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PRE 2010 DOCSV age f Fridley, Hhm. BUILDING`PERM" N00 305 Dike of INSPECWB OF B INGS Owner ., Architect Fridley, Minn. Builder 2 . LOCATION OF BUILDING No. �"� Streets Ylt �C l i.t [� Pant of Lot k Lot Block Addition or .Sub-Division ; DE SCRIPTION OF BUILDING Front Dep Height Stories Manner of Construction j' 4 1 To be used as V \ ¢ To be completed � Estimated Cost via 4 Permit is hereby g ted to -" toy``° the building ti " �AJ escribed in the above statement. This permit' is granted upon the express co dition that th 4erson to whom it is granted, and his, agents, employees and workmen, in all the work done in,; round and upon. said building, or any part-thereof; shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city s, and this permit may be revoked at any time upon violation of any of the provisions of said ^ 4 f ordinances. , c Insmector of Buildings, AGREEMENT AND SWORN ST.A7C'1;1 ENT In consider ion .A of the issue and delivery to me by the Inspector of Buildings of Fridley of the above fermi , I hereby agree to do the proposed work in accordance with the description above set forth nd according to the provisions of the ordinances of F'riciley, and, being first duly sworn, I hereby 3tate and say that the facts stated by me and contained in the above permit are true as therein s ated. Subscribed an sworn to before me at Fridley, Minnesota, J-.h 'q day o .D, 19 " b _ Date: Ad "Aae Owner: Address Builder — — Address 6105 CATIOIJ PF BUILDING No. Street _ _ _ Part of Lot � _ _ __ Block Addition or Sub -on Corner Lot _ _ Inside Lotaback S1 Sewer Elevation_ . _ Fo dation Elevation DESCRIPTION OF BUILDING To. Used tis• s I I I . " .1 9 Front Depth Height Sq. Ft Cu. Ft Fro Depth .Height _ Sq. Ft. Cu. Ft Type of,Construction . Est C _ 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 a'll provisions of ordinances of the dty of Fridley. In consideration of the payment of a fee of $., , permit is hereby granted to..._.. th to construct the building or addition as described above. This permit is granted upon e express condition that the pennon to whom it is granted and his agents, employees and workmen, in all work. -done in, around and upon said building, or any � thereof, shall conform in all respects to the ordinanoea of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings w��� dty limits and tYus permit may be revoked at agy��up�violati any of the provisions of said NOTICE: Thh pernh does not em or the eonatruetion, hwh0a m for whke, : plu"Inq, on htathip, . s*wer or wabr. Be sore to no the Building W*octar for sopuab pwm% for than tramm APPLICATION FOR BUILDING PERMIT CITY OF FkIDLEYi MINNESOTA owner's Name Address I Address rLOCATI OF B DING No. �i�-{ Street art of L t Lott] _Block Addition or Subdivision Corner Lot Inside Lot V__*"Zetbacka-Yard SEWER ELEVATION FOUND ION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Height�� sq. Ft,1 (p (,s Cu. Ft. 4- Front Depth Height Sq. Ft. Cu. :;0tVa1& Type of Construction Estimated C 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated inthis application are true and correct. � � DATE_ (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 exist- ing building or structure, or for any alterations or repairs to any existing .building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and .in.the manner.herein provided .to..,wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garages warehouse, iactory'or grain elevators 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 -fireproof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a 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 ($500.00) 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 in Section 2 be less than $4.00. t tl +PPLICkTION FOR PUJMIlING AND GAs FIT'riiiG 131:K-1IT 91I ., la,t.lag C.,rd) tvlian Gl.er,ir� 0. .. .feet�tl Wltll d�4A t7r al A Nce 1lAtuan, Old Oi�cnir,g watar ('P1RTIl ,L ;tr} de'L'F �C LU?IU I tdti I I 1 llItE kATES N0 • RATE 18u�,L1!t tt 6later a ��.00 load t'IA1,ale, Old Gper.l:., s t• I" r, I >•' a. Ge r1 IieatCr 55.00 @aslca rlraat@c m cra Ss, 000 01v � g5.00 1 Uc1, 000 BTU to 15 OLD OTU tt alp, ®0 .S;1,elea6' `�°ell@nmg �- $ P.00 Hew Gauun,l lean 0119 dta11r irel c Xl4 s X5;00 9:liscta la: Wtter lied car ®g 85.00 AS 1' I 1 f l loG FLEs j� �ILi gat 1 faaLaaa@� C tt $3.00 A.Llatlonal Ftateerao �--- I � tt 4.en H.ar,•daa LQ $9 6IU re 91I ., la,t.lag C.,rd) tvlian Gl.er,ir� 0. .. .feet�tl Wltll d�4A t7r al A Nce 1lAtuan, Old Oi�cnir,g watar ('P1RTIl ,L ;tr} de'L'F �C LU?IU I tdti I I 1 llItE kATES N0 • RATE 18u�,L1!t tt &'utrraa: 1'dmture Gi,6rin3 se ��.00 load t'IA1,ale, Old Gper.l:., s X2.00 e:eca.h (aa�ln $ 55.00 @aslca rlraat@c m cra Ss, 000 01v � g5.00 1 Uc1, 000 BTU to 15 OLD OTU tt alp, ®0 .S;1,elea6' `�°ell@nmg $ P.00 Hew Gauun,l lean 0119 dta11r irel �d X5;00 9:liscta la: Wtter lied car ®g 85.00 AS 1' I 1 f l loG FLEs gat 1 faaLaaa@� tt $3.00 A.Llatlonal Ftateerao tt S1.00 4.en H.ar,•daa LQ $9 6IU L11,tllt5 q AI.TEkAT1ONS 51 ()U. 00 �a�h ®.e.1, S1JO:cAO or lracL.t�n 5L ra Surcharge TcArA.t. l ch —— _ — — ILiu.,l•L'CTIGu Pyr TOTAL, 5 .50 s 8.00 Jou Addi.tss 7374 RTE Van Buren Delaartmpnt c1' USI—' 1.ilta�� ' C1Ly at Frldluy Tel. fl571-3450 Tlra-undoryfa�rlad I;.:rcl:y r^:;kea appllcsceor f -r a - ` encu fa.r lira a+e,ak Ilcre(AI epe,Cllie d agstLflllg tv do 11 work In stylet do er fsr»a a dtf, tf,r. City c:c en and rulin,a cP tl,v Det:artmcnL of Baaidir. s, a er to ,1� lar@r. t�,®L nl1 thea f;rctit a,ld r2larus aa:tIt lona seated i^ eham t, .,aeatten «so tau® ®nd .ce.re„x l Fre,llyp', ..r„ 3-28-80 01•INCR BOERGFRHOFF. { KIND OF I]UILGING frame r ,. s USCD AS raS TO BE COMPLETED P.LCU r 4-3-80 I l� ESTIMTL;D COS'r boloo OLD m t1E41 UUILGIN.'a PLlat•td1' t1G. FE( %: :dJ. Cacrpany - �'�' • Sl,n6d 13y MINNEGASCO T�1. I1�. e I ROUGH I115P. Da to e I FILIAL IIISP. Darn r I APPRUVAL 4'01t PEW -11'r 11I41I11U1:1 I'LL YGR P<1`r• I'LUP:u%Uu PCIU;IT IS 67.50 PLUS. `v,50 d'1d.TE 6UflC16Al�E City of Fridley Application fot Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-747 DESCRIPTION OF WORK " Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... —� x $1.50 $ �e Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ Z,,J City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 10� Owner Kind of Building —� Used as To be completed about Estimated Cost, $ � O Old—New. Building Permit No. 6 z Permit No. ROUGH FINAL 4z 2M By LO Business Phone � �� u�12 ei � Y c Z 84 � S� s ,S1W� d3 �d W �U' a� Uz' ? (090 F N WATER HTR. GAS ELEG Base 1st 2nd _ 3rd 4th • Future Connection Openings New Fixtures Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... —� x $1.50 $ �e Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ Z,,J City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 10� Owner Kind of Building —� Used as To be completed about Estimated Cost, $ � O Old—New. Building Permit No. 6 z Permit No. ROUGH FINAL 4z 2M By LO Business Phone SUBJECT P City of Fridley ® 1411 AT THE TOP OF THE TWINS DING PERMIT r BUIL � RECEIPT NO. i L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/31/77 JOB ADDRESS 7374 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 10 5 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vernon T. Hughes 7374 Van Buren Street N.E. 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 ❑ NEW ❑ ADDITION ❑ ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Install ridged galvanized valleys. New roof can be 2nd but not the 3rd roof. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphatl 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $400 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 S bNATURE OF CONTRACTOR OR AUT ZED AGEN / AFB E) r HE PROP RLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNfi BUILDE 1 A )I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS, (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: v� tO O `�t��L� BUILDER: Address: Address:. Tel. No.. No. 1732Z Street: LOT: BLOCK: s ADDITION:LU iCc! 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. 0 DESCRIPTION OF BUILDING To Be Used As: cc��Front: Depth: Height: i Square Feet: Cubic Feet: Front: Depth: • Height: Square Feet: _ Cubic Feet: Type of Construction:E _ �� p stimated Cost: $ r v To Be Completed: 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 this application are true and correct. See reverse side f r additional informa on. DATE: SIGNATURE: Stipulations: 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 GaYages: $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 $15.40 Wfi#jjUSj$MjAj_�k=§WWWAII 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 per 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. 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. � 'b N1 City of Fridley SUBJECT P _ 15.715 AT THE TOP OF THE TWINS BUILDING PERMIT _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE ' /---t CITY HALL FRIDLEY 55432 �""--11.. NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/9/80 JOB ADDRESS 7374 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 ShafferIs Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lynn/BobbyLynn/Bobby Boer erhoff 7374 Van Buren Street N.E. 786-7167 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 ❑ NEW ❑X ADDITION ElALTERATION 13REPAIR ElMOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS Proved if framing material is Hem Fir or better. PER-ATc, pE1? WARNING A Before digging Cali local T//d�, p � S �'E utilities uIRtD TELEPHONE ��Afe,jVG AND F, - ELECTRIC - CAS Eic SIGNS. Wil?GT REQUIRED sY LAW 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 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 $500 $.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 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $1.88 $9.88 5)JiNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DAT /}) fi_)WNER WHEN PROPER(LLY�• VALIDATED THIS IS YQUR SPP PER IT ,\9 4 / ar rA TE IIF OWNER BU DERI /DATV Oil CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: i%IN ADDRESS :') 3 % TEL NO: STREET NO: —B BUILDER: S �� ADDRESS: TEL NO: . Construction Location STREET: 1gt� a.e i,� �. •v `�� . LOT: / 0 BLOCK: ADDITION: P� Corner Lot: Inside Lot: ,,Ll* Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO{d OF CONSTRUCTION Front: Depth: 1 Height: Squane.Feet: Cubic Feet: .- Front: Depth: Square - Feet: Cubic Feet: Height: Type of Construction: �w Estimated Cost: $� To Be Clompleted: �" 1 7 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 this application are true and cor;rect� DATE: 5 1 © SIGNATURE. Stipulations: � oo �� ®iL pi iT�fAL_ D U �Q.� iD � • SV P.(? S•xY BUJLDING PERI4IT 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, thb mount herein below set- forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family domes 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 Y15o75 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 DDITIONAL I FORMATION 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 per 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. 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. 0"d /-ju- m q9a) sueJEcr PE City of Fridley o 19761 AT THE TOP OF THE TWINS BUILDING P E R M I T _ r ECEIPT NO. � ______ COMMUNITY DEVELOPMENT DIV. r I ~ PROTECTIVE INSPECTION SEC. 1 S CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ".j 612-571-3450 910-F15 11/21/88 JOB ADDRESS 7374 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 Shafferts Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lynn Boergerhoff 7374 Van Buren Street N.E. 786-7167 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 ❑ NEW ❑ ADDITION C:k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Install dividing wall in basement for office 9 CHANGE OF USE FROM TO STIPULATIONS Use treated bottom plate. SEPARATE PERMITS REQUIRED WIRING, HEATING, PLR�i�Bl��G P®R 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 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 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 $10.0• $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA DATED TH IS YOUR PER IT ' ' OF OWNER IIF OWNER IDATEI SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDGSIGNATURE BLDG INSR nL NEW I ] City of Fridley Effective 5/1/88 ADDN I ] R-1 AMID R-2 ALTER [ ] Building Permit Application Construction Address:_ Legal Description:. Owner Name & Address: ®'-Y J Tel. # Contr actor : o Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVE MM LIVING AREA: Length Width Height Sq. Ft. MRAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width —::u Hgt/Ground Sq. Ft. C_ Corner Lot I ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ I ou ✓ Approx. Completion Date: Alt. A Alt. B Proposed Drive -way Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: �) APPLICANT: Tel. # 2 %'?v _ I CITY USE ONLY Permit Free Fee Schedule on Reverse Side State Surcharge $.50/$1,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. 'XPi" or Alt. "B° Above Park Flee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I I Not Necessary [ ] TOTAL $ /. Sl'] TUIMIONS: 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 51 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 additicnal. $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 51000,000 $2039.50 for the first $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 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. 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 RMIT N City ®f Fraley 2681 AT THE TOP OF THE TWINS BUILDING PERMIT i'�� f T NO. l COMMUNITY DEVELOPMENT DIV. _UXk r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/24/98 JOB ADDRESS 7374 Van Buren St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 1 Shaffer's Subdivision No. 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bobby'Boergorhoff 786-7167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Ma le Gr416-4804 20010277 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 LX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (22 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 O OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED W DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR AB ON FOR A P RIOD OF 120 DAYS ANY TIME AFTER WORK CO ENC NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY I AVE D AND A D THIS PLI TION 1 STALLS GARAGES AND KNOW THE M O ETR ND CORREC LP IONS LAWS VALUATION SURTAX AND ORDINA ES RNI HIS TYPE WOR LL OMPLIED WITH WHET R SPEC IED EIN OR THE NTING O PERMIT $1834 $.92 DOES N PRESUM T GI ITY TO OLATE OR A EL THE PERMIT FEE SAC CHARGE PROW NS OF A T I STATE OR L AL LAW REG ATI CON- STRU ION OR T PE O MANCE OF ONSTRUCTION. $59.60 Fire SC $1.83 PLAN CHECK FEE TOTAL FEE License SC $5.00 $67.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN PROPERLY ALIkBATED THIS IS YOUR PERMIT.,,..w�/f EILD )NSP GATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATEt NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: —73i V ari L r -f- v,,,— 57T . Legal Description: Owner Name & Address: Contractor: 1 Address: MN LICENSE # 2 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGEAREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. 2 <--2, `` (� & -6FT- Construction Type: / �� V - y Estimated Cost: $ V- 3 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = x $ = $ DATE: -Z f PLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 60 $ l3 $ $ oo Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 7 0 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) Tel. # $.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 [ ] le 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. Building OCCUPANCY TYPE BUILDING $ 'L 2 Permit No.� Inspections $ RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 e - DATE I _, 1 _0'3 YOUR E -MAIL ADDRESS (a." n -� I,uS r� mod -el SITE ADDRESS ���] q 1 Q V a Yl W — Ii J A)A— Curb Curt Escrow THIS APPLICANT IS: ❑ OWNER (°CONTRACTOR Erosion Control PROPERTY OWNER/ NAME: ja,o b! 6 e rT� r h o Park Fee TENANT 1 l i ADDRESS _iTZ-1 b V CA {n �j Ut rf n 3T � A)L- l I'YB] "tal lis STATI IP5 2 $ PHONE: -% lrj J - -7 8(7'-] 11-1 Total Due CONTRACTOR NANIKI nt W' !(�1 dw 3�to y-¢ `L (, C 0 STATE LICEnnNSgE # 7iGZ 'S3_5]5 g EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: ~I -1 U "l S • S hG re Y a Uf S Witt Z'7 C) CITY P W.mo ,1Ith STAT"_!S-_ WITH APPLICATION PHONE - o 1 Z - 2 Sr 0 FAX 12 - LJ Z Fi PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ( Y� S-�U [ I 'o " MC) window `Y1 Ce Y fs SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS'kYes ❑No LOCATION OF WIND.QWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF QX�i� �. ifi. / I�{pd ��j0M $ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ O 0 OCCUPANCY TYPE Permit Fee $ 'L 2 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ to -66 .001 times the total job valuation Surcharge $ S-66 .0005 x Permit Valuation Minimum $.50 License Surcharge $ ej U $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Curt Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. +� / SIGNATURE OF APPLICANT ��� FAVI PRINT NAME1 M G Add S€ Ve r SG 0 DATE