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AF - 46185� �, �illage of �ridley, Minn. BIIILL�IING PE1�11'II� � �; N� 8�� Office of INSPEG�OR O�' BUII.DINGB � Owner ��'1: � �'�4 - - t°�� ,.: ,,vx P ,�, Architect Fridley, Minn•, �� ` ^�+�`�� ° � `"�-� , 19 ;--_ ° � Builder LOCATION OF BUILDING � �� r c�r ,ja a No. N � �'� � 8treet "-+"�� ..k. �-;+i� .,.,� �,� ;� '+;j'.;, , ,. _, � �F ' �`:,°:� �: . � June 17, 1982 ��- � W; ,� � �:: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Dan Brouillette 1358 Hillcrest Drive Northeast Fridley, Minnesota 55432 Subject: Sanitary Sewer Line Cleanout Dear Mr. Brouillette: TELEPHONE ( 812)571-3450 As a result of your letter dated June 1, 1982 and my discussions with Co�ancilman Schneider, the City will install a cleanout to your sewer line leading to the main line in the street. The cost to you and your neighbor will be a total of $100. A bill will be sent to you upon com- pletion of the work, It is further understood that you will be respon- sible for the replacement of sod and restoration of the lawn on your property, as a result of this work. Mr. Arthur Silseth from our Sewer Division will meet with you on Monday morning, �lune 21, 1982 at 7:00 a.m. to identify the location and start of the work. flur goal is to find a location within 100 feet of your home cleanout where a hole can be dug, which will allow installation of an interme- diate cleanout to the sewer lines servicing 1360 and 1358 Hillcrest Drive. It is understood that the City's cooperation in this project will satis- f� any past and future claims involving the sanitary sewer installation and connection. I hope this work will satisfy your concerns. If there are any questions, please contact me at the Civic Center (telephone: 571-3450). Sinc rely yours, �� - JOHN G. FLORA, P.E. Public Works Director JGF:ijk Info cc: Councilman Schneider Ralph Volkman, Superintendent of Public Works Address File ✓ sue�ecT P T N O. City of Fridley o 18 9 3 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RE . � • COMMUNITY DEVELOPMENT DIV. i �y � �� r � � � PROTECTIVE INSPECTION SEC. 1 � � � � /"'1 � CITY HALL FHIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BV �.__.Jl-' �•� 612-571-3450 910-Fi5 5/�/8� / / J08 ADDRESS 1358 Hillcrest D�ive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 10 3 Moore i�a.ke Hi,lls SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel/Sally Brouillette 1358 �� Hillcrest Drive N.E, 574-0977 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING Res 3dential 7 CLASS OF WORK ❑ NEW � ADDITION �l ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 1�' x 14" Deck a�d xe�lace bouz windoHr in living asea 9 CHANGE OF USE FROM TO STIPULATIONS 1�� O�s`GNs. s RE�,�� N° ��R��G ��\� �N1� Be��te d�ggi�g cali 1or.�1 uti�ities �� Q� ��G, P�. ��.EP�ONE - fLE�TRIC • Q�1� �tE. �f�P ��, ��` ��C�Ul�t�D� ��' 1�#i� _ .!� � �� . \�j 6 h ef a / TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINCi, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT a$,'/8SO Se93 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- $31.OQ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. P�.AN CHECK FEE TOTAL FEE � $7.75 $39.68 S NATUREOFC NTRA TORORAUTMOR12EDAGENT IDATEI .� WHEN PROPERLV VALI TED THIS IS YOUR P�E�IT � � �� 4 � SiGNAT OF OWNERIIF OWNER BUILDEF:i IDAT BLOG �NSP ATE � ADDN. AL,TER. Ll Il LJ City of Fridley R-1 AAD R-2 ' Build3ng Permit Application Coastructioa Address: � �� `�� Effective 4/9/86 Legal Deseriptioa: Owner Name & Address a � �` � � � �-- ° Tel. � �� `�� Contractor: � _ Tel. � Address: %�'�� - LIYIHG AREA: i GARAf3E AREA: DECB AREA: OTBER: i Corner Lot � ] Attaeh to this application, a Certificate o� Survey oP the lot, witb the propoaed eonstruetioa drawn oa it to scale. DESCRIPTIOH OF TMP80VEMENT Leagt� ._.._._ Width Height __ Sq. Ft. _________ Length — Width _ Height Sq. Ft. _______ , �� Length � I�idth �_ � t/Ground � Sq. Ft. � � I �icle Lot�� Ft. Yd. S�etback Type of Construction: T�� '" � Approu. Completioa Date: ,� S `�� "" � s Side Yard Setiback �'.1.� � Estimated Cost: j ��_w. � Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: �e �� P�e for Euplanation �� <�a �a ��►lC�7� Tel. 4 ..��'�-�� ° DATE: S�Ga �? �PPLICANT: �r� � � �� ° �°�,� l �1 Permit Fee Plan Check State Sureharge SAC Charge Park Fee Sewer Main Charge �� STIPULATIONS: CITY IISE ONI.Y � �� 4'�'+-� Fee Schedule on Reverse Side �__� � � �, k. , � r t�� 25� of Buildiag Permit Fee �g ° � $.50/�1,000 Valuation � _ � 525 Per SAC Unit � Fee Determined by Engineering � ' Agreement Neoessary L 7 Not Neceasary [] � s �� ,� f- �a � 1 ��C ��" � r � � .�._._ BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of anq 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 applicatio a 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: • - "-�al Valuation ':1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) �?1.00 to $2,000.00 �$10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. h $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and including $25�000. $170.50 for the first $25�000 plus $4.50 for each additional $1,000 or fraction thereof, to and including �50,000. �50,001.00 to $100,000.00 $283.00 for the first a50�000 plus $3.00 for each additional �1,000 or fraction thereof� to and including a100�000. �100�001.00 and up $u33.00 for the first �100,000 plua �2.50 for eseh additional $1�000 or fraction thereof. DRI9EKAY DEPRESSION ESCROi1 (Concrete Curb Streets Onlq) 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 appraach With 6 inch depth - Drive�ray Width plus 6 feet times $15.75 VERIFICATION OF FOONDATIOA Permits for construction will be issued a minimum of 2u hours from the time of application to allow for proper reviev of the proposed strueture and of the construetion site. A Certificate of Survey of the lot� shoWing the location of the foundation onee it has been constructed will be required before proceeding with the framing. �- i �,y A � 4 � - y :: �gr��r A'y F,��+ t�.,-t�i+U�.Y�i.r� t r :s *�F . � � f � � i; M ;.S y �Tit � . �r� � �:b:�� . , ..?`�a`_ 4.. � _ h 'f` : "_` .. ,r..��.«�: ': �:.... -. .. - F� I � � y� g k- �� ,.�'t�� 2s.� �e _- ��`'4�"'��yKV. �J '".4 �.��., =A' ��$� ,r.i . l �f S . ,w," h .'y e� . d'�`5�,,,�� i:.a.. �� .�..�' j�t*� p > i;� "e�. w �c,^ , k �� a ; z�r�� - � - s� �:� � . . � , t ,. . �: ,�,� _ ��e, � �t SUBJECT -. _ City of Fridley � 2 6 47 8 AT THE TOP OF TNE TWINS B U I L D I N G P E R M I T �' r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. • � r � L � � PROTECTIVE INSPECTION SEC. � � � 1 . � � � /"'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVED BY �----� � �•� 612-571-3450 910-F15 7/7/98 � � JOB ADDRESS 1358 Hillcrest Drive NE t LEGAL LOT NO. BLOCK TRACT Ofi AODITION SEE ATTACHED DESCR. IO 3 Moore Lake Hills SFIEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PMONE Terry Culbertson 1358 Hillcrest Drive NE 571-3992 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PMONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) Tear-off 9 CHANdE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCV LOAD SEPARATE PEFiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING SG. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTEH WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY 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 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1s918 �.96 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �62 � 25 Fire SC � 1. 9L STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA , EE $ .13 SIGNATURE OF CON7RACTOR OR AUTMORIZED AGENT IDATEi N P OP ALIDAT � IS IS VO R P�IM�� OI � SiGNA fiE OF OWNEA�IF NER BUIIDEii� iOAT i ipgp DpTE IvEW ADDN ALTER [l [l [�-� CITY OF FRIDLEY SINGLE FAMII.Y �AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION Effective 1/1/98 ConstructionAddress: � 3.�, 3 f�►`� 1 e�� y- .� r �r;�� e�, �� 'S�i 3`� . Legal Description: Owner Name & Address: /`e-�� e,� /��-°t-.s�-, _ Tel. # ,r'7 !- �`�9� _ __ Contractor: �� MN LICENSE # Address: . Tel. # � Attach to this application, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width � Hgt/Ground � Sq. Ft. Sq. Ft. Sq. Ft. � 3a�. ' %, `��'$o � Construction Type: -, -� ��, • �. Estimated Cost: $ � Q � � " (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � / � . . DATE: � 7 � APPLICANT: Tel. �i USE ONL'� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ , �Z � $ c �Z $ $ $ $ $ � $ $ $ �`�/3 Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,� Valuation $1000 per SAC Unit - $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J Y- a y c BIJILDING 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 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,OQ0 $100,001 to $500,000 $500,001 to $1,000,000 $1,QQ0,�1 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 $25,000 $349.75 for first $25,000 plus $9.� 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 $100,0(}0 plus $5.00 for each additional $1,000 or fraction 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 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 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 procesding with the framing. �JRn 24 2006 1:46PM HP LRSERJET 3200 � < Building Inspections 763-572-3604 S1TE ADDRESS! �2 TFIIS APPLIGANf !S: ow�w �r�avat+�'r 1VIECHAI�TICAL RESIDEI�TTIAL APPLICATIUN CIT'Y aF �RI�DLGEY YOUR UMAII. ADDRESS ■ . � ��' �:�(�3� 5T�-ta� 1 cor�nrr�r p.2 pe ;nit No.�o' Rec rived By: � Dat�� Rec'd: 2 / �L a SUSIvIIT A GOPY OF �Ntacf P'�7tSON: " — � DAT6 YOURSTA'CE . STAi'EL7C�NSEA 5T�►'PEIJ% aP�aZ LiCENSE W1TH ADDRF.SS:,'�� `� � i 1J CTl'Y I1l �J �. APPLICATION p�ONE �7�0'S �_ _ FAX? fe?, ��83 8� ..r PERlVIIT TYPE TYPE flF WORK: �GI.,E FAtvBi.Y L7 '!WO FAMII.Y �r�yv ❑ x�t.a�n�r' DETAII.ED DESCRiP'TION bF WORK p TpWNHOUSB � . ��. , •,, �.� PER MS 16B.665 the permit fae is a minimma o�' $15.00 or 5•k vf t6a tatal cost up to $5�•��'�vhidae�ra is greater� fo� the or r� lacement of a r�sidential f�dure, excluding the fixtm'es. {This s�hould refl� only the cost of labor ) i�provemcnt, �ms�llarion P x.OSa Labor cost un3�a $304 -$1 S.OQ. Labar c�st between �300 to SS00 = c�st of ]abor , – FUR PRO,IFG'fS WHP� IABOR EXCEEDS 55�, �s ax� sassn ox s�o.00 r� ��xrux�. Excr�r wr� x�7. �vnv►�s: N�zcnTe �rorai. tJUMgER OF EAAi BELOR� .. p�� MODII.: �,�Z._ S]ZFJBN ��_ 8qoipmet►tlnsfalied . �C"�' -�~--- MODEf.: _ $�'� � �"�'"r MODEL: _ CiAS 1tPi' �GB/OVEN 510.9� A1C SiS.[�0 a�x �ro ntR �tcxnxc�� sis BOII.ER S3S.00 CHIIuWEY Lp�R 510.00 eucr woRx siaao � Surchat'8o � _ .SO TOTAL DUE S 35 �� ltye„ CA,�\ �ov C .C. � . PI.ACE (GASi S 15.00 TIE� Ci�� {iR�.�L S10.OD ei.ACa twdon� �s.oa ��cas vNr�r � $io.00 �lACB S35.00 pppy H�1TBR S35.U0 . DRYER 314.00 �7�.,e.TOR 515.00 �ru�a sia.ao — Number of 5xtures Q$10!:�0 x$lu.vtt =� -— Numb�r of S�ctnres (r� $15: Jd x$1�.W ° t�� ATumber of fixdires @�25. �(} x$25-OD =$ Number of �.utes (a� S35J}0 x$35.00 °$ SO State Surcharge = $�, Tota1= � �S IS ,qN pppLIGATION FOR A PFJWR"1` N�[' VAI.ID UNTQ. PRO�� for a building P�rmrt and i ac�anowledge that the informatian above is. ca�mplete an.d �� at I un�derstand this is I herebY aPP�7' rm canforinence with the ordinanr,es and codes of the City of FridleY and with the Mi�►esota �Co�o not a permit but only an appli.catlon for a permit and wark is nat w start without a permii� t�at the work wifl� be in. accordaace w�th the ap�proved plan in the case of al��ork whieh r� �view emd approval of plans. ..� ��k.� t_.�„ re� 1 i 115 �h'� SiONATUR6 OF APPLICANT Cixy of Fridley $nilding Inspections Depa��nE b431 University Avenue I*TE, FridieY, MN 55432 . 763-572 3604 FAX: 763-�42-4977 -JRN 24 2006 1:46PM HP LRSERJET 3200 �9 .. ' , '�Y' . . . � , .. . . . ..�..•... . . :.�G�.'.:...':. .. ..;'SM .;.,. . � .: ..' �.. .. .- ya ;:::': . ,;.. .. � .� �. :��. ,. � . ' � . -, . 'REQUIREQ l[±1FORA1�ATft3�1-�IEEDE�'Ft� Pt��O�G��SS�PE�'�' Ft�SIDENTU4i. �'E�IiT A�PtlCC1��i�Ola NtIAC - �E3CISTlM� HOME C�' �E-l�P A!R ❑ NE'UV HON[ES/ADL?1T'fO�iS . RECtU[RED �OR NEW�XISTiNG HOAA�S � 1. Caaibustion Au ��See note below) . : a. Oil or solid iv�l IMC Chapt� 7 with �vIl`�' Am�ndm� b. Nafia�al Gas o�r ProPan�GC Ch�Pt� 3 with MN Am��s 2. Mako-t�p AQ (See note below) . a. IlviC Chapter 5�vcith NIl1 Am�� . 3. Veatiag . ° � Gas appli�ces 3'FC� C�F� 5 Qaith MN Ann� b. Fuel othar tbaia gas 1MC (�t'� S wiYh MN Ammdmeats REqU1RED FOR NEW H011�ES 4. H,eat Ioss & cooling load per raom' �. R�� an n� ��uctian, IlVlC 1346.0312 5. Veatilatian, . ' � P� p� ��gy Code 767� or 7672 6. Duct Desiga Per Il1�C 1346:Q603.2 a. ACCA Marn�al D p.3 � ' a :; � .•�•i . . � . . ente int Energy MechaniNal Code Guidelines saftv�are may be nsed for 1`T4'�E: C �P° combustion an.d make�up �ir cal�ttlati.ons � �H� 24 2006 1:46PM HP LHSERJET 3200 _....� __. .. . _.. _ p.l a—abcl'Tfl'iAL C��nn#��c"t � - . �, d�000 Wn�e�ra. �4v� No, #100 . N'eW Hop�e,. A+l�i 5�''1 . � . - � 763�3�'3-�8383 � �ca�o�r- e�miw . Fa�: 763 383-8500 � . ' � �; � �o � � � � A� � � , FA�: ,�. " ,� " �� , DA'�E.: � � % � �� . �`ROM: . / . AT: 763-383- g�� . � � � � inc:�uaiaag this cavec' � � MESSAG�: � . . - • . � ..r .E ' n � .: �.. � .e %. C'..��. ac_�raSS �.- � �� .�rvu �--- �� , �� - � � � -- ��c. ��.. ,�-�� 4 ��.tl � e�� /._ � � ~� �'�c. c� � � �t�,�� :�� C?r�� ° . � � - .� �--- �; ' c�.. � �x�c� `� ?�� -��° �!� � �. � �. 5 � � � � � � �l � . � , �� ,, C'a � � D � ..- . ��c� . � �. � �1 l � � , � � �. �=�- ��. �'� �� c� a � � l�7 �.� °� � � , _ q � �- � � r ,�� . � � �. (��l� . � . �/ �'� . � � � . . �.��5 . . �� . � � �� `7"�m� � . �� l� � . . . �,�-� ��- � -