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PRE 2010 DOCSCity of Fridley, Athm. BUILDING PERMIT N° 5288 Date: rl Owner �"'� Builder – -- Ad Address --- — LOCATp OF IL ING Street_ pari t Lot —' __ Block ____ _ _ Addition or Sub - Comer Lot --- Inside Lot _ .... mow' Setback w Sideyard Sewer Elevation _ _ _ — _ Foundation Elevation DESCRIPTION OF BUILDING To z De th` Height Cu. p 14; g - � w Sq. Ft r _ ... Front o Depth Height , , Sq. F't. CU. Ft. Type of nstruction �1�`d a– Est. Cost ." ,"" 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 withthe description above set forth and in compliance 'with all provisions 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: This permit does not cover the construction, installation for wiring,' plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PER1UT CITY OF FRIDIEY, MINNESOTA e i Owner's Name der Address Address LOCATION OF BUILDING No. Street CO2yel, Part of Lot Lot � Block / Addition or Subdivision , Corner Lot Inside Lot Setback_, .Z, -0/ Side-Yard- SEWER ide-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To b used as: Front Ile Depth Height Sq. Ft. Cu. Ft. ____2d442 FrontDepth Height_ Sq. Ft.� _ .��Cu* Ft.J-0-7 4 Type of Construction�� Estimated Cost 4l06 To be Completed 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. DAA SIGNAT (A Schedule of Fee Costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEDME Section 2. The Inspector of Buildings shall, before issue any permit for the erection of any building or structure, or for any addition to any existing build- ing or structure, or for any alterations or repairs to any existing building or. structure, upon application therefor, 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: 2.1. For 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 addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. 2.4. For any such permit for the erection of any nor -fireproof garage, warehouse, factory.or grain elevator, or for _the,erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched -roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T(;(PAL Number Fixtures ...................... x $1.50 $-Z-9 1.20 �• v,} Z FZ ufa °Qc Z Z O Water Heater (Up to 200,000 BTU) ...... wU' Z • Ai WATER HTR. 1st 3 Fixtures .......................... x $1.50 $ %• �� Additional Fixtures .................... CGS 3i3 Gas Range to 200,000 BTU .............. �� 3� D� Q < U�Od �U4n �O R N GAS ELEC. vZ—i V Base j 1st 2nd _ 3rd _ 4th • Future Connection Openings I Connected with Sewer * New Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T(;(PAL Number Fixtures ...................... x $1.50 $-Z-9 1.20 �• Future Fixture Opening ................ x $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ U New Ground Run Old Bldg . ............ x 3.25 $ 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 $ REPAIRS -& ALTERATIONS—Refer to Code Description .............................................. $ TOTAL FEE A/ Dept. of Bldg/ss.. Phone SU T —ssa.... a`�, —' (.� fi',�.i 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 tand correct. Owner is Kind of Bui ding Used as dF To be completed about Estimated Cost, $ 19 rZ i Old—New. Building Permit No Permit N P Signer /a� — By ,�/ Business Phone No ROUGH --f--17- —17- r" FINAL d a 2M 7.69 i From The Desk Of MEMORANDUM RV 98 RICHARD N. SOBIECH PUBLIC WORKS DIRECTOR ITE: G /, x'74 ! TO I REPLY DUE ABJECT: Removal of Tree; 165 S 11 Joe Richter Please be ''advised the City Manager requested we investigate the possible removal of a trwlin a hazardous condition at this address. Please review and if possible, work withuthe property owner to remove the tree. DS/j 6-5-78 Issued Work Order 1382 (Sewer) for removal of tree. Ralph RV:ik 6/8/78 - R0viewed site; trees indicated by property. owner as hazardous were actually live and not in a hazardous situation. When the trees get to a point where they could create a hazard, another review of the area will be made and approppiate action will be taken. DS/j SUBJECT PE City of Fridley 18 6 4 AT THE TOP OF THE TWINS BUILDING PERMIT r S RECEIPT NO. COMMUNITY DEVELOPMENT DIV. p r PROTECTIVE INSPECTION SEC. 5,j� 1 � i -"'1 CITY HALL FRIDLEY 55432 �'� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/19/86 JOB ADDRESS c c� 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 7 Pearsonks Craigway Estates 2nd Addn. SHEET 2 PROPERTY OWNolkER MAIL ADDRESS ZIP PHONE RJ� 3 CONT CTOR MAIL ADDRESS ZIP �� PHONE LICENSE NO. �Oq��®pB C o �.A. 2 � MAJ SC.1-171411 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK m- �1 00v 9 CHANGE QF USE FROM TO STI ULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP g? OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. m- 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 0,1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��o�� ( 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 -Ob- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.®� PLAN CHE K FEE WAL FFEEEE 1pqSIGNAT IE OF CONTRACTOR OR AUTHORIZED AGENT- (DATEI WHIN PROP RL I AT THIS IS YOUR II(T14 11 pMM P� DG IN., {/P�t�tER GATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: ��✓� `��'`� a' '�'~ Y� �� Legal Description: Owner Name & Address: do-, o h ?ter ��` f�'PaafC wee/ Tel . # Contractor:_ff hr °-t ;17-G 0& �'G �o Tel. # z(k(o' 71(eAddress:' • e7 , AX Q 12'04 c '7 /A41Y1S ,r.>r✓ 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 Setback Qa Type of Construction: N -G ��'" fvd1 Estimated Cost: $ Approx. Completion Date: �'� 9,4' Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 4'' % f- gre APPLICANT: �.=� ow—J-1 [/�''-- - Tel. CITY USE ONLY Permit Fee $6�� Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ �% $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge Agreement Necessary Not Necessary [ ) TOTAL $" �� u 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 payme.nt,by the applicant for such 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 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $433.00 for the first $100,000 plus $2.50 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 $13.50 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 $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 -hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. Lill Ur rrclili.tY APPLICATION FOR PLUMBING AND GAS PITTING PERim. RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures. $- 5.00 ar future Fi:turas $ a■. m Old Opening, New fixture e u S x v 4.00 Mater � v .•i a � s $ • F o c c %i ■■y � J a' 9 �. ~ a �' G9 5.00 Neater Sump or Receiving Tank $ 5.00 5 - Water Treating Appliance $ 7.00 $ Not Water heater ; 6 $ was Range $ 10.00 S :as Dryer $ bd a ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fixture or Appliance $16-160 8 t ($15.00) TOTAL FEE a a -u1 q w' i! 7 m to = O fir U m 2 ai I t7 O .aS ler 1st Ind — 3rd 4 th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening ° Mater RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures. $- 5.00 $ future Fi:turas $ 3.50 $ Old Opening, New fixture $ 1.50 S Beer Dispenser "— $ 4.00 S Blow Off Basin $ 5.00 ; Catch Basin $ 5.00 ; Rain Wetar Leader S 5.00 S Hydraulic valve S 5.00 S Sump or Receiving Tank $ 5.00 5 - Water Treating Appliance $ 7.00 $ Not Water heater ; 5.00 $ was Range $ 10.00 S :as Dryer $ 10.00 s ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fixture or Appliance $16-160 Reinspection Fee $ • State Surcharge ($15.00) TOTAL FEE Job Address Department of Buildings _ - City of Fridley - Tel. /571-3450 The. undersigned hereby makes application for ^_permit for -the work herean specified agreeing to do all work in strict accordance with the City Codas and rulings of the Department-e"uildings,-and hereby declares that all the facts and representatior►s_SS.atsKLin this application are true andivrrert % Ff id ey,- OWNER (/L/ _- KIND OF BUILDING - USED -AS TO -BE COMPLETED ABOUT _- /_� ��/� •� "-�--_ - - —, ESTIMTiED CST - OLD - BUILDING PERMIT NO. P£Rti1T NO. Company I Signed By Tel. No.< r�J Rou_h INSP. Date ryyJ FINAL INS P. ---'— Date -- APVkCNxL FOR PE".11. r11:JIHU4 FEE FOR ANY PLUMBING PERMIT IS $10.00 FLUS THE S.50 STATE SURCHAkGE Alding .sgechons ;3-577-3604 E ADMF.,SS 4 APPLICAM W. TENANT SUBNIIT A COPY OF IMM STATE LICENSE WMi APPLICATION 63FS CITY OF FRIDUEY penauit No.: V MDjNG Received By:�tESiD ,N IAL AppLIc1� TION CrrY CSF IDLEY YOUR EMAIL ADDRESS GiPY ADZE' PHONE: O STAT£ LICENSE >ESCRIBB WOM BEING ra• ' f'! 7.4►1, . 3 V a Aluminum 3 0dw— anti � •,•� r a. s si` , DATE E v DRAIN TILE El OTHIM LENGTH WIDTIi fOGHT Sq. Pt. 13 HOUSE & GAItAM I. g FIM � 13 ATTACHED GARAGE 2- Prapt�l fluor P� D DETACH GARAGE 3. List o�stfnaLual mam>be= to be wd i FOR NEW CM1rMUCz'M INCLUDING DECKS, �L D Tsm I. Sits fixws-a nowing — 061;1* sftuelg" 13 Fascia and propend Pm3w_ 2. Two sob a£Oamxbon Pbw 3. F.nem t'.aicuwans L Cx'ATIOPZ OF VANDOWS -- ALL FEES ARE USED ON VALU,AWON, IIVGLUItMU ix2z ti.vO x %.•• _._--- (USMO 'ME 1997 WIX FEE SCIM U� 'TOTAL J08 V•ALUA XO1K $ I •OBJ OCCUP �E $ See Back Page £Or pee Schedule Permit Fee 65% of Building Permit Fee Flan Review$ (• 5) tmaes the total job valuation — Millixo urn $.50 Surcharge $ .001 x Permit Valuation (II10%) Fire Surcharge $ U� $5.00 (State Licensed It@sidential Co) License Surcharge . $1450 per SAC Unit (1?1= to MWCC for deterwimalon) SAC Charge $ $ ft + 6 $ = ft x $20 = $ Curr Cut Escrow S $450 Censervaden Plan Review Ftodon Control S Fee Determined by $n&eering Park Fee Non Necessary ( ) Sewer Main Charge Agreement U Y ( m.k.- rhacks navable to: City of FlidW Atta+ TIPS IS Art A-Dw —ATION FOR A PERRMIT NOT VALID U'N'M PRS Mete and accurate; that the work,this is not a ConsUucttion Codes: &U i wader the work will be in accordance with the approved I hereby apply for a building permit and I acknowledge the information above is conformance with tits otdixmces and codes of the City of Fridley amd with the Mnwnesom permit but only an application for a permit and work is not to start without a permit; 1111 plan in the case of all work w h Mq" reIT7 and approval ofpbmS. - SIGNATURE OF e<