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AF - 47991n � City of Fridley, Minn. BUILDING PE�.MIT No 4 3 8 8 �j s� �-- Date: � --- - �C.._._..-------.._..._...._......---•----....� ________..._.----__.----•- Owner: --�---..._..... ---- •---•---�G�°- --.��.---•--�--.......----------- Builder .-----..._,�_!'�e':.......----....._------.._...._..._......._... _.._.....__._. Address----.._........__..-----__.__-----___._..__......_.�_.�____ __ Address -----�----•----------....------_._------------------- --- - _ LO TION F BUILDING No. �...7.. .1.---........ Street -LK� _ ......._---- ............ .---------�•--•---..... - ........ �-----�------.. Part of Lot ....._......._...._.._.._.-•------�_%.. _.. _._..._.._.._.... .... ..... Additioa or Sub-Division ...��r1A.���fAr.°..._../��!�!...._-----. __. Lot �- --�.`�._.... Block .....--- ........_............� � •-----.... CornerLot ................................... Inside Lot ....�........................... Setback ....._.----......._....................... Sideyard ....._.......---..._......................-�-�----._........---._....... Sewer IIevation Foundation IIevation D�SCRIPTIOI�i OF BUILDING To be Used as: ��.ai:�ti�%��� Front !--l�...f Q• Depth ��. �°`.`�' Height �.�."� �o Sq. Ft ._7.....��-- Cu. F't. .. f.�...�i._-� ...- -- ...... - -......_ ....................... Front ....._.--- ---.... .. .._Depth _- ......... Height ._.............-- -.. Sq. Ft. ....._...__--� -- Cu. Ft ....._..........._.... �,�—,�f�/ �o Type of Conatruction ......_.._ ............... �--............ . Est. Co�t..:.,J�..J../.. '%�....."��-_--... To be Completed ...................._.._...----.._......_....:... Itt consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all prov�sions of ordinances of the city of Fridiey. „- � � --- -�---•--... .-•-- ----._...._.----_._.�.. �...._.....__.---.._..._..._....._.... � In consideration of the payment of a fee of $ .... ..............'—:--, Permit is hereby granted to_..------..._.....-_---.._._..----.----.._....--•---_•--• _..—.---._....._...---••------.--..._._---------.. to consfruct the building or addition as described above. This �rmit is granted upon the exprese condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordiaances. � �� Building Inspector NOTICE: This permit does not cover the eonstruction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeeto� for separete permifs fo� these ifems. 4 � � d � � � � p � : �i .x :Y . m • M : � . � . m 0 ' � � � • {� \ � � C N � � � � � � � � W � � o � �' � � �' � � � N � o � � ,� : o . o . o.. � ' . � . . � � � � N � � O Q O � 9! {f! � y � � C%' � z� � z� z x � � � � � � � � � � �m����� (.L y N �d ' O � � �� ¢o� � � ��: ���: � �o: ���: 44 � . . . . ,�� o . . . . �Vr: � : : : : � 0 �a >C iC �a iE >4 {n � w n� w r• � ►� C�J� p C�7� O O O � {fl {�H ifl {i7 b9 � y Q � � e � C" 0 Q x � C m �� % � N a � � � � m � n _ � C r m % • � �-�i p '� �1 �' sz R� � � Storles x�� wnr�e � @ c�osErs �4_i URINALS 0 � enrH � �� p�"'�, p BAS�Ns � � I SINKS ��. � W,� � �� DRINK �A m A � r M ❑0 O ,� o y O � � a� � Q' p ��-���� � � � � � � � � Y'1' t-' � � � �• � � � g �. � ' � I � , FOUNT. sHwns: � FLOOR DRAINS CATCH B�SINS nuro v/ItiiH�a GAS APPL GAS RAWGE GAS OPENtNGS � • 2 � �y � in D A m I � a a.a� � � �� � � �a`° � m � w p�,o�� � 0 � � ~• � � � w �� � � "' O y � W ��' � G �a et � ��° � '�+ � 'tl � � '�d . o��� \ p p� m o � p� ¢, O p �� � � R, o �! � � � � � � � � � o �; � `.. � � ry M � ��� �. � � w ~ y� M � � DC ►� x m I� A' p � q � � 5' � �d �� � w� $x &M p � M � � � � � m � �. � � � �. � � � � 3 � �� � � � � 0 0 � � M � �i � O w � ° � b ��. , A V � O v � � City of Fridley, 11tinn. � 1 � 2 3� 6431 University Ave, l�i. E., Minneapolis, Minn. 5 BUILDING PERMIT � Date: �.gust 3.�._.1971 p��; _ �i L1oyd Moen $�d� _ Same Address _ '��L?_fa3u�ttp Address - Sat�e LOCATIOiV OF BUILDING No. _�54.1__....� Street ?.afa�p S YPA}' �v;F,,., Part of Lot Lot ti_..�,�,TS�.._.__ Block �.._._.___._.�..__..__._._ Addition or Sub-Division _ $;�g�;�y�e6�. Corner Lot ._ Inside Lot S�tback Sideyard Sewer IIevation _ _ Foundation II�.wation ._.. DESCRIPTION OF BUILbING To be Used as: Defi . Gavage,_,,. � Front � Depth � Height �1�..� Sq. Ft. � Cu. Ft. 7hg0 � �_.._ Front Depth Hei�ht Sq. Ft G�1. Ffi. Typs of Construction _ Fx$me �� �� $3�OOO.00 To be Completed Aug. 3t 1972 . Provide a hard surface drive. In consideration of the issuance to me of a germit to construct the buildiug described above I agree to do �he proposed work in accordance with the description above set forth and in compliaace with a�l pravis�tons oP nM7iwonwnn �4 +h.. m+.s ..F T...C.il.." Ia cansideration of the payment of a fee of $�QQ__, permit is hereby granted to Lloyd Moen to construct the building or addition as descxibed above. This permit �ia granted upuII the express condition that the person to whom it is granted and his agenfs, employees and worl�nen, fn aII Work done in, around and upon said building, or any part thereof, shall conform ia all respectg .to the orc�in�aCes 01' Fridley, Minnesota. regarding location, construction, alt@ration, maintenance, repa3r and moving of bu41d9ngB vYithin the city limits and this permit may be revoked at any time upon violation of any oF the provis�tons oE 8aid o�rdfaances. ��-^� i1 p�a v D �� .L:. -� �c'u ,� �si'��n=n° �pg�p�' ('T.AR T F FT TST F NOTICE: This permh does aot eover the eonafruetion, inatallaHoe foe wiring, plum6ing, 8as heatieg, �tere� or x►ater. Be mn fo a� ths Building Inspeeto� fo� separafe permPts for theae itams. �. � er _ >_ • ' ��i• _ � i AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER � S NI�ME : �� �' �� /l @ � IiI BUILDER • S,� �i �'� annx�'s s : .� � � � ,�% � �'� Tr`.� Annx�s s : No:, s�T• � P LOT : � 'l � BLOCK: � ADDITION :_�� G�'� ��i" � !� CORNER LOT; INSYDE LOT: SETBACR: SIDEYARD: � �,pplicant a�tach to thie form Tt�io Certificates of Survey of Lot and proposed '�u�,ldiug location drawr� oa theae Certificatea. �ESCRIPT'ION OF BUILDING To Be Used As: � e � c � 2 � --�Fzont :��_� Depth : � �� Height : � � Square Feet:_�Cubic Feet: � � � � Fxonts Depth: HeighC: Squa�e Feet,; Cubic Feet: Z�►pe of Couetruction: ��� Estimated Cost; $ � To 8e Completed g �"' 3�° ^– `% � The u�ade�signed hereby makes applicati�rn for s�permi.t �or the work hereiu epecified, agreeiag to do all woXk in attict accordaace with Cba Citq af Fsidley Osdiaaaces aad suliqgs of the Department of Suildiag�, and hereby dec].�tre8 that all the facto and representatione etated in this application are true az►d correct. IaATE: � � � D — � � SIGNATORB: d--0-�� ��� w (Sea Ra�i�ree Sida For Additional Information.j � / � P V '� ����r.��t�C.C./� ' ° r � ��i Y/�ACi�V' �'r� ���� �-�-�� � �� •� e�' � � � = r � `� ,. r. � e BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pe=mits 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 p�imit of fees to the amount herein below set forth and in the manner herein provided to-wit: LTNIFORM BUILDING CODE: 1j►pe 1, 2� 4-$2.15 for each one thousaad cubic fee�, ox £raction thereof, ia such cubical contents. Type 3� 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION Fox the purpo�ge of computing fees for building permite, the cubical contents of atiy building or addition, ie determined by multiplying the ground area covsxed fxom a poin� six (6) inches below the floor line of the basement or Che cellar to the avera,ge heighte of the upper surface oz to the average� h�i�t o� Che roof surface of the mnin gable of a pitched roof. For x�epa3.rs or alterations to an existing structure, the fee ahall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction therecf in the cost of all proposed work. Ia ao case aha11 the fee charged for any pesmit as set forth im Section 2 be lesa th�a $5.00. V$RIFICATION OF FOUNDATION NOTE: �'erm�ts fcr eonstructioa will be issued a miaimum of 24 hou�s from the titoe of application, to allow.for proper review of the proposed structure aud of the eonstsuctiom site. A Ce7cti�ied Survey of t6e lot, �howiug the location of the foundatiou, opce it haa_been canstructed, will be required before prcceedinx with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of �Occupaacy eha11 be made teu (10) �iy� prior to �e ase or occupancy of any structure for which a building pe:mit has been iasued; aad said etructure shall not be used or oc�ug�ed until a Certiiica�e of Occupaacy has been iseued. � 1. '!► � � � - . . • , �i, HARVEY A. CARTWRIGHT ANOKA COYNTY �URV[YS M[NNt►IN COUNTY SURVEYS MINNLAPOLIB SURVEY9 84f0 PALM 9TREET N.W. 8UN11ET 4-78jfS OWNEA �f���i ���f3 � O��O� JOE. 1HILL, G VIL`ENOIN6tR ■�TAYLI�M[D t�f� L A ND S UR V E YO It S G. F. BANDNOFP CIVIL ENOtN6eq RE618TERED UNDER LAWS OF 9TATH OP MINNE80TA ee7�eufNBD t� LICBNSED BY ORDINANCE OF CITY OR MINNEAPOLI3 - JAMES NELSON 902 UPPER MIDWEST BUILDING — 338-8721 SuRVlrow HENNEPIN AT FIFTH MINNEAPOLIS M BsfASL16N6D � INDUfTRIAL - JUDIGIAL — . INN. 38401 •=i BUfINESB - TOI06RAPMICAL �urbe Oi'g �ertificatc METROPOLITAN� LAND CIT�' LOT: - PLATTINa � SURVErORB EfTA�L1YM[O �ne� LLOYD MOEN �� � � +� -- . . _. _ . _.. . .-_,... __.. °g ( � ' , � � I I � t._ _i_ :; � � �� � � � � �> � i � _� _ ... _... .. . _ .. . . ._, .. � faF � � 4i6. .. �t�� _ _ � �'-.� � � `�� ` `9 �°' � — _s � '� �� � � 'ti, L ,._ .�. .__._.. ... _..,�.. _ � °: j � ' --' . � � ...-.�.,-• � ffi � � � � n � :� � � , � �� i ;�� �q �;r � _ �'^ �' � f - \ +r t t, p ei V � i- � � � ��; + .. r a � d s...r . ..�.. � ; ..,....I.,.o»_.� �, , .�.,.,. . ,, _. .�..� p ... _, ,�..,.n,-. � ; .�. w..., .�.... �� � / v���" r t � ._..__ ----' IRAD = � . � ` �,� � � ,, S� t �E i y r"w.� �� _.. __. .. _ _._.; ��'4 :� � :'. _ � , �� � �r .�' � � i � } ; r _ . _ . ...,,... _ _ . _ ...� ,�-3 � �� � IRQ � i I HEREEY CERT I FY 'THAT TH I S � IS A TRUE AND CORRECT PLAT OF A SURVEY 0� L01'S C�%'AND 8� BLOCK C, OF RFV�RVIEW HEtGHTS' , ANOKA GOUI�TY, PUII NNESOTA AS MADE B Y ."`� E�.� U N E 1 s-r �19 71 e a ''-� �� .� O� �, ca" /�� ,,-�.r�--� '""' y�`� °"� ,�"� � SION<D � G7 �°� �,�Si' ta �y"•s'' i, CARTWRIGHT �r+o OL � ► i � � SUBJECT Q. City of Fridley 19 7 51 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r � � ECEIPT NO. COMMUNITY DEVELOPMENT DIV. c� � / � L � PROTECTIVE INSPECTION SEC. � r , , � � , � /'��1 � CITY HALI FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'""'� � ,�� 612-571-3450 910-F15 11/14/88 � � JOB ADDRESS 541 Lafayette Street N.E. t LEGAL LOT NO. BLOCK TRACT OF; ADDITION DESCR. 6r 7r 8 C Rivexview Heights SHEETTACHED 2 PROPEHTYOWNER MAILADDRESS ZIP PFIONE Elaine Moen 541 Lafayette Street N.E. 784-8801 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. same 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 O ADDITION ❑ ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK , Resic�e Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PEFiMITS ARE REdUIRED FOR ELECTHICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV 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 IP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED ���p� WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT '�P7`°�°" S2� 5OO $�..ZS 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. $S4.00 PLAN CHECKFEE TOTALFEE $55.25 SIGNATUREOFCONTRACTORORAUTMORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SiGNATURE OF OWNER iIF OWNER BUILDEfiI �DATE� BLDG iNSP � �pT � I�1 I 7 � �: �;, ALZER [ ] City of l�idley R-1 ArID R-2 Building Permit Application EEfective 5/L88 j`��� � Constructian Address: .�y/ �f�i`�C/�� � %, �//�, . T rl Descriptian: � - � - �S ���ac� G 2� ��� �ie s"er.c� /�ei� � fS Owr�er Naane � Address: �/.� � fv�. �'%GnJ Tel. # 78�/-�F��/ Gbntractor : ,�'� � i 5 �e�/ Tel. � �C - n��l �.. - `i� . Attach to this appl ication, a Certif icate oi S�uvey of the lat, with the propo� con�truc�ion draa�,mm on it to scale. ��- �• y. �� � � i.. • s ia� r•�L�1G ARFA: Length Width 8ei�t 33. Ft. (�RPiGE AREA: Length Width Height St�. Ft. � �.«; , � �+. �a�;��+; Length width Hgt/Groima 9q. Ft. /'C L'' S/�C� ����/ �� �r�er Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks 7.'j�pe of Construc�ian: !/o`�? / Estimated Cost: S__ aSOc�. t�C7 Approx. Completion Date: � i.r��5 - Al� A Alt. B Proposed Driveway Width If New Opening Is Desired: � S Width + 6' See Back Page �% , � OATE: �/-/,5=��'S APPLICANl': �G�CPira �� Tel. �k ��% � ��l Petmit i�lee State Suscharge SAC Qlarge Driveway Escrow Park Fiee Sewer 1�lain �iarge Z�OTAL Sl'�UI�I�S: $ � 'S� G�U $ /. �S � � $ S S $ S.� � c.� CLTY DSE �iII�Y I��ee Sche�le � Reverse Side 5.50/51,000 Valuation $550 per SAC IInit A1t. �iA or A1� "B ° Above l�e Determired by Ehgineering Agreenent Neoessary [ l lv� Neaessary I] _ ='_�l . �. �. ' �I�ivl{I :i� `'�i:l�?I,I) 7�e C�iief Building Official shall, before issuing permits for the erection of any building or structure, or for any additi� 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 belaw set forth anc7 in the manner herein prwided to-wit: � �OTAL VALUE $1 to $500 5501 to $2,000 $2,001 to 525,000 $25,001 to �50,000 .0 S1S (MinimtIIa F�ee i.s S15 plus surcharge ) S15 for first �500 plus S2 for each additiona7. $100 or f raction thereof, to and including 52,000 S45 for first �2,000 plus S9 for each additional 51,000 or fraction thereof, to and including 525,000 $252 for first $25,000 plus 56.50 for each additior�al. 51,000 or fraction thereof, to and including 550,000 550,001 to 5100,000 $414.50 for first 550,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including 5100,000 $100, 001 to $500, 000 $ 639. 50 for f irst $100, 000 plus 53.50 for each additiona]. Sl, 000 or fraction thereof, to and including $500,000 5500,001 to $1,000,000 $2039.50 for the first 5500,000 plus $3 for each additional 51,000 or fraction thereof, to and including �1,000,000 51,000,001 a�d up $3539.50 for the first 51,000,000 plus S2 for each additional $l, 000 or f raction thereof D12IVEIn��Y EPRESSION F.9C�n1 (Concrete Curb Streets Only) Alternate °�i": Renwal and repla�ement a� curb and gutter �ly - Driveway width plus 6 feet times 513.50. Alternate °B": R�iwal and replaoement o�f curb and gutter and install a 3 foot wide approach with 6 inch depth - Driv�vay width plus 6 feet times �15.75� ��±; M • � • � a•:��� !,; w •;� Permits for construction will be issued a minim�ua of 24 hours f rom the time of ap�alication to allow for proper revi�w of the proposed structure �nd of the wnstruction site. A Certif icate af S�rvey of the lot, shawing the locatio� of the founolation once it has been wnstructed will be required before prooeeding with the fr�ning. �� . _ „ sua�ecT P - 0: c�ty of Fridley 3345 3 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � `v _ COMMUNITY DEVELOPMENT DIV. � � r � • � PROTECTIVE INSPECTION SEC. � _ � � �"'1 � CITY HALL fRIOLE� SSIJ2 NUMBER pEV D�iE PAGE Oi �vvqOVED Br �""'A � �'' 763-571-3450 s�aF�s 4/21/03 / / 108 ADDRESS 541 Lafayette Street NE 1 LEGAI �OT NO. BLOCK TRACT Ofi AODITION SEE ATTACh1ED DESCR. 6�]�$ C Riverview Heights SNEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Alaine Moen 741 Lafayette Street NE 3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Career Homes inc 768 Ione Ave, 6�-�ee�#s-gs��-,-P4�ti Spring Lake Park, MN 55432 4 AfiCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 763-786-7313 20057634 5 ENGINEER MAIL ADDRESS 21P pMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WOFiK O NEW O ADDITION O ALTEFiATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (10 S) Tear-off° Re lace five windows within existin o enin s 9 CHAN(iE OF USE FROM TO STIPUTAYIONS Underlayment must comply with the State Building Code. Provide smoke detectors in al� sleeping rooms and on ail levels of the dweliing per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash a1Z exterior openings. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING. HEATING, TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OF IF CONSTFIUCTION OF WORK IS SUSPENDEO OR ABANDONED fOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFY THAT I MAVE READ ANO EXAMINEO THI$ APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION SURTAX AND ORDINANCES GOVERNING TNIS TVPE Of WORK WILL BE COMPLIED WITH WHETMER SPECIFIEO MEREIN OR NOT. THE GRANTING Of A PERMIT �6�000 �3.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEpMIT FEE SAC CMARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGUTATING CON- @ 12S . ZS Fire SC �G .00 STqUCTION OR TNE PERF RMANCE OF CONSTRUCTION W PLAN CNECK FEE TOTA� FEE �i ��'�� Licen SC $5. 139.25 S�G TUAEOFCON-AACTOpOAAU1HOp�ZEOAGENT �D�iE� ME PROP R VALIOAT 0 TNIS IS V A PERMIT +I r �� �. $�GNVIU�7E O� OWNEA��F pWNEN BU�lOEFl� ��A1Ei e G iNSP �16Tt +r -. - ° ^.m . NEW [ ] ADDN [ ] ALTER [� Construction Address: J�� CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 554�� (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AN� �-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION �� Legal Description: Owner Name 8� Address: D���41� ��� Tel. # Contractor: Address: �% LNING AREA: ►�.�'' MN LICENSE #��� S% CP��-I � Tel. # %(��- 7�� - ?31.� ��� �' ��� ������ Attach to �his application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �dth Height Sq. Ft. GARAGE AREA: Length DECK AREA: Length OTHER: � � � /G Width Width Height Hgt/Ground Sq. Ft. Sq. Ft. U , s Construction Type: �OD'� °�— � �l��Lc� � _ Estimated Cost: $ �b� - � Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �-� �—o � APPLICANT: Tel. # 7�'3 � 7 a�° �7 3 r 3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge u[•�11� CITY USE ONLY - $ / S'�s^ $ - Ul� $ 3,Do � $ �-00 $ $ $ $ $ �� , ��� 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 [ ] ��I��IIr�C•��F�i _ , � I:�II l/117i�(Hj�:7ulYli�I��.Y�1:1 1 1 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 $100,000 $100,001 to $500,000 $500,001 to $1,000,000 ��� $23.50 $23.50 for iust $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 $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 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 $1(10,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,Q00,000 plus $3.15 for each additional $1,000 or fraction thereof � cu� cu�r EscROw (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. 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N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 11, 2(�4 Ms. Elaine Moen 541 Lafayette St NE Fridley, MN 55432 Re: Final Inspection at 541 Lafayette St NE Contractor: Air Mechanical Inc Dear Ms. Moen: A mechanical permit was issued on May 1, 2003 to change the flue for the boiler and hot water heater at your address. A final inspection on May 5, 2003 noted the following correction which needs to be corrected before we can final the permit: Remove the exterior boxing in of the chimney. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pemut 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 permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh