PRE 2010 DOCSNo 6926
Builder
Address
LOCATION,,OF BUILDI
V
No. street - c Lot
Lot Block ddition or Sub-Dividon Zuk
� Je
Corner Lot W Inside Lot _ _ Setback I _ _ Sideyard
Sewer Elevation (9 I _ laum Elevation
DESCRIPTION OF BUILDING
To U s r
Front Depth 6 Height a=E,� Sq. Ft. `- Cu.
Front _ Depth Height ��° Sq. Ft. �� Cu. Ft.
Type of ctio Est. To be Completed
In consideration of the issuance to me of a permit to construct the 'li g ascribed bove, I a to do
the proposed work in accordance with the description above set forth and, co pliancy th all pr ons of
ordinances of the city of Fridley. f
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 pari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota reg 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. _ o'
Building Inspector
NOTICE
'fids penob don not corer the condrueflon, insbWon for whits plumbing, gas heating, sewer or water. do arra to we
the Building bigm for for soparate permits for those flame,
s
.
APPLICATION FOR BUILDING PEMIT .
CITY OF FRIDLEY,.MINNESOTA
i 799
OWNER'S NAM BUILDER ,�' � �®�% A1z7®
G
ADDRESS ADDRESS.
LOCATION OF BUILDING
No. 7 ��, StreetZ_40iF1kj &.44-4 Fart of Lot
=Lot ° Block Addition or Subdivisi'o'n—'—,N"
Corner Lat Inside Lot Setback IT Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant 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:
Front 441 _Dapth Height :;I— e9
Sq. Ft. cu. Vt .
�€ Front 70 Depth Height
Sq. Ft. cu. Ft . fG
Type of Construction Estimated Cost 49 4_00
To be Completed /`S7
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.
(Schedule of Fee Costs can be found on the Reverse Side).
a
BUILDING PEWIT FEE SCHEDULE
Section 2. The inspector of Buildings shall, before issuing any permit for
the erection of any building ,or structure, or for any addition to any e�cist-
ing building 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 garages 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 fire -proof 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 $1.25
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-fireprac;,f
addition, for similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet.
GARAGES
2`4.^ For any such permit for the erecti*ar+ cr any garage,
warehouse, factory or grain elevator, rc o- as ay non -fireproof'
addition, -for--similar occupancy, to a ,vy oa;'.x.d;no or for each such
building or addition - ninety cent.: (4.*, .10, ^t ;�.::.,:;� o e thousand cubic feet
or fraction thereof, in the cubic.��l �_.� --i vtnz c1le-reof with a minimum of $4.00.. -
For the purpose of computing fees ie;: bjaj j;.isg permits, the cubical contents
of any building or addition to a unlic~wza he-!,�?:t tiart�>rghout by multiply ,ng the
ground area covered from a point six (6) iarLes be?.Jw the floor line of:the
basement or cellar to the average height of the L,,,,,er surface or to the
average height of the roof surface of the main gdvle of a pitched roof.
2.5. 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.
2.6. In no case shall the fee--charged...for.any permit..ap set forth in
.Section 2 be less. than $4.00.
CR7Y 0:= F7.'MMLr=Y
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
91
r
TELEPHONE ( 612)571-3450
OBSTRUCTION:
Lot Block Addition
Property Nner -.-,ddress
790 D-'v/v'v RPL-�p ' k co�
RE -CORD OF CONIMNIMMONoe:
2.
4.
6.
7.
City of Fridley
Applcation for Plunbing and Gas Fitting P4nWt
Dept, of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ...... . . ...... . . ..... .
s $1.50
$�
nooo
m
$
New Fixture Old Opening ....... . ......
x 1.00
Z
Catch Basin ............................
N
WATER HTR.
cas
ELEG
Base
x 2.00
$� Cd
New Ground Run Old Bldg . . . ..........
s 3.25
$
1st
2nd
3rd
4th
Conaection
Connected With
FUturoOpenings
New .Mixture, Old Openings
I
Sewer
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ...... . . ...... . . ..... .
s $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
$� Cd
New Ground Run Old Bldg . . . ..........
s 3.25
$
GAS FIITTNG FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS --Refer to Code
NO. RATE TOTAL
— x $1.50
— x .50 $
— x 2.00 $
Description ................................................$
TOTAL FEE o
City of Fridley:
V
The undersigned hereby .makes application for a permit for the work herein
specified, agreeing to do 411. work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley. lY nin –3� — r :7 19<-'W
Kind of
J,�yJ r
Used as `ti-/Pd®�' �� o
To be completed about
Estimated Cost, $ c)
Old—New. Building Permit No M ! Permit No. t
ROUGH 3D e 14^ L 7
FINAL
az 2M
By
Business Phone No.�
suBdEcr
PERMIT NO
City of Fridley
16144
AT THE TOP OF THE TWINS
BUILDING PERM T
_
i �
• COMMUNITY DEVELOPMENT DIV.
�/�
r PROTECTIVE INSPECTION SEC.
�
1t S
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
__.0� ,•---;.�
612-571-3450
910-F15
5/1/8.
JOB ADDRESS
280 -Stone brook Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
8
Pearson's Craigway Estates 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David 'c . 280 Stoneybrook Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Attached garage 24 x 22
7 CLASS OF WORK
❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Garage addition
9 CHANGE QF USE FROM TO
STIPULATIONS
Variance granted 43AMAR no stipulations
'PERmas
�PE��T� AND SIGN -
Q��MBI�C
SIt�G
4f �.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood
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
528
5280
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
4989.6Q 2.49
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
21.12
STRUCTI OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTALFEE
/
//I
23.61
/ , �7
SI NATURED C. RA ORAUT OOORRIIIZZEDAGE 'T (DATE)
N PROPERLYJVALID HIS IS
q
yY/PUR
SIGNATU OF OWNER(F OWNER ILDER) (DATE)
BLDG INSP DATE
CITY OF FRIDLEY
APPLICATia-4 FOR RESIDI .1TIAL BUILDING PER4ITS
(Neer, Alterations, Additions, or Repairs)
OWNER: �' � � �� � � !�� BUILDER: .
ADDRESS: ,2—fUf G c U� ADDRESS:
TEL NO: _� 7/ � ������" TEL NO:
Construction. Location '
STRM, T .NO : STREET: I
LOT: BLOCK:
Corner Lot: v Inside Lot:
NJ
ADDITION:
Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIO, OF CONSTRUCTION
Front: Depth: c� � Height:
Square. Feet: � � Cubic -Feet:
AW;Ir�6 .2-P6
Front: Depth: Height:
Square - Feet: Cubic feet: p, p
���d
Type of Construction: '° ®�1 Estimated Cost:
To Be Oorapleted:
• v-
. Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: �A $ $
SEE REVERSE SIDE OF SHEET .
Mie 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, an ereby declares that1 the facts and
represen ta tions stated in this applicatia are tr an�cork ct. �
DATE: Z__ /' A;,
SIGNATURE::
Stii�u.lations;
3� � T
BUJ I-DING_!'r imyr r-t;h SCIIF::TWLE-
�..
:,I:: 't°x011 ?. �1.'li •.7n'::jycctt9r. af' }3u3.1c?i:��J:: ::)uil. , }�eforc; 3.:;s.uing pc�mits for L1y erecta }ni
of �cny bu�.1�1:i.ng or-Aruc.t:ure, oa: fUl t:ny addit-ion to an• eristzn Luilclznc or ::
y g J _ trucbtur e,
err" i:`o�: rr.ny ctl,trr4:t i c►ri or., xcpa,irs to •any exi tiitci bui_Idi n'or.'-sLi.uist 0kc, -lip aptaZa:cata61,
thrr:�for.c, rcicivarc tlsc paylncl►t by the applicant- for ,such p6 mit• of fees to thb! amount
hers i.n below scat forth and i.sr the manner; hc:zei.n--provic]c:ct- to -t: t: _.
ldl L'T COIJt:`!'):UC'CTOIt:
Sin 3.0 3.'amil.y: iloinc: and Gar c es: -,00/31, 0-00 cubic £ec:t:.
PJ AN t::HI:CK: 25 prri:clit of hui.ldi.ng pc). -mit fee.
A)R1Vl:WAf Dl-&MSS7Ot•Is (Concrete. Curb Streets Only) '
Alternate n: Removal sand, ieplacement of concrete curb and
utter onl , Driveway _._ $ y• y tridtll plus 6 :,feet. x $13.' 0
Alternate. B: Removal and rcplacemcht of concrete curb and
• gutter and install a 3 foot wide aPpraach with E -•
6 inch depth; 'Driveway width plus `6 `feet x $15..75
d
ADDITIONAL NFOR.MAT J oN
For the purpose of computing fees for building permits,. the cubical .contents o£; 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 C
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 a
.. of $3.00 lier each five hundred dollars '• ($500.00) or fraction thereof in the cost s
of all proposed work. - - i
In -no case shall the fee charged for any permit as set forth in Section 2 be less. �
tlan $7.50 plus $.50 state surcharge.
I F I CATI Oil OF FOU.- Al I Ot�I
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.
l
A Certificate�of Survey of the lot, showing the location of the foundations once it
has been constructed will be required before proceeding with the framing.
.CERTIFICATE OF OCGUP'C'
•
Application for a Certificate of Occupancy sha11 be made ten (10) days prior to the
use or Occupancy of ally structure for which a building permit has been issued; and
said structure hall not be used or occupied until a Certificate of Occupancy has
r bee'll issued.
SUBJECT
City of Fridley
19,
AT THE TOP OF THE TWINS
BUILDING PERMIT
E-li
i
�
-------- COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
"B CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/14/84
JOB ADDRESS 280 Stonybrook Way N.E.
1 LEGAL
I LOT NO.
4
BLOCK
8
TRACT OR ADDITION SEE ATTACHED
Pearson`s Craigway Estates 2nd Addn. SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Kondrick 280 Stonybrook Way N.E. 571-2359
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Res ideas t' al
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Fiberglass
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
STALLS GARAGES
AND KNOW TH SAME TO BE TRUE AND CORK CT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AlD ORDIN ES GOVERNING THIS TYP O WORK WILL BE COMPLIED
$1,000
M $,50
WITH WH H SPECIFIE EREIN OR N T. THE GRANTING OF A PERMIT
DOES N P ESUME T VE To Y TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVIS NS OF ANY H R TE O LOCAL LAVA EGULATING CON-
$17.50
STRUC ON OR TIP R C F ONSTRU N.
AN CHECK FEE
TOTAL FEE
a
$18.00
TORE OF O .RAC ORRAUTHO ED AGW7 (DATE)
PROPERLY A ID TED T IS IS YOUR PERMIT
I'
)WHEN
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
BL5'G INSP E
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILDING PEW41TS
(New, Alterations, Additions, or Repairs)
OW11ER: JW11 )
ADDRESS:��
TEL 110:
ru
- STRECT NO: STREET:
BUILDER:
ADDRESS:
TEL 110:
on Location
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Square Feet. Cubic Feet:
Front: Depth: Height:
Squar Feet: Cubic Feet:
eTk Q G• _ � (< cam= - C
Type of Corztruction: Estimated Cost: $ -zdCom°
Zb Be Cbrapleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ ' $
SEE REVERSE SIDE OF SHEET
Zile undersigned hereby makes application for a permit for the work erein specified,
agreeing to do ,all work in strict accordan e , ith the -.City of Frid ey Ordinances and
rulings of the Dep<%rtment of Buildings, a d herebyeclar, s that. a 1 the facts and
representations stated in this applicati are trUqF and rjr�t.
DAM S IGNATUIE :
Stipulations:
9s"'+ 10). 370
o�
/�. ( 0
BUILDING PERMIT FEE SCHEDULE
The Inspector of buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any
bxisting 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 permit of tees to the
amount herein below set forth and Ln the manner herein provided to -wit:
TOTAL VALUATION FEES
$1.00 to $500.00 $10.00 Minimum Fee $15.00 plus surcharge
$501 to $2,000 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including $2,000
$2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000
$25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
and including $50,000
$50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for
each additional $1,000 or fraction thereof, to
and including $100,000
$100,001 and up $443.00 for the first $100,000 plus $2.50 for
each additional $1,000 or fraction thereof
PLAN (NECK: 25 percent of building permit fee
DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only
Alternate "A"s Removal and replacement of curb and gutter only ,
Driveway width plus 6 feet x $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 x $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.
17.T&
suedEcr
RM IT
City ®f Fridley
2
2 6 4 6 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
_ COMMUNITY DEVELOPMENT DIV.
'r PROTECTIVE INSPECTION SEC.
39027
CITY HALL FRIDLEv $5432
,j
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/6/98
JOB ADDRESS 280 Stonybrook Way NE
1 LEGAL
LOT NO®
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
8
Pearson's
Craigway Estates 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David Kondrick 280 Stonybrook Way NE
571-2359
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Advanced Home Imp. 1501.78 Ave, Brooklyn Park, MN
55444 566-0233 20017269
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 ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
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
ISTALLS 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
$2,000
$1'00
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-
$62.25
1'' it SC $2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TO Lj EE
Licens $5.0
$70.25
SIGNATURE ;Y' NTRACTO'ORAUTHORIZED AGENT IDATEI
` Af
N P O
V ID THIS IS YOUR/J7, RM
'°' BLD INSP
GATE
$i R OF QW NEA IIF OWNER BWLDERI -(DATE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: Tel. # 2 D�j
Contractor: c -� A AA MN LICENSE #
Address: / 7d' �� .sed �Q �� L( Tel. # 9z 4 _J
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF RUPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
C'W Id
Construction Type: La a Estimated Cost: $ e27,40
(Fee Schedule. on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: � ,� APPLICANT:
Tel. # -/-
CITY USE ONLY
Permit Fee
$ .
Fee Schedule on Reverse Side
Fire Surcharge
$ _2 , 0z)
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ Z612
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$5.00 (State Licensed Residential Contractors)
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
$ f-�
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 FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75-for`'first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012:25 for the first $1,000,000 plus $2.75 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 it has been constructed
will be required before proceeding with the framing.
9
SUBJECT
PER
City of Fridley
9221
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
E
RECEIPT NO.
� LV COMMUNITY DEVELOPMENT DIV.
....... PROTECTIVE INSPECTION SEC.
d63
r �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
4/15/99
JOB ADDRESS 280 Stonybrook Way NE
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
8
Pearson's Craigway Estates 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Kondrick 280 Ston brook Way NE 571-2359
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Wellington Windows 3938 Meadowbrook Rd St Louis Park, MN 55426 933-6300
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 0 ADDITION O ALTERATION j7 REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Replace windows and patio door
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1994 Uniform Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 13E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,172
@
$3.08
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
124.75
Fire S $6.17
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN, CHECKF
TOTALRE E
Lic.9,fse A C 0
.00
SIGNATURE OF CONTRACTOR ORAUTNORIZEDAGENT IDATEI
EN IS IS Y PE
s�
BLO "NSP - OATE
SIGNATURE OF OWNEROF OWNER BUILOERI IDATEI
9
Prepaia P1 an rin—ir 4!
Estirr
Recei
Cont,,
Le!gal
Owner
COMM
Archit
WELDING CONSTRUCTION
TYPE OF 'WORK [ ] New 11
-Yk2f,'n - -11A n_
-Describe
2
OFC. AREA: length Width Height sq. Ft.
WHM AREA: Length Width Height Sq. Ft.
OTRER, ARFA: Length
Width Height Sq. Ft,
APPLICANT Tel # C1 Date
VALUATION ;7
Sq. Ft X C0st/Sq- Pt. = Valuatlon
Sq. Ft. x Cost/Sq'. Ft. = Valuation . $
Sq. Ft. X Cost/Sq. Ft. = Valuation
TOTAL
W.,Ad-W POO
Building use ConstructionPafo truction TypeL-MA r-
Occupancy Group
Air Conditioning 0 Yes []No Fire Prot ion Provided [] Yes 0 No
Perfonnance. Bond Amount see Reverse for Schedule Received [].Yes []'No
PezTd4L-. Fee See Fee Schedule On Reverse Side
Plan Check $ In Excess of Prepaid Amount - See Reverse Side
Fire surcharg,6,lq $
001 X Permit Valuation (1 10th
State Surchar $-50/$1,000 Valuation
(See Sched. for > $1 Million)..?;:'
ion)
SAC Charge
'$1050 per SAC Unit (Pl.-ms tofor determination).'
Erosion, PPr"l MKOC
$j50 -.- , 00 Conservation Plan Review
-.Park.:F1ee..-
i Fee ; Detennined By, &Gineer3-ng,7-,,,.,,,1,11,
'Spec. Assessments $ Not. Necessary,,,
Driveway, -Escrow feet x $1 5o/foot,,,,
-10ML
ATT
ACH STIPULATIONS
�1
BUILDING PERMIT FEE SCHEDULE
$1 to 500 $21 (Minimum Fee is $21 plus surcharge)
501 to 2,000 $21 for 1st $500 plus $2.75 for each addn'l $100 or fraction, to and including
$2,000
2,001 to. 25,000 $62.25 for 1st $2,000 plus $12.50 for each addn'1 1,000 or fraction, to anc
including $25,000 `
25,001 to 50,000 $349.75 for 1st $25,000 plus $9.00 fdr'.each ,addn'1 N$1•,000 :or fraction, to ane
including $50,000 - _-._
50,001 to 100,000 $574.75 for 1st $50,000,. plus $6:25 -for each. addn'l$1;000,or traction, to ane
including $100,000
100,001 to 500,000 $887.25 for 1st $100,000 plus $5.00 for each addn'l $1;000 or fraction, to ane
including $500,000
500,001 to 1,000,000- $2887.25 for the 1st $500,000.'plus $4,25 for each addn'l $1,000 or fraction, t:
and including $1,000,000
1,000,001- and up,' $5012.25 for the 1st $1,000,000 plus $2.75 for each addn'l $1,000 or fraction
PERFORMANCE BOND POLICIES
When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires
outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover
all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences,
lighting, water & sanitary sewer services, and storm drainage systems.
Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3 % of the
building permit value up to a 2 million dollar projector a $60,000 bond. Actual amounts will be rounded to the nea resi
$100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Project,
with no outsideimprovements, generally will not require a bond.
Bonds must remain open until the project is fully completed Reproducible "as -built" drawings of all exterior
underground utilities must be submitted to the .City Engineering Dept before the project is considered complete ane
the bond released. All bonds will be held over one winter and through the next growing season to insure the surviva
of all landscape installations. The City will then inspect"these properties in August of the year following the initia
planting. Bonds may then be released in October of that year :if all improvements are satisfactorily completed.
:.
PREPAID PLAN CHECK FEE SCHEDULE
$1 to
2,000
$29.25
2,001 to
25,000
$29.25 for 1st $2,000 plus $5.85 for each addn'1$1,000 or fraction, to and
including $25,000
25,001 to
50,000
$163.80 for 1st $25,000 plus $4.225 for each addn'l $1,000 or fraction, to and
including $50,000
50,001 to
100,000
$269.43 for 1st $50,000 plus $2.925 for each addn'l $1,000 or fraction, to and
including $100,000 ..
100,001 to
356,000
$415.68 for 1st $100,000 plus $2.275 for each addn'l $1,000 or fraction, to and
including $356,000
Over $356,000
$1,000 (Balance due with issuance of building permit)
PERFORMANCE BOND POLICIES
When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires
outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover
all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences,
lighting, water & sanitary sewer services, and storm drainage systems.
Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3 % of the
building permit value up to a 2 million dollar projector a $60,000 bond. Actual amounts will be rounded to the nea resi
$100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Project,
with no outsideimprovements, generally will not require a bond.
Bonds must remain open until the project is fully completed Reproducible "as -built" drawings of all exterior
underground utilities must be submitted to the .City Engineering Dept before the project is considered complete ane
the bond released. All bonds will be held over one winter and through the next growing season to insure the surviva
of all landscape installations. The City will then inspect"these properties in August of the year following the initia
planting. Bonds may then be released in October of that year :if all improvements are satisfactorily completed.
:.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK N1 11014FIR OF FIYTI IPF.Q Tri R;= IKIRTAII I 1=11 nki S=Af-W C1 rltno
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES: NO.
Urinal Shower
Wash
. . . . . . . . . . . . . . . Tra y
Of 1'j.*.i_jij1
......... . . . . . . . . . . . ....... ....... ....
............. 1-..'
Floor Auto.
Drain Washer
1-1-1.18 Gas Water Heater-
Range Gas Elec
Stories
Basement
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$4.00
specified agreeing to do all work in strict accordance With the city codes
. ...... .
. . . . . . . . . . . . .
$5.00
Floor 1:
Blow Off Basin
. . . . . . . ..... .. .
............
Catch Basin
..... ...... . .
...... .... -
.. ...........
... .....
KONDRICK, DAVID
0
Floor 2
. . . . .
.. ....
Sump/Receiving Tank
$7.00
. ............
Water Treating Appliance
Floor 3 ... . ...... ....
........
.. ..... ...
1111 11 1 1 11
.. .. ..
.......
------
.........
.......
.............
.......
.......... . . .
.............. :
.............. ...
$10.00
............
Floor 4
Gas Range"*
$10.00
Gas Dryer**
........... .
. .......
Estimated Cost PERMIT NO.
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS 54)YE 4-s' dLAL)16-e_
(.2&
New Fixtures
$7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$4.00
specified agreeing to do all work in strict accordance With the city codes
Beer Dispenser
$5.00
and rulings of the that Pmilding Division, and hereby declares at all the facts
Blow Off Basin
$7.00
and representations stated in this application are true and correct
Catch Basin
$7.00
KONDRICK, DAVID
0
Rain Water Leader
$7.00
280 STONYBROOK WAY NORTHEAST 20
Sump/Receiving Tank
$7.00
FRIDLEY, MN 55432
Water Treating Appliance
$10.00
..Owner_ (763) 571-2359
Water Heater -Electric
$7.00
Water Heater - Gas**
$10.00
Building Used As !;E611DQ:AJCZ
Gas Range"*
$10.00
Gas Dryer**
$10.00
Estimated Cost PERMIT NO.
Back Flow Preventer Required )Yes No
Type
$15.00
PLUMBING COMPANY M=M RU) AJ&
Reinspection Fee $47.00/Hr
SIGNED BY TEL N0.9Z_RZ7-49;i7�
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
.
_Approved By Rough -In Date Final Dab &�
State Surcharge
$_ .50
TOTAL FEE
�7A
MINIMUM FEE R ANY PLUMBINGIGAS PERMIT IS $2&00
PLUS THE S.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( ).No(
)
The venting. system is. plastic/PVC and meets all current codes and manufacturer
specifications :including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes ( ) No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes ( ) No ( )
When Installing a new venting astern, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance -;has been -removed from the common vent and vented
separately asper current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat'®
Appliance#2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter. in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO'.
Signed By: Date: