AF - 45436�
City of Fridley, Min.n.
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.� BUII.DING PERMIT � N° 3 21 �
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Owner ....................................... Builder V�!yta.................. .. .. ............
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Addr�s ...................................... Address .............................................
Lt�CAT[QN O� BUILDliVC
No. . . q� � . . Street � .s. . . . . . . . . . . . . �96�'e'd� . . . . . P f Lot . . . _. . . . . . . . . .
Lot . . . .' � . . . Black . . � . . . . . . . . . . . . . •dition or Suts-Division�G!��F!°'"�-e'�'r� . . . . . . . . . .e�'r�,ele�ti .
Corner Lot ............ Inside Lot ............ Setback .��..... Sideyard .................... .....
DE�RIPTION O�' BL9Ii.Di9�[C�
To be;j,Jsed as: �/ �,, r� ,., �",�
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�� ��:;-� . . . . Frortt . � . . . . Depth ��s. . Height . . . . . . . . Sq. Ft. �:�. �. Cu. Ft. .-��. :� . � .
.................... ont ........ IJepth ........ Height ....... Sq. Ft. ......... �. Ft. ........
�
Type oP Construci3on . . . . . . . . . Est. Cost. �c�, :,��� � . . . .�. .�. . . To be Completed . H'�'-:�. .�. . . . . . .
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In considera9:ion of i�e issuance to me of a permit to construct the building desribed above, I agree to do
the propased work in accordance with the description above set forth and in compl3ance with all provisions of
ordinances of the city of Fridley.
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In consideration of the payment of a fee oP $.�,. `':, permit is hereby granted to .... . ....�•`�
. . . . . . . . . . . . . . . . . . . . . . . . . to construct the birilding or addition as described above. This permit is gra.nted upon
the express condition that the person to whom 3t is granted and his agents, employees and worlmien, in all work
done in, around and upon said building, or any part thereof, shall coniorm in all respects to the ardinances oi
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiags with-
fn the city limits and this permit may be revoked at az�y time upon violation of any of the provisions of said
ordinances. .
- -'�..�� � . . . . � $uilrling Insgector
NOTICE:
This pe�mit does not cover the conatruotion�, Installatlon or aiteratlon fo� wifing, plu�f6ii
sewer o� wate�. Be su�e to see the Bullding lespecto� fo� separate permlts fo� thess ttems.
r, - -
gas heatln9,
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INDUBTRIAL . C• E• C O U L T E R ��" ������
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BU61NE68 FARM BURVEYB
c�Tr �oTS LAND SURVEYOR • u�KESHOae
TOPOGRAPHIC MAPPIN6 REGI6TERED UNDER LAWS OF STATE OF MINNESOTA JUDICIAL
LICEN6ED BV ORDINANCE OP CITY OF MINNEAPOLIB
3300 LYNDALE AVE. SO. MINNEAPOLlS 8, MINN.
TAYLOR 4-0370
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,� � ,��' I hereby certify that this
' � is a true and correct plat of
� � , ���5 � a survey of :
� �� � � � Lot Fourteen (14 ), Block Three ( 3 ),
I �a`' / �_ PARKVIEW HEIGHTS ADDITIOPd, Anoka
\��� � County, Minnesota. �
; � '(� � As surveyed by me this 6th day of
�� �� � . August 1958 A. D,
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� Signed ��" - o: ,---�.,��°
MinneSota Registration o. 2584
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City of Fridley, Minn.
BUILDING PERMIT
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N° 6182 �
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Ovvner: �r���I ���1!,�.' �'-�%�i � Builder � - ____..� _
Address AddreHs
�� TION O UI I G
No. _�� �'� f�' street - ,�P Lot
Lot __ Block ditiaa or Sub-Division ����
-__�� �.� �''' .�` d
Corner Lot — Inside Lot Setback J��.. — Sideyar
Sewer IIevation
Foundation Elevation
DESCRIPTION OF BUILDING
To U as:
�
Front �'� . Depth .� Height �� Scl• F� ���, Ca Ft ��^�t�"�
� -
_ ----- � Depth � FTeight �_ Sq. F't. , Cu. F`t.
7.j+pe of Constructlon !'� Est Costr�l.'�'' �_�'�""""'�" To be Completed
In consideration oP the issuance to me of a permit to construct the building described above, I agree to do
the proposed work 9n accondance with the d�scrlption above set forth and in compliance with all provlsions of
ord�nanoes oY the dty oP F'rldley.
�
In consfderation of the payment of a fee of $� �'"'� , permit is hereby granted to
_,— --- ----- - to construct the building or addition as described above. This permit ia granted nPon
the express condition that the person to whom ft ia granted and h3a agents, employees and workmen, in all work
done in, around and upon said building, or any gart thereof, shall conform 3n all respecta to the ordinances of
Fridley, Minaesota regarding location, construction, alteration, maintenance, rePeir and moving of buildings
within the dty limits and this pernnit may be revoked at any tune upon violation of any of the pmvisions of said
ordinancea ..+�`�1 _ 1;f �"1
Builc7iag InaPector
NOTICE:
'nds psemR doa net eowr t6s coe�teneHoe, t�,t�tee te. �, �wmbtea �a tu.xna sw►.r or �a�.r. B� wn to �
th� &tildiag letp�eto� for aparab p�rmiM fo� 16a� Nxns.
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Owner'a Name�` �
Address � .�,� � �
APFLICATION I�OR BUILDING PERM'tT
CITY OF �"RIDLEY, MINNESOTA
�eC �. Buildar
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�-�-�= ddr'ess
LOCATION OF BUILDING
� No. Street Part of Lot �
Lot Block � Addition or Subdivie ���-"-
Corner Lot Ineide Lot �Setback Side-Yard
BEWBR ffi��SVATION FOUNDATIOIV ELEVATION
Applicant attach to this form Two Certificatea of Survey of Lot and proposed
building location drawn on fthese, Certificates.
DESCRIPTION OF BUILDSNG
To be used�
C'x--t2��—. ,d�
Front Depth � Height �c�
SQ. Ft. Cu. Ft.�
Front Depth Height
Sq. Ft. Cu. Ft.
� Type of Construction �!�'�'`���� Eatimated Cost %°Z°�"�'�
To be Completed
—
7.`he under�igaed hereby makes application for a permit fflr the work herein
specified, a�reeing to do all work iu strict accordance uiith the City of
Fridley Ordinances and rulings of the Department of Buildin�s, aad hereby
declares that all the facts and representations �tated in this applicatioa
are true and correct.
DATS �� � � � S�GNATURE ����
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(Schedule of Fee Coets can be found on the Reverse Side),
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BUII�DZNG PERM[T FEE SCHEBiTLE
Section 2, The Inspector of Buildiags shall, before iseuing anq permit for
the erec�ion af any building or structure, or for any addition to any egiet-
� in� building or seructure, or for auy alteratione or repairs to any exiating
building or structure, upoa application therefor, require the paymemt by the
applicant for euch permit of fees to the amount heraia below set forth and
3n the man�aer herein provided to-wit:
2.1. For any sucl� permit for �he erect�.on of atiq f�.re-proo� building, other
than a garage+ �arehouse, factnry o�r �rain elevator, or for the erection of
any fire-proo� additioa, for similar occugan,cy, Co anq exiatin� building
shall be at the rate of $�.40 for each one thousand cubic feet, or fraction
thereof, ia such cubical content�..
2.2. For aay such permit for �he erectioa of any f3reYproof garage, warehouse,
f�.ctory or grain elevator, or £or the erection of any fire-proof addition,
for simi�.ar occupaacy, to any�exiatiag build�ag shall be at the rate of $1.25
f.orc e�ch one thousand cubic feet, classi�ied as °1fireproof1° bq Section� 502 of
°� the T�iinneapolis Building Code. . _
H�DUS�'S
2,3. For any such permit for the erection of �ny non-£ireproof building other
than a garage, warehouae, factory or grain elevator, or any noa-fireproof
additioa, for eimilar occupancy, to any exi�ting building - permit $1.00 for
each oae thouse�nd cubic feet.
GAI�AGF.S
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2.4. For aay such pe�mit for the ezectioa of any aon-fireproof garage,
warehouse, factory or graia elevaeor, or for the erection of aay non-firepsoof
addition, for s3milar occupancy, to any enisting building or for each such
build3ng or additioa - niaety c�nts ($0.90) for each one thousand cuSic feet
or fzaction thereof, in �he cubical contents thereof with a minimum of $4.00.
For the purpose of compu�ing fees for buildiag permiCs, the cubical contents
of any building or �ddition to a�niform height throughout by multiplyiag the
ground area covered from a poim� six (6) iaches below the floor line of the
basemeat or cellar to the average heighC of the upner aurface or to the
average height of.the roof surface of the maia gable of a pitched roof.
2�5. i�or repairs or alterationa to an existing structure, the �ee ahall be
at the rate of $3.00 per each Five �Iundred Dollars ($500.00) or fraction
t�ereof in th� coat of a].1 proposed wogk.
2s6. In no case ahall the f�e charged for any permit as set forth in
Sectioa 2 be less th�n $4.00.
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SUBJECT P MI .
City of Fridley . � 132'70
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� `y _ COMMUNITY DEVELOPMENT DIV. ����
r � � PROTECTIVE INSPECTION SEC.
1 ; �
�� � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
"°� � ,'� 612-560-3450
910-F15 10116/75 � /
JOB ADDRESS 960 Hathaway Lane N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ];� 3 Parkview Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
D. E. iiart 960 Eiathaway Lane N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
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 ❑ ALTERATION [� REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBE WORK
Repair stonn damaged sidi.ng
9 CHANGE OF USE FROM TO
STIPULATIONS
� 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 ZpNING S�. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1
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 $$S9. OO . 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- ySEj.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$6.50
SIG � 7� FCONraAC7 o�rHORIZ Dn6ENT "° IOATEI � �/�/HE� LY VALIDATED THIS IS YOUR PERMIT
l �'�'�� l� �6 �s�
NATUREOFOWNERIIFOWNE BUILDERI IDATEI BLOG INSP �A n
• ' - • ' . .. .
� � ' '. • •A�'PLiCATION rOR RESI'DL'NTIAL., ALTLR�1'ION, �
o , . OR AllllITI0N.13UILDItiG P�I�I�iIT . �
. • C�TY OF FRIDLEY, hiINNESOTA • �.
oj�x�t's rtnr� : � 1� � � ��2 � suzx.v�R: �� �-�-� � . .
, ADDR�S S :.���� �/�/'�'� �� �,U� ADDR�S S : �
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NO : . � l/ ✓ STItEET : �"����i�'°� /�7i� • � .
% BLOCl. • � � ADDIT�Ol� ° �f�i �C/o�G`� �� �� '-
I.OT : ' !
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• CORNER LOT: INSIDE LOT:_ SETBACK: SID�Y�T.D: . ;
. �
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Applicant attacr. to this for� Tcuo Certificates. �f Surve .of�L�ot and_proposed . •-
building location drawn.on these Certificates. . . �
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.� � �HESCRIPTION OF BUILDING � � 9
. � .
� Ta Be Used As : . � , •
' � Front: Depth•� ' Height• -
� S t O (�J� ���� , . .
, . Square Feet : Cubic . Feet :
� �� Front:� Depth:. � Height:
�.. , � Square Feet; Cubic Feet: � � ..
. � Type of �Construction: . ���'� � Esti.mated Cost: Y� �� � _
To Be Completed: �� l� ° �� _.. • .. . .
'� , The undexsigned hereby makes applicativn for a permit for the work herein
specif ied, agreeing to do all worlc in strict accordance �aith the Cit}• of -
' Fridley Ordinances and rulings of the Department of Buildings, and her�by
declares that all the facts and representations stated in this application
ere'true and correct. � . •�
' ' . . . ' . �, • , . • .
. . �����2
� DATE : �� �� �`� — SIGNATUItE .
• (See I�evexse Side For Additional Information.)' ,. .
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_._.� �. �._ . BU 1 Lll1 N{i L�.L��� 11 rLL ��uiuu,.� �
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� S�CTION 2. Ttie InspecCor of 13uildings shall, bei-.ore issuing permits for the
exection of any building or structure, or for any addition to any existing
buildin� or structure, or for any alteration or repairs to any exisring
bua.lding or structure, upon application thexetore, require the paymcnt by the
applicant tor such pennit of fees to the a.n:ou�t herein below set £orth and i�t
the manner licrein provided to-wit: . , • ,
B •
'.� UIZITOI'1�I BUILDInG COD�: Type 1, 2& 4-$2.15 fox each one thousand cubic
feet, or iraction tliereof, in such cubical contents. �ype 3& S-$1.85 for.
' each one thousand cubic feet. • • �•
ADDITIONAL I;VFOR1�iATION
For the purpose of computing fees fox building i.ermits, the cubical contents
of any building or.addition, is determined by multiplying•the ground area
• covexed from a point six (6) inches below the flo�r line of the basement �
ox the cell.ar f.a the average heights af the upper surface or �o the average�
. haight of the�roof surface of the main gable of a pitched roof.
I• For repairs .or alterations to•an existing structure, the fee shall be at the
� rate of $3.00 per each five huridred-dollars ($500.00) or fraction thereo£ in
the cost of all Pxoposed work. . • ,
� 7n no case shall the fee charged fox any permit as set forth in Section 2 be
. `1ess.than $5.00. . � • �
� _ VERIFICATION OF FOUNDATION �
. ' . • • i
I�OT�: Permits for construction will be issued.a minimum of 24 hours from the
time of applicaCion, to allow for proper re�tiew of the proposed structure and,
of the construction site. . . .
A Certitied Survey of the lot, showing the location of the foundation, once it
has,been constructed, will be requixed before proceedin� with the framing.
• . . CERTIrICATE OF�OCCUPANCY • �
Application for a Certitic�te of Occupancy shall be made ten (10) days prior
� to the use or occupancy of any structure for which a buildin� permit has been
issued; znd said structure shall no� be used or occupied until a Certificate
'•� of Occupancy has be�n issued.. . . •
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City of Fridley, Minn..
BUILDING PERMIT
DB�: AIIGIIST 16, I966
p��: DON'A'GD E. HAR.T g�� SAME
�� 960 HATHAWAY LANE N.E. Address
FRTDLEY, �SaTA 55421.
LOCATION OF BUILDING
No. 960 3�t HATHAWAY LANE Part of Lot
Lot �7 L� _ Sl�k 3 Addilion or Sub-Diviafan � PARIZVIEW HETGHTS
Corner Lot _ Inside Lot x Setback Sideyard
3ewer IIevatia� — Fo�mdat3on IIevation
�����
N° 896s
DESCRIPTION OF BUILDING
To be Used as:
D�. GARAGE �t 20 �p� 22 H�ght 10 gq. r-t, 440 �, �4 4,, 00
Front Depth ITeight Sq. Ft C�. F`t.
Type of Conatruct�ton � �, �_ 800.00 To be Completed
In con�deratton of the fssuance to me of a permit to the bu9ldiug descrlbed above I agree to do
the proposed work ffi accordance wlth the d�ecription above P rth and in complianc+e th afl provlsfona of
orciinances of the dty oP Fridley. '—�
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In co�afderation oP the payment oP a fee oP 5�— • UU . , Pernift fs hereby granted to DONALD E_ HART
to canstruct tt►e building or additfon as deacribed above. This rmit is granted uPon
the expresa conditton that theperso to whom it is grented and hfs agente, employees an�workmen, ffi all work
done fn, aroimd and u�n eaid buildiag, or anypart thereof, st►all conPorm fn all respects to the ordinancee oE
Frldley� M9nnesota reg loca'tlon. conatruction, alteratlon, maintensnce, repair aad moving of buflaings
within the dLy l9mite and�a permit may be revoked at any tinae upoa vtolation of aay of the Proviaions oP said
oreinancea
CLARENCE BELISLE 8utlding Inepector
NOTIC�
'�61t pamh dea eo1 �avu �6� cee�lenaHoe, leshlla�oe hr wh�. Plwabtee, �a halloa, aw�� or wtler. 8� wn to a�
t6s BuUdiuB lespator tor �pard� p�emiM �o� f6�n Ns�m.
APP`LICATIOIV FOR BIIILDING P£RMIT
CITY OF FRII)LEY, M11�fiTESOTA
OWNER' S NAML �O.G�� � G,� �I� % BIIILDER ��Q �d e�
ADDRESS ��l% ��9T�/�"i'Lt/�� �i,�/%F ADDRESS �iQ�1�
LOCATIOAT OF BUILDING
N0. %�' � STREET /�� 7�/�Q I•v %d y ��ir/� PART OF LOT G�QS7�lDC�C/�
LOT BLOCR � ADDITION OR SUBDIQISION �/JR/CU/�fii� J%f�id/7�
GORNER LOT INSIDE LOT�SETBACR L��A��� �'� �SIDE-YARD �R��y
SEWER ELEVA'TION FOUNDATION ELEVATION
Applicant attach to this form Two Certificatea of Survey of Lot and propoaed
building locat3on drawn on these Certificates.
DESCRIPTION OF BUILDIIQG
To be used as;
f
�mgT��rG'� Front �� � Depth ZZ Height / B
Sq. Ft. ��}� Cu, Ft. � !'l�'
Front Depth Seight
Sq. Ft. Cu. Ft.
Type of Construction ��`�,Cl� Estimated Coat_ ���
To be completed % — ` — � �
The undersigned herebq makes application gor a permie for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and ruliags. of the Department of Buildings, and hereby
declares tha.t all the facts and representaCions �tated in thia application
are true and correct.
DATE � Gr•�- �� , I �l � � SIGNATURE ����� � �'�' ��
(Schedule of Fee Costs can be found on the Reverse Side).
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BUILDING PERM�T�FEE SCHEDIILE
SECT____ IOP 2. The Inspector of Buildiugs shall,.before issuing aay permit for
the erection of anq buildiag or structure, or for any addition to any existing
building or structure, or for any alterations or regairs., to any,exisCing
building or.structure, upon app�icatioa therefore,'�require the payment by the
applicant for auch permit.of �ees to the:.a�ouat herein below,set forth and in •
the manner hex.�.in �rovided to-wi�t; �
2.1. For any such permit for the�erection of any fire»proof building,
othe`r than a garage, warehouae, factory or grain elevator, or,for the erection
of anq fi�re-px�f.addition, fo"r similar occupancy,�to any existing building,
�hall be at the rate of $1.40 for each on� thousanct:cu�ic feet, or fr.action
thereof, 3n s.uch. -cubical cont�nts :� �
,. ;
2.2 ��'or-any�such permit for the erection of any fire-proof garage,
warehouse, factory or grain; elevator, or.for �he erection.of any fire-proof
addition, for sim�.lar o�cupancy,.to any existiag buildiag shall be at the
raCe of $1.25 for ; each .one .thousand, ,cubic; -feet�, classif�.ed' �as,� �!'fireproof"
by Saction 502 of the� Minneapolis Building Cocie. �
HOIISES '
2_.3. For any euch permit for.the erectioa of any non-�ireproof
building, other than a garage, warehouse, factory or grain elevator, or
any non-fireproof addition, for similar occupaucy, to any existing buildiag -
permit $1.00 for e�ch one thousand cubic.`feet. � - -
GARAGES
2.4. For any such permit for the erection of �ny`non-fireproof garage,
warehouse, factorq or grain. elevator, or for the erection of any non-f3re-proof
addition, for aimilar �ccupancy, to any eaisting buiidirig�or for �ach such
building or addition - ninety cents �($0.90� for each one thous.and cubic feet
or fract3on thereof, in the �ubical conteats thereof..with t�ie minimum of $4.00.
For the purpose of computing fees for building permits,.the cubical contents
of aay building or add�ttion to a uuiform height throughout by muZtiplying the
ground area covered fram a point six (6� inchee below the floor line of the
basement or cellar to the average he�ght.of the upper surface or to the av�rage.,
height of the roof surface.pf,the main gable of a pitched roof.
2.5. �or repairs or,•altexations to an existing atructure, the fee s�aa11
be at the rate of $3.00 per each Five Sundred.Dollata ($500.00) or fr.acti�n
thereof in the cost of a11 proposed work. `
2.6. In no case shall the fee charged..for any permi�t as set forth in
Section 2 be less than $4.OU.
STORM REPAIR DAMAGE FEESt ,
Residential; Estimated Cost of u�ork u� to SSCO�L�p -$5enp
EsCimated Cost of c�»ric c-:�� M����?���;1 - y�Lsfap
-� �^.�
Commercial; Estimated�ost o� c���*i� u�: g� ;��:^=t��) .. �1�,�
EstimF.��ec, .os� of vrur��c o��r $;����.UtD - $2�..0
F.
.� .�,,, ,. - . - .�.
_
CITYOF
FR[DLEY
CIVIC CEN1`ER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
Dec�nber 28, 1987
�0 [�IIiG�! IT MAY G�RN:
A request was made to the City of FYidley to research the pe�xnit
reaords for the hcene locat.ed at 960 Hathaway Lane in Fridley. The
following is a list of the peanits and dates of issua,nce:
N� l�use pexmit #3215 issued on 8-8-58
i�oa�n addition permi.t #6182 isisued on 10-9-�2
Detailed garage peanit �8966 issu�l on 8-16-66
Stonn �danoa�e (�;�;*+;) permit �13270 issued o� 14-1G-75
�'hese are the only pe�nits of recoxd in our files. If there are
� any questions, please ca.�,1 me.at S71-3450.
Sincernly �
Darrel Clark
Bui7.ding Offi�i.a1
DC/ts
suaaecT PE .
c�ty of Fridley � �.
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ����� �
r
� � RECEIPT NO.
� ; y______ COMMUNI7Y DEVELOPMENT DIV � S��
r i PROTECTIVE INSPECTION SEC. �;
i �
� � �
� � /"�ti � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPqOVED Bv
�----� • •'' 612-571-3450 910-F15 7/9/97 / /
JOB ADDRESS 960 Hathaway Lane NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1L} 3 Parkview Heights Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Wolfe 960 Hathaway Lane NE 571-5223
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Master Remodeling Inc 32 10 Ave S, Ho kins MN 55343 932-9311 20012916
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Install egress window; re lace windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Egress window must meet the State Building Code. Replacement
windows in sleeping areas must meet the Egress requirements. Install
smoke detectors to meet the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AU7HORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
� HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANC S GOV RNING THIS TYPE OF WORK WILL BE COMPLIED $3�000 �I.SO
WITH WHETHE PEC ED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES T P UM O GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE
PROV I NS A OTHER STATE OR LOCAL LAW REGULATING CON- @
STR CTON 7 P RFO M NCE OF CONSTRUCTION. �p%�F.7.5 Fire .S�'. �3.��
/�/ � PLAN CHECK FEE TOTAL FEE
��/ ��� License SC $5.00 $84.25
SIGNATUREOFCON'RACTORORAUTNORIZEDAGENT IDATE� WHEN PFiOPERLY LIDATED THIS IS YOUR PERMIT
_ `�O s �
S�GNATURE OF OWNEA�i� OWNEA BUILDEAi �DATEI BL �NSP �iFTE
MAR-05-1997 15�46
NE'OV � 1
ADDN [ j
�-T� [ l
ConstructionAciares�s;
Legal D�,,an:
Owner Name � Address:
CITY OF FRIDLEY 612 571 1287 P.02i02
Effe�ive 111/47
cr� oF =�� � �� �l9
SAVGY,E F.A1�Y AND DLIpI,E�S R-1 AI�t'D R-Z �
BUYLI?ING P�RNII'T APPLYCATION'
�
� fiel,_ � - - �:�;�:� � �
Cv�tor: _����,�� /2 �,,-,�, �� �. �.� ...��"i�! � MN LICENSE # 'Z� � z �
aaa�ss:3 � ro � � �. S �� �,,.� ��s° y�T�. � �3z — � 3 / /
�ivnv� �:
GARAGE AREA�:
DECH A,REA:
�:
At�ch � this appk�ion, a Ce�' Sca�e of Survey oi the
Iot, with tt�e �o�ed c�t�tion �awn on -it to scale.
nESC�oN o� �xov�
� �'� � �e;,ghc s�. rt.
� �f�'idth � geaght Sct- Ft.
� � VV'�dth Hgt/Cnvaad � Sq. FK.
.
�°a �: G✓.,....�.,. � � $ ��
�� (Fee ScheduZe ori Eack)
Dri�'a3'. (�rb C�rt Width Ne�ded: � - �..�±. � Ft "�; ,. , p� —
_
_ - _$ -
DATE: -% �/� A�PLICAII�T• . . �� �- �- .
� . _ . � d-" � TeL � _ oZ �3 /
Pemait Fes
Fir� S�cbarge
St�te 5n�azge .
SAC Charge
� Swnchazge
D�cive�vay �row
Erosion Co�ol
Par1c F�
Se�v�r Main Cha,rge
TOTAL
STIPULATIONS:
� .
$ . D
$- ��
$
$ .Ob
$
$
$. .
$ _
$ 8f:.�"
Ci1'� USE OATLX
Fee �Chea�ie o�n Revezse Side �
.{�!1 �f�Pecmit Vatqati� (1110th�}
�.50($1,OD0 : Valnation
$9S0 per.S�kC Unit
$5•OQ'�State i.i�nsed Residemia! Co�ra�tors)
Alt. "�l" Ot Ak.. "$° A�tOVC
$450.00 Co�►ation P1a�a Re�view
Pee Det�min�ed bY E�eria8
� N�' E 3 Not Nece�ry [)
TOTAL P.02
$ <�,
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i�tOIZ��I3I2I�A �I��ZS QI�I� 1��i�IL�IIH�
sue�etr • PE .".�__�
c�ty of Fr�a�ey 3 05 5 9
AT TFIE TOP OF TME TWINS g � I L D I N G P E R M I T
;,
,� .
� `y _ COMMUNITY DEVELOPMENT D1V. �� ��
r � � PfiOTEC7IVE INSPECTION SEC.
i . ,
i--_.� �"'�'� CITY NALL FRIDLE� BS��2 NuMBEB pEV D�TE ` P�GE Of APPROVED Br
t 612-571-34b0 910-F15
12/2/99 � �
10B ADDRESS 960 Hathaway Lane NE
t LEGAL ��T NO. 9LOCK TRACT OR AODITION SEE ATTACHED
oescA. 14 3 Parkview Heights Addition SNEET
Y PfiOPERTY OWNER MAIL AOOR�S$ 21P PHONE
Richard Wolfe 571-5222
3 CONTRACTOR MAIL ADDRESS St Louis Pk 55416 Z�P pHONE LICENSE NO
Northstar Home Im rovement 6121 Excelsior Blvd 4�207 929-1888 5336
4 ARCNITECT OR OESIGNER MAIL AODRESS 21P PHONE LICENSE N0.
5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO
8 USE Of BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADOITION ❑ ALTERATION �c REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Replace windows
9 CHAN(3E OF USE FROM TO
STIPULATIONS �
Provide smoke detectors in all sleeping rooms and on all levels of the house
per Sec. 310.9.1.2 1997 U.B.C.
Permlt Inspection Car�s
�Vili �� M�ile�
To Homeo�ner To Post
TYPEOFCONST OCCUPANCYGROUP OCCUPANCYLOAD
SEPARA7E PERMITS ARE REQUIRED FOR ELECTfiICA�, PLUMBING, HEATINO,
VENTI�ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION 20NING SQ. f7 CU fT.
AUTMORIZED IS NOT COMMENCED VjIITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED NO DWLG. UNITS OffSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APP�ICA710N S7ALlS GAFAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yq�UATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WOiiK WILI BE COMPLIED
WITH WMETHER SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PERMIT �L�FOO � L. ZO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL TNE pEi7MIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION �H3.ZS Fi SC �Z.�FO
PLAN CMECK F E TOT FEE
Lic e SC 5 0 1.85
S�GNATUAE OF CON'FACTQA OA oUTMOA�ZED OGENT iDATE� M P V VA�I Th`IS IS YOU PE IT
� {� L
S�GNSTU�iE O� OWNEA i�� OWNEp BU40ERi �DAfE� OG ,�NS O�TE
-J Q .
1vEW
ADDN
AL1'ER
[l
Il
Il
co���aonaaa��s:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMII.� AND DUPLEXES R-1 AND R-2
BUII,DING PERNIIT APPLICATION
Effective 1/1/99
�
�
� 0 1�
� r,���
Owner Name & Ad s: � ;���,� n /� ��� Tel. # y7�_ �°�� ,� �,
�/ Contractor: � � � MN LICEN5E # ���i�
Address:�� �X�z����. 1��t�� �'1,�� s�r4 �l�/ s�s'�/.G Tel. # �i7� r���
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
d9�CItIPT'IO1�T O� �.�It��I�loi'�
Length . Width
Length Width
Length Width
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground 5q. Ft.
�onstruction Type: �+qJi,J�,,�L� � Estimated Cost: $ � j�v
Driveway Curb Cut Width Needed:
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
APPLICANT:
� �S�
$ �
�_ �� �o
$ /• �Z �
$
$ .��,�
$
$
$
$
�
TOTAL $ �
� � / S�"
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x$ _$
Tel. #
CITY USE ONLY
Fee Schedule on Reverse Side
.001 0� Permit i�aluation (1/YOtin%)
$:50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (Sta.te Licensed Residendal Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservarion Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�����Id: ��
.
s�ur_.aTTONS i�o v�.�� �Y o.��" `���.�..�zJTc,� r.c� �/�G�
���l.c/���2�—. ��'/.� D� �� ,C'�����.�—° �
T�� ����' - �"c . 31a. � o, a---- `997 � ��'- c .
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of a.ny building or structure, or for
any addition to any existing building or structure, or for any alteraxion or repair to any existing building or
structure, upon appl'ica.tion 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 �o $500
$501 to $2,000
$2,OQ1 to $25,000
$25,001 to $SO,Q00
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.2�-for f�st $2,000 pius $12.5�1 f�r each additi�nal $1,00(1
or fraction thereof, to and including $25,000
$349.75 for first $25, 000 plus $9. 00 for each additional $1, 000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each addirional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fractio�n thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
D�tIVEWA�' A�P�.S�I��I �SCatOW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
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 applicaxion to allow for proper
review of the proposed structure and of the construction site.
A Cert�ca.te of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before praceedia�g with the framing.
�
�i
• ' SuB.
City of Fridley
AT THE TOP OF THE TWINS �� J � L D I N� P E R M I T
r
: � � �72�3���
� `� __�� _ COMMUNITY DEVELOPMENT OIV.
r � � � PFiOTECTIVE INSPECTION SEC.
i i �
� �"'� � CITV MAIL FRIDLEr SS132 NUMBEN NEV OAT6 PAGE Oi
�""�" �'' 612-571-3450 910-F15 6/19/O1 � �
JOB ADDRESS 960 Hathaway Lane NE -.
t LEGAL LOT N0. BLOCK TfiACT OR AC
oesca. 14 3 Parkview Heights Addition
� PROPERTY OWNER MAIL ADOR�S$
Richard/Laura Wolfe 960 Hathaway Lane NE
3 CONTRACTOR MAIL ADORESS
Same
a
5 ENGINEER
MAIL AODRESS
AODRESS
8 USE OF BUIIDING
Construct a 30' x 20' 2nd Accessory Building
7 CLASS OF WORK
�] NEW O ADDITION � ALTERATION
8 DESCRIBE WORK
Construct a 30' x 20' 2nd Accessory Building
9 CHANGE Of USE FiiOM
TO
21P
�
3i9�2
RECEIPT NO.
AVPROVED BY
SEE ATTACMED
SFIEET
763-571-5222
PHONE LICENSE NO
PMONE LICENSE NO.
LICENSE NO
❑ REPAIR ❑ MOVE O REMOVE
STIPULATIONS Special Use Permit approved by Council on June 18, 2001. See notations
on plan.
���'��
�ef°Pe di99�ng call for
a�� �����Y �ocations
4`�-0002
�E��IRED �Y LAW
SEPARATE PERMITS
REQUIRED FOR:
WIRING, HEATING,
PLUMBING �1ND SOGNS
� rrc vr �.vna�
SEPARATE PERMITS AqE FiEOUIRED FOR ELECTRICAL, PIUMBING, MEATINd,
VENTII.ATING OH AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORI2E� IS NOT COMMENCED VjIITMIN 80 DAVS, Oii IF CONStRUCT10N
OR WORK IS SUSPENDED OR ABANQONEO FOFi A PERI00 OF 1ZQ DAYS AT `
ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS
1 MEREBY CEiiTIfV THAT I MAYE REAO ANQ EXAMIN�O THIS APPLICA710N l
AND KNOW THE SAME TO BE TF1UE AND CORRECT. ALG PROVISIQNS OF LAW$ yALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETMER SPECIFIEO MEREIN Ofi NOT. THE GRANTING OF A PERMIT �li f712
DOES NOT PFESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEqM1T FEE
PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGUTATING CON-
STRUCTION OF TME PERFOfiMANCE OF CONSTFUCTION ��09 . ZS
S�GNa aE O� C N' ,r OA urN IED AGENr �DATEi
- /�- d/
� NAIUAE O� OWN pai OWNEp RDEA� �D�rE� �
♦ t
o���
STALLS
CU FT.
' PARKING
GAiiAGES
$5.86
iAC CMARGE
Fire SC $11.71
OTAL FEE
�$226.82
i THIS IS Y Ufi PERMIT
��� . i
LOAD
NEW []
ADDN []
ALTER _ . [ J
�
Construction Address:
Legal Description:
Owner Name � A�
Contractor. �
Address: ��� e
LIVING AREA:
GARAGE AREA:
DECK AREA:
Effective 1 /1 /2001
CITY OF FRIDLEY (763) 572�604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
dress: c f ��� Tel. # 7�.� �'S �/��f'�,�e?
i�%
MN LICENSE #
Tel. # S��
Attach to this application, a Certiflcate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length �_ Width �� Height Sq. Ft. ��
Length Width HgUGround Sq. Ft
OTHER:
/� ���
Construction Type: �� O� �-�P Estimated Cost: $� —�' p
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � � � APPLICANT: ��'�/�� �(% l�� Tel.# �����%l ����
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ 4.��'� �� � Fee Schedule on Reverse Side
$ l j. �r .001 of Permit Valuation (1/10th%)
$ � - � � $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
��� ��
$ :�
BUII�DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts for the erecdon 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 $5�
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$1�,001 to $500,000
$500,001 to $1,000,000�
$1,000,001 and up
���
$23.50
$23.50 for first $500 plus $3.05 for each additional $1Q0 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 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
$1,0� 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 $5�,000
$3,233.75 for the first $500,0� plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,OQ0,000 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. New Houses Onlv . �-
De�i�n �# 80146
MENARD_S�
4/30/2001
**� Take this sheet to the 6uilding Materials eounter to Purchase your materials. ***
You selected a ara e with these o tions:
9 9 P
20' Wide X 30' DeeP X 8' Nigh �� --
. . ���� ����-r ��.:? �,' ��ss��
Gable roof w/ 4/12 pitch truss construction.
12" gable/12" eave overhangs.
7/16" OS6 Wall Sheathing.
1/2" OS6 Roof Sheathing.
Pine Vinyl 4" Double laP Siding.
20 yr. Classia, Onyx 61ack Shingles.
White Vinyl Soffit � fascia.
White Aluminum Regular Roof Edge.
INhite vinyl overhead door jamb.
' � �i�� 7�.
Z LTT�" -� at%'� /�'� ♦.�/. �r O. C. /� �•./ 02 �G T1
�s�, sn �./, /,�t �� '�diL1 ���
3 G��'�C-u r���.� ����/���r,��%G �
�—� . ._ . i �
Front View
iJ
�� � �
o �� �� ;'
�J I� �
� �
B�ak
Today's cost for materials estimated i� this design: $ 3094.39
,����j�% ✓
����
Base garage without oPtions: $1822.09
*The bue prtee inalude�: 0° E�re/0° 6�ble Overhm�, 2X4 W�II Studs, ;�(� �� ���' � �� �
7/16 OBS Roof She�thing, 20 �. Flberglu: Cl�s:io - Onyx Bl�ak Shinglea, �',�t s� �d
Pine F�aal�, 6�Iv�nized Regalu Roof Edye, 8° Textured Vertiod Hudbo�rd Siding,
No Serylee Doon, No Overhe�d Doon, No Wtndo�n, or My Olher Optiona.
Proposed Garage Location
RECOMMENDATIONS
City Staff recommends approval as second accessory structures are permitted under
specia/ use permit in the R-1 Sing/e Family District.
STIPULATIONS
Staff recommends that if the special use permit is granted, the following stipulations be
attached.
1. Petitioner shall install Code required hard surface driveway within 12 months of
issuance of the building permit.
2. Petitioner shall obtain all necessary building permits prior to construction.
3. The structure shall not be used for a home occupation or living area.
4. All vehicles shall be stored on a hard surFace as approved by the City.
5. Total square footage of all accessory structures must not exceed 1,400 square feet.
6. Garage shall be architecturally compatible with existing home and finished with
same siding and color scheme.
Ri��.� �' �i�.��- viE'Ly' �`�'iG.�,� TS ADD! T/ON
�°°���� . C. E. C O U L T E R --
;sunNSU . •• •
c�ri �o�n
LAND SURVEYOR .
TOr061U1rNIC MA►rINO REGIBTERED UNDER LAWS O� STATE OF MINNEBOTA
� LiC[N�6D \11 OROtNANC[ Or CtTY OF M�NN�/1►OLIi .
3300 LYNDALE AVE. 50. MINNEAPOLIS 9. MINN.
TAYI.OR 4-0370
SUKVlY t O�I BE�✓sonr ��/ST"•�uGTioN
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,��' I hereby certify that this
is a true and correct plat of
a survey of :
Lot Fourteen (14), Block Three (3),
;. _PARKVIEW HEIGHTS ADDITION, Anoka
County, Minnesota.
As surveyed by me this 6th day of
August 1958 A. D,
< ' —
� � Signed i. •� �F�--.:�.��
innesota�egistration �10, 2�
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JUN 18 2001 12�23 FR MENARDS FRIDLEY 763 571 3994 TO 571128? P.01i01
, ��+��� � SEP 1? '98 15=41 FR M M TRU55 5PECIAL 1 715 976 5565 TO FRZD P•�4/@4
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** TOTAL PAGE.04 x�*
� TOTAL PAGE.01 **
�
Inspections
763-572-3604
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
Pernut No..
Received Byy
Date Rec'
DATE /�`Ia `�' r YOUR E-MAIL ADDRESS � ,
SiTE ADDRESS ��eD /�% P/f� G(/d� Y� .� �i i►/ �
THIS APPLICANT IS: ❑ OWNER J�CONTRACTOR
PROPERTY OWNER/
TENANT
CONTRACTOR
�/9l,.� /.�s9
<�
L.9�r/E
PHONE: % 3 � .��%/ � .3� .7 Z.
6'T �i✓Te
' F/�� .� L� y STATE�aiIP S' S`�3 Z
/✓C
SUBMIT A COPY OF STATE LICENSE �1 iZ G� Z� � DATE �o -!� D-��
YOUR STATE LICENSE ADDRESS: �B� C�LF'd�.c0�'�/e f4vF �5� CITY �i�J �.Pi6�`TOs AT TE!' Z� s`aS ���-
WITH APPLICATION PHONE G�/' Cv 33 - B�E� l/ FAX `/' C� �— cFc�`�9
PROPERTY TYPE
PERMIT TYPE
�E oF woRx:
Y/NEW
0 TWO
O ADDTTION ❑ GARAGElSHED � WINDOWS
❑ BASEMENT FINISH ❑ ROOF � DRA1N TILE
❑ DECK ❑ SIDING �OTEIER �
❑ SWA�IlvtIIQG POOL oSTO 2�`Yi
0 REMODELING
DESCRIBE 9dORK BEIl�TG DONE: �eQ� i/� /�� c{,g� c�/u e i� �'rp/1/y� o�/�//i�i9 ��_�j=� �/2 i9s
SIZE OF IlVIPROVEMENT � e f��^/ LENGTH WIDTH HEIGHT � T Sq. F�
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
� HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
O DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
wnvnows
IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WWDOW TO BE INSTALLED NUMBER OF F
�ASEMENT REMODELING SUBIvIIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of strucwral members to be used
FOR NEW CONSTRUCTTON INCLUDING DECKS,
�„DDITIONS. & PO1tCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Twro sets of cronstruction plans
3. Enetgy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(LTSING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION 5��, Oc� o OCCUPANCY TYPE
Permit Fee
Plan Review
Surcharge
Fire Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Conlrol
Park Fee
Sewer Main Charge
Total Dne
$ ��'`Jo �S See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ (.0005) times the total job valuation — Minimum $.50
$ , ()O .001 x Permit Valuation (1/10%)
$ $5.00 (State Licensed Residential Contractors)
$ $1450 per SAC Unit (Plans to MWCC for determinarion)
$ ft+6ft= ftx$20=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ �'Ageement necessary ( ) Non Necessary ( )
$ -� Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL 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
pemut 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 review and approval of plans.
SIGNATURE OF APPLICANI�,��'�'/Gih OL O�� ,A� PRINT NAME e�f%'�✓�/.�A �' �e�� DATE /D -/o?- O S
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issui.ng perm.its 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
applican.t for such permit of fees to the amount herein below set forth and in the manner herein
provided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surchazge)
$501 to $2,000 $23,50 for 1�` $500 plus $3.05 far each additional $100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional$1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for ea.ch additional$1,000 or fraction,
to and includin $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 $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or
fraction to and inclnding $1,000,000
$1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued. a minimum of 24 hours from the ti.me of application to
allow for proper review of proposed structure and of the conslxuction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Depariment
6431 University Avenue NE
Fridley, MN 554�2
763-572-3604 -
Fax: 763-502-4977
r , �
�' Pre�iminary Work Authorization Page 1 of 1
SM
': �
PRELIlVIINARY WORK AUTHORIZATION
Contract Number: MN9901.01.07
Contractor: Timbercraft Restorations, Inc.
Contractor's License No.: �� � �
Claim Number: 4500632056
Allstate hereby authorizes the above named Contractor to perform the preliminary services described in the above captioned
Loss. Allstate has established $0.00 as the Stipulated Maximum Sum which sha11 not be exceeded without prior written
approval from Allstate. The Contractor shall maintain records of the time and materials expended to perform the work
authorized herein.
Commencement of the work by the Contractor shall act as the Contractor's agreement to perform the work in accordance with
the Contract Documents and constitutes a binding contract for the Contractor to faithfully execute this order for the Stipulated
Maximum Sum of $0.00. Allstate shall not be liable for any amount in excess of the above stated Stipulated Maximum Sum
unless previously approved and agreed to in writing.
This Authorization is issued in anticipation that a Work Order will be issued to the Contractor for the above captioned Loss.
As such, the Contractor is solely responsible for collecting the deductible amount as shown in the above captioned Loss
Notice &om the Property Owner. Allstate shall be in no way responsible or liable to the Contractor for the payment of the
deductible amount.
PROPERTY OWNER'S AUTHORIZATION
The Pro�rty`'b� �er hereby authorizes the Contractor to perform the work described in this Preliminary Work Authorization
in aceordac�ce�ivi the terms and conditions contained in the Preliminary Work Authorization.
�'�-'� � �'�d .� /Q ? A �S
� (Property Owner's Sign e) (Date)
mptc-N�r, Inc., 1999. All rightc reserved. This document may not be reproduced, in whole or in part, in any form, without prior writxen permission of ptc-
Nsr, Inc. Version A10
file://C:�Program Files\ptc-Net Estimaxor�Report.htm 10/6/OS
, ,�
': , ,
�
Esti m ate
Adjuster
LEE MAGLE
Phone (952) 975-3177
Faz (952) 975-3240
Claim # 4500632056
Coverage AA
TWIN CITIES
965 Prairie Center Drive October 6, 2005
Eden Prairie, MN 55344 AA _ Dwelling
Phone (800)869-0510 Fax (952)975-3106
Insured WOLFE, LAURA
Loss Address 960 HATHAVJAY LANE, FRIDLEY, MN 55432
Phone Number (763) 571-5222 Policy # 000000011205281
Other Phone (651) 846-8360 Ins Claim # 4500632056
Ins Company Allstate Insurance Company
Detached Garage 2' z 20' z 8')
440 sf Floor 672 Wall 440 sf Ceiling 841f Floor
Replace Stud Wa11(SF), 2"x4" - 16" O 705.6 SF @$0.43 a
672 SF @ $0.75
Replace Header, 2EA 2" x 10"
Replace Sill, Tre`at�ed, 2" X 4"
Replace Sheathing, �a11, OSB, 1/2"
Replace Truss, 4/12 Pitch, 24' �
Replace Truss, Gable roof, 28' �
Replace Sheathing, Roof, OSB, 1/2'
Replace Felt, #30, 30 LB �Q �,�
Replace Ice/Water Shield �/���
Replace Asphalt Shingles, 3 Tab, 25 YR.
Replace Soffit Framing, Per LF, 2" X 4"
Replace Soffit, Aluminum
Replace Fascia, Aluminum
Replace Insularion, Fiberglass, Rigid, 15/16"
Replace Siding, Vinyl, Double, 4"
Special Subcontractor Agreed
- Open Item
Replace Garage Doors, Me ,
Replace Garage Doors, M
Replace Garage Door e r
Replace Door, Ext., etal Pr�
Replace Lockse xterior
�'X7'
X 7'
Flush
Replace Win , Awning, Wood, Medium
Bid
Date of Loss 9/21/2005
841f Ceiling
�pl. Cost
$303.41 ater
$80 . 1
36 LF @ $4.08 a 46.88
84 LF @ $1.52 a $127.68
705.6 SF @ $0.55 a $388.08
672 SF @ $0. $329.28
$71736
ii @ io a $i,21s.2s
2 EA $ 7.94 a $255.88
57 S $0.97 a $558.72
5. @ $ .56 a $9539
44 LF @ $1. b $66.00
6 SQ @ $8434 $506.04
92 LF @ $1.00 a $92.00
140 SF @ $2.89 a $404.60
92 LF @ $3.10 a 85.20
672 SF @ $0.90 a $ 4.80
739.2 SF @ $0.45 b $33 .64
\2 SF @ $1.13 $759. 6
$1,092.0
@ $0.00 $ $0.00
1 EA @ 2.09 a $792.09
1 EA @ $2 42 b $276.42
2 EA @ $265. a $531.56
1 EA @ $421.90 a $421.90
1 EA @ $87.27 $87.27
1 EA @ $267.96 a $267.96
$9,355.41
� 3,520 cf Volume I
. ACV OP RD
Labor
$0.00 $807.41
$0.00 $146.88
$0.00 �127.68
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Material
Labor
$0.00
$0.00
$0.00
$0.00
$0.00
$0.0�
$0.00
$�36
�,ais.as
$255.88
$558.72
$95.39
$66.00
$506.04
$92.00
$404.60
$285.20
$604.80
$1,092.00
$0.00 N
$792.09
$276.42
$531.56
$421.90
$87.27
$267.96
$9,355.41
Estimate (MSB 0410) -1- Oct 6, 2005
Cla,im # 4500632056
s y
v,s J
' Roof
Repl. Cost Depr. ACV OP RD
Remove Asphalt Shingles, 3 Tab, 25 YR. 21 SQ @$34.92 a $733.32 $0.00 $73332
Open Item: The rafter & ceiling joist repairs will be determined when roof
sheathing is removed.
Replace Asphalt Shingles, 3 Tab, 25 YR.
Special Tear Off, Additional Layer
Remove Ridge Shingles, Asphalt
Replace Ridge Shingles, Asphalt
Tear Out Felt, #30, 30 LB
Replace Felt, #30, 30 LB
Replace Ice/Water Shield
Tear Out Drip Edge, Aluminum, Mill Finish, 5"
Replace Drip Edge, Aluminum, Mill Finish, 5"
Remove Valley Flashing, Galvanized Steel
Replace Valley Flashing, Galvanized Steel
Replace Roof Vent, Box, 12"x12"
Replace Collar, Vent Stack
Remove Sheathing, Roof, OSB, 3/4"
Replace Sheathing, Roof, OSB, 3/4"
Special Cleanup & Debris Removal
Ezterior SE
112 sf Wall
Individual Wall 14' x 8'
Remove Soffit Framing, Per LF, 2" X 4"
Replace Soffit Framing, Per LF, 2" X 4"
Remove Soffit, Aluminum
Replace Soffit, Aluminum
Remove Sub Fascia, 2"X4"
Replace Sub Fascia, 2"X4"
Remove Fascia, Aluminum
Replace Fascia, Aluminum
Special Cleanup & Debris Removal
Ezterior South
128 sf Wall
Individual Wall 16' x 8'
Rem/Reset Siding, Vinyl, Double, 4"
Remove Soffit Framing, Per LF, 2" X 4"
Replace Soffit Framing, Per LF, 2" X 4"
Remove Soffit, Aluminum
Replace Soffit, Aluminum
Estimate (MSB 0410)
Claim # 4500632056
21 SQ @ $84.34 b $1,771.14 $0.00 $1,771.14
21 SQ @ $11.10 a $233.10 $0.00 $233.10
150 LF @ $0.25 a $37.50 $0.00 $37.50
150 LF @ $1.98 b $297.OQ $0.00 $297.00
21 SQ @ $3.94 a $82.74 $0.00 $82.74
21 SQ @ $16.56 a $347.76 $0.00 $347.76
396 LF @ $1.50 b $594.OQ $0.00 $594.00
175 LF @ $0.29 a $50.75 $0.00 $50.75
175 LF @ $1.15 b $201.25 $0.00 $201.25
25 LF @ $1.06 a $26.50 $0.00 $26.50
25 LF @ $2.01 a $50.25 $0.00 $50.25
10 EA @ $21.24 a $212.40 $0.00 $212.40
3 EA @ $13.94 a $41.82 $0.00 $41.82
918 SF @ $0.48 a $440.64 $0.00 $440.64
918 SF @ $1.73 a $1,588.14 $0.00 $1,588.14
8 HR @ $31.73 a $253.84 $0.00 $253.84
$6,962.15 $0.00 $6,962.15
141f Floor 141f Ceiling
112 sf Wall 141f Floor 141f Ceiling
Repl. Cost Depr. ACV OF RD
28 LF @ $038 a $10.64 $0.00 $10.64
28 LF @ $1.00 a $28.00 $0.00 $28.00
28 SF @ $0.63 a $17.64 $0.00 $17.64
28 SF @ $2.89 a $80.92 $0.00 $80.92
14 LF @ $0.58 a $8.12 $0.00 $8.12
14 LF @ $1.44 a $20.16 $0.00 $20.16
14 LF @ $0.59 a $8.26 $0.00 $8.26
14 LF @ $3.10 a $43.40 $0.00 $43.40
2 HR @ $31.73 a $63.46 $0.00 $63.46
$280.60 $0.00 $280.60
161f Floor 161f Ceiling
128 sf Wall l d lf Floor 161f Ceiling
Repl. Cost Depr. ACV OP RD
80 SF @ $1.70 a $136.00 $0.00 $136.00
32 LF @ $0.38 a $12.16 $0.00 $12.16
32 LF @ $1.00 a $32.00 $0.00 $32.00
32 SF @ $0.63 a $20.16 $0.00 $20.16
32 SF @ $2.89 a $92.48 $0.00 $92.48
_ Z _ Oct 6, 2005
. , . �
_R . a
Remove Sub Fascia, 2"X4"
Replace Sub Fascia, 2"X4"
Remove Fascia, Aluminum
Replace Fascia, Aluminum
Special Cleanup & Debris Removal
Repl. Cost Depr. ACV OP RD
16 LF @ $0.58 a $9.28 $0.00 $9.28
16 LF @ $1.44 a $23.04 $0.00 $23.04
16 LF @ $0.59 a $9.44 $0.00 $9.44
16 LF @ $3.10 a $49.60 $0.00 $49.60
2 HR @ $31.73 a $63.46 $0.00 $63.46
$447.62 $0.00 $447.62
Ezterior East
216 sf Wall 271f Floor 271f Ceiling
Individual Wall 27' x 8'
Rem/Reset Siding, Vinyl, Double, 4"
Remove Soffit Framing, Per LF, 2" X 4"
Replace Soffit Framing, Per LF, 2" X 4"
Remove Soffit, Aluminum
Replace Soffit, Aluminum
Remove Sub Fascia, 2"X4"
Replace Sub Fascia, 2"X4"
Remove Fascia, Aluminum
Replace Fascia, Aluminum
Special Cleanup & Debris Removal
216 sf Wall 271f Floor 271f Ceiling
Repl. Cost Depr. ACV OP RD
216 SF @ $1.70 a $367.20 $0.00 $367.20
60 LF @ $0.38 a $22.80 $0.00 $22.80
60 LF @ $1.00 a $60.00 $0.00 $60.00
60 SF @ $0.63 a $37.80 $0.00 $37.80
60 SF @ $2.89 a $173.40 $0.00 $173.40
30 LF @ $0.58 a $17.40 , $0.00 $17.40
30 LF @ $1.44 a $43.20 $0.00 $43.20
30 LF @ $0.59 a $17.70 $0.00 $17.70
30 LF @ $3.10 a $93.00 $0.00 $93.00
6 HR @ $31.73 a $190.38 $0.00 $19038
$1,022.88 $0.00 $1,022.88
Ezterior North
307 sf Wa11 381f Floor 381f Ceiling
Individual Wall 38' 4" x 8'
Rem/Reset Siding, Vinyl, Double, 4"
Remove Soffit Framing, Per LF, 2" X 4"
Replace Soffit Framing, Per LF, 2" X 4"
Remove Soffit, Aluminum
Replace Soffit, Aluminum
Remove Sub Fascia, 2"X4"
Replace Sub Fascia, 2"X4"
Remove Fascia, Aluminum
Replace Fascia, Aluminum
Special Cleanup & Debris Removal
307 sf Wall 381f Floor 38 lf Ceiling
Repl. Cost Depr. ACV OP RD
80 SF @ $1.70 a $136.00 $0.00 $136.00
48 LF @ $0.38 a $18.24 $0.00 $18.24
48 LF @ $1.00 a $48.00 $0.00 $48.00
48 SF @ $0.63 a $30.24 $0.00 $30.24
48 SF @ $2.89 a $138.72 $0.00 $138.72
24 LF @ $0.58 a $13.92 $0.00 $13.92
24 LF @ $1.44 a $34.56 $0.00 $34.56
24 LF @ $0.59 a $14.16 $0.00 $14.16
24 LF @ $3.10 a $74.40 $0.00 $74.40
6 HR na, $31.73 a $190.38 $0.00 $19038
Open Item: Framing repairs to be determined after soffit & fascia are
removed.
General Conditions
Special Dumpster, 30 Yard
Special Permits & Fees
Estimate (MSB 0410)
Claim # 4500632056
5698.62 $0.00 $698.62
Repl. Cost Depr. ACV OP RD
2 EA @ $293.61 a $587.22 $0.00 $587.22
1 LS @ $280.00 a* $280.00 $0.00 $280.00
- 3 - Oct 6, 2005
, • Y �
ey � � J
Open Item: Interior wall & ceiling repairs will be determined after the
above listed roof and exterior walls aze repaired.
Estimate Totals
Contractor's Overhead & Profit (26%)
Total With Overhead & Proft
Sales Tax 6.50%
Total With Tax
RepL Cost Depr. ACV OP RD
$867Z2 $0.00 $867.22
Repl. Cost Depr. ACV
$19,634.50
$5,104.97
$24,739.47
$597.56
$25,337.03
$0.00 $19,634.50
$0.00 $5,104.97
$0.00 $24,739.47
$0.00 $597.56
$0.00 $25,337.03
Items noted as such by the Price Database Legend at the bottom of this estimate were based on material pricing provided
by and available at lazge building material suppliers in your local market. It should be noted that prices can change
without notice. Allstate will honor this estimate and work with you to resolve your�claim regardless of where you
purchase your materials and services. If you find the cost of repairs or replacement is more than reflected in this estimate,
please contact your claim adjuster at the number listed above.
PLEASE NOTE: "Actual Cash Value is defined as the amount it would take to repair or replace damage to your home less
depreciation. Depreciation, when applied in this estimate, is the decrease of the property's value due to age, wear and
tear (condition) or obsolescence, except where otherwise noted."
A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.
Price Database Legend
a= MSB Cost Data 2004-0503
b= MSB Cost Data 2004-0503 (Home Depot Material)
* = Modified
Estimate (MSB 0410) - 4- Oct 6, 2005
Claim # 4500632056
Building
Inspections
763-572-3604
DATE ,� 0 ° / � '"
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
C
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAII. ADDRESS
OCONTRACTOR
r�
ADDRESS:,�iS O f'/'�(G//"w///'� G+ y
PHONE: %6 �°' S� 7%^ � a a o�.
SUBMIT A COPY OF STATE LICENSE #
YOUR STATE LICENSE ADDRESS:
WITH APPLICATION pHONE
PROPERTY TYPE �' SINGLE FANIII,Y/NE
❑ TWO FAMILY/NEW
PERNIIT TYPE I � �DITION �G,�RAG
❑ BASEMENT FINISH ❑ ROOF
❑ DECK 0 SIDING
�E oF woiuc: o �'
_ 0 MAIA
DESCRIBE VJORK BEING
SIZE OF IIvIPROVEMENT
O ADDTI'ION
❑ REMODELING
�r� r. �
� DATE
Pernut No.: oCQ(J� `
Received By:
Date Rec'd:
.��z� SS y 3 �
CITY STATE ZIP
❑ DRAIN TII E
❑ OTEIER
WIDTH �� HEIGHT
Ft.
NUMBER OF SQUARES ❑ HOUSE & GAR.AGE BASEMENT REMODELING SLBMIT:
GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan
PROPOSED SIZE: ❑ DETACHED GARAGE 2• ProPosed floor plan
3. List of structura] members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTTON IA]CLUDING DECKS,
❑ Vinyl �Soffit ADDITIONS. & PORCHES SUBNIIT:
❑ Aluminum ❑ Trim 1. Site Plen/Survey showing the existing strucwres
❑ p�� � Fascia and proposed project
WINDOR'S 2. Twro sets of construction plans
IN FXISTING OPENINGS OYes DI�To LOCATION OF WII�T�WS 3. Energy Calculations
OR FOR NEW OPEMNGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WII�TDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING 1997 U.B.0 FEE SCHEDULE) /��
TOTAL JOB VALUATION S�� OCCUPANCY � TYPE ��/���%!�
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
$
$
$
$
$
$ ... _ _ . .,. .
See Back Page for Fee Schedule �
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contra.ctors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$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 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; tha.t I understand this is not a
permit but only an application fo emut and work is not to start without a permit; that the work will be in accordance with the approved
plaa in the case of all work 'c re w nd approval of plans.
SIGNATURE OF APPLIC �� PRINT NAME�t C!/IJ!-K� (/'�0 (�L�- DATE,�� `��'� �� S
�� ' i
�l �
- ,
Page 2- Building Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official sha11, before issuing permits for the erection of any build3ng or
structure, or for any addition to any existi.ng 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:
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minunum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certifica.te of Survey of the lot, showing the location of the existing founda.tion will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
De�i n # 004863 � � � k �0/�3/2oos
m g �� � R
*** Take this sheef to the Building Materials counter to Purchase your materials. ***
You selected a ara e with these o tions:
9 9 P
20' Wide X 22' DeeP X 8' N igh
6able roof w/ 4/12 pitch trusses 2' O.C.
2x4 Wall f raming Mat�rial
12" gable/12" eave overhangs
7/16" OS6 INall Sh�athing
1/2" OSB Roof Sheathing
N. 6r�y Vinyl 4" Double laP Siding
30 yr. Oakridge, Estate 6ray Shingles
Pine Soffit � Fascia
White Aluminum Regular Roof Edge
Pine overhead door jamb
Fro� View
v
Back View
�.-, -- - .
��� �F��,�d�ti��r�:�_�
f=� ' GC)i��
��, ME ;_I�'' s ,
� �!C' I��:.,= :C
� aLC 0 �
�.� � �
/ �
�
i
,�_
;
�
I
m
,��
.
Today's cost for materials estimated in this design: $ 3633.66
Base garage �►ithout oPtions: $1832.51
*The base prloe Includes: 0" Eave/0" Gable Overhangs, Freming Meteriefa,
7/16 OSB Roof Sheathing, 20 yr. Fibarglass Classie - Onyx Bleak Shingles,
Pine Faeele, 6alvanized Regalar Roof Edge, 8" Te�ueed Vertleal Nard6oerd Slding,
Plo Serviee Doors, No Overhead Doors, No Windows, or Any Other Qpflons.