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AF - 47505Date Owner Addres BUILDING PERMIT village of �ridley, Minn. N� 2� i 4 {�.a?�+,/�S�' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �� . . . . '� .•, . � � . . .� . . . . . . . . Builder . rr.'.'!� `. `.`:� . . . . . . . . . . . . . . . . . . . . . . . . �� s �.- "t !d /�:"r . . . .�� . . . . . . . . . . . . . .� Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LOCATION OF BUILDWG No. . .��a�.�! .. . . . Street , �,�.-,"'B��i�t;�,d"K-"�i�' .rY"f '�.�. . Part of Lot . .. . . . . . . . . . . . . . . . . . . Loi ...........,�... Block .. ��........ Addition or Sub-Division .'�:=��.�:� �c,��"....... Corner Lot . . . . . . . . . . . . Inside Lot . . !�'�. . . . . . . Setback . .�.�. . , Sideyard .!�Q ,�";`r', , , , , , , , , , , DESCRIPTION OF BUILDING To be Used as: • ��q��' + , r 'f.�• . . . . . Front .`:� �.. Depth . . �':�. . Height . �. : �'.. �,�J /� • y�j�l/��• • • • • . . . Front . j.�^. . . Depth . ?�:�l. . . Height .I. �' . . . /� ¢� � �� Type of Construction . .ly::f.�:':�!i . . Est Cost . �! . . . . . .. . . .. .. . . . . .. . Sq. Ft. . .. ..... Cu. Ft. ..... ... Sq. Ft. ........ Cu. Ft. ........ To be Completed . � ��!�.^'� , , , In consideration of the i�ssuance to me of a permit to construct the building described above, I agree io 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. . ,� ................................................... In consideration of the payment of a fee of $. . ��.�, permit is hereby granted to . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • . • . . . . . . . . . . . . . to construct the building or ad dition as described above. This perinit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlanen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of �'ridley, M�,nesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances, i'� _ � .�,r/. :J(. . . y: . .V.��`•'�` �"rv !!� . . . . . Building InspectOT NOTICE: Thls permit does not cover the construction, installation or° alteration for wiring, plumbtng, gas heating, sewer or water. Be sure to see the Buiiding Inspector for separate permits for these items. .r+. �. �� , �, �'!1 ,� C,�ty of Fridley, Minn. BUILDING PERMIT Date: _June l, 1965. � �'�-G � No 7si4 �r. Ro�er Aukeman B�� l+�tro Buildera Inc. Addre� 633.�deffer�cn St N. Ty A� _ 2909 Nico]1et Ave. So. LOCATION OF BUILDING No. 6330 st�eet Jeiferson Street N. E. p� of Lot Iat �— _ Bloak �' Addition or Sub-Divfaion �istie Addition Coraer Lot Inside Lot 5etback Sideyard 3ewer IIevati� Foundatfon IIeval3on To be vsed as: DESCRIPTION OF BUILDING Front �pth Height Sq. F't. Cu. Ft Front Depth I�eight Sq. Ft Cu. Fk Zj►pe of Construction F�t. Cost �.i�s� To be Completed Storm Damage Repair Ea ca�deratfon oP the fssusnce to me of a permit to canst the proposed work in accrordance with the d�script3on above set ordlnancxs of the dty of F'ridley. � above I agree to do vvith a�l provisions of i Ia cromaiderati� oP the payment oP a Pee of � 10 •� , pernniit fs hereby granted to �e$PO Bld � T8 . ItC to constr�uct the buflding or addition as described above. This penait is granteii up� the express condition that theperson to whom it is graated snd his agents, employees and worl�nen, in all work doae fn, around and upon said building, or anypart thereof, ahall o�nform in ali respecta to the ordinan� of Fridley, Minnesota location, construction, alteration, maintenmuce. repair and moviug of bufidinga within the dty► ]imiffi� pernnit may be revoked at any tinae upon violation of aay of the P�vi�tons of eaid ordiaances. A1.leA Jensen B„�g �r NOflCEa Tlils � doa eot eevsr �hs eomlrocH�, testalltlioa fer �rrMee. P��9. 6as 6sadeg, iswn or vater. 8� suns to a� t6a Boitdine le�etor to� ap�d� pumhs /er � h�. � �a:�.` AP�,T�.AT.T_�?V FOR BU�I;I�Tf: p'�P.MIT , CITY 0� �;iIA�,EY,. Mi�]P�ESL".�"A � i i / -�� ! �f � �I // f � - � .��< ` � � � /�� ' ► t ' / i � �, � � r. � � :�.� LOCATIOAT OF B�TTLDING Nc. .� p� -�treet Part of Lot ".� � Lot Block Addition or Subdivision ��-�q ��. Corner Lot Inside Lo� Setb�ack Side Yard � SEWER ELE9ATI0►�1 FOUNL�TION EI,E�'ATIQN Applicant at�rch to this form Two Certificatea of Surveq of Lot.and praposed build- ing location drawn o�a these Certificates. ,= ' To be used as; DESCRIPT'LON 0� BUILDIP?G Front " �i;�: pch �Aight . Sq. Ft. Cu..Ft. �,, Front Deptih Height � . ,� . Sq. Ft. Cu. Ft. Type of Constructi.on �� e��_ � _ � � �� Est,�.m�ted _CosC ��% �_ To be Cos►p].eted �� j The undersigaed hereby makea applicatioa fo; a permit for the work hezein specified, agreeing to do all work in strict accordanca with�the City of Fr3dley Ordina.nces and ruliags of the Department of 8uildiags, and hereby declares that_�11 the facts and representations stated in this application are true.and correcC. DATE �� 2 ��'/ S� SIGNATURE ,�Schedule of Fee Costs can be found on the Reverae Side). _ �- /'-� = `� �_' �1 6 BUILDZNG PELRN�T rEE SC;�EDULE Sectie�n 2. The Inepector of Buildiage ahall,�before issui�g any pea�anit for . the erecCion of any tiuildiag or.structure, or for any addition to any �s�ist- iug building or etructure, or for any alteration� or repaLs� to any e�iatl�ag buildin� or structure, upon application therefor, require the pay�eae by the e�gl�.cant for euch permit o£ fees to the amount herein below set fcrtlz er�d fn the manner herein prov3ded Co-wit: , 2.1. For any such permit for the erection o,f any fire-proof buildi�►�, �L•hex . than a gara�ei warehouse, factory or grain elevatior,-or-for the �rectiora'of any fire-proo£ addition, for similar occupancy, to any existing 6u�itd3�sg ahall bo at t�ie rate o� �1.40 for each one thousand cubic feet, or f�actioa thereo£, in such cubical coatents. ' " - 2.2.'-' Fdr aay such-permit for Che �rect3on of any fire-proof garage; warehause,� factory or grain elevator, or for the erection of aay fire•proof asiditior�, . -�for eimilar accupancy,�to any existing buildimg ahall. be at tbe rate o� $r:25 for each oae thoueand cubic feet, classified as °1firegroo#" by Section,SG� oiE •- the,Minneapolie Building Code. � ' � HOUSES � - -��"2.3. 'For any euch permit for Che erection of any non-fireproof buildir� ��.L�� than a garage, warehouse, factorq or grain elevator, or any non-fire��c�y� additioa, for similar occupancy, to any exiating building - permit $�.Gfl £or each ane thousaad cubic feet. . � GARAGES 2� For anq auch permit for the erectia� ��: ar�� n�n-fixe�xc�o� garage, _�� -- warehouse; factory or grait� elevator, n1�. sr.�: �."_zt �:e.:tcioa or" suy non-�1:remroof addit3oa, for�•similar occupaucy, to �4a, a�r.;stin� ,Uuag�iag or for each a�.cn � _ --- - �-bv:�lrliag ar •additioa - niaety �e*�� ,;,:•',y^� ��or e�c:i oae thousand cubic feet or fraction thereof, in the, cul�ice� �a�".r.�$ th�:reei with a minimum of $4.04.- For the pu�cpose of computiag fees f�r bL�;.ding permire, the cubical con-tpnta + gro ad`.areadcoveor addition Co a�vnifcxzn Iiei�hE fhrou�hout by multiplyiu� the Y ffi red from a.point aiu (6) inches below the �laos.;l�,ne o�• �:he , - basemeat � or � cellar 'to t�e average hei�ht -af the �ap�er -s�r�ace or to the average height of the roof surface of the maia gable of a p9,tched roof.� ., 2.5. For repaira or alterations to an �xieting seructure, the fee shall be at the .rate. of $3.00 per each Five Hundr�d Dollars ($500.00) Qrr fracti,on , .thereof in the coat of all,proposed,work. . . 2.6. Ia no case shall the fee._cl�arged for.aay perm�tt a� set ,farth in '� � Section 2 be less. t�an $4.00. � � "�- � � �"� �_ �_ � a� '"� MEMORANDUM PLANNING DIVISION DATE: October 1, 1996 TO: William Bums, City Manager FROM: Barbara Dacy, Community Development Director Scott Hickok, Planning Coordinator Kurt Jensen-Schneider, Code Enforcement Officer SUBJECT: 6330 Jefferson Street Id.E. Upon an inspection of fa330 Jefferson Street, a parked vehicle was not observed in the front yard. Staff did, however, document an outside storage violation in the side yard and a vehicle paricing violation in the rear yard. � � Outside StoraQe � Several dlrome vehicle body parts were stacked along the north side of the garag�. These mat�rials are improperly stored and should be placed in a storage building or screened from the public �ight- of-way. Notice was sent to ihe property owner regarding this aspect of the site conditions. Vehicle Parkin4 � The general location o# the vehicles in the r�ar yard has led staff to believe that the vehicles may nof be parked on an approved hard surface. The property owner has been notified about the vehicle � parking requirements and will be directed to place the vehicles in a storage garage or on an approved hard surface. Imoortant Enforcement Note In situations such as this, it is extremely difficult to verify with certainty the road worthiness of a arehicle. Staff did attempt to access the rear yard by contacting the homeowner. Unfortunately, no one was home at the time of the inspection. �thout an invitation into the rear yard, staff must rely on information provided by the complainant or send a letter assuming condition or license status deficiency. At this time, staff will be taking steps to correct the parking and outside storage violations within the standard 15-day code enforcement notification period. A noncompliance notice letter has been sent, and the 15 day reinspection schedule has been set. Staff will proceed in the manner necessary after the October 16, 199fi, reinspection date. KJS:Is CEM-96-29 sue�ecT , p °'°'� City of Fridley 3 3 6 5 3 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. � �y-- COMMUNITY DEVELOPMENT DIV. s" � r � � � PROTECTIVE INSPECTION SEC. 1 . � L----�; �"' �•� CITY HALL fR10lE� SS132 NUMBEp pEV D�iE v�GE O� �vvrtOVED Br t 763-571-3450 s�aF�s 6/30/03 � � 109 AODRESS 6330 .;efferson S��eet NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 7 4 Christie Addition SNEET 2 PROPEiiTY OWNER MAIL AODRESS 21P PHONE Nea� Dasr�th 6330 Jefferso� St�eet NE 612-419-9287 J CONTRACTOfi MAIL ADDRESS ZIP PMONE LICENSE NO Same 4 ARCHITECT OR OESIGNEF MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAtL ADDRESS IIP PFiONE LICENSE NO 8 USE OF BUILOING t2esidential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION t�, REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Reroof House (17 Sq� Te2r-off; Reside fro�.� of house 8 CHANOE Of USE FROM TO ' STIPULATIONS Per Section 1402, 1997 U�iform Building Code, requires that a weather resist�ve bar�ier be plzced over exterior sheathing to protect �he interior wzZ�. coverin.g. Exceptions for this provi.sion would be if sheat�ning is an approved we�fiherproof pGne� or when the siding is an approved weather barrier. V-?ny� siding is r_ot a weatherproof covering un�ess the m6zu£sc�.urer sta�es �his i� their zppyicatiorF guidelines. Cay1 for inspection of wra.p before coverar.g or take pictures. Cau1k �.nd flash a�"s. exterior open�ngs. U:,der�ayment must comply with the Sta�e Bui�di:�g C de. SEPARATE PERMI7S ARE RE�UIRED FOq EIECTRICAL, PLUMBING. MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTI�ATING OF AIR CONDITIONING THIS PERMIT BECOMES NU�L AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK t5 SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFV THAT I HAVE REAO AND EXAMINEO TMIS APPLICA710N 1 STA��S GAFAGES AND KNOW tHE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFNING TMIS TVPE OF WORK WILL BE COMPLIED @ WITH WHETMER SPECIFIED MEREIN Ofi NOT. TME GRANTING OF A PERMIT W`a96H �i.4H DOES NOT PiiESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE PROVISIONS Of ANY OTHER STATE OF IOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OP CONSTRUCTION �83.ZS Flie SC �2.97 PLAN CNEGK FEE TOTAL FEE �87.7� S�GNATUpE OF CON' CTOA Op oUTHO i ED aGEnT iD�iE� EN PqOPERIV VALIOATED THIS IS V Up ��E MIT � P G2 � �`� �GNOTUAE O� OWNEA�� OwNEA B iLDE � '�� hSv q�iE ti� 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: �.�.30 . , Legal Description: �D�iS � � Owner Name & Address: �S �f�� Tel. # i2 - l�,�r9a� Contra�tor. � MN UCENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length �dth Height Sq. Ft. DECK AREA: Length �dth Hgt/Ground Sq. Ft. OTHER: ,P_s1 �'i��'!'lc/ i�'�, l�.i ��,r�� .�7s� ,� �.�-�'� � Construction Type: � V Estimated Cost: $�e�� 19�� e /oc�� 2S �� °�%�� Driveway Curb Cut �dth Needed: Ft. + 6 Ft = x$ _$ � . DATE: �� _�D ��9 3 APPLICANT: Tel. # ��2 �a�'�� %2% �A'C- fFS�-i Call (763) 572-3604 for Permit Fees if mailing in application. 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 Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ _�S� $ �, $ • $ $ $ $ $ $ $ � , �a CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] � •� 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 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 $5(� $501 to $2,000 $2,001 to $25,000 �25,001 to $50,000 $50,001 to $100,000 $1�,001 to $500,000 FEFS $23.50 $23 .50 for first $500 plus $3 .OS for each additional$100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,0(?0 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 . $500,001 to $1,000,000 $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 $1,000,(�1 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the.proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv sue�ecr IT NO. ' City of Fridley 33713 AT THE TOP OF TME TWINS g U I L D I N G P E R M i T r ; � RECEIPT NO. � ; v _�___ COMMUNITY DEVELOPMENT DIV. r � � PROTEC7IVE INSPECTION SEC. ��J �/� � _ � �.�' I 1 �'�� CITY NALL FRIOLE� SS13P NUMBEII � REV DATE VAGE Of APVROVED BY �'""'� � ,�' 763-571-3450 910-F15 7/17/03 / / JOB ADDRESS 6330 Jefferson St NE t LEGAL L07 NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. ] 4 Christie Addition SHEET 2 PHOPENTY OWNER MAIL AODRES$ ZIP PHONE Neal Dasrath 6330 Jefferson Street NE 952-285-9421 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO .SdID E < AqCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION �1 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Basemen.t a�terations 9 CHAN(iE OF USE FqOM TO STIPULATIONS Provide smoke detectors ia a�l s�eeping rooms and �n aI� 1eve�s of the dwei��:ag per Section 310.9.1.2 of the Z997 Unifo�m Buiiding Code. Cmulk and ��ash a�i exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT CU FT, AUTHOR�ZED IS NOT COMMENCED WITHiN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOF A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OfFSTpEET PARKING 1 HEREBV CERTIFY THAT I MAVE READ ANO E7(AMINEO THIS APPlICA710N 1 STAILS GAqAGES AND KNOW THE SAME TO BE TRUE AND COiiRECT. ALL PROVISIONS OF IAWS VA�UATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED MEREIN OR NOT. TME GRANTING Of A PERMIT �3�000 �Z.SO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC GNARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTNUCTION �83 . ZS Fire SC �3.00 PLAN CHECK FEE TOTA� FEE $87.75 S�GNATUAE �CON'AA TOAOp• EOAGENT IDATE� _ �1J N PROPERL� VALIDATED THIS IS VOUR PERMIT � �7 �.� t�( � � $�GN4iU�7EO�OWNEp�� OwNE U4 A� �DATf� BL �h$� � 46tf NEW ADDN ALTER [ ] CITY OF FRIDLEY [ j 6431 University Ave NE, Fridley, MN 55432 [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: - Owner Name & Address: Contractor. � � Effective 1 /1 /2003 (763) 572-3604 Bldg�sp (763) 571-1287 F� � \�°'' v � . Tel. # �2°-2�"��% MN LICENSE # Address: Tel. # WING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround S�,. Ft. � ., . � e • Construction Type: �d�l,lS� � Estimated Cost: $ .� �� Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit 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 $ � ��Q � $ rt� . �C'� $� � � $ $ $ $ $ $ $ e� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] � _ •► BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1(�,�1 to $500,000 $500,001 to $1,OQ0,000 $1,000,001 and up 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,� 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 $50,000 plus $7.00 for each additional $1,000 or fracdon thereof, to and including $1(}0,000 $993.75 for first $1(�,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 .. $3,233.75 for the first $500,0(}0 plus $4.75 for each additional $1,000 or fraction thereof, to and' including $1,OQ�,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concret� Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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 locadon of the existing foundation will be required before proceeding with the framing. New Houses Onlv � � � � � � � � � F� � � ,� " a'. � � � � � � � � � � >�._-,.-.s..�,-.��=-�.T. ,._..�m,e,-,,..::.--� .._ .r...,--s-� . .��,�� V _ . t. , y°� � . � � �� (0.1 .L. . . .e • . . . .. C ;i�h '�p: ;!. 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Z 0 I I I I I I I I I I I I I � �rflEn��+�En�t��►En4n �71 O O O y O y�I V�I Ut 1� 11 °o °o °o o° o °o °o °o °o °o °o °o o° v c � � Z � n O � v D � m � � � a n O � � � � m � � � � c � � c N N a O i � co -, � � �� N I -o r c W Z � "n � C � m � m � � � m O D r � O W D v v � �� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCATION WILL BE RETURNED [�AIL�6�p1� t�l`�F��niT CpIl1�EGT�R AI�D COMBl14TInN AIR VERIFIGATIDN When :�placitlp a�p�urat�e, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ()� No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. 'rne eYi�no �eme��tien air is sized and installed to meet the current codes and manufacturers specifica6ons. �M'1@11 f@(�UIIEd t0 ��'?�� a n_w _emb ,ctien air� it will be sized and installed to meet the cument codes and manufacturers specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes( ) No( ) �e� sn�� n_w v_r�in��y��, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( j No ( ) . ... .� - ,.- .�. .��.� -� .�. -� .��- . � .��. .� AppGance #1 Type BTU Input Fan Assisted or Nat AppGance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type r : � r•► .- �•- HEATING CO: Signed By: Date : * �n � 1 r+ � o v Q 3 0 N � y, m � � � � � o � � � a� o„o � 7 � Oq � .o a 1 ' � � N � � � � �a g r+ 3 O G .-r � '0 a O < � m Z � -o m � O Z � m m � v 0 0 � _ � �� . _j�'1 � 7 � N � � -��. < d C cD �. v v v N� � � m O � O � � � � � r � -n c m � m �. d 00 N � � � , � � O � -� -a tn •..� � �• � (�D � N � 7 a w�c+^ N oc?u�� N co�,cu �,_,�a r,. — oq �- � � O � a � o, o- � p o � .+ < °' 3 sN � d ? � t�i► v °' � °' _ > >•-o � ayv_ .°+ �. � c�. —�I o� � � j rn �o-�o -hs n O •� � o. c► m �' � �p � H (Ap � C1? � � � o .°+��, � �, o n ? f�D S . ,.y, N C� � � � O N O � d a �' m � a�� .� --- �4 O �? �<fD w �' �/`` m c�u 'o �. � �D y '�p_ Qo g� c�' D T A f�D �-t-� cn '. 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U84M 03N2ifLL3a 38 TIIM NOLL�d'JI'Idd1� 3H1.2i0 S3�Ndl'1dd11 �JNIIVat16 "13f1� �JNI�tf1d3?J N3HM NI a3T11� 381Sf1W MO'138 3H1 ADDRESS , PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY � 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 1631572-3604 FAX: (763) 571-1287 : 6330 JEFFERSON ST NE : 143024420053 : CHRISTIE ADDITION : LOT 7 BLOCK 4 : SEWER/WATER REPAIR : RESIDENTIAL : SEWER LINE REPAIR PERMIT NO.: 2004-02329 DATE ISSUED: 12/27/2004 VALUATION . NOTE: CALL 763-572-3560 FOR INSPECTION AFTER UNCOVERING THE LINE, BEFORE ANY REPAIRS ARE MADE, AND AGAIN WHEN THE REPAIR IS MADE BUT BEFORE RECOVERING THE LINE. PH�963G-753-4045° '� ,� �,' !�- APPLICANT GENE'S WATER& SEWER 4360 LYNDALE AVE NO MINNEAPOLIS, MN 55412- (612) 781-3737 OWNER DASRATH,NEAL 6330 JEFFERSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor! will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEWER LINE REPAIR/RELOCATION TOTAL PAID WITH CHECK # 21618 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 40.00 40.00