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AF - 46421City of Fridley, Minn. BUII.DING PER.NIIT N� 54'71 Date: �. �"'- ��'''�--� �� r Owner: �� ; � � , -�,,�i:•��'..-� Builder A .:_�_.�t�— Addre�s - —.•� Address __ � ,,,,, �O�yT��_� �IDOLD0�6'7 f No. ��'�.� Street � �� '�.._..�— �_ P f Z.O� —al►-•.t:�---._� B1oClt %� �'��E��fi11�0II oP SU -�►; • •OII �G�`,i'� �r�h(. ��.� l�� .O __f'—. � � � � �� Corner Lot — Inside Lot � 9t�ack ...._ Sideyard _''� � _� Sewer IIevation -- — F dation IIevation ., DESCRIPTION OF BUILDING T as; � �<.. � Front � Depth �� Height �r.�_ Sq. Ft. � •1' �� Cu. Ft. - ��: � Froi � Depth Height 7� Sq. Ft. �� Cu. Ft �+� Type of Construction � -��:�Cj�"Es� Cast � �-p' , � � �<� _ To be Com leted — � , r In �onsideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city oE Fridley. � �y�� Ea considera�ton of the payment of a fee of $� , perrmit is hereby granted to to construct the building or addition as described above. Thia permit is granted upon the express Condition that the person to whom it is granted and kus agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Frldley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings ��ce� dtY ]imit� end this permit may be revoked at anyj;t� upon violatio�_�any of the provlsions of said � �,,,,:. ,! � --�'r { ' : , e +� Euilding Inspector ,�.+' . �" NOTICE: Thia perm(t does eot eover t6e eoeatruettoe, ins�allation fo� wirin8. P��+�8. 8� b�og, eea+er or water. Be suro to eee the Buildieg loapee�o� foe separete peeaib Por these items, . �+' � '% r^-. -�:__ _ � -'a.r v �r'_ - � � Otaner' � �ddress 0 APPLICATIOAT FOR BIIILDING PERNIIT CITY OF' FRIDI��Y, MINNESOTA LOCATIOAT OF BIIILDTNG No. �/� � 3tree� Part of Lat ` . _.,.. f Lot �� $lock � Addition or Subdieis�.on ,� � Corner Lot �Inside Lot % 3etback � p � Sid�-Xerd % `� ___�___,_ ' SEWER �LEVATION FOUNDATION ELEYATION 8pplicant•atfi,ach to this form Certificate of Surveg of Lot and proposed building location. DFSCRIPTION OF BUILDING To be�, used as : � Ft. � .5�� t Sq. Ft. ��d Cu. Ft.,�„_ 0�� 0 Type of Construction ��r� Estimated Coat /i�� To be Completed ��6 - � �— l� / The undersigned hereby makes applicat3on for a permit for the work herein specified, agree3.n� to do all work in si',rict accordance with the City Ordina.nces and ruling of the Department of.Buildin�s, and hereby declares tha the fa and repre nt�t stated in thia applicat3on are true and correct. � DA� �"" n "` �� SIGNATiJRE .1�P/ .l,r�iiiG.�i��"'./.f'�li� (� Schedule of Fee Costa can be found on the Rever�� S(ide,�) 0 � � �( ° BIIII�IlVG PERM�T FEE SCHEDUI� Section 2� Z°he Inapector of �.iildinga ehall, bafore issuin� eny permj.t for the erection of any building or structure, or for any addit3on to any exi.sti�� build- 3ng or etructure, or for any alterations or repa3rs ta anar existing building or structure, upon application therefor, require the payment by the applicant for such permit of feea to the amount herein be].ow set forth and in the �nner herein provided to-w3t: 2,1. For an�r such permit for the erect3on of any fir�-proof buildin�� other than a garage, warehouae� factory or �ain elevator, or for the erect3on of any fire- proof addition, for simi�.ar occupancy, to any exist3ng building shell be at the rate of �1.1�.0 for each one thousand cubic feet, or fract3on thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof gars.ge, warehouss� factory or grain elevator, or for the erectioa of any fireproof addit3on, for simil.ar occupancy, to any exiating building shall be at the rate of �1.25 fox' each one thousand cubic feet, classified as "fireproof" by Sect3.on 502 of the Minneapolis Build3.ng Code. � ` HOIISES 2.3. For any such permit for the erection of auy non-fireproof building other than a garage, waxehouse, factox°y or grain elevator, or any nor� fireproof addition, for similar occupancy, to any exiating building. Permit �1.00 Yor e3ch one thousand cubic feeto G9R.AGES 2,J�e For any such permit for the erection of any nori-fireproof garage, warehouse, factory or grain elevator, or for the erection of any nor� fireproof addition, for �: similax occupancy, to any exist3ng building or for ea.ch such building or additiQn. Ninety Cents for ea.ch one thousand cubic feet or f`raction thereof, in th� cubic�]. con�ents thereof with a minim�n of $4v00. For the purpo^� of computing fees for building permits the cubical contents of aay building or addition to a uni.^.orm height throughout by multiplying the ground area covered from a point s3x (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof sur£ace of the main gable of a pitched roofs 2e5e For repairs or alterations t� an existing structure, the fee ahaZ]. be at the rate of �3.00 for each Five Hundred Dollara ($500.00), or fraction thereof in the cost of ell propoaed work. 2e6. In no case shall less than �L�.00. the fee �charged for any permit as set forth in Section 2 be � u . i'� � n n ,-. Caty of Fridley, Minn. n � 11 ' ' I , ��:' .� , .:- � �� % ; ,� � , � � . •• L.:, ` !�/ .��..�..��:� ..% : ; . ..�_..._ ��......�r/ �.I.�.�� , � Address Addrese LO TION O B I G Noi�'�� Street .�.. Part of Lot _ Lot __ Block Addition or Sub-Divisfon .� Cor3%r Lot , Inaide Lot S.etback ` Sideyard Sewer Elevat4on — Foundation IIevatfon DESCRIPTION OF BUILDING To Usea1 • �� Front �_ Depth � Height .L.G'._ Sq. Ft Cu. FL� Depth ITeight Sq. F't. Cu. Ft Zype of Constructfo I �� F�t° �� o be Completed In consideration oP the �tssuancae to me of a permit to construct the bwilding descri�d above, I agree to do the proposed work in acc�rdance with the descriptton above aet forth and in compliance th all ons oP or8inances of the dty oP F7idley. �-� � �� - - ^ In con�fderatfon of the payment of a fee oP $�_'� , permit 3s hereby granted to to conatruct the bufldiag or addition as d�crYbed above. This �ermit is granted upon the express c�ndition that thepe�son to whom it is gi�aated and hia agenta, employees and worlmzen, in all work done in, around and u�n safd huilding, or anypa� thereof, shall conform , 3n all respecta to the ordinance� of FridleY� Minnesota regarding laation, constructt�on, alteration, maintenance, and moving of buildinga �th�e dty ]imits and t.his perrmit may be r�voked at aqy�upon�ti��P any of the provis�ions of satd Bu9ldtng Inepector Nonc� � psrmft doss eof eerar ths comlrncHen, tnstaWltee hr v�efeA, pMmbieA, ea h�adeg, ssw�r er vmr. 8� sure to � tln Buildiee InsA�etor hr ssparaf� p�rmtta foe f6� �. � „�. ... .. - - APPLICATION FOH BUILDING PERMIT CZTY�OF FRIDLEY, MINNESOTA OWN�� ° S Nt�iME C �� ,�I �c;��. � BUILDER_�� - �r ADDRESS �./' .� � �� AbDRESS d � � � °�-�� -x-•..- LOCATIOAI OF Bd�LDING No. 6ltreet Part of Lot Lot Block Additidn �r Subdivision y Corner Lot Inside Lot� �tbac�C Sidg 4ard SEWER ELEVATION FOLJNDATION ELEVATIOIQ Applicant attach to this form Two Certificates of Survey of Lot and propoaed build- ing location dra�an on these Certi£icatea. . DESCRIPTION OF BUILDING To be ed �as : Froat ,�_ Depth � Height � � � Sq. Ft. Cu. Ft. FronC Depth Aeight, Sq. Ft. Cu.. FC. Type of Construction Estimated Cost ��1 0'„ � To be Complete �� /' C �� The undersigned hereby makes applicatian for a permiC for the work herein spec:i_fied, agreeing to do all work in strict accordance with the Citq of Fridley Ordinances ana rulings of the Department of Buildings, and hereby declares that all the facts and representationa stated in this application are true and correct. D:�TE /' / � �_ T_� (schedule of Fee Costs can be found on C1�.�R�rse Side). � �.f _��- � �� .,.� e BUELDSNG PEItNQT FEE SC�EDULE SPction 2. The Inspector of Buildings shall, before issuing anq permit fox ��he erection of aay building or structure, or for any addition eo any exist- in� bu�.lding or sCructure; or for any alterations or repai=s to any e�ist�ng bu�lding or s�ructure, upon applicat�on therefor, require the paymen� by the applicant for such permit of feea t0 the amount herein below set forth �nd in the manner herein provided to-wit: 2.1. For any auch permit for �he erection e.€ any fire-proof buildiag, othez than a garage�, warehouse, factory or gsain elevator, or for the erectioa of any fire-proof addition, for similar acc�pancy, to any exiating building shall be at the rate of $1.40.for each one thousaud cubic feet, or fractioa thereof, in such cubical conCenta. 2.2. For aay such germit for the erectioa of any fire-proof g�rage� warehouse, £actorq or grain elevator, or for the erecCion of aay f3re-proof addition, for aiffi3.lar occupancy, to aay exiaCing buildiag shall be at the rate oi ."�1.25 for ec�ch one thousand cubic feet, clasaified as 91fireproof" bq Section 502 of �he NSinneepolie Buildiag Codej � ��USES 2.3. For anq such permit for the erection of aay nou-fireproof building other than a garage, warehouse, factory or grain elevator, or any aoa-fireproof additioa, for similar occupancy, to any eacisting building - permit $1.40 for each one thousand cubic feet. GARA�ES 2.�i. For any such permit for the erection of aay non-fireproo� garage, warehouse, factory or grain elevator, or for the erection of any non-firegrvof additi�, £or s.imilar occupancy, to aaq existiag bui2ding or for each auch � � id3ng or add3t3on - niaetq cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical cantents thereof with a minimum of $4.04. For the purpose of compu�iag �eea £or building permita, the cubical contents of any build3ng or addieioa to a uniform height throughout by multiplying tlze ground area covered from a point six �6) inchea below the floos Line of the basemeat or cellar to the average height of the upper eurface or to the average height of the roof surface of the main gable of a pi.tched roof. 2.5. For repaire or alterat3ons to an existing etructure, the fee shall be at the rate of $3.00 per each Five Hundred Dollara ($500.00) or frsction thereof �tn the cost of all propr,sed work. 2.6. In. no case shs11-'the �eQ chargAd f.or anp permit �s set forth ia Section 2 be lese than $4_00. �.�' � . A_ .,.�- _, , -� �-� = .. �... � � � � � � p � � pz � .. � � �� a► � � u, 9G � 8 � � � � � � � N�� n � � � � � � � N : ��Q ��a�� ' rf (D � ►� Q �p G� � a7 � � : � � � " � do • � � . . � � � O � � a Q � � � : �° � : : a � �. �. : M ; . . OQ � � � � : . � : � ' : : � ' 0 � � : � ; � • � • a � o M o 10 6C 1Q ?C OC k k i6 k g a� O „a 8 vi $ �i O � $'� � �I p � � � � � � �rL °o H � � Ilr � o � � I s � O � � � A 0 ao � < a � I I /, �i � � � i /� � � � � � � r � �y o � Iw �N ... � � � � o. � � � �iori� � � — 8 �� =� � , ��.�5 � � � URItdALS � enrH � H 9'8li5 0 �r p � � c►q�►6 $ � ; GZ SINKS �� v� 'w�e TMYS oaiNK. IFouNr. I I y i snvrr�. �� h �❑ I � � � z � � � o � � i� b E. ° �► a =' i. �� d' w � g � N 1 N O � �� J � � � A. �i, � �, � � o�a f'�J r� CD N N ' QAAINS UTCM BASIN$ Auro WASHER � GtiS APPL � GtiS MNGE I GAS �- � OPENINGS � O z w ' I , N > m A I T � i I � � � � � a� � �1 � � � A M o� p�, � � M a F � oe�o6�' � m' �� m � �� °� � � � �'� ��*g� � � ~ � � m � bd b � � ,� N �N � � � w p� m L: � a� � O �]'� o ti � m ~ G � � w A � � ro a � f0 �� m►°"°i �w �?� �� O�O'1 T � � A � S I �y eD 3 �3 � � M � �� o � x °y p � M � �p w �� ml � � 0 � � � � � � � �, � vi � N w N � � �� .'7' � m � �7'l w t W � 1 C!� � � �i'l F� � � � � � A N SD] � � � � y Q r o �� • o . � • M ♦ 0 L �. • p � . . • . � : � � � � ' : v • O • ti7 O ��t rt � ' �G A . � w � 0 � qr 3 � p0 c� �� az �; x� x x � � w x�� C n � n .y :T -� � p � n � � � � � , � � � M � °c A y .x+ o �° 00 � a ° � �"�o � � � � ~ � C M �p � : � C C, : �y ,J y �f �a a � �u y S . : � � � :. "� ' : -j o � M � : . : � � � � � � y � � � � C � • • • • � • • • : • : • � : • • • . . • . . � • � .. . . . . . F�+ O . O x N � N k x k x N K � � � N W W � ►�+ r�+ N � HP 8�,��s�S�� d► M• M tA da tw tA d1 M � � � I � O � �I � r 1 r C � � v � 1 � O x D � i � 1 � � �T ..L rT'1 C r m � M 3 o� � �^ O �. � a � * .I� � I� " 00 I � ,� � � I a a � � �Seoaies �� w�rni � c1,o6trs � � 1JR1lIALS � � NTN O � d m �� d �d SINKS � '� w� rw�rs DRINK. fOUM. �� FLOOI! DaAINS uro+ ii MSIHS v wuTO WAL9E� GAS �vv�. � � i� a�Gt �� OPENINGS .. _ .• 6� � N � b T Y D v ~ I � ❑❑ I 1 n . � o � � ti �. �. S �" � � � ' � � � � w a. � .°. W C. � � � � � � � � a.c� � b �� o p, � � M y � a�x�. . d � ��°e� �. � �' a a. � � ��o � • � m� �� G� � �o� � ~ '� ii' � � � sb � �� '� � $��m �. � � � � s o a,��, � m �� i�- w ' � �� » �II � A A °Of � A � � g O �a� � r A � 7. m � A I 3�� .°. � � ._ ._ � • C �' d 7C � � � Q ~ r1 � • �s °�i A 6 � � M � '�1 94 � � 0 P � � � . � � � � W � , � � � CJ] � � 1 � �. �Jl � � � � � N - M 1 �ap �-� ■ �� x y . ��. w� . N � � � . � � � a � DATE FROM � SUBJECT PUBLIC �VORI�S � ANCE Yard Settling at 5132 Hughes � � / J ��1,�`,•,�� IOAEMA�A�11Dl�1U1 Flo TO ACTIONI IN�O PA9 ��ar- j % Z �� This morning I met with Mr. Eisenschenk to discuss the settlement along the new�;�eur�; at 5132 Hughes, that was put in prior to sealcoating. I told him that�'we would fill in behind the curb, and sod it, for approximately 7-1/2 feet from his property line to the curb. He informed me that we were going to fill in his whole yard, or approximately 20 to 25 feet. I told him that the City is responsible for the boulevard only. Mr. Eisenschenk told us to leave his yard alone, and he would talk to the Mayor and Councilmembers to see that we do the whole yard for him. So until I receive other instructions, I will not do anything to his yard. ,� �-. . ' �A � � _ �',; `, .,r �i c ,� S �� f �- t_ c�� .f �- J �� _��1 �� ,, h � `� �� G✓(� 1�P�J % "i � ��,. o' l.� f.....� L�' � G' �! .�',� ��„� ,�� . ��jN . ,r� � S�';C 1�,� ,/%�� _ fl � � sue�etT P O. City of Fridle� 2 8 0 8 6 AT THE TOP OF THE TWINS g u i L D i N� P E R M I T r ; � NO. � • COMMUNITY OEVELQPMENT DIV. � VV �.�� , . .. r � � PROTECTIVE INSPECTION SEC e� � � i , � ..1 /� � � /'�'1 � CITY NALL FRIDLE� SS�32 NUMBEi1 REV DAT@ PAGE Oi AVPROVED B� �----�" �•� 612-57�-3450 s�aF�s 10/2/98 / / JOB ADDRESS 5132 Hu hes Avenue NE t LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACMED DESCR. 12 7 Carlson's Summit Manor South Add'n SMEET 2 PROPERTY OWNER MAIL AOOR�S$ 21P PHONE Stace Mlckle 502-0 2 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Owner s ARCHITECT OR DESIGNER MAIL AODREBS ZIP PMONE UCENSE NO 5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 �ESCRIBE WORK Reroof house 16 S Tear-off • Reside house 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State¢ Building Code. Call for building wrap inspection before covering. 1 SEPARA7E PERMITS ARE RE�U�pED FOR ELECTiiICA�, PLUMBING, NEATIN(3, TYP� OF CONST. OCCUPANCv GROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITION�NG THIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT AUTMORIZED IS NOT COMMENCEO WITHIN 80 DAYS. Oq IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANqONEO FOFi A PERIOO OF 1Z0 OAYS A7 ' ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFV 7HAT I HAYE READ AND �XAMINED THIS APPLICA710N S7AlLS GAFAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAW$ yp�UAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUEO WITH WHETHER SPECIfIED HEREIN Op NOT. TME GRANTING OF A pERMIT 1SOO . 7S DOES N07 PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEqM1T fEE SAC CNARGE PqOVIS10NS OF ANY OTMEfi STATE OR LOCAL LAW REGULA7ING CON- STRUCTION Op 7ME PERFORMANCE OF CONSTR C ION Fire SC 1. SO PLAN CMECK FEE TOTAL FEE 5� u CON CTOaO UTMOA�L�OAGEN IDATE� WMEN PROPERLV V IDATED THIS IS V UR PERMIT � S�GNn 0� OW �� O N U OER� iO�iE� ' B►0 �h5o � ' qart / 1 ✓ � N� I J �DN L l ALTER [ ] ConstructionAddre; Legal Description: Owner Name & Ad Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� ,�� h� M1V L1C;�1V J� �f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIP'rION OF IlVIPROVEMENT Width Height Width � Height Width HgtJGround Tel. # Sq. Ft. Sq. Ft. Sq. Ft. 0 . - - - � � �� .5� " ��,�' Construction Type: �� `�� (�� Estimated Cost: $� 0:�� i� � G; � 5 (Fee Sched�el on Back) Driveway Curb Cut Width Needed: DATE: APPLICANT � Permit Fee �d� $ Fee Schedule on Reverse Side �a 75 Fire Surcharge %S� $ %. � % .001 of Permit Valuation (1/lOth%) -i�, �3 State Surcharge ��$ �p $.50/$1,000 Valuation �-,ob SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] r �j �J_ TOTAL '�'" $ STIPULATIONS: _ li �„�� y.. ., BUII..DING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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 $1,000,000 $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 $SO,OQO plus $6.25 for each additiona.l $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. sue�eer PQ�kIFtT N0. '�- City of Fridley ��2 8 715 AT THE TOP OF TME TWINS g u i L D I N G P E R M I T � ,.572 3f �� a A � � � RECEIPT NO. � `v _____ O M M I T Y D E V E I O P M E N T O I V. p� f j � PROTECTIVE INSPECTION SEC. �j / ra � = i t� �� ' �'�� CITY HALL FRIOLE� SSL$Z NUMBEiI 11EV OATB PAGE Oi APCROVED BY �----�: `.� 612-571-3450 910-F15 12/4/98 � � lOB ADORESS 5132 tiu hes �ivenue N 1 LEGAL �OT N0. BlOCK TRACT OR ADDITION SEE ATTACHED DESCfi. 1?� 7 Carlson's Summit Manor South Addition SNEET 2 PROPERTY OWNER MAIL AODR�S$ 21P PHONE Stace Mickle 502-0492 3 CONTRACTOp MAIL ADORESS 21P PHONE LICENSE NO Own.er 4 AHCHITECT OR OESIGNER MAIL AOORESS ZIP PNONE LICENSE NO 5 ENGINEER RAAtI AODIiESS ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WpRK � O NEW O ADDITION O ALTERATION {� REPAIR � MOVE • O REMOVE 8 DESCRIBE WOFK Construct a 6' x 7' deck 9 CHANGE OF USE FROM TO STIPULATIONS � See notations on plan. �� Before digging call for �II utility (ocaiions 454-fl00� REQUiR�� Y LA�'V SEPARATE PERMITS ARE REOUINED FOR ELECTRICAL, PLUMBING, MEATIN(3, TYPE OF CON$T pCCUPANCV GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR C(�NSTfiUCTION 20NING SC. fT CU FT. AUTNORIZED IS NOT COMMENCED V�1ITNIN 80 OAYS, Oq IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANQONEO FOR A PERIpO OF 120 OAYS A7 " ANY TIME AfTER WOqK IS COMMENCED. ' N0 DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFY TMAT I HAYE READ ANO EXAMINEO THIS APP�ICA710N STALLS GAFAGES ANO KNOW THE SAME TO BE TRUE AND COPRECT. A�� PqOVI310NS Of LAWS yp�UATION SURTAX AND O INANCES GOVERNING LMIS TVPE f WpRK WILL BE COMP�IED WITH ETHER SPECIFIEO MEREIN OR N TME GRANTING OF A PERMIT ].ZOO .56 DOES T PRESU O GIVE AUTMORI O VIOIATE OR CAMCEL TME pEqMIT FEE SAC CMARGE PROVI IO S OF V OT R STATE OR LO AL LAW REG ATI G GON- N HE PER RMAf�CE OF O TFUC710N � Q 2 Fire .5�.' 1. 13 PLAN CMECK FEE TOTAL FEE 41.94 N CO R AUTMOp�ZEDAGENi IDA E� WMEN PROPERLV A OATED THIS IS VOUii PERMIT SGNATUAE O� OWNEQ�� OWNEN BU4DEA� IOATE� ' BLO �NS� ' p6I( / e NEW ' - ADDN ALTER [� [l �l ConstructionAddress : Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ��115 BUILDING PERMIT APPLICATION LIVING AREA: GARAGE AREA: DECK AREA: OTHER: � Tel. # MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length _� Width � Hgt/Ground Sq. Ft. t��d� ` % �� ' Construction Type: �(��, Estimated Cost: $ J�� (Fee Sched e on Back� • Driveway Curb Cut Width Needed: Ft. -��Ft =�Ft x$ � _$ DATE: J � APPLICAN7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: � �� $ � $ ,3 $ �� $ $ $ $ $ $ $ R'�% Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) Tel. # — ��p? ia1 � �i� $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Of�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 $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up ��I.y $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 $100,000 $887.25 for first $100,000 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,OOp 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. 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 $15.75. VERIFICATION OF FOUNDATiON 1 Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed struc'ture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. d � y\� �� a : H .i:� `.�. ci .� t1! N < �— �) �� , � � � � �� ` � m � '� W � � � o � '� -�. h � �` � o �� 4� � � � u� � i� l� � '_] �S — j�� J � �� .) c' � ci�- �� . a f ^ ( ] � •7-•1\�` � �� x� .�� W _ �� `�' iv. � �� c" r� c.� �� T ��R �� :.t v r.� ;�C � v� � � � � F� c7= (i � C� �' e•� �1 N pJ��j �.'�2 o � r� i=i � �a ;�+ cn p p x �_ � ' l�1 ri �1 �y � � � H z 4) r� .0 � th � � U r � � � H H � G � � � � � �� . � � �� ► � _ � � W �V �� , � � I � � � � � r � _ C17YOF FRlDLEY v � FRIDLEY MUNICIPAL CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 May 17, 1999 Elmer Lee 5156 Hughes Ave. NE Fridley, MN 55432 Re: Final inspection at 5156 Hughes Ave. NE Contractor Owner Dear Mr. Lee: A mechanical permit was issued on April 14. 1998 for the property located at 5156 Hughes Ave. NE for a new gas grill. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, �°LO. Barry Riesch Building Inspector � -ry c� � � • � � ��) � r � � c � c O > � w O g F � U'� � Z W U 8� O � � Z � �� _� �� z �z 0 �� a° ��t,l U �� Q 0 Q � Z O � U � � � a o °� � � > 0 Z 0 U � w Z Z j N �a� � �� ,d- u.. 'c O � m � � $ N �� W � �p Q 0 J � � w _ U N � � � C � '� � C � S � � � U � o �, � m U m ''C'' t `� �j � .r � N o t C � � � o €3� �-� m m � � m�' � -� os�2 � V � � � 0 � .Q � � N C � � � p S 1 .Q � � � � c��c" � ca �. � �o��a 3 o w E � �� .� -QV° C y. � o � � � v c --° N . £ .� � m o, � � a� � y o �/ V L� co +-' ca O � � � � W � Sr; c Q 1-�- vai' 2 L O a 0 H �� g S g � � o 0 fss � � � ^� f � v m � � � m Y � Ut� � O m m t � E O 3 p u,, u:, v a � � � � U �! � � � � m � � 't"'c � �° 'n. � � �o��?'a � E � N � � a c� c� �, . Q W � � C9 Z 9 m l�J � � O Z � � w � �� r� � O U 0 � � w � � S O O N � � � � � C9 � Q I C "c 0 c U Q ! � � a� � � o � 2 o p .a z w � -- N s �� U m C C C O �j m U a � � � N � c � � o � ° = Z � � o � c� � Z 1= m t�i �» �s � Q m z 0 � �oy C > � :_. C � � � Q � � �- � � i° o a�i m a�i � t "" V o a �' � O m C c� � Q � Q � O c m C � � .� o � o E � E c`�y U T � 0 w 0 Z N � a _ m � m � 1= c m m �� w � � w � � � o � � `� �Z a � 8 Z � _ 0 z � w� �� . � � c lA � FQ � W � � m af 0 c � m Z rr O t0 �c O I � � � o�C � Y U � ,� � W m p U $ � O � � a � Q Y I— a ��F- og �a �� 8 � W � z O U a � Z � L 3 � m >. � � ° �N � �Q �o Q � � Q. c � � � c � � � C 0 ° € � n Q � . _ � CHIlVINEY AND STACK � VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (_ ) No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected Yes () No () 6 Has total heating BTU's of � All other BTLT's TOTAL BTU's 7. Has a liner been provided for water heater � Yes () No (� ) 8. Has combustion air been provided for water heater Yes () No () Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ' � � � � Z f� � Z O Z w � R � v m 5'i /�� VI %. � � � r � T m m � � �r � ��. o �v o = � m� c y � o�vc� �5�O� c'�o o m= 1 •�•� "1 � �T � ~ � � �v -�-1 m � Z � 00 � � ��j` � � � � C� W � O � --I � y t�/! r► °r -°: 3 �• � °� � °� � � "v�m c� m.� ��. p.� fD o � � _ _ � � �, oo � v v �� cu co cu � c�D vi pp '� �. � -��o �� m� z� 3 d N� m 3 ' r v► cn < ' m c� � u�i � � Z o. m � y � � � � � � �A�� c � n i1 � N Z 0 I I I�) I I I I I I I I t� ��v►�►tfltflt��+t� CJ� O O O� O y V V V C1� A. �I O O O O O p O O O O O O O a � � N fD a y � � '" � a a � � � `�° . m 2 �; � I � N N G) y �l tn � 7 0, � �C � � � �i g cu. c'n w ��=m o .m � a o `�� ° � mzmD � � O ,Q � � � N � D m — � ��" m -� _, p � � m �s, a'' � v' w > > 'o �v � � �°— _ - a ,,��„' g y �, � c� o -�'i � rn � �, - - --- n� � a � . m o, n� m � � � � o� � � � � a �, � o b� � °: m u� � m �? � � '� o m ;� �` n� � ? N N � � N lO '0 r C � � z � � � m � � NQ:W` rn� C � �Zc�u'� � � � N D n m _ z� m� 1 � � � � � � . c �- > � 7 �,-. C °� . � a � � r C� � O Z � O � � r C � � Z � n Z v a y T � Z � 'v rn 3 � � � O � � v � � N O O O s COMMON VENT. VENT CONNECTOR AND COY1fIBUSTION AIR VERIFIC�ATION When replacina an existins� furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. �'es () No () The venting: system is. plastic/PVC and meets all cuRent codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinst combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( ) Yes ( ) No ( ) Yes ( ) No ( ) When instailinst a new ventinst svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's spec�cations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed conectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes O No O Appliance Tvpe and Size/Common Vent and Vent Connector Irnformation Appliance #1 Type BTU Input ,_ Fan Assisted or Nat _ Appliance #2 Type BTU Input Fan Assisted or Nat _ Appliance #3 Type BTU Input Fan Assisted or Nat _ Total Appliances Total Btu Input _ Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ ALTERATIONS• (Describel HEATING CO. Signed By: Date : .� � _ CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 14, 2003 Stacey Mickel 5132 Hughes Ave NE Fridley, MN 55421 Re: Fina1 Inspection at 5132 Hughes Ave NE Contractor: Norblom Plumbing Co Dear Stacey Mickel: A plumbing permit was issued on December 27, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the pemut "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building Inspections 763-572-�604 DATE /� SITE ADDRESS � THIS APPLICAIJ7' IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ADDRESS I�JNER �COMRACTOR i Pernut No.: Received By: Date Rec'd: NAME: STATE LICENSE # EXP DATE � ADDRESS: CITY STATE ZIP O SDVGLE FAMILY/NEW O TWO FAMILY/NEW CC ❑ ADDTI70N ❑ BASEMENT FINISH O DECK O NEW O MAWTENANCFJREPA; OR�F ❑ SIDING O SWDvIM1N0 POOL 7 O DRAIN TILE � OTHER DESCRIBE WORK BEING DONE: I S1ZE OF IMPROVEMENT NUMBER OF SQUARES G RA PROPOSED SIZE: PROPOSID HEIGHT: SIDWG ❑ Vinyl 0 Aluminum � Other �'1'INDOWS M IXISTMG OPETRNGS OYes ONo OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPEAPAIG CHANGES & O HOUSE & GARAGE � ATfACF�D GARAGE ❑ DETACHED GARAGE OSoffit O 'frim ❑ Fascia LOCATION OF WINDOWS WIDTH HEIGHT $ASEMENT REMOAELMG SUBM]T: l. Existing Floor Plaa 2. Pro�sed floor plan 3. List of strucdiral members W be used Ft. FOR NEW CONSTRUCTION DJCLUDING DECKS. ADDITIONS. & PORCHES SUBMR: I. Site P1an/Survey showing th� existing strucdues and proposed project 2. Two sets of construction plens 3. Epergy Calculatio�u � WM�W TO BE 1NSTALLED NUWIBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � (I1SING 7�.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Swcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due -*��''� i — �� : � �.�•'._II ��.. See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.SO .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavabie to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED �'� -�.. I hereby apply for a building permit and I acknowledge that th ' ormation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Frid and ith the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio a p6, 't an or is not t start ithout a permit; that the work will be in accordance with the approved plan in the case of all w rk wh e' re ew a ap¢t'� al of ans. ` SIGNA'NRE Ol� APPL(CA1JT= PRTNT NAME �l c� C DATE � I Page 2- Building Residential Application BUILDING PERMIT 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: � 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977