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AF - 47834City of Fridley, Minn.. 6431 University Ave. N.E.,-Miuneapolis, Minn. 55432 BIJILDING PERMIT Date: Novembex 14, 1972 �,� 7 f� �' �1�03 Owner: �n,na Geldert g�� StTleritP 81dxs . Address._._ 580_Kimball Street N.E, ,�d��g 451:7 Minnetonka Blvd. LOCATION OF BUILDING No. ..�$Q Street .—��$11 Street N.E. Part of Lot t Lot _..�.��.�_ Block _......_.��_�__r. Addition or Sub-DivTston .—Riv *'��i Pw N i ghtc Coraer Lot .__.___.� Ins�tde Lot Setback Sideyard Sewer IIevation _ ..._ Founclat3on IIevation .._...__ DESCRIPTION OF BUIL�ING To t� v�a �: Alt�minum ��im �}ont Depth �Height Sq. F't. Cu. �'t. _._.._ Front Depth Hei�ht Sq. F� Cu. Ft. Type of Construction Alumiaum ��, ��fi�z�� $900. To be Completed Aecember 1S _ Stipulations Cau1k the butt ends. In consideration of the issuance to me of a perxnit to construct the building descr3bed above I a� to do the proposed work in accordance with the description above set forth and in compliance with all prov3sionbt oP ordinances of the city of Fridley. � -��/ — Ia consideration of the payment of a fee of $.�..�Q , permit is hereby granted to Stylerite Bld�s to construct the building or addition as described above. TYus permit 3a granted upun the express condition that the person to whom it is granted and his agents, employees and worl�en, in aII Work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ort�inances oP Fridley, Minnesota regarding location, construction, alteration, maintenance, repair aad mov3ng of bwtlailigs �+ithin the city limits and this permit may be revoked at any time upon violation oP any oP the provisiona of BEiid ordinances. e �`��"""°-'�tlflain8 � ('.T.ARFNCE BEL�SLE NOTICEo Thls permit doas dot covar the eonafructfon, installa�ion fo� wiring, plum6iag, 8as heating, aswer or water. Be saro fo sas the Building Inspeeto� fo� aeparafe permih for fheae Ytems. . 9 AF.P�ICATT�� R��IPEN�i��. A�,T��AiIAN, Q� A�A�T��N ��LDTNG ��RMTT ��T� pF P�I��Ys M�NN��QT� (3W�' � N� : ..�1/� �BUIL7�R s��T.�� f�,(� �„ � �I' ��-%� �innxESS :�1°�"�' ��' � �� C-� ;..L� ��s: r i��.��t�� - �i�. , . � �� r: J � , � �z�zo� � �� c�� lo $LOCK� +[�ER LOT; �� LOT: ,SETBACR; SIDEY�IRD:��, �t�.i,�� ,ar.� toi ��+pq��;,,ia Certificates of Sutvex of Lcak at4d prop��ed �ui.�.� �.�►eati�u d� �t #�se Cartif�.cates, � � �+� iT,t� ,� : ��S�1�IPT�p1V OF �UIi�DZNG � �+� : A�igt�t • Squ�� '��; Ca�i� �eC3 Frou�: Depth: Aeight; �jua�� 'eet; Cubic Reet i �P"" ti� 110�i��ri.�� 1! 1° a� �i�fi� Ll�tiujR��r� V�81� i L �� `R7+�� <�� i� t�e��0�t�d hereby a�ets a��+c�tivsa �cr. a pezm�.t fax th� w�rk� �i�rei� ��f�da, agxeeia� t+a du a1.� i�p�'ic �u stt�.at accordance witta tth� ��,t�r af �'�td�.�' �x'++d#„�$ �d iu�,�� fi.ke De�rart�ae� �f Bu��din�ss +� �esebp d�7a.�e� i� a3.1 �h� �acts �d s�resenta�3,ons s�ated � t,his a�►i�,catian a��a � aad apr�rec�, . �,�e�1 �'`�e'r.� �,,.,�, 6I+.GNAT� s � ' L��,��i-- � It�►�,r� s�t�r �os Ada�t�onai Info�acion. j (v � = �, a� L:��2� ,�N �� ,��'�. - �,� �� P BUI�AIN� P�RMIT F�� GH�DU�E ��t��T �. �h� IAepectn� pf 1�ui.ldings s}�a11, beEaxe i.esuing pennit� far �he ��g��.on o� auy bu�lding a� structure, or for aay addition to any �ist�.a� �f3.d'� ox SC�iG�ui�a or fv� aAy alteration o�c sepairs �o any exf.��ir�g ��,�i,�.��a� o� str+a.ctuxe, upaa �PPli�ation thexef�re, require the pa�mt by �he a�x��.ic�t fox such pextni,t o� �ees Co the amount. t�erein below set fAr�h �d in �t�� ma�aa�x h�x�e�n p�cwided � �o*wi,tt s UN�FORM �iJILDTNG COD�= �Pe $� Z& 4-$2.15 �ar each ame Xhous�nd cubic �e��, �x i�actian th�7cea�, in �u�:b cubical coatents. �pe 3& 3-$�.,85 �o7r ��C}�► o�,a �vusgnd �b;�G iseC. . ��AiT�UI�1A�, �NF1��T�ON Fq� �st� �u�$o�e of Fcaugu��.� �ees for building penaits, the cubical contents o� �y bu�lding or addition, i� det�xcained by �3.Ciply�.n� �he �round area �oy�e�d �e.na a PoiA� +�� (�►) ��es below �he flavr line o� the b�sement ��#� c+��l$� �v t�he avera�e k�eights of the upper surface or to the avera�� t qr� �S 1eo�� t�face o� �he uiain gabke pf a pitched xoof. ,� �ai� ox al��at�oms fio aa existing s�tuxe, �%e fae shall. be �fi �h� ��,�� o� $3a� #�s �+� ��ve hWatdred dollar� ($�OO.QO) � f.�a�tio� th�reof i.n ��, CA19� a� A�� 1$Q�i38d WQ�iiw �� ca�e �s�a�l I�b� ��e d�t�d fo�c a�r ge�it as set �� .a S�t�a� 2 be � #�aaA $�.t�l. w Y��ATi��i �� t�UNAATIL3N �� l'�ts �ox ��st�t�t3o� wi��. be i��ued a a��uiCwua o� �4 �c�rs �xa� tha � o� �,pplicatf,oa, �v ai�aw �qic Pra�e� review oi the p�roposad a��u.��re �nd � �e ��u��ion ai�e. ' � C��i� �ua�r�y o� �h,e 1�►1�., �a�g t� loeati� af �h� �aunc�ati�, o�c� �t }�� t�t-�d�, wii� � s�uir�d before proceedia� wf�h � fr�aia�. , C��TT��,Ai£ QF Q��PAIVGY �i�►p�.iar�t�.c�t �s�� a Ges��#.��.�af�e �� Uae�epa�cy �hal� bs mad� t�u (iQ� �i� p�iox �o th� r��e �ar �c�upa�y �� ay uirec�uze far whiah a buildin� pex��.$ haa bQen isaued; � s�t�.d aizt��t��er ��al�, �ot be use8 ag occup�ed uutil a��:�t�.f�.cate of pc��u�cy �► bsext �ssae�. � �� `� � SUBJECT City of Fridley " � 15 514 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 DIV. � j L �-��", r � � PROTECTIVE INSPECTION SEC. � ` � � /"'1 � CITY HALL FRIOLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BV �'""'� � ,�� 612-571-3450 910-F15 10/12/79 / / JOB ADDRESS 580 Ki.m'ball Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 39-41 E Riverview Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Joel Ki.ttelson 580 Ki.mball Street N.E. 786-0723 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USEOF BUIIDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ 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 $SOO �`.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. $7.50 PLAN CHECK FEE TOTAL FEE �8.�� SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPER�Y VALIDATED THIS IS YOUR PERMIT �� i�� C�..,�J ev f SiGNATURE OF OWNER iIF OWNER BUILDERI IDATEI BLDG INSP �AT � . CITY OF FRIDL�Y • • M. • APPLYCIITION FOR RESIDENTIAL QUILDIP�G PERMITS � (Pdew, Alter.�tions, Additions; or Repairs) � . � 04JPJER: �D��, /?T�LS�!/J ADDRESS : �� /1 i n'Il��T.� /VF TEL N0: � %8�v ' Q 7�3 BUILDER: - �/7'I � � AUDRESS: • TEL� N0: � � • • • ' Construction Location . . �. . - STRE�T NO : U 5TREET: �/ M �G L 5,�. �� LOT: BLOCK: ADDITION: Corner Lot: ' Insicie Lot: � Setback: Sideyards: • Applicant attach to this form two Certi.ficates of .Survey of lot and � proposed building location drawn on certificates to scale. '- . • . ��.w �`� � DESCRIP7IOtJ OF CONSTRUCTION � . � ' . '� 2 �TL.�� Front: � Depth: . 8eight: ' - Squane. E'eet: � tiibic Feet: Front:� Depth: � Height: � � Square• Feet: Cubic Feet: � ' . , • . � � Type o£ Cons�truction: � � Estimated Cost: $ � �b Be Cbmpleted: � - . . • � � Alt. A Alt. B Proposed Driveway Width If New Opening Is Desised: $�� $ ' . . a ., . SEE REVERSE STDE OF SHEET . .7�e undersigned hereby makes applicati.on for a permit for the work herein speciiied, agreeing to do all work in strict accordance with the City of I'ridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: Id�IZ- %� SIGNATURE: Stipulations: . OK �� .�v . j''U �� a . ,. , . � � � � ' � . ; • 1sUJ Lll1IVG f��►�r�tT FC�: SCHCDULE ,. SJ:G�ION 2. T}�Q xns;pecLor ot• I3uilcling� :;}�a].1, bef•ore f-:;suing penniL•3 for the erGCL•ion oi Any buildinc� or �L•ruct:ure, or. L•'or any addi.t-i.on L•o any cxi�i:in� buildiny or strucL-ure; . ax L•�r any alteration or rel�aira , L•o •any er.i�ting bu3.lcling or sL•ructure, upan app�,ication 'L•hcreiorc, requirc the raymen� by t1�e applicant far. sucl� permiL- of tces to L•he �nour�t herein belnw seL• Sorth �u�d in tlic manner hercin provicicd L-o-wiL•: , • NT:VJ CONSTRUCTZON: Sing].e I'amily Ilomcs and Garayes: $4.00/1,000 cubi.c Leet. � •. PLJ1N CIiLCY.: 25 percent of bui.lding permiti fee. � D1tIV�I•JAY D�PItL•'SSYOtJ: (Concrete, C�.irb Street-s Onl.y) � �' ' , AlternaL-e A: it�emoval and repl.ac�ment of concrete eurb and gutter only; Driveway width plus,6 feet x Y1S�75 .-� Alternate B: Removal and replacement of cancrete eurb and • . gutter and install a 3 foot wide approach with �' �. .- , . 6 i.nch depth; Drivev�ay width �plus G feet x$17.85 � °� .� . �4DDI T ION/1L I NFOR�IAT I ON � For the purpose of computing fees for building permits, the cubical contents of any builda.ng or addition, is detexmined by multiplying i:he ground area covered irom a poi.nt six (6) inches below ihe floor line of f:he basement or the cellar to the averaqe heights of the upper surface or to the average height of the roof suriace of the �ain gable of a pitched roof. ' . . For repa3.rs or alterations to an existing structure, the fee shall be at the rate . of $3.00 per each five hundred dollars -($500.00) or fraction ttiereof an the cost oi all proposed work. - In -no case sha].1 the fee charged for any pexmit as set forth in Section 2 be less � 'than $7.50 plus $.�0 state surcliarge. . _ • ' ' , _ . ... , _, _ , , _ .._ VERI F I CATIO� OF FOUNDATI O(d : � �NOTE: Permits for construction will be issued a minimimt of 24 hours from the time of application �to allow for proper review of the proposed structure and of the construct�ion site. ' A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. ' � � �� CERTIFICAT OF OCC PANCY '. ' � App].ication for a Certificate oi Oc,cupancy shall be made L-en (10) days prior to the use or occupancy of any structure for �aiiich a building permit has been issued; and said structure shall no� be used or occupied un�il a Certiticate of Occupancy has been xssued. 0 . , , , . . . , , 0 . � . � : ' ' ,' � � -. n , ' . , . ' � • • SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I r � � � � COMMUNITY DEVELOPMENT DIV. r � L � � PROTECTIVE INSPECTION SEC. , , , `--_-� �"'�'� CITY HALL FRIDLEY 55432 NUMBEP REV. i 612-571-3450 910-F15 JOB ADDRESS 580 Kimball Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 39-41 E Ri.verview I%ights 2 PROPERTYOWNER MAILADDRESS Joe Kittelson 580 Kimball Street N.E. 3 CONTRACTOR MAILADDRESS American Builders 3758 Penn Avenue North 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS DATE PAGE OF 3/24/80 � � ZIP ZIP 1563 i9�� APPROVED BV SEEATTACHED SHEET PHONE PHONE LICENSE NO. 522-3367 PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING Resi.denti.al 7 CLASS OF WORK � NEW X ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 15` x 22� Addition to Dhrellinq 9 CHANGE OF USE FROM STIPULATIONS TO SEpERATE PERAAITS REQUIRED F'Ofi �liRiiv�, ��ATirv�, PLI��ABrNG At�D SIGNS. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $B�SOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISION ANY OTHER STAT CAL LAW REGULATING CON- STRUCT THE PER RM E OF CO TRUCTION. �SI..00 PLAN CHECK FE OCCUPANCY GROUP IOCCUPANCVLOAD S� CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $4.25 SAC CHARGE NONE TOTALFEE v � � � $12.75 SIGNATUiiE OF CONTRACTOii OR A RIZED AGENT ID EI WHEN PROPERL / n n _ f0 1 IIF OWNEF BUILDEFiI �� I PERMJT � CITY Oi FRIULEY • /�t'1'Ll.Cl1'1'IOi� I=OR 1ZCSIDCNI'I/11_ 13U1LUI�aG f'L-R1�1ITS (fJeai, lil�eral:i�ns, A(JCi11;10115, oi° ltepairs� � ►� � ,� � dbJt�CR: �� G�= � d ! I �G-S �-, CUILDER: . �i,�?.�e-��, `>t�e �� Anr�c�css: _ S�o 1�� l/ A�nRess: �s� �,�.� ��a - TEL �VO: � • STR�CT 1J0 : � d '� TEL PdO: SLZ- � � b ? Construction Location STREET: K..r.�G�G �/ � . — � - 1 LOT.: �`/ -�-i I IILOQ� z �T� ADDITTON : i�y , � ^�� - Corner Lot: � Insicle Lo-t: Seiback: Sa.d�yards: �PPlicant attach to this form two Cez-tificates of Survcy of lot and proposed buildi.ng location c�ra�an on certi�icates to scale. DE5CRIPTIOtd OF CONSTRUCTION � Front: ��J Depth: 2Z Heighte �� Squa�e rcets �� Cubic Feet: �j(,� � - Fron�: Degth: � Hei.ght: � Square� i'eet: Cubic Feet: Type of Constructi.on a • � Estimated Cost: $ ��/ �.b Be Cbmplet�d: , - , _ � Alt. A �lt. B Pro,posed Driveway Width If New Opening Is Desired: $� $ , . . SFE �'�i�RSE SIDE OF SfiEET . x'h� unc�e.rsigned hereby makes application ior a permit .�or the rvrk heiein speci�Lied, agreei.ng �o do all work i.n stric� accordance with i:he City of raidley Urdinances and .r.ulii�gs a.� the Depa.rtment of Buildings, and herek�y declares i:hat all tlie facts and x�presentations si;atcd lI1 t.11].a application are true and correc�o D11T� : S�ipulations: p�.ti P: � � SIGNA'1'UF.E : • f r$.�' ic � y' s1�.U0 0 ��.'?�,• �. a; ,��'�a � �:� , . I.:U1LD1(�G I'E(�i11 f I•!�L SCfI!_1)ULI: . SJ:,C'T701d 2. '1'lle 7»r.cpcctox o!: 13ui.l.cla.l,��; �hril.9., i,ef:'or.c� �.:::sui>>cJ i�enni.ts for t;tie erecL•a.on �L ��.»y )�ui.l.cl.i.nc1 or :�Lruct:ttze, or. far. an� r�dcl9.t:i.c.>n t;o �ir�y ar,i:;L•i�uJ Uuilcli.ng ox' sL•ructure, . cir- f.o�- nny �Zlt:crcii:.iou oi �:c��air.:, t.o •an;+ c::.i.,Li.nt� )�ui.].cli»<� o� sL�:ucttirc•, ui�on aX�1�la.cata.on �tl�r.r.eforc, 1�ec�ni�-c the paymcr�L• by tlir. �zJ�J�].i.r:ani: fur. ��uch ��crmiL of fces L-a Ll�o �vnounL• hcr.cin LC�00J scL- Lo�:L•h �ind i.ii thc manncr licxeS.n �rov�clecl Lo-r�i�: � • 1�);Ld COl•ISTP.UC7.'ION: Sir�cJ�e l:'a�nia.y llome:; a�1�] G�zxaqe;; $4.0�/1,U00 cLtbic Leet. l?J,1�N CIi1:CY.: 25 ��c:rcenL of bui.J.c:ir►g J'�e,�mi.L- fee. . U1Z1Vlil•7nY llL•'P1tL•'SSIOI�: (Conc�-ctq Ciz�'b ::tr.cets Or�ly) . � • � A1L-cr.nrite I+: I:c�noval and x°eplacr:menL- of concret�e cuxb and gutter anl.y; Dra.veway wa.dth plus 6�eeL- x Y�.5075 illternate B: Remc�va]. and repJ.acement; of concrei:e eur.b and . ' qutter and �.»stal.l. a 3 iooL- wide approach �vii3� �' ' f, a.�ich depth; Drivccaay width }�lus 6 ieeL- r. $17. £35 ' • . ,�,Q D�I T T Q �/�! I N F O R��1/1—C Z �i�L. s e For the purpose oi' ca;nputing fees for bui�.dzng per_mi.t.,•, the cub5.ca1 contents of any r bui.ldi.nc3 ar addii:ion, a.s dei:ennined by multiplyiny i�ie c,rround aa-ea covered irom �a ' ��vi�it si�: (G) inches below tlae floor line oi L-he basement or the cellar 1:o the average heighL-s ai thc u}�per. surface a� i�o the �3vGiac�C hezyl-at ot ihe 'roof s'ur�ace of the main g�i e of a pi�ched roof . For re��airs or al�:erations to an existang structure, ihe f.ee sha11 be a� the rate oi �3.00 r�r eacii five hu:idreci dollars ,($5�0.00) or fraction i:hereof in the ca�t o� all pxoposc�d work. � . � Tn •no case slial.l the fee chaiged for an�� permit as set forth �n 5ection 2 be less � �tli�ri $7.50 plus $.50 state sur_charge. . ' � �f�RrFrc,�zr.o� o� �S�u �-�o�v NOTE: P�rmits �or construci.ion will be issued a minimum of ?_4 hours fr.om the time of application ta allow for proper revie�•r of tlie proposed strucfi.ure and of the COJ1S�x'llCt].011 S1.�G'.. 21 Certificate of Sui-vey oi the 10�, shawinc� the locatioi� oi the :Coundation once it has been coilstnYCted wi11 b� a:equired before pi-oceedine� �vi�t,h the iraming. �i=RTIFTCj�ZF OF �C��y'/�I��CY ripplication for a Certiiicate of Occupancy shall be made tcn (10) days prior ta the use or pC:GU}�:311Gj� OS any structure io�: wliicl: a buildiiic� ��rniit lias been �.ssued; and said structure sliall �ioL- be used or occupied uni:il a C�ri:�.f:icate oi� Occul�ancy has been i.ssued. . ` �, � - . . 0 :�:��F� .J� � J �% � , �I '� . 1� +' B d 1 � � � . y� � J �� .�� i � 8 � � a� V � � � ' � J � � °S � �� , � N ` � �n �� r � �� , -� � �� , - .f � � S w � � � � � ; � J � � _� k . C� f b ' ! �. r � _� �., � /` � Y,'' •` ,, � ` _ V I, � �� ,� �/ � �� . �1�� s�, �: .., ; � � I j y�`�� V �.. R h. �- � � ��. �: _ . r_ �. �.. :: _ ., = . , . ,:. , �.,. ..:� . . ..� ,_ _� - i .;i J i� a � �Q V` � � � V . : � � • , a 0.� _ � ♦ �� • . �: . � � • • � q �. 1 • • '� J • �� •�` � /// / , � . , • . � i ' . � . . . , ,. . ; -•�--- � ► � 1 .� !r' - �P � �' � + O /'� 1 � ! � � ) �4�/� sl � .a d � J 7 v 1 .�r � ) „ . .� , .. � _� f-�-� . . . �' �/� ,_ ,: - �;�- �/�/�►j�I,#11� J E, 4 ti. � � � sus�ecT PERMIT City of Fridley � 7 31J4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � CEIPT N . � `L ____�_ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. //� 7� � � _ � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBEP REV. DATE PAGE OF APPROVED BV �""'� � �� 612-571-3450 9�0-F15 11/1/83 / / JOB ADDRESS S8O K1lpba,].�. S'F.i^EE't N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 39-�1 E Ri.verviekr Eieiglits SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Joel Kittelson 580 Kimball Street N.E. 786-0723 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SdIIle 4 ARCHITECTOR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING ReS1C�eYl't,7..$�. 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE x 8 DESCRIBE WORK Install Class A Chimne � 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 OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ 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 WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S3OO �` . 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. S1S.00 PLAN CHECK FEE TOTAL FEE $15.50 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT �DATEI WHEN PROPERLY LI ATED THIS IS YOUR PE MIT �� _ �� l' � SIG TUREOF NERIIFOW BUILDERi IDATEI BLDG iNSP nAT CITY Of FItIDLCY NI'PLICA71a� fOft RCSIDEf�TIP,� I3UILQli�G PLi'viITS (f�ch�, A1 teratians, Additions. or Repairs) Oti�uER: � c. C ��d/'� AD�JRESS: � �D ��rr�i�l/ ST lt� � TEL K0: %��0-��3 Effective Aug. l, 1981 't3UI LDER : �i�►'l 2 � noaz�ss: TEL I10: Construction Location STftI�T t10: STItEF.T: L07' : � � - � � BLOC9C : � ADAITIO:i : 1 li � ' [� r f i�� 7`�1� �i� � i � Corncr Lot: Insicic L�t: �_ Setback: Sideyards: Ap�lic.v�t attach to tl�is form turo Certificates of SLrvey of lot and p_opo�ed building location cir�wn on certificates to scale. DESCRIPTIO�� OF CO►;ST�:�JCT10r� �t 1 �i��- Fzont: Depth: Heiqht: —� Squarc Fee�: Q�bic Fcet: Front : Depth : Neigl�t: Square Fe�t: Cvbic Feet: _ Y �L�-SS �(/9 �` '.'��pe of Cor,,tzuction: � � :� Rb Be Cbr.�pleted: �� .. �. //l�_: � // _ �:� t/_ ,� Alt. A Alt. B Propcsed Drivevay Kidth If New Opening Is Desired: $ S _ , S�L P.EVF:R;E SIDL OF SfIEET . Ziie unclessioned hereby ma);�� appliczticn foz a pernit fcr the �:vzk herein specified, agreein3 to cb .all �ork ir� strict accozd.inee ��ith the Ci�y of Tridle�� Ozdinances �iid �euli�� of the Deparcment. of Duil�incs, and hereby declares that all tl�e facts �na repree��tiens stated �n this applic�:tion aze true and correct. D.`.TE: � SI(�IATUI�: �� /� �-��s� �tij�ulAtions : r��S . U� �� 1.�.�� 3�� e � - �.• - - - Tbe Cbief Building Otficial ahall� betore iasuiag permits for the erection of any building or atructure� or for any addition to any ezisting building or atructure or for any aiteration or repairs to any existing building or atructure� upon application therefore� require tDe payment by LLe applicant for auch permit of fees to the amount bereia belov aet tortb and in the manner berein provided to-vit: Sotal Yaluation =1.00 to ;500.00 =501 to =2,000.00 =2�001 to =25r000 :ZS,00, to a5o,000 Feen =10.00 (Minimum �15.00) =10.00 for Lhe firat =500 plus �1.50 for each additional =100 or Praetion tbereof� Lo and includiag a2�000 =32•50 for the first �2,000 plus �6.00 tor each additional �1�000 or fraction thereof, to and includiag a25�000 ;170.50 for tbe firat =25.000 plus =4•50 for each additional �1�000 or Praction thereof� to aad including =50�000 a50,001 to� =100.000 ;283.00 for the firat a50, 000 plus �3.00 for each additional �1,000 or fractioa thereoP, to and including =100�000 =100�001 and up =433.00 for tbe first �100�000 plus � =2.50 for each additional �1,000 or • fraction thereof Plan Cbeck: 25 percent of building permit fee. Drivevay Depression Escrow: Concrete curb atreets only. Alternate "A": Removal and replacement of curb and gutter only - Driveway vidth plus 6 feet times =13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 Poot vide approach Witb 6 iach depth - Driveway xidth plus 6 feet times �15.75 F� . � . -. ,. Perm3ta for constructioa will be iasued a minimum of 24 bours from the time of application to a11o� Por proper revieW of tbe proposed structure aad of Lbe construcLion aite. � Certificate of Survey of tbe lot� ahowing the locatioa of the toundation once it Das been construcLed will be requfred Defor��roceedinQ tritb the framing. �z _ � y . r• b «. r �� _: N=�+ n m m o ti z r � i ► O O • C �c ► • r• r C � C � O� p �• b•a, � n R w� c � tZa , � �. � o a � h r � n ^• � o c Y o o b i ►�- z A < K � r �/ � q ►+ a m n r� M n r, � N n.o o n �- r. o ►� • 7 ti r. ►� �r • ti e � C Y s j-� Y r bf O 7 M n ~ a+ O m .��. s i � ��•o n s � s o� • 5 .- .. o r i w � c. � O n .o • < • D q x • �O � w „� � 4 •- � a • • M �n r �p � tYi J�j A � �O . M ~ y . g � w� b.� � r -+ c s .- r M m , ti H � � ; ^ y O ?7 0 �N i C O y e � w > � �o z D b C ---1 u► b > m � � r cn e n � � Z a > >n m z ° n o � n O � 1 i Y 7^r y r � ti � v1 N N V� N N w N H 9t'! M._. N N 'C 10 I�f O � � �. �p 1'9 [_� O l!� J N� N� . U1 tJ� tA � 1-� W l!� ^� r o 0 0 0 0 o c� o o v, �, o m U O O O O O p O O O O O O M N N N N N N N N N N N N N N.ny1 "� � � l� 0 � r � c V: -j 1 � � N :" • m � o� 0 �x H .a D �i 2 t�; K tl. 7 cr zc i I r. :c �� I.� � C . � � �� i � � • � I �1 • � ; i ; � 1 ►» I �� y . N ' I � N i .. o � , �, o 0 �. �` � . �, .. b T c � 0 A � i � a I � C' S I v � v . I S _ ( . m =' s ►• �ry O a � � � �'' ~ r Stotiet • A C! 4 p r ' � � e � [losets � � ' Usln�l• H � � � BaN 'Nbi N J • 7 � sa�ln� o `�n� I , o � ! _ Slnk� � '� Mesh Tr�y� a«� D�lnk�nq . � Founcains bhavers n �loor Dr�t O � . GtCh n � Basin9 s � Aut�acic a � Mashrr r s e Gas Appl. Kiae. FiYt « � . id8 ►iAlt<j@ r � � Other W R 6 D n nn �' n O � .i G 6 N v v� ' y „ � � � �; �. ��+ � � C [ M CA O ~ O Z ��, M�p � T � O � ', �i I �!°1 � ,! P 4 ' �r� • � ��l � a• � � ,. � •1 �, i � i , � �� ►. � 7�'O A r �0 O Z ,O 6 A� rn� D' � � n .C. ".' c �n � � m 6�00 ��5 �" r.Ci a a p h w�• � q G . �M^ �� Orr�i�� ti n � � �� .9i n � °' ' .`. e � � � m �n s .di p �c° m Ws�a �� R r m r� � a +� o • r � �� a �.. � ; � �, r, � � � � a. ' µ. ' rl n I �� a. a o � } i,� f; a .. � . Ij � � , � � e,.�n►o I 7 w o a i, ►• n �a � ^ , • S, b O , � °' o . � � � ' t' �Sa� ' I' I ;'�. ; � �� Q� A d q Y ' � ' f ��- �e e n , ' � ' �g � � ,.I r � n o � .von �..�•, ' � �ty� � � �� r� F _�l r Y A O ��i . � �. :,.�s �� I � iy��.� � �<�� i �� ' i � '�1 :. po M1 � \f� ~'y ~ ' � I Y ' �V � . i � , a � , � j . • , . i . �.. a. .. . � . � A' � . RI . ��^ I. , i . `""� - . _ . � , . • . l � � �I � ' . ~� ' • • . i C � . _ t � ' • , � • • . ' i ' � � • i . � � , . 1 . . ' f � . 'I.Cd � � • • _ ..+�..�... �a / ,�,�,�... �»,.,,; ..._.....` .,_.._... ..` . .. � `_. 1� '' ' �' � , . ' , , '� ;.. . } . ' . , � ' . . � � .�_ �'� . . . . , � ! y�;, : . . . . . � � , • `�� `�, , �, `,'� \� ` .. ;�,i\ , � � • ' , �'. � �' t\ � '.. � �,, * . _ . � � . i `� '` ` �� . � \ � ` . �� ,� � , : � i , � - � •'� � \ � `� '.. • � , ' � - i . . � ' Q . . �, �,' ,'% • � , \ ``\ , t .\, x .; ' �4 ) . f ' ' � � ,�° .�\ � ;� � 'ti �`. '' f , • j 4'.` t', � .'•1 .. �t • .i ',` `�'��\�'�,� •;';.i', '. ��` .. /�/• f . 3. , . . i''ti� �, ' . � `�'A`� .�i� ,,\` �`t� , �+¢,\�•\ . 1 ^�'� � T�Tr�� . � . .� � ,i •t'. ti � ` �. . � � �, ,� ; � E , � � � ti` ' "• ti'. ' `��,. .,'� � ;,* . . , .i . � - , � �: � . �' , •, ` .l E� `` ; . . ,` � ` :�'i1' '_ ,, , , � ; . �i�4t a ; �i C � 4. ��. � , .� . . �i ,�',� ,'� \ . � . _; � . , _ , .� T'i�•,1 , ;� . � i. . , i ..__ ... . . .. .._._ . _ . � _ i• < \ '. - i 03 � : � , .;� _` .� . i � � i ,' ��....r . .�` �5, e ; � � ' • . • `j S ^ . ,, �.,;,;.. � � � • � ' � � . .,,,,'�,` �al,� _� c` � � � � � ` � . : � i a_ . . � :`:. . �,,� � �;. � `;. '' . . - '., { . � :� : 6 . • . ! - C �` �� . `:� �t� ,, . . � . � �; a , . , ;:�-,, , .. • • i j • 1 � , , . � ��, � \ ..ti �. � \j � � ' . � , . ' . , � �. ��' �.. \ ''�i ��.• . ,' ' j � • . � 1 . ,•t t ,,� . � � . f`" _ _...r. __ ._ � � �_,......�.__.._.._.r _ . ' . . . �� - . _ . . _ _. ... � . _ � `. , � � ' . . � ' � • i . _ � , • . . . + . . . . .. . .` . ; j . . . . �� . • ; . .. , . _ . • , • i. ; • . • • � � . . i . a ' �'.� • .. .. ... . � , , •� . ' . f ' ' • , i . . , • . . , ' ... • ' • - � . - . • .. • � ; . • , ' ' -. . • .�. ..'. .. ;. .. . - • . . + ' � • : ',.` .'� T �.. w. , • � � �. 1 l � . � %d , . . _. _ .r. _ .... ._ v : �; .;'_ - �-w Cl I I OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 May 2, 1990 Segundino and Janet Martin 580 Kimball Street N.E. Fridley, 1�IId 55432 Dear Mr. and Mrs. Martin: Recently it was brought to the City's attention that a drain pipe is being used to run water off your property. A site inspection revealed that this is creating a drainage problem on an adjacent property. Please review the enclosed section of the Fridley Zoning Code, which prohibits any use which results in water problems on adjacent properties. It is important that you comply with this section by . removing this drain pipe as soon as possible. A reinspection will be conducted on or about May 10, 1990, at which time full compliance is expected. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant C-90-230 � _ C� l I �F FRlDLEY � � ��Y� ��vr�� I� CIVIC CENTER • 6431 UhIVERSITY AVE. N.E. FRIDLEY� MINIVESOTA 55432 • PHONE (612) 571-3450 May 23, 1990 Segundino & Janet Martin 580 Kimball St., N.E. Fridley, MN 55432 SUBJECT: Drainage Concerns Dear Mr. and Martin: PW90-139 Mr. John Kuusisto, of 585,7anesville, contacted me last Friday, May 18, 1990, regarding the drainage coming from your property onto his. Mr. Kuusisto explained to me that it appeared you had placed a splash block at the end of the drain pipe, but that this was not alleviatING the flood problems he is experiencing. I have not had the time to personally view the improvement you have made. Attached is a sketch of an inexpensive alternative that could be made that would alleviate a good portion of the water that is running down to Mr. Kuusisto's house by allowing the water a chance to spread out and soak into the ground. When I first met with Mr. Kuusisto, he offered to help in the labor to do any fix that would stop �his problem. Mr. Kuusisto's home phone number is 786-5849. I think it is important that either yourselves or Mr. Kuusisto make an effort to get together on this problem. I am a€raid that if something is not done to settle this problem, civil action may be brought by one or another of the parties. As I have offered earlier, I would be available to meet with you at your convenience. Sincerely, ��- GT.�--�.. Ma k A. Winson, P.E. Assistant Public b�orks Director MAW/ts CC: Mr. John Kuusisto 585 Janesville Fridley, MAT 55432 r - ` � 1• :t�, t . � ELK RIVER CONCRETE PROOUCTS • 7575 GOLOEN VALLEY ROAD � SUITE 395 • ININNEAPOUS. MN 554Z7 (612) S45�PIPE • INWARO WATS-800 ♦ 552•1158 • FAX (61� 505-8399 PROJECT ��.��"/�J� %%�OD/F/C01�TT034I - DATE SZ.3 �l� r� ,� ( I � � � � � I � � � 0 � � � � � �a � N 1 � m t �� I 1 ! 1V � to �:,..! � "i a�' ` I ��^�� ! � I � � � A � v` � A �� t � R � 0 � � "� E� �� 1 �� ,� i ,. N '\ � �� R� � i � � � .� _ ,�= C� 1 I �F FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 June 22, 1990 Segundino Martin 580 Kimball Street N.E. Fridley, MN 55432 Subject: 580 Kimball Street N.E., Fridley Dear Ms. Martin: The above-referenced property is located in zone C of the flood insurance rate map, which is considered to be areas of minimal flooding. The community panel map number is 270013 0003 B, effective March 2, 1981. If you have any further questions, please feel free to contact me. � . arbara Dacy Planning Coordinator BD/dn C-90-380 sue�¢cT - PER LT_N6-._..� c�ty of Fridley 2 7 3 5 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � O. � ; y__�� COMMUNITY DEVELOPMENT DIV. �� r�� r � � PFiOTECTIVE INSPECTION SEC. � 1 . � � S �'�'1 � CITY HALL FRIDLEV 85432 NUMBER f1EV DATE PAGE OF APPROVEO B► �'----� • •'� 612-571-3450 910-F1S 8/24/98 � � JOB ADDRESS 580 Kimball Street NE 1 LEGAL �OT NO. BLOCK TRACT OI; ADDITION SEE ATTACHED oescR. 39-41 E Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE Dino Ma.rtin 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Franzen Constr Co 42 5 h 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Reroof house 12 S Tear-off• Overla flatroof a e- rolled r ofin 9 CHANCiE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPAFiATE PERMITS ARE REOUIRED FOii ELECTqICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SC. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oli ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A pEFMIT �I�FSO �. ]2 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE Oq CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW qEGULATING CON- STRUC N OR ?HE PERFORMANCE OF CONSTRUCTION. ��►8.5� Fire .S�', �1.�F5 `/ PLAN CHECK FEE TOTAL FEE "" �' �-� � LIcense 5.0 5.67 SIGNATURE FCON7RACTORORAUTNORI2 ENT IDATEI EN ROP VALID T THIS IS YOUR PERMIT I � S�GNATURE OF OWNER UF OWNER BUILDER� IDAT6 BLO �NSP �� T NEW � ADDN ALTER �] [l [] ConstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION � �� a /� Effective 1/1/98 �a�3 � � �� Owner Name & Address: � � �. a ��c� w � � � Tel. # '%'8�/- � y � � Contractor: � � � 5 MN LICENSE # � � y �/ Address: � � 5 D .� - 5 � //�%� � Tel. # � � �' - �a `7 l Attach to this application, a Certificate of Survey of the lot, with the progosed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: , i' � Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � e�,� o��' � r�� v�� sP - loL��D �'Zvo�� — � Construction Type: � � Y� � � �� tunated Cost: $ � S� � �.9� - - - (Fee Schedule on Back) �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ l7 �� DATE: � - a � � 7�� APPLICANT: �� . Tel. # %�� i / Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � ��. �� $ - �^ $ �- $ $ S .C,C� $ $ $ $ $ � � "�°% CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .- � BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial 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 $100, 000 $100,001 to $500,000 $SOO,OU1 to $1,000,000 $1,000,001 and up FEES $21 (Minunum 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 $1Q0,000 $887.25 for first $100,000 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,Q00,000 $5012.25 for the first $1;000,000 plus $2.75 for each additional $1,000 or fraction thereof r DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) � .ti i Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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. D S °��5 �� Building MECHANICAL Permit rTo.: 7- ol SS Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat�'�: OCT 1. `� 2 0' DATE I� � L� YOUR E-MAIL ADDRESS srrB aDDxFSS , r, G��m h�� S-� /� � THIS APPLICANT IS: 0 OWNER �CONTRACTOR PROPERTY x,�: G� fi Gt� � n owlvE�t/ Annx�ss: 5F� � I:t�rn �Jc�t ll S-F/v� crrr �c� L�n STAT�''��ZIP � W� TENANT PHONEI6� �ZSPa- �SL`� CONTRACTOR co�ax�r x�: SEaGWICK HEATINd � AIR CONDRIONING LLC SUBNIIT A COPY OF CONTACT PERSON: _ S9 � O W211tWOftI1 AV@. SO YOUR STATE STATE LICENSE # Minne�bi&Z�N 55420 LICENSE WITH �DRESS: �9�� $8�-9$� STATE ZIP APPLICATION pHONE FAX � PERMIT TYPE �SINGLE FAMII,Y ❑ TWO FAMII,Y ❑ TOWNHOUSE TYPE OF WORK' � NEW �PLACEMENT � ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �[0. CA � vVl Cn C.� K�Rr PER MS 16B.665 the permit fee is a minimum of $15.00 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. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHIItE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� EquipmentInstalled MFG: YIOX MODEL:�SIMi°jbB0�0 S�/g��U�pCa<5 MFG: MODEL: SIZF/BTU MFG: MODEL: SIZEBTU _A/C $25.00 FII2EPLACE (GAS) $15.00 GAS RANGF/OVEN $10.00 AIIt TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 yC FURNACE $35.00 _GAS UNIT H1'R $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DU("f WORK $10.00 GAS PIl'ING $10.00 VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECf S OVER $500 Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixt�ues @$25.00 x$25.00 =$ Number of fixtures @$35.00 I x$35.00 =$ 3 S. Uv State Surcharge = $ .50 Total = $ 35 �s � THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTIL PROCESSED � I hereby apply for a building 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 permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o work whi r u s review and approval of plans. SIGNATURE OF APPLICANT��'n��J ' r/� ,� PRINT NAME�� lC% d �-. � Lls� 1D�6� 1 O �1 � � PLEASE NOTE: SEPARATE PERMITS��E RE UIRED FOR BUILDING, ELECTRICAL ° MECHANICAL WORK City of Fridley 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 '��) ' l °;� ' ' � , SITE ADDRES3 � � ) ' �� d ; THIS APPLICANT IS: d. PROPERTY OWNER/ N,� T'ENANT . ��.. BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ��c�vE i-i� YQUR E-MAII, ADDRESS -� P+" '�� ,� � •. k ,n�.i � � �� WNER OCON1'RACfOR �1 - ' ;9�� e s � r� �:�� ' �°i �!� �-E I c ' � � '{� � � ,?��. C1TY ��`�� f � � ,, p , �ir �z , �� c �� Permit No.: � :�� ; r ii � � - � 1: �' 1 r � i�� `` a f _�� - li` ��=-�= `�-� CONTRACTOR N,�: SUBMTf A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STpTE Zip INSURANCE PHONE FAX PROPERTY TYPE �SINGLE FAMQ.Y/NEW CONSTRUCI ION SIZE /' ' O TWO FAMII.Y/NEW CONSTRUCTION STORIES � PERMIT TYPE_ �rE oF woRx: ❑ DECK ❑ NEW HOME CONSTRUCTION � GA�GF/SHID _ � WIl�BOi6tS— - — — — O ROOF O DRAIlV TII.E �SIDING p OTf�li O SWIIbIlVIII�TG POOL ❑ ADDITION O REMODELING DESCRIBE WORK BIING DOAiE: � L�- L h. � Li C'a I� SIZE OF IMPROVEbIE1VT � LENGTI3 WIDTH HIIGHT S Ff �OOFING O HOUSE ONLY g,��r REMODELING SUBMTf: NUMBER OF SQUARES ❑ HOUSE & GARAGE � Existing Floor Plan GARAGES O ATTACI-IED GARAGE 2. Praposed floor plan PROPOSID SIZE: ❑ DEI'ACH� GARAGE 3. List of structatal members to be used PROPOSID i�IGHT: �ING FORNEW CONSTRUCfION INCLUDINGDECRS, O Vmyl pgpffit ,ADDT110NS � PORCHES SUBMIT• �'Alwainum ❑ Trim 1. Site Pl�/Smvey showm$ the existi�ng strucdue.s ❑ Other O Fascia � PIaP� P�J� 2. ` Two sets ofconstruction plans WIlVDQWS 3. Eneigy Cslwlationg IN EXISTING OPENINGS OYes QNo LOCA1'ION OF WII�IDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPIIVING CHANGES & TYPE OF WINDOW TO BE 1NSTALLED NUMBER OF WIIV�WS Ai,�L,FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ' ,� �s�}v�� i�n u.s.c �E sc�nui.E� TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge I Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dae $ $ $ $ $ TYPE See Back Page for F� Schedule 65% of Building Petmit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $SO $5.00 (State Licensed Reside�,ial Contr�actors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= $x$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agre,ement necessary ( ) Non Necessaiy � Make checks payable to: Citv of FriiIIev Attac THIS IS Ald APPLICATION FOR A PERMIT-NOT VALID UNTII. PROCESSID I hereby apply for a building permit �d I aclmowledge that the information above is complete and accuiate; that the work will be in conformance with the ordinances aad codes of t�►e City of Fridley and with the Minnesota Construclaon Codes; t�at I understand ffiis is not a permit but only � for a permit an ork is not to start witliout a permit on site; that the work will be in a�rdance with the approved plan in c�se o and approval of plans. SIGNATURE OF APPLICANf +' PRIN'P NAME Ym-�cC.� C-- �T�`�ATE ('� ' O'(J / FOR PLUMBING, ELECIRICAL AND