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AF - 46684City of Fridley, Minn- BUILDING PERMIT Date: .7uly 8� 197Q �: Gary R. Parker g�g�. Same Adere�a 1333 Sillwind Road N.E. �,d� Same �sa y�� N° 10740 LOCATION OF BUILDING No. . 1333 S�t j�j wind Part of Lot Lot 8 __ Slock 1 Addition or Sub-Divlsion T•�keland flei�hts Corner Lot � Ins�tde Lot — x Setback �._ Sideyard Sewer IIevation � Founda.tion IIevation DESCRIPTION OF BUILDING To be vsed as: Tool Shed �nt 10' 6" Dep},h 8' 3" Height $� Sc1. Ft. Cu. Ft Front Depth I%ight ._.. Sq. Ft Cu. Ft Zj�pe of Construction �soary �, ��1��00 • To be Completed .S.�A�, 197Q In conaideration oP the �tssuance to me of a permft to construct the building described above, I agnee to do the proposed work in accc�rdance with the descrlption above set forth and in Plian witt► all ProvIaions of ordinanc�s of the dty oE FrTd1eY• /Y� �.s/� _� In consideratton of the payment oP a fee of $ 6. 00 ��t � hereby granted to �ry R._ Parker to canstruct the buflding or addition as descrlbed above. Thia permit ia granted upon the expre�s condition that the peraon to whom it is granted and his agent� employees and workmen, in all work doae in, around and u�n said buildiug, or anypsrt thereof, shall conform in all respects to the or�►ances oP Frldley, Mfnnesota regarding location, conatruction, alteratlon, maiatenan�, repair aad. mov�ng of bufldi�e within the dty ]im�its and this perrmit may be revoked at any time upon vYolation of any oY the provisions of said ordinancea ,� � � � �� z� NOTICEs 'IYs peemh d�s eof eevsr �6s coestrueHoe, tnataU�tioe fee rrWne, plumbieg, en headee, snru m rraM. B� aro to ss� t6s Bnildie� Inspe�te� Por aparat� paemhs Poe thess N�aa. e �,` �� _ .,. .s_ �.-.� ..'��.., APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNIIt' S NAME : -' �� BUILDER : e tli/LiV:lt7�7i �✓� �// �, � . c..*. tWL�r•�75i� '/ �//il a �/ y No•. s�T• /.333 �� LOT: Q BLOCK: � ADDITION; ' CORNER LOT: INSIDE LOT:,�Z�SETBACK: SI�EYARD: Appli�ant attach �o this form 7.tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As: � i �� p � �, ' / �� „� � Front: /d Depth: d 3 Height: � Square Feet: Cubic Feet: Front; Depth: Height• Square Feet; Cubic Feet: 1�pe of Construction: /°��;,�" Estimated Cost: D � To Be Completed; {j� � The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances aad rulings of the Department of Buildings, and hereby declares that all the facts and representations stated ia this application are true and correct. UATE: ' � SIGNATURE• • / (5ee Reverse Side For Additional Infprmation.) , �' _ - _ _ �' , _ , d' .,�. �, � � � � � �- - - BUILDING PERMIT FEE SCHEDULE SECTION 2. `I`he Inspector of Buildings 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 repairs to any exiating 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 ma.nner herein pravided to-wit: UNtFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousaad cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building penuits, the cubical contents of any bu3lding or addition, is detex�mined 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• hefght of the roof surface of the ma.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate o£ $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed worko In no case shall the fee charged fox any pennit as set forth in Section 2 be lesa than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for constxuction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the coastruction site. A Certified Survey of the lot, showing the location of the foundation, once it hae been constructed, will be required before nroceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of_Occupancy sha11 be made ten (10) days prior to the use or occupancy of any structure for which � building pezmit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been isaued. - � � . - _ __ � �� ` \ ` � /\ City of Fridley, Minn. BUILDING PERMIT r ,, t ./`x � N° 307� nate: . �.� . �.l�: . :'.�' .�� . . . . . . . . . . �. . . �. . . . . . �" - ,, f �,.` /r .�,`�` .,� .< ,-" � x � Owner . ..t. .'° `{ • •� ,�^e�: � :e"�-:':3'�, . . . . . . . . Builder . . : � . 6��22�� e� . . . . . . . . . . . . . . . . . . , s ,,�• ,.�� .. . Addre�ss ...,,I'�.%. �.:�..3�I":'G:':z��:�:ti;r''r�.......... Address . ............................ � � � � �,7 P , � � 1 � .:�� -;.:,��,�a�,�t�,,.�,,-;I.�Q'C�ATI�1V OF BUILDING r , No. ,� . a: . � �. . Street �:�.� � i: :':'�.1. .'�.L�: . . . . . . . . . . Part of Lot . . . . �. !L(�;�;e�G, ,�''�, ,�,'�`, , .!�`��r � � . . . . Block • • • • - .� . . . .p .'. . Addition or Sub-Division . . . . . . . . . . . . . . . . . . . . . . . Lot ........ .... .............. `.":•� . . . . . . 5etback •��-. .�'.�. �. . . . . Side ard . . . Corner Lot . . . . • • - . . . . . Inside Lot . . . Y ........................ DES�RIPTION O�' BUILDINiG To be Used as: " r �f , . � �' L � � '� ", o`,.� �, l;� r �''�? ,� ,. a I : : . . Front Depth °. `$ ,. . Height .�: :�~''.' . Sq. Ft. �,". : . : . Cu. Ft. . . . . . . . . �� ; . .�:'g ��" . . . . . Front . r�. � t Depth F: �•F ,�'�2igh�a t" .,F%' Sq. Ft. . � a� Cu. F`t. . . . . . .. . T pe of �truction . . . . . . . . . �. . . . . . . . Est. C�. . . . . . , . .��.-: : .�':r.': .�. . To be Completed . . . . . . . :' .��. . . . . . . . . . .. w��}� '� � ,`�'� �*� .� � . w � ! � �� j� '�,�,. -a, �. ,��x�a P - 4 'T � , s�' r �y �, � ---{`� p� r,: "��i�t�+� fi :+i � t� `�� , .��,-f �°�.,�' :1��2��:� � /_"-�°�.•'�-�. 'Y ` 1 � ,��.t,��✓ �r. In consideration of t'he issuance to me oP a permit to construct 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 city of Fridley. f �/ � �'' In consideration of the 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 gra.nied and his agents, employees and worl�nen, 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, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. = �� - �� ,.,;� �,,. �•• � ��' r.� � ;y P._ .. � lding Inspector � NOTICE: � • . This permlt does not cover the construction, in�talla#ion or alteration fo� wl�ing, plumbing, gas heating, sewe� o� water, Be sura to sea the BuildlnA Inspector for separate pe�mits for these Itema � ��! �' 'oL t!� sr ,. R__� _ — :w � �>�£-�'1�� C,� � B. H. BRADLEY CIVIL gNOtNE6R AND SURV6YOR 9B�Y -2dTM AV6NU6 SOUTN MINNBAPOLI9 !. MiNN. PAmcwAr �-4160 ✓ y�� 'I �- �, ; , f �.-� a,: � � �°° �- ' � ;� � ,. . ' _ _ _ -----_ __.._ - -- s°uN�y fo� �vY wE,��WO�-�� i.�.�� hr'g`way roa .�yE; /3.33 /�; `Lu-, `� � , �-�*i.s 1..�n�� S°ca/�� _� N � . q . "T�'� h''wy. iY� �oo . , .r� er�/y c�-�'`ifj� �/�o�� y`iiis �s c�' fru� r�� c�-��c�j�/�f o� c� ,�utr�y . �� afs / �►.� f�%� / Lc�rF�/�r>c`!�%i %a�s �iGk� Co r� � , � � , a �; �Ii ,v�ESar�/ c,� sun�y�+,6y n�� fh �/0�`�%►y c��' J'�ui�� / 9C� ,.� . _ �„� ��'��Y . ,�c��v�y�r� s .- � �S'u�ycy fo�• Ted Osfenc%rf /947 Linco/r� Sf N�. , .ka/e � /'=.30 /1E►-fh /.�e of/Y/2 o!s/z o/.S7y'/ ot�Sr. z4, rso,RZ4 � iso ;of��i'' O 75 '";,- 75 '�� .�e , qp - 9oe; I� � � v 0� — �S --.� /�on, i '-i r� � • � ti � �, � Q N A �' 3 � - � ��,�oJ�.a �io�f� �� , ,:.a ; 20 .`a 73.�• , � � .I �I A I I )'= — �s — � ,' r i�" `�'_ � ; � � y . i r__ . / i V ^ � � � �O �� N i� 0 . � � � ,1 � " r' ` � i � , . 7�,� �� 1r� -' ��ti� � � � i � �' ,p�9h� "� - � _ __ —1 � i I. �� J ��_.�� _ r + of Hi 6.� . o • ,� - �c. i �y �' I ; f°�' �Pov�� M , ,e_-- � �, . ,y.�,yw9Y �yo, %s2.i �c., �1 � "'° /pp ��, 1 h�: � y ce�ti; "y fhot�fiisis �`rue ond corrrcf��ofofa su�vey of fhe �'r � s.< 7S ef oj fh e fo/%wir�Q desc�il�ed��ce/ of/an�Jr Thof�oo�f of Lai4 /,aud�ro�s uhdivi.tan No, 94 f�no�ivCounfy Min�esofadescribedq,rfo//a�vs; Tho�p a� -fa �='' e N%2 of j�i�ie �%Z o,�IYe �dN/ o/�cfia'� 24 Tw�,rhi,o 30 ,Qon qe 24c�esc�id ea''os �o//'aws; co?»�cx�ny df a' pomton fi�e Na�fh hne "off/e N%Z o�'tfie5%2 of�+�.fl�Y�'�af said ,Scction 24, /8"0 9�c�/'Eesferlya/an9�-aiC/ /ine f�om th e l�t/e�s� /ine %rard SW%t�,• f,�iXe EUV'fa/on9.��d /ne a disfpnce of 150 f c�; f�ier�ce Jau�/i r�f ri9hf un9/c� s fa,mi,� Narfh /��e c.�ri�cNS�2 ��YxS/z�l�s�/� fhe N�//e.�/y /�e ef�'�rrle H�h�voy �yo �00; fi�nce (h'eslcr/y a/an ,ro�ic/h�o er/y/ihe ,S°h�H�9hwoyNo./ootoa,00.� ond/ri��rura�i� Sauih f�am fhe /�oiYi a�beyinniny Qf ri9 tanq/es ��he yarfh /rn� aisaicr' N%z af lfir �'12 otlfie SW/y or.so�d�5'echo� 2¢ ��hence Na�th cy/onq .suic//ne tofh��ooiniafbeyin��i�, suh ec/ fo ciriqhtafwvy averofiacfof/anrJ33�fw�de /y��g pc//oce�� f/ie No�f/ierfy ; riq�ifof w4y /ns afHqhwa Na. /DOond runn•� y �cros A6�re clesc�i�er�Parce/aj/ond for rc�od pt.r�oaseS exs�/r�eyed byme �he 27��dQy o{May /95B , ; %��%�va c�y I . ,pe9isfc�dlui�/J"u�vcro�%/� � 3 a � � � 0 S : °. � � x �� N � � � � P � � a p tD � � �y M 4 � r � � � y � x x z � ��o ��x �� '+�'' � � �-- � H � �h ° � � � � � � ¢ � y � W � �� " � o ��y N �, o� a � o � : � . . �e p� � O N � O o p � r» �n tn � � 0 � �r � bo � �. � � I � � � b `A � � 00 � � � 0 � 0 0 0 0 O � � r od � C � �o w �W 07 pq �� .'3� y O � y O � � �. 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N � � � � en o 0 0 p o o p � O t" C p �% `C aa� � �� o @ � M N Q+ F�j m OR � � �`.� p�� C �� !a �d�°� �. �;o ��°� p�� p�G`E er � ��y �, (�i ��ro � � �� °a�"i � �W�p ��ao �y H �� fj � ai � � � �o �. a ��+� ��f�DM �� P� �QO ��iri � � w � SB 5' �,, D � r � � m � 2 m C m d » M � � � � JC .a �� V A V O �� .Q � � � � �� 7 d � � .a. _ t�• '�y. a ° 0.� � � �. �, � � � �i 7v � � � 0. C�� J ��_ ��f� / /s � A NO KA CO llNT Y- M/NNESOTA SCALE-1/N. •SOFT. I � � � i . �:.'.:. �U;�. :4'i;. � ~• � . .�=i,�i'h. -�: i"✓ I � --- I --------� i� Poinl /B09 Eo.r1 of Nor/h /�hr of N%z a�S fi af f1Y�of ,se�. Z4 • T.�o • R2¢ INerf /�n� cf ,SE�• 24 Irnnmon. fb i�t /9f9, E t I ._ � ��.. oil�Vetl/�r�t��w �/B.SO .. � � � - �- :I,K, �i��7T y ' 7T.�� /9yi0 p�t7e9,I9F� } � �i � a � � `: �� 'I' . r,, � v; ;r .., 1��- `� i� �� . � ,: ; :�: � I "' I �. � ._:�;ti,t5 ��.sr.,�;."::',, .!j , .-ti \ ,�' \`____—__ `:'.::•:] : � . �,'�; .cc mm�. ,`,V Vr, ? � t'.: � �=t .� ,�.�1 t' i .J 1� �� . � I / �� ,_ � � ,� .. • .. L AKEL AND HE /GHTS ,q NOKA Co �J/�/ �Y !Y%NNESD?A J'c rr/e � /"- ZDD � ��i , r � , t.% � .,'C.t� i.5:' �t'rJ .•*.tr.'�.? .S't'z4 ."+^�• � � , '��i:; i'.:9'v�'� �i, � . . . ' j1; 1. � � _. �--. -- ^� --------- 4ie.—s� --- —�41e., �oRBFr/S 'L N .`ai��---- �-, �* �s: � l39,3 . .. i29Z � �; !f v� �N � v 2 o O ,� � 4 OI �� fl + �� N ` � \ I Orj. c� � L7f4 75.4 _ i39•3 __�242- —� V y'i r v•------ —' �i IJ-`��h Ci c;; "' ��'• � LA AIYD H�/ HiS ,�, o. a� y, y, * '{ t'v � 8 y: � to �. ` w M. i �' '� N � � �' '� , e' �� . �' � � . "t^ ►. ? ' � 7i'. G, IZ � ° � �� ` _ ' �it/•�j/ / /��^� I •'J _ � —,� �r'_ JBRViCE RD�,O ru,rT o : .---_ w d� o n v ry ro .fTAT,E ywY N o /yo. /00 � N � °f �e�vfcttfDoa � �7d/on� . _`_Or� ir�a/ o�� --L—_.1: �%00� House ia loaated on Lot 8, Block 1 ..� e 0 � . � Wells V. Wentwortb�roperty ^ , Lote 1�nd 8, Bloca 1 � . � � • ., .. \ �� , �? - �' , _` � _, /'�� %� � �� fi � . � � � . .. � � � � .� � � _ _ _ —� _ —_--_ � sue�ecr P NO City of Fridley _ 19011 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � . � `L ___��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �s � aZ 1 � � � /"'1 � CITY HALL FRIDLEr 55432 NUMBER REV. DATE PAGE Of APPROdED BV �----� � �•� 612-571-3450 9� 0-Ft 5 6/15/87 / / JOB ADDRESS 1333 Hillwind Road N.E. 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 La.keland I%ights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PFIONE Gary Pa,rker 1333 Hillwind Road N.E. 571-�7330 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construct a 22' x 13.33' Ga,rage Addi:tion and an 8� x 1�� Entry Addition 9 CHANOEOPUSEFROM TO STIPULATIONS See notations. on plan W�RNI�iG �.�1`� PERNflfiS R�`Qll�� R BEfose digging �lf�ocal utilities �°`��„ 6�`I�.�L%�(aa ��.U�l�l�lC AN� SI�NS. TEEFPHOPdE - EtECTRl� - � Et�, R��JiR�D �Y LAV� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ. 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. i LG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAqAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND .ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $g �45Q $4, 23 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- $74. r,O STqUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $18.63 $97. 36 SiGN UREOFCONiRACT ORAUT o i2ED ENT �DaTE�h WHEN PqOPERLY LIDATED THIS IS YOUR PE MIT ' � �� -f-� Co os" � SIGNATUREOFO �IER�IF WNERBUILDERI ID TEI BLDG INSP ATE N�t L ] City of Fridley Effeetive u/1/86 ADDN. [ ] R-1 AND R-2 AI,TER. [ l Building Permit Application Construction Address • 1333 H i l l w i nd Rd . N. E'. , Fr i d Z e y Legal Description: Lo t 8 B Zock 1, Lake land He ights Owner N�e & Address: Gary Parker 1333 Hi l lwind Rd. N.E. Tel, # 571-7330 Contractor: Tel. � Address• LI1fING AREA: GARAGE AREA: DECB AREA: OTHER: ,s 4I� 4Io Corner Lot [ ] Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to scale. DESCRIPTION OF IMP80YF.N�NT Length Width Height Sq. Ft. �-z. A3.� ��/� Length �_ Width !°��s9 _ Height Sq. Ft. ;�"—� Length __ Width _ Hgt/Grouad Sq. Ft. _._____ �� o r y. 3� � �� - sc x y� �� 2�. o� z � �r'� . o Inside Lot [] Ft. Yd. Setbaek Side Yard Setback _ Type of Construction: Approx. Completion Date: Estimated Cost: $ � �`°° •�� Alt. A Alt B proposed Driveway Width If New Opening Is Desired: _ $ $ See Baek Page for Explanation DATE: APPLICANT: Tel. � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Set�er Main Charge TOTAL STIPULATIONS: CITY IISE ON1.Y $ %�.� Fee Schedule on Reverse Side $ . 25� of Building Permit Fee $ �o�� •50/$1,000 Valuation $ $ 525 per SAC Unit � Fee Determined by Engineering � Agreement Necessary [] Not Necessary L 7 $ , . � , �5�(� • � oZOoo • 7 �(6 �. � ya,oa �, J� BIIII.DING PERMIT FEE SCHEDQLE 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 strueture, upon application therefore, require the payment by the a�►plicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Tota1 Valuation $1.00 to �500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 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. $2,001.00 to $25,000.00 $32•50 for the first $2�000 plus $6.00 for each additional $1,000 or fraction thereof, to and ineluding $25,000. $��g001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh � additional $1�000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. $100�001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCRW (Concrete Curb Streets Onlq) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plua 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 FOIINDATION Permits for eonstruction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construction site. 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City of Fridley 2 613 0 AT THE TOP OF THE TWINS g � I L D I N G P E R M i T i � � � . � i y� COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTtON SEC. ��pr� ' i ' � /'��1 � CITY HALL f RIDLEV SS432 NUMBER REV DATE PAGE OF APPROVEO BV �'""'� � �'' 612-571-34b0 910-F15 6/5/98 / / J08 ADDRESS 1333 Hillwind Road NE 1 LEGAL �OT NO. BLOCK TfiACT OR ADDITION SEE ATTACNEO DESCR. $ 1 Lakeland Heights SHEET 2 PROPERTY OWNER MAIL ADDRES�S 21P PMONE Gary Parker 1333 Sillwind Road NE 571-7330 3 CONTRACTOR MAIL ADDRESS ZIP PNONE UCENSE NO. Knutson Roofing & Siding 9307 Hillside Dr, Champlin, MN 55316 323-9238 2501 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. B USE OF BUILDING �� Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION (� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (24 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATIN(;, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITMIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEFi WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEFiTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $2�001 �1.00 WITH WHETHER SPECIFIED MEREIN 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- STRUCTION OR TH P FORMANCE OF CONSTRUCTION. �]�F. ]S Fire SC �Z.00 ,� � PLAN CHECK FEE TO L FEE .'" Lice C $5 $82.75 �1 ATUH OF CON: TOR OR A�ITNOF12ED AGENT IDATEI HE P VALI D THIS IS VOUR PERMIT • / - /ws r S�GNATURE OF OWNEF7 Uf OWNEA BU�LDERI iDATEi �� S � �8 G �NSP q!. Prepaid Plan Check $ Estimated Cost $ Receipt # �� S r�i �_ Owner & Address � Effective 1/1/98 CITY OF FRIDLEY R-3, CONIlV�RCIAL & INDUSTRIAL BUII..DING PERMIT APPLICATION e . �30 a(� �,o 3 � Tel# �7l �? O�R & ADDRESS �"yt , � o �% L�S � %� � f� Tel#�3� Architect Reg. Engineer Req,# �,��► pC�� s �� BUII..DING CONSTRUCTION - TYPE OF WORK U New {] Addition [] Alteration -Describe ��G f a� �f�,� �� f�c� �FC• AREA: Length Wid`u � Height Sq. Ft. WHSE ARF,F,: Length Width Height Sq. Ft. OTf�� ARF,A: Length Width Height Sq. Ft, r APPLICANT - Tel #. Date VALUATION �� sq. Ft. x$ cost/sq. Ft. = valuation S ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ � �`� Sq. Ft. x$ Cost/Sq. Ft. = Ualuation $ ) TbTAL VALUE Building Use Construction Z�pe OccupancY �P Aix Conditioning [l Yes U No Fire Protection Provided Ll Yes ❑ No Perforniance Bond Amatmt $ See Reverse for Schedule Received ❑ Yes [] No Pezmit Fee $ r% . �J t�2� s �.U� rSi�k� ' @ $ / � �O State Surchanse $ ��f'`�'s�"-a�e- S �.0�� Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ Z'o'�+ $ c � - �� See Fee Srliedule on Reverse Side In E�ccess of Prepaid Amr�unt - See Reverse Side .001 x Permit Valuation (1/10Ch %) $.50/$1,000 Ualuation (See Sched. for > $1 Million) $1000 per SAC Unit (Plans to Nb�TCC for determination) $450.00 Conservation Plan Review Fee Detezmined By gigineering Agreement NecessaYy [] Not Necessaty [] feet x $13.50/foot ATTACH STIPULATIONS $1 to 500 501 to 2,OQ0 2,001 to 25,000 25,001 to SO,Ot}0 50,�1 to 100,000 100,001 to 500,000 500,001 to 1,00�,000 1,000,001 and up $1 to 2,000 2,001 to 25,000 25,001 to 50,000 50,001 to 100,000 100,001 to 356,000 Over $356,000 � BUII,DING PERMI� FEE SCHEDULE $21 (Minimum Fee is $21 plus surcharge) $21 for lst $500 plus $2.75 for each addn'1 $100 or fraction, to and including $2,000 $62.25 for lst $2,000 plus $12.50 for each addn'1 $1,000 or fraction, to and including $25,000 $349.75 for 1 st $25, 000 plus $9.00 for each addn' 1$1, 000 or fraction, to and including $50,000 $574.75 for lst $50,000 plus $6.25 for each addn'1 $1,000 or fraction, to and including $100,000 $887.25 for lst $100,000 plus $5.00 for each addn'1 $1,000 or fraction, to and including $500,000 $2887.25 for the lst $500,000 plus $4.25 for each addn'1 $1,000 or fraction, to and including $1,0OO,OQO $5012. 25 for the 1 st $1, 000, 0(}0 plus $2. 75 for each addn' 1$1, 000 or fraction PREPAID PLAN CHECK FEE SCHEDULE $29.25 � $29.25 for lst $2,000 plus $5.85 for each addn'1$1,000 or fraction, to and including $25,000 $163.80 for lst $25,000 plus $4.225 for each addn'1$1,000 or fraction, to and including $50,000 $269.43 for lst $50,000 plus $2.925 for each addn'1$1,000 or fraction, to and including $100, 000 $415.68 for lst $100,000 plus $2.275 for each addn'1$1,000 or fraction, to and including $356,000 $1,000 (Balance due with issuance of building permit) PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements,a Performance Bond or a Letter of Credit shall he submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, water & sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the building permit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as-built" drawings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements aze satisfactorily completed. Z � v� c� OU �c � � �3 � C O � Z� D m �T m rr- �m �o D Z -� O Z O Z < m � D � o '0 7 3 0 N � N � N � A �� O � O � � O.,v � �• oi QQ A fD � � � � °O C1 � N °'G Q' o �D � � 1 1 Q � � 0 � n � °o 0 < m c. � � 0 c ac � v o� � � 3 a v 01 � i � t G � m e z � � rn � 0 Z � m m 69 A V O 0 � _ � I�� 3 �' � 3 m�3 � � � ,o�m Da°� 1�1 � Z c� � � C Z i n � � =-_i-� � Z � � A 0 � � .� �, � c' � H Z. N � N r D o� � co a -i ► m � � .�t o� � , � J � � 2 D � z c� n O � o �� °. � O/ N \ �D p, �C N D � � oi 7 A co O 1 � � � � � �ti .�► D cD r N m � m � � � 00 tD � � � � O � �i Z ► n°', m �m'� FZA �� O �C�� Z' :� �D � m � � � -��N� � c. � s � c� �° � � co � �oa°° �. � � �1' .-► 01 y o � � w N W � � ,� a � - W ? � � o � a � o. Q- � p O � �� °-' 3 ?N d ��o'� � � x � �•aN� �;?_ � � � rt � 0 � •°<� � � 1 � o 0 c � � � � � a � � � N � � a�� A �1 - �+ O �+_ � 1 1 � rt 1 � ? � S .�. c� ci �D d `< o y O � 0� Q' � �fD , � c�D d � � � O �� < `0 d N \ � � � -��i. O/ � � � N n►° D � .:� m � o = � � � N � r N � 0 Z � n c� � .. b': C� � � -f d o. m Z d � 2 � N co z o. m' � � D O 'n_a � � D N cu N � N � O O G� d N v � -� {�i O O O o�i o�► D c uAi � � ��A 3 � � . N � � � m W co'o � N °= Q� C � � 3 � � � 7 rt� �.�iC. �a=�v C 'O�O�,cc�„ ; � d C cnD � 07 �D p � I' A ?C" � � ,�..C`� W v � C n � � 1 �f► 6A b9 ►r ►-� (N O O O " � O O O "' cD (� 6A EA � " G � .. �� d o °- o cn �, �_ 3 � d � � QQ �� n � A n � o p � � � � ,c�y. ^ � o. cn � . �, r r, ar"Z� - v �o,� W O �� . . �. . � c�D�, . �v . N 1 Gv d'1 69 � o G � � -� m � � D � m v O � � � � � � m � � � Z 0 � C r= v Z � C � rn v � � � � � 0 � � � N c'i _ � � G r 1�1 ` O m D v v � m � , �� v�rnn waw� �' r V � � 0 N � T w�<'� O� Z� � o � v �� m W � -� N co Z ZN m� m ' �- 0 Z . N D � � Z � r ';� -D.1 . � O � rnZ �� 0 .� �� Z � Z � v� D� � ON vz �o o= ?a �Z N � �� m0 3r� N Z Z� v� vZ S� n �. NO 2 � m n . � � c.e N � c o► � r N O O r . ,-, When repiacirrg an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust� deterioration, obstrvctions, Yes� No () and is securely suppo�ted and firestopped where required. The ventir�g system is plasticlPVC and meets all cuRent codes and manufacturer s cification� including sizing, length, number of elbows and teRninabon. Yes (� No () Pe The under�igned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan Yes� No () assisted and natural draft appliances. The existins� combustion air is sized and installed to meet the cuRent codes and manufacturer's specificat�ons. � V�lhen requie�d to install a new combustion air, it will be sizeei and installed to meet the current codes and manufacturers specifications. Yes No ( ) Yes� No ( ) When installing a new ventin� sYStem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Yes No () Venting Tables for fan assisted and natural draft appliances. � Is the common ven�t n� e�o ed from the commonv ent a'nd ent d�y a�er . an appliance has b Yes ( No () separately as per current codes. A liance T e and SizelC�mmon Vent and Vent Connector Infomnation -Fj,�.� �i. esZ BTl1 Input ��_ �� Fan Assisted or Nat ��-� Appliance #1 Type g� Input Fan Assisted or Nat Appliance #2 Type - B� ��p�t Fan Assisted or Nat Appliance #3 TYPe Total Btu Input � Total P+ppliances Common Vent Type Vent Height Diameter incttes Appliance #1 Vent Connector Height = Length = Diameter s� TYPe Appliance #2 Vent Connector Height = Length = Diameter _____in Tyl� _.:---- Appliance �#3 Vent Connector Height = Length ft Diameter � � TyPe '�-- ALTERAiIONS: Describe �i 9�V� ib s�� l v�'�- euuN� �rc3. ac �.. �NC. i3582 c:ENTRAL ��N.E. H�4iING CO: ¢�, Date � �� '� � Signed By. � I� Il ,DDN j ] �LTER [ ] Construction Address: Legal Description: _� Owner Name & Address: ��b�'�� CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLIXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ✓ �',.F�, � yor � #��.3-� 1�/%�.3d Contractor. ___�� ` MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length Vlfidth Height Sq. Ft Length �dih Length _� Vuidth _ e Height Sq. Ft Sq. Ft / - - - w . ... Construction T e: Estimated Cost: $��d �� d� YP Driveway Curb Cut �dth Needed: Ft + 6 Ft = Ft x DATE: � � � � � APPUCANT: . _� Tel. # '! �3 '� � l ! � �✓ � (/ Call (763) 572-3604 for Permit Fees if mailing in a li ation. Fax to 763-571-1287 if using credit card and we will call 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 TOTAL �S CITY USE ONLY - ��, � Fee Schedule �n Reverse Side $ 65% of Permit Fee $ �� .001 of Permit Valuation (1/10th%) $ l�C� . $.50/$1,000 Valuation $ $1450 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 [ ] , _.�---__. $ STIPULATIONS: ; ' �� D, '�j�,�� `�� l SUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernaits for the erection of any building or structure, or for any add.ition to any existing buildi.ng or structure, or for any alteration or repair to any existing buildin.g 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 $5� $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,� $50,001 to $100,(�0 $1W,�1 to $SOQ,000 $5�,�1 to $1,000,000 $1,OOO,W1 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, 000 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 includ.ing $50,000 $643.75 for first $SO,OQO plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $99-3.75 for first $1�,(�0 plus $5.60 for each add.itional $1,0� or fraction thereaf, to and �ncluding $500,�0 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,(?00 or fracti.on thereof, to and includi.ng $1,000,000 $5,608.75 for the first $1,0�,000 plus $3.15 for each additional $1,OQ0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete �irb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 fe.�t ti.mes $20.�. 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 stntcture and of the construction site. A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the frami.ng. New Houses Only