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PRE 2010 DOCSFront •'' D To be used as—L i Street Pari of Lot Block Addition or Sub -Division 4- DESCRIPTION OF BUILDING Eh ,�Z Height -//7 stories_ Manner of Construction To completed Estimated CostrA—L-•� nL CA !% Permit is here tedfor g.;Y to L the buildin 9 n described in the above ' statement. This permit is granted upon the express edition that the rson to whom it is ,granted, and. his agents, employees and workmen, in all the work done in, around 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 to, and this permit may be revoked at any time upon violation of any of the .provisions of said ordinances. Inspector of .buildings. F. , AGREEMENT' AND SWORN- STATEMENT In conside iation of the issue and delivery to lice by the Inspector of Buildings of Fridley of the above pe t, I hereby agree to do the proposed 'work ; in accordance with the description above set fo and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein `Stated. f Subscribed d sworn to before me at Friedley, Mnnesota, this — day Of .D. 19 5 ffjjf, I �z SUBJECT PERMIT City of Fridley 12142 AT THE TOP OF THE TWINS BUILDING PERMIT r � R EIPT NO. L COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 A"f ".j 612-560-3450 910-F15 5/25/73 JOB ADDRESS 7528 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 2 Shaffer Subdivision No. 1 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Douglas Frye 7528 Van Buren Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. L. G. Hanks Construction 11520 Dakotah Street N W Anoka 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW [X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 23' x 14' Addition to Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS SEPMTE PERU TS REQU9RED FOR MAINGII, HEATING, PWM-MING AND SONS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 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. $7200.00 3.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 26.00 S ON OR THE ERFORMA CA�QFCON'STRUCTION. vu PLAN CHECK FEE TOTAL FEE 2�—�� $29.60 SIGNATURE OFC TRACTOR OR AUTHORIZED ENT (DATE) ` WHEN PROPE LIDATED THIS IS YOUR PERMIT r g SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DATE v APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_ )Q iSKat,. � Sla-E BUILDIIt: L -G, � 1y,% CC �SZQ, ADDRESS : V52- �ty������°o N.S.DDRESS : t %2© NO:. STREET: LOT:BLOCK:Z ADDITION:S'1Pe�'V.2.���O��tIS��� �V®s CORNER LOT: INSIDE LOT° SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Sur`rey of Lot and proposed building location drawn on these Certificates® DESCRIPTION OF BUILDING To Be Used As; Front :,�j Depth: �41 Height r Square Feet: Cubic Feet: Front: Depth: Height: Square Feet, Cubic Feet: Type of Construction: To Be Completed: Estimated Cost. -)Q)$ rNzQ 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; SIGNATURE.° (See Reverse Side For Additional r 0 —P 4 F—P --f\ Information.) 9 BUILDING PERMIT k�EE 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: , UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2015 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMIATION For the purpose of computing fees for building permits, the cubical contents of an7 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 $5.00; VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum, of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified 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. 9. Scu.g. t tNcm---5q—vzgT LER® Y H. WINNERA32/40 -- .Lf 9"A" Roubtared URdw Laws of State of winmosoft ROUTE NO. 4 0 ANOKA. MINN. PHONE HARRISON 1-118ff CERTIFICATE OF SURVEY OF PROPERTY OF Douglas Frye DESCRIBED AS FOLLOWS South line of Lot 139 Block 2, Shaffer's Subdivision No. 1, Anoka County, Minnesota. K110. 12 % a. 1%, i- 11 22 A wa GAR. 13 183A2 PLAT 183.82 MEAS. ill 9 60.5 66 r; R 66 CERTIFICATE OF LOCATION Of: BUILDING I hereby corft that an 1 mods a SWVW of the kxa*m of L Wdi.9(4 on the above descrUnd property and fbat Oft low of said baUdhno b ceffedly sbawo on We above p1d. 41 LAJO SURVOM MG. K0. 4987 MECHANIC_"L +SAP:: f1IR: Phe -ndersigned hereby makes application for a permit for the work herein ^;mace Sher & Duct Work to 100,000 BTU $12.00 �c„ a ys a, -4D each add. 5ri,000 3TU 0L1 _N7La-:;o REFRIGERATION AND $ ,1,,-P1'-TCA . _.. La .,`aa...�_� $_ L(2 ..f , Recairs -F, Alterations -up to $500.00 7,G0 $ � (� /3 S' STE-.'i3 AND J E V 1 C E: S SY �,:RI Ai! RUE 4CH,'M a m Tyr, uy Sir:r',i OP HO' .Til•. S_ ITEM: OWNER - $12.00 ° KIND OF BUILDING each adds. 50,000 BTU 4.30 GRAVITY WAR -\M A` R: :: evil �r only ?. to i�,n, 0100 .:ICT. Ci, Job Address ) USED AS Furnace Shell & i -act Mork 712. co $ k Rep13CE?^e7Yt of I''urT.2 C(_' ' • G� $ $10.00 $ n.?aairs 3 Alterations -up '.o $500.00 7.00 $ ESTITMATED COST io Department of Buildings Ropairs & alterari::is each add. 1':00.00 4.00 $ �' � n --�'�•�`0 City of Fridley of Fridley V NG rI PERMIT NO. OLD ,3'vJ BUILDING PE.uS_T NO. !Deer 139,999 4T!; see Fee Schedule) $ Tel. MECHANIC_"L +SAP:: f1IR: Phe -ndersigned hereby makes application for a permit for the work herein ^;mace Sher & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Cordes.. each add. 5ri,000 3TU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the *Replace gent o£ Furnace 7.00 $_ L(2 facts and represent -.'tions stated in this application are true and correc•c. Recairs -F, Alterations -up to $500.00 7,G0 $ � (� /3 Repairs & Alterai- ons each add. 4500.00 4.130 SY Fridley, Minn. ! ® 19 �d a m Tyr, uy Sir:r',i OP HO' .Til•. S_ ITEM: OWNER Boiler & Lues up to 100,000 BTT1 $12.00 ° KIND OF BUILDING each adds. 50,000 BTU 4.30 $ ir , evil �r only ?. to i�,n, 0100 .:ICT. Ci, $ USED AS eac'i addia. 50,000 BTL' •_.00 $ 3'O BE COLLETED ABOUT - OIL BURNER- to 3 gal. per hour $10.00 $ each add. _ gal. per ho:,.. 10.00 $ ESTITMATED COST io GAS $URXER- ro- J ' °99 BT 100, CO :3;:;T to 19.,,, L' �' � n --�'�•�`0 iv.�U V NG rI PERMIT NO. OLD ,3'vJ BUILDING PE.uS_T NO. !Deer 139,999 4T!; see Fee Schedule) $ (77 A S F T_- e 'X. C. _ FEES: 1'r Lst�3 ix t': res x $ 3. 0 $ v O DESCRIPTION OF FUR'QACE/BU?�l..c R Fix`uires :- v ^� ._.�,.? a $ Gas R-;nge- i:o 199,000 BTU x $-v. 00 _ FirATPNG or POWER PLANTS, Steam, F`ot Water, tiarn Air No. AIR CONDITION— 'G FAVI EATIN�iG Trade Name Sine No. � 2 „1.0(34 i ( SLY-sE�iS Se.. Fee Schedule $` Capacity Sq. Ft. EDR BTU HP ALTS "�TTr ; ..; '1 TPS S � -,ate. Surcharge Total Connected Load / Z$` Kine', of Fuel ,. CTRL Z' -'E $�pLI.J.� �. BUFNER - Trade Name Size No. OUCH INSP• � REINSPECTION Capacity Sq. Ft. EDI � BTU HP Date "$10-M FIND:: IiSP. Company D .Ci:l.g:led Ey. -JJ'_ N 2vu�IUM FEE FOR ACa_' 1- 1S $7.-. P-' 5 0 ST ATE `Attached stat'r SUBJECT PERMIT NO. _ City of Fridley o 658 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r R ° °I tet,: ------COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/13/84 JOB ADDRESS 7528 Van Buren St. N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 2 Shaffer'a Sub.#1 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Douglas L. Frye 7528 Van Buren St. N.E. Fridley 55432 786-4067 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 9 CHANGE OF USE FROM TO STIPULATIONS Roof Can be second but not third. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood. Frame 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $350.00 $.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 IG NATUREOF R THORIZED AGENT (DAT 1 cre) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT :'NTACTORR BLDG INSP SATE SIGNATURE OF ER'IF OWNER BUILDERI ID TEI NEW ADDN. [ ] [ ] City of Fridley Effective 4/1/84 �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: -� J p't,) a� • �'�`��� ���� .Legal Desoription: Owner Name & Address., ® ��' � � 3 Fo\e- P& Roove , Tel. # Contractor: /� ®, �3��z ou -c- r Tel. # - Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length _� Width Height Sq. Ft. DECK AREA: Le Tth Width Hgt/Ground Sq. Ft. OTHER: -� � Ofz Cam e Crn Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard SetbAck ®® Type of Construction: "J��� L- "� Estimated Cost: a�® Approx. Completion Date:�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation l DATE: ArtLI CANT: Tel. # T16G-46G? � CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: 1= .I Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit ' 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 Valuation Fees ' $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to 01000.00 $10.00 for the first $500 plus $1.50 for each - additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50000.00 $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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO Be INSTAI I Fn nN FAr.N P nnA Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS^Z ��' �► S ( . /%� /^ New Fixtures ,3 $ 7.00 �% The undersigned hereby makes application for a perm it for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work In strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated In this application are true and correct. Catch Basin $ 7.00 Rain Water Leader Sump/Receiving Tank $7.00'1996 of s ¢ VV $ 7,00 Water Treating Appliance $10.00 Owner ` p l / 4 Water Heater —Electric Water Heater $7.00/ ,� A/- — Gas** $10.00 Building Used As -e- .-5- k Gas Range** $10.00`— Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY C) '�' r✓ Reinspection Fee $42.00/Hr SIGNED BY -/.7<"L N0, ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance dl� Approved By Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ jy PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT City of Fridle <mo AT THE TOP OF THE TWINSy BUILDING PERMIT r �• RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV ~ r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/7/96 JOB ADDRESS 7528 Van Buren Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cathy Knoll Fernandez 7528 Van Buren Street NE 780-8161 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sams 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 ElALTERATION ❑ REPAIR LlMOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 456 sf Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING 800111 digging call for all utility locations SWARRTE PERMITS REQUIRE REQUIRED 454-W02 BY HEATING PLUMBING LAW AND sIGNS, 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $20,000 $1.0.00 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- Fire SC $20.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $287.25 PLAN CHECK FEE TOTAL FEE $317.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI N PROPE VALIDATED THIS IS YOUR PERM 11 Ao z - 7— SIGNATURE OF OWNER dF OWNER BUILDER) IDATEI -1 BL G INSP PATE NEW C ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 7Si2 b V Legal Description: 5o,,, -r4 L v- 1 Effective 3/1/96 A y S'O l v s _C s Owner Name & Address: C A v u /l r r=te P q -e Tel. # Contractor: 0 tv, -e MN LICENSE # Address: C d,,. 4 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Z/f LIVING AREA: Length Width /0 Height ! Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 0 O D Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: STIPULATIONS: CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ l®, O d $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] TOTAL $ l7- S 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 $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. CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES fr ire �� JOB ADDRESS 7.5— Z 9' VD S RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent— Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ ,199,6 OWNER � 0 h Gas Range $ 10.00 $� BUILDING USED K -' S AS Gas Dryer10 0 $ 0 ' $ ESTIMATED 1,196 S *Air Conditioning — All Sizes $ 25.00 $ COST PERMIT N0. All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER 1% of Value of Appliance or Work % A'&�70_ A $4 ✓�' No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Commerclal/Industrial Size No, BTU HP 1.25% of Value of Appliance or Work $ EDR Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. TOTAL FEE BTU HP EDR 9V11NIMUM FEE FOR ANY EAT N ICOOLINGLI/ENTILATION HEATING COMPANY REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By/—& Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes( 4- No ( ) 2. Is free from rust or deterioration Yes (X No ( ) 3. Has no foreign objects lodged within Yes (*No ( ) 4. Is securely supported Yes ('�- No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (Y No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: C2 ca HEATING CO: Signed By: Date: SUBJECTMIT NO-----, City of Fridley m 2 6 3 5 3 AT THE TOP OF THE TWINS BUILDING P I T r .., AEC 1 6 � 1 COMMUNITY DEVELOPMENT DIV. tr ______ -I PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/25/98 JOB ADDRESS 7528 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Knoll 7528 Van Buren Street NE 780-8161 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside West side of House; Side Garage; Replace Window (SOME STORM DAMAGE) Reroof House & Garage (28 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Call for inspection of building wrap before covering. Underlayment must comply with the State Building Code. REFUND $31.50 OVERCHARGE. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1STALLS 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 $4,135 $2.07 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- $99,75 Fire SC $4.14 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. _ PLAN CHECK FEE TOTAL FEE %e- $105.96 IGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATEI 9PPROP WHEN DG INSP Y VALIDATED THIS IS YOPR PERMIT DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATION ConstructionAddress: l S—Z e"11 Legal Description: Owner Name & Address: d Z61 1 S Tel. # % S0 Contractor: d c -t'-) 'e MN LICENSE # Address: , 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 Sq. Ft. GARAGE AREA: Length DECK AREA: Length OTHER: pL Construction Typ Driveway Curb Cut Width Needed: Width Height Sq. Ft. Ft. + 6 Ft = Ft x $ 39 DATE: APPLICANT: Tel. #� ' 8"l / Y USE ONLY 1 =—' Permit Fe % ° 4"0 Fire Surcharge $ A - l (l State Surcharge $r y7 SAC Charge $ License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $. TOTAL $ ' STIPULATIONS: 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. Building PLUMBING PermitNo.: t? UAV -61 to 7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date DATE YOUR &MAIL ADDRESS SITE ADDRESS - K IF - THIS APPLICANT IS: 0 OWNER PC ONTRACTOR PROPERTY NAME: Le.K`oe.r c tRAJ OWNER/ ADDRESS: CITY B V 1 r STA G TENANT PHONE. CONTRACTOR NAME: C, OP9 _(3—P; pie; SUBMIT A COPY OF STATE LICENSE #_�° ---ATE YOUR STATE ADDRESS: `4610 CITY STATE ZIP LICENSE WITH PHONE Zagalf, MM 56 3.1339 APPLICATION PERIVIIT TYPE SINGLE FAMILY E3 TWO FAMILY O TOWNHOUSE 3 TYPE OF WORK: O NEW teREPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for th improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of r ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDIC TE TOTAL NUMBER OF EACH BELOW) BATH SIN]VI AV " FLOOR DRAINS .—SHOWER •_,WATER PIPING WATER SO ($35) _ _ BATHTUB _ GAS PIPING (Am caPL ) _ SWIMMING POOL _ WATER CLOSET .($15) _BACKFLOW _ CLOTHES WASHER _KITCHEN SINK DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATIO OTHER WATER METER _ _ PERNIlT FEE PROJECTS FOR UNDER $500 PERMU FEE FOR PROJECTS VER $500. Permit Fee $ �.� Number of fixhues @ $10.00 x $10.00 = Surcharge .50 Number of fixtures @ $15.00 x $15.00 = TOTAL DUE $ Number of fixhues @ $35.00 x $35.00 = State Surcharge = _`50 Total = THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I bereby apply for a building permit and I acknowledge that the infomlation above is complete and accurate; that the wox k will be in is conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that Iunder stand this the 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 accordm ice with approved plan in the case of all work whi re review and approval of plans. )"'l Ne( DATE SIGNATURE OF APPLICANT ;t `` w=+'� �'T NAME PLEASE NOTE: SEPARATE U IED FOR WELDING, ELECTRICAL .AND MECHANICAL ORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 V A v. 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