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AF - 47723,�, � Date: Owner: Addreas # � / City of Fridley, Ndin.n. I1T° '786� BUILDING PERMIT JUN'E 14, 1965 ALFRED MATZER B�� HOME SERVICE COMi'AN3� 6�17 Jefferson St. N. E. Ad� 1148 Arcade Street St. Paul, Minnesota LOCATION OF BUILDING No. 6717 Street JEFFERSON STREET N.E. Part oP Lot Lot 5 _ Block 1 Additfon or Sub-Div�sian Rice Creek Terrace, Plat 5 Coraer Lot Inaide Lot Setback .—. Sideyard Sewer IIevation ____ — Foundation IIevat3on To be vsed as: Front Front 1`ype oP Construction DESCRIPTION OF BUILDING Depth Height Scl. Ft C,u. FL Depth fTeight Sq. F't. Cu. F't. ._..� FF�t. Cost ��.11, OQQ. 00 To be Completed REBUILDING HOME DIIE TO STORM DAMAGE In consideration oP the isauance to me oP a permit to construct the building des�tbed above, I agree to do the proposed work 9n accordance with the drescripticn above set forth and in compliance with all provisions of ordinanc.es oP the dty oP FrYd1eY• ie / /� ., 10.00 � In conafderation of the payment oP a fee of $ —..—, permit fa by granted to to constcuct the bufldiaig or addition as described above. This permit ia granted upon the expresa condition that the person to whom ft is graated and hfs agents, employees and workmen, fn all work done in, around and upon safd bu9lding, or any thereof, shall conform in all reapects tfl the ordinance� of Fridley, Minnesota regar�tng la�tion� conatruc�o� alterat3on, maintenance, r�pair aad moving of bufldings within the dLy limits and thia permit may be revoked at any time upon violation of an3► of the provisiona of saic� o�dinanc�s. QT T.RN G. JENSEIQ g�� r NOTICEs � 1hb pamN don eot eevsr t6e eomtrueft�, Insntldlon fer vrWe�, plumbtea, en 6ultea, sswer er water. B� wre fo se� Nu BoUdioB le�etor tor apval� � ior ihas Nsma. � � �/ - /� � --/J, � ,., y.. � R �� _: .1�, �p�.;�� /� eRr� 1�. , I 9 GM1�� I�b� � I APP'LICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � _,��. i L 1 � �l'�'�:% _ ► � r�,j'/��'� , � �� ` � 1 ' �� _ ! "� r i i � .Jil � ' 1 � ' � - / .r�.� - �1' �/ i, ,, i r LOCATION OF BUILDING No. � `� Street ��'��Q.�° o/� Part of Lot� LOT �$"' BLOCR ADDITION OR SUBDIVISION �_Sai� "� � n�� Corner Lot Inside L0� Setback Side-�Yard .� � � SEWER ELEVATION F IOR ELEVATI4N Applicant attach to ti�is form Two CerCifitateb of Survey of Lot and proposed building lacation drawu on these Certifi�tes. OF BUILDING To be used as; ��i�L� �/✓ �' Front� Dept ` He3ght Sq. Ft. Cu. Ft. Froat Dept ,� Height Sq. Ft. Cu. Ft. Tyge of Con�truction Estimated Cose To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeiag eo do all work in strict accordance with the City of Fridley Ordinances and rulings af the DepaYtment of Buildings, and herebq declares thaC alI ehe facts and repres�ntatione stated in Chis application are true and corr�ect. DATE SIGNATQRE -. - . - .� :� .- . . .. �- - .- i - . � �. . �"�_,� , ��- �' - �r ,�- / �� ., �, �' � - � ; �� -A ;- - _ � "� � - , y �! � � � -�� -- � � � l ; ` �'�'� ,, , . � �; II � � � 1 . 1 � �' , I . � �' "�. BDII,DING PERM�T FEE SH�ii.B SE�. The Inspector o� Buildin$s ehall. before issuing any germit foz the erectiou of any building or etrucCuze, or for any addition to anq existin� build- ing or atructure, or for any alterations or repair� to anq esiat3ng building or structure, upon application thersfore, require the paqment by the applicaat for sucb permit of fees to the amouat herein below set forth and in the maaaer herein_ provided to-wit; 2.1. For any euch permit for the e�Cection of any fire�proof building, other thaa a garage, warehouse, factory os grain elevstor, or for Che erection of any fire-proof additioa, for similar occupanc�q, to any existing building, ehall be at the rate o£ $1.40 for each ane thou�and cubic feet, or fraction thereof, ia �u�h cubicai� coutent�. 2.2. For any such permit for the ere�tidn�of an�r,iire-proof garage,� Warehouae, factory or graia elevator, or for the erection of any fire-proof addition, for eimilar occupancy, to any esisting building ehaZl be at the rate o£ $1.25 for each oae thoueand cubic feet, classified as "fireproof" bq Section 542 of the Minneapolis Building Code. flOIISES 2_ Ror anq s'ucb pes�m3,t for the erection of any non•f3reproof bnilding, other thaa � garage, warehouse, factory or grain elevator, or any non-f4.repraof additioa, for aimilar occupaacy, to any exiating building - pes�mit $1.Q0 for ea�h one thousand cubic feet. � caRac�s � 2 4_ For any auch perm3t for the erection of anq non-fireproo£ garage, warehouse, factorq or gxain elevator, or for the erection of anq non-fireproaf addition, for aimilar occupancy, to aay exieting building or for each such buildiag or add3tion = ninetq cents ($0.90) for each one thousand cubic feet or fractiaa thereof, in the cubical contents thereof with the minimum of $4.00. For Che purpose.of camputing fees for building permits, the cubicai contents of any building or additian to a uniform hei�ht throughout bq mult3plying the grauad area covered.fram a point six (6} inchea below the floor line of the basement or cellar to the average he3ght of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2 5_ For repairs os alteratione to an ex3sting structure, the fee sbali be aC the rate of $3.00 per eac� Five Iiundred DQllars ($500.00) or fraction thereof in the cost of a11 propoaed work. 2 6_ Ia no case shall the fee charged for anq permit as set iorth in Section 2 be less than $4.00. . �� y � � � d - �� :-' . ---� � ,''"� f _.. City of Fridley, Minn_ �UILDII�G PERMIT nate: Jnne 15, 1965 N� '7��5 owner:�l.fred Matzek �� $ome �erv9.ce Co�pany Adaress �6 ,17 Jefferson �t. N.H. A�� _ 11lals Araade ��. St. Paul, M3nn. LOCATION OF BUILDING No. 6717 st�eet Jeff�rson St. �.t,. part ot 71ot Iat .--2—_ Block �- Addition or Sub-Division Coraer Lot _ Inaide Lot Setback Sideyard Sewer IIeval3on _ Founda.tion Elevation To be vsed as: FSroat Front Type of Construction DESCRIPTION OF BUILDING Depth Height Depth T�eight __._ Faa� Cost — Sq. Ft Cu. F't Sq. Ft C:w. F't To T�e Completed . � In constderatlon of the i�uancae to aae of a permit to construct the building described ai�ve I ag�e to do the paoposed work in acc�rdance with the d�scription above set forth and 9n c�mpliance with a�l provlafons of ordinanc� of the dty oE Fridley. In ca�aideration of the paqaaent of a fee oY � � permit 9s hereby granted to to canatruct the building or addition as de.acribed above. Thispermi t is granted upon the egpress condition that theperaon to whom it is granted and hfa agents, emplo� yees an� worlmnen, fn all work done in, around end upon said building, or anypar� thereof, shall conform fn all reapecta to the ordinaac:e� of Fri�IIey� �nnesota regardi�g lxat3on, conatructiTon, alteratfon� mafntenance, repafr and moving of bufl8inge wi�� dty ]imits and this pernoft may be revoked at aTMy time upon violat3on of aay of the provisiona oY said Husl�3in� Ins�etor NOflCEs � 'IYs penett dea �! eewr t6s coesirudloe, �StaD�fioe �oe �r6Le9► P�+�9� 6b �8. +�r�e er water. B� sun to � tln Baildio� I�aeror tor aparat� parmHs tor fkas I1�ms, �-` n � APPLTCATI0�1 FOK BUILDING PERMIT . CITY OF FRIDLEY, MINNESOTA . � � `' ` OWNER'S NAME�li;rrn3 �'�zo3c ' 'BUILDER ' Eobne S___ ei-viee�,�,�.. �_ ADDRFSS_ 67I7 Jeffereoa,N. E. AD�RESS__II48 ArcedelS� � St.�Paul Minn. � : , � � LOCA'�'TON OF BUI�DTNG � • _ , , .. � .. . . . . - , : . No, b7I7 Street_ Jeffereon,l�.E. � P�r� o£ LoE LOT BLOCR ADDITION OR�SUBDI�ISION Coruer �Lat_�_'�aside L __� Setback Sic�e-Yard � SEWER EZEV�'iT�ON � `FOUNDAti'IOR ELEVAI`ION Applicant attach to th�.e form Two Certi£icates of 5urv�y of Lot and proposed building location drawn on these aerCificatea. .` To be 'used ae; DESCRiP1'IC�1�T bF BUIt.DING Front Dept �8eight Sq. Ft. Cu. Ft. ' FroaC � Depth Height .. ...�......�., . _ . . . , Sq. 'FC. ... � Cu. �Ft. Tqpe of Coa�truction �,�o �_,� �o� d�e� Eetimated Coae To be completed��eT, �.��, - . See attaehed priat�.P�.n� iaetrictions left'by inepe,e�or regarding,fpndati,oa,ete• The undersigned fiereby matces application-for a permit for the work�hereia apecified, agreeiag to do all work in strict accordance with the CiCy of Fridleq Ordinances a�cd rul�.ngs of the Depa=tment' of Bu�Lidings;` and hereby declaires �hat ��]� the facta a�ld representationa stated ia this�application are`true•and correct. ' � bATE J�I4.I965 (Schedule of Fee Coets can be faund an the Reveree Side). . �,, '�;,� _ ^ a� i- - � r r" ' BIIILDiNG PEItI+�`T FEE SCHEDULE SE_G`T'ION 2. The Inspector of Buildiags si�all, before isauing any permit for the erection of any building or structu�Ce, or for any addition to any egisting build- ing or structure, or for any alteYaCia�ns or repairs to any esi�tiag building or structure,.,u�c�n application therefore, �equ�.re the pa,yment by_the applicant for �uci� perm�it `of feea to the amount herein below aet foreh and-=in the manner herein - prov,ided to-wit� . -- e .., e.: � Q c - _ - 2.1. For any such permit for the erection of any fire-proof building, other than a garage, warehouae, factory or graia elevator, or for the erection of any fire-proof addition, for aimilar occupancy, to any existing building, ehall be aC the rate o�f ,�l_.40 for each one thousand cubic feeC, or:-fraction thereof, in such cubi�al contents. 2� For any such permiE for the erection of�any fire-proaf gara�e, Warehouse, factory or graia elevator, or for the erection of any fire-proof addition, for simiLar occupancy, to any existiag building shall be at Che rate of $1.25 for each one ehousand cubic feet, classified aa "fireproof" by Section 502 of the Minneapolis Building Code. IiOIISES 2.3. For anq such permit for the erec�ion of any noa•fireproof building, other thaa � garage, warehouse, factory or grain elevator, or aay non-firepraof additioa, for aimilar occupancy, to any exiating building - permit $1,Q0 for each one thousand cubic feet. GA`RAGE3 •� 2.4. For any such permit for the ereceion of any non-f3reproof garege, warehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for si.milar occupancy, to any ex3�tiag building or €or each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. 'fal��or�the purpose of camputing fees for bailding permita, the cubical contente of any building or addition to a uniform height throughout by multiply3.ng the grouad area covered fram a point six (6� inches lielow'the floor line of the •�'bdse�eat dr eella'r `to t�ia ��ve'rage heig�t oi� �C�i� uppez s`u`rfa�e or to '�he` average height of the roof surface of the main gable of a pitched roof. 2�.5,.,, For repairs or alterations to-aa existing strucCur�, the fee ehall 6e at the rate of $3.00 per each Five Hundred Dollars ($SQ0.00) or fraction thereof in the cosE of all propoaed work. � 2.6. In no cese shail, the fee charged for any permi� as ae�.£orth in Section 2 be leas t�an_� $4.�00�. J � ` m -. � /�; M a � r' � '� e - � � � � � -.�;�� ; � 9� S� -'� _.,�I/ F/O/�j�� L�y�� 'P r si � ��✓p •�% , ��/lrY�c.// � � �C.�1 ��i��R�K!/ �'��i�� • �� %�1��//� �iC/"��'��C:�G�/ � ' � �1�,�.ei �� r � � ' pL� • // �' J ��I -�[/rey� �� 7/� �� ,. �� ` - , �� ; � �,�vr�-��s� � , . . s�� , ' �f.z�ZJ �� e � � ', �Q�- �' � � . %� � � � �� R e � . � ,� � . �� SUBJECT P Q, City of Fridley � 14682 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � `L _ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. 1 ; � � � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF qPPROVED BY �----� • •�� s�z-ssaaaso 910-F15 5/9/78 / / JOB ADDRESS 6717 Jefferson Street NE 1 LEGAL LOT NO. BLOCK TRA OR ADDITION SEE ATTACHED DESCR. � � � � � SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Llo d's Home I rovements, Inc. 4911-4th Street NE 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Alfred Matzek 6717 Jefferson Street NE Fridle NIN 55432 560-4857 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USEOF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Sa.me 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR 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 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1, 304.00 . SO 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. � %,$Q PLAN CHECK FEE TOTAL FEE ,�"'`��°') � $8.45 SIGNATUREO CONTRACTORORAUT O EDAGENT IOATEI �/y EN PRO LY VAUDA�� D THIS IS YOUR PERMIT -- � � � �i-�� SIGNATURE OF OWNER UF OWNER BUILDERI IDATEI � -,�± ..Bl,f.?G INSP DATE � 0 C�TY OI- rItIULCY . ' t{PI'LiCl1TI01� f"Oft fZ�SII)!_tJTI/1L �UILDIt��G PE(2t�fITS ' (j'�L•W, �LTL"R�T10fdS, �DllITIO(d�, OR RCf'AII�S) .. ,, � , • . . . ow��R: � � J3UILllI:R• � ' � . �aar�ss : � ? : �aar��s : �,/y /�.- �� , ., . � Tel. No.: ��/'/� �� . T1o.: �� /'f Street: LOT: ALOCY.: COi21QER LOT: I235T.D� IlJT: 1"1 Vf� : S�T�ACY.: SIDL•'YARDS: Applicar.t attach �to L-his form �ao Cert? ficatc� of 5urvey of Lot and pro�sed bui.lding locai:ian drawn on these Cextificates. . To }3e Used 11s: DESCRI�PTIOI'd OF BUILDI�G Front: Depth: � Height: ' Square Feet: Cubic Feet: I'ron t : Depth: Height: � Square I'eet: G1,ibic Feet: ' �.'ype of Construction: — Estamated Cost: �_3�l�fs�/� 7.b Be Completed: �,�, � f� 7� Alt. A Alt. B Proposed Driveway iti'idt:h If IZew Opening Ts Desired $ $ (S�� 12�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeiny to do all e.ork in sirict acc�rdance �oit.h the City of Fridley Ordinaiit;es and rulings of the.Departmeiit ot Euildings, and hcreby declares that all thc facts and re��reseili:ations �tated in i.his applicai:ion are true and COl"1'CCt. See xevcrse side f�r acldiL-ional info�ation. + , o DAT�: � � /�' 7� SIGNIITU}:1:: Stipulations: � �'3 o�x � �/f/ �, �o �.oV� ( �G � � �� `" � 1i � v � ! � � 0 BUILDING PERt�IIT FEt SCHEDULE SECTION 2. The Inspector of Buildings 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 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 provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent 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$14.50 Alternate B: Removal and re�lacement of concrete curb and � gutter and install a 3 foot wide approach with 6 inch depth; Dri'veway width plus 6 feet x$17.20 1 � � 1 � 1 �� a ,, For the pur,pose of computing fees for building permits, the cubical contents of any �uilding or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 �er each five hundred 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 Section 2 be less than $7.50 plus $.50 state surcharge. VERIFIGATION OF FOUNDATION NOTE: Permits for construction will be issued a minunim► of 24 hours from the time of application to allow for proper review o£ the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it ha.s been constructed will be required before proceeding with the framing. ► : � � ':1 Application for a Certificate of Occup.ancy shall be made ten (10) days prior to the use or occupa.ncy of any structure for which a building pexmit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . � • r . w, � ' . .. � SuB�EtT � . . ' . � .. PE . c�ty of Fr�a�ey � AT TNE TOP OF TME TWINS g u I L D 1 N G P E R M I T �� r � � � � • � `y �_�� COMMUNITY DEVEIOPM�NT DIV. f � � PROTECTIVE INSPECTION SEC. � � ,s�,� � _ � � �"'1 � CITY MALL FRIOLE� SSIJ2 NUMBER AEV O�TE v�GE Oi �vv�tOVED 8r �----� • •'� 612-571-3450 910-F15 / / 9/21/98 JOB ADDRESS 6717 Jefferson St 1 LEGAL LOT NO. 9LOCK TRACT OR AODITION SEE ATTACHED oescA. 5 1 Rice Creek Terrace - PlatS SNEET 2 PiiOPERTY OWNER va Matze MAIL AOpR�$� ZIP PMONE � 571-8751 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO B& B Roofing Service 6760 Ma.dison St Fridle 55432 571-0248 90 2 4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODiiESS ZIP PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C� REPAIR ❑ MOVE . O REMOVE 8 DESCRIBE WOFK Reroof house & garage (22SQ) 2nd layer 9 CHANGE Of USE FROM TO STIPULATIONS � Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE FEOU�RED FOR EIECTRICA�, PLUMBING, HEATING, tVP OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WQRK OR CONSTRUGTION 20NING SQ. fT CU FT. AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYB. OR IF CONSTRUCTION Oli WORK IS SUSPENDED OR ABANqONEO FOR A PERIOD OF 1Pp DAYS A7 ' ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PARKING I NEREBY CERTIFV THAT I MAVE REAO AND EXAMIN�O TMIS APPLICA710N S7ALlS GAFAGES AND KNOW TME SAME TO BE TF1UE AND CORRECT. ALl PROVISIONS Of LAWS yp�UATtON SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WI�L QE COMPUEO �]. , 416. 36 $,%], WITH WMETMER SPECIFIE� HEREIN OFi NOT. TNE GRANTING OF A PERMIT DOE OT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CAMCEI TME pEqMl7 FEE SAC CMAFGE PR ISI S OP ANY OT ER S7ATE OR LOCAL LAW REGULA7ING CON- �SE).%S Fire SC �L.�FZ RUCT ON OR TME P ORMANC F C NSTFUCTION �� P�AN CMECK FEE TOT L EE Licens C $5. $63.88 S�GN4 E 0 ON'AACi R OA AUTMONi2E0 AGENT iD� Ei EN ROP ALIOA THIS IS R RM i � S�GNOTUAEO�OWNEA��:OwHERBUiLOEAi �OA1E� � '� BLDG iNSo' � qarE � . �i NEW ADDN ALTER [l �l �� ConstructionAddress: � Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION L S//, J �Fi�� L Effective 1/1/98 ,� �� fi �� Owner Name & Address: L U� �j� j�C,� Tel. #�7/ �� Contractor: ,g�,� ��0� i�/ (s MN LICENSE # .�D �� Address: �, � /�?f�� 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: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Width Height Height Hgt/Ground 5q. Ft. Sq. Ft. Sq. Ft. C Construction Type:�� `� � �/i ��/� Estimated Cost: $ � �� 3 (Fee Schedule on Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft 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: � $ 5 �� $� � $ � ?� $ $ �� $ $ $ $ CITY USE ONL`Y 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 Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J —= ► �� 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 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 $50,0(}0 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,Q00 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 $1(?0,0(}0 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 $1,0(}0,000 plus $2.75 for each additional $1,OU0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � _ �. , 3 3�° S^ c�i ,r�, � g ��'.. z c°�T F3 � �° s � o q°s '� ^^ n t y �o � O^^ ( ��,., ra c �^ S�.. Z O 3 o G x T'-» G �� ? � S�' o in Z 2 2 � ^� 2 T m � O � � K y � � �T JO m m T 47 fi) N ' \I � w O . 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W � tl � _ O � � � . w � � v � �' �, � x x x x x , x x m '� � _ v�i m `� ��m� nunnu un '^�' (�r � ° � �, , � ,I . .. . . �,. � � , . _ o� ,` ,F �" C� °° �'� � a� � . � � � � �1 � � �. � � , � sue�ECr TFiO-:' ._, City of Fridley 3 352 3 AT THE TOP OF TNE TW�NS g � I L D I N G P E R M I T r ; � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. �� . — ---- r � � � PROTECTIVE INSPECTION SEC. 1 . i L__—.� �'�'�'� CITY HAIL FRIDLEV SS�J2 NUMBEP REV DATE oAGE OF APPROVEO B� L 763-571-3450 910-F15 5/ 16 /03 / / JOB ADDRESS 6717 Jefferson Street NE 1 IEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 1 Ri.ce Creek Terrace Plat 5 SHEET 2 PiiOPERTYOWNER MAILAOORESS ZIP PNONE Terry Frost 6717 Jefferson Street NE 763-572-3775 3 CONTRACTOR MAIL ADDRESS Z�P PFIONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAtL ADORESS 21P PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK _❑ NEW 0 ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE x 8 OESCRIBE WORK Construct a 12' x 20' Shed 9 CHANf3E OF USE FROM TO STIPULATIONS See notations on p�.an. SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING Oq AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT AUTHOFi12ED IS NOT COMMENCED WITMIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED fOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS OFFSTFEE7 PARKING I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICA710N 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALl PROVISIONS OF LAWS VALUATION SURTAX ANO OROINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIEO @ WITH WHETMER SPECIFIED HEiiEIN Oii NOT. THE GRANTING OF A PERMIT W2sSOO �I..ZS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT f EE SAC CMARGE PROVISIONS OF ANY OTHEFi STATE OR IOCAL LAW REGULATING CON- @ STRUCTION OF THE PERFOfiMANCE Of CONSTRUCTION y�S3.ZS Fire SC �L.SO PLAN CNECK F T TA� FEE �i%.00 � 5 N UAE OF C N' CTOa N AUT EN� IDATEi E PRO Y VALIDA D 7M15 IS �OUR PEpMIT �� . � i NoTU OW ��F O �E�B� LDERi � /� BL �NS� �/� �� NEW [] CITY OF FRIDLEY Effective 1/1/2003 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax - BUILDING PERMIT APPLICATION Construction Address: � Legal Description: �� - � �, c,� ��. /� y �✓l,� Owner Name & Address: T�Y �1�� Tel. # 7�3"57�"��S Contractor. S� �� MN LICENSE # Address: Tel. # LIVING AREA: 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. " GARAGE AREA: Length. Wdth Height Sq. Ft. _ DECK AREA: - tength �dth Hgt/Ground Sq. Ft. _ OTHER: ,r' � 1 Z � ?t Z�' ��G � � " `�_.._ o Construction Ty�e: �4 o D f r� �^^ E' Estimated Cost: �6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: r� o APPLICANT: Gi'�*`~ m Tel. # 7103 °'S7Z �%7� Call (763) 572-3604 for Permit Fees if ma mg 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 � .�� $ '�� $ / . �� $ $ $ $ $ $ $ 7 � 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 [ ] _ •► BiJII.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 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 $1�,Q00 $100,001 to $500,000 $500,001 to $1,000,000 FEFS $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,� or fraction thereof, to and including $25,000 $391.25 for first $25,OQ0 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,OQ0 or fraction thereof, to and including $5�,000 $3,233.75 for the first $5�,000 plus $4.75 for each addirional $l,� or fraction thereof, to and including $1,000,� $1,000,001 and up $5,608.75 for the first $1,�0,000 plus $3.15 for each additional $1,000 or fraction thereof cu� cUr Escxow (Concrete C�rb 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 5urvey of the lot, showing the location of the existing foundation will be required. before proceeding with the framing. New Houses Onlv .� � � � �� ' ' ' � �/8/2003 Desi .22377 . � �:� � � -�� :�� .; . . . • * * * *� .� Take th�s�sheet to the Building Materials counter to purchase your materials. �� .�� e ecte a ara e with these o tions: � ou s I .d 9 9 P 12' INide X 20' Dee� X 8' N igh 6able roof w/ 6/12 pitch trusses 2' O.C. 12" gabie/12" eave overhangs 1/2" OSB Roof Sheathing 8" Pine Groov�d Vertical Siding 20 yr. Classic,�;Onyx Black Shingles Pine Soffit � Fascia � White Aluminum Regular Roof Edge . ;:"+:i;: �J r� y .Y •,�.��::�� . .� .. ' � overhead� door�mb — � � X `�' �� G �� tie / ,�,�;, , _ �� / � �� 70� i� pG/� /LiN�bE � � Gov�e� /d � � A �//� �� s/ / � � �i� � � �002 �� _� - --- _ _ _ _._. _ .,,� ..�,�-- -�� . _ 1 � 0 fror� � � � �_ . ' � � ,� �., ° Today's cos �: M• ,�� !�i;�,,•�! \L, �� f �, 4 ! �T+►'t i � i �; `� � � ! �s :t I estimated in this design: $1312.28 Base garage �ithout options: $1031.84 *The 6ae prlee Inaludee: 0° Eeve/0° 6a61e Overhanga, Freroing IN�teriale, �� 7/16 OSB Roof She�thing, 20 �. fl6erglae CI»eic - Onyx Bl�ok Shinglea, et Pine Faole, 6dv�n1=ed Reguler Roof Edge, 8" Texfured Vertial Herd6oerd Sldtng, No Serviee Daon, No O�erhe�d Doon, No Wlndoaa, or My Othar Optlona. �� %?/� •L ; ,; 0 --� � � .� �S � _ � �� H ` � ( wa�o�.�r' �� 0' Page 1 of 1 _____�.__ _ __�_,_____�._._.s._.._� _._ �� ____.__ .___. _ ___.____.___.__�.___._____..�._�.��__� �.__�,__�._.��TM_�_.�____�_._ Sub�: (no subject) 4 'Date: 6/3/03 1:51:16 PM Central Daylight Time � 'From: Frostsass� � To: Doucette3873 June, 2003 I have authorized Terry A. Frost, to lay concrete along the property line for a driveway at his residence at 6717 Jefferson St. N.E. � in the City of Fridley. �� c� �-�'V „o{/�f j� OS"��G+2JL .�P.��'/�c2:(%�.-tJ 1 t ��Za �� Ervin Schulte 601 67th Ave. N.E. Fridley ��'' •� Te A. F Tuesday, June 03, 2003 America Online: Doucette3873 Building PLUMBING Permit No.• ' �' ' ' Inspections RESIDENTIAL� APPLICATION Received Byi� 763-572-3604 CITY OF FRIDLEX Date Rec'd: �' 763-SOZ-49%% FAX . EFFEC7'IVE 1-1-OS DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY NpME: Tier�..rz.. �oS� OWNER/ ADDRESS: ��% � 7 �I^ ^e2S n�l ST N�lTY 0~21 O�-�Y STATE�ZtP TENANT pHONE: � 6 3—�3 8—� 3 f 8 CONTRACTOR Nq�: T I�,rh �O �' ��'N C. SUBMIT A COPY OF STATE LICENSE # ��Co 5/7 "��`( EXP DATE I 3/ D� YOUR STATE ,./ LICENSE, BOND AND STATE BOND # Q- �-- � O G? 14 �? S EXP DATE J c1.3 /� D� CER'fIFICATE OF pDDRESS: ( Io�¢D�/ :Z'LLI•�%01 i%�'�'• CITY %-A��-t�rLfe STATE i�'��J ZIP `�-� INSURANCE . PHONE L9 I Z-�S �8�1 ^ I I i Z FAX �%SZ �`� � CoZ �$ PERMIT TYPE �GLE FAMILY ❑ TWO FAMILY � TOWNHOUSE TYPE OF WORK: �EW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK �D� �'/� I,g p-Fti. i� 13�as2.�-�c�"r � o� �7 ��Te.-� _j� fil m P . e� P► `C� PER MS 16B.665 the permit fee is a minimum of $15.d0 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (1'his should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED �N $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MINIMUM FEL $ I5.50. ( BATH SINK/LAV FLOOR DRAINS � SHOWER WATER PIPING BATHTUB GAS PIPiNG (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK � WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER 1.� r„ ,.� . , [.� '� �� ,�".t�w #+�.r.s �, -xa,� � �` .. � '� Y:� a ., ��' .�� K � r �,,.,�._ , �e.�� r=�a_sz, =:�..,�a...�.�';.�a� w . ,_._� - . .. � _ � . „�.�v - ...�,_, x , ..,..�. . ... � .,,-• _ '. _. .... _ . .., ,,._. _,. _ _.�, ...,.,.�...,,. ._ , Permit Fee $ Number of fixtures @$] 0.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 x$35.00 =$ State Sul�charge = $ .50 MINIMUM $15.50) (MINtMUM $I5.50 Tota1= $ � � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 Fridley and with the Minnesota Construction Codes; that I understand this is not a perinit but only an application fo rmit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the o ork hich req ' es review and approval of plans. SIGNATURE OF APPLIC PRINT NAME 1i ! C� i'�dZ� ��✓G`" DATE � � APPROVED BY DATE� � .�� ,. # t 2 3' U �, a S a . 5 g� a,_. ..:s � ,,.;;^s �:ity o� rriaiey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE �� SITE ADDRESS �� THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 �YOUR E-MAIL � �� fi J� OWNER OCONTRAGTOR PROPERTY OWNER/ I NAME:� TENANT p,DDRESS CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BETNG D SIZE OF IMPROVEMENT ADDRESS: � �� / � .� R�� °'� %�^� �� PHONE STATE LICENSE # I�I.SINGLE FAM[LYMEW CONSTRUCTION ❑ TWO FAMILY/IVEW CONSTRUCTION ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIpING ❑ SWIMM Permit No:�� —� �� Received By: 1� Date Rec' d: �-Y( '� � � � :C�G1G/'J�'Il/C��/�/�%� i9b(�d .��"�l � �� CITY �C! G��' STATE �ZIP� 3� CITY STATE ZIP FAX EXP DATE S[ZE STORIES ❑ WINDOWS ❑ DRAIN TILE �OTHER �1 �l i�S�/� �S I�/4Th � � !�'� ❑ NEW HOME CONSTRUCT[ON ❑ ADDITION ❑ MAINTENANCE/REPAIR QhREMODELING t�o�►•� ��s � ��. � � �C/� r LENGTH /�f�e'e WIDTH � HEIGHT FI' S�� SO � � ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0 HOUSE & GARAGE I . Existing Floor Plan GARAGES � ATTACHED GARAGE 2. Proposed floor plan PROFOSED SIZE: ❑ DE1'ACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: � SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDI'I'IONS & PORCHES SUBMIT: 0 Aluminum ❑ Trim 1. Site Plan/Survey showing the exisdng structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCA1'ION OF WINBOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPEMNG CHANGES & TYPE OF WINDORi TO BE IlVSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �LbSING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION S_ �� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due , $ �= See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ � n, %�.0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Pians to MWCC for determination) $ ft+6ft= 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 UNT[L PROCESSED I hereby apply for a building pem►it 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 Fridley and with the Minnasota C struction Codes; that I deistand this is not a permit but only an application far a permit and work is not to start withaut a permit on site; that the work will be in accor with e pl n the case of all work which require.s iew and approval of p�s. SIGNATURE OF PLICANT /� O% PRINT NAME C�� Y�, �� DATE � APPROVED BY '�w _ - - DAT� / /; � Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building O�cia1 shall, before issuing permits for the erection of anX building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977 - ��r'� � � ��,,,,,� _ �.��---� . _��„f� -- rn �.h • �4�ta� �R - � �� e — Sn�� d�-�4�e.S +� �c (� s f � '� c� �� d� �� l�u� ( �� o�s�_ � �._. � � S V i '''rt -� ' � `- �oU � ib C�N��2 �� , k �. l 1� Ndk � S.►J cs-� � ��c� f� � r .��r � �� o� �� `�uniN , . . J - � �..,�� b� � y � �� i� � } ,Z �� ri ��. � 3 � n o�. �lA�= . ,��. . . .. -_ . �_ i r __._ . _ _ ..--- �._.� r ��t �i,�.✓ - _3 / ''� •'' %� �� . � _ . �'' N �'rt�c€ � 5�°w�� . 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