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AF - 45722_ — — . - ----,.--- ..,,r .� �, SuB�ECT , c�ty of Fridley 2 8 3 3 0 ,` AT TNE TOP OF TME TWINS g � I L D I N G P E R M I T' R o � ; y _�� COMMUNITY DEVEIOPMENT OIV. r � � PROTEC7IVE INSPECTION SEC �� _ � � �'�'1 � CITY HALL FRIDLEV 'iS�32 NUMBER REV DATE PAGE Oi APVROVEO B� �"""�� '' 612-571-3450 9/0-F15 10/20/98 � � JOB ADDRESS 6949 Hickor Drive E t LEGAL L07 NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 2S 1 Ostman's Third Addit on SMEET 2 PROPERTY OWNER MAII AOORES$ ZIP PHONE Abraham & June Nichols -g 3 CONTRACTOR MAII ADDRESS 21P PHONE LICENSE NO Seal Guard S stems 91 4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION � ALTERATION � REPAIR ❑ MOVE � REMOVE B DESCRIBE WORK Reroof house and ara e 31 S T ar-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIRED FOii EIECTRICAL, PIUMBING. MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCr LOAO VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WOqK OR CONSTRUCTION 20NING SO. FT CU FT. AUTHORIIED IS NOT COMMENCEO WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONE� FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFY TMAT I NAVE REAO ANO EXAMINEO THIS APPLICATION STA�L$ GARAGES AND KNOW TME SAME TO BE TRUE ANO COiifiECT. A�L PROVISIONS Oi LAWS VALUATION SUR7AX ANO OROINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIEO WITH WHE7HER SPECIFIED HEREIN Op NOT. TNE GRANTING Of A PERMIT 2656 1.33 DOES NOT PRESUME 70 GIVE AUTMOqITY TO VIOLATE OR CANCEL TME pEpMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER S7ATE OR LOCAI LAW REGULATING CON- STRUCTION OA TME PEfiFORMANCE OF CONSTRUCTION ]/{.7rj Fire S�', �2.66 PIAN CMECK FEE TO AL FEE Lice S 5. 83.74 S�GtiATU�7E O� CON'RACTOp OA 4UTMOp�IED sGENT IOATE� EN RO VALIO T D THIS IS YOUR PEpM1T `�' , / V � I S�GN4TUAE OF OWNEA�� OWNEABU4DEp� IDATE� BlD �NSP � OaTE s�a.i�� L J ADD1�T � [ :- - -:-C1T� OF FRIDI.EY - - - ALTER � SIlVGLE FAMII.Y AND � DUPLEXES R 1 AND R 2 BUII.DING PERNIIT APPLICATION ConstructionAddress: l� Legal Description: i��, � Owner Name & Address: Contractor. �Q � Ada�: q i q9 C.�n� r�[ec��te 1�LyS .�q, �� U ^ (� ,1 Tel. � S ri I - �j� � ° � �nv r.�c�rrsE � ��q 3Cn a �� TeI. # � l � - �'i%� Attach to this application, a Certificate of Survey of the lot, with the proposed coastruction drawn on it to scale. � DESCRIPTION OF Il1�IIPROVEMENT L1YIl�tG AREA: Length Width Height Sq. Ft. GARAGE AREA: I.ength --�dt� ---- Height— Sq. Ft: - - DECB AREA: Length Width Hgt/Ground Sq. Ft. � 01'HER: , �''l j u�� Construction Type: �- � �� Estimated Cost: $ O� , � (1 � I c'� � ��V 11�J (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ � DATE: �I �J� 1�� APPLICANT: � Tel. � - Q l OC� Permit Fee ��,%��$ ��__, � Fire Surcharge� (o (o$ sc�r:� surct�ge �r 33 $ �� 3 SAC Charge $ License Surchar�e ��$ Driveway Fscrow $ Erosion Control $ Park Fee $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,�0 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] �3. ��. �s TOTAL $ �� STIPULATiONS: BUILDIl�iG PERMIT FEE SCHEDULE .. .7- . . � The Chief Building Official shall, before issuing permiYs for the erection of any building or structure, or for a�r addition to any existing building or strucaue, or for any altera,tion or repair w any existing building or structur�, upon application therefore, require the payment by the applicant for such permit of fees to the amount her�in below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 �501 to $2,000 $2,Q01 to �25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �5�,�1 to $1,000,000 $1,OOO,Q01 and up �� . $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 - $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $y.UJ rur each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 pius $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,Q00 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 �2887.25 for the first �500,000 plus �.2� 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 fracrion thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of ihe 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 firaming. 5� � � � -� � o � � :� m m � � � � � � O z � -�i Z T O O� 2 � ci � � v m � <° �. W ��f�D �r� � � N o � 00�1 � .� � � o, � � v �O� � � o � �o o m= v �. �o N �v � � 0 � � � � z m v � � �N d ` C d� Q fD a(D r V! N � � � 3 7 f1 � � �i C �v �p�-, � -,"� �'p�-a 'n � � p � � _ � � � N � � U! � Z � � � �j rt �j � � N, W � � � GI � � � � ,� � f� � � z; � �. � Z '11 N ' � `p � � m � d � �a -a. m . � ^* 4! � N '� � � � � �- �-n,'... .., m .� _ �D . . .. . _,. . _ �. .. ..... . �. �i � . . _. ^ , . C � z o I ( ( � I I I�I I I I I I � � 0 0 � c � � z � O � .'C ��.�� a�� 000000000000 000000000000 m �i `8. 0 w � � � � � . ��, `<`"i a � � c d. �� a � m Dc � �'��Z i N ° `A° _ : (n r 2 0 � � � � � ` � �1 Z � Z 0 � � •P .�.� � D + � "'mm � o � � u• x � � u � � � ;' D - -� d � a � � � �.J'' N lo � �II O D r 4 O W � � � �O � IV�p:yW� rn� C p A � �� G .�D� N � N zZ m� -v n . . O Z v < � � � � a C� � � c� 0 � � � � N O O O _ _ CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 Ur1IVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 1, 2002 Mr. Abe Nichols 6949 Hickory Dr NE Fridley, MN 55432 Re: Final Inspection at 6949 Hickory Dr NE Contractor: Norblom Plumbing Co Dear Mr. Nichols: A plumbing pemut was issued on January 21, 2000 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no final inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh �� r Building Inspections 763-572-3604 SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY u� '— �� . ..� i�� . ■ � ■'• •• • � iLr�i�� 'L�� ,■[� � _ -� ' . ' ��' / _� �� • 1�.3�� Ti��ii �:�— ,. � � ��/I�%E��<<: v �� r - � �,' t�1'��ii1 ' • ,�"'��iG�'�[ � _ .. � NEw FAMILY ❑ TWO FAMILY / ❑ TOWNHOUSE DETAILED DESCRIPTION OF WORK Permit No.: Received By: t �� > - �� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXC$EDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT Wf�RE NOTED. FIXTURES: (Il�iDICATE TOTAL NUMBER OF EACH BELOVV) _ BATH SINK/LAV FLOOR DRAIIVS SHOWER WATER PIPING _ BATHTUB GAS PIPING (N� crtruCEt✓se) SWI1VIIvIDVG POOL � WATER SOFlNER ($35) _ CLOTHES WASHER KTfCHEiJ SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR I12RIGATION WATER 1VIETER OTHER Permit Fee TOTAL DUE $ Number of fixtures @ $10.00 x $10.00 = $. .50 Number of fixtures @ $15.00 x $15.00 = $ $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' r a permit and work is not to start without a it; that the work will be in accordance with the approved plan in the case o work�cl�jch r es eview and approval of pla�n� � n/� � SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977