PRE 2010 DOCSVillage ®f Fridley, Minn.
BUILDING P
N? 230
Office of WSPECTOR OF BUH.M OS
i!
Owner
19
Architect Fridley, Minn., -
Builder. -
°' n CION ®,,y BUILD G
Street G C'il 9 �2 BI �' 4` Part o Lot
Lot Block Addition or Sub -Division .''
DESCRIPTION OF BUILDING
i
Front k Depth w fP Height �ti �A Stories Manner of Construe
ion =. V
To be used as ai a»ter ,. ' .�� �e,r To be compledhE^
Estimated C sr
r
ePi.�1y
F _A y y `+ +• �F'' .e 1`:v� .� �- b
.;1•i,..,.C.f{(S .F' 1R;�.. d Vt:'.Y•'?f„✓'�..
°2 �p'epF� • h eJ,
41
V�
I:
-
Permit is heroby granted to to
�
the building described in the above sta
ment. This pe tis granted
upon the express condition that the rson to whom it is granted, and his agents,
ployees and orkmen, in all
the work done in, around and upon `laid building, or any part thereof, shall cont
in all respects to the ordi-
nances of Fridley, Minn., regarding the construction, alteration, maintenance, re • air and movi�g of buildings
within the city limits, and this permit may be revoked at any time upon violation f any of the provisions of said
ordinances.
'W
J
Inspector of Buildings.
AGREEMENT AND SWORN STATEMEN
In consideration of the issue and delivery to me by the Inspector of Buildings !of Fridley of
the above permit, I hereby agree to do the proposed work in actor
'
nce with the description
above set forth and according to the provisions of the ordinances of
idley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contai
d in the aba've permit are
true as therein stated.
r
Subscribed and sworn to before me at Fridley, Minnesota, this—
day ofd 4.D. 19_Z2__.
v
City of Fridley, Minn. a 4
BUILDING PERMIT
Date: Sept. 16, 1968
Owner: John. Carroll Builder Same
Address 1450 Rice Crekk Road Address Same
No. 1450 Street
Lot 1, 2, 3Z,4,%lock 1
LOCATION OF BUILDING
Rice Creek Road _ _ ____ part of Lot
Corner Lot Inside Lot
Sewer Elevation
Addition or Sub -Division _ Y Irvington Addn .
Setback -- Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 12 Depth 24' Height 91
Sq. Ft. 288 Cu.rt
Front Depth Height ._ Sq. Ft. Cu. Ft.
Type of Construction Block Est, Cost —$7.50.00 _ To be Completed
In 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 inliance with all provisions of
ordinances of the city of Fridley.
J
In consideration of the payment of a fee of $ 5 .00 permit is hereby granted to John Carroll
to construct the building or addition as described above. This permit is granted upon
the express 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
ordinances. Y
or
larence Belisle
NOTICE:
This permit does not cover the construction, instdiation for Wirleg, plumbing, gas heatins, sewer or water. Be sura to see
the Building Inspector for separate permits for these hems.
4 _..
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNEEIS NAME 6w4BUILDER
ADDRESS a�'�<S' ® 0, ADDRESS
LOCATION OF BUILDING
NO o I t';X®® STREETP�� -K
LOT_41_C BLOCK ADDITION OR SUBDIVISION l (� V G kt4,.70-Ad �
COR1\M LOT
INSIDE LOT SETBACK SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used Ase
Front ' Depth Height
Square feet S Cubic feet '4? 4F`?"
Front Depth
Square feet
Type of Construction
To Be Completed
Height
Cubic Feet
Estimated Cost
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fridley 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.
10
DATE / , SIGNATURE
�44�CAA�64-40
(Schedule of Fee Costs can be found on the Reverse Side.)
'N • � -
W
City of Fridley, Minn..
BUILDING PERMIT
Date: August 27, 1970
Owner: John Carroll Builder SaW
Address 1450 Rice Creek Road Address Same
LOCATION OF BUILDING
No. 1450 Street Rice Creek Road Part of Lot
�tException _ Block 1 Addition or Sub -Division . Irvington
ngton� _
Corner Lot W Inside Lot X _ Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Eoyiex Front 10' Depth 6 `_ _ Height .—1 .1 Sq. Ft. 6Q_' _ Cu. Ft. ADD
Front Depth Height _ _ Sq. Ft. Cu. Ft.
Type of Construction dame Est. Cost — $f50 Q.Q__ To be Completed _ Se -pt- 15, ? 970
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set- forth incompliance with all provisions of
ordinances of the city of Fridley. / �
In consideration of the payment of a fee of - 6.00 , permit is hereby granted to John Carroll
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
t : p�ef:Yl�1i/i7,
NOTICE:
This permit does not cover the construction, installation for wiring, phunhine, gas heating, sewer or water. Be ane to we
the Building inspector for separate permits for these Items.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME. BUILDER: n5e7lf--2
ADDRESS : AZSZ VL2 LA—QZf?(9 P .I 4� ADDRESS:
NO:. / a f) STREET: . o0o%;E�
e
LOT •-&+--BLOCK: I ADDITION •
u
CORNER LOT: INSIDE LOT' SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be ed As:.
I
Front: Depth: Height:
Square Feet:_ i Cubic Feet:
Front; Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:_$
To Be Completed: c� S
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley 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 : ' �G� v SIGNATU=C;Z&Z
(See Reverse Side For Additional Information.)
y f6, ��
'e'.0
LOT SURVEY A HOUSE LOCATION CITY OF FRIDLEY
FART OF LOTS
1 -13, BLOCK 1 IRVINGTON ADDITION
'SURVEY FOR
JOHN C. CARROLL
1450 RICE CREEK ROAt3:�
ra-► 33
}
VCA
a
�S.32— ---
VAC TEO
V
A
3
Y
l-���
�
s
z
rfse.
779-- -
'f
:05SCRIPTIONa
The North 214.94 fact of the East 165.32.. fact- of Lots numbered One: {1) ,
to Fifteen (15) both inclusive, in Eloc'k;pea (1). Irvington Addition,
to Fridley; and Including the streets and alley adjacent to said bots
One (1) to Fifteen (13) both inclusive in said plat having heretofore..*'..
been vacated.
T'hereaby certify that this survey was made under m' direct supervision and that I am
a .'duly authorized Registered Land Surveyor under the: laws of the State of NimeQsota .
William S. Loge, R.L.S.
Via. Reg. No. 6789
'August ZS, 1970
Qu,t Claim Dred. Form No. 28-M. Mtli. 1-1)4% 1a (u.. Mmnrap h.
Individual to Corporation. Mntnr.uta Cnilorm Cons r�'il �� i i flanl. (Ra a,.tJ I9"o1 ,
Tbig Nbenturt. A1ade this .......6th. ..•_ ...... ...da.y of ....September ............................
betlueen Allan...A. Singe„r....d.... si.n91.e...penon ............................... ..... ................
ofthe Count o Anok ............................................................and State of ...... Mi-nnesota............................................................I
part.y...... of the first part, and .........City ....Q.f.....F,.M.d.ley.........................................................................................................................
....municipal ......................................................................................................................................................................
.......................
a/oorporatwn under the laws of the State of ....... ...Millnesot,a.........................................., party of the second part,
tntf;o 1b, That the said rt.y..... .. of the first part, in consideration of the sum of
One dollar and other valuabfe considerati.ons---.--.--.-.-.-- ---....DOLL.RBS,
to .......... ........................................in hand paid by the said party of the second part, the receipt whereof is
hereby acknowledged, do ........ hereby Grant, Bargain, Quitclaim, and Conve;, unto the said party of
the second part, its successors and assigns, Forever, all the tract . or parcel.... of land lying and being
in the County of .........Anoka ...............................and State of .Minnesota, described as follows, to -reit:
15 foot Bikeway/Walkway easements described as follows:
The North 15 feet of Lot 1, Block 1, Irvington Addition to Fridley, together with
the North 15 feet of the East one-half of vacated alley lying -West and adjacent
to said Lot 1, and together with the North 15 feet of the vacated Colfax Street
lying East and adjacent to said Lot 1.
and:
The South 15 feet of the North 45 feet of Lot 10, Auditor's Subdivision No. 22.
NO STATE DEED TAX REQUIRED
The City of Fridley hereby accepts these
easements for Bikeway/Walkway purposes.
SIDNEY—C. INMAN - CITY CLERK
To Jbabr ana to JboID the *a111r, To_cther with e111 the hcrcditau(!•nts and oppurtenonre•: tleerc-
untu belon ine or in anyu•isr apptrtainin�!. tri thr sriti prtrty of the second pert, its sitrrPesur.i and
Forc rer.
3n Ircotimonp Nberrof, The paid part y
It and the dayand year fir.4 obrie• rrrittrrr.
o; the first part has hereunto set his
lY\t M so 31111
U \3K7O37.M,)\ :1\I`I�1 AM713J i0 3M.71\'\ �I
Uosaad aL6ULS 2 "aa6ULS •y UPLLV liq
(ssa,PPY1Z£ti55 IP40SODULW aPPA
-3-N raA-1-Un -I-EV9
a�ptX. ,}o-
AS
}o AS 031AVba SVM 1N3wnHISN1 SIH1 #y
Nii '[0' �f aaelr� voasNum _;, wo
A.LNnoa v-AwiY
IM311110 - 3nGr / WO10N s
Z1sAVMOA 'A 3L X ,:J
trVWv:•.v..•...v;.w:r:.: �wwVwvwv.
b8 6t ' ,AagwajdaS Jrt filly 419 „lr
,►ttr .,JnJ.,y jt.,up.,prt„tr.y.,n xr,.rr �u.,tnu.rr.tr� utltn;,.,/i�/.�t1.L
p)ouy jo fi7uno j
s� `g�o�caui 11D a;gjq
9
SuBjECr
MIT NO.
City of Fridley
24018
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 1
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/18/96
/ /
JOB ADDRESS
>xRXXX X 1450 Rice Creek Road NE
t LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tim/Debbie Kidder 1450 Rice Creek Road NE
572-9438
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D & D home Improvement Inc 7401 Cent784-7543
4940
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
RNXXKXXU= Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
B DESCRIBE WORK
Reroof House 17 S Tear -off • Construct porch roof;
install brick front
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. See notations
on plan.
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
SO. 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
1
STALLS I 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
$3,100
$1.55
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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,
PLAN CHECK FEE
TOTAL FEE
_
License SC
$5,.00
$96.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN PROPERLY VALID TED,THIS IS YOUR PERMI�/T
BLDG INSP
17 61
DATE
S.GNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW (] Effective 8/1/95
ADDN (] CITY OF FRIDLEY
ALTER f SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application 160
Construction Address. 1450 Rice Greek Road
Legal Description: —
Owner Name & Address: Tim & Debbie Kidder Tel. # 572-9438
Contractor: D & D Home Improvement, Inc _ MN LICENSE # 4840
Address: 7401 Central Ave NE Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF, IMPROVEMENT
i
LIVING AREA: Length width, Height _ Sq. Ft.
GARAGE AREA: Length WidthHeight Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: -
Comer Lot [ ] Inside Lot [KJ Ft. Yd Setback Side Yard Setbacks
Type of Construction.
Roof T. 0. , porch roof , b r i ckEstimated Cost: $ _
17 s uarb, $1375 $3100
Approx. Completion Date: 6 - n - A 6
(Cost on.Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 3-15-96
APPLICANT:
Bill Olson: Tel. #784-7543
CITY USE ONLY
Permit Fee
$ /, ®%J�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ , 3
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contactors)
Driveway Escrow
$ !
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ `
STIPULATIONS:
CITY OF FRIDLEY IN VISION Effective On January 1, 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
J013 ADDRESS 5� 2 tC� Clzee� �
RATE SCHEDULE
The undersigned hereby makes application far a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $,0.0 6 representatlons stated in this application are true and correct. 1991
(Side Vent - Fill Out Back) nti °
Gas Piping (Needed with new furnace) $10,00 $
OWNER_ m q �1 ego K ►ppE'�
Gas Renee $10.00 $
BJILDING USED AS �
Gas Dryer $10.00 $
ESTIMATED COST OOC� n �� PERMIT N0.
''Air Conditioning -All Sizes $ 25.00 $ a a d 0
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $ No, of Heating Units ) Circle One (Steam) (Hot Water) rm
Trade Name Teme STA12> Size No, Td�7b
CommercialAndustrial BTU HP EDR
1.25% of Value of Appliance or Work $ Fuel n_, A -I-, C4 A s Total Connected Load
State Surcharge $__M0 Burner Trade Name Size No.
BTU HP _ EDR
TOTAL FEE 5$ 5 . So
HEATING COMPANY ►'!� C11 Shes� &AL 7ivc1
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATIONJAIR CONDITIONING PERMIT IS 25.00 Signed By Tei No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr Approved By Rough-in Date Final Date�a-
f
"Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STA VERIFICATION ON r `� Ss
written permission from adjoining property owner. REPLACEMENT FURNACE � R L J�'
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
6, 5ee(t)e fA L :CA) C ---
CHUMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes (J) No
( )
2.
Is free from rust or deterioration
yes (v� No
( )
3.
Has no foreign objects lodged within
Yes No
( )
4.
Is securely supported
yes Not
)
5.
Meets all current Code requirements for size
and total BTU's cone
Yes (v� No
( }
6
Has total h s
All other TU's
TOTAL BTU's
7.
Has a liner been provided for eater
Y (V) No
( j
8.
Has combustion air been provided for water heater
Yes (✓r No
( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
6, 5ee(t)e fA L :CA) C ---
CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE ---
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas**
Gas Range**
NO. RATE TOTAL JOB ADDRESS 70
Gas Dryer** `
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
KIDDER, TIM
1450 RICE CREEK ROAD
FRIDLEY, MN 55432
(612)572-9438
Estimated Cost PERMIT NO. A��2/�
PLUMBING COMPANY e)rm"g &jXj&AJ
SIGNED BY N0.
Approved By Rough—In Date Final Date
State Surcharge $ .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE $. PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
E
N
SUBJECT
P
City ®f Fridley
313 2
AT THE TOP OF THE TWINS
BUILDING
®E R AA IT
r
t I.!
RECEIPT NO.
_____ COMMUNITY DEVELOPMENT DIV.
-
r 1 PROTECTIVE INSPECTION SEC.
15 33
1
NUMBER
REV
DATE
PAGE OF
APPROVED By
1l r"'1 CITY HALL FRIDLEY 55432
`•�
L....�%
612-571-3450
910-F15
8/16/„ 00
JOB ADDRESS 1450 Rice Creek Rd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
Heather Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joseph M. & Beth R. Olsen 1450 Rice Creek Rd NE
574-1491
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIC. ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑X ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 301 x 241 garage - convert existing garage
to living area
9 CHANGEOFUSEFROM TO
STIPULATIONS
For stipulations, see attached plans.
SEPARATE PERMITS
WARNInusREQUIRE®
FOR:
WIRING, HEATING
Before digging call for
pLWSING AND SIGHS
all Utility locations
454.0002
REQUIRE® BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. 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
1
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
$14,082.00
$7.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TO AL FEE
272.43
OJFCON'RACT�OROOR AUTHORIZED AGENT IDATEI
P O
Y VALI J,4i- THIS I$ R P
C/SIGNATURE
I
S-GNATURE OF OWNER,IF OWNER BUILDERI IDATEI
OG INS
pAiE
NEW [✓J t �� Effective 1/1/2000
ADDN [) CITY OF FRIDLEY (763) 72-3604 Bldg I sp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION frAA
Construction Address: so 1C ( C f o
Legal Description: 1 oe-k 3 C-PE-Q H I l..l,r
Owner Name & Address: e) d S a -P H
Contractor: S; C- w C= MN LICENSE #
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:_
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOL4 OF IMPROVEME
60S rki-k 0-- A X e>2q 6,L)
Length Width Height Sq. Ft.
Length_ Width - Height Sq. Ft. —700
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ 5,$ 1� Xo
DATE: l a APPLICANT: Tel. # b i a g7y- - / �tj j
CITY USE ONLY - Call (763) 672-3604 for Permit Fees if mailing in application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ �/. , .001 of Permit Valuation (1/10th%)
State Surcharge $ 7-00 $.50/$1,000 Valuation
SAC Charge $_$1 100 per SAC Unit
License Surcharge $
Driveway Escrow
Erosion Control
Park Fee
$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ � 9, 113
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
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 $100,000
$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
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
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. New Houses Only