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AF - 47504BUILDING PERMIT Village of �ridley, Minn. N� 2 3 9 y �.. �'�! � �' Date�.. ..� ...................... ........ Owner : : `.��. . . , ,'��, O'7f��C .�.�.. . .�.�. � Builder . '�'°:'�'"�� . . . . . . . . . . . . . . . . . . . . . . . . . f, Address `.�:"� .�'�. s�. .�„'. .. �"�'��r,��i.�l�r' '�.� Address . . . . .. .. .. .. .. .. . . . . .. .. . . .. . . .. .. . . . . ... � LOCATION OF BUfLDWG No. . ��`"�!``�' . . . . . Street ``.� . f . . . .� ;'+��' ��'� . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . �., �� G�t� . .�- � Loi ......�.`�...... ... Block .�........... Addition or Sub-Division � :�� j ................... Corner Lot . . . . . . . . . . . . Inside Lot . .. . . . . . . . . . Setback '`�� .'�.�.�. . , Sideyard '��. . . �'�!t . . . . . . . . . . . . . . . DES�CRIPT[ON OF BUILDING To be Used as: �^,�°�'��... .��:.. � �'�� • q. ,�,��. Front Depth . . . �'. . . Height �� . . . . .. S Ft. . Cu. Ft, '�'`a�� "`�r g`"� ..., ,.,. �� . . . . . . . . �.. : I�':�'?�''�. . . . . . Front +!��'t . . . . Depth . � � . . . Height . . . . .��. . . Sq. Ft. . ?�:� . Cu. F`t. . . . . . . . . . � � Type of Construction :�'�'�`�:�."� Es� Cost .'�.��.�'�.�.� .�.J .. . . . . .. . To be Completed �.�`�� . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. � co of the payment of a fee of $. :��` . . . permit is hereby granted to . . . . . . . . . �� . . . . . . �� ..:�'�?�': . to construct the building or ad dition as described above. This permit is gr �� ted upon the express condition that the person to whom it is granted and his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of �'ridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any tlme upon viol�ion of any of the provisions of said OrfliYlariCe9. ,..� ,�,� �' � .�' .:�._ "�:+�'►.^:`.":�.`:,.`.:"'�!'s�:'... Building Inspector NOTICE: This permit does not cover the construction, installatton or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeator for se�arate perm(ts for these items. �. � � � � ��s��"/ City of Fradle�, Minn. Na "1549 BUILDING PERMIT na�: I� 25, 1965 owner: � ��b�' ��r Gar-Jac Gonstinction �o. Ad&�ess 63zo Jeffepeon St. IJ. E. A� $727 Polk St. N. . LOCATION OF BUILDING No. .�32.Q� st�eet Jeffersoa St. 1�. E. p� of Lot Lot $ _ Bl�k -i�, Addit3on or Sub-Divisian �;hPistie �dd. Coraer Lot In�ttde Lot Setback Sideyard Se�°er IIe�Btion — Fo�mdation IIevation To be Used as: DESCRIPTION OF BUILDING Front Depth I�eight Sq. F't Cu. Ft F'ront Depth Height Sq. Ft. Cu. F't. Type oP Construct�ton F�t, Cost�,1,�000.0� To be Completed � Storm Damege: Bebuilc�.ng house on preeions foundat3on In con�deration oP the �issuance to me of a permit to construct the building described above I agree to do � P�P�d work in accordance with the d�scrlption above forth aad in compliance with afl provisfons of mdinances oE the dtq oP Fridley. � �� "7 In caaisfderation of tiie paymeat of a Pee of 1$ �' ._� � P�rmit is herebY granted to G8S'-.TB�C COII9'�. Go. to construct the buflding or addil3on as described above. This� t fa� gran'ied upon f�e exPress c�ndition that thepers�n to whom ft fa graated and hfs agents, employees an� worl�en, fn all work done fn, aro�md and upon said buflding, or anyp�t thereof, ahall conform in all respects to the ordinaace� of F'r1d1eY, Mian�ota regarding loc�tfon, cwnstruction, alteration, maiutenance, repair and moving of buildinga wi�� dLy ]imiffi and thia permft anay be r�voked at any time upon viola,l3on of any of the Provi�lons of esid B�8 � ,,., NOflC� 71ds penait dea ne! eevar fhs eoesfraedae, �oe M� �rrWee, P�aml+te9. 6a 6uHe8. mr�� er wafer. B� suro to a� ��8 �� tor pW►at� p�ib Po� tha� it�ms. � , - — "� 0 � OWNER'S ADDRESS '. � APP'LICA'1'T01Q FOR BUILDING PERP9]:T ' . ' CIT1f OF FRIDLEY, MINNE30TA � LOCATION OF BUII.DING No. � �� Street Part of Lot'� ______ LO' �,_„�_____BLOCI€ � ADDITION. OR SUBDIDI3ION " Corner Lot�Ineide � ��getbeck �Side-Yard ' � SEWER ELEVATION ' ` FOUNDATIDN ELEVATION . — � Applicant attach to thia form Two Certificates of Survey of Lot aud proposed building location drawn on these CertificaCea. . � ��,�, ES �PTION . B D �i ' _ " . � � � �� To be used as : : ,_, • ' ;/� ' • Front Depth " Height 3q. Ft� Cu. FC. ._.__ � Front ' � Dept �_Height ` � __. ' Sq. Ft. `�. �, , .. Cu. Ft. Type of Coa�truction__ _ . ` Estimated Cost �/ � c� To be °completed . . . . � � The undereigned here8q makes application for a permit for the work herein apecified, agreeing.to do all work in strict accordaace with the City of Fridleq Ordinancea aad ruliri$s of ehe DepartmenC of Buildinga, attd•herebq declarea that all the facta and representations stated ia this`ap�lication•are true�and corr�ct. DATE__ ��i� / ��— � ' SIGNATURL� •` � � (Schedule of Fee Coets can be faund on the Reverse Si e).� �� . � � > .�,. �"� ' ,� E �q y � � � BUILDING PERMIT FEE SGHEDDLE SBCTION 2. The Inspector of Buildings shall. before issuing any permit for the erection of aay building or atructure, or for any additioa to any egistiag build- ing or structure, or for any alterations or repaire to any esistiag building or structure, upon applicatidn therefore, require the paymeat bq the applicant for such permit of fees to the amount herein below aet forth and in the manner herein provided to•wit: 2.1. For any such permit for the erection of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for aimilar occupanay, to any existing building, shall be at the =ate of $1.40 for each oae thousand cubic feet, or fr�ction thereof, in such cubical contents. 2� 2. For 8ay such permit for the erection of any fire-proaf garage, Warehouse, factory or grain elevator, or for the erection of any fire-proof addifion, for aimilar occupancy, to aay existing 6uilding sha21 be at the rate of $1.25 £or each ona thousand cubic feet, claesified as "fireproof" by Section 502 of Che Minneapolis Building Code. HOOSES � 2.3. For anq such permit for the erection of any non•fireproof buildin�, other thaa a garage, warehouse, factory or grain elevatar, or any non-fireproof addition, for aimilar �cupancy, to any existiag building - permit $1.Q0 for each one thoueand cubic feet. GARAGES _.__.__ 2�.4. For any auch permatt for the erection of any non-fireproof gara�e, warehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for similar occupancy, to any existing buiiding or for each such building or addition - ninety cents ($0.90� for each one thousand cubic feet or fractian the�ceof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for buildin� permits, the cubical coaeents of any buildiag or additiaa to a uniform height throughout by �ltiplying the ground area coeered from a point six (6) inchea below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the �main gable of a pitched roof. 2.5. For regairs or alterations to an existing structure, the fee ehall be at the rate of $3.00 per�each Fine Sundred Dollars ($500.00) or fraction thereof in the coet of a11 propoaed work. 2� 6. In no case ahall the fee charged for aay permit as set forth in Section 2 be lees than $4.OQ. � . - � �' � �, � ... � -_� _-� s �` � � � � � �� 3 + r 'g � �� .-°,. °•,j . � � � � � � �� 0 � i � � � � � � � � � � � � pz � � x � � x {,�+. � � �° � ea 7C � 8 � ]' � M i] R � �, � o n c� " � � �' � p �e � 1° � � � � m �' � � � �a ° a � � � � � : � v � � � � 0 � � �~ p K7 p' O v�i '� d5 � � p � � !*1 ov � i � � ' Cd � �' °n M �"' � OR : N � � • O � : : � � � : : . � : F, . �: ° o �y : i0 50 CQ N k OC k iC iC K � � 8 a'� g � 8 �n' 8 �' � $ $ �° � � �► �� rn � sn a► +n N '"� I H � S °� � I I r � O � � � � � � � � � ;' � � �e a � i � ,� c a �=- �Q � �s. � � � 1'� D � m � n m v r m Z� � � d A � O � � y A � � a d d r g o � � Q o � f o lo F� �� _. ■�.1 .■, .t , � � � �■■, � ■��, ��—�=, � r N y �. � � a � (� m �J� M � n. � I � w�Tu a,osns uaiNas wrH n� a�s�Ns SiNKS w�►+ rw►vs oaNK. FWINT. SM1M0.4. � �� GTQi eAStNS Auro W�SFfER c;�s � � a� OPENINOS . • z � � � � p rT � S, � �a� � M � iT M � �rC � P w g�G � � �� g$, � � �' �� r � �'��'� � � � �� Od b � � ,b � � �+ p - � � a � � ��,�$ �� . � .� � o�.a�� M f�Ry � f�p M T�, r�T n � .M � A � O � pr' � A ``T' � 33� � � � �� O �� p � M �"y � '� � � � � � � M � v � � rt �M � � 0 w 0 � � � m � � c� � � � V] W c+ O� � N � � �� 3 n � ' � � 0 � � o � 3 � c. �' o m� � -a cQ c!°i �a � � � � m � `� �� sF �g �� D � �o � � n � � � D � Z Z � � m z N � n � O z m 0 °o � -� < m a � 0 c � f � � � � � m �. m z � o � � � o m � � ,� ��. �r+' � z � � � R � � �� o. m � � � ~' a -� c � � m �. � � � 0 0 � O � �r m c m � m � cQ m � � � g d' �� m � � °, m �� m � 0 0 o :; xN � Z D n 3 � O � a � � i � � m � � v � � � � � � � � 0 0 0 �� $ S � � � � � � � �� o m � � � �. � �3 � 0m � z � � � � � � _ 2 � � n � n m � � � �. N m � � � o $ m 3 m" °-vo = v 'D ' � '° �� m o� �� m � � � v � -a �I � � "O rn � � z 0 ,� � � m � 6 Z � �'n v � � � � �� . � '� o�� m �'� w� zmm� g?. 3 m � .��.. a b.?�= v �� m��o � � � �� c � � v , � � o "� � � � � � � � 0 � Q �2�D� � 3� � � � ��'� o m � m �..��n. � a� ? ��o�� o � ��_� �s� � � � m � �� .�r � �� a �' -�. � A � � ; m � � � � A m , m �8�� -« �, � ��° ..g�'m �� ' � � �$� �� W ��m � 3 � Q � � � v � N J ��0 z�� v� N � � Zz m -o n � z � < �� m � -o �o ma � --� O OZ ZQ �� o -� ao �o g c� Q z° -o v_�a zN ��z �o v � �� NZ o � rn v, v g � � < � mZ �� m � � � S � � I� .�/! /! \1 C �1 � 0 � � � � .� � � � NOTE: 4�1 through �8 required when using a side vent furnace. s�Y �1IA STACK VERIFIC_A_'t'j�N Tt�e undersigned hereby ve� ifi� ttiat the existing chiIImey or stack: 1. Has be�n carefully examin� Y� () No () 2. Is fr� from rust or deterioration Yes () No () 3. Has no foreign objects lodg� within Yes () No () 4. Is s�urely supported Yes () No () 5. Me�s ali current Code requirements for size and totai BTU's conne�ted Yes () 1Vv () 6 7. S. Has tatai heating BTU's of All other BTLT's TOTAL BTU's Has a liner b�n p�ovid� for water heater Has combu�ion air been provided for wat� h�ater Remarks: j,ist ALTERATIONS Bei�g i�►��.-. Yes()No() Yes ( ) No ( ) HEATING CO: Signed By: Date: • SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i� � � � • COMMUNITY DEVELOPMENT DIV. i tV ��, r � i PROTECTIVE INSPECTION SEC. � � 1 � i----� ��"' �'� CITY HALL FRIDLE� 55032 NUMBER aEv L 612-571-3450 g�0-F15 JOB ADDRESS 6320 Jefferson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 8 4 Christie Addition 2 PROPERTV OWNER MAIL ADDRESS Dave Yousef 6320 Jefferson Street NE 3 CONTRACTOR MAILADDRESS All American Roofing 4112 97 Ln NE, Blaine MN 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 8 DESCRIBE WOHK Reroof House (22 S 9 CHANGE OF USE FROM STIPULATIONS DATE 6/10/96 014 ZIP ZIP ❑ ADDITION O ALTERATION � REPAIR 2nd Layer TO Roofing can be the 2nd layer but not the 3rd. TYPE OF CON57. SEPAqATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHORI2E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFiUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1,364 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE RFORM E OF CONSTRUCTION �4S.7S R � /% PLAN CHECK FEE fs1�' (v� Lic s C I NATURE OF CONTRACTOF OR AUTHORIZED AGEN� IDATEI DaN q ��f OWNER BUILDER� �DATE� SQ.FT STALLS NCY �AGE OF / / ?��4_ RECEIPT NO. o��9s APPROVED BY SEE ATTACHED SHEET PHONE 571-5329 PHONE LICENSE NO 786-6676 5160 PHONE LICENSE NO PHONE LICENSE NO O MOVE ❑ REMOVE OCCUPANCYLOAD CU. FT. GARAGES $.68 iAC CHARGE Fire SC $1.36 � AL FEE $52.79 THIS IS YOUR PERM17 ► �//� � / U � f)6TE r�w ADDN ALTER C] [l Il CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R 2 Building Permit Application ConstructionAddress: � � Zd �� i� �e �rsor� 5 -f' � Lega1 Description: Effective 3/1f96 ' � � Owner Name & Address: r1 u�� °��v ��r Tel. # �� I� S+3 Z� Contractor: _ A U. IAGv�E � ��,� tU '(� � o��rJ Ca MN LICENSE � 5' �� Address:_ ^ � 1l Z- � "l �`' (rn( N �. Tel. � ? �(� -(� (� � C� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Length Length Length Corner Lot [ ] Inside Lot [ ] Type of Construcrion: Approx. Completion Date: _ DESCRII'TION OF IMPRO�+TMENT �Vidth Width Width Height Height Hgt/Ground �� s� Sq. Ft. Sq. Ft. Sq. Ft � l��,er Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ ,�� (Cost on Back) Driveway Curb Ctiit Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � l o � �t � APPLICANT: � ip,,�E S P t � � s �� Tel. # "1 � (p -- (� f N �1 � Permit Fee Fire 5urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 5ewer Main �harge TOTAL � ��: �� $ � .�� $ •�� $ $ �- C� $ $ $ $ $ �°?• CITY USE ONLY. F� Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,0� Valua.tion $90D per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �� BUII..DING PERMIT FEE SC�DULE 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 eusting building or structure, upon applica.tion therefore, require the payment by the applicant for such germit 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 $SOO,QO1 to $1,000,000 $1,000,001 and up _M � �f-.� $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,OU0 $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 $9.00 for each additional $1,000 or fraction thereof, to and including $50,(�10 $574.75 for first $50,0� pl�s $6.25 for each additional $1,(�0 or fraction thereof, to and including $100,000 $887.25 for first $100,Q� plus $5.00 for each additional $1,D00 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,0� or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,0OO,OQO plus $2.75 for each additional $1,Ofl0 or fraction thereof DRIVE�VAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B °: Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 . VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applicarion to allow for proper review of the proposed structure and oi the construction site. A Certif'icate 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. 6 � *r�R SuBdECT . City of Fridley � � � � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV � � a: — r � � PROTEC7IVE INSPECTION SEC. � �� /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPRpVEO BV �"'"�' �'' 612-571-3450 910-F15 6/14/96 / / JOB ADDRESS 6320 Jefferson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 2tP PHONE David/Celeste Yousef 6320 Jefferson St NE 571-5329 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO MonRay Inc 8224 Olson Memorial H, Golden Valle MN 55427 546-8625 5111 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDfiESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOVE O REMOVE R B DESCRIBE WOf;K Replace 11 windows and 1 patio door 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBIldG, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATION � STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAIJTfNG OF A PERMIT �B�OOO ��F.00 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 PERFOHMANCE OF CONSTRUCTIOPI �137. ZS Fire SC �B.00 PLAN CHECKFEE TOTALFEE License SC $5.00 $154.25 SIGNATUREOFCON'AACTOA0�7AUTHOA�ZEDAGENT IDATEI HEN PfiOPERLY LIDAT D THIS IS YO R PERMIT � � � S�GNATUREOFOWNEAi�FOWNEABUILDEiii �DATE� BLD ��NSP OtiTE NEW [ ] ADDN�, , [ ] A,L• TER [ ] REMODEL' ( X ) , CITY OF FRIDLEY SINGLE FAIVIII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress : Legal Description: 6320 Jefferson St NE Effective 3/1/96 � �,�7 � Owner Name & Address: DAVID & CEL'ESTE YOUSEF Tel. # 571-5329 Contractor: MON-RAY. INC. MNLICENSE# 0005111 Address: 8224 Olson Memorial HwY Golden Vallev, Mn 55427 Tel. # 546-8625 Attach to this applicarion, a Certificate of Survey of the lot, with the proposed construcrion drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtJGround Sq. Ft. OTHER: REPL'ACE: (11) PRIME WINDOWS &(1) PATIO DOOR Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $__ 8, 000 . 00 Approx. Completifln Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 F— t x$ _$ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 137.25 $ 8.00 $ 4.00 $ $ 5.00 $ $ $ $ $ 154.25 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per 5AC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � � BUII.,DING PERMIT FEE SCHEDULE _" The Chief Building Official shall, before issuing permits for the erecrion of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,OOO,Q01 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1� or fraction thereof, to and including $2,000 $b2.25 for first $2, 000 plus $12. 50 for each additional $1, 000 or fraction thereof, to and including $25,OOD $349.75 for first $25,000 plus $9.� for each additional $1,000 or fraction thereof, to and including $SO,OQO $574.75 for fust $50,(�?0 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,OW $887.25 for first $100,(�0 plus $5.� 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 th� first $1,000,000 plus $2.75 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 $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure aad of the construction site. A£�rtifea��e of �urvey a� t�e 1ot, showing the location of the founda.tion once it has it has been construc�ed will be required before proceeding with the framing. � � .� SUBJECT PE . c�ty of Fridley 2 6 6 5� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � `y _ COMMUNITY DEVELOPMENT DIV. �� r � � PHOTECTIVE INSPECTION SEC. 1 . � � ` /'�'1 � CITY HALL FRIDLEr 59032 NUMBER REV TE PAGE OF pVPROVED BY �----� • •�� 612-571-3450 910-F15 /15/98 / / 108 ADDRESS 6320 Jefferson 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACFIED DESCR. $ 4 Christie SFIEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PNONE Dave Yousef 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Al1 Season Builders 2540 152 Lane,Ham Lake 413-1300 84 3 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINC3 Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION �p REPAIR O MOVE O REMOVE B DESCRIBE WOHK Reside 9 CHANOE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE IiEOUIRED FOR ELECTRICAL, PLUMBING, HEATINQ, �PE OF CONST. OCCUPANCV OROUP OCCUPANCV LOAD VENTIIATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OFi IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFiEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOF;K WI�L BE COMPLIED @ WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A pERMIT y�42OO �Z. lO 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 PEflFORMANCE OF CONSTRUCTION. �p99. %5 Fire S�.' ��F.2� PLAN CHECK FEE T07AL FEE " "�.s'�� icense SC $5.00 $111.05 SIGNATUiiEOFCON7RA({+ RORAUTMORIZEDAGENT IDATEI WHEN PROPERI ALID ED THIS IS YOUR PERMIT s SiGNATURE OF OWNER�iF OWNER BUILDERi IDATEi '� - BL iNSp � qATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � � �� C--��,�� dl F-e �- Effective 1 / 1/98 �� 1 � �� r Legal Description: �e ,.� i c� e Owner Name & Address: �� s' ' �`'� t�S � `� Tel. # Contractor: � 11 �� ,5'�� ,� l� ��r� MN LICENSE# '�`�Q.� Address: . 2 �' y o / S°"� �,�. �► ,Z% sr, L� lc �. . Tel. # �l3 ° �.��r� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width � Hgt/Ground 5q. Ft. OTI�R: ,: Construction T e: �— S�v' �� yp f� � � Estimated Cost: $ �� (Fee Schedule on Back) Driveway Curb Cut Width Neetied: Ft. + 6 Ft = Ft x$ _$ DATE: �� ` �� APPLICANT: ��"'� � Tel. �{ �1 �� a, - - - Permit Fee Fire Surcharge State 5urcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL . STIPiJLATIONS: $ ��G�,�� $ -��J $ �.r� $ $ t�a' -�� $ $ $ $ � 1 J �� CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1 / l Oth %) $.SO/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservadon Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � , , a 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 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 $2,000 $2,001 to $25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $5�,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for ``first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,Q00 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum 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. �,. _. . ,�