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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Mm:on.: N? 2194 Date tz.,;�4 ...... ...... OwnerBuilder .......................................... ................ Address......................................... Address ........... ............................. 6.. 7CA I N OF BUILDING No. .... Street ........... oraxt of Lot ......... ............ Lot Block ................ Addition or Sub-Divis! .................. Comer Lot ....... Inside Lot ... Setback ......... M, Sideyard ....................... DESCRIPTION OF BUILDING To be Used as: ...... .... Front Depth .:1:...Height .......1'.Sq.:� Ft . ........ Cu. Ft. ........ ............. t x ont F ........ Depth �,t - Height ......... Sq. Ft..... .... Cu. Ft. ........ to 0 9 Type of Consl 'Tuctio.: ........ Est. Cost ....... ................. To be Completed ................... In cons' d ofissuance tom of a permit to construct the building ,described above, I agree to do f = the proposed rdance with the description above set, forth and in compliance with. all provisions of ordinances of the jage of Fridley. ........... ; ........ tl In *deration of the payment of a fee of permit is hereby granted to sI:": Az ........ -con . .. . . ....... he e ress conditial to construct the building or addition as described above. This permit is granted upon that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and I upon said building, or any part thereof, shall.. conform in alf'respects to the ordinances of Fridley, Minnesota in the village limits land ordinances. egarding location, construction, alteration, maintenance, repair and moving of buildings with- this permit may be revoked at any time u n violation of any. of the provisions of said �11-cl 4. ...... ceding Inspector - NOTICE: This permit iii oes not cover the construction, installation or alteration for wAring, plumbing, gas heating, sewer or water. �e sure to see the Building Inspector for separate permits for these items. 01) suB�ECT PERMIT City ®f Fridley 15 8 51 AT THE TOP OF THE TWINS _w. PERMIT r ` -BUILDING RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r i � PROTECTIVE INSPECTION .SEC. (J CITY HALL FRIDLEY 55432 ' NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/29/80 JOB ADDRESS 6415 Van Buren Street N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18-20 3 Florence Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jinn Negri 6415 Van Buren Street 574-0051 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jim Coulter Construction, Box 216, Isanti 742-5803 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 IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house, reside ?z of house, Bathroom alterations 9 CHANGE OF USE FROM TO STIPLP.ATIONS WARNING Bebre digging call local utilities TELEPHONE . ELECTRIC _GAS Etc. REQ�IREC� BY LAWSEPERATE PERMITS REQUIRED FOR WIRING., HEATiNGt Pt.ttMBtlVf AND SIG. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT ,BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $7,200 $3.60 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 PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $45.00 TR. CTO OR THE PER ANCE CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $48.60 SI/ ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY-YALIDATED THIS IS YOUR PERMIT ril-i4 -Ul-e-0 '( IGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG INSP - D fE 01) CITY OF FRIDLEY APPLICATlaT FOR RESIDENTIAL BUILDING PERMITS .(New, Alterations, Additions, o'r. Repairs)_ OWNER: J T m ADDRESS: TEL NO: �� �— oQ .5 - BUILDER: T1'�p( (�-- l�.r ADDRESS: TEL N0: Construction Location STREET NO: STREET:�1. 1 r o LOT: BLOCK: ADDITION: LO rev�OL Q° d_d ®V. 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. 4 -&-op DESCRIPTION OF CONSTRUCTION Front:. Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: �C�� d� L�«� Estimated Cost:. � Zb Be Completed: LA_� — Alt. A.. Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET' The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in th Stipulations: BUILDING PERMIT FEE SCHEDULE - SECTION 2. The In=spector.of buildings, shall, before i=ssuing permits for the erection of any building or structure, or for any addition to any existing building or structure, 6r 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't-he 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 $15075 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 $17.85 -ADDITIONAL INFORMATION 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 the rate of $3.00 der each five hundred dollars -($500.00) or fraction.thereof in the.cost of all proposed work. In -no case shall the ree 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 constricted 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 -beenissued;- and, said structure shall not be used or occupied until a Certificate of Occupancy has been issued. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE V) PLUMBING FIXTURE RATES: NO. >, w TOTAL ro o $ k Q water I c8 m m ( x $2.00 $ k n a m A $ � w w x $5.00 $ Heater +-t14 U td $ C N H •.+ ro X :J N 0 $4 m .0 0 (d E fJ a iQ $ S-1 I I x $5.00 $ O O -4 L m C N -a O O +r N m m y N .� -W (n y .a U la r ro tq •-1ro to S %a O A W X to ri W cc to'.Y U M -Zro 3 0 rtm C7 41dS O leC is, v 2nd 3rd j 4 tri (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening ( x $2.00 $ C;?V Catch Basin x $5.00 $ -later Heater - to 99,000 BTU x $5.00 $ 1000,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ ,50 TOTAL FEE $ REINSPECTION FEE (;10.00) Job Address 01r Department of Buildings City of Fridley Tel. #571-3450 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 a lication are true and correct ((_ Fridley, Mn. 3® 19 so OWNER `fitC,ryl lam)Lk-Lt-"-� KIND OF BUIpL1DING USED AS TO BE COMPLETED ABOUT ESTIMATED COST 16 0 OLD - NEW BUILDING PERMIT NO. PERMIT NO.� Company /� se®yrC2 Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE RISf%—M SUBJECT � ERMI City of Fridley ° - 176 9 3 AT THE TOP OF THE TWINS BUILDING PERMIT r R E C NO COMMUNITY DEVELOPMENT DIV. 1 / 0/ 0 r PROTECTIVE INSPECTION SEC. i J� ,-l`j CITY HALL FRIDLEY 55432 L NUMBER REV. DATE 9/4/84 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 6415 Van Buren Street N.E. 1 LEGALLOT DESCR. NO. 18919320 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Florence Park Addn to Fridley SHEET 2 PROPERTY OWNER James Negri MAILADD91iRL ZIP PHONE 3 CONTRACTOR MAIL ADDRREC1SfISiZIP 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 residential 7 CLASS OF WORK ❑ NEW X❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCR12F.,L4 WO�c 24' garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Permit fee should be 6456.96 less credit for old existing slab $2,456.96 (use $4.,000) Darrel Clark SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. wood frame OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 576 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 4 p'000 rLe00 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- 50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 52.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHfN PROPERJY V I ATED IS IS YOUR P/Eq/JAI/v r7 *SINAITtUREOI.WNER 7 9 BLDG WSP DATE OF OWNER BU ILD ERI IDATEI ter— RISf%—M '2r, NEW [V] City of Fridley Effective 4/1/814 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description:4q, �`' � � �-D� Owner Name & Address: U Tel. # Contractor: Tel. # Address: 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 V] Ft. Yd. Setback ESG Side Yard Setback E -C) �j���� �� Estimated Cost: $ �� Type of Construction: C1- C _ PP A rox. Completion Date: ��� n_ t el� O Qe�Gcoa' �� It �" Alt�g Proposed Driveway Width If New Opening Is Desired: $ $ - See Back Page for Explanation DATE: &IZC1636- APPLICANT: Tel. #'524 -22S IT CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ °�c$.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit ' Park Fee $ �— Fee Determined by Engineering Sewer Main Charge $ � Agreement Necessary [ ] Not Necessary L ] TOTAL STIPULATIONS: , a . w BUILDING PERMIT FEE SCABDULE 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 $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. 4()60 SUBJECT PERM City of Fridley Wrecking Permit 17 6 9 4 AT THE TOP OF THE TWINS xxx8U4txD4 0 P E R M I T r REG O. � I •__ COMMUNITY DEVELOPMENT DIV. - r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/4/84 JOB ADDRESS 6415 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESjI$, 9,2yy0 3 I Florence Park Addn to Fridley SHEET 2 PROJ%Z6 W1Y �r1 S�MAAIILADDRESS ZIP PHONE 3 CONTRACTOR MAILADDRESS 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 residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 7 REMOVE 8 DESCRIBEWORK tearing down existing 14' x 22' garage to makeroomfor bigger garage 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL Fit. 00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PROPERLY VALIDATED THIS IS YOPPk9lERMI pyo V BLDG INSP - DATE NA UREOFOWNER(IF OWNER BUIL RI IDATEI 01i �) Effective Aug. 1, 1981 f City of Fridley iuWEaT Permit No. AT THE TOP Of TME TWW8 rP, WRECKING PERMIT APPLICATION Receipt No. r t L-------- COM/WMITY OEV UNW. MT DIV. I i rROTECTM 019ftCY ON OVT. OITY MALL PIUM9Y ssva WNW REV• pATE PAYE OR APPROVED BY Job address �� �� -gu .per ms Legal Lot No. Block No. Tract or Addition Desc. Property Owner l ,,,, j\, Address Phone Contractor 37 I Address Phone ISwr V 9 C'Vz- Description Front Depth Height Sq. Ft. Cu. Ft. of Bldg. 1,4 Z`Z- No. of Dwelling Units Taxes Paid Tax Receipt No. & Estimated Cost of Wrecking ]To Be Completed Utilities to be Notified and date Services Disconnected Npis. Gas Co. N.S.P. Northwestern Bell Tel. Co. Engr. Dept. Cust. Bus. Ofc. Bus. Of c. 372-4850 330-5540 332-4112 Date Date Date Wrecking Fees: $1.25 for each 1000 cubic feet or fraction For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking such structure f $6.00 for each $500.00 or fraction. rIN33.CM FEE: 15.00 No State surcharge on Wrecking Permits. ci Approved By ter & Sewer^ partment: All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that Sall facts and representations stated in this application are true and correct. P9htractor Date E a m o m CL m # mW m 0 0 c m W am m m I 70 M CO) mO a m' r a n O � can o m I -� } ',I � E a m o m CL m # mW m 0 0 c m W am m m I 70 M CO) mO a m' r a n O � s m I ',I � v m m I ® m s O AOOaP �N a m 0 E, z v z o m 0 Z b'vv� � sS-n ®gym OF o ®� aptn 1 c 3 r Z _ a - z z m E a m o m CL m # mW m 0 0 c m W am m m I 70 M CO) mO a m' r a n O °m<onm m I ',I v m I s w N V a m z v z o m 0 X c c W CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ c;26 e� $ 10.00 $ $ 10.00 $ $ 10.00 $ *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 PO TOTAL FEE $ ` MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB AD 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application a e true and correct. 1 7 _ ,1991 OWN BUILDING USED ESTIMATED COST PERMIT NO. A DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Un tsCircle One (Steam) (Hot Water)< arm Air Trade Name Size No. BTU �' HP EDR Fuel LAT_ Total Connected Load fes, a Burner Trade Name Size No. BTU HP_ EDR HEATING COMPAN ;." - Approved By _(dRough-In Date Final Date 2LO FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( j No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( j 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Beina Done: HEATING COMPANY Signed By Date SUBJECTE City of Fridley 2 6 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. /® �� /`7//�/� r i NUMBER REV GATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 7/29/98 JOB ADDRESS 6415 Van Buren St 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18,19,20 3 Florence Park Addn. to Fridley SHEET 2 PROPERTYOWNER MAIL ADDRESS? ZIP PHONE Jim Ne ri 574-0051 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remodeling 7930 University Ave Fridley 795-9410 20138780 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re of house nd ra e 1 S Tar-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Buidling Code SEPARATE PERMITS ARE REOUIREO 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 BO 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 1417 $.71 DOES NOT PR UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTH TE OR LOCAL LAW REGULATING CON- STRUCTION THE P ORM CE OF CONSTRUCTION. $48.50 Fire Sc $1.42 PLAN CHECK FEE TOTAL FEE ® �� - 5 e s SC 55 G NATURE OF CONTRACTOPIR AUTHORIZED AGENT (DATEI N P PERLY ATED r BlD INSP THI r YOUR PERMI )ATE SIGNATURE OF OWNER)IF OWNER BUILDERI IOATEI NEW [ ] ti OE ONLY Effective 1/1/98 ADDN [ ] • ;.. , .; , :.;.CIT�Y.OF. FRIDLEY ... Permit Fee $ ALTER [ ] 1 .. x , SINGLE FAM%Y� AND DUPLEXES R-1 AND R-2 :��' ° ,: Peraut` Valuatioii (1/10th%) Fire Surcharge BUILDING 'PERMIT APPLICATION � .t}bl of State Surcharge $ ` ° % $.50/$1000'Valuation t ° { r.� sd: .s. t? � •e�'a jF �rae1 �tr�4� fl RY License Surcharge tjnAFt �d : i al�`•1ra�?4'. �6,x '...fs ,... ::t). •.t .tI.E Md� �.{,ylP!¢. ConstructionAddress: (J r� tc t �fhp"Alts"B". Above Erosion Control $ ¢ ' ($450,00 :Coyns�ervation Plan Review r:� Park Fee $ Legal Description: Sewer Main'Charge. $''? `Agreement'.Necessary.[:] .,-Not:Nece Owner Name & Address: -1—V I Tel._ #t :!!5NL Q5/ Contractor: our S e saM o d-�i �a Re'^'� Od p �i ng 1 t' -MN LICENSE # Address: G%3 Tela# Attach to .this"'application;; az Certificate of Survey of the lot, with"the `'proposed; construction drawn oa it, to scale. DESCRIPTION, OF • "ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width . Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: „� �,� . 1(,-, .� 1'i � U �, I Construction Type: d✓ t Pod Estimated Cost: $ 7 �, (Fee Schedule, on Back)` Driveway Curb Cut Width Needed:- Ft:-: + 6 F� = Ft $ _ $ DATE:. �j ���©: APPLICANT:r - ti OE ONLY "Fee Side Permit Fee $ Schedule. on Reverse :��' ° ,: Peraut` Valuatioii (1/10th%) Fire Surcharge $ � .t}bl of State Surcharge $ ` ° % $.50/$1000'Valuation SAC Charge., $ ,,$h000 per SAC Unit License Surcharge $ e. 45.;00 ;(State: Licensed Residential Col Driveway Escrow. $ tc t �fhp"Alts"B". Above Erosion Control $ ¢ ' ($450,00 :Coyns�ervation Plan Review r:� Park Fee $ E Y -f :• . • ..e;r �v7sPee•Determined by Engineering Sewer Main'Charge. $''? `Agreement'.Necessary.[:] .,-Not:Nece E TOTAL STIPULATIONS. BUILDING PERMIT..TEE SCHEDULE The Chief. Building ®Official shall M before, nssuin ermnts for theer 'tion of an wilding or structure, . or for 1. any addition to . any existing building"ox` structurre - or for any alteration or repair to any. existing building or structure, upon Application .therefoie, 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 fust $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 depthDriveway width plus 6 feet times $15.75. c 4 yERi "ICATION' OF FOUNDATION Permits for. construction will be 'issued a'#Inin a of 24 hours from the time of applicatign to, ali w for proper review of the proposed strueture.and.of. the construction site.�.y.._. A Certificate of Survey of -the lot,. showing the location of the foundation once,,hJ. as.it has been constructed will be required before proceeding .with the framing. V