing Fi�r Plan 2. Praposed s�r ptan 3. List of struchual members to be used Ft. FOR NEW CONSTRUCTfON MCLUDING DECKS, ADDITiONS. & PORCI�S SiJBMIT: 1. Site Plan/Survey showing tlie existing swcwres arid proposed project 2. Two seis of conshuction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ SOD. °° OCCUPANCY TYPE Permit Fee - Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ , `�� $ a ��b $ `�.G'� $ $ $ � $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the wtal job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (Stste Licensed Residential Con�ractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a building 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 and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires ev' , d approval of plans. SIGNATURE OF APPLICANT � ,RINT NAME ��d/ /%�O.�G!'✓i�ATE �"'� 3^d � Page 2- Building Residential Applica.tion BUILDING PERNIIT FEE SCHEDULE The Chief Buildin.g Official shall, before issuing permifs for the erection af any building or structure, or for any ad.dition to an.y existing bui.lding or structure, or far any alteration ar repair to any existing building or structure, upon application therefore, require the payment by the applican.t for such permit of fees to the amoun.t herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a min;,,,um of 24 hours from the tim.e of application to allow for proper review of proposed structure and of the construc�ion site. A Certificaxe of Survey of the lot, showing the loca.tion of the existing foundation will be required before proceeda.ng with the fiarning. New Houses Onlv City of Fridley Buildi.ng Inspections Depariment b431 University Avenue NE Fridley, N!N 55432 763-572-3604 Fax: 763-502-4977 �