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PRE 2010 DOCSCity .of Fridley susdEcr PERMrl ��l 86 THE TOP OF THE TWINS PERMIT rAT gUILDING ECE f COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. j NUMBER REV. DATE PAGE OF APPROVED BY o' --n �- CITY HALL FRIDLEY 55432 � ,'J ---- 612-560-3450 910-F15 5/17/77 JOB ADDRESS 55875 Tennison Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 Parkview Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Soderberg 5875 Tennison Drive N.E. 571-0664 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & E Builders Zimmerman, Mn. 856-2899 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 ,j] NEW ❑ ADDITION j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 23' x 23' Garage and reroof house 9 CHANGEQFUSEFROM TO STIPULATIONS Variance granted 4/26/77 yamh9p. Remove existing garage and garage door and driveway. Install a hard surface driveway to new garage. DRIVEWAY DEPRESSION: Alt. "A" 18' +.6' x $11°75 = $282.00 34 DAY NOTICE TO CITY ENG. SEi MTE PERMIT'S REQUIRED FOR WIRINU, ®IV. REQUIRED FC>R CURB , ;�EMpVAI. AND REPIACEMENI' HE ATiIV� PLUMBING, ANS SIGNS.' DRIVEWAY OPENIh*L AT SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood Frame 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 R-1 529 5290 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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. $3914 I $5OO ��f $2.21 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.16 I 3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $26.37 SIGNATURE OF CONTRACTOR OR AUTHO IZED AGENT (DATE) EN PROPERLY V IDATED THIS IS YOUR / J �FIGNATIARFOF yPERMI°T�.. 'WNE- , IF D ffNT Fr STJ I CD ERI L(DATE) G LDC INSP DATE 61 V C� V CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Address :7i4- 7totAfi 1; f?1-J -?A6n.),f - J %/ - C6 6e' No.. LOT: BUILDER: fl 9 Address: ��• ;,.,� Tel. No.� Street: j �e') 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 these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: L Square -� Front: C2 3 Depth: Height: �}r1 Feet:Cubic Feet: Depth: Height: Square Feet: Cubic Feet: Typ Construction: Estimated Cost:4-0 To Be Completed: Alt. Alt. -670v° 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: e i "- 4- At/ � -a BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal 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 gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 WARDIMIMILAWRI � . • : 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 ger 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. CITY OF FRIDLEY APPLICATION FOR POWER RANTS AND HEATING, COOLING, VENTLLATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace, 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ F:epairs & Alterations -up to $500.00 7.00 $ Repai s & Alterations each add. $500-00. 4.00 $ STEADi & I i0T WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures :c $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITI �- ' a $ •°G" C �� F ING SYSTEMS e F C�� /� 5 $ . ee ee Schedu e VENTILATING SYSTEMS $ .ALTERATIONS & REPAIRS A © $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. :3— / 190 OWNER Ta��— KIND OF BUILDING USED AS TO BE COMPLETED ABOUTT� �- ESTIMATED COST '/ OLD - NEW BUILDING PEP14IT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, armAa i�No. Trade Name Size No. Capacity f Sq. Ft. EDR BTU /I246P'41**� HP / Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU u' Company- � Signed By Tel. No. suB,ECTRMIT City of Fridley 19094 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. 1 . ...... • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. IICEIPT ��� NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 18/3/87 JOB ADDRESS 5875 Tennison Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Soderberg 5875 Tennison Drive N.E. 571-0664 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Porch Living 1903.Highland View Ave., Burnsville 55337 894-7762 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 Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 1W x 16' Porch. Addition 9 CHANGEOFUSEFROM TO STIPULATIONS This room can not be heated unless building envelope meets the State Energy Code. WARN114G Before digging call local irfili2iLs TELEPHONE - ELECTRIC SEPARATE r E PERMITS REQUIRED �®R WIRING, REQUIRED-AY' .1.�q►'�' .�� h'CEATING, PLUMBING AND SIGNS. 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 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 $5,300 $2.65 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- $56.50 ST UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE Lam/ $14.13 $73.28 SIGNATURE PfTCbNTRACTOR OR AUTHORIZED AGENT (DATE) U WHEN PROPERLYATED THIS IS YOUR PERMIT .J �J G INSP DA SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: =-Y 75 Legal Description: /� 1 ♦ / i A Owner Name & Address: Contractor: Address: /9®'3 %✓•c-aA, -e & Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # J�L/%' -U(o Tel. # P/- 7 7l0� 33 `7 4o V2 c ° 4 LIVIN AREA: Length Width Height Sq. Ft. 256 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] I�iside o k Ft. Yd. Setback Side Yard Setback Type of Construction: S- Estimated Cost: $ Approx. Completion Date: �-Z /_ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ See Back Page $ for Explanation DATE: 7-3,0 APPLICANT: � Tel. # �g'/� 776, Z S7/7 CITY USE ONLY Permit Fee $ Scot Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unite go Park Fee $ Fee Determined by Engineering Sewer Main Charge $ �"� Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 4t4 e, %Zultaoof V L'U0 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first .$2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to. and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $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. I i ii 4t... Off— 5716066 u U®URBAN 6A , Nw'n.ti N. 6, NE NOINEERINO M-,—,1.55432 aw 6510 ® ' i t O d t7.¢ ., F cYa..• ...rMa Land N. --Ra La,d T.anroar �j I IUi !khat t 55337 �© C Certificate of Survey for JA)tvir--sJ �I�C-jZ [-lZC .z 0 Vr i 135. 0 - �.- iron 0.1 GAcf / CDC coet%,i 2s.E,s 15 V% E^ } y ° I Tr 19 I t akW.7* wi(a nl&4 r1'ICJ, 4 : fi I . I r Ikon o�0la .os� r 1� a �toA`- 1- )ToR Y Fi1AttiG t N,QrCK ° 58rn5 rl 30l o -� (�eno���; iron lilnrlUnr2r _ — _ � ��Z110t�25 G 1 � �+ � QGS�EitL►i Loi 7::?, It) L (3 CI� (�ia►�Ku� �� M�Na� t he'eby certify that this is a true and correct representation o/ a survey of the boundaries of the above sold tbed tond, and of the location of pll buildings, thereon, and all visible encroachments, if any, from or on ne.d lewd As •v'veysd by me this1Lday of_A. O. 19-"-' . SUSURIIAN• ENGINEERING, INC. 1.-... 7""• .Surveyors 1 SUBJECT P . .NOID..— City ®f Fridley 2 $ NO 5 AT THE TOP OF THE TWINS BUILDING PERMIT( 1 572®.604 PT _ • COMMUNITY DEVELOPMENT DIV. - INSPECTION SEC r PROTECTIVE ® / NUMBER pEV DATE PAGE Of APPROVED BY ...'.' ej CITY HALL FRIDLEY 55432 I. L J� 612-571-3450 910-F15 12/29/98 JOB ADDRESS 5875 Tennison Drive NE 1 LEGAL LOT NQ BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Parkview r SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Falter - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Donnelly Windows Inc. 2519 E 2 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION xR9 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK R roof house 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $2399 $1.20 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC ARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 F e SC $2.40 PLAN CHECK FEE AL FEE Lice e $5 83.35 S� NATUAE OF CON'RAC TOA OR 4UTHORiZED AGENT IDATE7 HEN Y VA ED THIS IS YOUR PERMIT S -GN A TURE OF OWNS R oF OWNER BU4DE A, IDA TE, 8 r. INSP 4 'Z;( DACE 1 NEW- - [ I Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: SQ' 7ssox. FRl Legal Description: fe. Owner Name & Address: d'dh,, FHA T�`� 5�7� 7���,�sp�,� r`-��v���l. # Contractor: � p n h e f lv Wli 1,rn VV S vt G MN LICENSE # 02 00 a� 7 Address: a'S (9 F �_7 5 -&� S-�- MV E5 Mn 5-S^ O Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length .%.: GARAGE AREA: Length,,;F DECK AREA: Length';_ g OTHER: R Construction Type: tQ wyh j14 te oko�ncvavP Estimated Cost: $ 3 171':aa (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: M 5P; -g' APPLICANT: b: Tel. # l / CITY USE ONLY Permit Fee $ / `Y� �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $____L, d U $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ �10,�j $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ ..U50 00 Conservation Plan Revie Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: w • Fee Determined by Engineering Agreement Necessary [ l Not Necessary [ ] 1 s 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 $1()0;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 $1,000,00 $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 construct._d N -v'11 bu� required before proceeding with the framing. U SUBJECT City of Fridley 33660 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. i rr COMMUNITY DEVELOPMENT DIV. ----- � PROTECTIVE INSPECTION SEC. r 1 o!Jy i NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 763-571-3450 910-F15 6/30/03 JOB ADDRESS 5875 Tennison Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DIE 3 1 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Donnelly? 5875 Tennison. Drive NE 763-502-7620 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 O NEW ❑ ADDITION! ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove siding; stucco. house & garage; soffit/fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. Stucco and lath to meet Code. 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $IS,000 $7.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 4' PLAN CHECK FEE TOTALFEE $273.75 SIGNATURE OF CONTRACTOR OR UTHORiZEDAGENT tDATE, EN PROPERLY VALIDATED THIS IS YOUPERMI S-GNATURE OF OVVNER,iF OWNER Bu40EtDATE, IBL6G SR I NA It U NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: -.a n 17 As0�1 p �'• �� Legal Description: Owner Name &Address: k9Don #e (1 v #I Lk2 -''a Contract Address LIVING AREA: GARAGE AREA: DECK AREA: :NSE # Tel. #l�-7aa Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: -- Construction Type: k6o � �« ��� 0� �1;�0 �' Estimated Cost: $_15-1-'000 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE. APPLICANT_)7U71 -� d Tel. # ?" Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 'B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ d 23, �s� BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION 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 FA/ su9JEcr PE City of Fridley 3 3 7 5 AT THE TOP OF THE TWINS BUILDING PERMIT 9)� r ` R • ___ COMMUNITY DEVELOPMENT DIV. 27 r � � PROTECTIVE INSPECTION SEC. I • ! NUMBER NEv DATE PAGE OF APPROVED By i A ,; �'-',•; CITY HALL FRIDLEY 55432 .--• J ` 763-571-3450 910415 7/31/03 10B ADDRESS 5875 Tennison DR NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Parkview Manow SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Donnelly, 5875 Tennison DR NE, Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICEN ENO Bridgewater Construction Inc, 4001 Monterey Ave, Edina, MN 55416 612-919-532 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20386009 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK CEJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Extend roof line; extend entry roof line 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans. 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 1 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 $89000.00 $4.00 WITH WHETHER SPECIFIED MER IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME I GIVE UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER T TE OR LOCAL LAW REGULATING CON- $153.25 Fire C $8.00 S RU TION OR TH ERFOR A CE OF ONSTRUCTION PLAN CHECK FEE TOTA EE i $5.00 a se $1 .25 ! URE FCON:RAC ROR UT RQEDAGENT !DATE! N P OP ALIDA D IS IS YOUR RMIT BLD !NSP J A F! E S,GNATURE OF OWNE! IUILDER! JDATE! FA/ NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: S'7 1-3 — o Legal Description: Owner Name &Address: -TZj Tel. # Con •- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: LICENSE # H2 ,77 Tel. # �,�-"`�1c�.,S lZF� _ of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: MN ✓ t -J Estimated Cost: $ L �� F Driveway�u�'V rb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: 'I''� ('• b""7 APPLICANT: (�,1 C -V, �� l� Tel. Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ TOTAL $ ' 1.10, � 5- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 'B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION 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 �� i I i � � ��� �I� ,� Ji u �' U SUBJECT ERM rr NO. City of Fridley 338 8 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1.1 >r ----- r � PROTECTIVE INSPECTION SEC. �� E E NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 763-571-3450 910 -FIS 9/3/03 JOB ADDRESS 5875 Tennison Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Donnelly 5875 Tennison Drive NE 763-502-7630 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 O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace windows within existing openings; replace front step to meet State Building Code 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $4,000 $2.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHEC FEE TOTALFEE $103.25 iDArEi EN PROPERLY VALIDATED THIS IS OUIII PE MIT k2s'GU:RE�OFCON'PA�®R�UEID�AGENT ANO OG Sp i QAiE S.GNA7 OF O EQ,�F OW uRDER� -.DATE, U NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Pl— Construction Address: Legal Description: _ Owner Name & Add Tel. #7G ^? c C� MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height _ Sq. Ft. II J60rjs 6t)l Width kint/Ground Sq. Ft. J-E'c zgc Uf r1-1XVL J Estimated Cost: $ " Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE 3 - 0 APPLICAN Tel. #�� 7Co Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 7 71-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ X00 l o3- cs` Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERNUT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 C. 11 11 • '. 111 111 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION 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