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AF - 45669� City of Fridley, Minn. BUILDII�G PER.1�'I' � N° 3117 �te: . .. . .,�� .%.�.�. �. .. �.. ..... Owner . . . . . . Builder �.�:C .✓. . . . ,e. . . . . . _ � Addr�s .� p..� � ..... . .. ...... .. ..... `Address .. � .��. �.........................:��. `.. � Lot � Block � Addibion or Sub-Division 7'' �..�� ................... Corner.Lot ............. Inside.Lot ...�...... Setback .'��...... Sideqard.l�� •� ��'� DE�F2IPTI01\9 O� �Cdi1..�Il�IC� To/ be Used as: t � .��E�La�4��. Front ��Depth ��!. ! . . " Height ��'�!��q. F't�� Cu. Ft. . . . . . . . . . .. . .. ..... Front �� ... Depth �:� Hei ht ..��q. Ft. .�� Cia. F`t. ..... .. e of Construction ................... Est. CoSt..�O�r.�."�.�..... To be Completed ...�.. .... ... .. � .�� y��"��-�°"`�,� � � � �' �c��r�/� �� ' J `�� . � � In consideration of Y.he issuance to me of a permit to consiruct the building desribed above, I agree to do the proposed work in accordance with the descriptioa above set forth and in compliance with all provisions of ordinances of the ci'ty of F'ridley. �7� �� _� . . . .�lJ. �r.f!�'. . . .. . . . . . . . . . . . ° �/�/,�� In considera�ion of the payment of a fee oY $. �.�.. ..., p�e.rxnit is hereby granted to ..... :. .. . ..�� , . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This peraiit is granted upon the express condition that the person to whom it is grant;ed and his agent�, employees aad worinnen, 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, construction, altera.tion, maintenance, repair and moving of buildings with- in the city limits and this pernait may be revoked at a�y time upoa violation of any of the provisions of said ordinances. . � . . �!G�l.l�� . . . . . . tiltl�ig 7napector NOTICE: � Thls pe�mlt does not cover the const�uatlon, installation o� alte�atlon for wl�ing, plumbing� gas heating, sewer or water. Be sure to see the Building Inapector for separ�te parmtts for thesa Itema �- City of Fridley, Mi.nn. BUILDING PERMIT N,�� 4� 5 s�,, � . Date: ..._�"""_..�'`..`."_�._� __.._._._.._.-._..--- ,� _ . _ .�`�� 9 �� ! /"��' � � f f � � • ,r • r,° r•,� _ �� w,w�e�.e� ' �Ir , _.F . . J� J �l'`� � . � . i�....� r!. 4 � - . • � . ' - �: . - .� � . � - - -• /'�,1��... .��„�....�i, f '� / CATIO OF DING /�° , No. -- ---- .�..�t,�� •--- Sfreet -- .___. _...._ '�. .......__ •-.%--._..... Part o Lo ..............-�--._......._...._.._... ._-------_.._ . .._._ Lot ....... _�I ..:, �._........ Block ----._.....--,/�-.... -......_. .... Addition or Sub-Division -- - -..... ..... -� -. .. .: ,. �y��d*�� --.... ......�t---- Corner Lot .........................._..._.... Inside Lot .........._..._:..._................. Setback ..:.._......:_.----------....-------- Sideyard ..----....::._....--------..._........----•--� --��---...._.. Sewer IIevation -----...-------��--��------....__..._......._.-----�-------_............------. Foundation IIevation •_-----�---�- •�----------.__...._--•------------��------ - --- -- DESCRIPTION OF BUILDIWG To b,� Used as: / � .._.._ ont ... ._. � ..:. S .- -- ,�='`� - -- - .- .. . - -,,,�4�._.. Depth .-- � ...._.. Height C..�" . . q. F� _��.�_...^�✓ Cu. F� �;�� !.s" ...._ .............._...................._._............. �ront ........................ Depth ........-F Heig�t ....._...._.�.�. Sq. F� ....._.............--- Cu. Ft ...__......._.._...- ! Type of Construction .... .-- ., -�--.. Est, st..:_. � �".�To be Completed ....._...-------�_........._. ��...�., ....... ......_....._. .r. , ' i m�� a� � � �_,. , �� _ j;', :9 "-0°f, . ; � � - �..�•�� ;- y,�:' ,r� - ,�, . , , ,.�, -. �ui i `_ 'yi. In consideration of the issuance to me of a permit to Construct the building described above, I agree to do the proposed work in accordanc� with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. _�.:...------••---_....._______._.___...____.._.___._..._._..___�.__.._....._._. _. _. � In consideration oP filie payment of a fee of $.._ _....:.._..__�_...., permit is hereby granted to....._ ............._............._. —..__�_..__.__..__.__..____..__.._... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is gran.ted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, `shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, altera.tion, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation• any of the provisions of said ord3uances. � � i"�./e� � ��!�� Building Inspector NOTICE: This permif does nof cover the tonafrucfioe, inalallalion fo� wiring, plumbing, gaa heafing, sewe� or watar. Be aure fo see the Building Inspector for separafe permits fo� lhese items. /'^ 4 �'�� , � .�i ;�n _ — -.` �,..� �'. ,. � Owner s ldame �` ^ �'� �ldres� APPLICATION FOR BUILDIl�IG PERMIT , CTTY 0�' FRIDLEF, MINNE30TA ; � � �� `,� �/�'' Bu3.lder � /�'% ��' �" e��`�`'�" � ` "�� " > 1 r �'.� � � ��. / �� ,� .� � � � �� 4 � �� : Atldress „ � ��, r LOG$TlU OF BUILDIIIIG e � � ° ��1� �� No. ��' �`�` St�ree$ . ,f�� art of Lot _ Lot Block Addition or Sub.Div. Corner Lflt Ineide I�ot_,_,_`Set Hack Side-Yard SE�TER ELE�TATION FOUNDATION ELEV�iTIORT Appiicant attach to th�s form Certificate of Surv.ey of I�t and proposed building 1oca.tion. DESCRiPTTON OF B TATG �> �.. To be uaed ass �`'�� P.,� ,,� �� ' �"� �� ortt � Depth � Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. � � � Type of Construct3.on Est3ma'�ed Cost �� To be completed____r____`^,___.____ �'he underei�,med hereby makes applicat3on for a permit for the work herein specified, agreeir� to do all worlc in �trict accordance with the Cit� Ordinances and rulin� of the Department rof Buil.dings, and hereby declares that all the facts and representa- tions stated 3n hia plication are true en correct. q - � � � DATE � � � SiGNATiJRE ° ° r (A Schedvle o Fee costs c�n be found on the Reverae Side.) ^ n -._ _. �- � , �:.�. � � BIITLDING PERMIT FEE 5CHIDIILE Section 2. The Inspector of Buildinga shall, before issuing any permit for the erection of any bu3lding or atructure,` or for any addition to any exiating building or structure, or for any elterations or repairs to any existing bu3lding or structure, upon application therefor� require the pa.yment b�r the applicant for such perm3t of fees to the amount herein below set forth and in the manner herein provided to-wit: �..�.. ,�'or _.ardy such permit�for the erection of any fire-proof building� other than �. garage, warehouse, factory or grain elevator, or for the erection of an�r fireproof addition, for similar occupa.ncy, to a.n� exiat3ng bui7.ding sha].1 be at the rate of �1.40 for each one thousand cubic feet, or f'raction thereof, in such cubical contents. 2.2. For an� such permit for the erection of any f'ireproof gere.�e, were- hous�, factory or grain elevator, or for the erection of any f'ireproof addition, for similar occupancy, to an�r existing building shall be at the rate of �1.25 for each one thousand cubic feet, classified as %fireproof� ; b� Sect3on 502 of the Minneapolis Building Code. HOIISES � 2.3. For any such permit for. the erection of any non-fireproof build3ng other than a garage, warehouse, factor� or grain slevator, or any non- fireproof addition, for simil�ar occupancy, to any exiating building. Permit $1.00 for ea,ch one thousand cubic feet. GARAGES 2.y.. For any such perinit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non- fireproof addition, for similas occupancy, to ar�r existing building gr for each such building or addition. Ninety Cente for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of �4.00. For the pt.-^pose of computing fees for building permits the cubicel cotttents of ariy building or addition to a uniform height throughout by mu3.tiplyi�g the ground axea covered from a point aix.(6) inches below the fl.00r line oF the basement or callar to th� average height of' the upper surface or to the aeerage he3ght of the roof surface af the ma3n gable of a pitched roof. 2.5. For repairs or alterations to an exiating structUre, the fee sha11 be at the rate of �3.Q0 for each Five Hundred Dollars ($5�0.00), or f�action thereof in the cost of all proposed work. 2.6. In no cas� shall the fee charged for any permit as aet forth in Sect3on 2 be less than �4.Q0. ,� �'�'1 _ � .i o-,V �'-'-r � INDUBTRIAL BU81NE88 CITY LOTS TOPOORAPHIC MAPPING �� r /Jc.°t'.��•'i�% OJr�`i%!d?� 1 �%1'J.'i t�� fi%Jfi/�%OfJ�� C. E. COULTER � P`"'�'"° LAND SURVEYOR FARM SUNVEYS LAKESHORE ,�REGISTERED IJNDER LAWS OF STATE OF MINNESOTA �uotciaL I.ICENBED 8Y ORDINANCE OP CITY OF MINNEAPOLIB 3300 LYNDALE AVE. SO. MIIVNEAPOLIS 8. MINN. TAYLOR 4-0370 S u R�r�'� Fo R�o ��,�c �- F�i�� hr�,� �uu�a�gnt',� �Irr#i�t�c�ir .. � � ' � � - '1 : �` � \� 6 � `.^ N , Db � ` � � y �, . \ v, .�. ti i,. , 5� g h`�� ,� _ ► � �a. SC�; � r • / � _ �� , �y'l � s� , _s_ a'' ,� � Uc�� , F � , ` � � ��9"5t , ` • p� � - - — -- - , - _ - -- - - . .'� __�.5 _- - � � � �' �' �Cti / i � � ( � �', ` �, ,� �,r ' '� e � � \ �� C� . — '� b �� W �� ,�.�� , � � . �� ' - ��-- � ' �� °�� ,. . _ r � ' � ° ,�� `, �- ��. � � / '~ \ , �� ' \\ \ G � � � / o/y �y�� \ `� � ri � ' � Q � % � "\ / �. � ( ��' � � � �� \ R� Pn �- � \ -.a c� x t �"C) at'' �, °" ' - I I � c'�9 , ye� , � R . � • ;s;� �� . / �, �� c� I hereby certify ihe�t thP a�ove is a trexe �� '�a � _ . ,�� `, a��3__cosrect y�la� �f �_ suz°t►Py ��': _ -��- �,. - s' \ r�, � �l I of Lot �@ * a�lock 1. 0� li:t�+`�' �-� 'i�IRi� ADDITI UI� �j� ,.�,, �nd th�t nert of iot 3. �eQi9ed Auditors �uhdivisio ��a No.23� Anoka �otanty� N:innc3ota de�cribed .a� fol]�c��s: �'° �e�innin�; at trie mo�t 1:esterly ccrper oF said Lot �G� tnence running �8g°3.6'31"i� e1on� th� •outhE�rly line oi' ��i�. � 1 I.at 30 t� the r�ost �aterly corner of Lot ?1 smid i;�,ock 1. �.. ,� �>3"�as�f�sre,-� ca��rE thence runrLin� S30°!�9'2�9"'�. 63.�b feet mos�e of legs to thn °-� ��\ oy �0130. d%� / aharel.i ne of L�ehe L�ce , t�er�ce runni n� Narthea�terly alon� . ai�'� •--40�- - -_._ _ sh��re�rre- to it�i�iPrQer, n��+ith � 1. ne eerin� 33�2�5a"� ��.,, S89°;8'3�°+� `. f'rom the pvint ar bF�].nDin�� thenee runuin�, P131°K2'�a°t�. 36 f�et p�� oo �,, more Qf 1�s9 to the gQint of he�innin�. For the purpose of ti�is � `„ �. '. JrQn de�cri�tion the :c�therly 7:ine of saic3 Lot 30 i� cor_eide�ed to \�' � s, , dg°o8� �;,y,- be a 13.ne ±�nnin� ��9o1�r�1"�+. �_`�° � ��}' f f' As �rve�red b� rre th3s lOth'.day Of Niay 19K8 I�.D. ,°� ..3 , , . ,i � �` /' ;, `- , � � � �. � r . i �,. - -� ;� �. ��a ��..��,,;:�, ,.., ��.�" . - P�;i nnesot� Rer,istre�tio� I�'o. � �� v° - �-, 5/42 � 5,3,� �.� _ � �� Caty of Fridley, Minn- BUILDING PERMIT Date: Au�u.st 7, 1�68 �..�� 1�'a 98'74 �r. TiD. Lester g��. L. W. Samuelson ��,r�� ..�,.�,�— �,d� 6909 Iii�kgx,y Drive Address 78Q0 East River Rpad LOCATION OF BUILDING No. 6909 � s�t � Hickory Drive � � p� of Lot � 30 __ glock 1 Addition or Sub-Diviaian ___._ Ostman's 3rd Corner Lot _ Inaide Lot Sewer IIevation Setback ._._._ Sideyard -- Foimdation IIevation DESCRIPTION OF BUILDING To be Used as: A:I,_� r�tio�,,s & Frroint � Depth Height .— Sq. FL �y, �9 , 980 Repairs �nt Depth _..._ I�eight Sq. F't. — Cu. P't. Zy.� og �� Fr�me ��, �_.,�j,.,.,5_QQ __ To be Completed Alterations- Addn. Cubic Deck $3,500 � $21.00 Feet 9,98�15.00 $36.00 3.00 $39.00 In cansideration of the issuance to me of a pern►it to constru the b' g des�Ibed a I agree to do the proposed work in accordsace with the descrlption above set compliance afl provisiona oP ordtnances oP the dty oP F'rfdley. Ea cons4deratfon oP the payment of a fee of $� 9;�rmit fs hereby granted to L. W. Samue ls on to construct the building or addition as d�cribed above. This �ermi� fs granted upon the express condition that the perafln to whom ft is granted and his agents, employees and worlsmen, in all work dane in, around and u�n eaid building, or anypart thereof, shall cronPorm in all respects tfl the orainaaces of Fridley, Minnesota regarding lacation, construction, alteration, maintenance� repair and mov3ag of buil�1nge within the dty ]imits and this permit may be revoked at any tiine upon violation of aay of the provisiona of sa�d ordinances. `/7�� 5 �r Clar'ence Belisle NOTIC� Thb psndtt does nw eeve� the eoesfrnetioe, les�allaMoe �or wGh�e, plumbine, ea heaNag, sswer oe w�fsr. B� wn h as ths Bntldiae Iespseto� for mpanta pormiis Por t6s� thn». � ow� Ps N� % A�DRE�S �� APPLICATION FOR B�I?�DINC PERMIT 4111 1'.11.11J"^'1 9 �tJ01ri �D �,�'� ,� LO�ATION � � � _,, ,, . , �_ - �/ _ �� . � �� 1V0, l� d � STREI+�T!' `�� LOT � BLOCK ADDITION R S�BDIVISIO�T ��-�— COR�'�'EE� LOT II�SIDE I,OT ; SEl'BAC:I� SIDEY'� SE4JER ELETiATIOPI TOP 0�' �'OCTII�TG Applzc�x�t at-tach �to thzs fio�. T�ao !°��ti.iicat�s of Su�vey of Lot a,r��. propo�ed. build.i�,g lo�atio� dr�,�aa. ors -th�c�;, Ce�tiiicates o DESCR"��'I'i0N 0�' BTTII,�ING To Be iTs�d. As: �� / /G �o�.t J�pth Height � S �p � �/� � '�� tSquare �°eet Cubic Fect Fx�ont De�Oth Height Squ�.re feet Cubic Feet / Type of Conatru.ction Eatimated Co�t � '� D� � To Be Completed Thc� undereig�n.ed hereby mak�s application for a permit for the �omis here�. speciii�d9 agree�ng to do all work i.x� �trict accordance with the �'ity of Fridley Ordirian.ce� and r-uling� of th� D�partment o�° Build�..g� 9 and he�eby declaxea that alI the facta axzd rep�°e�er�tations atated it� this appliea�ion are true a.�d correcto DgTE S�GNg'I�[J'R.E (Schedule of Fee Coets ca:r� be fou�d on the Revezse Sideo> �a � t�� 7 n � �� .. . � �, - ` BUILDING PERMIT FEE SCB.�DUi�E r SECTION 2e The Inspector of Buildinga shall, before is�uirsg permit� for the erection of a:ny building or structure, o� for any additio�. to any exieting structurs or building9 or for-axsy alteration or repairs to any existin$ building or stxsucture9 upon application therefore, require the �aym�nt ._by the a�plice.nt fo�r such perma:t :of �f�e� to the amou�t herei�. below set iorth and in the manner herein provided tomwit: Uniform Buildin� Codee Type 1, 2y & 4-$1a75 ior each one thous�ad cubic feet, or fraetion thereof, in auch cubical cantentso Type 3& 5- $1050 io� each�one thousand cubic feeto For the purpose of computing fees for building permits9 the cubical contents of any buildin� or addition to a uniform hei�ht throughout hy multiplyin� the ground axea covered from a point six (6) inches below the floor line of the basement or the cellar to the avera,�e hei�ht of the upper a�urface or to the average height of the roof eurface of the main �a,ble of a pitched roof e For repairs or alterations to an existi.ng atructure, the fee ahall be at the rate of �3.00 per each iive hundred dollara ($500000) or fraction thereof in the cost of all proposed work. In no case eha,ll the fee char�ed for any permit as aet forth in Section 2 be leas than $5v00o NSSSD Connection Chargea based on location - Area 1 or 20 � ,t� _. �1 r � .3 • I _ -�. � � b � b r o 'j is � : ►yi : x . � ' M : N ' o : � . � � : � : � • 'V N � � � � � pp', �' � m � w m � � R�i �. .�r Cu 7i � !�D �, � � Fi � �' �'x�� a ��'�� s� O a � � � "7 - � � � �� : � � p �' � . '� a .� � � o : �oa ,��: � O _ . ¢' �9: fD �y' : PA Q � � � ` . � � a o: � . . . on o. . . . . . . o. . . . : : : : bd : : . . : : : : � : : ' : o �o �a �a aa x k x �e x�a 'P' � � � C�7� � C�71 � � � � fA {fl 'F/! {fl 4fl H � y y O � � � r �;) 0 � �o W � �, � � �o � o �I �°o o � �� E � � o � :� p � � � _ � � O d � � �1 � � � � � � o �. � � �, � � � 0 A x � � � C � O � I � � � D � r � m � � m C r m 0 � 0 b e�-f O�. g � .% . r�. w p .. � � � a' p' � m m � 8 �i � �� p� � � i � � � � � 8 M 7� � � c+. � � bd � � �7 K� WATER �1O5E75 �a�� s�rH �� e�s�rg SINKS WASH TRAYS DRINK. Founrr. sHwRC. FLOOR DRAINS GTCFi B/lSINS �u�ro WASHER GAS APPL GAS RM1GE GAS OPENINGS � • 2 • � Tn > m A m � A a a. � a � �� a� � ��,�� . b� ��°� � � � � �4 "8 � ��o m �. � b �� '' ,�y O` `' W p � p� � � � p � O b `�, O � � � w � 5�� q�B � y �� O M iYi A � � (� � + eS W C �' � �A � � a� R� � � p � M � � � � � �J ,�a � � O ' � C � � � � -�' � '� d 0. �- � � �► � � M � � � O O � m A A �� V �. 0 n� o� ,� SUBJECT PERMIT N0. City of Fridley � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��' �� r � � COMMUNITY OEVELOPMENT DIV CEIPT NO. , . �� LV �� r � � PROTECTIVE INSPECTION SEC. � � � �' /"'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVED BV �""'� � ��' 612-571-3450 9�0-F15 11/9/95 � � JOB ADDRESS 6909 Hickory Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ,3O 1 Ostman's Third Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Ma.ry Vasecka 6909 Hickory Drive NE 572-0645 3 CON7qACTOR MAIL ADDRESS Z�P PHONE IICENSE NO B W E Construction 476 Hawthorn Rd, L�ino Lakes MN 484-8410 NONE d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDFESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION g]] ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 8 windows; 1 patio door 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO 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 EXAMINE� THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PqOVISIONS OF LAWS VALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W6aOOO �3.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. �112.25 Fire SC �+�.0(� L� PLAN CHECK FEE TOTAL FEE l� g - s� $121. 25 NATUREOFCON�AACTOAOAAUTHOAl2EDAGENT iDATE� WHEN PFiOPERLY LIDATED THIS IS YOUR PERMIT ! � "� ll-�� S�GNATUAEOFOWNEA��FOWNEABU�LDERI �DATE� ��-. BLD �NS� ��4TE NEW ADDN ALTER [] [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/ 1 /95 �'� a-9 z ConstructionAddress: 6 `I�� 1��,�� Y �R - _ Legal Description: �' e, E- ��,�../.� ,.r� — Owner Name & Address: �'I�o �.s F� /� e. s� -r � Tel. # S �� ' D�`�S Contractor: �j Lc�. � ��,vs ��G��..� MN LICENSE # AddresS: �76 f7�R�.��o,�.� �� n�v L.��s Tel. # 4�8 �/' f� Yl0 Attach to this application, a Certificate of Survey of the lot, with the praposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. F� GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Gramd Sq. Ft. �T�'R: Gt/�e+�CV'."� 0'e�p�eE,.,�Po�� ( O c�sv�t��✓S�� 1"<'%0 �O�iC _ �'r �ti•�/ �- a �%�• ^,y s t�i r: �� c s f Corner Lot [] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction• F.sbmated Cost: $ � 000� v`� Approx. Completion Date: (Cost on BackJ Driveway Curb C�t Width Needed: F� + 6 Ft = Ft x$ _$ �ATE: S- S S� APPLICANT: ,,e�,,�.�,�. Tel. #�/ g`� b"�/o Permit Fee �ire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ /�� L . c� �� c�� C� � $ $ $ $ $ CITY USE ONLY Fee Schedule on Reveise Side .001 of Permit Valuation (1/1Qth%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed ReSidentiai Contractors) Alt. "A" or Alt "B" Above $450.IX1 Co�vation Plan Review Fee l�mined by Engineering Agreement Nec�ar}► [ ] Not Nac�:ssary [ ] TOTAL $ �� • �.5� l . .�� . U C"� (� � C� f ��-?.j�. __._ . _..._ _ _._ __ STIPULATIONS: ------ � � �� . �S - - ' ` � G�' �UILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or siructurE, 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, r�uire the payment by the applicant for such �rmit of fee.s 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,�1 to $50,000 $50,001 to $100,U00 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up ��y $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2_75 for each additionat $100 or fraction thereof, to and including $2,(�0 $62.25 for first $2,000 pins $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.W for each additional $1,000 or fraction thereof, to and including $50,000 . $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fradion thereof, to and including $SIX�,000 $2887.25 for the first $500,000 plus $4.25 for e,ach additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,0OO,OQO plus $2.75 for eac�► addifional $1,000 or fraction ther�f � DRIVEWAY DEPRESSION ESCROW (Concrete G�rb Stceets Only) Alt,emate "A" : Removal and replacement of aufi and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gut�r and install a 3 foot wide a�proach with 6 inch depth - Driveway width plus 6 feet times $15.75. VE1tIFICATION OF FOUNDATION Permits for constiuction will be i�ssued a minimam of 24 hours from the time of application to allow for pmper review of the proposed sh�icture and of the conshuction site: A Certificate of Suivey of the lot, sho�ng the l�ation of die foundation once it has it has been constructed will be required before proceeding with the framing. .� . ,� x sue�ecr - RMIT NO: �� City of Fridley 2 5 3 2� � AT THE TOP OF TNE TWINS g U I L D t N G P E R M I T r ; � CEIPT N � ' COMMUNITY DEVELOPMENT DIV. ,ry � j V �� . � • (' � � � PROTECTIVE INSPECTION SEC. i lI = � --_-� �'�';.� CITY HALL FRIDLEV $$432 NUMBER i1EV DATE PAGE OF ACPROVED BY i 612-571-3450 910-F15 7/29/97 � � JOB ADDRESS 6909 Hickory Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3O 1 Ostman's Third Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PNONE Ma.rty/Mary Vasecka 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Langseth Construction Inc 4637 241 Ave NW, St Francis MN 55070 753-1346 d ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 2936 5 ENGINEER MAII ADDFiESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION I� REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Reconstruct pool roof (31'S" x 24'2") 9 CHANdE QF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PEliMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. TFIIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(i SQ. FT. CU. FT. AUTHORiZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO 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 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOiiK WILL 8E COMPLIEO $27�000 �13.SO WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 367.%S Fire SC �2%.00 S R E PERFORMANCE OF CONSTRUCTION. � � � PLAN CHECK FEE TAL FEE Licens SC $ 0 $413.25 SIGNATUREOF� NTRACTORORAUTMO IZEDAGENT IOATEI E PFO V VA ED LHIS IS YOUR PERMIJ� � ^ C�T , ' 7� : S�GNATUiiE OF OWNEAUF OWNER BUILDERi �OATF�i ,a OG �NSP qFTE NEW ADDN ALTER [l �] �� ConstructionAddress: Legal Description: Owner Name & Address: Effective 1/1/97 CTI'Y OF FRIDLEY , SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ,� �� 1 � � ]-� � c K � 2 -�' ,� l� l. �,,�� ;� � `c °� � �r2K V� �s�.r k,� Tel. # Contractor: L � � s �`� �, � �,, s � v Z ,,,.,,` � - � MN LICENSE # � � � � � � Address:_!-F�? Z,'� i �� ,� �' ��Z�n.�= � R Tel. # '� 53 R f � � Attach to this application, a Certificate of Survey of the �� °' �� g � lot, with the proposed construction drawn on it to scale. LIVING AREA: GA,RAGE AREA: DECB AREA: OTHER: Construction Type: DESCRIPTION OF IlVIPROVEMENT .�z �i� ' I Length � - � Width �'�I ' � ; Height � �n� Width Height �n� Width Hgt/Ground Driveway Curb C�t Width Needed: Sq. Ft. � `�Z Sq. Ft. Sq. Ft. Estunated Cost: $ ,��(,YJ, "� (�'ee Schedule on Back) Ft. + 6 Ft = Ft �x $ — $ DATE: �- � � - %? APPLICANT: � ' � � Tel � - f � . # ,3 `I �o Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULA`I'IONS: � �7�� $ 7 `'v �_ /�S� $ $ �'`� $ $ $ $ $ / 02� CITY USE ONLY Fee Scheduie on Reverse Side .(�1 of Permit Valua.tion (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 [ ] _ � [3U[LDiNG I'ERM[T FEE SCEiEDULI: 'I'he Chief Building Of�cial shall, before issuing permits for the erection of any building or structure, or f<�r any addition to any existing building or structure, or for any alteration or repair to any existing buildin� or stiucture, 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 provideri to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $Z5,000 $25,001 to $SO,Ot?0 $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) ti $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and inclucling $25,Q00 $349.75 for first $25,� plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,0� $574.75 for first $30,OOO�plus $625 for-each additional $1,0� or fraction thereaf, to and including $1p0;0� � -� $887.25 for fu�t $100,000 plus $5.(}0 for each additional $1,��or fraction thereo��.to aad including $5(�,� $2887.25 �for the first $5�,000� plus $4.25 #or each additional $1,(�0 or fraction ther�f, to and including $1,000;000 $5012.25 for the first $1,000,000 plus $2.75 for. each additional $1,0� or fraction thereof DRIVEVVAY DEPRESSION ESCROW (Concrete C�ub Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�0. 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 $15.75_ VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow �or pro�er. review of the proposed structure and of the construction site. A Cet�tificate of Survey of� tlie lo[, showing the location of the foundation ��nce it has it has heen c��nstruc��i t��i;? h: r�yuircd hcfc�rc ��r�,�ccdin�� ith thc framin�,. � , City of Fridl�y AT THE TOP OF THE TWINS r � � � � • COMMUNITY DEVELOPNI�NT DIV. � tV ' r � � � PFOTEC7IVE INSPECTION SEC. � _ �"'1 � CITY MALL FRIOLE� 53�32 �----� ' �'� 612-571-3450 �U ILDINC� PERMIT NUMBEN pEV OATfi pAGE Oi 910-F15 11/15/01 � � 32323 RECEIPT NO. 6��1 �PPROVED B� JOB ADDRESS 6909 Hickory Dr NE - t LEGAL �OT NO. BLOCK TFACT Oii ADDITION SEE ATTACMED oesca. 30 1 Ostman's Third Addition SFIEET 2 PiiOPERTY OWNER MAIL ADOR�S$ Z�P PMONE Mary Vasecka, 6909 Hickory Dr, Fridley, MN 55432 763-572-0645 3 CONTRACTOR MAIL ADORESS ZIP PFIONE LICENSE NO Dulin Construc�ion Services, 11651 92nd P1 N, Maple Grove, MN 55369 763-424-2493 4 ApCHITECT OR DESIGNER MAIL AOORESS ZIP PNONE LICENSE NO. 20099705 5 ENGINEER NIAII ADDliE$S 21P PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW � ADDiTION O ALTERATIpN C� REPAIR 8 �ESCRIBE WOFK Re-roof (tear-off) house (21 sq.) 9 CHAN(iE OF USE FROM STIPUTATIONS Underlayment must comply with State Building Code. SEPARATE PEIiMITS ARE REOUIREO fOR ELECTRICAL, PLUMBING. HEATIN(i, ''" ��. ��..�. VENTI�ATING OR AIH CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCT10N IONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDEO OR ABANqONED FOR A PERIQD OF 120 DAY$ AT " ANY TIME AfTER WORK IS COMMENCEO ` NO OWLG. UNI' I HEFiEBV CEpTIFY THAT I MAVE READ ANO E%AMiNEO THI$ APPLICATIQN AND KNOW THE SAME TO BE TR A D C RR�CF ALL PROVt31 NS F � STALLS O MOVE � REMOVE OCCUPANCVLOAD OfFS?REET PARKING IGARAGES UE N O O O lAW$ VALUATION SURTAX AND ORDINANCES GOVERNING 7NIS TYPE OF WORK WIIL �E CpMP{,IED WITM WMETMER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2�2S1.00 �1.13 DOES NOT ESUME TO GIVE AUTMORITY TO VIOLA7E OF CAMCEL TME pEf7MIT FEE SAC CMARGE PROVISI S F ANY OTMER 5 OR LO L LAW REGULATING CON• C ION li TME P F NC OF JAUCT�ON �83.2.5 Fire S�', �2.25 �� PLAN CMECK FEE TOTAL FEE L ense 5.00 $91.63 �GNATUpE OF CON'AACTOa Op AUTNOp12ED 4GENT �D�iE� � M PROPERLY VALIDA7ED THIS IS YQUF P MI' iD�iE� 5 � ! //' NEVV [ ] ADDN [ ] ��R Il Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �o �� /� t G �� m/' �/ /�fz �C/ � Legal Description: Owner Name 8� Address: /��%, '� ��A- y' c l��'4 Tel. # y? Z— p('o `�� Contractor: �/v% �� C�� ,-�Gy,,�c S�r vc^ s MN LICENSE # 2 Oc� et' q 7p�"' Address: 1 f!� �[ �� a ��/ /n�� l,� cr,�e `�s�j� 9 Tel. #?� fi�/�� .z�rq 3 LNING AREA: GARAGE A-REA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. F� Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft ,� � _ Construction Type: Estimated Cost: $ �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ GrZ,- ?�o—�5�z3 DATE: l�— !� OI APPLICANT: Tel. #� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ c� .�S^ Fee Schedule on Reverse Side Fire Surcharge $ -�?S .001 of Permit Valuation (1/10th%) State Surcharge $ /, /3 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ �. D $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: •. � r. . BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,0� plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1�,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $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 $1,0(?0,000 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. Altemate "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 %r 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 constcructed will be required before proceeding with the framing. New Houses Onlv