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AF - 47463�� I � C,ity of Fridley, Minn. BUILDING PERMIT N� 73s1 .:_ , � � . . ��A� . � • ^ .J.I//,��% � ..>a�ry, � �.a��.. s : e .f," ��/.%if/ � -- Y � ,p L CATION BUILDING No. ��;L�Street � , ;�����'�- P oP Lot Iat _�,��__ 81 Addition or Sub-Divisian �� / Coraer Lot � 7ns�de Lot �� Setback _��___� Sideyard .y ..�---�°�� Sewer IIevation �� � ..s�'� IIevatfon � �� � i ��� �? ���A��r � • • � ��' � ,G/.���.�'.::J;� s .: . , ,� ,�i? � . _ - y .� � � � � ��I�� . � �� .,- � , + _ ., I �% � � - � r. � - � ��, � - � , . . � � �_ , ;� .���i.� �„ , U � Ea conaideration of the issuance to me of a permit to construct the building descrlbed above I agree to do the P�P� work ffi accordance with the description above set forth and in compliance wlth af1 provlaiona oP ordinan� of the dty of Fridley. /%- � � �� O Ia consfderattan of the payment of a fee of $�—°� , Permit fa hereby graated to to conatruct the buflciing or addition as descrlbed above. Thia �ermit fs granted upon the enpress condition that the persfln to whom ft ia granted and hia agenta, employees and worl�en, fn all work done in, around and upon said building, or anypart thereof, ahall conform fn all r�spects to the or�iinaz►ce� of Fridley, B�innesota g location, conatruction, alteration, maintenance, repair sad moving of buildinga �� dty lfmits��� thia permit may be revoked at any� �upon �t,ion of any of the provisions of ss�d ��S � NOTIC� '11� parmH deas nof eevse t6s �edroeNoe, les�allaltoe fe� �rWn9. P�+�9. 6a 6adng, awu er wtle�. 8� wn to s» tin Bnildiee lesp�etor for aparaf� p�rmtis Po� th�a �n. � - � OWIW�A' V ADDRESS ; � . .. � APPLIGATTON FOR BUILDING FL�,�IIT CITY OF FRIDLEY, MINNESOTA � LOCATIOPT 0 BUILDING No. ��"� Street . �art of Loe Lot Block Addit n or Subd3.visian Corn.er Lot Iaside I,ot � SeCbaCk Side Yard � �� SEWER ELEVATION FOUNDAT�ON ELEVATION Applicant attach to this form T�ao CexCi�icates af Survey of Lot and proposed bLiZd- ing location drawn on these Certificates. � 1 DE3CRIPTION 0�' BUILDING To be used as; l�i,�'� ' Front � ���sLh 1:#eiglit � � Sq. F�. I��� Cu. Ft. G����� ' Front '��_Depth � �_Aeight �� Sq. �t. Cu. Ft. Type of CQnstruction To be Completed Estimated Cost % � _ � �, S � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accosdance with the Citq of Fridley Ordinances and rulings of the Department of Bui�diags, and hereby declares that all the facte �nd representations atated in this application are true and correct. DATE � �� SIGNATURE. / � �,,� _ G��e��� ��� �(Schedule of Fee Gosts caa be found on Che Reverse Side . ✓/L%��' � �,� ' . � � -• � ���. �a 6 K '� e BtJILDING PL�RA�T gF�� SC9EDULE Section 2. The Iaspector of Buifdin�a slrall, before iesuia,g anq per.coi.t for the erecti4n of any building os atriicture, or for any addition to aay e�iat- ing buildinffi or structure, or for a�y alterations or repaira to any exis��.ng buildin� or s�ructure, upoa application therefor, require the pay�ent l�y tb�e appl3caat for such permit of feee to the amount hereia below set fortlz and_ ia the manner her�ia provided to-wit; . 2.1. For any such permit for the erection o.f anq iire-proof building, other thea a garage� warEhouse, factory or grain elevatar, or for the ereetion of aay fire-psoof addition. for aimilar occupaacq, Co aay exieting build3r.g ahall be at the rate of $1.40 for each ome thousand cubic feet, or fractioa thereof� in such cubical caatente. ' 2.2. For any such perm3t ior the esection of any fire-proof garage, warehouse� f�ctory or graia elevator, or for the erection of any fiie-proaf eddiCio�, for similer.occupancy, to anq exist3.ag'bu3lding�ahalZ be at the rate of 51.25 for each one thousand cubic feet, classified as °'f3reproof" by Sectian 5C2 of. �he Minneapolis Building Code. HOUSES -. _ 2.3. For any such perm3,C for t�e ��rection of �a�iy non-fireprvo! build�n.� ot�rea than a garage, warehoase, factory or gretn�elevator;.or anq aon-firegsc�>� �� acldition, for similar occupancy, to aay exietin� building - permit $�,t30 �or each oae tbousand cubic feet. GARAGES . 2,_.4. For any such permit for the erecr.��, �t �r;; ��y�_f�LP�xsog gara�e, warehouea; factory or grain elevator, n4• rc��: �:'3„ �:c:;:�:to�a o� 2r�y s�on-��r.;�raog �dditioa. f�c-�s3milar occupeacy, to r=:;�, ����:ts _��r.�, lasy:, :4A�n� or for each auch __- � buiLdiag or .addit3on - aiaety cend.; g:1;; ;�;?; ;��� e:.�.:a oae Cho�asaad cubis feet or fraction thereof, in rhe cuF��e��.1 r.C?T.lt :n�:� the���� with a minimum of $4.04.- For the purpose of comput�tag fees fcr �a:.::�.�ing pera�i�s, the cub3cal con�tertts of any building or additioa to a uaifc�.� �ei��t thro�ghout by mu],.tiplying ths ground area covered from a point sis (6) iuehes be�.�wdthe floor liae of.s�h� basement or.callar to the average he3ght of t�� �`:�er surfaCe or to t e - average hei�ht of the roof surf�ce of the main gable of a p�ttched roo�. 2.5. For repairs or alteraCiaua to an exis�ia,� etructure, the fee ahall be at the rate of $3.00 per each Five Hupdred.Do].lars ($500.Q0) or fr.actiou thereof 3n the coat of all progoeed work. . • .� 2.6. In no case ahall the �fee_.charged far.any permit ae .aet forth.in �' Section 2 be less. thaa $4.Otl.. ' � . � �._.E� ^ e � �- -- - e� '�R ii.7-T' .,..,� � . .. � � . � � i-� �i�';'G% , .. . , �* � v _ � �� a�� , ;. •�� . . . . . . . . . . - . . . . .. �., . . 1. . . ,� ;� :. - . . . _,� :_... �,.. � � '. .'"":. . . .. ' . . � � . . . . . - � ' . . - � - . � . - � A� � `�°,L . � .. ' . . . " ' �t i � . . � � � � ' . . . . _ . �Y �� - �.�r'�'':� , r.d.�,�,,,,�,,� - ��r�. � � ��� ����f��: ��i��, ���. �°' , ' �,�;� ��I Ll�rt b � � �. , � �,�!,�;� : '.."."' �ri ���i'.� ;� SUi'Y��%i?r.s '.�...,' � � : .� .� ,. , ., , . . , �������� 1�' :�� ��: Ht�►t�t� t� � ��� , c : ,. . �, : �v � .� 7 z . , � .��; ��y t . , . . . . ' . ' . . . . . � . � ` i .� . . • i �y :4�i'. . . . � � . . . .. . _ . . , t 4` i - � � . �� � . . � .. .. . . � / � . ` .. . � �'�-.. . � � .. � . � , ` . � . � � � { b (� �D ( . �, f i ii2 . � �' t� d' 6 :�• , ` , } � � � � � � �' � ti � `n , - - i � �Y lOT f2 � �! , ...4.� ' � � f � _� .� . , } . . . . . � .. °' . � . � � �.. � � . : . � _ � : � . �. � . � . : q: � ?� r GJ a,, � � j. 3, ^ y " . � . � . , - y,; , "'Q') ` p' - b � `tt2 Y; � �." " ` � � , '� � w v' , � „ >� � '�'t��*�4t�5 tRt��l: .:�.:.,:..:.tl�t+�?T'�S [7!itAlNAto�E A,Nif UT�LiTY E�l'S�i�NT f Lfl�t �.��t,c��c �, 1V�� c.oC��r t�t�t 4j" Ao�or� uc� _ - : . , 1�t�tOtt�► C'a�il�'�' . _ . � ° � r�` �Ira� � �� an�,�nr�re� n�e�r �f'+� �rir+�.�'������r +� �!i� ; .'°� y � - - fi � � ��l�� , �''�q. �r �i�' ��i�d' 1is `�'"r''`a�'e'd b� "�t p�'"�'",�,'��i�l Y4 4 y � � �' C� i � Y ' �.y.'. . � . i . FL ,�'..�:��-:� R.f7_�+ �(��J��l�ia.=���� . �, i I r7�i�rE37ri1�i{�+1f�V _ Y ,t-,' _ 9 I ' t � ' ^�'' ' � kw � *� 4 e� d g �- 3 � , �,��� ��. ^'� � . '' '� � �+�� ��t � s w � '�— ";�� '� � '" _ �' _�' _:�:: '+� �"�`�'-� A � � � � . , - . . - .. - . -;� �� �a, �' � .' � . '�" . � '� ; . �. . , � � :.. . � . f �: y7r . , : � �:� ` - �, � k � ,. . ' � ,; >-_� - , ` .r �.: _ , . . . _... ' .�4' . . I , ^' ` � }v t City of Friciley At THE TOP OF THE TWINS INTER-OEPARTMENT REQUEST PUB(.IC NtORK4 DIVISION CITY HALL FRIOLCY dS432 al2-6s0' �4D0 ' SEINER STOPPAGE SEWER STOPPAGE AUDRESS 7529 Jackson DATE 1-13-90 CALL RECEIVED BY Greg Kottsick CREW LOCATION WHEN NOTIFIEO Home EQUIPMEWT TAKEN TO SITE Jetter AT 1:00 pm �q���p� CAUSE OF STOPPAGE After backup was relieved, 10-12 steel wods (from 1-1/2 to 3 feet in length) were removed from manhole where setup took place - 75tii & dacksvn. TIh1E STOPPAGE RELIEVED 1:15 pm DESCRIBE DAMAGE (IF ANY) Cement floor was wet, water was all clear water, had nc yet backed up from street. No damage. E ANY STATEMEPITS MADE BY CREW OR NOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM seen his neiQhbor's boy several times dropping objects through manhole cover. it REW AP�D HOURS 1 man - 2 hours { . �1 0 , City of Fridley 4T THE TOP Of THE TWINS �V.������� INTER�OEPARTMEHT REOUEST � j PUBLIC WORKS DIVISION i ' � CITY HA�1, fRIOLEY 66432 j` ��-__��j a12-860-3430 0 � ' SE�[ER STOPPAGE SEWER STOPPAGE AUDRESS 7529 Jackson DATE 1-15-90 CALL RECEIVED BY Greg Kottsick qT 2:00 pm (qM)(p�)I CREW LOCATION WHEN NOTIFIED EQUIPMEWT TAKEN TO SITE Jetter CAUSE OF STOPPAGE Several more steel.rods were removed from same manhole as 2 days ___previously, probably still lying in line from previous backup. ; TIME STOPPAGE RELIEVED 2:20 pm DESCRIBE DAMAGE (IF ANY) None, no water escaped from floor drain. E ANY STATEMEPlTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM REW AP�D HOURS 1 man - 2 hours � . _r1 sue�ecr MIT NO. c�ty of Fr�aley 27 054 AT THE TOP OF TME TWINS g � I L D I N G�P E R M I T � CEIPT NO. � � COMMUNITY DEVELOPMENT DIV. r � V � PROTECTIVE INSPECTION SEC. �g�/ � � 1 . � � _ �'�'1 � CITY FIAIL FRIDLE� SS432 NUMBER REV DATE PAGE Of AVPROVEO B� �"""� � �'� 612-571-3460 910-F15 8/7/98 � � JOB ADDRESS ���9 Jackson St t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL AOORESS 21P PHONE Kim Mortenson 784-4244 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Seal Guard S stems 9199 Central Ave NE B 717-0700 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 20093688 5 ENGiNEER MAIL ADDIiESS ZIP PNONE IICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28 Sq) Tear-off 9 CHANOE OF USE FROM TO E� STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIFiEO FOH ELECTRICAL. PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORpECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oii NOT. THE GRANTING OF A PERMIT 2335 1. ZJ DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONS?RUCTION 7L�.. ]S Fire SC 2.34 PLAN CMECK FEE TOTAL FEE Li ense SC 5 0 83.26 SIGNATUAEOFCONiRACTORORAUTMOii�ZEDAGENT IDATEI WHEN PROPE ALIDATED TNIS IS Y UR� PJERMIT t_ �s^ / e� !/ � SiGNATUREOFOWNERiiiOWNERBUILDERi IDATE� B G�NSP qpTE NEW ADDN AL'TER [] [] [l constructionAfldress: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.DING PERNIIT APPLICATION - �� �� . F , Effective 1/1/98 �� 10 ,�q,� � Legal Description: Owner Name & Address: 1�� �,�li�.� .1_� � �� �� ��cac�� S°� Tel. # �$ � � L/ a-�/ �� Contractor. (� ����.Q�{� MN LICENSE # _� �°13 �� � Address: _ �I �� ���-�'�� �v � �I�i°l� ����% Tel. # `�����% � � LIVING AREA: GARAGE AREA: DECK AREA: 01'HER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed constcuction drawn on it to scale. DESCRIPTION OF IMPROVEMENT - Length Width Height - - - Length Width Height � Length Width Hgt/Ground I Driveway Curb Cut Width Needed: DATE: � S —CI Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Sq. Ft. Sq. Ft. Sq. Ft. � oti � � - `��� �^ ���� � �� �- TVd,� il i°Estimated Cost: $ . (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $ " � � � � �� � $ �• $ e � $ $ �� � $ $ $ $ $ ��� Tel. # � `'U %U v CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plaa Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � � �_ BUII.DING PERNIIT FEE SCHEDULE t- : :��,y, - b =- ' r The Cluef Building Official shall, b�fore issuing p�rmits for the erection of any building or s�tructure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structuie, 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 $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,�0,000 FEFS $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,Q(30 � $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,�0 plus $y.(�il rur each additional $1,�0 or fraction thereof, to and including $50,000 $574.75 for first $50,� plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,0� $887.25 for first $100,� 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 $1,000,001 and up $5012.25 for the first $1,OQ0,000 plus $2.75 for each additional $1, 000 or fraction thereof . DRIVEWAY DEPRESSION ESCROW . (Concrgte Curb �treets Un�y� - - - -- 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 tunes $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 l�ation of the foundation once it has it has been. constructed will be required before proceeding with the framing. � .� � - - - ------� - - . _ . _ . . . _ . . . .