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PRE 2010 DOCSCity of Fridley, Mm. Address No. Street f t _ Lot _ _ _ _ ___ Block _ _ _ Addition or Sub-Divisiign _ Corner Lot _ Inside Lot ._._..Pff� Setback -4 _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T UsedW f Front Depth ;-6— Height Z-49 Sq. Ft/ Cu. Fa IZEV Depth eight ® Ft. Cu. Ft. Type of Construction _ _. Est. Co 4 o be Completed In consideration of the issuance to me of a permit to constru building described e I do the proposed work in accordance with the description above set f and in compliance o of ordinances of the city of Fridley. In consideration of the payment of a fee of $, permit is hereby granted to— 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. Building Inspector NOTICE: 1M@ peneh does not cover the construction, hutaMon for wiring, phnnhine, pas hoattne, sewer or water. Be core to no the Butidhm Inspector for separate permft for these heart. r City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 k. DESCRIPTION OF WORK J Number. Kind and Location of Fixtures Lowtio�� C'9 �l PLUMBING FIXTURE RATES: NO. RATE TOTAL � Number Fixtures ...................... x $1.50 ` Future Fixture Opening ................ —�-x 1.20 0 ? • F • N WATER HTR. GAS ELEC. x 3.25 7 �� x N $ a� x 3.25 $ p Base 1st 2nd 3rd 4th • Future Connection Openings Connected with +x New Fixture, Old Openings Sewer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL d Number Fixtures ...................... x $1.50 ` Future Fixture Opening ................ —�-x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ..................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ New Ground Run Old Bldg. ....... .... x 3.25 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do a11 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, 1Vrinn Owner Kind of Building — Used ash To be completed about Estimated Cost, Old—New. Building Permit ROUGH -1=6 41 " 6,-3 FINAL GAS FITTING FEES: NO. RATE TOTAL _--- J 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........................................ /$ TOTAL �t Business Phone Application for Power Plants and Hearing, Cooling, Ventilation. ReMgerarion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace ............................. 5.00 Repairs & Alterations—up,.to $500.00 .................. Repairs & Alterations each add. $500.00 ............... NECK. WARM AIR Furnace Shell & Duct. Wok to 120,000 BTU ............ each add. 60,QOfi"BTU ....................... Replacement of Furnace .............................. Repairs & Alterations=up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to,.400 sq. ft. EDR Steam ...... Furnace Shell & Line -to -640 sq. ft. EDR Hot Water . . Each add. 200 sq. ft. EDR�Steam ...................... Each add. 320 sq. ft. EDR.-Hot Water ................. . OIL BURNER—to 3 gal. per hour ....................... over 3 gal. per hdur—See Fee Schedule 5.00 2.50 8.00 2.00 5.00 5.00 2.50 TOT $ $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ GAS BURNER (up to 40(,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ �� ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mnn ,_3 �� 19 Owner a2a::a, C! f i�✓�-� ° Kind of Buildings �+ Used as �� e ��✓�, To be completed about Estimated Cost, $ Oldo Building Permit No. ",� Permit No. CSP 0 DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Nam Size No_ ,EB ^ C,-it4gl ;Z Capacity Sq. Ft, E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity (REMARKS—OVER) Sq. Ft. E.D.R BTU H.P. Signe 4 r r,1,4 __ " 4Z� _1/ By S"R11SM i9r6GlR��n -�_ nRw— Ani 4M Business Pi}841g9 ENTER D�°�U HLLU Windows and Doors—Crackage and Area Btu Width He No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS 6.7 Weatherstrips Btu A.S.H.V.E. Guide r Construction No. 1.7, 0,,/) Windows ( Doors Reference Out. Wall Int. Wall I Ceiling I Roof I Floor Kind Yes—No Yes—No Glass 19— Int. wall Net exp. wall - Exp. wall Room I Length i Width ''Height ' II /Fl -1 Room 1 l. Windows and Doors—Crackage and Area Btu Width He No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. CPG _21 .509 Ile,D Windows and Doors--Crackage and Area 6.7 Width Height No. oL Lineal ft. Area Btu No. of pane of pane llghte of crack eq. tt. r d ° 1.7, 0,,/) Coef. I Btu nfiltration Exp. wall ® 70 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall Glass Heistht P' � Int. wall Net exp. wall - Exp. wall Int. wall Int. wall Net exp. wall Ceiling Ceiling Floor , Int. wall Ceiling Floor 1 otal 13tu. Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack eq. ft. F1.1 Room Length ' Width,.)/ i' Height Windows and Doors--Crackage and Area Width Height No. oL Lineal ft. Area Btu No. of pane of pane llghte of crack eq. tt. : .tet ..I A — I Coef. Btu Infiltration , ® 6 Glass -7 Exp. wall Net exp. wall " 7 Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLIX/ ®,.: ,Room I Lenstth Width ,IS Height indows and Doors—Crackage and Area Btu Infiltration I 09-e Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack eq. ft. Glass �. Exp. wall Coef. Btu Infiltration : Glass s - r Glass Exp. wall ® 70 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall Fl.l oorwl Length /<— Width %/ Heistht P' � Int. wall Net exp. wall Net exp. wall Ceiling Floor Int. wall Total Btu. Reouired so. ft. E.D.R. or sa. ins. W_A_ Leader ArlA Windows and Width ] No. of pane < FRIDLEY, INN. Insulation How Applied th 4q/Width,/e/ Height / ge and Area Lineal ft.Area I of crack sq. ft. R I I I JCoef. Btu Infiltration I 09-e u Glass �. Exp. wall Net exp. wall / 2 Int. wall Infiltration Ceiling 4 3 ee Floor Glass Total Btu. ® 70 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall Fl.l oorwl Length /<— Width %/ Heistht P' � Windows and Doors—Crackage and Area oors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. o�— x ®m Coef. Btu Infiltration Infiltration 19A Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall le Int. wall Int. wall Ceiling Ceiling Floor e Floor Total Btu. "/ IV/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l , R'19,,jf/ Rd.. I Length 9,/ / Width ,i ' Height P'r Windows ZM oors--Crackage and Area Width Height Na Lineal ft. Area No. of pane of pane lightsis of crackeq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal h. E.D.R. or so. ins. W.A. Leader area City of Findley, Minn. �LOC�4TI F LIN No. _ Street s art of Lot Lot ---- Block Addition or Sub -Division Corner Lot . _ Inside Lot _ _ Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T ji—f:4 d, Front Depth —x7<1—Height Sq. Ft. Cu. F n Depth Height Sq. Ft. Cu. Ft. Type of Construction Est.``—'�'— __ To be Completed In consideration of the issuance to me of a permit to construct the buildindescribed above, I agree to do the proposed work in accordance with the description above set forth and in pliance with all provisions of ordinances of the city of Fridley. d In consideration of the payment of a fee of $ , permit is hereby granted to thto construct the building or addition as described above. This permit is granted upon e 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 cronform in all respects to the ordinances of Fridley, Miimesota regardiYg location, construction, alteration, maintenance, repair and moving of buildings within the city linnits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances NOTICE: This permit don not cover the construction, installation for wiring, phm*lnB, Bas heating, sewer or water. Be wre to we the Buildie8 hopector for separate permits for these items. �w � APPLICATION FOR BUILDING`PERMIT CITY OF FRIDLEY, MINNESOTA -. .> �, . OWNER ' S NAME h� l? 10 `1 All.leom BUILDER Ml Ae f C' �/ .yam 6'a' % 2 9 aVF" ADDREss _.574�� ►� ADA1�ESS ,3✓ f16 'y /,o LOCATION OF BUILDING . No. L'C�z�� Street..,'j7 e? J1 % ��j Part of Lot��!- Lot Block Addition or. Subdivision Corner'LotInside Lot Setback.Side-Yard SEWER ELEVATION FOUNDATION ELEVATION Agplicant,attach.to this form Two Certificates of Survey of'Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: OZ12N � O Front �� Depth. 7- Height sq. Ft .. Cu. Ft. .36 F4 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Cost To be Completed 4t The undersigned hereby makes application fora 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. DATE _� .S a S� SIGNATURE '� Schedule of Fee Costs can be found on the Reverse Side). :.•.'��`o.✓v.�._v �v.�i h'-:.i_4�....�_._.�A.�,...zm. ��u''."'°V.R'F� k�,^a•.��m.� n�' _�°Q�°.- �r•�-..�. ° 9 .axe 7. G•= i.a V:'✓'ai c..4,..wJr a....uo� oJ�4wJ c.. u:l L'J �wsitv.i ti,i ,-,.Urz MI TIAL RATE SCHEDULE GRA V= Wi JLr°hp..F, A.: :Iii Y129 ` O3IU. Fvrnace Shell & Dnxt Words ... ... ..... .. $10.00 Replacement of rurnaee 6,00 Repairs & Alterations—up to 5500.00 600 $ 'Repairs & Alterations each add. 5500.00 3 Oct $ cit CRJF},:a'?A F'.,SFt 3%unace Shell & Duct Work to 1:.0,000 BTU ..$1000 $ each add._ 60,0 0 BTU SX0 g Fieplacem=t of Furnace 6.00 $ ,Repairs & Alteration -s -up to $500.00 6.00 R2•cpzirs & Alterations each add. $300.00 3.00 $ STEAM ox HOT WATEn SYS T'S',114 Furnace Shell & Lines—to 400 sq. it.. RDR Stearn. $10.00 $ Furnace Shell & Line -'-to 640 sq. ft. EDR Hot Water 10.00 $. Each add 200 sq. ft. EDR Steam 3.t1T1 $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 over 3 gal. per hour—See Fee Schedule GAS BU:11%r.:2 (up to =-A,_1 1 E i Lit ;�.( "✓ �$ o,.-z:,r 10KOOtJ W—j vie 1°'�ra. se odu e GAS FITZ3PeG =- EZ. h;O RATE TOTAL 1st 3 nxtures 200 $ Additional natures y, .7$ g-- -- Gas Range to =,= 5.w $ State Surcharge .50 •. fp`s� Lo= City of ridley: The undersigned hereby makes application :Ar a permit for the work herer specified. agreeing to do all work in strict accor ince with the City Ordbapu:ce` and ruling of the Department of Buildings, and h reby decla.rez that all the f_,Z: and representatiuns stated in this aiar_ication ar , rue and correct. Fridley, '"` :n //0 19 Owner T _ - Kind of Buildings� Used as 44— To be completed about. Estimated Cosr, $ Old--ldew. Building Permit No. '-W'+ 11.11 OF W0.=, h A77.NL G or POWER £I',3�f-5—Stem apt ; Water, 7arm Alr—ivo Trade Nam. Size V0 Total Connected Yid --.xizd of ) SURNLRI -- Trade Fd=p Size 11T0 _ Calicity Sq. M. E.Da IP��e.aas-.�ve�l i SUBJECT PERM.I City of Fridley 142 AT THE TOP OF THE TWINS PERMIT r � � BUILDING ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i p 7 1 = 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/3/77 JOB ADDRESS 60.00 Stinson Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Worrel's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harlen C. Hanscom 6000 Stinson Boulevard N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK 1-1NEW 1:1p ADDITION X ALTERATION El REPAIR ❑ MOVE El REMOVE X 8 DESCRIBE WORK Reroof Dwellin 9 CHANGE OF USE FROM - TO t STIPULATIONS Original roof will.be removed. Install galvanized ridged valleys or equivalent. PERMIJIS hl QUikE 1 l W'K'bLG@ SEPERATE gUJMBNVG ANO SIG . HEATING TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 WILL BE COMPLIED $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $650.00 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROP RLY VALIDATED THIS IS YOUR PERMIT q` GNATUREOF OWNER(IF OWNERBUILDERI (ATEI BLDG. IN SP DATE 11 L11 Y U1- HULL -Y APPLICATION FOR RESIDENTIAL BUILDING PEN141TS (NEW, ALTERATIOfdS, ADDITIONS, OR REPAIRS) OWIIER: Harl en C. Hanscom Address: 6000 STinson Blvd Street: BUILDER: Address: Tel. No.: LOT: 1 BLOCK: Z ADDITION: Worrel's Add CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Square Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Reroof house Estimated Cost: $ 650.00 To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: SIGNATURE: Stipulations: U L111_U IIi.J I t I.• 11 1 1 I- L- •1 I.I l I- tJvt_— SI CTJ'ON ;A. The Inspector of L'uilditu;s shall, before i ssuiny Kermit:; for the erection of iIlly }Jl).1.l.C3anq or ()r for :illy i1C1ti]t1G]1 t.o all'y' (-7J,;tin(j building or. :;trUrJ�11Y+ or for ally iiltt,rrat.ion or: xc,I!cajr.:; to a::y c::i: i_inc; buildi..;(3 or st.ructurc,, upon a1;pl.ic:.atiy 1: therefore, requires the payment: by thc a +licant for such permit of fees to the atgount herein ))clow set forth and irl the manner herein provided to -wit: NEW 0011 TI-WCTION.- Single Family Homes and Garages: $4.00/1,000 cubic feet-. PLAN CHECK: 25 percent of building perinit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: R-emoval and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $11.75 Alternate B: Removal and replacement of concrete curb and T gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 ADDITIONAL INFORM ION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs 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 thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. TME CITY OF DIRECTORATE m PUBLIC WORKS FRIDLEY — Ail 29, 1982 `6000 Stinson Boulevard MEMORANDUM The other day, Elsie Hanscom presented me with a claim request for sewer service on her sanitary line. This is the second such claim I have re- ceived since 1980. We dimensioned her property and determined that the house is located 50 feet west of the street curb, the sanitary line is located 3 feet east of the street curb. There is a silver maple tree 18 feet east of the house and ap- proximately 3 feet north of the sanitary service line. The last two sanitary backups have indicated a root stoppage approximately 41 feet toward the street from the cleanout in the house. I explained the City's procedure on this matter, indicating if she desired, we would excavate at her property line and determine the problem. If it is in the boulevard, there is no cost; if it is on her property, they would have to have it repaired or pay the City to do the work® She indicated she will get back with her decision on this exploratory work. JOHN.G. FLORA, P.E. Public Works Director __�NSURAN�F- =UV THEHOME INSURANCE COMPANY ��MPAN�ES= EDINA OFFICE CENTER • 7600 FRANCE AVENUE, SOUTH • P.O. BOX 35827 • MINNEAPOLIS, MINNESOTA 55435 TELEPHONE 1 (612) 831$500 Harlen Hanscom 6000 Stinson Boulevard NE Fridley, MN 55432 Reference is made to: A. Claim Number B. Insured C. Claimant D. Date of Loss Dear Mr. Hanscom, April 21, 1982 D City of Fridley Harlen Hanscom 2/21/82 We have been notified of your claim for.property damage resulting from a sewer backup at your residence. We have reviewed the circumstances surrounding this claim and feel we have sufficient information at this time to make a proper decision. Please be advised that our obligation as an insurer is not to pay all claims, but to pay those for which our insured is shown, conclusively, to be negligent and therefore, re- sponsible. We find that on February 19, 1982, the city was called out at 8:00 P.M. regarding a sewer backup. The city crew came out and opened your line and found a blockage 25 feet from your home. At this time they found no blockage in the city lines. Our insured's maintenance programs are thorough and the sewer lines are inspected and cleaned on a regular basis. Our insured, upon notification of a problem in the area will take immediate action to rectify the situation. The backup that occurred on February 21, 1982, we find the city was not called out to inspect their lines. Under these circumstances, we feel that our insured does take all responsible and proper actions to maintain the sewer systems in your area. We must therefore, respectfully decline THE HOME OF INSURANCE 0 ORGANIZED 1853 Page 2 Continued to make any payment on your claim based upon the facts of this incident. Sincerely, Ginn Olsby Claims Reprsentative GO/LE cc: Trans Continental Brokers 534 Plymouth Bldg. Minneapolis, MN 55402 (AlEw eC/6N77CAI) JAS /W.. W. clell-e''oeZZI- 1v IF .l�ys-457 ', .�. r�ysr�✓,s�r� 6- 7- 72. TV INSPECTION REPORT ec,er S II F AT R® , UNC. DATE; 5/26/82 PAGE N0, 1 7233 WINNETKA AVENUE NORTH FOR: City of Fridley MINNEAPOLIS, MINNESOTA 55428 AT: Fridley "+ ON: Stinson Blvd, FROM: Gardenia Avenue TO: 5980 Stinson Blvd. LINE: SIZE: 8 Inches (dia.) 395 Ft, (length) x SANITARY DEPTH: 18 Ft, PIPE LENGTH 4 Ft, STORM AGE: New x Old Years TYPE: x Clay PVC Concrete Cast Iron Ductile Truss Transite tither CONDITION: Good Fair Poor ROAD SURFACE: Gravel Concrete x Asphalt Other MANHOLE CONDITION: x Good Fair Pocr TYPE OF AREA: Industrial x Residential Commerical Undeveloped Other CAMERA mm2mm DIRECTION: Upstream x Downstream Ft. Fr. Film Photo M.H. REMARKS Ft, No, 00 Manhole at Gardenia Avenue 45 Roots in joint #1 86-98 Low pipe 1/2-3/4" 142 Roots in joint #1 178 Off/set joint 3/8-1/2" 183-190 Low pipe 3/8-1/2" 210 Service left - wye OK 235-251 Low pipe 1/2-5/8" 257-268 Low pipe 1/2-3/4" 272-292 Low pipe 3/4-1" 292 Service left - wye OK 304-322 Low pipe 1/2-5/8" 367-37 Low pie 1/2-5/8" 370 Service left - wye OK C41101 , ING s 620 COTTONWOOD LANE MINNEAPOLIS, MINNESOTA 55441 TELEPHONE: (612) 535-1065 DATE: 5/26/82 _- PAGE N0, 1-2 FOR: City of Fridley AT: Fridley ON: Stinson Blvd FROM: (T rd nia Avenue TO: S98n StincrLn_ u� Ft. Fr. M. H. REMARKS FilTn Ft, Photo No. 95 Manhole at 5980 Stinson Blvd Services at 292' and at 370' ran when water was discharged in houses on the New Brighton side, i I I t a LINE: SOLIDIFICATION, INC. 7233 WINNETKA AVENUE NORTH MINNEAPOLIS, MINNESOTA 55428 SIZE: 8 Inches (dia.) 399 Ft, (length) DEPTH: 18 Ft, PIPE LENGTH 4 Ft. AGE: New x Old TYPE: x Clay PVC Cast Iron Ductile Transite Other CONDITION: x Good Fair ROAD SURFACE: Gravel Other MANHOLE CONDITION: x Good TYPE OF AREA: CAMERA DIRECTION: Ft. Fr, M. H. Industrial Undeveloped Upstream REMARKS 00 Manhole at 5980 Stinson Blvd. 45-49 Low ipe 1/2-5/8" rs� 47 Service left - wye OK 121 Service left - wve OK 167 1 Service left - wye OK 182-18E Low pipe 1/2-5/8" 196 Roots in joint #1 207-21 Low pipe 1/2-3/4" 210 Service right - tap full of roots 213 Service left - wye OK 262 Service left - wye OK 263-272 Low pipe 3/8-1/2" 308 Broken tile from 5:00 to 10:00 311 Service right --tap St 312 Service left,- wye OK Concrete x SANITARY STORM Years Concrete Truss Poor x Asphalt Fair Pocr x Residential Commerical Other x Downstream FilmI Photo Ft_ No_ 1 2 it1 3 4 TV INSPECTION SCAMMICATM, WC. 620 COTTONWOOD LANE MINNEAPOLIS, MINNESOTA 55441 GATE: 5/26/82 PAGE N0. ___Z-2 _ FOR: City of Fridley TELEPHONE: (612) 535-9065 AT: Fridley ON: Stinson Blvd FROM: 5980 Stinson TO: 6000 Stinson Ft, Fr, M.H. REMARKS Film Ft, Photo No. 338-344 Low pipe 1/2-5/8" 1 363 Service left - wye OK 373-380 Low pipe 1/2-5/8" 374 Service at 12:00 - tap OK 5 399 Manhole at 6000 Stinson Blvd, Services at 047' and at 374' - tap to right ran when water was discharged from house on the New Brighton side I I i i tc I i 04 I -zr Cl) » » , a . . � � & � a �\ § SUBJECT City of Fridley 19042 AT THE TOP OF THE TWINS BUILDING. PERMIT r Saf CEIPT NO • ______ COMMUNITY DEVELOPMENT DIV. v 5 �! r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/29/87 JOB ADDRESS 6000 Stinson Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. l 2 Worrel's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harley Hanscom 6000 Stinson Blvd N.E. 571-4016 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc, 7401 Central Avenue N.E., Fridley 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION J] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling and Brace Roof 9 CHANGE OF 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 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 $1 $e 9O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT I8QQ 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- $29..50. RUCTION OR THE PERFORMANCE OF CONSTRUCTION. \ PLAN CHECK FEE TOTALFEE $30..40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY AL TED THIS IS YOUR ER T SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP 022E NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: r�4' W Legal Description: U., a C�.,ry► Tel. # SW -- /0/4 Owner Name &Address: / 7 Bio -• w ' -- i1J� �p/1`1+2 ��'►�fy//'e`/Le�/'�' �Nc __ Tel. # ��..-? Contractor:--.. Address: %Y -®l �e°�� ( , �� /�� 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 Sq. Ft. GARAGE AREA: Length Width _ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot NFt. Yd. Setback _ Side Yard Setback Type of Construction: ,U.f.rCV e. -f `A A0'eSX i'J1 -� Estimated Cost: $ ` -6 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: DATE: Alt. A Alt B See Back Page for Explanation /-7 Tel. a 6-0 "� / APPLICANT:Ir Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY 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 [ ] SUBJECT PERMIT N City of Fridley �11 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. ______ I v PROTECTIVE INSPECTION SEC. I L-1 / v W � I . � CITY HALL FRIDLEY 55432 r 7 NUMBER REV. DATE PAGE OF APPROVED BY ' 612-571-3450 910-F15 10/7/91 JOB ADDRESS 6000 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Worrel es Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harlan/Elsie Hanscom 6000 Stinson Blvd NE 571-4016 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dick Wright Siding 11241 Magnolia NW, Rapids, MN 755-2754 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE El REMOVE O 8 DESCRIBE WORK Soffit & Fascia, 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $l 2 72 $.64 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31,00 $ Fire SC $1.27 STRUCTION OR THE PERFORMANCE OF°CONSTRU TION. PLAN CHECK FEE TOTAL FEE $32.91 SIGNATURE OF CONTRACTOR OR AUTHORIZED hGENT (DATE) PROP R ID D THIS IS YOUR PERMIT 51L NSP HATE SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/91 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application -1 Construction Address Legal Description: Owner Name & Address: W1q If L I % AIA 4 / t r � 64 Tel. # 5'�/ `/A 16 Contractor: Z /f -L/1 Tel. # .� 07y-2 ALT5� Address: / l 4,-/ A.4 As --./d '✓ Al &4-" c � � �/�� J- J - - - - 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 Sq. Ft. GARAGE AREA: Length Width . Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ d 2 Approx. Completion Date: l LAO . (Cm m Bak) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ M11 DATE:�2APPLICANT: Tel. # Permit Fee $ Fire Surcharge $ State Surcharge $ �. y SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 3�. Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 - FAX (612) 571-1287 May 23, 1997 Elsie Hanscom 6000 Stinson Blvd Fridley MN 55432 Subject: Heather Oaks Subdivision - Drainage Easement Dear Mrs. Hanscom: PW97-089 It has come to our attention that there has been a significant amount of landscaping done to the rear yards of a number of the homes along the north boundary of the Heather Oaks Subdivision. This letter is being sent to all residents along this line. There is a 10 -foot -wide drainage easement centered on this line to allow storm water runoff to drain to the east and west into holding ponds. This area is intended to be swaled to channel this runoff. Landscaping which raises the yard and changes this swale impacts the way storm water drains. City Code states that changes on one property must not affect the neighboring properties. If we receive complaints that one property has changed the drainage pattern so that water runs onto an adjacent property in a manner contrary to its original design, we must investigate and possibly initiate Code Violation proceedings. In order to avoid future conflicts, we request that you discuss any significant projects with your neighbors so that concerns on these projects can be resolved before a problem is created. If you have questions and would like to review how your future or past projects impact others, please call meat 572-3551. Thank you. Sincerely, Jon H. Haukaas Assistant Director of Public Works JHH:cz FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 July 22, 1997 PW97-106 Ms. Elsie Hanson 6000 Stinson Blvd Fridley MN 55432 Subject: Surface Water Drainage Dear Ms. Hanson: On Tuesday, July 22, 1997, I visited your property to review the condition of storm water run off on your property. As we had previously discussed, letters were sent to residents in your neighborhood regarding surface water flows and meetings were held with Jon Haukaas, my assistant, and your neighbors regarding the landscaping efforts that have been completed. In reviewing your southerly property line, it appears that there is a solution that you and your neighbors can complete to reduce and hopefully eliminate adjacent property runoff into your garage. A relatively reasonable solution is to construct a shallow ditch in the wooded area between the two properties at the bottom of the southerly neighbors slope to drain into the depression in the southeast corner of your property. In addition to that, it would be appropriate to place additional fill along the side of your garage, sloping into the wooded area and cut a second ditch in the vicinity of your trash cans which could either run directly into the depression or tie into your neighbors ditch to allow the surface flows to enter the storm water depression. An additional improvement would be the placement of gutters on your garage to eliminate the water impact against the building. I met with your neighbor immediately to the south and discussed this concept with him. I believe he was agreeable to construct a swale along his property line into the depression as a means of diverting flows from his property. I believe it would be to your benefit if you worked with him on a ditch and considered the second diversion ditch above your trash can location to ensure that the surface flows would not run across your property. I hope that these recommendations will alleviate the problem that you have encountered during these most recent heavy rains and will solve the problem for the future. Sincerely yours, John G. Flora Director of Public Works JGF:cz SUBJECT PER"t City ®f Fridley 25 J 7 0 AT THE TOP OF THE TWINS BUILDING E R M I T ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. e PROTECTIVE INSPECTION SEC. NUMBER REV DATE 8/14/97 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'-"R 612-571-3450 1 910-F15 JOB ADDRESS 6000 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Worrell s Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elsie Hanscom 6000 Stinson Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4051 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ej REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (14 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 $877 $ r,0 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- $.88 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEETOTAL License SC FEE .00 $38 8 SIGNATURE OF CONTRACTOR O9. AUTHORIZED AGENT IDATEI 4e- WAEbPISROP RLY ATED T I S YOUR PERMIT BLDG JWSP qA fF S.GNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: o u, t,®� Legal Description: Owner Name & Address: E 7L S. /4-"6A sijk e, , Tel. # Contractor: c 4 A k b 4As 7'-r ar C -S MN LICENSE # � Address: ui R tj 2E:�-z Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF McROVEMENT LIVTG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: / �/ S e . Construction Type: k�� tk ec F - z,vd Estimated Cost: $Fi, % % (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft.x $ _ $ DATE: g' / i APPLICANT: Tel. #-5 V Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 60. Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: - �l YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER X�60NTRACTOR PROPERTY OWNER/ NAME: Q94 e � ®f.-, TENANT ADDRESS: '§4'r' � CITY STATEMW41P PHONE: NAME: Ammo NE CONTRACTOR SUBMIT A COPY OF STATE LICENSE # DATE YOUR STATE LICENSE ADDRESS: ilii S72 25i7 CITY STATE ZIP WITH APPLICATION PHONE WN Li. 2015M PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ORIS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION IATRkINTENANCEMEPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS Pkes dNo LOCATION OF WIND W,S 3. Energy Calculations OR FOR NEW OPENINGS- ESCRI13E SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED 6—A -/NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S If C-4) OCCUPANCY 'TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 1 qO $C5 $ c See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.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 navable to: Citv of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -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 the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application a rmi d 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 w it vie approval of plans. SIGNATURE OF APPLICANT RINT NAME �I "ATE Page 2 - Building Residential Application 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. FEES $1 to $500 $23.50 (Minims red;' 36k rt arrge) $501 to $2,000 $23,50 for 1" $500hk1 1additional $100 or fraction, to and . 1?� "' includin $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional 51,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for V $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 16 $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977