PRE 2010 DOCSBUILDING PERMIT
N? 2088
of Fridley, Min,
,VillageY
s,
Date
.... .... ...... .
j
Builder
Owner
.....
Address 470-r(:
t. - .... Address ........... .. ......... .........
LOCATION OF BUILDING
No. ..i
Street ..... Part of Lot ......................
Lot'... 14 ........ ryl
Block ..r ......... , Addition or Sub -Division ..... f'... ..... � ` ... ,
Corner Lot . .. .Inside
Lot .. .. Setback Sideyard ............
i
DESCRIPTION OF BUILDING
To be Used as:
. s ..
Front Depth,A . Height Sq. Ft. Cu. Ft........ .
...................
Front ......... Depth ........ Height ......... Sq. Ft........ Cu. Ft........ .
Type of Constructio
. -VV -- .. Est. Cost .. V40 '..: .. To be Completed .................. .
i
In consideration
the proposed work in
i
I
I
3f the issuance to me of a permit to construct the building described above, I agree to do
accordance with the description above set forth 'and in compliance with all
ordinances of the village
provisions of
of Fridley.
....I...:...
. ..� ..
co ideration �f
301r
the payment of a fee of $... �i permit is hereby granted to .. ! . •'.
'
. •'
the express condition
to construct the building 0 addition as described above. This permit is granted upon
ithat the person to whom it is granted and his agents, employees and in work
done in, around and
.workmen, all
tpon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota rE
garding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits a
nd this permit may be revoked at any time,,u on, vialat of ;any of the provisions of said
ordinances.
•, uilding Inspector
„j
NOTICE:
1
This permit d
es not cover the construction, instdllati&6ryor;alteration for wiring, plumbing, gas heating,
sewer or water. B
sure to see the Building Inspector for ;e rate permits for these items. .
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AKVIU t.UAKL6UN U �UN INU.
3200 FRANCE AVE. S.
3rd.
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N.E.
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CLEARVIEW STREET
l
sue.iEtrRMIT
NO.
City of Fridley
27871
AT THE TOP OF THE TWINS
BUILDING PERMIT
R
COMMUNITY DEVELOPMENT DIV.
PROT SP, EC
1 ; i
IN
CITY HA L FR 432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/18/98
JOB ADDRESS
5108 To-DTD)er Ln
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
16
5
Summit Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Gary Peterson
571-4696
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Vikiniz Home Im rovement Co 4832 21 St NE Fridley 55421
572-1821 4772
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 12 REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house & garage (22SQ) Tear -off; Fascia
9 CHANGEOFUSEFROM TO
STIPULATIONS
Reroof - Underlayment must comply with the State Building Code.
Soffit/ Building
Fascia - Install soffit ventillation to meet the State
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
$1,885.00
$.94
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 ORLOCAL AW REGULATING CON-
$59.50
Fir SC $1.88
STRUCT O ERFORMANC OF CONS -TION
c`
PLAN CHECK FEE
TOTAL
Q ��
Licens C 5.0
$
$67.32
SjGNA RE OF CONTRACTOR OR AUTHORIZED AGENT IDATEt
NP OPE ALIDATE IS IS R
BLD INST'
f v
GATE
SIGNATURE OF OWNER,�F OWNER BILLDERi iDATEi
l
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �!
6
ConstructionAddress: —
Legal Description:
Owner Name & Address: (94 4 e, Tel. # S-71- V4 9
Contractor: 1° jam 9-0 M,6 _-rZ 411, ®/?6 alb li teA,� MN LICENSE #
Address: 3 Z ��P Tel. # .5 !.;'
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: 04-&ao�- '�2"aZD A /a a Z- F
Construction Type: & 46J 7 Estimated Cost: $ �U
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: 4 �, -� Tel. # 4-'.2
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ �7s37
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 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.
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