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AF - 46019� y y �' ° p � C A a�.�. �' f0 N o o�n � �, ,ti � � �' �' � � �' �o� a �~ � � �, Qq j=. w < iJ� O . h, S'' O �. � � �. ��,��' � �� °,� �� °"+ o l0 ��„�F'o'p ��'A� �� o �.�.a�0.�' °,�0 a� �� `� � �` � �" �F°�, ' �b �b � A � � M � �• � � o'o �!� �� . � �. � �' � �� a �, � , �� o � ��., � . o � �� Q y��,�. �.y A'� � �Q� A �• � . � �� y cu 'b a��.t � o �. � n. �o��' � �� c��' �b�QA b � � � ��°o� � £y' y, c�' r. � b�� Q��' � �� : � ��,�� , y ,� �. a. � �; � � � ��Q y �c►+ fq �n' `C a�" �0 � b � O A o ' � 0 � � ti. � ° � � �a. � ,� � �. b n � . � � � � �� . i� .. � � � I � � � 0 ° y o � � � y � � � �' � � o � tti c� � � � "' �o' ° aa � R' � � � � \ � O Y• � �1 � Q � � �� I � � � �. �' � � �' � S�' �' ` � � o �. � � � � , �. , � � � . � � �' � �• ,.. ta. o � �' ° � � � � 0 0 �• � � � y O � O � � � � �, m � � � A � � � � � ' � � � A ♦�° • '�f ' � � a� �� , — � o' ��^ � y" - o� � � � � � � � — � 3�'.' -ti _ � O � � � "0 � � 0 �7oA 3 � � y �. �� ' � � Q � N :P � Q. A� � _ y � � _. � ° � n 0 o ^ . � ro f!d �, � � � v � , � ,� � � sue�ecr P _ IT NO. '� c�ty of Fridley = �� , � AT THE TOP OF THE TWINS ~ �—m � �� °. � ` r BUILDING PERMIT � ; � `Fi�CEIPT NO. COMMUNITY DEVEIOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. . �� 1� � � i . � � � �'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVEO BV �'""'� � �'' 612-571-3450 910-Ft5 7/16/96 / / JOB ADDRESS 1313 Hillcrest Drive NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 4 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Stan Mraz 1313 Hillcrest Drive NE 574-1766 3 CONTFiACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADORESS ZIP PHONE LICENSENO. 5 ENGINEER MAI� AODRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION Ca, ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 2i 8 DESCRIBE WORK Install basement e ress window 9 CHANGE OF USE FROM TO STIPULATIONS Window must comply with the State Egress Code. Install smoke detectors on each level and in each sleeping area. - TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEIiMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT AUTHOfiIZED 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. DWIG. UNITS OFFSTFEET PARKING I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOO �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- �21 .00 ire SC �. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FE AL FEE � �22.�� SIG �+ OLCON' CTORO UTHO E ENT IDATEI P Y V ID THIS IS YOUR PERMI � f�' �� .. �/ r 5� N REOFOWn7ER fOWN RBUi DERi iDATEi DG INSP p�TE R`d NEW j ] Effective 3/1/96 ADDN [ l CITY OF FRIDLEY ALTER [] SINGLE FAMTI.Y AND DUPLEXES R-1 AND R-2 �2 �� Building Permit Application d ConstructionAddress: � �� 3 �� ` r� y� �� Lega1 Description: Owner Name & Address: � �� q � Tel. # � 7 �i— I� �_ Contractor: � � � � MN LICENSE # Address: � �'J r � �t � I C �'Pe�� Tel. # � 7�i —% '7 � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Height Width Height Width Hgt/Ground _ � � �- � s� 1�.� � v.�� Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd 5etback Side Yard Setbacks Type of Construction: Estimated Cost: $�� . �, Approx. Completion Date: � - � g � � (Cost on Back) � Driveway Curb Cut Width Nceded.: _ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � $ $ $ $ $ $ $ $ �/ �a Ft. + 6 Ft = Ft x$ CITY USE ONLY Fee Schedule on Reverse Side _$ Tel. # ' ✓`v .001 of Permit Valuation (1/lOth%) - �U $.50/$1,000 Valuation $900 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 [ ] � ��.oD STIPULATIONS: ��e� � � /'`f S��/Nu— � 1� i`"� - BUII,DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for a.ny 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 $1Q0,001 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. 25 for first $2, 000 plus $12. 50 for each additional $1, 000 or fraction thereof, to and including $25,0� $349. 75 for first $25, OQO plus .$9.00 for each additional $1, 000 or fraction thereof, to and including $50,0� $574.75 for first $50,(�0 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,(�?0 plus $5.00 for each additional $1,000 or fiaction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,� 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 DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�. Alterna.te "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 applicarion 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, ,. .. �� . * n 0 � � � � � o � Z D � c � A = o ; � � m � � m m � � O 5 v v � � � -- � - - � c n �C o � n � O z � D ]7 J � � � � O �� o = � < - m � � � � � O Z m � 0 A � � N � � o o -mo ? D D a � v • D � v rD- m a � O z � o°��gg�n�onc000pZ —1 A y N At. :�. �t. C N• .N. O (D p, fD v� v a7 c�o o m��?� v �� fD o�� 2 2��o � m� v, m'.i c� ip c� c� m w -a � c � s fD �• �• � m��'. m co � co � * * (� � j z. � � N y f0 N C I ' W "J � � � 1 � � p�j fD ..�� N � � -+ y .� — � Tl � * A � � C c m � � a � � � ' o I I I—I I I I I I I I I �a � i, � �» � r� v► �a �a vi �n � N O O O V p V V V�I tll A V O O O O a O O O O O O O O 0 0 0 0 o p o 0 0 0 0 0 0 i °a t�- � a � � � C D C Z � Z z � � a °� Z v � � � D � m � o m o m � � � rn � � �__ � � D 3 � Z m -ZC O _ �—. � � � _ _ c c � s � � � � � _. �n = � 5 . � y � O = • � a. � � � � m a c n y o �D m a r. N C n ,i n : � � � I �y � iv b oo � -� m v� m � � � � � � � Z fD/� _ r'��— O = m m 1 � 7o r �� • � � Z � .=-i w � - l l v� v .. `i N � � Q ' 0 O ' O , rl °V 1� �� -� � S�` � �1 � c � � � <O 10 � v C � m Z � � X � m D m � z O A --i m � _ _. O � � � O m v v � � � W W � � � � �n � �� C 3 � � O � � X � m � � O � m z � a � 0 0 z � _ � r O O � v � A � n� a cu � � � � C � � O .A Z � � 1 � CJ1 y A � T N � � � Z Z m � m c� � O Z � < -- m � v r n � O z � 0 � -D r C � � Z � D z 0 � D N � � Z � 'o m � � � m m £t < m 0 � � � � c IS `G m (O m CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 PERNIIT N .: 2004-0080 ; _v�' DATE ISSUED: 06/Ol/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1313 HII.,LCREST DR NE PIN : 243024120066 LEGAL DESC : MOORE LAKE HILLS : LOT 11 BLOCK 4 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 2,682.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 18' X 12' DECK. VARIANCE FOR FRONT YARp SETBACK FROM 25' TO 16.6' APPROVED 5/26/04 BY CITY COUNCIL. STATE LICENSED CONTRACTOR 1 APPLICANT BUII.,DING PERNIIT FEE 83.25 MONDOiJX JAMES CONTRACTOR(20225315) PLAN CHECK FEE 54.11 653 JEFFERSON ST NE FIRE SURCHARGE 2.68 MIIVNEAPOLIS, MN 55413- STATE SURCHARGE, VALUE 1.34 LICENSE SURCHARGE 5.00 TOTAL 146.38 PAID WITH CHECK # 4099 OWNER SUSAN BRENNY 1313 HII.,LCREST DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating c �;#i or the rformance of construction. Applic Date Bldg Insp D e � � SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. W� NEW ADDN ALTER ��o�' -�o� ,�,� �� [] CITY OF FRIDLEY ffective 4/1/2004 j] 6431 Universit�r Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fa�c .`� Construction Address: BUILDING PERMITAPPLICATION 0 �`� � P �� a�. �" f ° Legal Description: Owner Name & Address: � �c �� Tel. # '?�� ,S"� / `� ��.� � Contractor. �l fw 1�.� �A 9�'°�Z.,{ � c.�'�� ^ MN LICENSE #�10��/� Address: �.� �T� �f2 � � -�"�4��- l��l. � Tel. # �/ � .S� � � �- �� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Constru�tion Attach to this application, a Cert�cate of Survey of the �t, with the proposed constructian drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Length %� Width � HgUGround � Sq. Ft ,� �� /�� . Estimated Cost: $_� � C�� ,/ �� t'�� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _� DATE: � '' �" G'� � APPLICANT: Tel. # �,� �%� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�571-1287 if using credit card and we will caU you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ a�� $ .`� � , $ $ � �� $ $ �e� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ � s � STIPULATIONS: � � �✓�i��C. �, �/� � �'� i C,� �%-d`Z � � /��y �% � �� _ ` � �j �� BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for any addit�on 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,�1 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,�0,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,0� $69.25 for first $2,000 plus $14.00 for each additiona.l $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,�0 $993.75 for first $1�,�0 plus $5.60 for ea.ch additional $1,000 or fraction thereof, to and including $500,0� $3,233.75 for the first $500,000 plus $4.75 for each additional $1,0� or fraction thereof, to and including $1,�0,000 $5,608.75 for the first $1,000,(�0 plus $3.15 for ea.ch additional $1,� or fraction thereof CURB CUT ESCROW (Concrete C�ub Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv .,� ._;�, �, �� . �. , �-�.- �► �� c � l � �� ' �✓ • • a ` � �� , � !- , � � �• W �� ^ � 3� 3 . , �- � , � �� _ ._ � ; � z ,, ,; �.�,, �'� `� � � �d�C� � �� -----.-�, � �� .. . - : � ,� � �� ' r� � � � i�' �� r I' � � .� � ' � e � �� 4 /�' . . �, � � � i�a � �, � �-t . � � �- e=- � �. �.` � . �. � `� � . t� ` s �- ��. � . �� J � � "� , �,� � , � � - � -+ � ' , . � . __.- .� ��, � W - , 1 � �� i 1. . ►� � -- . � � . __ . . . . .�_ z � � � _ - ..rn � r_�.__ � � � . -�, __ � � � '� - - _, .�`� � � if� . . . . - �� o� � �� ; . _.. �� -- ._ �� _ . �. �� -�' °�� .� . _ � . . . . .�. _ - � ~�° °o�t _ � . _ .- ` ` ._ . 1� - �" -. . . . r� _ �4 0 � � . � � — �-. _ � � , - � � � �� ` .r �....-w� V v�l �°� � - . . . � �� . 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