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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT -rA,�Wo,6- 3688 Date: 'n..Ap .......,�, • . ...... . owner ...OeZ............ Builder Address......:, Address ........................... .............. ,�Ir5o 6 9r LOCATION OF BUILDING No.�t. �. Street .... .. Part of t ......................... ...:� Lot ...®... % ... Block .. ........... Addition or Sub -Division Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: Front ........ Depth ........ Height ........ Sq. Ft. ........ 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 degribed above, I agree to do the proposed work lin 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 $....•sempermit 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �y Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, mbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. ,-S City ®f Fridley, NUnn. No 7718 ING PERMIT Date: June 4. 1965 Owner: David Curtice Builder a' onat O b-'true+ion Co, Address 7500 Van Buren N. E0 Address 2JA South Avenue e LOCATION OF BUILDING No. 7500 Street VWBuren N. E• Part of Lot Lot i5 _ Block 2 Addition or Sub.Division Shaffer's S. D. # 1 Corner Lot._ Inside Lot Setback Sideyard Sewer Mevation Foundation Mevation To be Used as: Type of Construction DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Front Depth Height Sq. Ft. F-st. Cost 3-23.3.00 _ To be Completed Storm damage repair Cu. Ft. Cu. Ft. 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'FlAe rovisions of ordinances of the city of Frldley. �. In consideration of the payment of a fee of $ 10-00 , permit is hereby granted to Co. 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 pmt thereof, shall conform in all respects to the ordinances of Fridley. Minnesota �permit location, maconstrueti�alattaany time uponviolation of anyyoof then provisions o saiof d within the city limits and ordinances. A7.1en Jensen - Building Inspector NOTICE: TMs permit don not sever the eondrudlee, hataMee for vdrdng, phmildsg, gn hsatteg, ssww or water. Be sure to ae the BWWieg trap Mr ter apwa permit for thea hart. APPLICATION FOR.BUILDING PERMIT CITY OF FRIDLEY" MINNESOTA OWNER'S NAME David Curtice BUILDER @ualit Const.Go. ADDRESS 7500 Van Buren ADDRESS, 2454 South Ave. LOCATION OF BUILDING No. Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION i 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 Depth Height Sq. Ft. Cu. Ft. Front Dept Height Sq. Ft. Cu. Ft.. Type of Construction_-.Storm..damage Estimated Cost $3,233.00 To be completed __30 dates 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-Fridlep'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. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Remove and replace 60% shakes,Remove and replace 9 alum wtorm windows,wash and paint exterior reinstall down spouts, remove and replace 2 foundation blocks,remove entire roof and renail rafters and braces replace roof shingles,Remove and replace 2 tomb doors remove and replace 1 kitchen window,clean patch and paint interior,sand and refinish kitchen cabs. 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 build- ing or structure, or for any alterations 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; 2.1. For any such permit for the erection of any fire -proof building, other than a 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 $1.40 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. .IW�:F 2o4. 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 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 ($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. City of Fridley, Mian. N° 8806 BUILDING PERMIT Date: MAY 3, 1966 owner: - MM SIS Builder 9=0 TMATION CCMPAW AddressT90 Yom. Bur+et}. It • VR • Address 3384 Ar ow. Axam a� Fridley, Minnesota 55432 St. Louis Park, Minnesota LOCATION OF BUILDING No. — 7500 Street __.. VAN BUM ST • N.E. ' Part of Lot Lot 13 Block Addition or Sub -Division Corner Lot — 8 Inside Lot Setback _ Sideyard Sewer Elevation __ _ ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DIT. GAMO Front 22 Depth 24 Height 10 Sq. Ft. 528 Cu. Ft $0 Front Depth Height Sq. Ft Cu. Ft. Type of Construction EXAM Est Cost — Q..W— To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the propose8 work in accordance with the description above set forth and in compliance with aft provisions of ordinparno sof the city of Fridley. In consideration of the payment of a fee of $ 5-00 , permit is hereby granted to COFISTRUCTIEN CO. 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 iff respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit'rw be revoked at nay finds upon violation of any of the provisions of said ordinances, MEN G. JENSEN Building Inspector NOTIM M pencil don net aowr the andrudlon, indaWen for wiring, Plumbing, on heating, awer or wator. Be an to an tho Bnlhling ingw for for **Pardo paraft for then ham APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME —BUILDER ADDRESS ADDRESS LOCATION OF BUILDING 4J, 'i NO. STREET t,01 , , PART OF LOT LOT 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 Depth Height ✓ 6 Sq. Ft. 0' Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 in this application are true and correct. DATE __ 6' 6 SIGNATURE. (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT WE. ¢GHEDUt.E SECTION 2. T1e Inspector of Buildings shall,. before issuing any permit for the erection of any buildingor structure,, 'or foi any addition to any.existing building or structure, - or for - any alterations or; rep4 rp;to,any existing building or structure, upon application therefore, require the payment by, the applicant for `such" permit -of ` fees' to'':the amount here$n; below set .fiirth 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, 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 $1.40 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.occppancy, 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. Yor:any such permit ,for the erection of any non -'fireproof building, other than a garage, warehouse, factory br 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'simil.ar occupancy, .to any existing building orfor each such 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 surfaco,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. C STORM REPAIR DAMAGE FEES: Residential: Estimated Cost of work up to $500.00 A ?5.^0 Estimated Cost of work over Y� Commercial; Estimated st of wo-,". V -p • Estimated _.,st of work, over $500.00 - $20. .. CITY OF FRIDLEY 0431 UNIVERSITY i,VL NA I"EC:I MAY 5 ® 9966 -AM PPS 718i9il0Al2i li2,0j4,5i6 I A Applaafts r Power Phats ®nd Healk% C@dtngv V00114doni, Relfteratian cae Air Conditioning Systents .and Devices GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.06 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................ 6.00 $ Repairs & Alterations each add. $500.00 . ............. 3.00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... &00 $ Replacement of Furnace ............................. 6.00 $- Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $5®0.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & mines—to 400 sq. ft. MR Steam .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ........ ....... :...... 3.00 $ Each add. 320 sq. ft. EDIT Hot Water . ............ 3.00 $ . a OIL BURNER—to 3 gal. per hour ... ' ... ... .. ..... 6.00 $ p over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................:.. 800 $ ever 199,000 BTU See_ Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures —34100 $ Additional Fixtures x .78 $ Gas Range to 199,000 ........... g$'8AQ $ AIR CONDITIONING FAR HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS $ SeeFee Sehedvle TOTAL FEB $ Dept. of BIdge Phone 1160 -UM LosaBe� ��®® !� l�►Z � rsd2,2� S �' City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mnn 1A—,P/ ,- I& 7/ Owner ! tw /-, /n-1, Diad of Building > Used as To be completed about -71 Estimated Cost, $ dglNew. Building Permit No. Pernait No. ' ®� I)EmnmON OF WORE; HEATING or POWER Pr ANTS --Steam, Hot Water, Waren Air—Ncv Trade Name A - 0. Size Nom Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Rind of Fuel BURNER —Trade Name And e 0 Size No A/4 Capacii Sq. Ft. EM -R- BTU T- (REMARKS—OVER) Signed&IC,t-ro . J, / 6, J),rf' WAR - G Business Phone C34 __1J 3 s "� • ,� �. ,t . T' ��`.«<? �:� �' : _ h. ,.y..�e , re, '� ' .o. ,.:9C sys' -��'eez .p� ,s'd „i? ,. - ,, -.s f GIZATM WARM ArA.: IATz TOTAL Furnace Shell & Dud Work ... ... ..... .. $10,00 $ Replacement of Furnace 6.00 V_ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.04 300 ; IMM WARM AM Furnace Shell & Duct Work to 120,000 BTU ench add. 60,000 VIV . ..... Replacement of Furnace Repairs & Aherations—up to $500.00 Repairs & Alterations each add. $500.00 Int. of Bldg. �+-34M City of Fridley: The undersigned hereby makes application for a permit for the work herd 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 fad and representations stated in this application are true and correct. .110.00 $ ... .. 3.uu Owne 6.00 $_ Kind 6.00 $ S.00 $ Used STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10.00 $ Furnace Shell & Line—to 640 sq. ft. EAR Hot Water 10.00 $. Each add. 204 sq. ft. EDR Steam A,no $ Each add. 320 sq. ft. EDR Hot Water 3.00 $__ OIL BURNER -to 3 gal. per hour 6.0.0 over 3 gal. per hour -See Fee Schedule GAS BURNER (up to M,= BTU) ' . 0.00 $ _� over 199,000 BTU Sri+ Fos Schodule GAS FITTING FEES. NO PLATE TOTAL 1st 3 Fixtures x$ 2cg1 $ -� Additional Fixtures .75 $_ _ Gas Range to M.MO xS 5.M $� a':/.ht..a. State Surcharge .50 &M Fro schedmis TOTAI. FM 4 _7 Fridley. i193nn Z— 1/ tjw�75 To be completed about, �imated Cost; $�' 01d,'New. Building Permit No. Pc it No. TINd or PO Wsan, Hot Water,arm Air -'No _ Trade Nam Capacity___. — Sq. FIL ED BTU lu Total Connected Load ,, of PUC 24 � BURNER -- Trade Nam Size Rho 1191 -3,1Z t Q AM -OM) 4--1 CItixiW ��© �Q"�q `�� + Minnesota Well and Boring WELL OR BORIN LOCATION " MINNESOTA DEPARTMENT OF HEALTH Sealing No. H 1 2 1 3 72 County Name WELL AND BORING SEALING RECORD Minnesota Unique No. Minnesota Statutes, Chapter 1031 or W-series No. AN(Leave blank if not known) Township Name Township No. Range No. Section No. Fraction(sm. • Ig.) Date Sealed Approximate Date Well or Boring Constructed 19 50, w Numerical Street Address or Fire Number and Cit of Well r Bori Location is6 eS 7 7 Depth Before Sealing ft. Original Depth ft. Show exact location of well or boring - Sketch map of we or boring "V. Static Water Level ccurate in section grid with location. showing pro arty lin s. - ❑ Approximate roads. an buildi�ny s" a@ ingle Aquifer 11Multiaquifer ft. below above land surface CASING TYPE W I I I E �°J Steel ❑Plastic ❑ Tile ❑ Other mile 72 75 S IQ-- f Screen from to ft. Open Hole from to ft. mile OBSTRUCTION/DEBRIS/FILL. ❑ Obstruction ❑ Debris❑ Fill PROPERTY OWNER'S NAME AUNKS CAMSTRUMUN Type of debrislobstruction Mailing Address if different than property address indicated above 14420 COU s RIDA0 45 Obstruction/Debris/Fill removed? ❑ Yes ❑ No PUMP BU"SVILLE, Jiffl 55337 00lemoved ❑ Not Present ❑ Other CASING GEOLOGICAL MATERIAL7 COLOR HARDNESS OF FORMATION FROM TO Diameter Depth Set in oversize hole? Annular space initially grouted? If not known, indicate estimated formation log from nearby well or boring. 72 1V in. from. to ft. ❑ Yes 1VNo ❑ Yes ❑ No ❑ Unknown 6.5 in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown SAND/CLAY _ U 4 11 METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: q'Nlo Annular Space Exists ❑ Annular space grouted with tremie pipe ❑ Casing Perforation/Removal in. from to ft. ❑ Perforated ❑ Removed in. from to ft. ❑ Perforated ❑ Removed Type of perforator ❑ Other GROUTING MATERIAL PT75 3 ft. bags Grouting material from to yards from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING GEOLOGY FROM: 70TH & 200'a' E OF #65 from to ft. yards bags '{SAT IN AWVE WELL-. 47..2' DAT WAS LEVEL TAKEN-, 05/21/0-2, y from to ft. yards bags UNSEALED WELLS AND BORINGS 6 e 5 W09DI a 99 1 Other unsealed well or boring on property? ❑ Yes o LICENSED OR REGISTERED CONTRACTOR CERTIFICATION U-37 This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725.. The information contained in this report is true to the best of my knowledge. 71015 7 L E D'Contractw4kisow,$, Name _ , - License or Registration No. 2/13/96 ccardin to N� Mate Regu186= AuthonzedRepresen tiveSignature Date J T1A :.� LOCAL COP`fH 121372 Name of Person Sealing Well or Boring HE -01434.01 CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 10, 1997 Mr. H. M. Curtis 7500 Van Buren St NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit at 7500 Van Buren St NE Dear Mr. Curtis: On July 26, 1996, you were informed by the City of Fridley Building Division that a building permit needed to be obtained for installing an egress window in the basement at the above noted address. As of this date, you have failed to apply and obtain a building permit for this work. We will expect you to correct this violation on or before April 4, 1997 and a special investigation fee will be added equal to the permit fee. If the permit is not obtained by April 4, 1997, this matter will be turned over to the City Prosecutor for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, Al, /� �6zl� BARRY/RIESCH Building Inspector BR/mh J suB�Ecr PE City of Fridley � 4 Q ,A AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir? � COMMUNITY DEVELOPMENT DIV I PROTECTIVE INSPECTION SEC. / r i i 77 NUMBER REV DATEP AGE OF APPROVED BY i/--n CITY HALL FRIDLEY 55432 612-571-3450 910-F/5 4/2/97 JOB ADDRESS 7500 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 2 1 1 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard King 7500 Van Buren Street NE 783-0704 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 Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install egress window in basement 9 CHANGE OF USE FROM TO STIPULATIONS Window must comply with the State Egress 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 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 $180 $ rJo 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- $21.00 $21.00IF Fire SC $.18 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $42.68 SIGNAT Of COX, RACT ORAUTHO 1 AGENT (DATE) WHEN PROPERL iALIDATED THIS IS YOUR PERMIT �' BL G NSP TATE S. NATURE OF OwNERi OWNE BWJ9011541 iDATEi J Effective l/ 1/97 NEW I ] NEW[ ] CITY OF FRIDLEY ADDN ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name &Address: / r � G�ir U/y��i ��, .�✓F _Tel. # ��' .3 ,--6 ?G �_ 1 chA®cf 11: n ti %SOrJ Contractor: Address: MN LICENSE Tel. # 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER:rPe�s Construction Type: Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ / �— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 -Ft = Ft x $ : $ DATE: APPLICANT: Tela # CITY USE ONLY STIPULATIONS: or Permit Fee $/. G �' Fee Schedule on Reverse Side Fire Surcharge $ • / .001 of Permit Valuation (1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $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 [ l TOTAL $ j° 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 , a: FEES _. $1 to $500. $21 (Minimum Fee is $21 `plus surcharge) $501 to $2,000 $21 for fust $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100;000 $574.75 for'first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1()0;000 $100,001 to $500,000 $887.25. for first $100,000 plus $5.00 foi,'each additional $1,000 or fraction thereof,. to and including $500,000 y i for each ,additional H g $1,000,0 .. 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. M SUBJECT PERMIT City of Fridley7.8 11 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. P CTI E TION SEC. 47AFTY� // AL L 35032 NUMBERREV GATE PAGE OF APPROVED By L 612-571-3450 910-F15 9/16/98 JOB ADDRESS 7500 Van Buren St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 15 2 I Shaffer's Subdivision No. 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard J King 55432 783-0704 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same 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 fo REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (25SQ) Tear -off/ (2SQ) 2nd layer Rxxwinfc 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be the 2nd layer but not the 3rd. 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 80 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 $2,270.00 $1.13 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- $74.75 Fire SC $2.27 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TA TOFEE _lei $78.15 S.GNATU Of N'AACT R QA AUTNOpiZED AGENT IDATEi EN RO VA IDA HIS I R P IT !,!A SP DATE TURE O� OWNE OWNE B iLDEpi iDATEi M NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Effective 1/1/98 Owner Name & Address: ,41 Tel. # 223-01",0Y Contractor: MN LICENSE # Address: 'SOD k-4 ��'C&4 Tel. # 70 3 -0'6 Lf 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/Groun Sq. Ft. OTHER: D �° l 0 Construction Type: %7®®� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: — APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 98.l 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.