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AF - 46678City of Fridley, Mirm.. BUILDING PERMIT N� s s o .� �,,r� Date• "" , . _ ...._._����..._..___._.�L::.'�'. �.°' �..� � �.: . 1.- - ',� r, `� Owner: �f�-�.��' .__ . . _� .,����: �..;.�� Builder ��,����'.�"� �' -_! .����� _._.�.. s., ° �s ,,� Address .,�,�.�� __ ��G':=. � t Address ,,./..� �.,,t�....� ."''...._ ..._.�..�..�� ����.� .. ,_r-- � L�OCATIO�V O�F BUILDING � No. �� � � ... Street .� �' ,,�' �.�..`�'' .:... � .��.�'.,�.�....--��-�------._..._.._----_... Part�tf Lot <�.._ ..� _:� ,.�_...... �/' �- Lot .. ......---...... ..:-- - Block -------- .....----....---- -- ----.... Addition or Sub-Division . _� �* .�.;..�:�,�'�'�-.-�'� '�'Se!c - . _,� `"'- ---� �----..._.......--"�------_ .._.. 1.�_ . _,,,�, ,... � �,r�, Corner Lot ... .....-------........_..._... Inside Lot ....._....�"."'�.._..----- Setback ....._ ..�,.�"{...,.�----._. __........ Sideyard ....._...�:..L�r.'"..._�.. 5ewer IIevation Foundation Elevation DESCRIPTION OF BUILDING To�Used as � :` r, •� � ,,,r• . ! !"�' 6�,�°r .. � r ..... «_.�. �.. Front .�.�.. .. Depth � ._�:r.. _.. Height --� -�''�---� Sq. Ft. �'':��.�...��...� Cu. Ft .a�". -'�,, , � �� .: �• �, / �, .' - -- �-��e� .�........ Front ..�'..'�.�..._.. Depth �....'�..�.�'-� Height ,,f .+�?'..._.. Sq. F� �.:�..� Cu. F`t. .---._._�:.:..��� Type of Construction ...�'`�`—,�..� .� _w,:�.,€�.�. . Est. Cos� -�t.,�.-''�,/�:.,� r�_f � To be Completed ..._--..___..._. ��F��� 9�3'el THIS PERP�nIT D;_��.� �d(�1"�l�Jl;—I�RIZEVIOLAT- ION 0� Af�Y P�:;'.,;i j E LAi'dD GOVENANTS AND BUILDING R�ST�ClCTIONS. In consideration of the issuance to me of a permit to coastruct the building described above, I agree to do the proposed wark in accordance with the description above set forth and itt compHance with all provisions of ordinances oE the city of Frldley. ..,�:�..._...._....._..._......_._....__._�....�_._....� _�. ____. � �• ;.i+'.. In consideration of the payment oP a fee of ;.;:..'��.._ ......_. , ' �.- a-----.. .. peraut 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 granted and his agents, employees and workmen, in all work done fn, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding l�ation, construction, alteration, maintenance, regair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of; any of the provisions of said ord3IIallCes. - .` °� _,� r" � , ---�`�"'� `� �Ff�`� ��^` �':�'�_ Bll�(�IIp III3�CtOP ��•--°--. +.-:---�-_._�.. NOTICE: Thfs permh does not eover the construetion, installallon for wirieg, plumbing, gas heaNng, sewer or water. Be sure to aee the Building Inspedor for separefe permita fo� fhese items, � ..�. . � 4 � ,°'�--y... �; �Z--'s�"$ - - - . Owners Name � Address �°'���� ' � � .�� � APPLICATION FOft BUILDING PERMIT CITX OF FRIDLEY, MINNE30TA � t` � - -� --- r -- - - _ ��� �: e �:��-� Builder � ���'�'�� � � ,��_,� �� �- ,� ��1 �°1 . , ��I� � Address � �" LOCATION OF BUILDIN(i No. Stre�'� Fart of Lot Lot B7.ock Asid3tion or Sub.Div.. Corrier Lot,_,__,,,Ins�.de Lot,� t,Back Side-Yard ; w.�° SEWE�t ELEVgTION FOUNDATION ELEVATION �g�].3c�re,nt_att�.ch to thi�_for�_Certi�icate _of Surve� of_Lot and proposed build3ng loca.tion. ~ �. To be use aes ��'� Front Sq. Ft. Cu. Ft. DESCRIPTION OF BIIILDING �� Front Depth Height Sq. Ft. � Cu. Ft. Type of To be � � i� ���"� �' � ted Cost �' °� ��� � The underaigned hereby makes application for a permit for the work herein specif3ed, agreeing to do all work in str3ct accordance with the Gity Ordinances and ru3.ing of the Depax�tment of Buildinga, and herehy declares that all the Yacts and representa- tions sta.ted 3.n this eppl3cat3on are true and co . -�a�,!' � /���� ��� � DATE e�d �' � SIGNATURE (A 5chedule of Fee costs can be found on the Reverse Side.) � ^ �... �_,,.., ,r_ _ � .�: >� '.. , , BIIILDING PERMIT FEE SCHEDIII�E Section 2. The Inapector of Build3ngs shall, �BfOP@ issuing any permit for the erection of �,ny building or structure, or for any add3tion to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon appl3cation therefor� require the payment by the applicant for such permit of fees to the amount herein below set forth and 3n the manner herein provided to wit: 2.1. For any such permit for the erection of any fire-groo€ btiti.lding� other tha.n a garage, warehouse, factory or grain elevator, or flor the erection of; any fireproof addition, for similar occupancy, to any exieting building sha11 be at the rate o£ $1.1�0 for each one thousand cubic feet� or f�action thereof, in such cubice,7. contenta. 2.2. For an� such permit for the erection of any f3reproof garage, ware- house, �'actory or grain elevator; or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thouaand cubic feet, classified as "f3xeproof" by Section 502 of the Minneapolis Building Code. HOIISES 2.3. For any.such permit for the erection of any non-fireproof building other than e garage� warehouse� factory or grain elevator, or any non- fireproof addition, for similar oecupancy, to any existing building, Permit �1.00 for each one thousand cubic feet. � 2.4. For any such permit for the erection of any nott�f3reproof garage, warehouse, factory or grain elevator, or fbr the erection of any non- fireproof addition,�:for sim3.lax occupancy, to any existing building for each such bu3lding or addi-tion. Ninety Cents for each one thous�d cubic feet or f`raction thereof', in the cubical contente thereof with a mi n j,np�m of �L�..00. For the pta'pose of computing fees for building permits the cubicel contents of any building or addition to a uniform height throughout by multiplying the ground area covered fY�om a point six.�b)"inches be�.ow �he floor Iine of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an exis�ing structure, the fee sha].l be at the rate of �3.00 for each Five Hundred Doll�'� (�5D0.00), or fraction thereof in the cost of all proposed work. 2.6. In no ca.se sha7.1 the fee charged %r any permit as set forth in Section 2 be less than $4.00. h. � � .,� �r� • ��4�tY.-:.-?~'.r � Y �+�T S��Y CITY OF FRIDLEY PART OF LOTS 3�e 4 ��G� _,_ AUD. SUB. N0, g4 SIIRVEY FOR �� / CHARLES P. SHEiiIDAN / . N. L iaE �F /l! yz of' S. � ac ,S. GJ. ��4-. -SEC. .2�, T, 3o N, R. z� r✓. �I /Wi9� — — — — — — — — /�VO.ie — — — — — — — — ' I 1 I ,� I� , I� I I I I � . � , . Ii '... . . .. � . .. . .. _. I -� � � I � I �� � m � � � � i i . -- � I �_ o---- m �AD � i— R/EyT p� W�FY - � ___��`� _ 8� Sz ! _ �Z• 30 r. M. ,00 z� :� ;,� �3 �ti .� :o :� � .... . : � : •. o: b �. � � � �� 3 � � : b �'' . � -4 ;� 4 •� ^ :� :� :Q ----- --- -- ----� � � � � � . i I I I I • � I • �7• . I: � � . . .. .. . . .. . .i:..• . . i I �, ii JI v� �I h� O �� S�RL£ /"=SO' �i I � � �iEON � //J-0NUME �IT ( I I 1 i I I � �_ _ � ` -�-♦ � 0 M \� r 11 � I �� ' J� , 1 V� Legal Descriptiona Beginning at a point on the ---� __ � North line of the Idorth 1/2 of the South 1/2 of the Southwest � 1/4 of Section 2u, Township 30 North, Range 24 West, in the Countg of Anoka, M3nnesoica, said point being 140.10' Eas't of the Northwest Corner of Lot 3, Auditor�s Subdiaision No. 9�, thence East 59•9�' along the�North line of the North 1/2 of �he South 1/2 of the Southt�est 1/u of Sect3on 2%+ to the Northeast Corner of said Lo'� 3, thence con�inuing East a distance of 21.62' alon� said North line of said North 1/2 of the South 1/2 of the Southwest 1/4 of Section 24 to a point on the North line oF Lot �, Auditor's Subdivision No. g�+, 'thence in a Southerly direction to a point on the South l3ne of Lot �+ 21.�+3' East of the Southwest Corner of Lot 4, thence Weat-Northwesterly 112.30' to a point on the South line of Lot 3, said point being a dist�.nce of 112.11� East of the Southwest Corner of Lot 3, thence North-Northeasterly to the point of beginning, said parcel being a part oi Lots 3 and �+, Audl.tor's Subdivision No. q4, 3ection 24, Township 3� North, Ran�e 24 West, in �che County of Anoka, Minnesota. I hereb� certify �hat this survey was prepared byr.1.me or under my direct super- vision and that T am a d�y Registered Land Surveyor under the laws of the�State of Minn�sota. % , � .,�"`",��..�, -_ _ - .� k' �r. �-�*.�= ) D�.te s Junr; i �� �° , l� � v eg . -;' 'r ' � 0 ' a I ' " V +0 .J� � � � %� ° _ ;� � � u� � � y � I ` �J � i �` �: : ?�s � O_.._ �.. s �. � � � � o � , a; a .��': a`�'C� } i � � Q 2 6 .Z � 8 S7' (', r"'1 �.�y,--� 7 - ) � �� � � � '� � '� 0 i'" 0 �� � ti � � ��1 s � - � a ? �► � �*��_ -�= — .�._;�„ � o ..{_ r .� _ �, ` � � � _ � � �� � � E� � O SUBJECT P IT N O. City of Fridley v 14960 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � ECEIPT NO. � ; y _ COMMUNITY DEVELOPMENT DIV. r � � � PROTECTIVE INSPECTION SEC. Gf ��� 3 1 . i e i____ � ��'��;', CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV L �� 812-580-3450 910-F15 10/13/78 / / JOB ADDRESS 1313 Hill Wind R4ad N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. a 4 Sheridan Acres SHEET 2 PROPERTYOWNEH MAILADDRESS ZIP PHONE Charles P. Sheridan 1313 Hill Wind Rr�ad N.E. 571-8955 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. Same 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING R•G'S1C�E11't18�. 7 CLASS OF WORK ❑ NEW O� ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 6' x sides (three) of house deck 9 CHANGE QF USE FROM TO STI PU LATION S Maximum opening in guarc3 rail can not exceed 9 inches. SEPERATE PERMITS REQUIRED F�R WiFtt�(�, HEATING, PLUMBING AND SO�NS, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROdISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $2 i LJ,OO y�I.. ZO • 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- 15� QO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $ PLAN CHECKFEE TOTALFEE $i6.ao N uaEOFC NTRACT a ur aizEDa� (DATEI WHEN PROPERLY DATED THIS IS YOUR PERMIT �� � _ �..� �� � �� SIGNATURE OF OWNERI F OWN UILOERI IDATEI �' BLDG INSP ATE t". , ' _. _. ._,.,_ � _._ , , . , . . _ _.. ._ ,�: . . CrTY or- r-iiz��cY . � ' APf'�IC�TTOP� FOR (tL:SIll[=NTI/1L BUILDIMG PEItMITS . ' (11�L•Wt �LTLti/1T10(�dS, �DDITIOfJS, OR RE('AIRS) ` � OWI1�R: ��les(,�� .�vl � %��dv I3UILllrR: ' �� ca � .� Addr�ss : 1-3 /3 %�A(�C. (�t}! e�.� �- � Address : �e1. t�o . � � �l — S` 0 ��- . No.: � Street: r,pT: �'_ BIACY.: � ADDTTION: C012i4ER LOT: INSID� TAT: S::TI311CY.: SID�YIIRDS: Applica'r.t attach 'L-o this form Tao Certificates of Survey af Lot and proposed building loca�ian dravm on these Certi�icates. • 3 DESCRI PTIO('J OF BUI LDI �G To Be Used �1s: � F�'; � � � p �' � �' 7Y-�� e %e� v �� �.�-.�r� Front: Depth: � ' Height: ' . Square.Feet: Cubic Feet: �I'xont: Depth: Height: ' 5quare Feet:' �bic Feet: ' Type of Construction: ��I� ��D�• �sL-imate3 Cost: $ �-���� �b Be Completed: ��-7`� /�� � Alt. A Alt. B Prciposed Drivecvay Width if I�lew Opening Is Desired $ $ ' • �S� I2�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein spec3fied, agreeing to do all work in strict accardance with the City of Fxidle�� Ordinances and rulings of tlie Denartment of Buildings, and hereby dec�ares i:hat all the facts and representations stated in i:his application are txue and correct. �See revcrse side far aclditional info ation. DAT�: � � � SIGI�ATUI'.E: � � �"� -� � ..�- Stipulations: . , (I 1 l�v4�f, OPE.ur� G /� 9 �r �/� a 0 /�R. � 7� /. � ��.�o °1 Gv !3z f� R A�� v• G'9.� %�O� �,ct.E� �- • , �- . � BUILDItdG PERt�7IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erecL-ion of any building or st�ucture, or for any addition to any existing building or structure, or for any alteration or repairs 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 �ubic feet. PLAN CHECKs 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of.cancrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: Remova]. and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$17.20 � 1 1 1: 1 �' : � For the purpose of computing fees for building permits, the cubical�contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of i-he main gable of a pitched roof . For repai.rs or alterations to an existing structure, the fee shall be at the rate of $3.00 per.each five hundred dollars��($500.00) or fraction thereof in the cost of 211 proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. � 1 � � �_�Is �1� NOTE: Permits for construction will be issued a minimimm 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 been constructed will be require�d before proceeding with the framing. C � � 1 ' + � . Application for a Certificate of Occupancy shall be made ten (10) days prior to the use ar occupancy of any structure for which a building permit has been issued; and sai.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. "' � .�. , NE�► [] City of Fridley Effective 4/1/64 ADDN. �(j �R-1 QAD R-2 pLTER. [ ] Building Permit Application Construction Address: � 3 , 3 lW� �LV /Obl �U �f�'%, � Legal Description• �O`%� � � ��� �/9"� �' �s - Owner Name s Address :�����-s P 5���/d dl"� Tel .# s7� ��S Contractor: SF'L� Tel. / Address• LIVING AREA: CARAGE AREA: DECB AREA: OTHER: Attach to this application� a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCRIPTION OF INPROVEMENT Length Width Height Sq. Ft. Length �0 � Yidth l� � Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. . Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback _ Type of Construction: ���'Q t� p rt� Estimated Cost: $ �� � Approx. Completion Date: .+l%D �/. / ��`ti o`Z �13 iS • v � Alt. A Alt B Proposed Drivexay Width If NeW Opening Is Desired: � $ See Back Page for Explanation )ATE: lg �S APPLICANT: �C���2� �/• Tel. # ST�'�gs-� CITY IISE ONLY Permit Fee $ ��•a U Fee Schedule on Reverse Side .__.�-� Plan Check � 25i of Building Permit Fee State Surcharge � 1. Z� �.50/�1,000 Valuation SAC Charge � �425 per SAC Unit Park Fee- $ Fee Determined.by Engineering Sewer Main Charge � � Agreement Necessary [ ] Not Necessary [ ] TOTAL a � 9 � STIPULATIONS: �,��� p���- P��.� BIIII.DING PERMIT FEE SCHEDIILE 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-vit: - Total Valuation =1.00 to �500.00 5501.00 to �2,000.00 a2,00,.00 to a2s,000.00 �25,00,.0o to a5o,000.00 a5o,00,.00 to a,00,000.00 �100,001.00 and up Fees �10.00 (Minimum Fee is �15.00) � #10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof� to and including �2�000. �32•50 for the first �2,000 plus �6.00 for each additional �1,000 or fraction thereof, to and including �25,000. a170.5� for the first �25�000 plus �4.50 for,each additional s1,U00 or fraction thereof, to and including �50,@00. �283.00 for the first �50,000 plus a3.00 for each additional �1,000 or fraction thereof� to and including a100,000. 5433.00 for the first �100,000 plus �2.50 for each additional �1�000 or fraction thereof. DRIVEiiIAY DEPRESSIOA ESCRW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times E13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Wide approach With 6 inch depth - DriveWay xidth plus 6 feet times �15•75 VERIFI�ATION OF FOUNDATION Permits for construction xill be issued a minimum of 2u hours from the time of application to a11oW for proper revieW of the proposed structure and of the construction site. A Certificate of Survey of Lhe 2mt, �1naWing tt�e location of the foundation once it has been eonstr�ccted Will be required before proceeding �ith the framing. � _ . _ -� ____ . 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S�A � _ TF H �`� wr �'0. _ 6 9�4 �4 � � r � ; �� � -- �s•-- �� ��+ri _ -vub-- ;-. : - �7� �O ��� e �� �A • �1� __ s' . • - �I .i_ � � � � � � _�`-'`--� �-------- , _ � DATE: TOt FROM: ........e.,.,. ., ,.....,.. �.,... .,.,,.. .. . . .. ........ ............w.:...,.,�,.>.,�,.,.,w..,....>.,�..�oo.>.wwaaaxo.>uwuvua.xn>araa.: . ;i>.. Community Development Department G DIVISION City of Fridley May 7, 1993 William Burns, City Manager Barbara Dacy., Community Development Director Steven Barg, Planning Assistant SIIBJECT: Complaints Received from Councilmember Nancy J. Jorgenson Staff understands that Councilmember Jorgenson has recently expressed concern regarding three separate code enforcement matters. Staff has investigated these issues and provides the following response: s 1. 2. 3. Menards In accordance with the Fridley City Code, the messages on flashing signs m 3 It is our understa recently observed th� than permitted. Sta on Wednesday, May 5 (morning) , and detern during those times. periodically in the exists. Moore I�ke Apartments only change once every 15 minutes. ing that Councilmember Jorgenson Menards' sign changing more often f conducted 15 minute inspections (afternoon), and Thursday, May 6 ed that the sign was in compliance , will attempt to check this sign u ure to ensure that no violation It is our understanding � recently received a compla the fence along the north s A subsequent inspection re� fence is currently in disr management of Moore Lake follow-up letter requiringi by May 24, 1993. Truck on Regis Lane t Councilmember Jorgenson regarding the condition of : of Moore I�ake Apartments . led �hat a portion of this iir. Staff spoke with the �artments and has sent a �t this problem be corrected ,�ouncilmember--J�rgensun indicated that the homeowner at �13_13__liill�rin�_RQad �as been leaving a tow truck parked on Regis Lane for extended periods of time. We requested Complaints Received from Councilmember Nancy J. Jorgenson May 7, 1993 Page 2 that the Fridley Police Department check this vehicle for violation of the 24 hour parking restriction. Dave Sallman has informed me that upon checking this site, a patrol officer observed that the tow truck has now been moved from Regis Lane to the property owner's driveway off Hillwind Road. Staff will attempt to check this location periodically in the future to determine if an ongoing problem exists. Please let me know if you have questions or wish to discuss this further. SB:ls CEM-93-32 sue�ecr PERMIT NO. c�ty of Fr�aley �-� � _� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i r � . � � � • COMMUNITY DEVELOPMENT DIV. � � �: ------� r � � PROTECTIVE INSPECTION SEC. � � . � � � /�"1 � CITY HALL FRIDLE� SS432 NUMBER HEV DATE PAGE OF APPROVEO B� �""� � ,'' 612-571-3450 910-Ft5 4/3/95 � � JOB ADDRESS 1313 Hillwind Road NE t LEGAL LOT NO. BLOCK TFACT OR ADDITION SEE ATTACHED DESCR. 2 Sheridan Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ra /Sharon Hatchett 1313 Hillwind Road NE 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO Kent Gunderson Homes 38 0 962-9922 5764 4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (30 Squares) Tear—off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Smoke detectors to be provided adjacent to all sleeping areas. SEPARATE PERMITS ARE REQUIRED FOR ELECTqICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIFi CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 �AYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2s25� �1.13 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S�F.00 Fire SC �Z.ZS PLAN CHECK FEE TOTAL FEE License SC $5.00 $62.38 SIGNATUREOFCON'RACTOAORAUTNOAIZEDAGENT IDATE� WHEN PqOPERLY VALIDATED THIS IS YOUR PERMIT - G� � 2r P ,�'. SIGNaTUFE OF OWrvEA �ic OWNER BULLOERi �DATE� a-- g� iNSV qaTE NEW [ ] ADDN [ ] ALTER [] Canstruction Address: _ Legal Description: Owner Name & Address: Contractor: �� �P.v- Address: LMNG AREA= GARAGE AREA: DECK AREA: OTHER= C Effective 1 / 1 /95 _ CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-Z Building Permit Application � I 3 �-�- v 1 l�1 ����>� � � �, �,ron �e�Sor1. �-� I.��- U \f . '/' Tel. # �r�eS MN LICENSE # ���7� �� �F� �t � ��i t���T'el. # �-j � 2 — �`'/"ZZ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. Corner L.ot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ ���,°°� ��� Approx. Completion Date: Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosiou Control Park Fee Sewer Main Charge TOTAL (Cost on Back) Ft. + 6 Ft = Ft x$ rITY USE ONLY _$ Tel. # $��i -� Fee Schedule on Reverse Side $ �.�� .�1 of Permit Valuatioa (1llOth%) $ ` � �� $.SO/$1,0� Valuation $ $850 per SAC Unit $ ��� $S.� (State Licens� Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreemeat Necessary [ ] Not Necessary [ ] $ �� •3 4 STIPULATIONS: �p �,! � �� J�'§ `' �'f � � � y -�';, �n �.a ° " . `�e +.,..y"x'��+ !`*'e' -.��r '' n,�+.•;"f:=�l�,'�,c,'„�'� �, j� ' �,� �.t. —+ � � Y � -, b � i;uii_urrvc; r�.�tMrr rr_c scriFnui_r_ �I�hc Chi�t t3uildin�; Utticial shall, tx;iore issuing permiLs for the erection of any hui(ding or stn�cture, ��r ti�r any :i�ldilic>n tu any cxisting buiWink c�r structurc, or for any altcration or rc;pair to any cxisiin�; l�uilding <�r swcwre, u�n application therefore, require [he payment by the a�Plicani foc such Permii c�l- Ice:s tc� the amoun[ hercin t�clinv sct tonh a�d in thc manncn c�rein provieiui t<�-.vil: "I'O"I'Al. VAI,1)l: � 1 to $500 �SO1 to $2,0(}0 $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 $ I , 000,001 and up r-r_��s $i5 (Minimum Fcc is $15 pius surcharge) $15 for fust $500 ptus $L for' each addiCional $100 or fraction thereof, to and including $2,000 .$45 for first $2,000 plus $9 for each additional $1,000 _ or fraction thereof, to and inciuding $25,000 � $252 for first� $25,000 pi�.s �6.50 far each addirional $1;000 or fraction thereof, to. and inclading $50,000 .. $414_50 for fust $50,000 plus S4_SO for each additional _$1,000 or fradioa thereof, to and including $100,000 $63950 for €ust -$100,OQ0 plus- $3_50 for each additional- � $1,000 or fractio� tfiereof, to and includiug �$SOU,000 � $203950 for the first $�0,000 pins $3 for each additional $1,000 or fradiou thereof, to and including �i,000,000 $3539.50 for the fust $1,000,000 plus $2 for each additionai $1,OOQ or fracbiou �thereof - DRIVEWAY DEPRESSION ESCROV� (Concrete Curb Sbreets Only) Atternate "A": Removal and, replacement of curb and gutter only - Dciveway widih plus b feet times � 13 _50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot �vide approach with 6 inch depth - Dciveway width pius 6 feet times $15_75_ VL'RtFICA"fION OF FOUNDAT[OI�1 !'c;rmits for const�uction will be issued a minimum of 24 hours from the time of application to allow for pr<�per rcview of thc proposcd structure and of the construction site_ A Certilic;:ste ot Survey of t�ie lot, showing [he location of die founciation once it h�� it t�as heen constructc�i wiil be rcyuirecl before proceeding with the fcaming_ .. � % -� D N � � n 0 �� � , O f�li N � N r n o � � 7 � o o m �� t0 A a �. � _- Ep N � � o m � `c m � � Q � S O � � m Z � � rn c� _-i � Z T m m N $ -. � O m �� � � � v i O � D C � � D o � m � � � � C � � � � m ,� (�l � n � m � � D � 0 Z O Z `V � 0 c � s I � 0 � � T \ j� � �� � � ne � IV n � �� � \� ��.i� ) � 7 2 � Z � � Z -< � .�� �� � N � � 3 o � o � � � �N 7 � C � -�a = n � � O 0 � � � --i � D tD r � c m c; rn � cQ � � O o ^ -• m < m � O � �N � � � A � � � O � -. o �� 0 � � -�-I � Z D n � D i� 0 � Q O � � (fl � N � t� � � � t� c� .�.0 � �,l o � � � m � � Q m z m m _ � � m z O m v � c � � Z � �, o - � o Z 3 `� � � � co C � � 2 o � n m ? n `� o � � � � m .n-« Cn m �' a � � � � 3 fl.' � O = 7D ' o w m � � � D m � � 0 n O � � � '� � m � � � Z O � � �'�.! iu w m v, � cn N tn tn O � Q o �o v-��a'� � ,� �». � � m ° � � Q -a � .. � �N �p � n ? W �p � tD � � � � ^ � �. cz � T � . � � � A � � � � A -„ �- � � c � � �p �. �v I � � ��c� � O O O O � °o � °o � � m � � � � O D W c � � C � m � D � �� M � � \ � � O � � � � � � � m c � s v � � � � N � � � � � � o a � � �' cQ �. o m � cQ ' � � � � tA -• � Q A� �- � S m � o m a� Q m � � o � �- v, a' 3 u► o � ? o m a � "; � � � � �� a m � .� � o���� m ,�. ..« � � n � m � � A O O �m a, � m � � (_') <D a. �, m � � � o Q: � �' (� ; m � o V� S � � . � � � n � O A � 7Z" _ � Q � � � N � V � � � Q � N n 2 rn v c rn O W D 0 0 � m � � l�J v�?�C? N � � � w `< j O �z� T � � � � N < -G � Z Z (� m� m n -� O Z � < T � � � � C ma � O Z Z � Z � �. � D � � O � Z � � � � O,,...� Z � Z � � v� v � � � -� � Z � � v� � O n C Z � � �L � _°z � m � m O � L � � C � `� co � V CHIlVINEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has be�n cazefully examined � Yes (�) No O 2. Is free &om rast or deterioration � Yes () No () 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTIJ's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . - List ALTERATIONS Being Done: HEATING CO: Signed By: Date_ Yes ( ) No ( ) Yes ( ) No ( ) Yes()No() Yes()No() Yes ( ) No ( ) City of Fridley S�e�E`T P� 2� -`__ � A T T H E T O P O F T H E T W I N S g U I L D I N G P E R M I T �� �� r � �' L �_���_ COMMUNITY DEVEIOPMENT OIV �� r � � PROTECTIVE INSPECTION SEC �tQl� � � � � �..J i ' � ����1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE Of APPROVED BY �----� • •,' 612-571-3450 9�0-F15 6/6/97 � / JOB ADDRESS 1313 Hillwind R NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 2 Sheridan Acres SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE I,tay Hatchet 1313 Hillwind Road NE 3 CONTRACTOR MAI� ADDRESS Z�P PHONE UCENSE NO. Rent Gunderson Contr 104 Geneva Blvd, Burnsville MN 55306 720-1909 5764 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION p� ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WOIiK Basement � Finish 9 CHANGE OF USE FqOM TO STIPULATIONS See notations on plan. SEPARATE PERRAITS REQUtR�� FOR WIRING, HEAilNG, PLUME3ING AIVi� �jG,n�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOqK WILL BE COMPLIED 11 � 7OO �.S . 8S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFiMIT � DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR .CANCEL THE pEfiM1T FEE SAC CHARGE PROVISIONS OF ANY O ER TATE OR IOCAL LAW REGULATING CON- @ STRUCTIO OR THE O ANCE OF CONSTRUCTION. W187.25 Fire SC �11.%O PLAN CHECKFEE TOTALFEE - � License SC $5.00 $209.80 T REO CON ACTOFORAUTHORIZEDAGENT IDATE� WHEN PFiOPER l�IDATED THIS IS YO R P RMIT � �o e� �'— �—�� SiGNnTUAE Oc pWnIEA��F OWNER BU4DER� iDATE� � B G�NSp paiE NEW ADDN ALTER [l [) �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 ConstructionAddress: �.3�� t°ai�cts�.,�s ��� ��� Legal Description: Owner Name & Address: �z7 ����" Tel. # Contractor: ;��t- �. �� MN LICENSE # S'� Address: � lO� ��v� �z�.� ��vsv�r�' �^J Tel. # 7 zo -�90� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE A,REA: DECK AREA: OTHER: DESCRII'TION OF IlVIPROVEII�NT Length Width Height Leng�th Width Height �n� Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: - �'„�,f� Estimated Cost: $ �� ��d (Fee Schedule on Back) Driveway Curb Giit Width Ne,eded: Ft. + 6 Ft = Ft x$ � _$ 1 DATE: 6�� �'7 Permit Fee Fire S'urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main C1�arge TOTAL STIPULATiO1VS: ��7,2.� � , � � �'r��_ $ $ ,g�, � $ $ $ $ , � � � � � CITY USE ONLY Tel. # ��—��°/ Fee Schedule on Reverse Side .001 of Permit Valuation (1J10th%) $.501$1,�0 Valuation $950 per SAC Unit $5.(}0 (Sfate Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ,-�. � [�U[LD[NG PEitM[1' FEE SCHED(;i,t; 'I'lic Chief I3ui(ding Official shall, before issuin� perniits for the erection of any building or structure, or f��r any addition to any existing building or structure, or for any alter�iion or repair to any existing building c�r structure, upon application therefore, require the payment by the ap�licant 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 $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 $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6:25 for each additional $1,000 or fraction thereof, to and including $1Q0,000 $887.25 for fust $100,000 plus $5.00 for each additional $1,DOO�or fraction thereof,.to and including $5�,�0 $2887.25 for the first $500,� plus $4.25 for each additional $1,000 or fra.ction thereof, to and including $1,�;000 $5012.25 for the first $1,000,� 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 - Drivewa�► width plus 6 feet times $13.>0. �Iternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tirnes $15.75. VERIFICATION OF FOUNDATIOiV .'eccnits for construction will be issued a minimum of 24 hours from the time of application to allovv tor pro�::r �e��ieu� of the proposed structure and of the constructivn site. � � Cec-�ifcate of Survey o1' tlte lot, showing the (ocation of the foundation ��nce it has it has heen c�nstruc-� ! +-i;? h� rcyuircd hcfc�rc ��r��cccdin� ���ith tt�c framin`�_ � R� � � _• D m -' � O �� � .o � N � � � � o � 3 � Q O o m 7 � (a n �Q Q 0 � -� �, � �N � � � � m .� � Q � 0 � � m z � v m � � z � rn m � g _ -s CJ � � . • m �. . v r� � 0 � cn S m � $ � � � g° < n. � z � � � � � cv.�_ \��.� � � ` � � � � �- � � � � v � -DI m � Z O z � � v m m. � � � O 3 � 5' �� �� V ? N S � > �o � � � � r o `-�' -� �' � � � � m � � � � � m s a D� O n. � s � N � �� o � w � � `D a ° c � � -a ai A� � N O � � � � (� o_ � � W � � � � Q. � Z _� SI � � m Z O rn v � \ Q 0 o � < c � (D � o A, D N v u� � � O � � � o � -. 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O Z. _ Z -� � O � D�� � � 2 � �� �� Z N •. Z � . L� v� v � � � � �z v� � O n C z �� � � � � Z � c�i m � w � a�i � �1 c�°o v 5 � :a��Q :�g pau�Ts �O� Jl�Lid�i :auoQ m�S Si�I0IZ�3.L'I� �TrI � _ .. . . �} . . .��` :s�uiag , _ r _ _ � � ; � _ � } , �s _ - ' '� .t _ 5 r � .:,: � ! �,� S _ �4 (�, " � � ( ) �ri i � ) �� , ,j�Ea�{ �ns io� pap�noid a�q �e uo�qiao� se�� 'g � . ( ) ori .( ) �� . �i��i I�m io; papu►oid uaaq iau� �e ssg .L S�fLLg 'I�'ZO.L � S�1LLS �a�o Itd 3o S�fLLg ���t T��� �H 9 � ) �ri % ) �A �� S�t1.Lg 1��; p� az�s io; s1IIa�w�nb� apo� la�� IIE ��IN ' S i ) �l�i i ) �� Pauoddns �aip�s sI "�, .` .,�, .� � ) �rI i ) �� �. �I �� �iaiQ;°:ouys�g -£.. ( ) ori =( =) �� - uo�oua�aP io`3sn� �3=�, sI 'Z -- _ y ( ) - oH (. ;) sa� ; _ � ; : p�me�a SII� �aa4. seH ' I :��s io �Ca�amiq� �u�s�xa�a� 3eq� sa�a� �iqaiaq:�au�isiapun ay�, AiOI.L���3I�A ��ZS QI�i� ��1�U�1IIH� � • ..I a �� ���:� ,���. ��: `; yg�+� _ ��5 ,: � CITYOf FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(61�) 571-3450 • FAX (612) 571-1287 August 23, 1996 R. A. Hatchett I Sharon� Hatchett 1313 Hiliwind Road Fridley, i1AN 55432 RE: Home Occupations Dear Mr. Hatchett / Ms. Hatchett: In the zoning district where you live, home occupations are permitted as an accessory use, provided that certain criteria are met. I have enclosed a copy of this City Code section for your review. . • Recently, we received information suggesiing that you may be operating a vehicle repair/towing business out of your residence which is not in conformance with the restrictions. If this is correct, please comply with the City Code by discontinuing this activity immediately. Feel free to cal! me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Kurt Jensen-Schneider Code Enforcement Officer KJS:Is CEM-96-306 SuBJEGT � � � P City of Fridley �� AT THE TOP Of TFIE TWINS � � � L D I N G P E R M i T 3 21 19 ;, � � ��0� IPT NO. COMMUNITY OEVELOPMENT O1V. ���o r j y � � PROTECTIVE INSPECTION SEC. %7� �y°� � . � �.O �� � � �'�'1 • CITY MALL fRIOLEr SS�J2 NUMBEN NEV OATE PAGE OF APVROVEO BY �'""�� �'� 612-571-3450 9�ap�5 8/29/01 / / J08 ADORESS 1313 Hillwi�.d Road 1 IEGAL LOT NO. BLOCK TFACT Oii ADOITION SEE ATTACMED oescR. 2 Sheridan Acres SNEET 2 PROPERTY OWNER MAIL ADORES$ 21P PMONE Ra.y Hatchett, 1313 Hillwind Rd, Fridley, MN 55432 3 CON7RACTOR MAILADDRESS tIP PMONE �ICENSENO Dan Horbul Construction, 1788 150th St, St Croix Falls, WI 651-210-0843 4 ARCMITECT OR DESIGNER MAI ADORESS ZIP PHONE LICENSE NO 20180798 5 ENGINEER MAIL ADORESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK �7 NEW O ADOITION ❑ ALTERATION p REPAIR O MOVE O REMOVE B DESCRIBE WORK New garage 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS see notations on plans. REQUIRED FOR: PLUMB NGG� ANDnS16IVS � � �efore digg��g call for all utility locations 454-0002 �E�I�IRI�L1 ��( ��1� SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL, PLUMBING, HEATIN(3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WOfiK OR CONSTRUCTION 20NING SO. PT CU fT. AUTHORIZED IS NOT COMMENCEO V�IITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONQD FOR A PERIOO OF 120 pqyS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UN17S OFfSTREET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAW$ VALUATION SURTAx AND OROINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMP�IED WITH WHE7NER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �IE)�SSO.7U �H.L9 DOES N07 PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL TME pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STA7E OR LOCAL LAW REGULATING CON- STqUC7ION OFi TME PERFOFMANCE OF CONSTFUCTION �L�I9.25 Fire .5�,' �16.58 PLAN CNECK FEE TOTAL FEE Li se $ .00 $309.12 �E OF CON'RACTQR OA 4UTMOp�2E0OGENT �O�iE� ME ROPERLY VALIpA7ED 7MIS IS VOUR P RMIT . , . - A'y�� � � ��j S� N O� WNEp�� OWNEpBUi�DEp� �DATE� _ � G iNS� - q�tE �� a NEW ADDN ALTER ����`-„'". �C�� � � Effective 1/1/2001 [] �. CITY OF FRIDLEY (763) 572�604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: �� �. Legal Description: Owner Name & Address: Tel. # Contractor: _ �[/,9�1 r� iZh� � C, �Pu }� „�JJ. �/ � MN LICENSE # o1a/�0 ? Q �' Address: � 7:+��5 i S� t�! -% S 1'� �'/1D�' Y�A% �,J ,T ,�o ,.# C� / l � sr �,?� � d 8 y� LIVING AREA: GARAGE A�tEA; 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 IMPRO�/EMENT � / �� Length Width Height Sq. Ft � � Length ��� GJ Width a 8� Height 0_3 �,o �� Sq. Ft �2 � -�� Length Width Hgt/Ground Sq. Ft. Constructioh Type: t'Uo� � FA�� o�v S�l�,� Estimated Cost: $ ���J � /�p'�� �p Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ �t/e�% . � � �J DATE: �i�o� � f� % APPUCANT: �.• �. ` Tel. # (�S-! - � ` � C� ��� 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 $�� 7< �� Fee Schedule on Reverse Side $ • � .001 of Permit Valuation (1/10th%) $ �i � a9 $.50/$1,000 Valuation $ V $1150 per SAC Unit $ � o $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 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 $1,0OO,OQO $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3 .OS 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,� $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 $50,0� plus $7.00 for each additional $1,000 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 $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 $1,000,000 plus $3.15 for each additional $1,Oa0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "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 Pemuts 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 construcdon site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed w�ll be required before proceeding with the framing. New Houses Onlv �; � D rr �' � O � � � a 3. �' N � N. � O N � -� nni o � � � � a� a� 0 �' � �• u� 00 � a o =� � � �N �a o � � � � N 1 CC Q g � 0 c '+ a � a 0 < m a � � m z � � m � � Z � rn m 69 �P V 0 0 � 2 � � .a c � � � 0 m m � � � � N ` C � � � �, � � � �• _ m a � m r � v5J .�.J O � � � _ � z � C) O � > � 0 D r � m m N � � m � C � � a, oc m C') �' O CN)'I � � fD o � � � � C, °, v=► D _ � �= d' � m 0 � � 0 � � � � J� 0 � 1 � � _� � � � o ° � a ,,,� ,,.,, a m � -! ? 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CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION �;�w� � ,��. ��.��,�. mn� � ���a Contractor: `�C I (/Li"I,Q/_�Q� (.�G�CO � �1�= • MN LICENSE # o// � j Address: 5558 5/y�Q,�Q,� ��'U/ll� : ,�./l .P�7r'71�> 55.� �3 Te�. # g5Z � %35' al�l� � �� 95z � 9.3� • 9s��/ Attach to this application, a Certificate of Survey of t lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGro�nd Sq. Ft. n ,. _ � � ,._ � . _ . w v ��I / D(� Construction Type: ���� Estimated Cost: $ �� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �I � �� APPLICANT: I Tel. # /�Z� / `�`� � ���� Call (763) 572-3604 for Pertnit Fees if mailing in application. Fax to 763-571-1287 if using.credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ ���� � $ � s�� $ ���o��� $ $ �d�J� $ $ $ $ � ��' $ - � � e�� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,�00 Valuation $1275 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 [ ] _ _ �_�_