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AF - 47636CITY OF FRIDLEY PERMIT NO.: 2004-01691 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/29/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5298 JOHNSON ST NE PIN : T000061 LEGAL DESC : HORIZON HEIGHTS : LOT 1 BLOCK 1 PERMIT TYPE : WRECKING OR MOVING PROPERTY TYPE : INSTITUTIONAL CONSTRUCTION TYPE : DEMOLITION VALUATION . NOTE: CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILTTIES FOR DISCONNECTS BEFORE WRECKING OR MOVING STRUCTURE. ALL DEMOLITION DEBRIS, INCLUDING FOUNDATION AND SLAB, SHALL BE REMOVED FROM SITE. REMOVE CITY WATER TANK PER CONTRACT. 0 309000 309000;0;309000;0 APPLICANT DEMOLITION FEE (CUBIC FEET) 0.00 FRATTALONE COMPA1vIES INC DEMOLITION FEE (PROJ COST) 0.00 3066 SPRUCE ST DEMOLITION FEE (COMPARISOl� 0.00 LITTLE CANADA, MN 55117 TOTAL 0.00 (651) 484-0448 pAID WITH CHECK # 0 OWNER CITY OF FRIDLEY � 6431 UNIVERSITY AVE 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 work 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 regul ' ction o the perfo ce of construction. plicant Date 9 Z9 a Bld ns ate � � SEPARATE PERMITS REQUIRED OR WORK OTHER THAN DESCRIBED ABOVE. Effective 1/1/04 CITY OF FRIDLEY MOVING [] WRECKING � PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 C � (763) 572-3604 FAX (763) 571-1287 �� Job Address : �� `J �� n S t'm s`�'�e� Legal Description: Owner & Address: C�� c$ �,��e� Tel. # Contractor: ��(GL ��, lGn � C�,�✓q �,�s Te-� G Tel .# Address: 3z�S` S��-K�� s'�aei State License # DE5CRIPTION OF BUILDING HOUSE: Length Width Height Sq. Ft. Cu. Ft. GARAGE:Length Width Height Sq. Ft. Cu. Ft. �� Length �S� Width Height 70 � Sq. Ft. Cu. Ft. 309�0 Estimated Cost $ Approx. Completion Date 9 2O O S1'`'ru�.h.� c� �s Gvn c�c�c.�e 75 �� t-c7�� '��Se� �� CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Paid: Yes [] or Collect [$ Moving Route: ] Signature , The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS, INCLUDING FOUNDATION & SLAB, SHALL BE REMOVED FROM SITE. 9/z 9/o y ��,'_� �r/ G �1 /1' (�iti�'Z�� /�',�o-f{��r�e C'�•�n,c� �i'b�cc� rrlc.n��cr Principle building into Frid�. . . $3Q0.00 Accessary building into Fridley ...$ 42.00 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 /� �� j;� PERMIT FEE: / `�� 1'� �-- MINIMUM $20.00 Wrecking For each 1,000 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. r� STIPULATIONS: sue�ecr IT N O. c�ty of Fridley .� � � �, 4- AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �,R � ; � NO. � • COMMUNITY OEVELOPMENT OIV. . � ---- . ��,$ r � y � PROTECTIVE INSPECTION SEC. i � i � � /"'1 � CiTY HALL FRIDLE� SS432 NUMBER REV OATE vAGE oc AvvROVEO Bv �'""'�" ,�, 612--571-3450 9t0-F15 4/17/96 / / �oe nooRess 5298 Johnson Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 1 ], Aorizon Hei hts SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley 6431 Universit Avenue NE 572-3550 3 CONTpACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richmar Construction Inc 7776 A1den Wa NE Fridle MN 554 2-2424 74-118 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. MSA 5 ENGINEER MAIL ADORESS ZIA PHONE LICENSE NO. MSA 21764 6 USE OF BUILDING Booster Station 7 CLASS Of WOFiK ❑ NEW 0 ADDITION O ALTERATION X REPAIR ❑ MOVE O REMOVE 6 DESCRIBE WORK Reroof buildin and new exterior finish s stem 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations/specifications as per City Contract. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPAf1ATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION ZONING SO. F7. CU. F7. AUTHORI2ED IS NOT COMMENCED WITHW 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEREBY CEFTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA��S GARAGES ANO KNOW 7HE SAME Tp BE TRUE AND CORAEC7. ALL PROYISIONS OF LAWS VALUA710N SUH7AX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1HO�OOO �90.00 WITH WHETHER SPECIF�ED HEREIN OR NbT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST OR LOCAL LAW FEGULATING coN- N/A Fire SC $N/A STR CTIO HE PE R NC OF CONS TION. �• PLAN CHECK FEE OTAI FEE N/A $90.00 S�GNATURE OF CON'RACTOR OR AUTHORI AGENT IDATEi N PFl Y V I ED THIS IS V R PERMIT r � � �/ i SiGNATURE OF OWNEAUf OWNEA BU�IDEFl� iOATE� �(J� ip5 DaTE Prepaid Plan Check $ Estimated cost $ Receipt # �� CIIY OF I�RIDIEI' I' �� I I y' : I I 1 �'. BUIIDING PIItM[I' APPI�("A'IION Effective 3/1/96 Constnzction P,ddress „j`o2 9�' ��.(/So -✓ s'�. Zonin� � Legal Description �'� °' O�nmer & Address �� Y or`' /`.��.t�� e- j� 'i��l s�n Q�. C�ITRAC'InR & ADDRESS �/c��,�2 �oNS�-�e v� r�o z/ ��cx- , Tel .# Architect & Address � %"i . S. /9 . .5,� � v �. � .��/�✓ 12�eq. # Engineer & Address / �' � r '' ° Reg. # o� � '7 6 � TYPE OF T�ORK ❑ New [] P,ddition �Alteration -Describe /f/�P �c/ �o� /'� �- .�X TE'R�'aR ��v�s�v �.s�--� Applicant signature � Tel # -�'�`7�"�/�'/�Date /o Length • �- � - . '1 � �• � - . • ��- � - � - . ScI - F`t • ' x $ Sq. F`t . x $ Sq. Ft. x $ Width Building Use Air Conditioning [] Yes [] Perforn�zce Bond Amo�t $ BUII�DIl�G DIl�VSIQ�S _ Height Sq. Ft. # of Stories Width Height Sq. Ft. Width Height Sq. Ft. Width Height Sq. Ft. VALLTATT(�T Cbst/SCj. Ft .= Valtlatiori $ ) i...7�> 6. �o.0 /�c Cost/Sq. Ft. = Valuation $ ) _ �-vt4� cost/sq. Ft .= Valuation $ ) �C7I'AT� VA�� $ � � /b'�� DDO Construction 'I�pe Occupaizcy Gxnup No Fire Protection P��vided [] Yes [] No See Reverse for Schedule Received [] Ye,s ❑ No Pezmit Fee $ � Plan Check $ /� Fire Surcharge $ State Surcha.rge $ �Q, d U SAC Charge $ �osion Control $ Park Fee $ Spec. Assessments $ Driveway Escn7uu $ Z�OrrP,L $ �• � �� ,1.�. 3S. � See Fee Schedule on Reverse Side In Excess of Prepaid Amc�unt - See Reverse Side .001 x Permit Valuation (1/lOth %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $900 per SAC Unit (Plans to Nb�TCC for detezminatian) $450.00 Cbnsezvation Plan Review Fee Detezmi.ned By Ehgineering p�t Necessazy ❑ Not Necessazy ❑ feet x $13.50/foot � MEMO TO: MEMO FROM: MEMO DATE: REGARDING: BUII,DING INSPECTION DIVISION MEMORANDUM John Flora, Public Works Director Ron Julkowski, Building Official April 11, 1996 Permit Fee for 53rd Avenue Booster Station Building Permit ------------------------------------------- ------------------------------------------- Section 107 of the Uniform Building Code states that the permit fee shall be based on the total value of all construction work. Tlus would include finish work, painting, roofing, electrical, plumbing, heating, air conditioning and any other permanent equipment. Since this is a City Project, the contractor will only have to pay the State Surcharge fee of $90.00, and pay for a City contractors license fee of $35.00. The State Surcharge fee.is based on a permit value of $180,000.00. Richmaz Construction's total building permit fee will be $90.00 plus the $35.00 license fee. - If you have any questions, please feel free to contact me. RJ/mh � CC: Barbara. Dacy, Communiry Development Director '� �,' � CI'f'Y OF FRiQ�EY INSi�ECiEON pIV, Eflective0n March 1, 1996 6431 UnivarsitY Ave t�E Fridiey, MN 55432 APPUCATION FflR POWER PU4NTS AN� HkA`fING, GOOI.IhiG, VENTILA714N, 572-3�04 . REFRIGERATIO�f ANO Atfi GC3ND1TiC}t�dhCG SYSiEMS ANt? DEVtCES •R 1 Residsniie! Furnace Shell a�d Dvct Wotk, Burr�er - Aiso Repfacerner�t F�arnaoe {Sitie VEnt - Fill Out Back) Gas Piping (I�esdgc�.witt� new turnace} Gas Ra�ge Gas Dryer *Air Conditloni�g �- All Si2es Rate T4TAL � �4.00 � $ 10.40 $ $ 1{3,04 $ $ 10.4t} $ $ 25.00 $ All �IhersjRepairs & Alierations {LIS7 ON BACKj 19'0 of Value of Ap�liance or YUork $ � 1\ Gommerciafjir�dustriai � � r �iv�d) t.25°l� of Value ofApplianoe ar Work �� R, t$� vaL� � Siate Surcharg$ � , �.5a TOiAl. FEE � s ,5� MINfiV1UM FE��OR AWY H�,TIl.�G( OLIP�„JV�,N7ILATLO.N iiEFRIGERAT10N1A1Fi CONDI'ftON113G PERMIT �5.,�$25 DO PLUS 7 50 STAT S R I-lAtiGE REINSf'EC7lON F�E $42.00/Hr �Air Conditionets can r►ot i� placed in a�ide yard withaut written permission #rom adjafning propeny owner, J{}B AODRESS ;�_v2R ��n� JJ So� �fi I�� The undersign$d hereby makes applicafifln for a permit for the wark t�erein s}�ecified agreeing to do atE work 3n strict accort�ance with the City Codes and �ulirtg5 oi the $ui?di�g �ivision, and i�ereby dectal$s Ihat �!1 the facts and repres�ntation� stated in this ap�licatian are true arxf oorreci. _�---�- - . - - -- ------ -----.... __ 199�6 OWNEfi l�t�Y b� ��,� 81JILDING USf�D AS _ �� J�,� E�`uT�MATED COST PERMtT NO. r�'� � S � f}FSGF�IPT flN 4F FU�NACE A1�lC� OA BURRt�R EVo. of Fleating its � Circfe OnQ {Steamj �I-iot tNa r} (Warm Air) Trade �lame„��,� 1�� 1Z Size Na � BTiJ�, �aZS � HP EDR Fue[ �A'1'� GAS Totai Connected �.oad Burne� irade Nam � Q�9�'' -Size {�o. BiU SO , c�C7� �#P �DR HEATING C�M1PAtJY �� `► � I��-'�N� vQ'�/ � ��" �' � Signecf 8y r�o. br�-as3-/ j�(� Appravecf �y Rough-in DaEe FinaE Dat �� FiLL OUT BACK SIDE F? STACK V�Fi1FIGATfON ON REPE.ACEMEN7 FURNACE APR-30-1996 14�11 CITY OF FRIDLEY 612 571 1287 P,�5�05 A S • C�il�vtN�'Y AND STA,�CK VEI�Y�'ICA,TION The unc�etsign,ed hereby verifies that th� e�cistin,g chimn�y or stack: 1. ,Has be�n careful�y examined Yes Q� No (? 2. is free frotn rust vr deeter�oration Yes (� No t) 3. Has no foreigu objects lodged withiu� Yes� No () 4. Is securely support�od Yes (� No () 5. Nleets all carrcnt Code requu,ewents for size and total �3TU's cotmected Yes (� No (} 6 Has total heating �TU's of �� ,�� _�_ All other �TU's TQTAL BTLT's � �� 7. �Ias a lirier bo� provided for water heate.r 'Y'es () No () /v� S. �-Ias cdmbustion air been provxded for water h�acer 'S�es () No () /1�� R,emarks: HEATING CO; Signed �y; Date: TOTAL P.05