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AF - 46867� � � M � 'd L'�" o � p � . M : x . � ' M . y : o . � . m o� � : � • {� , N � N � � �+ � � � w � � p � �� N � o • o $ : o . o . o . . Gd : : � . . I I I x 0 N 54 . N L� ►�+ � O O O � �j {� 9 y O H � C" � z� � z� zC x � w rt � � F t� � � n � R � � � � � � � �� y �.� �� : p � ,� a o � 0 0 ; � � : � a N , � . Pn � o : � � : 0�4 0 . . . . ' Gd : : : : : � : : : : 0 k C4 �d pd DQ pC W N W F+ t+ ►�+ � C�71 O � O O O � t» tn t» �s t�i W O � � (� � I 0 � x ,�:,;_._ _ � �° � � p N bd C D '� r � m y n 2 m C r m � • � Q. p ~ � a �' � x ^� � 8 � �@ � � a� � � � � �� m o m r�+ M �❑ a � ° � �- � � �� ' !] � ��-b 8 � � � � A '�, � � � � � �' w � g � �. z f � . .� � � i ' � . � � �� WATER CLOSETS URINALS enr►+ ruas BASINS SINKS WASH raars DRINK. FOUNT. sHw�. FLOOR DRAINS CATCH BASINS �ro W�lSHER GAS APPL GAS RANGE GAS OPENINGS 11 • 2 • � i m A n � � ��y�� H fp � � � � � � ro ~ � � � � m $�q�� o � 5' �' � � oa °t� � y � 0 ^. � � � � �, --- � � �� °�� ' �� w � � � �• � � �� o � � o �_� Q' p d� � � y : � � �. w � � \ ¢� �� o �ti �.�� m �yOF�'1 iy`• � �i' ~ � r.� I� m � iJ � � 5' � gd G� � a� aQ Rx &� p � M I.O� �� m � � �• � � � 0' � � O � �' ; '7 � � � � � � � �' � � b0 � �. ,d � , o � ' � � � � � � 0 �. _.. � - -� :�..'�.�.d � �� ,� � �� City of Fridley, Min.n.. BUILDING PERMIT Date: .9.u�u.st 27,� 196s Owner: _Harold M. Walker g�d� Same Addreas _._9-�� z�Q:nt on S t. N � E. Addreas LOCATION OF BUILDING No. -.��-Q1— Street T''o �� St • N.E. ..� .__._ Part of Lot Lot _._.__�._—__ Block � Addition or Sub-Division .....__ F��.r3! .s Corner Lot w Ine3de Lot _.._. � Setback ....__ Sideyard � Sewer IIevation ________ ._._ Founda.tion IIevation �� 9 1�Ta 990'7 DESCRIPTION OF BUILDING To be Used as: A d d i.i �n F`rpnt � 2� Depth 2 �� Height � � t Sq. F'� Front Depth � I�eight ._.._.. Sq. F� Type of Construcl3on Fxame ��, �,��pQ�Q_ __ To be Completed (7u. F't Cu. F't. In cons�tderation oP the issuance to me of a gercnft to construct the building descriixd above I ag�e to do the propoaed work in acc�rdance with the description above set fo � and in compliance with afl provisions oP ordinan� oP the dty of FrYdley. �. ��`� In conafderatfon of the payment oY a fee of $�,9Q , germit 9s hereby granted to Aa,rol_ M. W.l lre� to canatrvet tlne buildiag or addition se described above. This �rmit fs granted upon the express condition that the person to whom it ia granted and his agents, employees and worlrmen� in all work done in, around and u�n safd building, or any part thereof, shall conform in all respects to the ordinances of Fridley� Minnesota regardiug location, constructton, alteration, maintenaace, repair aad moving of bufldings wlthin the dty Iim�its and thia permit may be revoked at aqy time upon violation of aay of th� provisions of said ordinaac�s. � � ` 6 NOTICE: Thb psemti d� uot eewr ths eees�uettoe, InttalHltoe for �rMa9. P�+�9, 6a huNne, sswe� ee watsr. B� wn to ss� tM eutldi� lespeeto� Por sspant� pam�tls fo► t6as tt�ms. APPLI�ATION FOR B�IIbDINC PERMIT C I'I'Y OF FEZULE`Y 9 MINNE�OTA OWNEt� "S 1V'AN� ��i OG� Q' /�%��.=�'c�i�Bt7IIsD� �/`�/�� A:DDRF�S_ �%D/ �G/�0�i1�/t✓ Jl /�/ � ADDR:ESS I,CCATiON 0�' B�T:II�DIl�?C 2�0 D � S� ' -/ � � � ('J ott� %�� /1� �% / v� � zoz � Bvoc� ��zTZO� o� s�rvzszo�v /�Oo c�' �' �OR�,?E[� I,GT II�?�IDE LOT � SE°I'BA�:I� �L�EE�� SEWER EI,�TATIOPa TOP OF T'OCTI�� Applica.ra,t a-c-cach -to thz� �°o�m. Tv.�o �'2�tiii�at�� o�° Survey of �,ot a��. p�opo��. buildizs� lo�atiox� dr�,u�ra. o:� thes•� �e�ti�icat�� o �ES�R�F"I' i ON 0�' BIIII�➢S1VC To Be ��. gs: ,�r�c�oM•.�p�•PTid N eF�,sT�►�- Fron+ % ' ��tn �a' H��.gnt /� ' s71�AcT�iP� �quare �°eet Gubzc F��t Fs o:�zt De�th Height Squ�.re y�et �ubic Fe�t Typ� oi Construction Estimated Cost �.�� Q� To Be Completed Th� under�ig.ned herEby maLc�s applicatzon fo� a permit �°o� the ��ork he�°eir� �pe�i�°i�d, agree�g° to do all work i.r_ �trict accordanc� �r�th 'chP City of Fridley Ordi�a.rlees �..nd rulings' oi the Departmeza.t o�° Build�..g� 9 and h�rcby d.eclares that all th� �aets a�?d r�p?et�er�tation.s stated i�n this ap�licata.on a�e true a.�.d correct o � DATE d� � ��/U � ��NA� � �� L��,�� (Sch�dule o�' Fee Co�ts ca�n be �°out�.d oxa the Reveree Sideo � �� R �� , y�� , � 9 . ._�� G�� ^ -- - -- ,..., s.� A . �_�� BIIII,DIN� PERMIT �'EE SCI�D�I,E SECTION 2o The In�pector of Buildings shall, �aeiore issuin.g perrait� for the e�ection oi any buildi.ng or �truetur�, o?� ior �,.ny addition to an� exist�.ng �txucture or build.i.ng9 or f or a�y �.lte��tion or repair� to ar�y exi�ting building o�° sts�tactus�e 9 upo� applicatio�. therefor�, �equire the payment by the �,ppli�€�,.t�.t fo?^ �uch permi-t oi fee� to th� amount herei� below �et iorth and i.n the ma.:�ner here�.n p�ovided to�wit: Uniiorm Buildin Codeo Typ� 19 2, & 4 m$1075 ior eaeh o:�e thou�a.x�d cubic feet, or fraction thereoi9 i:n suer cubical c�ntentso Type 3 8� 5- $1050 for each one thousand cubic f°eeta Fox° the purpose oi computing fees for building permits9 the cubical contents of any building or a.ddition to a ut�iform height throughout hy multiplying the ground area covered from a poirt six (6) inches below the floor line of the basement or the ceilar to the avera.ge height of the upper �uriace or to the average height o� the roof surface of the ma.i.xi ga.ble oi a pitehed roof e For �epairs or alterations to an existing structu�e, the fee shall be at the rate oi $3000 per each f'ive hundred dollars ($500000� or fraction thereof in the coat of all p�oposed worka In no case shall the fee �ha�ged ior any permit as aet ?orth 1..�. Section. 2 be 1es� than $50000 NSSSD Connection Charges ba�ed on location - A.rea 1 c�r 20 r- . ¢' °. ^ �+ . � .. I 1 � / f� � Q � � Ct , I I 4 � I J r .. _ .- /� ' � � _�� r ..- � "'- r I ' � I � � , � ��J��B �!� � I .�'� � � � i l.►'J L � �J � M a � � / / � � � � ��` � .., �� p �� , \ �'f' _ �. � � �- �,, � � �"'1 �_ - - -= �'1 . 9/ ♦ T \ 1 ` S ` � 1 1. �, � � � �' . � � � � h Y � �. � � � �; � � E` � � � i �. � � sue�ecT PERM . City of Fridley 1354� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � ' RECEIPT N � � ' � a.------- COMMUNITY OEVELOPMENT DIV. �� r i PROTECTIVE INSPECTION SEC. � � 1 ; � 1-___� �r'��,,, CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 � � 52676 JOB ADDRESS 401 Ironton Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 1 Froid's Addition SHE T�ACHED 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Phillip Willson 401 Ironton Street N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE UCENSENO. Hugo Skrandies 195 Hugo Street N.E. 4 ARCHITECT OR DESI�NER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING RESICIP.11't].�. 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Remodel 9 CHANGE QF USE FROM TO STIPULATIOM'S Can not be used for two fami.ly dwelli.ng until Special Use Permi.t is ��ik approved by the City Council. SEPERATE PERl�lli REQ�JIt�ED �'t� �`W�f�;��r HEATING, Pi.tf1M81{�G AN� S#�S. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOO(3 FralRe THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6, 500 �S`3. ZS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �`39.00 PLAN CHECK FEE TOTAL FEE $42.25 31G�ATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEt WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � c J � � �° � �'`� � i �, IG A7UR F OWNERIIF ER BUILDERI IDATEI BLOG INSP OA7E !B'y �S � �.� . p RT. � �_ ,4� _ � � �� : ��-a�f�iw' �0� t��Atl,}��A Z1'IM��q ��►��:;,� .2N� ��VIA �NI81�iLl.i9 .��1�T��. ,.:.� ��, . _ �y i, . . _._._ �,, , �P1'LICATION FOR RLSIDL'NTI/1L, AL'I'1:RATI�N, OR Alll)ITION 13UILllING P1iRAtIT . • CITY OF. FRIULEY, MINN�SOTA • . . r Ot�II�TER' S , NAM� : � $UILD�R : f . � ADbIt�SS :' �lj � _C,7"��f �, ADD1tESS : �� NO • � / STRE�T • � �7'1 (_.Q��c� � LOT :�eT "L BLOCK : I ADDITION : �RO 1 OS . V70 D CORNER LOT: INSTDE LOT:�_SE�BACK: SIDEYEI,RD: Applican� attach to this form �ao Certificatcs of Su. rvey of Lot and proposed building location drawn on these Cextiiicates. a D�SCRIPTION OP BUILDING 0 �o s� us�� AS : � � a�- ��`� . � ��MO Orr'LIaV Front ; .� � Depth :.�D Height : �� Square Feet ; Cubi.c I'eet ; Fxont: Depeh: Hei�ht: Square Feet; Cubic Feet: Type of Construction: ��R�}.v�� Estimated Cost:_ $� SQQ . ` To Be Completed: �� . 7.'he undexsigned hereby makes applicatinn for a permit fox tlie work here�.n �' � specified, a�reeing to do al.l woxk in stxi.ct accordance with the City of Fxi.dley Ordinailces and �.-�ilings of tlie Department o� $uilclings, and hexeby declares �hat all the facts and representations stated in this application are t�.�ue and correct. � • S s� � ,� / � DATE : .S-- � � ". o G� SIGNAT[JRE : /,��2��✓ _ �i e-�/ � (See Reverse Side For Additional Information.) � �,Sx ��3�0o p�"` C�� C�.� NoT ��c Vsco � -�j� . • . � ' Fan. � T�vo F�y�r► � � ►�t G,J�'�X , 5 c. . �� Z,?� - U�rr► �� S P�c,+ � usC ..� t� . 4_ . � t AP P�o�o �y . . . . . . � l�u�+ e. 1. � . e�� ^ _ r ��9 �BUILll1NG PEItMIT �E� SCIIL'llULL SECTION 2. The Inspector of Lui.ldings shall, before issuing pei-mits for the ' erecL-ion of any building ox structure, ox for any addition to any existin� bu�lai��b or structurc, or for any alteraL-ion or repai.rs to any existing buildi.n� or strucL-urc, upon application therefore, rcquire the payment by the applicant for such permiC of tees Co the amount herein below set forth and in the manner herein provided to-wit: . � UNTFORM L'UILDING CODE: fiype 1, 2& 4-$2.15 for each one thousand cubic ieet, or fraction thereof, in such cubical contents. Type 3& 5-$1..85 for each one thousand cubic feet. ' � ADDITION�L INFOIZb7ATI0N �Coi il�e purpuse :,f computing fees for building pexmits, L'he cubzcal contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inclies 'uelo�•� the floox line of the basement ox i:he cellax to tlie average lieights of the upper suriace .or i:o the average.r �height of the roof surface of the main gable of a pitched xoof, Fo�- x�pairs or alterations to an existing stxucture, the �ee sha11 be at the raie of- $3.0.0 per each five hundred dollars ($500.00) or fraction thereof in i:he cost of all proposEd taoxlc. _� In no case shall the fee charged fox any permit as set foxth in Section 2 be less than $5.00. VERIPICATION OF FOUNDATION NOT�t Pexmii:s for construction �vill be issued a mini.mum of 24 hours from the t�une of application, to allo�� for pxopex xeview of the pxoposed structure and o£ L-he conseruction site. .. A Certi�ied Survey of the lot, showing the location�of the founclation, once it has been constructed, �aill bc xcquired bei'ore procecdin� �•�ith the framing. CERTTrICATE OF OCCUP�INCY Application for a Certificate ot Occupancy shall be made ten (10) days prior to the usc or occupancy of any structure for which a Uuilding pei-mit has Ueen issued; and said structure sl�all not be used or occupied unCil a CerCifi.caCe . of Occupancy has been issued. � � ti . � .�. a = w: � t � � � � � " :3 oa '.R1 W C� � N .`�,� � 1 �' f) �'� 7. y ra' �i � w x R� � n � c � n � � � ti � � o �S n � n M � 'r'1 � ,� � M • O• M �� M~ � i9 r' •k• `` ",�' C '� �� p �i t�1 �: � :°: � N � . T 0 � eo 00 : O. �o � m F x ',D . �p a ~ � �' . � � � P7 . � •- � x . o � � • � � v ((�� N b n � Q N � � Q 0 � � � • � . • � • 25 . . a • y • � � � ��.j � � • bd c� • �' °° � . . . • . w �.i . . �y p py . . • « • • •, � v • • � • Q ' • • . � . • • � • . � . . • . . c� . . . . . . . . . � . . . . �., . . • ' 0 � • • . • • • • • • • • • . � i • • . . • . . . . . • . .. • � • ' x x �� K K �a o M x x x x x x o �h ' . �� ' ,twi► �9 N � w ,.��"i �i Ya � � w �f � g a S.�,j c�'s'. c�n S �n '� � � M �. s� v► �a M E" tA eN a a w uo ' � O � � !� 0 � .i � V�, H cn . t+ I ' � � r ' a � . . �rt� . � . . �n , . � > -��-�t �' � -�-1 � � � T�q ■�• C r m XG�'" ! 8 � w� o b � R O � a d �� . � � b � � � M A � � O � o C �� a G7 �7 � N � �' � b . . . , � . �Al . 1 �� . +a �,, � O � � �O , � :G °`' �� n�� Z� � � =' C� � C � � � c�s� � � � �� o � O�� a � p A 'd � w " a w �: N � ,� g � . y x � ° co C � � Q. �, �' . � � � n � 0 � . � .I ; w a. h ~ \ � �� '� � 0 w�na uos�s uRiwus •AiM tvos �� x r s�Na g a� � a r�urs � t� oa�Hr. � n rou►n. � M SrM'RS. � � � a� r�ooR p DRAINS � � UTCr� ,� Q 6�lSINS � �� 7 AUTO b � WALfF� O O N �..a y J G� "I � � �� < ows � � a�wG[ s °� r '� �� oc�ew�wcs �' . e � � z s � w i � n � a on11 i . � � � � � � � �a � ,y A aa� � � 7� a � o H f�D d ' .� �°p w o a L c � � N �` \ ��3. s ��a� �xo� � �� ° ` 0 w ~ � x h1 b�'nm ��'::� �� - � � � w � r 0 � a°' . 5' o �q�� A tl �. � ¢ � . ap''� M��p ~ ` A ti .� w n � ��4 ��o �� v i �� , � ... � � � � e5a ' � �'i � , � � A r � :+ �0 `z � O � � OD � ptL ~ � Y �? � y, 6�2 �o � i . _ �. � w , � `�I : ,� . ., . �� i ,� �.�. � ^ z � � F' ro o � o y O �..� vz � c� �u w w � 3�+ ao. m u' r m a a�r m� zCy� � �' m H N F+• rt hi c�i E (rtD m n E G U � rt � rr w r+ �r G) H N H �' h1 K m z aa � � w y K K o w N�t a o �''' m w k ''" n � ro o a vai G�� o r rtp z � a rt o rt w rt �C� �t� 'rf Y O r O h�+7 k � R � ��'S � `� � � y� p� � � % N tA ti � H H � Or (D � C °o � =9 �S c�i� m° rt o p' � fri o °o m " rt a o �o ro� rt � o m � r io �o w � n M (zi� H k N � o � w tyrJ --I n a � °o° w � � m oi° w c� � � � � --� rn � � � y = � m � n I I I I I I(�I � I � m m x�e x x x x x x x x x x � � t/l {q �F= N iA tq tA iA F' ip i? Lf i/! N � N ll� O !-' W l!� N �l O lJ� 11� N N W 0 0 0 0 0 0 0 0 0 0 0 0 0 o H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �y m tn � � � � , O' o . � � � M O '� � r � z � � � ri N m V � 0 tn m tn +n tn tn tn tn tn tn t� tn H 0 II � � � t9-, � � zQ � ,T� H t� z � ro � � � P y �N � 1 V 0 C � � ro � � e o �' � . '�' � _ ,a w N r Stories � � �S a a rt �i �� a er z � Closets E � Urinals M �• m � o �� BaCh Tubs N � Basins � a o � � Sinks p � � Wash Trays ��, Drinking �q Fountains �. Showers n Floor Drai O � Catch � Basins � � Automatic p' Washer w � Gas Appl. Misc. Fixt � N Gas Range fi � �° n Other a x � N W c�+ N K � n � H oa � z � � p' o �' ~ �e a � g M Fi W fD � � 1 y O y y�j � nrt N N � t�n r�+, W � t'Uh g � N� w a N-M � N C O tl t~-� � N W N �P O, O N t' `9 t] � H M m y. o� ro H d 4� � O , n m w °� i� � ro � m � o K � �S rt W H O 'G N H y r � w � 0 � � wrt�� ro � �� y O � 0 � �I \T ' , '�� III 1 � u,00 m .� ��x'% m a w r tu a w p r. :� r-am w � w rt rr � � n N. rt �4 r• o "J' N n � t~!i ` � M a �a � n �a'oa � w m w �u n rt N �. � �k m � � w E `� � �• �, , K N x K m a K � �' Q� �` � / � 1{ N (p � 1-.' � p� ~ F{ � �o acr`� x Iv � � a n °1 n w �- �� * � a 'o -o r C� D � O z 'n 0 � "'0 E �' 3 -~-I W -�G � O T n z ty T � G� �-+ D t7 � r m -n -< � --I Z � "� m � `] W-2�1 • - , � ' �5/D/ Re>>: 74 -- STATE OF MINNESOTA � .. ' DEPARTNIENT of NATURAL RESOURCES � Di.vision of Waters, Soils and Minerals NOTIFICATION OF PERMIT APPLICATION INSTRUC'TIONS FOR THE APPLICANT Minnesota Statutes, Section 105.44, Subdivision 1, requires you to supply a complete copy and all supporting data of your water permit application to the following: A) The chief executive officer of the city or township within which the �roject is located. B) The secretary of the Boaxd of Managers of the watershed district, if any, within which your project is located or which your proyect may affect. You MUST certify having served the complete application on the above in the box on tf�e back side-�the application form W-54. IN ADDITION, if your project is NOT located in a city, a complete copy and all supporting data of the application should be submitted to the Administrator of the Shoreland Manage- ment Program for the affected countyv Comp�ete this form for each notice served on a local government official. � * � � � � ,� � � * � � � � � * � � * � � ,� ,� * �r � * � � ,� � ,� SECTION I(TO BE COMPLETED. BY APPLICAI�T,� T0: A) Chief executive officer of the (eheek) Q city, Q township of m (pr�nt or tr,�pe name B) Secretary of the board of managers of the watershed district. lprint or type name C) Administrator of the shoreland management program of county. ��. �� t�1 �P 5 Y� g t{ t.� (� eo c� prZnt or type nc�e FROM: �� .,<<�'�' �'U(�% s'�' � � �lUlf i . �i)� !��N . �5 �-I S � Date• �'� 5 19� pr�nt or tz�pe nrnne ess of app�ieant . * �r * ,� � * � � ,� ,� * � ,� * � � �a � * ,� ,� � � � ,� � � �r ,� ,� * � INSTRUGTIONS FOR THE LOCAL GOVERNMENT This report from prov'ides you an opportunity to submit input to the Department of Natural Resources to assist in deciding whether to grant, modify, or deny the requested permit. It is NOT absolutely neeessary for local agencies to officially approve or disapprove the project or make any recommendation, although this may be done if desired. It is �equested that lacal agencies indicate the following, as applicable: A. The relationship of the proposed project to local plans for the affected water and related land. B. The relationship of the project to local land use controls including flood plain and/or shoreland regulations. (contirctced on reverse side) . , ° � . _ i i. • 7 �7�.s� .�Y�ff � rl '7 r/ / Z.� �/ . �sZ/� / ssaaPPV � �� aT�.is an�.EU�ig (adFc� �o �uZ.zdJ -='7�-� f/'� �a�aeu s � iEt�t��p �. � nog G 61 pa�.sQ P ., SSiSS MnI `Tn�d '�S �utpjing j�iuua�.ua� �.zun suot��ein�ag slEaauty� � sTtog �sae�.�� o uoistntQ s��nos�xx z�xnidH �o .r.��iroa�a � O,L I�[2Ifl.L�2i (.�i.znssaaau �;� s�aazts Zz�uo2�?PP� �1��) � � . ' � a�ueua�.u-r�au a�n�.n� a�.�u-nurTa o�. pa��.zodzoouZr a�e spou�aiu joxa.uoo uoisaaa sadazd pue l��"R�P ��t �uau�s�a �r�a�.� pu� ab��p sadozd uoc�.i �uabu-raum ��sodozd saxn��dd� a�. oa. suo-ra.�a Cqo ou an� p-�noM �Ialpi�3 30 �'�"J � •sa��nosag IEan�.EH �o �.uam��daQ au�. �tq uot�.��episuo� ao� pa�.�.i�uqns a� s�:uam�uo� �uitnojjo� a��.� pue paMat�aa ueaq ssq �.I • LL 6i �SZ r uo uot�.��itddE atu�zad ae�.BM siq �o �tdo� s pa�.�.�qns mzo� si�{a �o apts a�.tsoddo aq�. uo pa�eu �.u�e�ttdd8 aqZ (dT�lll10� XO �IrLLSIQ Q�HSX�M `dIHSNMOS `d�LI� IS Q.�LL�''IdldO� ,�� OS) II HOIJ.��S � � � � � � � � �a � x� � � � � a� � . � � � � � � � ,� � � � � � � � •papaau st a�i�. TEUOt�,tppE �i �.ua��aEdap au�, �xo�t ao � ajqissod �t � s�CEp gt ur��iM a�Ed s-n�� o aau�o� .�.3at zeMOj a��. ut u�r�oc{s ssaapp� a�{� o; uan�.as puE mzo� stq� e�.aid�oa asEatd TZZ-M • suoi�.�a Eqo TB�o1 �Ctre ao3 suossa� •�.�aCoad pasodoad eq�. �o �{poq ae�.En� a�{�. �uiu�a�uo� alqEirea� B�.�ep TBn��E� �.uaui�.sad �Cu�► �•s��a��a etq�sisapun �a�npss ptno�► u�t�{M eni��aCqo pa.ztsap at��. �utnatq�s �o �C�M a�t�.EU�a�.jB aaq�.o ao ZESOdoad eq�. ut suoi�.E�t�ipo� papuamu�o�aa Au� •�.sa,za�.ui �itqnd t�e�aua� au�. pu�e �uot�.njjod �uot�.En.�asuo� °a�tlpttM ptre �{si� �uot�E�in�eu •a�anosa� �a�.EM ai��. uo �.�a Co.zd pasodaad aq�. �o s�.�a��a ajqissod �Cud °3 .� .Q ,� W- 54 Rev� 74 STATE OF MINNESOTA DEPARTMENT of NATURAL RESOURCES Division of Waters, Soils f, Minerals APPLICATION FOR PERMIT TO WORK IN PUBLIC WATBRS m ��— p a �� `g "J �T-%'� � �O C� , the owner of land in Government lot(s) �� prin• or type app zeant s nc�ne �� qua.rter section(s) ��tl�, section(s) �, township no.[s) C� , range(s) ',� L{ , � � S , �i �� . (.Q3 I� % �'" `� cr�i' a.�� 1 �, (f2re no., ox no. or eas) t, e& zvzs�on county(ies) � �,3C�k� , which is riparian to � t 1 � ' �� L� �( , nome o e or stream applies pursuant to Minnasota Statutes Chapter 105 and other applicab� statutes for a permit to work in the public water(s) named abbve, in accordance with all data, maps, plans, and other informa.tion submitted herewith and made a part hereof. PROPOSAL IT IS PROPOSED T0: �vate, fill, Q construct, Q remove, B (el2eek) Q install, Q abandon, or Q other(specifb) �(9 t� t (��T E( ��a �' / THE FOLLOWING: Q dam, Q shore-protection, Q shoreline, Q harbor, �annel, Q bridge, (aheek) Q culvert, Q wha.rf, Q obstruction, or Q other(speoify) JUSTIFICATION Explain why this p]coject is needed: �� C��tic� �a�� ENVIRONMF:NTAL IMPACT 1. Anticipated changes in water and related land resources: '�'�c� � � � � �., �� <�: � � iC; f `�: � ( .� � �� 1 � � ��`� �� 2. Unavoidable but anticipated detrimental effects: (�i�Z �� 3. Alternatives to the action proposed: PROJECT SITE DATA 1. Describe the type and amount of aquatic vegetation present: ��e�� E�� r 1��5�`1 2. Describe the nature of the ma.terial beneath the water: � �n C`L � t � �f �`i°�+'� °� � i t c E � , � � �Cc�+ � r l , � '�.s 3. Describe the nature of the upland area: �U 1��f `V � �'�'� �2.� 4Q�°� 4. Describe type and amount of nearby shoreland devalopment: ` -ir i � � =� S / � r .P � l( � % . i�)�°'�c� Q� 9 I O�jcr'S f t ,� � �-_ � f �-.k r r3 <� ��t�tfl S'�� P�rt�wt� � ) 5. ENCLOSE SKETCH DESCRIBING WATER LEVEL FLUCTUATIONS. (aee instruetions) ATTACH EXTRA SHEETS IF NECESSARY c(��( ��5 t) �0. I y r (contirrued on reverse aide) I /�'' .5��►`� T ..l e� y�r Z�'" � � �1 �i a i.1� C� f�' C/�4 6: � ' . .(;uno� 6T saaidxa uotss�oa �� atiqncl ��oH ` , �• •3atiaq pus aBpeZMOUX �saq o; 8uipao�os ;�a.x.zoo pus enx� aas s;Bp �ui�aoddns aeq�.o pus 's�uemn�op 'susid 'sdam 's�uema;a;s a��. �.�{3 pus peap pus ��s aaa� tuno s8 amss at��. pa�.naaxa �.sq; (s)a�pain�ouK�B �uot�satidd8 �uto�aao3 eq� pa3n�axa oqM uosaad au� aq o� u,nouX am o� pus uzoMS �Cinp �sai� Suieq oua paaaedd8 dTTauuosaed am aao�aq 6i auoud ��.�'S/°°��.. iinvaia�r � � �� . epo� a�z , � � � , / B�B�.s � t/1/f 3� �! �� '`�� r, �9 �•� � `✓ . sseaPPtr (aassaZ) (�2rva22ddv) ,�p�� pau8ig IJ � � 6i � 3 C� 30 .Cap � siy�. pa�8p •SS ( d3uno� �o �C2p sic;� uo �o .C�uno� E�.osa,��w �� e;8}s 3� SO�ES�STIIimp\/ ;.II01II8EELIEjr� pusTaso�{S �£) �.a2.z�.s2p pzc[saa�.nM �o aum� (Z) a�2�'�0 �sod � �.aaa�.s d�suc�o� ao R�.za �o aum� c�� O.L aS.LLIWBfIS NOI.Ld�I'Iddtl 3.L3'I�IO� •3oeaeu� ssau;oea.zo� au3 �o aouepine aios� �tad si sao.mosag ZE.m�BH ;o aeuoiss�o� au� u�tM uoi��em.xo3ui ptce uoi�.E�ttdds stq3 �0 4uiii� eq�. ;at{3 pus 's�os� au3 �o uoi�.8�.uasasdaa �oeaaoo pu�e an.z� e eaE uiaaa�{ ap� s3ueme�sls pus �{�.iMesau pa�3imqns uoi�.8mao;ui 1sq� saasTaep �us�iiddy (R�2�ada) aaq;o D'st{dau�o�oc{d 0'aa� 8uii?3 00'ST$ Q S�V.LLtl auo;s ao x�og ZansaB ao pusg � � �� f �.i-cs ao Ko� :(sp.m�Z o2qna) diisT�.iui paeomaa eq o� T$taa�.8m �o emnTo� •q ��°� I � �� ! �� :u?Ei�3 pN Q S3.L�,] (�[��) i�ESSa�au aq uoi;enB�xe a�usua�.uis� pjnoM '£ :pasodoad e3ts ZESOdstp Ztods �o sot�.siaa3osasuo pus (drnu aFmq�uz) uot;BOOT aqtaosaQ •Z � p �,,/1 �77-r,a � "'�.�.) � � �-•-y � r? -�.i �, i 1 :uMOUx 3i �pasn aq o� �uamdinba uoi�EnBOxe �o add; aqtaasad •i - - - - - - (�.aa�') uot�.snsoxe �o q�deQ - - - - - - - - - - -(�) �.uaFP8�9 � � j �- - - - - - -(�aa�') q�dep e8zaany - - -(�aa�) isiae�am Ttt� ;o ssaux�t�, � Z f-7, � c � - - - - - - - (o2�va) sedoTs aptg - - - - - - -(�aa�) Prenua�.sM a�uE�siQ � g �- - - - - - - (�aadl �{�PiM mo�.3ofi K"� 0 �- --(?�aa�) m�eaa7.s/a�i'eT ut u�.��aZ - - - - - -(�.aa�.') aaoqs SuojE a�us�.szQ I ,l �� c?I� - - - - - - - (�aa�) u38uei i83o.L pesodoad ezoqs uois suoi�Bae�iy pesodoad �ui3sixg 8uiijauueip (Bu2cn�ap ao t�o�.exs u�a.v os2n) y.LdQ NOI.L7f12I,LSNO� tiS-M sue�ecr PER c�ty of Fr�aiey 14120 i' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R EIPT NO. � � `y _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � _ � �� /'�'1 � CITY HALL FRIULEY 55432 NUMBER REV. DATE PAGE OF APPHOVED BV ""� ♦ ,� &12-560'3450 910-F15 6/1/77 � � JOB ADDRESS 401 Ironton Stxeet N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. 2 1 Froid's Additi.on SHEET 2 PROPEFlTYOWNER MAILADDRESS ZIP PHONE Phillip M. Willson 401 Ironton Street N.E. 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATIOId ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a 26' x 36' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surfaced driveway wi.thin one year. No new drive openi.ng necessary. �VA,RNING ee�o� a��,g � �� ;i.�t� 'I�I,EPHBNf - EIECiRIC - GAS Etc. SEPERA� PERMt7S REQUtREO t�tt�R 1N�RiNG. REC�UfRFi� �Y LAW f►�i11NG, P1.�iM81�lG AND SlGy&. ` � ...�, , SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �IjppCl Frd 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6, 926.40 �`3 .46 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � 537.44 PLAN CHECK FEE TOTAL FEE $40.90 SIG TUREOFCONTRACTOROPAUTHORIZEDAGENT �DATEI WHEN PfiOPERLY VALIDATED THIS IS YOUR PERMIT i� ` ' �� 1.� �� (Q- -�=- � �- � SIGNATUH OF WNERIIFOWNERBUILDERI s IDA EI BLDG INSP DA E �. _.. , . : ,� , . . .. . . _ . .� . .. _ . _ .,>� ; , :.,�', . y _ a�� 3 �wel.-'$'r1R7�-r;i:.q��—i i�,t�....� _ . _�..� e..�.�.. . _� . _s .�.. .�. . . � �:�� — 4 ,� � �'' ,� _ � N . 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J! .iJ F%� ] r�i_ :�-Pc-11�_ .:�t- .:9 -it-:� ._ � e i � , �: � : 4..,-. ,i��,,; 1'1 1 3 .��p.SA�:= , ?l`, t' :�� - , � ,a�-,. _ .- i �:r —��3�JA�'r I -- -.r...�-----�-�a � I ��-1,,4"a i' q ' (' i ` _ �, a_� _..e..m _._,m,..a��.,�� -- - - - - - - - - - -- -- -- .. _ :�,s1 ,. :I�H�" ��T[�J'_"� J b� I�- :U9 I'-.. �ti .. :;,.g.� .� ..:-�.�. .. �Re, ,,. �. .•.�.�r; � .^ � -� �_ _ _��,��.��t)_ i .i �i.:i �.� �� R � �� __, d._ �.. .,r -,r _ � ��,�`'3 � ,�'s - ��r` ��_� �. - _-,.P.� .�_ ..___..�_._.''r_., n �- .�� '.�v� _L W�� ' y. a _ `�_; .._ �'' _ .a' _ _ , .. CITY QF FKIDLEY � APPLICATION FOR RESIDENTI�L BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) � � . OWNEF2: BUILDER: � . � Address: �� . Address: , Tel. No. • No. : ''� � � Street: _ � ,�� , � LOT: BIACK: ADDITION: �� " CORNER LOT: INSIDE IAT: S;TBACK: SIDEYARDS: Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING To Be Used As: �� ,�, Front: � �o Depth: �'�. '� "' Height: ' Square Feet: �� Cubic Feet: � � � Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: To Be Completed: Estimated Cost: $ ��.� ,� ;9,�. Alt. A Alt. B Proposed Driveway Width If New Opening Ts Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: � � %"` 7�_ SIGNATURE: � �` , 5tipulations: . ��►��Q�� 0 �Q ��w �i �•, -, �_ � �� . ` J�G� � U� 0 P�� ,� c. P l.j. Q u/ o f1 � 3��'�`� � � „ e /� . +J (J e % c� � � � �UILDI(JG PERMIT'FEt SCHEDULE SECTION 2. '.Che Tnspector of Buildings shall, before issuing permits for the erec�ioiz e of any building ar structure, or for any addition to any existing building or struc'�ure, or for any alteration ar 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 provid'ed to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percer�t of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) . Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and instal.l a 3 fcot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.�� 11 ��; 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 neight of the roo� surface of the 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 hunclred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in 5ection 2 be less than $7.50 plus $.50 state surcharge. . VERIFICATIQV ^OF FQUN_ IO( NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review oi the proposed structure and of the construction site. � A Certificate of Survey of the lot, shov�ing the location of the foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE QF OGCUP.�NCY Application for a Certificate of Oecupancy shall be made ten (1G) days prior to the use or occupancy of any structure for which a building permit has been issued; and said �tructure shall not be used or occupied until a Certificate of Occupancy has been issued. �.-��d �� n s � w AGFEEMEN7' d� � � I, (!p' r �x , owner of the property located at �/� ''�� (�(�� have no objection to the City allowing the construction of a /d. � , to be located at �� r �1�'� t�1�G] /V �„ without the required certificate of survey that the City ordinaxily requires for all new construction. Signature . SEXE E� REALTI( ./ ;'� .�., / �./� p, , A (i' � ��: �v � °°� Ad�u��j��a��3�, ��0 554�� Date r� � � f0 � �� I SuBJECT c�ty of Fr�a�ey AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � � � � • COMMUNITY DEVELOPMENT DIV. , �� ------. r � � PROTECTIVE INSPECTION SEC. � � 1 . , ' i-.-_� �"' �.� CITY HALL FRIDLE� SS432 NuMBER REv t 612-571-3450 9t0-F15 J08 ADDRESS 401 Ironton Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 2 1 Froid Addition 2 PROPERTY OWNER MAIL ADDRES$ Norma Willson 401 Ironton Street NE 3 CONTliACTOR MAIL ADORESS Same d ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK 6/3/98 ZIP ZIP ZIP PAGE OF / / 26132 RECEIP NO. �� APPROVED BY SEE ATTACNED SHEET PNONE 786-1805 PMONE LICENSE NO PHONE LICENSE NO. PHONE LICENSE NO. � NEW O ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Install basement e�ress window 9 CHANGE OF USE FROM STIPULATIONS TO Window must comply with the State Egress Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, '' r� v w••�•. VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NINO 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 WOFiK IS COMMENCED. NO. DWLG. UNITS I NEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS VALUATION AND ORDINANCES GOVEHNING THIS TYPE OF WOFK WIIL BE COMPLIED WITM WHETHER SPECIFIED HEREIN Oii NOT. TFIE GRANTING OF A PERMIT �SOO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �ZL.00 SIGNATUFE OF CON'RAC10R OR AUTHOfiIZED AGENT IDATE� . � L—c�3 �� SiGNOTURE OF OWNERUF QWNER BUIL�ERI IDA7E1 . � ,a OCCUPANCY GROUP OCCUPANCVLOAD SO. FT. CU. FT. OFFSTREET PARKING STALLS IGAFAGES $.50 AC CHARGE Fire SC $.50 D7 FEE 22.�� THIS IS VOUR PEFIu '_' /_, C_ � �1EW � l �DN I l �..� � , �onstructionAddre; L,egal Description: CI1'Y OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION Effective 1 / 1/98 �� ,.� � �wner Name & Address: % Tel. � 7�� l8 G,S �ontractor: � � � '� " MN LICENSE # . Address: � � ��.�- �� Tel. # � � <' / � p , � , � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ' DESCRII'TION OF IlVIPROVEMENT i.IVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width � Height Sq. Ft. DECB AREA: Length Width Hgt/Gro'��d Sq. Ft � - ,;� OTHER: � �`�; � � �',�-1 � Construction Type: Estimated Cost: $ JW (�'ee Schedul e on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �` � � — � APPLICANT: �% Tel. # �� % �'GS Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � % �� $ �� $ �� $ $ $ $ $ $ $ �� CITY USE ONLY Fee Schedule on Reveise Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. °A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ,., • - � BIJII�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 Yhe 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,�1 to $50,000 $50,001 to $1(}0,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,0�,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,Oa0 � $62. 25 for first $2, Q� plus $12 . 50 for each additional $1, 000 or fraction thereof, to and including $25,000 $349.75 for first $25,�0 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,0� $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, 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) �1lternate "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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. - ,. � sue�etr p . City of Fridley 3 0 5 6 8 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � i � �. � ; V _____ COMMUNITY DEVELOPMENT pIV. �` ^� r � � PROTECTIVE INSPECTION SEC. �� j � _ . ' �"�1 � CIiY NALL FRIOLE� SS�J2 NUMBEB REY DATE oAGE OF APPFOVED B� �'""'� � �'� 612-571-34b0 910-F15 12/6/99 / / �oe AooRess 401 Ironton Street NE t LEGAI L07 NO. BLOCK TRACT Ofi ADDITION SEE ATTACNEO oesca. 2 1 Froid Addition SMEET 2 PROPERTY OWNER MAIL ADDRFS$ 21P PMONE Norma Willson 6444 Baker Avenue NE 786-1805 3 CONTRACTOR MAII AODRESS ZIP PMONE LICENSE NO David Schweich Construction 17160 Hamilton Dr Lakeville MN 55044 447-8808 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PMONE LICENSE NO. 3607 S ENGINEER MAII ADDiiESS ZIP PHONE LICENSE NO 8 USE OF BUILDINf3 Residential Rental 7 CIASS OF WORK � NEW O ADDITION � ALTERATION � REPAIR p MOVE O REMOVE 8 OESCRIBE WOFK Install basement egress window 9 CHANOE Of USE FiiOM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Egress window must meet the State Egress Code. SEPARATE PEFMITS ARE REQUIRED FOii EIECTfiICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCv GROUP OCCUPANCr LOAD VENTILATING OR AIF CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CpNSTRUCTION 20NING SO. fT CU FT. AUTHOR12ED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTtON Ofl WORK IS SUSPENDED OR ABANOONEO fOR A PERIOD OF 120 pAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNI7S OFfSTFEET PARKING I NEREBY CERTIFV TNAT I MAVE READ ANO EXAMINED THIS APPLICA710N STALIS GAFAGES ANO KNOW TNE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAW$ VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WppK WI�L 8E COMPLIED WITH WHE7HER SPEC�fIED MEREIN Oii NOT. TME GRANTING OF A PERMIT � 1 a 8OO �. 9O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERMIT fEE SAC CMAiiGE PqOVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION Op TME PERfORMANCE OF CONSTRUCTION y!63.1.5 Fire C�1.8� PLAN CMECK fE TOTAL E� Lice SC $5. 70.85 5�G n ur+E o CON-anCt R Op AU Op�ZED sG . T ionrE� MEN OP ALIDAT HIS IS y� sP��T� � �GN4TUAE O� OWNEA��f OWNEp BU40EA� �D�iEi ' B�O �NS� - / OaiE rrEw � � ADDN ALTER Effective 5/10/99 I l CITY OF FRIDLEY [] SINGLE FEilV�.Y AND DUPLEXES R 1 AND R 2 �+► BUII,DING PERNIIT APPLICATION � S� Construction Address: �--/ t� j �`�� J✓� 'a �°✓ ,j%� ��,p �, � � � Legal Description: Owner Name & Address: ��'�,� (I'►� Tel. # ��' ,�� Contractor: ��Q �� S'c, ��C i Gi7� � � yv ��" NIN LICENSE # 3 L e� Address:� `7 % � 6 �.�C�t/�9 l �.�7�,'�I �� Tel �# '�` �� " �'� e'd7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECS AREA: Length Width HgtlGround Sq. Ft. OTHER: fNT�� .0 �lv E �JS¢ J^'l L� �✓�° �G ��^�S t�/> r'�'p rs✓ Construction Type: �� C"s-� �i/ � � �'J a `� Estimated Cost: $ I d �fa � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /�� 6 / I � APPLICANT: � ��J � Tel. # �/.� - �/ y � ' �S'�� Permit Fee Fire S�rcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ l�� 1 �-� ► �� $ ��l (� $ $ � � f�C� $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valua.tion (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $ � STIPULATIONS:� Y�� .� ��'��=��'�'d'�.�-- �-<1 - GG c `G� ��-r.� �--- �.q-s-�� d-� ��G L�-✓� �- c��- G `�� c=. �lo � � �. �- �9 9 � �3 • � BUII.,DING 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 alteradon or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pernut of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,0� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,0� $1,000,001 and up E�I��.� $23.50 $23.50 for first $500 plus $3.05 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 including $50,000 $643.75 for first $50,000 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, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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. �� ?� � � � ' - SuB�ECi. . . , . City of Fridle� 3 i 934 � AT THE TOP OF THE TWINS g u I L D I N G P E R M I T ., COMMUNITY DEVELOPNIENT DIV. �� i � j V �'��', . r � � PROTECTIVE INSPECTION SEC • � � �'��1 � CITY MALL FRIOLE� SS132 NUMBEP 11EV OAT6 VAGE O� AVPROVED 8Y �""� � �'' 612-571-34b0 910-F15 6/26/Ol / � !OB ADDRESS 401 Ironton Street 1VE - t LEGAL �OT NO. BLOCK TiiACT OR ADOITION SEE ATTACNEO DESCR. 2 1 Froid Addition SMEET 2 PROPERTY OWNER MAIL ADpR�$$ ZIP PMONE Bobby Taylor 401 Ironton Street NE 763-785-2192 3 CONTRACTOF MAIL ADORESS ZIP PHONE LICENSE NO Tailor Built Construction 6765 Humboldt Ave N, Brookl Center MN 55430 4 AfiCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO. 20133739 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUIIDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE • O REMOVE 8 DESCRIBE WORK Interior alterations to replace stairs 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS AqE I;EOUIRED FOp EIECTRICAL. PIUMBING. MEATINa, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WQRK OR CONSTRUCTIO�I 20NING SQ. fT CU fT. AUTHORIZED IS NOT COMMENCED V�ITHIN 80 OAVS, Oii IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANQONEO fOR A PERIOD OF 120 OAY$ AT ' ANV TIME AFTER WORK IS COMMENCED ' NO DWLG. UNI7S OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMIN�O THIS APPUCATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TAUE AND COF1:iECT. ALL PROVISIONS OF LAW$ VALUATION SUR7AX AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILL B€ CGMP�IE� @ @ SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT y��FSO �p . SO DOES NOT PRES E TO GIVE AUTHORITY TO VIOIATE OF CAMCEI TNF pERMl7 fEE SAC CMARGE PROVISIONS OF A OTHEFi STATE LOCAL LAW REGULAT�NG CON- U TI N OR T PERFO ANCE CO RUCTION �23 .50 Fire .S�', �.�FS PLAN CMECK FEE T AL FEE ; ;�, -� License $5.0 29.45 S� ATUAEOFCON'RA OaOp4u H piiEOaGENr iD�TEi EN NOP VA�IO ED TMIS IS V R P�R T ` ` t =��i S�GNOTUAE OF pyyNEA ��F OWNEp BU4DEA� ib�iE� � � ipsp O��E � � NEW [ ] Effective 1/1/2001 ADDN [] , CIIY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER _. ( J SINGLE FAMILYAND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: � Owner Name & Address: Contractor. LNING AREA: GARAGE AREA: � �o� �T�,�� l. � e5 �'�l�i � Q�; �, �, Tel. # — MN LICENSE #�l � � �� Tel. # �1�.'� —�of •-1 �� Attach to this application, a Certficate of Survey of the lot, with the proposed constn,iction drawn on it to scale. DESCRIPTION OF IMPROVEMENT yi� - • ��' ,C �/ .1�%'s;. , , � � .; , t..�11 • r � /� - • • '. ��: —� - Length Width Height Sq. Ft. DECK AREA: Length OTHER: Width � Hgt/Ground �, Sq. �� f� �� s�i '1 .e.� ��`� S .., Construction Type: I?' 1z le, �(If�iole+l � 1 Estimated Cost: $�� °��!�iC�Q °° Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ P � �,/ DATE: J�� '� r APPLICANT: � el. #�7'7'� 3—��il � 1 i��J� 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 ln application $�,� a��- Fee Schedule on Reverse Side $ b �SS .001 of Permit Valuation (1/10th%) $ � ,°� $.50/$1,000 Valuation $ $1150 per SAC Unit $ ;'� c �� $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 [ ] $J`I °�� BUII.DING PERMIT FEE SCHEDULE '�'he Chief Building OfFcial 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, u�pon application therefore, require the payment by the applicant for such permit of fees to the amount herein b�elow set forth and in the manner herein provided to-wit: ° � TOTAL VALUE �1 to $5� I1501 to $2,000 � � �2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1(�,001 to $SQ0,000 �500,001 to $1,000,000� $�1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1Q0 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 including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1(�,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $S�,OOU $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) �temate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. temate "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 �ermits for construction will be issued a minimum of 24 hours from the time of application to allow for proper �feview of the proposed structure and of the construction site. � Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will t�e required before proceeding with the framing. New Houses Onlv - °' �I_ -- ,� s►,��: �, �;. � k n �� s . �.�.. � r � � � � � � � � � � ► _ ��a � �� R �-�i� � � � i ;� � � �� c� � �,. _ _.�._._. ;,. � E f��#�t� _ � � ��: � ^- '�c � ~-�� 1�� • �►' %'—�.,n ��, v ---- �� ' �. �� _ _ _ _ ._ -�-� , . �� ;�'+s � � � � v �Y � �~ � � � � � � � . �- M � � V1 � �-c�. �-- � � - � � � �� !� .� � � ��,�� °-� ; �° �� .. —� � 1 -- � y � s_ <i� ..:� �� l`� �a ,. � � o � � s �c�. � �� , � � �- c�� . � b �� : � c� � g �} � " ° � �: s h; � r � j� � .� ,+��'! ;� � .1 '1 f� � ^`! �S ,� _ sue�eei • RMIT NO. c�ty of F��a�,�� 327�4 ; AT TME TOP OF TME TWINS g u I L D i N G P E R M I T = r ; � RECEIPT NO. � `y __��_ COMMUNITY OEVELOPMENT OIV. � A , // f � � PROTECTIVE INSPECTION SEC. �y i-_-- w;�'��,'j CITY MALL FRIOLE� SS�� NUMBER RHV OATfi PAGE OF APPqpVED BY t �� 612-571-3a50 s�aFiS �/1/02 � � JOB AOORESS 401 Ironton St NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCF. 2 1 Froid Addition SMEET 2 PROPERTY OWNER MAII ADORF$$ 21P PHONE Enrique Cortes, 401 Ironton St NE, Fridle MN 55432 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO Enrique Cortes (same as above) a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP P110NE IICENSE NO. 5 ENGINEER MAII ApDRESS tIP PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK � NEW O ADDITION O ALTEAATION ❑ REPAIR O MOVE � O REMOVE 8 DESCRIBE WORK Reroof (tear-off) H & G (27 sq.) 9 CHAN(iE OF USE FROM TO STIPULATIONS � Uzderlayment must comply with State Building Code. SEPARATE PEHMITS ARE REOU�RED fOR ELECTpICAL. PLUMBING, HEATING, T�PE OF CONST. pCCUPANCY GROUP OCCUPANCr LOAD VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION LONING SO. F7 CU FT. AUTHORIZED IS NOT COMMENCED NfITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANQONEO fOR A PERIOD OF 120 DAY$ Ai ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PARKING I HEREBV CERTIFY 7HAT I HAVE READ AND EXAMIN�� TNIS APPLICATION STALLS GARAGES AND KNOW TME SAME TO BE TFIUE AND CORREC7. ALL PROVISIONS Of LAWS VALUATION SUFTAX ANO ORDINANCES GOVEqNING TNIS TYPE OF WpRK WILL QE C(�MPLIED WITH WHETMER SP CIFIEO HEREIN Oii NOT. TNE GRANTING OF A PERMIT �L,894.00 �L.�FS DOES NOT PRES TO GIVE AUTHORITY TO VIOIATE OR CAMCEL TNE pEqMIT FEE SAC CHARGE PROVISIONS Of q OTMER S7ATE OFi LOCAL lAW REGUlA71NG CON- STRUCTION OR 7H ERfORMANCE OF CONSTRUC710N �H3. ZS Fire SC �2.89 � P1.AN CFIECK FEE TOTAL FEE 4'� �� 7.59 S�GN4TUAEO�CO ACTOpOA0U1NOA�2EDoGENT �O�fEi F�E PRO VALIOA 0 TNIS IS VpUR PERM/IT� - ' ��/~V4 S�GN4iUAE0� N,iOWNENBUILDERi �01TE� ' OG �NS� - p6tE . . � :.a y NEW [ ] ADDN [ J ALTER ( ] CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bidg insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION c—� _ Cohstruction Address: �-c� � C-1--� � -' ��} �' � o- �'� - `=�P <� ��_ �t� =s `r �� . Legal Description: Owner Name & Address: Tel. # Contractor. �� ,�� - �� MN LICENSE # Address: Tel. # LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Ce�tificate 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 HgUGround Sq. Ft /ll.i n .�7r� � � .� e� Construction Typ • – Estimated Cost: $ � � - �. / � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # Call (763) 572�604 for PeRnit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $�3 �� Fee Schedule on Reverse Side $_� : i .001 of Permit Valuation (1 /10th%) $ �� C�� $.50/$1 �000 Valuation $ $1200 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan F�eview $ Fee Determined by �Engineering $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ / � STIPULATIONS: w� ,_ - BUII..DING 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 existi.ng 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,Q00 $2,001 to $25,000 $25,001 to $50,0� $50,001 to $1Q0,000 $100,001 to $500,000 $500,001 to $1,0OO,OQO $1,0(10,001 and up FEES $23.50 $23.50 for first $5� plus $3.05 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 including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,0� $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 $5�,000 plus $4.75 for each additional $1,0(� or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,0� plus $3.15 for each additional $1, OQO or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. . VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv Oper: KdRKli�1 Ct�erka Date: 7/c�104� UO Ae�pt rn�: 3741 CHECK �87.59 FOR DE�'05IT ONLY PAY TD TF�E DRDEfl OF WELLS FARGO BAPJK �It�ESOTA N. A. ACCQUNT# 1G0479 CIiY C►F fRIDLEY ,w sus�ecT PE . City of Fridley 3 391 AT TME TOP OF THE TWINS g U I L D i N G P E R M f T r NO. � �. COMMUNITY DEVELOPMENT DIV. p�� ♦ r � v � PROTECrIVE INSPECTION SEC. � � � i �.�.� ; � � y �jj�3p NUMBER pEV DATE PAGE Oi APPROVED BY �----� . .,� ��9��50 s�aF�s 3/24/03 / / 108 ADDRESS 401 Ironton Street NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACNED oescR. 2 1 Froid Addition SMEET 2 PROPERTY OWNER MAIL AODRES$ 21P PHONE Angel Cortes 401 Ironton Street NE 795-0310 3 CONTqACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Same d ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 15 windows within exis�ting openings 9 CHANOE OF USE FROM T� STIPULATIONS Provide smoke detectors in a11 sleeping rooms and on all ievels of the dwe��ing per Section 310.9.1.2 of the Z997 Uniform Building Code. Cau1k and flash aII exterior openings. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE fiEOUIRED FOR ELECTRICAL, PLUMBINCa. MEATING, VENTI�ATING Ofi AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SQ. fT CU fT. AUTMOR12ED IS N07 COMMENCED WITNIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKtNG 1 HEREBY CERTIFV THAT I NAVE REAO ANO El(AMINED TMIS APPLICATION I STALLS GAiiAGES ANO KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVEFNING THIS TYPE OF WOFK WILL BE COMPLIED ' WITM WME7MER SPECIFIED HEREIN OFi NOT. TME GRANTING OF A PERMIT �4sOOO �Z.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OA CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS Of ANY OTHER STATE OR LOCAI lAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUCTION �9% . ZS Fire SC �4.00 PLAN Ch1ECK FEE TOTAL E $1 .25 HatupEO�CON' T aOpAUTHOp�2EDaGENr �O�TE� EN P OPE LIpATEO T IS IS VOUii RMIT �L � • � iZ'CC� , � �Z � s�� G eTUAE O� OWNEA�� OWNEABU�LDEAi � ATE� BLD �NS� �� R _ �.� z � NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 'YD � �°'��°� �� ``' � �` ��-� �a� , s � `� � Z . Legal Description: Owner Name & Address: ��-�-- � ��2�� Tel. # � `� �-`� Sd3io Contractor: �� L- �� MN UCENSE # Address: Tel. # LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this appiication, a Ce�tificate 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 /.S e.v i�' o o e,o, S Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ ��O°`� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � -1- � a 3 APPLICANT: ��-- � � �° ��c� ' Tel. # 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ � �� $ , C� $ �. O D $ $ $ $ $ $ $ ld,�• o�� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contraetors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ��> �:� �N. _ •. 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 eusting 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 FEES $23.50 $23.50 for first $500 plus $3.05 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,(�0 or fraction thereof, to and including $50,000 $643.75 for first $SO,OQO 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 $1,0� or fraction thereof, to and including $500,000 $3,233.75 for the first $SOO,OQO plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof cu� cu�r EscROw - - (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for consfruction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv r-��• '='{- = y �. � � o '� � �c Q: � _ 3� � � w � a. y � n � � o � .... 3- ° � m O �a 3 �' � m -� n- o � � fl' o m � � � g � _ ,� a 0 _ � �� m z � 'O m � O Z m _.. m t� .p V O O � _ � a -n t/� _ a x m � � < # �. � p. L� � . O �/ - T_ � � _ 0 3 � . � � � o � � � rn r � � �v - �. d � '. v . m� � � � �(n � _\� r� *r o �3 �m < �' m � �m Q °. � n� a �' m � � 0 � 0 � O � a a r m � � m � m w �D D D '-' _ � �O n � � � �m n � � � m � • 7 �.'a .�m. .. � D � • � � � n� D � N m � � • O � �o � � x� N � O Z - � - - c� � � tfl N rn 0 0 G) m � � � � A G� D'nm m m � � � � _-°^�c�i � � � � m � W � ��m�m 3 a- ^ < � � � . m '* c�- � �, m ,.n .-�► Q. � °-,=�v m � � _ �a O � o � s h � .-t . o. n � m 3 � lD ' p "' � � ° ?. v�� o0 m � o m ts� � ts� tt� r-+ t-+ � W 0 0 0 0 � °o o °o o � � t!! Efl tfl b4 �fl bq �f! � 0 a � . ... .1� . �`� r . . _.� �.-.N -s1 � � m -�i � � z . _: � �- .. �-i c . _ =�1 fl, o -° � cWi m C� . m C a. , - m � � 3 � � � ?.�o.m � n' m w 3 m O m� W m �m 3 m� �c°�a. am c m�o� � �' a � n m cn _ p o-��'c- - ��- - - - _ � ._ � ' < m � ��_ m = �og� _� �� ? O� rn -p A ,p.. Ci $°'�ID -�`m c�'� _> j'� n m ci �- � 'o o p '-'m�m � m D o-��.� m 7 6 � p � � ---, � � d � . � � � . m m a c�i o a Q- cn m � � ° � � � N � � am - - z.:,�° rn��3= � v a � �:m m . ..v o �..�° ° _ . �:� � 3__ � .. o.,: � 1�� •-•� � .~, _ St W O � `� o . �,- . m = .�. ..-... �. . . . � � � ? m �- n 3 m nm � �` ��o � o 'c m °- m m � n � � 1 � ' m -�-i . n --1 m v 0 � -i � � L� 'v m z � _�... .0��- . °`. �l/' �� `v'� �. c � 0 Z � c � � v y. �. � � o � cL O � � � ` C W O' 4u � � � �� C O 'n wzm � p�-�l7 � � �c m ,G' <-t N co Z z� m� m --i O � z v_ < � y O � Z � r � � -DI �O fi� Z m� �O -� � OD Z� Z � v� a� �o Z vz .� v o= Zm a �z y � � � 0 N Z > . z� o v< � �Z . c� C� y� l y0 Z I : � �-: �f� � � . � � �. .. . � O 7 � � � c m � � 0 0 N THE BELOW MUST BE FILLED IN WHEN REPLAC(NG FUEL BURIWNG APPUANCES OR THE APPLICATION iMLL BE RETURNED . (��IUt�A�l1! tscQi�- tm►rr �n►t�rTAR A11.�^ C[]MBLISTI[IR A� VFRIFICeT1�Rl _- When �n.,� 1� acing an e�stiia4-fi�rance, the urtdersigned here6y verifies that the � �" verding has been examined and is free irom n� dete.rioration, obshudions, . and �s ��Y �PPorted :and finestoppeci wfiene �uined. Yes� No i) The venting system is plastirJPVC and meets al! cument cades and manufar�urer speafications including sizing, length, number of elbows and termination. Yes () No � The undersigned also verifies that the replat�merrt unit is a listed assembly and meets the current c�des and manufac�urer's specifications. This does indude AGA-GAMM Category I CeMral Fumace Venting Tables for fan assisted and natural draft appGanc�s. - - � -- Yes (XJ No O The pYi�ng �eme��r,n atr is sized and inst�ll�d to meet the current cAdes and manufact�rer's speafications. INh8i1 feqUU�d to inctall a n�w cem �c�ien air�,it W� b8 SIZ�d �11d '111S�1ed to meet the c+arrent c�des and manufiac,t�uers speafications. . Wh@n inetallin� a h�w ��prttin,� a�•� , the undersigned hereby verfies that it is a Bsted assembly and meets the current codes and manufacturer's sperafications. This does indude AGA-GAMA Cat�ory 1 Cert6ral Fumace Ver�ting Tables for fan assist�i and natinai draft appltaances. !s the common vent and ver�t connectors �i�d and installed correctly after an appli�r�ce hras been removed f�om the common vent and vented separately as �per r.umerrt c�es. Yes ( ) No � Yes�) No ( ) Yes (� No ( ) Yes (�'tVo ( ) � • � . 1 �!' /��i'� . ! • i' ' � 11 U�C�- 1 ' �i� . � • ti�Y • 1 ��itiM •�� 1 • �11 :tYi• 1 ApPI'iance #1 Type �� BTU Input Oa 0 Fan Assisted or Nat _�� ApP�iance #2 Typ� il�cl�� BTU Input o�c� Fan Assisted or Nat � �PPliar�ce� T�pe- -- -- - —� ---8'�U-ltapu�-- -- luat --- — - - Total Applianc�s _� .^ Total Btu Input �'1 �.cao� Common Vent Type �� (I,�- Vent Height � � Diameter� inches AppGance #1 Vent Connec�or Height ft Length ft Diameter in Type Appliance #2 Vent Connecior Height ft Lengtt� ft Diameter in Type Applianc� #3 Verrt Conn�tor H�ight ft Length ft Diameter in Type �cc� ��n o �.a � � le Ge4 ��- � r �r �-. D ti�� ,� 1 � . HEATtNG CO: _L,n i ��1� Signed By. ��!l,��i� 3uilding BUILDING Permit No.: .�� -�.�� -' � :nspections �S�DENTIAL APPLICATION R�i��a By: 763-572-3604 Date Rec'd: �� -�« �-� CITY OF FRIDLEY �ATE � � � ��° YOUR E-MAIL ADDRESS ;rre annx�ss `� � ��.,�-oti s�- w� -�-=2� o� Y �� • S S�� z- fHLS APPLICANT I5: i� OWNER OCONTRACTOR , PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE VdITH APPLICATION Gcs ez-Y-� s ADDRESS: �� 1- 2 o r� r a w S� N� CITY `� Z-� ��`' i STATE� �GIP S S`k-3 Z PHONE: }� 3 Z a 5� S 3°� NAME: STATE LICENSE EXP DATE ADD�3S: CITY STATE ZIP rNnwF FAX PROPERTY TYPE ��GLE FAW ❑ T@JO FAMIL' PERMIT TYPE �rYrE oF wox� 0 BASEA�NT FII�TISH 0 DECK 0 DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ❑ ROOF ❑ SIDING ❑ SWDVIIVJ O DRAIN TILE ❑ OTHER HEIGHT FL nw�r u.o NUNIBER OF SQUARES ❑ HOUSE 8c GARAGE BASEMENf REMODELING SUB ❑ ATTACI�D GARAGE 1• ��g ��r Plan GARAGFS 2. Proposed floor plen PROPOSED SIZE: ❑ DETACI�D GARAGE 3. List of structural members to be used PROPOSED HEiGHT: SIDING FOR NEW CONSTRUCTIOAT INCLUD�iG DECKS, � Vm� p�gt ADDITIONS. & PORCHES SIJBNIIT: O Aluminum ❑ Trim l. Site PIazdSS►wey showing the existing strucwres ❑ Odier ❑ Fascia and pmposed project 2. Two sets of construction plans WWDOWS 3. EnergyCalculations IN E3QSTING OPENINGS �es ONo IACATION OF WINDOWS OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPENWG CHANGES 8c � � � .,, � ' ' TYPE OF WWDOW TO BE INSTALLED NUMBER OF WATDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIAIS: (USING� 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 1 1�I �� OCC��N� TYPE Permit Fe.e Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due _$ $ B $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+68= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I nnderstand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor which requires review and approval of plans. SIGNATURE OF APPLIC �t— � �� S PRINT NAME��v4�— � �`� S- DATE �l 2 t 2 oe Co . Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Buildi.ng Official shall, before issuing permits for the erection of any building or stzu.cture, or for any addition to any existi.ng building or structure, or for any altera.tion or repa.ir 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, shovving 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 Building Inspections 763-572=3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �ATE �/z �/ 2a�� YOUR E-MAII. ADD S SITE ADDRESS � c ��ocN � a t�� J�-��*° 0-�N THIS APPLICANT IS: !&OWNER OCONTRAGTOR PROPERTY OWNER/ TENANT CONTRACTOR SUEMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION c- �- C.��c � S Pernut No.; Received. By: �.�_�-��:r, ADDRESS: � � �'2�^�aov g� CITY `�t�� --�^`'9 STATEW�IP �S �3 Z PHONE: � 3 Z o 5� g �� NAIv�: �— STATE LICENSE # Ei� DATE ADDRESS: CITY PROPERTY TYPE I�SINGLE FAMILYMEW CONS7RUCT10N O TWO FANID.Y/NEW CONSTRUC170N PERNIIT TYPE ��DITION ❑ GARAGFJSHED u ww�vws ❑ BASENIEM FINISH ❑ ROOF 0 DRAIN TILE ❑ DECK ❑ SIDING ❑ OTf�R ❑ SW�A1G POOL TYPE OF WORK: DESCRIBE WORK BEING SIZE OF OF SQUARES GA�AGF� PROPOS�D SIZE: PROPOSED HEIGHT: SIDIlVG ❑ Vmyl O Aluminum ' ❑ Oii►er . �� LENGTH O HOUSE ONi.Y ❑ HOUSE Bc GAR.AGE ❑ ATfACHED GARACE ❑ DEfACHED GARAGE �5offit � Trim ❑ Fascia wnvnows IN EXISTING OPENINGS OYes DIJo I.00ATION OF WIIdIIOWS OR FORNEW OPENINGS-DESCRIBE SfZE OF OPENIIdG CHANGES 8c TE ZIP HEIGHT F� �ASEMENT REMODELING SUBMIT: 1. Fxistmg Floor Plan 2. Proposed fl�r plan 3. List of struch�ral members to bE used FOR NEW CONSTRUCTfON INCLUDING DECKS, ADDI1'IONS. & POItCHES SUBMIT: 1. Site Plen/Survey showing the existing struchires � ProPo� ProJ� . Z. Two sets of conshvction plans 3. Energy CalcnlaQions TYPE OF WII�TDOW TO BE WSTALLED NUMBER OF WINDOws I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN THE 199�U�.0 FEE SCHEDULE) TOTAL JOB VALUATION $�� °°° `�" OCCUPANCY TYPE Permit Fee $/S�/,_�_�j : See Back Page for Fee Schedule p}� ��eW $ 65% of Building Permit Fee Fire Surcharge $ /Q,� .001 tim�e total job valuation S�rchazge $ S�� .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for deternunation) G�rb Cut Escrow $ ft + 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review p� g� $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary (} Non Necessary () Total Due $ �� ,�,� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMTf NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acimowledge that the information above is complete and accurate; that the work will be in con€ormance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicati for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work hich requires review and approval of plans. SIGNATURE OF APPLICANT �1�� • PRINT N ��^� �--��-�� DATE b6 ' 2 t• Z��- Page 2- Bui.ldin.g Residentiai Application BTJILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or strnciure, or for any ad.dition to an.y existing buildin,g or structure, or for an.y alteration or repair to any existing building or siructure, upon application therefore, require the payment by the applicani far such permit of fees to the amount herein below set forth an.d in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for consiructi�n will be i.ssued a minimum of 24 hours from the time of application to allow for proper revievv of proposed structure and of the construction site. A Certificate of Survey of t�e lot, showing the location of the existin.g found.a.tion will be required before proceeding with the framing, New Hauses Onlv City of Fridley Buildi.ng Inspections Departrnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 CORTES, ANGEL State Farm Insurance Companies 23-L267-046 Main Level 6/27/2007 Area Items: Main Level DESCRIPTION QUANTITY IJNIT COST RCV DEPREC. PWI ACV Dumpster load - Approx. 30 1.00 EA 416.50 D 416.50 416.50 yards, 5-7 tons of debris General Laborer - per hour 10.00 HR 35.50 D 355.00 355.00 cleanup of building materials on floor/fire Area Items Total: Main Level 771.50 0.00 0.00 771.50 � �R Room: Garage int 1,024.00 SF Walls 2,039.00 SF Walls & Ceiling 128.00 LF Ceil. Perimeter Ceiling Height: 8' 1,015.00 SF Ceiling 1,015.00 SF Floor 128.00 LF Floor Perimeter DESCRIPTION QUANTITY UNIT COST R&R Header - double 2" x 18.00 LF 15.59 12" R&R Header - double 2" x 11.00 LF 15.59 12" R&R Stud wall - 2" x 4" x 32.00 LF 13.56 8' - 24" oc temp wall R&R Top plate - 2" x 4" 36.50 LF R&R Stud wall - 2" x 4" x 4.00 LF 8'-16"oc 2" x 4" x 92 5/8" pre-cut 2.00 EA stud (for 8' wall, mat only) Carpenter - General Framer - 1.00 HR per hour for refame of center portion of gazage doors 1.86 17.45 2.48 54.67 D RCV DEPREC. 280.62 171.49 433.92 67.89 69.80 4.96 54.67 PWI ACV 280.62 171.49 433.92 67.89 69.80 4.96 54.67 23-L267-046 Page:4 CORTES, ANGEL State Farm Insurance Companies CONTINUED - Garage int DESCRIPTION QUANTITY UNIT COST R&R 1" x 4" lumber (.333 29.00 LF 2.75 BF per LF) R&R Overhead door & 1.00 EA 487.74 hardware - 9'x 7' - Standard grade R&R Overhead door & 1.00 EA hardware - 16'x 7' - Standard grade Remove 1/2" drywall - hung 1,268.75 SF only (no tape or finish) 5/8" drywall - hung & fire 1,015.00 SF taped only R&R Blown-in cellulose 1,015.00 SF insulation - 6" depth - R22 Seal truss system 1,015.00 SF SeaUprime more than the 1,522.50 SF ceiling - one coat (white pigmented shellac) attic area R&R 1I2" drywall - hung & 1,024.00 SF fire taped only Seal stud wall for odor 1,024.00 SF control R&R I 10 volt copper 1.00 EA wiring run, box and switch R&R 110 volt copper 2.00 EA wiring run, box and outlet R&R Porcelain light fixture 2.00 EA R&R Stairway - 1.00 EA disappearing (folding) Clean shelving - wood 66.00 LF 757.25 0.35 1.42 1.22 0.90 0.36 l .65 0.50 6633 6632 32.54 292.10 0.55 RCV DEPREC. 79.75 487.74 757.25 444.06 1,441.30 1,23830 913.50 548.10 1,689.60 512.00 66.33 132.64 65.08 292.10 36.30 619.16 456.75 274.05 256.00 PWI 6/27/2007 ACV 79.75 487.74 757.25 444.06 1,44130 619.14 456.75 274.05 1,689.60 256.00 66.33 132.64 65.08 292.10 36.30 23-L267-046 Page:S CORTES, ANGEL State Farm Insurance Companies CONTINUED - Garage int DESCRIPTION QUANTITY UNIT COST Seal & paint wood shelving, 66.00 LF 2.17 12"-24" width Clean countertop - Heavy 78.00 SF 0.59 R&R Pegboard 3.00 SF 1.85 Clean door hardware 1.00 EA 4.02 Clean door (per side) 1.00 EA 4.35 Paint door slab only - 2 1.00 EA 33.57 coats (per side) Clean with 1,015.00 SF 0.33 pressure/chemical spray - Heavy HEAT, VENT & AIR 1.00 EA 3,700.00 * CONDITIONING Room Totals: Garage int RCV DEPREC. PWI 143.22 71.61 46.02 5.55 4.02 4.35 33.57 334.95 16.79 3,700.00 1,221.00 14,059.08 2,915.36 6/27/2007 ACV 71.61 46.02 5.55 4.02 4.35 16.78 334.95 2,479.00 0.00 11,143.72 Room: GARAGE EXT 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall DESCRIPTION QUANTITY UNIT COST Clean soffit - wood 130.00 SF 0.24 Prime & paint exterior soffit 130.00 SF 1.33 - wood Clean gutter/downspout 38.00 LF 0.35 Clean with 133.00 SF 0.17 pressure/chemical spray - Light front of garage 23-L267-046 0.00 LF Ceil. Perimeter RCV DEPREC. PWI ACV 31.20 31.20 172.90 86.45 86.45 1330 22.61 13.30 22.61 Page: 6 0 CORTES, ANGEL State Farm Insurance Companies CONTINUED - GARAGE EXT 6/27/2007 DESCRIPTION QUANTITY UNIT COST RCV DEPREC. PWI ACV R&R Brick mold - paint 25.00 LF 2.84 D 71.00 71.00 grade softwood - fmger jointed Seal & paint single garage 1.00 EA 59.16 59.16 29.58 29.58 door opening & trim Seal & paint double garage 1.00 EA 73.98 73.98 36.99 36.99 door opening & trim R&R Siding - hardboard - 12.50 SF 4.24 53.O1 53.01 lap pattern - 6" or 8" Exterior - seal or prime then 22.50 SF 0.72 ] 6.20 8.10 8.l 0 paint with one fmish coat Clean with 77.00 SF 0.17 13.09 13.09 pressure/chemical spray - Light R side of garage peak portion Exterior - seal or prime then 309.00 SF 0.72 222.48 111.24 111.24 paint with one finish coat Room Totals: GARAGE EXT 748.93 272.36 0.00 476.57 Room: LUMBER 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 SF Long Wall DESCRIPTION QUANTITY UNIT COST (Material Only) Vinyl 1.00 EA 197.00 * window - double hung, 9- 12 sf (Material Only) Batt 2.00 SF 43.85 * insulation - 6" - R19 WINDOWS - VINYL 5.00 EA 12.60 * RCV 197.00 87.70 63.00 0.00 SF Walls & Ceiling 0.00 LF Floor Perimeter 0.00 LF Cei1. Perimeter DEPREC. PWI ACV 197.00 0,00 43.85 31.50 43.85 31.50 23-L267-046 � Page:7 d � State Farm Insurance Companies CORTES, ANGEL 6/27/2007 CONTINUED - LUMBER DESCRIPTION QUANTITY IJNIT COST RCV DEPREC. PWI ACV R&R 2" x 4" lumber (.667 10.00 LF 1.74 17.40 8.70 8.70 BF per LF) (Material Only) Sheathing - 128.00 SF 0.50 64.00 32.00 32.00 plywood - 1/2" CDX (Material Only) Sheathing - 128.00 SF � 0.64 S 1.92 40.96 40.96 plywood - 3/4" CDX Room Totals: LUMBER Sl 1.02 157.01 197.00 157.01 Area Totals: Main Level 1,024.00 SF Walls l,O15.00 SF Ceiling 2,039.00 SF Walls and Ceiling 1,015.00 SF Floor 1;058.11 Total Area 128.00 LF Floor Perimeter 1,015.00 Floor Area 130.67 Exterior Perimeter 128.00 LF Ceil. Perimeter 1,045.33 Exterior Wall Area of Walls 1,024.00 Interior Wall Area Area Items Total: Main Level 16,090.53 3,344.73 197.00 12,548.80 Line Item Subtotals: 23-L267-046 16,090.53 3,344.73 197.00 12,548.80 Adjustments for Base Service Charges PWl Adjustment Carpenter - General Framer 10934 Cleaning Technician ' S6.62 Drywall Installer/Finisher 241.52 Electrician 160.00 Insulation lnstaller � � q4,24 Overhead Door Installer 115.18 Painter 95.62 Siding Installer 133.28 Total Adjustments for Base Service Charges: 0.00 1,055.80 Line Item Totals: 23-L267-046 17,146.33 3,344.73 197.00 13,604.60 23-L267-046 Page: 8 CORTES, ANGEL Grand Total Areas: 1,024.00 SF Walls 1,015.00 SF Floor 1,015.00 Floor Area 1,045.33 Exterior Wall Area State Farm Insurance Companies 1,015.00 SF Ceiling 1,058.11 Total Area 130.67 Exterior Perimeter of Walls 6/27/2007 2,039.00 SF Walls and Ceiling 128.00 LF Floor Perimeter 128.00 LF Ceil. Perimeter 1,024.00 Interior Wall Area 23-L267-046 Page:9 Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE ��- -- '� °` 2� o YOUR E-MAIL ADDRESS SITE ADDRESS `� � ��-�'� � a� S� ��' � �"�'� `�$ S S �3 Z. THIS APPLICANT IS: d9 OWNER ❑CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE NAME: �FN�� - �. �• � S Pernut No. � - - - , : �,� �, � . �: � ;�� 1 � � I I �. , ADDRESS: �o � -�-°`Z-o""z°uv S� CITY �--1� �--�`Z STATE �� ZIP S S`�3 Z PHONE: � � 2 o S �E- � '� `t NAME: S�.•rt �- ADDRESS: CITY STATE ZIP PHONE STATE LICENSE � FAX PROPERTY TYPE I I�.SINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES EXP DATE PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ SASEMENT FINISH ❑�}�OOF ❑ DRAM TILE � DECK �SIDING ❑ OTHER TYPE OF WORK: I O NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCFJREPAIR L�REMODELING DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING 6� Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes �AIo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE 0 DETACHED GARAGE f� BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans . 3. Energy Calculations L�ATION OF WINBOWS NUNIDER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA (USI�T G THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $• ��s es o°°�\ o° OCCUPANCY Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ 3-Ul� $ 150 $ • $ $ $ $ $ $ 1�5 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering _ Agreement necessary ( ) Non Necessary ( ) Make checks oavable 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 the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridtey and with the Minnes ta Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in a dance with th approved plan in the case of all work which req ires review and approval of plans. SIGNATURE OF APPLIC � °ti-�=S- pRINT NAME � � �r�-t�5 . DATE +z � -Oo APPROVED BY / 0\ _//, �'. -/1�9T�� 1 DA Page 2- Building Residential Application BUILDING 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 ta-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.'75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the l�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the l�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Pertnits 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 Faz:. 763-502-4977