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AF - 47901� �� /"1 � Ca.ty of Fridley, Mi.nn. � � BUILDING PERMIT N� � 9 5 ��: � � , �� : B�� Ad�r�ss - Address ._.._.. . L CAT UIL ING No. _�� s t _.ae._ Part of Lot �� ---r--� I�ot ��jL'�� ock Addition or Sub-Division ./.��-%+.��,��' • Coraer Lot _ Inaide Lot � Setback _.s[� _ Sideyard �%� e :iewer IIevatian Foandation IIevation DESCRIPTION OP BUILDIIVG T U � 9� �— �� Cu. FL Front Depth Height Sq. Ft./ Depth � ITeight�� Sq. F� Cu. F't Type of Constructton �..� F�t. � _°�To be Completed �i / �. `� � .. v l� /% � ,>'C -- %-- � � i �- - � ' �� 0 In consideration of the issuaace to me of a permit to construct the building described above, I agree to do th� proposed work 9n accordance with the d�scription above set forth and in ce wBth pravlsions of �dinaac�es oP the dty of Fridley. a Ea c�deration oP the payment of a fee of $��' , peraiit 3s hereby granted to to construct the buflding or addition as described above. Thia��mi t ia granted upon the express conclition that the person to whom it fs granted and his agents, employees and worl�en, in all work doae in, around and upon safd building, or anypart thereof, shall conPorm in all respects to the ordinancee of Fridley� M3nnesoffi lacation, conatruct�Ton, alteration, mainteaance, repair and moving of bufldinb�s et within the dLy limfts and pernnit may be revoked at any time upon� � n of aay of the provi�lona oE said ordinanca. � Suilding Inspector Nonce� 'llds p�rmlt doa ee! eorsr ths coestrveH�, IestalFafloe /er vrUieg, piumbtee, ga h�aNag, ssw�r er wnsr. 8� sans �o ses tha Btrildiag lesp�s� to� pp�nN parmih for 1hw ittms. a ,3 ✓ 04dNER' S ADDI2ESS APP°LICATION FOR BuILDING PERMIT CITY OF F1tIDLEY, MINNESO'CA � :�—/ � � Loc�,TZO� oF suir,,narrc No. �Q � � Street � � �� part of Lot < � ��— Lot ��— 3�B ock `� Additioa or Subdivision . Cora�er Lot Inside Lot Setback �J" �� Side-Yar.d %�• SEWER LI.EVATION FOUNDATION II.E9ATION Applicant attach to this form Two Certificates of Survey of Lot and pr-oposed build- ing location drawn on theae Certi,ficatea. DESCRIPTIOIV OF BUILDING To be used as: .. � Front � Depth � .� Height Sq. Ft. 1�. �� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Coastruct$on �� Est3mated Cost � � �o � � � � . To be Completed The undersigne agreeing to do rulings of the xepreaentations DATE d hereby makea application for a permit for the work herein apecified, all work in strict accordance wi.th the City of Fridley Ordinances and Department. of Buildinga, and hereby declares that a11 the facta and atated ia this application are true and correct. , � (cch�dule of Fee Costs c . �'' . � , s' � ,,�%� Sic�Tt� � - G�� ' en be found on the Reverse Side). ;� ' ' , , r- �,-1 " � ' . - (, � r - ' ,,,, �w c BUILDSNG PEItMIT FEE SCHEDULE Section 2. The Tnspector of Buildiags sha11, before iasui�a� any permit fcar Lh�: erection of any building or structure, or for any addition �o aay exist- in� building or atrucCure, or for any alterations or repaira to any e:�isting building or st�ructure, upon application therefor, require the paymeng 3�y the applicant for such p�rmit of fees to the amount herein below set forth a.nd in the manner herein provided to-wit: 2.1. For aay such permit for �he erection of any fire-proof building, other th�a a garage�.warehouse, factory► or grain elevator, or for the erection of any fire-proof addition, for sim�.lar occugancy, to any existing buildir�g shall be at the rate of $1.G0 for each one thousand cubic feet, or fraciion thereof, in such cubical contents. 2.2. Fos any such permit for the erectioa of any fire-proof garage, warehouse, iactory or grain elevator, or for the erection of any fire-proof ac�ditioaa, �or similar oceupancy, to any existing building sha.11 be at the rate of �1.25 for each one thousand cubic feet, classified as °1fireproof" by Section 502 of t�e N'•inaeapolis Building Code. �OUSES 2.3, For any such permit for the erection of any non-fireproof buildiztg other than a garage, warehouse, factorp or grain elevator, or any noa-fireproof addition, for similar occupaacy, to aay existiag build3ng - permit $1.00 for each one thousand cubic feet. GARACES 2,[}, gor any such permit for the erection of any non-fireproof garage, w�rehouse, factory or grain elevator, or for the erection of any non-ffi.�egroo� addit�.on, £or eimilar occupancy, Co any existing building or for each such building or addition - nine�y centa ($0.90) for each one �housand cubic fee� or fraction thereof, in the cubical cantents thereof with a minimu� of $4.00. For the purpose of computiag feea for building permits, the cubical contents of any building or additioa to a uniform height throughout by multiplying the gsound area covered from a poiat six (6) inches below the floor liae of the basement or cellar to the'average height of the upper surface or to the average height of the roof surface of the maia gable of a pitched roof. 2.5. For repairs or alterations to a.n exis�ing structure, the fee ahall be a� the rate of $3.00 per each Five Hundred Dollars ($500.Q0) or fraction thereof in the cost of all propased work. 2.6. In. no case shall the fe�. char�ed for anp peruut� ae set forth in Section 2 be less than $4.00. ".,� " ° � r'� .k�. . � + � , - ~� = y, � �. c. �o cur� a�� sSOC��teS� ��c. LAlaID SIJRVEYORS Anoka, Minnesofa CERTIFIC�►YE O� 56�8tVEY: Ralph Lund ST�E�? I��Mp��,�� - _! , �5.0 �. -�__ � �.15.0 N� 85�� 127-53 Telephone 421-G340 ._ � �ENOTES I I Ry0�1S r �7 P ��-�Y I.e�te 3l�, 35 �.nd 3F,, �lock P RIVERVIEW HEIGHTS Anok�. C��ty, Mir�nesot€� 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OP A SURVEY OP THE BOUNDARIES OP THE ABOVE DESCRIBED LAND, AND THE LOCATION OF All BUILDINGS, THEREON, AND All VISIBLE ENCROACHMENTS, IF ARfY, FROM OR ON SAOD LAND. AS SURVEYED BY ME THIS �-lt+� DAY OP Febru�,ry .............................ap. 19..F?,�..• ' ................ ............... ........ .... N. C. HOIUM AI�D ASSOCIAT INC. = AND SURVEYORS � • r� . . e r - r�`'- ............................x...s... ...x.........................�.................................................. ................. A1 e. s ' y , ,. f '� �, •-' �.1,. �a. � „4 ... / I , III d � Et p �7 . � : � • . �T N 3 W fi r !'� � :: � w � � � � � s'�� m N • o • °o � : o . 0a0 : : �r . . 0 id iE �a N r � O O O � �69 tia �A . H �f H � � � � z� � z� z x a � � e � � n � � � � � � ��+.F��}� � M _ "y � �1 . O � � � ro ¢ ,� � � o a _ ,� '° : M � N : � � : � a� o : � : � � . . OII � . . . . O ' l7i : : : : : � : : : : � p4 pC k k k DC W N W �+ �i-+ � � C�7� p C�7� O O O � {fl ifl G9 {i� Ef� {fl � O � � H � � i� 0 A x 1 � � � W � � y 'C �� y � � � D � i � m � n _ m C r m o � z � � a � o � � oa � � � • � p. � W � x ,' w � � StOrY� � � WATER �� URINALS � e�r►+ � � � a ews�rs �J � I SINKS � � � ` was►+ rw��rs � � 8 8 M o � � �. � n �+ �w b � � � �+ 0�4 S' I� � i DRINK. FOUNT. sr+wRS. � FLOOR DRAINS CATCH BASINS �uro wwswEn GAS APPL GAS R/WGE GAS OPENINGS a • 2 • �y ` Ui D A m � � A � ��ro � aa��s � � °�, m b p� � y � � �oq�� y �E �:. � �• w ��o� a � o � � �'��p c� =:�'cy � �' p � �4 � � � O � 0 � � b � �� yp'ay W ►7. � � % � � p � �' o � � � O t! � � �, o ��" w �� ,iD �.��.� � o��: ��y �� . � � � ��o � � � �� ro M �' � � w � �� A � � wM � � & h°n i% � M o �. � � � m � c � � �� • ' � � � g� � �, � °� � �, d o. o- m m r% � � M � �� ro � o � � � r. . A V O � _, d z � � a � N � < ° 0 � x � N � �� p m � � � r t�i+ Y � y x x � or�e�y % � � � � O ��x �� rA �n � � H � H � ° � � � � D1 \ Z � r 1�1 � �° --I Z G7 ❑ � � M v~, y m R' " ►+ ��:wx � �, .o� � � �„ k o � � ,��,+ N � y O � O O � - O � : [ � - � � � x x � se O N � 0 0 0 � � � � � �o r � � eo � � � b � 0 �P O O O 0 O � � 0 0 � � � o w � � z " n � o � I � n � � A � z � � � �� a A M � o � � � . � O r 00 � C "I Ko w � w m pq �.e � � � � y C � „1 �.�. U! y � � . A • �: `�. : � � � 0 0 � w � � ��p � � .V'i ►�9 , O �1 � �o � 0 J 0 , � � � � � � M O � m � � ��x � � � ,�Q.. ,pCa c� rD �, � � o H o °o ,.��.. � � � � � � � � � � � � � :d �d $ � � ° � � ° � � o � . � M ' � ,e� . . � � � � o � . . � �' : : � � : : � : N N � � 0 0 0° °o � � � � o � a, � 7i m � � � � � � � � � � � O ' � � m � x �� 0 � 0 b � � g �. � �° ,� � � � �� R° R° co � p�. � ��'�� m ��°�o �o�o� f� � � � $ � a � � y� o a, ��„ : G .� � ° : : o $ : O O � � : : � � � � N � o °o °o o° o° � � � � � � � � � � a. Q. � ro �o � 0 Y b � b � S ... � p� C � m �. vS � � �t�� v�y � � o � 3 � '�� o O p � � � �. � � o � a � � � a � ; ; otni °o : : QO � . . C . . . � � � a� � en c c c p o o p � 0 � � � a° � � y b � @ � M m�l�� 0 p� a p �"e'r' t�'p D w �� om��' � �oa i� � �, �b � ��°� � � c;��e � �roy R'i =� m bd�� b ��'� P7�M � iZ fA f'W� fi p� �� p. c�i p 0 r.y' � �, ►°�°i � C'n � a � �,'� �"�� 6� � s'�.�� $ �� . � .. � p. � �" � � � � �' � c D —1 D r � m H _ fl7 C m d b M a � d�' � a � V i► O � � � � � O � � � � � O � p 3. d O = �' � `�N . � � � 3 0 � 0.� v� �• �. � 3'. 0 � � � � � S� � � , � � ii. ��. � �. \ OWNEB'S ADDRESS APgLTCAT&�0� FOIt BUILDING °E1tI�T CY�'Y 0�' FRiDLEY, � . ESdTA LOCATION. OF . Bt� ��LDING N0. � STREET J,��,� ..:� .// F PART OF LdT L��3� = 3G BLOCR ADDITYON OR ��UBDMSION : BEr /%�� ,�,-o` � CORNEB LOT� SIDE LOT_, �,_SETBACK STDE-YARD SESdER ELEdA�,'ION FOUNDATIOP ELEVATZON Appiicaat attach to thie form Two Cert�ficates of Survey of Lot and proposed building location drawu on these Certificates. . DESCRIFTYON OF BUILDING To Be IIsed As1: �_ �' Front Depth Height � 1� N Sq. Ft.��[ _ Cu. Ft. .�� ._.��_ - -..�... Front Depth Height Sq. Ft. Cu.. Ft . Type of Canstruction ��►�M�,,,_� stimated Cost��,�jJ (,� To Be Completed ■ � ' i�.�.�r �� The underaigned hereby makes application fos a permit for the work herein specifiecl, agreeing to do all work ia etrict accordance taith the Citq of Fridley Ordinances and rulings of the Department of Buildiags, aad hereby declares that.all the facts ead regresentaticne stated in thie application are true aad correct. DATE �" �� --� � -- (Schedule of Fee Coets can be fouad on the Reverse Si�e). / �l' ! ' � f '.''�` � � � ,. i'"` - �: � ` � �/1i�� - r / - �i�./ - ` � ��.+•�!I�'a`� _ _ . , ��3�✓5 � �,F k - - / � a; � �/� _, ' r;•--.� ��"��_.,.,.� �•,; � � = , � �,, _�---- � , %�` , ,. _ � � -. - _._ _ , ,� `� � BUII�D�IQG PE�'1TT FEE SCtIEDUL� �' . -;� SECTIOR 2. The Inspector of Buildinge shall, before iesuing permits for the erection of any building or structuxe, or for any additian to anq euistin� building or strucCure, or for any aieerations or re,�sirs to anq existing building or structuire, updn appl��eation therefore, requise-. the p�yme�t .by �h� .applicen� �� for such permit of fees to the amousC herein below aet forth and in the manner herei�a prov�'ded to=w3,t : . �- - � . .. _ . .. _ . . . . . - 2= Fos any such permit for the.erection of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof add�it�on, for similar occupancy. to any. euisting building, shall be at the rate of $�..40 for �eac-h -one thau�and cubic feet, or- �#raction thereof, in auch,cubical coateaGs. . 2=Z� For any such permit for the,�erection of any.fire•prooi $arage, ware�irnise, factory or graiD e�evator, or'f�r the erection of any fire-proof addi,ei.on, for aimila�.��occupancy, to any existing building eha11 b� at the,rate of $1.?S for�each�one thousend cubia feet, classified as ='fireproof" by Section 502 of the Minneapolia Buildiag Cale. , .y ; . flOIISES � 2.3. For anq auch permit other than a garage, warehouse, add3tion, for eimilar occupancq, eacb one thousaad cubic feet. GARAGES for the erectton of any non•fireproof buildin�, factorq or grain elevator, or any noa-fireproof to any exi.sting building permiC fee �1.OA for ��, __.�____ . 2 4; For.�y �uch permit for the erectioa of any aon-fireproof garage, ware�ouse, factoiy or .grsin � elevator, or �for� t�i�e � esec��un of eanp non-fireproof _. addition, for similar occupancy, to auy existing buildiag o= for each such buildiag or addiCitt�► • niriety;c�nCe ($0.90)• for•eactr oae thausand cubic feet or fractioa thereof, in the cubical caatents thereof wi.th the minimum of $4.00. . �. �'or the purpose of computing fees for building permi.te. the cubical contenta of anq buildig� or a'd�dition to a ugiform heigh�t throughout bq. multiplyiug the- g�cuncl area covered frem a point six (b) iaches below the floor line of the basement or cellar to the average height.of the,upper eur£ace or to the average height of the rocf aurface of the main .gab�,e of a"pitched roof. -� 2.�„5., For repairs or.alterations`te an entstiag etructure, the��fe� sha11 be at the rate of $3.b0 per�each Five`SurtcYred Dollars ($500.00)�or fr��tian thereof in the cost of all proposed work. . 2"6• in no case s�ali the.fee charged €or aay perudt as.set forth ia Section 2 be less thaa $4.00.. . � ,-a,w ._ .� � � �-. --.� C.J �1. �. �L�� C�.�.�'l1 iXt��i ��c�'f�U�'.�� r � +��', � L��'. Ll�.`-'.0 St_1`r:.VcYORS � A�oFa, 1�Ainn�sc.a +��2TIr9C�:T� �� SL`��N: R�].�h Lcx:;c? � � �-�E� y ��' - � .o' _15 i- -;-- ✓ . Cj " _ �5 �o � ti'� � I 27- 53 ,, _ . Telep!5c�n� 421-�3f4� � � lOT E� �! S �� ^�Q ;L, �J �n�� c.� 31��P P r..1 �:d� �I �':h L7 ` 7 nr � r�- . . i �7i. .. J !`.!ia�t% ;��',Jiii�,t; � .'�:�f1p�.7:aj.%�. 1 HE�EBY tER:IFY TH:.T TMiS IS A TRUE �,ND COR°EC� a5��c_°_r+r:.ro�+ OF�A 5�1R��EY OF THE BOUNp4R�55 OF ?HE r.40VE DESC�:ScD LAND, �NO TME ACAT1Qt. OP .41t 2Ui,CitiGS, THc%_��N, i,ND :,ll `/IS!B:E c?dCROACrI`+_^175, IF �Pi'l, FdC :+ OR ON S.i�D LAND. 1 � . _. — , r:;,.,•... 7 AS SUinVc'f�D 8'( h!E TH!5 •! `:'.�1... DAY Of ...._ '...:'.L'. �':.',: ............._..__......... A.O. 19 � � . N. C. HO�J..�� :,r!� ASSCCIA?= ,��,�'. —�,.�aD �U'V�YC�S . _ �1 � � , �. ; . . � �''� %/� . -. _ � � ��r��v � ....._. . ..._ .. . . . ........... .... .. _ .._.. ... ......... . ... _........._ _... . � °-� — --- --= � �"-� . sue.,ecT PERM City of Fridley 19217 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ' R . � � � �v _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � ` , 1 /""1 � CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE Of APPqOVED BY �"""� � �� 612-571-3450 910-F15 10/1/87 � � JOB ADDRESS 666 Kimball Street N.E. t LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED oesca. 34-36 P Riverview xeights SHEET 2 PROPERTYOWNER MAILADORESS ZIP PHONE Paul Westby 666 Kimball Street N.E. 780-4326 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Const:�uct a 10' x 30' Deck Addition 9 CHANOE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOHK 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 ]_ STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 �OSO y�l., O3 DOES NOT PRESUME TO GIVE AUTHOFITY 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. $3$. SO pLAN CHECK FEE TOTAI FEE �� $9.63 $49.16 �SIS9NATURE Q,F CO� RAOTOR OR AUTMORIZED AGENT iDATEI � f, -�, yyd-�EN PROPERI.Y .+kpLIDATED THIS IS YOUR PERMIT ,� r�� G�, �� '� ��'� ! � �r�, P� 1 ��ra_s � �'�, °A � SIGNATUR OF OWNERIIF OWNER B DERI IDA EI � � BLOG NS �pT N� [] City of Fridley Effective 4/1/86 ADDN. V1 R-1 AAD R-2 AI,TER. [ ] Building Permit Appl3eation Construetion Addre Legal Deseription: Owner Name & Address: ��t-�(�i'i3�� Tel. �` 7��h Contractor: �� Tel. � Address: LIVING AREA: GARAGE AREA: DECH AREA: OTHER• Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTIOA OF IMPROYEMENT Length Width Aeight Sq. Ft. Len�th Width Height Sq. Ft. Length �� Width �� Hgt/Ground ��° Sq. Ft. � 3ao x e y � V Corner Lot [ J Inside Lot [� Ft. Yd. Setback Side Yard S�etbaek Type of Construction: T�•'�� Approx. Completion Date: 1O �� 7 Proposed Driveway Width If New Opening Is Desired: �.. Estimated Cost: $ � Z�� Alt. A Alt B $ $ See Baek Page for Explanation DATE: I� � APPLICANT: �Rt.CL 11�C�'57��/' Tel .�� '�� l.� '� 1 �' I 3�1� CITY IISE ONLY Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �� q•4� � I.D3 $ $ $ $ � .16 Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �. t . �� V Z a � �— 3�. � ►x6 � 3�, �'u BIIII.DING PEAMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or strueture, or for any addition to any existing building or structure, or for any alteration or repair to any exist3ng building or strueture, upon application therefore, require the payment by the applieant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-Wit: Total Valuation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraetion thereof, to and including $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh with 6 ineh depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construetion site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. . _ f ` -A Np � � � � � b� 3 � � - N ��u N=� �d�N � = 9c � � � a � � � � m ; � �p � . f' �e �U P� � �� '� ; J � Q � "� � � i �� I 1 3� J � '"� � � � � � � ;� �. . P � � � �� a� �� b N � ''f G � � �I w. � _ � � o� �a� _ _:_�� o, ______.__ __ _. _ --U �,, � - - � :. ----- � � o .. __ -----. _ � - -� - � - -- �. � � � �_� � � � �^ N � � �� z �� a � �� o� � - b � � ��'� �' � rnoz � r � ' � va v � �r �_ �-� � � � � �' � Nn � � � a � � ac — � ` � p� � � mo �� v� � v S� �� J � �� L �� _ � 0 I � I � � I I � � 0 � _� � � - � �I � �' _� � �n c� � � � __ _ - -.: _ -- ---� ----- _ _ �� _ tN tJ - __ � - c _ _ _ _� . � -_ -• - �'�- -�--� �� . . _�. s �� ,� � � -�� _ �; _� _____ ____ � _ W� � �� . �� o� , ; . r tA �R Q� .-.- -- � m`' � - � . a � � / ._\ . � � p � � sve��tT PERMI City of Fridl�� 2 8 5 3 4 ;`�7�Ao��T��F TME TWINS B u I L D I N� P E R M I T RE�E�PT N � `V _.�__ COMMUNITY DEVELOPMENT OIV. � �° r � � PROTECTIVE INSPECTION SEC. '�j �(A, 1 . � . 4� �,J"�./' i-_-.�; "'�� CITY HALL FRIDLEV 55�32 NuMBEP AEV O�TB v�GE Oc �PVROVEO Br ` 612-57�-3a5p 9�aF�5 11/5/98 � � 10B ADORESS 666 Kimball Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 34,35,36 P Riverview Hei hts SNEET 2 PROPERTY OWNER MAIL ADDR�S$ ZIP PMONE Paul Westb _ � CONTqACTOR MAIL ADDRESS ZIP PFIONE LICENSE NO Owner a ARCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE UCENSE NO 5 ENGINEER MAIL ADORESS ZIP PMONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE • O REMOVE B DESCRIBE WORK Reroof house and ara e 18 S Tear-off 9 CHAN(iE Of USE FROM TO STIPULATIONS � Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIFiED FOR ELECTRICAL, PLUMBING. HEATING. TYP OF CONST. OCCUPANCY GROUP OCCUPANCY �OAO VENTILATING OR AIR CONOITIONING 7HIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTIOM 20NING SO. FT CU fT. AUTHOR12E� IS NOT COMMENCEO V�IITHW 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONEO FOR A PERIOD OF 120 DAYS A7 ` ANY TIME AfTEq WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I FIEFEBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPL,ICATION S7ALl5 GARAGES AND KNOW TME SAME TO BE TRUE AND CO�IRECT. A�l. PqOVISIONS Of LAW$ VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WILI QE CpMPUEO WITH WHE7HER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT $1542 $, 7% DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CAMCEI TNE pEAM17 fEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OF LOCAL LAW REGULA7ING CON- STRUCTION OR THE PERFORMANCE OP CONSTiiUCT10N �,rJ],.25 Fi e S�,' �1..5�F PLAN CMECK FEE TO AL FEE 53.56 S�G 4 UAE CON'A4CT AOAAUTMOp�2ED4GENT IOATEi E Pjj� V Vi1�l� T � iNl$ 1$ VQ �i P_EBaAIT I -._- I �- �' , • rJ , S�GNATUAEO�OWNEp�� w EaBU�IDERi iO�TE� ' B G�NSV - r��rE NEW ADDN ALTER e[ ] �l � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� y �� -Q� � ConstructionAddress: (D C� (v l�wvi�}� � Legal Description: Owner Name & Address: ,_��c,� L �,�C-�'•( �(� (� ��°,� �- Tel. # 7�0 ��-! 3� Contractor: MN LICENSE # 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 LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: I.ength Width Hgt/Ground OTHER: �C��I2 C3�F � �C- � I� �. � `. � Construction Type: Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. G� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � �• �j- � APPLICANT: Tel. # ��o''. o Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 2� $ �, sy $ °� $ $ $ $ $ $ � � , �� 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) •�uttue.�� aui �inn �uipaa�o.zd a.zo3aq pa.�mba.z aq jiTnn pa��n.�suo� uaaq s�u �i s�u �i a�uo uoi��puno3 a� �o uoi��oj aq� �uinnoqs `�oi ay� 30 �Can�ns �o a��i,�t�a� d •a�TS uot��n.��suo� au� �o pu� ain��n.��s pasodo.�d a� 3o nnainas sado�d so3 nnoii� o� uoi��iidd� 3o aun� ac� uioi� sinou �Z 3o umcuiuiuz � pansst aq iiinn uoi��npsuo� so� s�iuuad I�tOIZ�Ql�Tf103 30 I�iOI,L��I.�I2I�A ' SL' S t$ saun� �aa3 9 snid �pinn ,C�nnaniaQ - y�dap u�ut 9�inn q��o.�dd� apinn �003 £� tie�sui pu� sa��n� pu� qm� �o �uauia��ida.� pu� ienouia2i ��g�� a��a�id 'OS'£i$ sacup �aa3 9 snid �pinn �ennanuQ - �Iuo �a��n� pue qm� �o �uauia�Eida.� pu� i�nou�ag :,,d„ a��u.iaii�' (�Cjup s�aai�s q�n� a�a.��uo�) MO��S� hIOISS�d�Q 1i�M�AI2IQ 3oa.�a� uoT��.�� .�o pp0`i$ i�uoi�ipp� u��a .�o� SL'Z$ snid 000`000`I$ �sai,� a� ao� SZ'ZIOS$ 000`000` I$ $utpni�ui pu� o� `�oa.za� uoia��i� io Qpp` j� i�uoi�ipp� u��a �03 SZ't�$ Snid 000`OOS$ �s.zg a� �03 SZ'L88Z$ 000`OOS$ $utpnj�uT pue o1 `�oalaua uot��e�3 io ppp`i$ I�uoi�ipp� q��a io3 00'S$ Snid 000`OOI$ asit3 �03 SZ'L88$ 000`OOi$ $utpni�ui pu� o� `�oa.�a� uop��i� io ppp`i$ i�uopippe q��a io3 SZ'9$ Snid 000`OS$ �s.�� ao� SL'�LS$ � 000`OS$ �uipnj�ui pu� o� `3oa�au� uoi��e�� .zo 000`I$ I�uopipp� u��a io� 00'6$ Snid 000`SZ$ �si� �o� SL'6t�£$ 000`SZ$ $utpnl�ui pu� o� `3oaiaq� uoq��.�� o 000` I$ I�uoi�ipp� u��a �o� OS'ZT$ Snid 000`Z$ �5�� T�3 SZ'Z9$ 000`Z$ $ucpni�ut pu� o� `3oaiau� uot��i3 ao OOI $ i�uoi�ipp� q�ea .�03 SL' Z$ Snid OOS$ �s�� 03 I Z$ (a�.��u�.�ns snid iZ$ si aa3 umuxtuiy� TZ$ S��3 dn pu� T00`000` t$ 000`000`i$ o� i00`OOS$ 000`OOS$ o� I00`OOI$ 000`OOI$ o� I00`OS$ 000`OS$ �� I00`SZ$ 000`SZ$ o� i00`Z$ 000`Z$ �� i0S$ OOS$ o� I$ i anzdn �dioi :�inn-o� papino�d uiasau sauueuz a� uT pu� t�o3 �as nnoiaq uta.zau �unoure aq� o� saa3 30 �iuriad u�ns io� 1ue�iidd� a� �q �uau�,C�d aq1 annba.z `a.�o3a.ta� uoi��tldd� uodn `a�iu�n��s .IO �IIIpiIIIC� �LII�SIXB �CiIL' Oj .IIL'd8.i 30 IIOqL'32�[L' �CIIE .IO� .IO `a.zn��n.��s �o �utpimq �ut�sixa �u� o� uoi�ipp� �iu� io3 .�o `a.�n��n.i�s so �uipi►nq �u� 3o uot��a.�a au� �03 s�TUr.zad �umsst a.�o�aq `ileqs i�T�g�p �u�pimg 3atu� au,I, �'If1Q�I�S ��3 ZIJ�I��d �I�IIQ'IIflg �� s� B r= _ _ CITYOF FRIDLE.Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 October 3, 2001 Manager . Fridley Branch Post Office 7440 University Ave NE Fridley, MN 5�32 Re: Address Change Effective October 3, 2001 Dear Manager: We are making the following change of address in the City of Fridley as per the owner's request; NAME: Todd Olson FROM: � 666 Kimball St NE, Fridley, MN 55432 668 Kimball St NE, Fridley, MN 55432 We have not�ed the following companies of this change and also various departments in the Civic Center. If you have any questions on this change, please contact me at 572-3602. Sincerely, RJ/mh ' • CC: Reliant Gas Company Fridley Water Billing Dept. Anoka County 911 Xcel Co. Fridley Assessing Dept. Paragon Cable Fridley Fire Dept Fridley Police Dept. Voters Registration 4 1' _ CI"IYOF FR[DLEY FRIDLEY MU1vICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 October 3, 2001 Mr. Todd Olson 666 Kimball Street NE Fridley, MN 55432 Re: Address Change Requested Effective October 3, 2001 Dear Mr. Olson: We are making the following change of address in the City of Fridley as you requested: NAME: Todd Olson FROM: TO: 666 Kimball Street NE, Fridley, MN 55432 668 Kimball Street NE, Fridley, MN 55432 We have notified the following companies of this change and also various departments in the Civic Center. If you have any questions on this change, please contact me at 572-3602. Sincerely, RJ/mh CC: Reliant Energy Xcel Fridley Fire Dept Fridley Water Billing Dept. Fridley Assessing Dept. Fridley Police Dept. Anoka County 911 Fridley Post Office Voters Registration � A � n 3 � �� . 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S�f1.LS ia�o IId � 3o S�f1.Lg �u?3�u IE3o3 sEH 9 i)�rI (� Sax pa��auuo� s�f1.Lg I�o; pu� � � � . azTS..�o� s�uaivannbai apo� �ua.im� IiE s�aay� •S i) orI i) Sa� pa�oddns �Ciam�as sI •�, () oH () sa,L ' ui�Tnn pa�po� s��afqo u��aio� ou sEH '£ () oN () sa� uoqpaoua�ap io isn.i wo.g aai� sI 'Z () oH () sa� pauiwExa �CJirya.�� uaaq sEH ' I :x��s io �au�uiq� �ai�.sixa a� �Ey� sayuan �Cqaiaq pau�is�apun�ayZ I.Ld�I�I?l� �I N'.L Q � WIH � .�, � _ CIIYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 4, 2004 Mr. Steven Jensvold 668 Kimball Street NE Fridley, MN 55432 Re: Final Inspection at 668 Kimball Street NE Contractor: CenterPoint Energy/Minnegasco Dear Mr. Jensvold: A mechanical permit was issued on September 22, 2003 to install the flex connector, shut-off valve and metal venting for a dryer at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the pemut "no inspection called for by homeowner after notification" and the pemut will be expired. To set up the-inspection or to ha.ve any questions answered, please contact the Building Inspection Division at (763) 572-3604. > Sincerely, DA Inspector DJ/mh Building `�� MECHANICAL Permit rTo.: Inspections(� RESIDENTIAL APPLICATION Received By:�� 763-572-3604 CITY OF FRIDLEY Da�d � DATE -1 - I o� ' o� YOUR E-MAIL ADDRESS S� �D�S (�c� $ k; W, b�..l t s 4- N E THIS APPLICANT IS: ❑ OWNER �7CONTRACTOR PROPERTY NpME: ka r a Se�tSU O� O�� a.nnxESS: le b� I�C t m 1� l S� N C crrsr �r ;� (�,, STATE '�NZIP S S y� TENANT PHONE: � l0 3 ' 1 1 'T ° � � � %' CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBNIIT A COPY OF CONTACT PERSON: '7OANN 7:INREN YOUR STATE STATE LICENSE # E3� DATE LICENSEWITH ,e,DDx�ss: 9320 EVERGREEN BLVD STE �rrx "COOI�i"°RAPIDS sTn�MN z�55433 APPLICATTON PHO� 763 — 757 -- 6202 F,e,X 763--757--6701 PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: � �W �PLACEMENT ❑ ALTERATION/REMODEL DETAILED nDESCRIPTTON OF WORK ��5�-c�,(( J�� (ae te °�4 r v�a.c �+ � 0. r� c� I� i r �On�� On �1� 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 VJHERE LABOR EXCEEDS $500, FEES ARE BASED ON $] 0.00 PER FIXTIJRE, EXCEPT Wi�RE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVi� G lo srz�� L.O� oO° l3TLt Equipment Installed MFG: �1.1, MODII.: �u �' MFG: MODEL: IdFFNl..4��{ SIZEBTU�i� MFG: MODEL: SIZFJBN _A/C $25.00 _FIItEPLACE (GAS) $15.00 _GAS RANGF/OVEN $10.00 _AIR TO AIR EXCHANGEER $ I S _FIREPLACE (WOOD) $35.00 NEW GAS GRIL.L $10.00 _BOII.ER $35.00 _FURNACE $35.00 _GAS UN1T HTR $10.00 _CfID�INEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $]0.00 GAS PIPING $10.00 VENTII,ATOA $15.00 PERMIT FEE EROJECTS FOR UNUER $500 �, `, PERMIT FEE. FOR RROJECTS 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 fixtures @$25.00 1 x$25.00 =$�S,Lp Number of fixtures @ $35.00 � x $35.00 = $ 3S �C� State Surcharge = $ .50 Tota1= $ 0. 5'� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII, PROCESSED I hereby apply for a building permit and I acla�owledge 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 applicarion 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 of all work which requires review and approval of plans. SIGNATURE OF APPLICANT eh� �° �� rtaME ROGER HOFFHEIN DATE �� a l�� PLEASE NOTE;- SEPARA PERMITS ARE RE UIRED FORBUII.,DING, ELECTRICAL AND. MECHANICAL WORK �_' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIItED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �XISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. �om-bustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanellFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REOUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 --_ -- - —�: -Dtts��esigt}�er r�,rr , �n�.ntin�.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. 3uilding �-nspections i 63-572-3604 ?.4TE �! I � :TE ADDRESS G G 4 'HIS APPLICANT IS: .'RO-3'ERTY OW�R/ TENANT CONTRACTOR SUBMTT A COPY OF 'i`t7UR STATE LICENSE �f✓ITH APPLICATION t'ROPERTY TYPE PERMIT TYPE �rYrE oF woRx: C BUILDING RESIDENTIAL APPLICATION CITY OF FRII�LEY Pernut No.: Received By: Date �� YOUR E-MAIL ADDRESS .� �0 C� t S� Q r /�' I 0/1�[ S.(b !�'� 5t /V`� ❑ OWNER �CONTRACTOR PHONE: N,,,n,�: rHD At- Home Services, Inc. sTA� Lic 2690 Cumberland Pkwy, Ste 300 ,a�Dx�ss Cumberland Office Park PHONE Atlanta, GA 30339-3913 a s�rGr� Lic# 20268257 Ph. 763/542-8826 ❑ TWO FA • QADDTTION ❑ GARAGE/SF�D ❑ BASEMENT FINISH ❑ ROOF � D� ❑ SIDING ❑ SWIIvIMIIQG POOL ❑ r�w o a�nDrrtorr 9�vIAWTEI�ANCE/REPAIR ❑ REMODELINCi �SCRIBE WORK BEING DONE: : I�E OF IMPROVEMENT = �?��ER OF SQUARES r:+�AGES � :OPOSED SIZE: -:OPOSED HEIGHT: LENGTH ❑ HOUSE ONLY O HOUSE & GAR.AGE O ATTACHED GARAGE ❑ D�I'ACI�D GARAGE �?ING - ��rl(IYl ❑.SO�Ii `-�� ❑ Trim `-'�� ❑ Fascia : -,Tnows =XISTING OPENINGS °6i'es Dl�io �ATION OF WR�DOWS =0R NEW OP�AIINGS-DESCRIBE S7ZE OF _� 1 W il L1 /`OV : �NIAiG CHANGES & �' � N � k 'ITY �Fr� n�l� v STATE��ZIF SSy37 Jod� m F'�d�r dnc �_ � 4Sa (aY5- (.oU7 CI'I'Z' STATE ZIP rE _ .'ORIES �qwn•mows ❑ DRAiN TILE ❑ OTHER i�l �CYt 1 �n ry ODl�,n� WID'TH HEIGHT S . Ft ID BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed flaor plan 3. List of structural members to be used FOR NEW CONSTRUCTTON INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT• 1. Site Plan/Swvey showing the existing siivctures and proposed project 2. ' Two sets of construction plans 3. Energy Calculations : E OF WINDOW TO BE INSTALLED S NUMgER OF WII�iDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERiALS: (LTSING '�'�E 1997 U.B.0 FEE SCAEDUI.E) TOTAL JOB VALUATION $ `1, � O l� OCCUPANCY TYPE �rmit Fee lan Review ��rcharge :re Surcharge :cense Surcharge ': C Chatge .�rb Cttt Escrow �sion Control :.-1: Fee •,ver Main Charge _� �al Due $ S? ?� $ $ 7.b� $ y, � o $ S .no $ $ $ $ $ See Back Page for Fee Schedule 6S% of Builtling Permit Fee (.0005) times the total job valuation — Minunum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in �nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understa,nd this is not a :-mit 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 .a.n in the case of all work which requires revie an approval of plans. GNATURE OF APPLICAN�� PRINT NAME (/ i-� ��/ J �� DATE `��a � l� � / -- � Page 2- Building Residential Application BiJ�DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or slructure, or for any add.ition to any e�isting buil.d.ing or structure, or for -�sy a1��ration or repair to any existing building or structure, upon application therefore, require the payr�.ent by the applicant for such permit of fees to the amount herein below set forth and in the manner herei.n provided to-wit: VERII+�ICATION OF FOUNDATION Pernv.ts 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 constru.ction site. A Certificate of Survey of the lot, showin.g the locahon 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 Fax: 763-502-4977