PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMIT N° 1789
Date: ... `. ... .................
............ Builder .. le' J..•.. .
Address ...................................... Address ae-1.7. .. .. 3 ..i' .........
LO,CATIO hOF BUILDING
No. i 1... Street ..........i' . ................... Part of Lot
Lot Block ....... :�/ ....... Addition or Sub -Division ......... ... .. .
Corner Lot ........... Inside Lot .....K�... Setback ... T®... Sideyard .......�.�.. ............
DIESCRIPTION OF BUILDING
To Usedas: o�
` Front . Depth .. ��Height ..., . Sq. Ft. : !: �y. Cu. Ft. ........
.................... Front ...... Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction Est. Cost ..//.:...... To be Completed ..................
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
®
of the payment of a fee of $. .•.. � ., permit is hereby granted to .. ....... . . . .
%re[iC,�' wsd,�
to construct the building or addition as described above. This permit is granted upon
/ the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
9, Fridley, Minnesota regarding location, construction,. alteration, maintenance, repair and moving of buildings with -
i in the village limits and this permit may be ,, 31ed at any time upon violation of any of the provisions of said
ordinances.
>k.... Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
City of Fridley, .Minn.
BUILDING PERMIT ,.
® 483'7
Date: _'
Owner:_:.:.._..... .�,...._ .......... Builder ........... _...__._ ._.._...._._..__._.
Address ...:�..._._? 'r -' Address ........ _...... .................
_...._.___.._.__......_______..._.._.
LOCATION OF BUILDING
No.Sheet _........ -Ir............. ..... f ..... Part of Lot .. .. ...
,
Lot ..� " . �(•.�. ....... Block ....._... ..._........ Addition or Sub-Divisi n ... _ _-: --
;a
Corner Lot .......................... ......... Inside tLot ... ... ...,... Setback .....,,,t. ..................... Sideyard .. .-.............. ....................._.........._._........_.
SewerElevation ..... .............. _....-------......_...--------.........._............_.............:......... Foundation Elevation .................................... _..............
DESCRIPTION OF BUILDING
To bUsed
e,
... ,....... ....."... .,.:.... Front �.:... Depth �,'"_:. Height ...W..... Sq. Ft. :£ Cu. Ft-
.... . ............
t....._.................................................. Front Depth ..... _........... 'Helg t Sq. Ft......................_u. . CFt....._..........._..
Type of Construction _... Est. Cost ......... .....------.--- To be Completed ....._............._............._.
.
....._.....
TN\S pER \71 P� E oNs
\oN of G �ES1R\Gcr
g0\\.D\N
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $, _ ._..:, permit is hereby granted to. ............. ................ ..-.
_____...... ... _._ _._._._.__.._.. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time -1 lation-any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits"for these Nems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA'
s a •
r _
Owners
.A ,F1•
Addresse] (A p
e /.� Address
LOCATION OF BUILDING
No. $tre6t, a4 J- e„/2 Part of Lot ;
Lot BlockAddition or Sub.Div. �a r a_
Corner Lot 7.noiclp Lot_ t Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed•buildifig
location.
DESCRIPTION OF BUILDING
To be used as:
Front Degth� height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft.Cu. Ft..
Type of Construction Estimated Cost
To bq . , completed
The amdersig�ed hereby makes application for a permit for the work herein specified,
agre' in. g`to do all work in strict 4ccordance with the City Ordinances:.and ruling of
the Department of Buildings,' ari 'hereby declares that all the facts and representa-
tions stated in this application are'true and correct.
DATA ' __-- SIGNATURE ,
(A Schedule of Fee costs d n be found on the Reverse Side.)
BUILDING PERMIT FEE SCHEDULE
Section -2. -'The Inspector of Buildings shall, before issuing any permit
for the erection of any building or structure, or for any addition to
any existing building or structure, or for any alterations or repairs
to.any existing building or structure, upon application therefor, require
the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to -wit:
2.1. For any such perm3t.for the erection of any fire -proof building,.other;
than a garage, warehouse, factory or grain elevator, or for the erection of,
any fireproof addition, for similar occupancy, to any existing building
shall be at the rate of .$l./+O for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fireproof garage, ware-
house, faetory'or grain elevator, or for the -erection of any fireproof
addition, for.similar occupancy, to any existing building shall be at the
rate of $1.25 for each one thousand cubic feet, classified as 'fireproof"
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building
other than a garage, warehouse, factory or grain elevator, or any non -
fireproof addition, for similar occupancy, to any existing building,
Permit $.1.00 for each one thousand .cubic feet.
GAR&GOWS
2./+. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -
fireproof addition, for similer.occupancy, to any existing building
for each such building or addition. Ninety Cents for each one thousand
cubic feet or -fraction thereof,.in the cubical contents thereof with a
minimum of 04.00.
For the purpose of computing fees for building permits the
of any building or addition to a'uniformheight throughout
the ground area covered from a point six. (6) inches, Qe O' w
the bac „ At or cellar to the average height of the upper
averag ight ofd ,the roof surface of the main gab7.e of a
f �
cubical contents
by multiplying
the floor line of
surface or to the
pitched roof.
2.5. For repairs or alterations to an existing structure, the
at the rate=of43.00 for each Five Hundred Dollar, ($500.00),
thereof in the cost of all proposed work.
fee shall be
or fraction
2.6. In no case shall the fee charged for any permit as set forth in
Section -2'be less than $4.00.
.=:� q='-7 -75-
City of Fridley, Minn. N° 8202
BURDIENG PERMIT
Date: July 7.4, 1965
Owner: OME FERN sunder S
Address 6442. YM BMW Address
Fridley$ Minnesota
LOCATION OF BUILDING
No. _.w6W_ Street VAN BUREN Part of Lot
Lot _ Block Addition or Sub -Division
Corner Lot _ Inside Lot Setback Sideyard
Sewer Mevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dot. Garage Front 20 Depth �4 Height 10 Sq. Ft. 480 ca. Ft 4800
Front Depth .at Sq. Ft. Cu. Ft.
, " 0 C)
Type of Construction Est. Cost To be Completed
Detached Garage
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the pmpoced work in accordance with the description above set forth and in plianee with a'l1 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $_ _,.___ _, permit is hereby granted to ORGIE EKERN
to construct the building or addition as described above. This t is greeted upon
the express condition that the person to whom it is granted and his agents, employees an workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota ung 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.
AMEN G. JENSEN
NOTICEt
Ub pen* dea not corer the condme lon, knVandlen for *khts, phmbine, ea hooft , sewer or water. Be sire to no
the Bulmine lespeetor for separate permhs fer these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME / ��_ BUILDER
ADDRESSADDRESS
LOCATION OF BUILDING
NO. STREET PART OF LOT
LOT L ✓ BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
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 ---,2,-j DepthHeight / iA
Sq. Ft. Cu. Ft. L c)
Front Dept h Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Costf
To be completed
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance.with the City of
Fridley Ordinances and rulingsof the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE , SIGNATURE 1l
(Schedule of Fee Costs can be found on the Reverse Side).
BUILDING PERMIT 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 existing
building or structure, or for any alterations or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant fox.auch permit of fees to the amount herein below set forth.and in
the manner herein provided to -wit:
2.1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse, fidiory 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 -fireproof 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 erection of any non -fireproof garage,
warehouse,,factory or grain elevator, or for the erection of any non -fire -proof
addition, for similar occupancy, to any existing building or for eachsuch
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the -cubical contents thereof with the minimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the,.
ground area covered from a point six (6) inches below the floor line of the
basement or cellar to the average height of the upper surface or to the average
height of.the roof surface.of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall
be at the rate of $3.00 per each Five Hundred Dollars ($540,00) or -fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth i�
Section 2 be less than $4.00.
I
STORM REPAIR DAMAGE FEES;
Residential: Estimated Cost of work up to $500.00 - $5.00
Estimated Cost of work over $500.00 - $10.00
Cs=erAial; Estimated Oost of work up to $500.00 - $10 -1
Estimate( ist of work over $500.00 - $2l l
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PERM
® 17904
r
�
• COMMUNITY DEVELOPMENT DIV.
<: ------
r � PROTECTIVE INSPECTION SEC.
1 i i
1 S CITY HALL FRIDLEY 55432
612-571-3450
REC
NUMBER
910-F15
REV.
DATE
4/12/85
PAGE OF
APPROVED BY
JOB ADDRESS 6442 Van Buren Street N.E.
1 LEGAL
DESCR.
LOT NO.
9110
BLOCK
4
TRACTOR ADDITION SEE ATTACHED
Florence Park Addn. to Fridley SHEET
727 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Johnson 6442 Van Buren Street N.E. 572---1512
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Panelcraft Inc. 230.9 Snelling So., Nlpls.. , PIN 55404 721-6628
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 ❑x ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside & insulate exterior walls/ install one garage door and 2 sto= doors.
9 CHANGE OF USE FROM TO
STIPULATIONS
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
VALUJ1
SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
00
4240 $2.65
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
RUCTION OR THE PERFO C F CO TRUCTION.
$56.50
'IVAN
CHECK FEE
TOTAL FEE
$59.15
OF NTPRA&CA OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY ATED THIS IS YOU PERMIT
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
BLDG INSP S4T
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: ®ve4-
Legal Description:
Owner Name &Ar7e
s: moic �/�/ CD,%/ v s> /,,e.�/ Tel . # _Contractor: / ;i222 el Tel. i
Address
S
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
GARAGE AREA:
DECK AREA:
OTHER:
Length Width
Length Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: f/�Si�� �i�d/f, c✓i� Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $
See Back Page for Explanation
DATE: ��� G� APPLICANT:—Tel.��/
CI USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check .$ 25% of Building Permit Fee
State Surcharge $ - $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL $
Agreement Necessary [ ] Not Necessary [ ]
� �P l�
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 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.
$25001.00 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.
SUBJECT-
City ®f Fridley
21721'
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
1 ,
RECEIPT
F
COMMUNITY DEVELOPMENT DIV.
�
e
� PROTECTIVE INSPECTION SEC.
r
I
1
1
NUMBER
REV
DATE T
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
1/27/93
JOB ADDRESS 6442 Van Buren Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
9, 10
4
Florence Park Addition to Fridley SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rhys Larson 6442 Van Buren Street NE 572^2672
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Ricks Roofing & Siding 77 2nd Avenue SE, New Brighton, MN 633-6395 3566
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 j] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17 Scluazzes) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
i3nderlayment 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
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
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINA CES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$901
$.50
WITH WHET SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIO F ANY OTHER STfflV OR LOCAL LAW REGULATING CON-
$25.00
$"90
STRUCTI R THE PERFORM C OF CONSTRUCTION.
Fire SIC
PLAN CHECK FEE
TOTALFEE
X
License SC $5.00
$31.40
I ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WH� P PEVRY V DATED THIS IS YOUR PERMIT
1--27-
BLDG iNSP DATE
S NATURE OF OWNER OF OWNER BUILDERi IDATEI
NEW [ ] Effective 1/1/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: G� ���� oyl7 &egv; rid® of y
Legal Description:
Owner Name & Address: # 6 T2
�`
Contractor. l�t�.� `� ��s�s el®,�� �,�/�® �®o MN LICENSE #
Address:
Tel. # - 6`
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: Le Width Hgt/Ground Sq. Ft.
OTHER: u S �- R c7Z� r �i�� C E-
1 �l S /!
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ Gv
Approx. Completion Date: s 3
Driveway Cur Cut Width Needed: Ft. + 6 Ft =
DATE: APPLICANT:`'''
(Cost on Back)
Ft x $ = $
CITY USE ONLY
Tel. # i ; -? 6") 5 5
Permit Fee
$
;-5,00
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation_ (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$_
_ D
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
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 $15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50. for each additional .
.$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional
- $1,000 or fraction thereof,. to and including $500,000
$500,001 to $1,000,000 $2039.50 for the fust $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 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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AUG -17-199a 16:02 FRICIM, OF FRIDLE"( TO 5712547 P.02/02
HEATUNG CO,
,�igned By:
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SUBJECT
MIT NO.
City of Fridley
30430
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
' COMMUNITY DEVELOPMENT DIV.
______
tr PROTECTIVE INSPECTION SEC
r
NUMBER
NEv
DATE
PAGE OF
APPROvED By
,,� CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/21/99
JOB ADDRESS 6442 Van Buren Street NE
1 LEGAL
LOT NO,
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9,10
4
1 Florence Park Addn. to Fridley
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Brian & Caroline Anderson
571-3658
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Ron Miller Const. Inc. 5316 Matterhorn Dr NE Fridley 55432
571-3514 6354
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 faK REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside house and garage; Soffit Fascia and Trim
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
Provide soffit ventillation to meet 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
$4.65
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$9300
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-
FirAC $9.30
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$181.25
PLAN CHECK FEE
TOT E
License $5 0
.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tOATEt
P Y VALIOM 7 THIS IS YY9UR P IT
400�HE
OG SNS
00S,GNATURE
OAfE
OF OWNER,IF OWNER BUILDER. iDATE,,
01�
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY gp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0
BUILDING PERMIT APPLICATION
Construction Address: tL �%2 `o��-�ry� eh
Legal Description:
Owner Name & Address: r— Tel. #
Contractor: ,4en h I021r 4AZ ���,,>�_ f�,,� MN LICENSE # ,J
Address: SE3 1-04 Aab4"dz'7 /� l'� !� Ae� Tel. #
Attach to this application, a Certificate of Survey of the SSY l
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: , fif''l)--1
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 2—Z r- �' APPLICANT: Tel. #
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
9,36
.001 of Permit Valuation (1/10th%)
State Surcharge
$
4,6-5-
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$
S,00
$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
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
$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
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
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 $23.25.
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.