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PRE 2010 DOCSCity, of Fridley, Minn. 110. 6431 University Ave. N. E., Wimeaapolis, Minn. 55432 BLTUDING PERMT Date: June 29, 1971 Owner: Nick DeGidio guilder Milton L. Johnson Co. Address __7616 Van Buren N.E. Address 2513 Central N.E. 11 LOCATION OF BUILDING No.. _ 7616 Street — Van Buren N.E. Part of Lot Lot _._----- 1._._._..._ Block 2 ---- Addition or Sub -Division. Sha f f er i s 1 s t Add i t i on Corner Lot _.__._.._.. _ Inside Lot — Setback Sideyard Sewer Elevation Foundation Elevation __.... To be Used as: Alterations Front Depth Height _ _ Sq. Ft. Cu. Ft. Front ._ Depth Height Sq. Ft. Cu. Ft. Type of Construction Alum. Trim Est, Cost 334.00 To be Completed 8/28/71 In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of Ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to Mi 1 t on L. Johnson 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 all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Staid ordinances. �)) CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for these items. APLICATION FOR RESIDENTIAL ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAM: A a`� X be a b g BUILDER: /$"-d- e-?- A k d N(& /Y P e 14' a ADDRESS:- 2.616 41J `J Vt tnJ AJ-&. ADDRESS • ds -(3 ( Aa Ot t . AJ.0 NO:. *7( / 1, STREET: V - end A <,-,-J AJ � ' LOT: BLOCK: ADDITION• CORNER LOT: INSIDE LOT:A SETBACK: SIDEYARD: 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:_ -vvx If- Front: Depth: Height: Square Feet: Cubic Feet: Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction: 6L) /Vk ( e Estimated Cost:_ $77 �� e To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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. 9 DATE:- ` 24- -7 S SIGNATURE (See Reverse Side For Additional Information.) L=2- 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 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 INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average.* height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be 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 Odcupancy has been issued. SUBJECT T NO. City of Fridley 24852 AT THE TOP OF THE TWINS BUILDING PERMI RECEIPT N_ ' � COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I � ®� I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 1/10/97 JOB ADDRESS 7616 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 1 Shaffer's 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carolyn Kaden 7616 Van Buren Street NE 786-4955 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co Inc 9060 Zachary Ln N #108 Maple Grove MN 55369-4083 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 425-4737 2535 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Dwelling 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION % REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside Welling 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $5,800 $2.90 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 $112.25 Fire SC $5.80 PLAN CHECK FEE TOTALFEE License SC $5.00 1 $125.95 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT S.GNATUREOF OWNERIIF OWNER BUILDERI IDATEI BLDj9 INSP DATE r NEW [ ] Effective 3/1/96 ADDN [ j CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 fo + Building Permit Application l j1 . ConstructionAddress: Legal Description: `. Owner Name &Address: Tel. #i�q9,.� i� Contractor: ZieTIl1T CITY EXTERIORS Co., INC. MN LICENSE # 2535 Address: 9060 ZACHARY LANE N #108 MAPLE GROVE, M -55369-4083 Tel. # 425-4737 Attach to this application, a Certificate of Survey of the 1 . lot, with the proposed ccnstruc.tion drawn on it to scale. it DESCRIPTION OF IMPROVEMENT ?! LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot (] Inside Lot [ ] Ft. Yd Setback Side Yard Setbac Type of Construction: '4�;S®D Estimated Cost: $ Approx. Completion Date: (Cost: on Back) Driveway Curb Cut Width Needed: Ft.. + 6.Ft = Ft $ _ $ DATE: APPLICANT: - Tel. # CITY USE ONLY' Permit Fee $ `Fee Schedule on Reverse Side Fire Surcharge $_ .001 of Permit Valuation (1/10th%) State Surcharge $ 9® $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ �® g �®�_ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee " $ Sewer Main Charge TOTAL STIPULATIONS: � ©/G 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 • t. $100,001 to $500,000 $887.25 for. first $100,000 plus $5.00 for each additionalfi ;h $1,000 or fraction thereof, to and including $500,000 • . iz �' $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. ; �.�1s t.1tt1tITP 11 SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i NUMBER REV DATE PAGE OF APPROVED BY = '"'t CITY HALL FRIDLEY 55432 �'' '�'� 612-571-3450 910415 11 / 6 / 9 7 JOB ADDRESS 7616 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 2 Shaffer's 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carolyn Kaden 7616 Van Buren Street NE 786-4955 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (15 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 $1,251 $.63 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAYITEE 44.88 NATURE OF C NTRACTOR OR U WORIZE AGENT IDATEI f WKEN P OP BIOG NSP FALIDATED *!p IS Y U PERMIT GATE 3NATURE OF OW % ItFOWNER BUI DERI (DATEI 11 NEW [ ] Effective 1/1/97 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 °� BUILDING PERMIT APPLICATION "s ConstructionAddress: ' ] , J (o \/A N1 Ex) 2.F 0 S -T Legal Description: `7 B i ock Q h at krs A(tu Owner Name & Address:(2QR(7L-ytj }-p,<-K) FP,�QLF- Tel # 734o— 3�� Contractor: FR D Quyid R&a-h qca --- 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 EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. OTHER: ose- -TePcR-®Fd= Construction Type: Estimated Cost:1 � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: j --)S R APPLICANT: 0A1. Tel. #796— 7 5-� Permit Fee $ '''�, oo Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 BUILDING Permit No.: ' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge S .001 times the total job valuation CITY OF FRIDLEY DAM: 763-502-4977 FAX License Surcharge $ EFFECTIVE 5-19-09 SAC Charge DATER E-MAIL ADDRESS Curb Cut Escrow SITE ADDRESS : Erosion Control THIS APPLICANT IS: ❑ OWNER NTRACTOR Park Fee PROPERTY OWNER/ NAME: Sewer Main Charge TENANT Agreement necessary ( ) Non Necessary ( ) Total Due $ ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: " SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY ' _Cit STA ZI INSURANCE PHONE FAX PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE e� ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH-B-RbOF ❑ DRAIN TILE ❑ DECK 20 grDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR 1EMODELING DESCRIBE WORK BEING DONE: 9 C'- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 'HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ')� ❑ ATTACHED GARAGE 2. Proposed floor PROPOSED SIZE: )'DETACHED GARAGE plan 3. List of structural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, inyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 11 Other °Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEESARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ,I TOTAL JOB VALUATION $ LASING 1997 U.B.0 FEE SCHEDULE) S OCCUPANCY TYPE Permit Fee $ 2S 15- ` See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ J , .001 times the total job valuation Surcharge $ ? .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks uavable to: Citv of Fridlev Attach Stiuulations 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 on site; that the work will be in co ance with the approved plan in the case of all work w ich requires review and approval of plans. SIGNATURE OF APPLICA PRINT NAME � DATE Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1" $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I" $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the V $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977