PRE 2010 DOCSCity of Fridley, BE
BUILDING PERMIT No 5 3 5
Date:
Owner: Builder
Address .' Address _
L CATIO 71!
D G
No. — _ Street , e Pof
Lot __ Block _.. _ Addition or Sub -Division' ,moi
;1
Corner Lot __ __._ _ _ Inside Lot _ _ .._ _ ___ Setback _ _ Sideyard
Sewer Elevation ____ _ _ _ Foundation Elevation
DESCRIPTION OF BUILDING
TO Aag.
° Front Depth Height Sq. Ft. �;�- Cu. Ft.
Fro t Depth Height _ A Sq. Ft. — Cu. Ft.
r�
Type of Construction Est, " __ To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
OW
'of the city of Fridley.
In consideration of the payment of a fee of $""'"" , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the acpress condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon viol# ' f any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
4
Owner's
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, KMMESOTA
LOCATION OF BUILDING
No. //C�/ Street �Y���IX'�-� �/ G - Part of Lot
Lot/ Block Addition or Subdivision/UW4 1„_,,
Corner Lot Inside Lot Setback ' Side -Yards 5�
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
Type of
To be Completed
DESCRIPTION OF BUILDING
M
Sq. Ft. J 5---7
Ft.
Front Depth Height
Sq. Ft. Cu. Ft. &
17
7 A-A-4� Estimated Cost \.
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 the fac a and repr entatJ
stated in this application are true and correct.
DATE e �0 ` SIGNATURE
(A Schedule of Fee Costs can be found on the Rever S1 e
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 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 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 fireproof garage, warehouse,
factory or grain elevator, or for the erection of any fireproof addition, for
similar occupancy, to any existing building shall be at the rate of $1.25 for
each one thousand cubic feet, classified as t1fireproof" 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 01.00 for
each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any nor -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 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 for 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 $4.00.
City of Fridley
SUBJECT
4
IT NO.
®13950
AT THE TOP OF THE TWINS
BUILDING PERM IT
r
R
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
JOB ADDRESS XAKXRXXXXXmpoximxxxxxXX 101 Ventura
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 5
1 Carlson Summit Manor do. Aud. SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Dalp F. Erickson 2 Fillmore Street N.E. 574-9063
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Samp
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
(�1 E
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMX i
8 DESCRIBE WORK
Construct 1 house 92 0
-a -26-1
.a —IM
9 CHANGE QF USE FROM V wvwwmTO
ng call local utllltiel DIVISION REGARMet* 9W ®INSVJ
mEN
STIPULATIONS MUd ' "' OPEN"i§9
X17 DRiVE�AY
1. Provide City with Coa,d�% f1 d0YgrrLA re capping
2. Remove any existingVfongs, f�11 or debris from former house site before
ail
placing footings
3. Remove existing driveway and restore old curb depression to standard curb
4. Provide verifying survey before capping
5. Provide a hard surface drive SEPERM - PERMITS REQUIRED FOR 11 WIRING
6. Sod front and side yards
HEATING„,.PLUMBI A D
SEWER (Approx. 9' deep in street) A
53' East of M.H® (knv. 849.80)
Wye Elevation 848.90 -
Fop of footing 851°90 (minimum) Water 10' West of sewer service
Driveway Depression Alt. A. 16 r—+--6' X 11.75 258.00 Plus re' moveal and replace
SEPAL* P S R OE TR4GbTPLt�pj HE TING,
VENT) IR D T ��VV GG'��ii
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS N� 01J$jON 4k1
ZONING
S
x`26,768
IM
AUTH Ti�OI IQW� o�}� j�f
U
�<'1072
OR W P B N A FW( 1;0&VVsA ;
ANY Tom@ VERIFY THE #{0Pj"W
5,640
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT:i HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
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
.44-130
17.07
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-
105.63
375.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK M. 41
TOTAL FEE
994.11
LGN PEONTR C ORAUTHo IZ AGENT e� (DATE)
-72
W EN R VALIDATED THIS IS YOUR PERMIT
BLDG )NSP DATE
SIG ATURE OF OWNERIP OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: r/� F/% / C �7 �d J� BUILDER:
Address: q� /q f! L 17 d L Address:
Tel. No.:
No.: Street: N 7—u /7,4
LOT: BLOCK: ADDITION: C Lc , A/ S
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.
DESCRIPTION OF BUILDING
To Be Used As:
ffe �' -' j- Front: -� 0 Depth: -7 -�- Height: ; �-, 1�
Square Feet: /0 Cubic Feet:
'4 /� /� - z. Front: ',? --I_ Depth: 01 � Height:
�Y-6 L�
Estimated Cost: $ Lr d
I®
Square Feet:
Type of Construction: w C C
To Be Completed:
Cubic Feet:
Proposed Driveway Width If New Opening Is Desired
/Altl1A Alt. B
41 $ $
(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 for additional information.
DATE: L �/- 27 SIGNATURE:
Stipulations:
MW AAjV1
r/
• oe
o?,) .-� .
/6 6-e 6
6 . Y/
5-4 Al, /I
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 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 $11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with q®
6 inch depth; Driveway width plus 6 feet x $15.v
30j ! Al_ kWISR10,1%!
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`ease shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge'.
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 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.
i
4
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WALL SECTION - `5�2 �CrlC�►^�iTI_� �+�Ii%/Tt7�a��
NOTE: USE 12% OF OPAQUE WALL AREA FOR
FRAME CONSTRUCTION CONSTRUCTION
FIG. #1.,. PLAN VIEW
FIG. #1 SECTION
FIG` #2 SECTION
FIG. #3 SECTION
PAGE
(R) VALUE
1. Interior air film
0.68
2 • �/2" C yam'.
3 q 44?
• 3' �
5 • N!/?�r�a/Irti
6. Exterior air film
0.17
TOTAL (R)
Exterior air film
IIUII= I /R= . /e3
1. Interior air film
0.68
„u„= 1/R= d�sa
3.
I.
Interior air film
0.68
5. MA:6!erJ1-►r5
6. Exterior air film
0.17
TOTAL (R)
/'►�
"U"=1 / R= . 06,P.,
FIG. #1
5.
COMB. "U"=(.12 X . +(.88
X
1.
Interior air film
, O.68
4.
5.
6.
Exterior air film
0,17
TOTAL (R)
„u„= 1/R= d�sa
I.
Interior air film
0.68
2.
3.
5.
6.
Exterior air film
0.17
TOTAL (R)
47
1. Interior air ,film 0.68
3. Exterior air tm 0.17
T TAL (R) /, s•6,
flU.f =1 /R= . 64
6el
WALL SECTION - 2�/lZ ��r�id
:VOTE; USE 12% OF OPAQUE WALL AREA FOR
FRAME CONSTRUCTION CONSTRUCTION
FIG. #IA- PLAN VIEW
FIG. #lx SECTION
FIG. #3 SECTION
1. Interior air film
2. 112"GY/P go/Jelp
3. 41. F-/ f' 0i0 -ug
4. aA/3Z "u/t��iT/�
5 • �/�c� iiE'i crc
6. Exterior air film
� ��TOTAL
"U"=
U = 1/R=
1. Interior air film
(R)
2. 1/r " t j $,,0! y4,�e7
3 e, -e
5. /3,vi cK
6. Exterior air film
TOTAL
ae j
FIG. #1
COMB. "U"=(.12 X .124
(R)
)+(.88
1, Interior air film
2.
3.
4
5.
6. Exterior air film
TOTAL (R)
"U"= 1 /R= obi
I. Interior air film
2.
3.
4.
5.
6. Exterior air film
TOTAL (R)
if U"=1/R= , ,VZ
usoq • �F
PAGE
(R) VALUE
0.68
0.17
/4.7U
x . ,Og o, ) = ''075,
0.68
/400
I.Jy
C9(s
0,17
//./7
0.68
0.1.7.
A14 •
1. Interior air ilm 0.68
2. Q"Ci Nc,"
3. Exterior air f lm 0,17
TOTAL (R) /, tr4
..U.. =1 /R= , ��
WALL SECTION - Ti�,�if GJ
�f�.��=�7+�= %vim/�
PAGE
NOTE: USE 12% OF OPAQUE WALL AREA
FOR v `f/g2"
FRAME CONSTRUCTION
CONSTRUCTION
(R) VALUE
- -1.
Interior air film
0.68
2 , i �aVR. 0®A il.
. a'
3.
4. Ago e
5.
!o 6. air film rt^jrx-2)
_
TOTAL (R)
7v
FIG, #1 DPLAN VIEW
"U"= 1/R= . //4
s
-
I. Interior air film
0.68
T,2.
2 Y ., G yi;' &Ag.0 q
�1$a
3. yllr It
4.23/31 `" �!/L� f iT/
Z.106
5.
t
fm"*&w- air film i�vrrdt
.G
FIG., #1 SECTION
TOTAL (R)
=
"U"/R= d�'nti
FIG. 1� I
° COMB. "C"=(. 12 X //moi/ )+(.88
X .44s-
I. Interior air film
0.68
ep
3. 21' �'/
---1
6. Z*to4-4," air film r1N7,0-=R
TOTAL (R)
/
�
"U"= 1 /R= , ddv
a "✓
cc
J
1. Interior air film
0,.6.8:
-
2 2.
3 3
q 4. .. Co�/G. eel< .
:b
5.
a 1
b 6. air film /^!f/2c)
TOTAL (R)
�? V7
FIG. �2
SECTION
"U"=1/R= ,40
Use? .4_%
J;vwwor 'v.r
FIG. #3 SECTION
I. Interior air film 0.68
2.
3. Exterior air film 0.17
TOTAL (R)
"U" =1/R=
b
e m: iR @ z ..
FM THRU AFib,
nG #5. Thi 'R .
•.�r.�. Ld...s..4�'i:�l; ° , .rte
3 • 4 %�n o� M `+✓ a .amu ��+ ' oil
i �r....a�.. a .r�
6.Irtsrior alr]e�'�r 0 1
.
1 7t •clog air.. file
0-
3
6. !'terior t1T i'f
TOTALa
"Fi'vt 1/Rw . o4l
, •r' ,'�
#f,
M.
y®r x 04L,4
�Ic .rte
1
2
3
i}
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,171 , All
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
M
NO.
RATE
p,
m
x
$3.00
$ , O®
u
x
$2.00
0
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
x
$5'.00
$
Water Heater - to 99,000 BTU
x
$5.00
sa
m(d
H
124,
Ga
Water Softener
x
Heater
k
m
m
Idm
$5.00
$
Electric Water Heater
,c
a s
3
GAS FITTING FEES:
cmci
x
o
x
ani
$-�
Additional Fixtures
x
W
$
Gas Range to 199,000 BTU
x
$x:0.00
$
REPAIRS $ ALTERATIONS
rtro
$5.00
$
m
o
$2.00
$
y
$ .50
w
to3
A W
m14
NUPC
3
as
lec
r
lst
1
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$ , O®
Future Fixture Opening
x
$2.00
$ ? 60
%=
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5'.00
$
Water Heater - to 99,000 BTU
x
$5.00
$-OC1
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
lst 3 fixtures
x
'$3.00
$-�
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$x:0.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ '33,�
REINSPECTION FEE
($10.00)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. �
OWNER r/l
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD (:!EW)BUILDING PERMIT N0. PERMIT NO.
Company
Signed By.
Tel. No.
ROUGH INSP.
Date
i
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace shell & Duct Work
Replacement of Furnace
Repairs & Alterations -up to $500.00
Reoairs & Alterations each add. $500.00
INfECH.:NICAL WARM AIR:
RATE
TOTAL
$12.00
$
7.00
$
7.00
$
4.00
$
Furnace Shell & Duct Work to 100,000 BTU $12-00 $
each add. 50,000 BTU 4.00 $
Replacement of Furnace 7.00 $_
Repairs S Alterations -up to $500.00 7.00 $
Repairs S Alterations each add. $500.00 4.00 $
STFI04 OR HOT WATER SYSTLM:
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Cees
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley Minn.
OWNER �ifn e
`oiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING /
each add--.. 50,000 BTU
4.00
$
®
,
Boiler only up to 100,000 BTU
7.00
$
USED PS iI �ernic
each addn. 50,000 BTL'
6.00
$
TO BE COMPLETED ABOUT
OIL BUR\ER- to 3 gal. per hour
$10.00
$
® (76each
add. 3 gal, per hour
10.00
$
ESTIMATED COST _ .00
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$ / -U®
OLD - NEW BUILDING PERMIT NO.
PER24IT NO.
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FLES:
1st 3 Pictures x
$ 3.00
$ 3-00
DESCRIPTION
OF FURNACE/BURNER
.Additional Fixtures x
$ 1.00
$10.00
$
$
Gas Range to 199,000 BTU x
HEATING or POWER PLANTS, Stearn,
Hot Water, Warm Air- No. v�9 v7 r
AIR CONDITIONING �1
$
-
Size No. d'6�dd / 0�
FAN HEATING SYSTEMS See Fee Schedule
$
Trade Name
J
VENTILATING SYSTEMS
$
Capacity q.
Ft. ED BTU HP
ALTERATION'S $ REPAIRS- J
$
State Surcharge
$ .50
Total Connected Load
Kind of Fuel
TOTAL FEE
$ ') S.
BURNER - Trade Name
Size No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq. Ft.
EDR BTU HP
Date (.$10.00)
Company
FI.1AL INSP.
Date
,Signed By
9
APPROVAL FOR PERMIT
0
Tel. No.
MI\IMUM FEE FOR ANY HEATING PERMIT IS $7.50
August 1, 1977
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
Mr. Dale Erickson
101 Ventura Avenue N.E.
Fridley, Mn. 55421
Re: Final Inspection at 101 Ventura Avenue N.E.
Dear Mr. Erickson:
A final inspection was made on July 29, 1977 of the above address and
the following items were noted which must be completed before the structure
can be finaled out;
1. Provide house numbers on structure by August 11, 1977.
2. Provide door closer on door to garage by August 11, 1977.
3. Install all exterior light fixtures by August 11, 1977.
4. Provide sod in the front and side yards by October 10, 1977.
5. Provide double headers in basement wall by August 11, 1977.
We will expect the above items to be completed by the scheduled dates
when reinspections will be made to determine compliance. If you have any
questions on these items, please feel free to contact ma at 571-3450.
Sincerely,
RON HOLDEN
Building Inspector
RH/mh
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PER18120
r
COMMUNITY DEVELOPMENT DIV.
r L PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
R EIPT
/,7 y3' s;
NUMBER
910-F15
REV.
DATE
7/19/-85
PAGE OF
i
APPROVED BY
JOB ADDRESS 101 Ventura Avenue N. E.
1 LEGAL
DESCR.
LOT NO.
1
BLOCK
5
TRACT OR ADDITION SEE ATTACHED
Carlson`s. Summit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Leroy Ritner 101 Ventura Avenue N.E. 572-1088
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543
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
Aluminum soffit & Facia
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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
$980
$.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 -
TR CTI R THE PERFORMANCE OF CONSTRUCTION.
$17.50
PLAN CHECK FEE
TOTALFEE
$18.00
SG REOON. CTO 0O AUTHORIZED AGENT (DATE)
PROPERLY V LIDATED THIS IS YOUR PERMIT
)WHEN
/ ! C
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI
BLDG INSP 'ATE
NEW [ ] City of Fridley Effective 4/1/84
ADDN. I R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: f,/ V")0,4
Legal Description:
`X0Ci '1ATel . �7z-/®
Owner Name & Addrests� v
Contractor: Tel. # 7g- Z.v�
Address: -72/6/-- Cf-xi if A'I'D �v/�
u� v s
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width
Height
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
Corner Lot [ ] Inside
Type of Construction:
Lo//t [ ] Ft. Yd. Setback
lC�dl'IJR�iUYI �d/� �- ���
Estimated
Side Yard Setback
Cost: $ ��
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: 7// APPLICANT: -O&L 4km—z Tel. 0
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ $•50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ � /e •oo
STIPULATIONS:
.. -
'BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
Total Valuation Fees
$1.00 to $500.00 $10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
SUBJECT
City of Fridley
o D35
AT THE TOP OF THE TWINSBUILDING
PERMIT
1. `y _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
y
r
7fei
I �
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�
L 612-571-3450
910-F15
3/25/88
JOB ADDRESS 101 Ventura Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
5
Carlson`s Summit Manor North. Addn. SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Leroy Fdther 101 Ventura Avenue NE
572-1088
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
American Remodeling 3700 Annapolis Lane, Plymouth, MN 55447 553-0020
4. ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residentig'al
7 CLASS OF WORK
❑ NEW ❑ ADDITION 1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGEQFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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
$9,000
$4.50
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
PR VI IONS Y OTHER STATE OR LOCAL LAW REGULATING CON-
$74.50
ST R TIO R T PERF MANCE OF CONSTRUCTION.
PAN CHECK FEE:
TOTAL FEE
0 ®?5 s
*REX $79.00
A URE OF CONTRACTOR ORAUTHO ED AGENT IDATEI
.\WHEN PROPERLY V I ATED THIS IS YOUR PERMIT
BLDG INSP
DAT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
MW ul--� City Fridley of Fridl Effective 5/1188
AMN I ] ' R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address:
Legal Description:
Owner Name &Address: � �� �� �r� Q� Tel. #
Contractor: �?eo-�c��� eG�c Tel.
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
EESCJM1ON OF IMPROVEMM
LIVING AREA: Length Width Height S3. Ft.
GMGE ARFA Length Width Height Sg. Ft.
DECK ARTA: Length Width Hgt/Ground Sq. Ft.
DE912.
Corner Lot I ] Inside L I ] /Ft. Yd Setback Side Yard Setbacks
Type of ODnstructicn: 5 Estimated Cost:
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: $_
idth + 6'
DATE:APPLICANT:
CITY USE Y
Pemnit Flee S w �`—
State Surcharge S `%
SAC Charge
Driveway Escrow S
Park Flee 5
Sewer !lain Charge $
TOM
STIFULMIONS:
Alt. A Alt. B
8
See Back Page
Tel. #
Flee Schedule on Reverse Side
5.50/81,000 Valuation
$550 per SAC Unit
Alt. W or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary I ] Not Necessary I ]
7he 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 -wits
TOM VALUE
I FEES
$1 to $500
$15 kinimum Fee is $15 plus surcharge) 00,
$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 $25j000 plus $6.50 for each additional. $1000 or
fraction thereof, to and including $50,000
$50,001 to $100,000
$414.50 for first $50,000 plus $4.50 for each additional $1,000
or fraction thereof, to and including $100,000
$100#001 to $500,000
$ 639.50 for first $100,000 plus $3.50 for each additional. $1,000
or fraction thereof, to and including $500,000
$500,001 to $1,000,000
$2039.50 for the 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
DRIVE DEPRE STUN SCXiw
(Concrete Curb Streets Carly)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6
feet times $13.50.
Alternate "B": Removal acid 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 f rom 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
P�q,
City ®f Fridley
2
AT THE TOP OF THE TWINS
I
BUILDING
PERMIT
r
�J
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
e PROTECTIVE INSPECTION SEC.
�( /
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/17/98
JOB ADDRESS 101 Ventura Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
1
5
Carlson's Summit Manor North Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bashier 101 Ventura Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
American Home Improvement Products 8823 Zealand Ave
N Brooklyn Park, MN 55445
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
315-4516 20090017
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
Replace windows
8 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to comply with the State Building Code - on each
level of house adjacent to sleeping rooms and in each sleeping room.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 ISTALLS
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
$14,449
$7.23
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 O THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK F
OTAL FEE
Lic e C $
0
$251.43
IGNATURE OFC 'RACTOR OR AUTHORIZED AGENT (DATEt48/0G
�—
R
4INSP
Y VAL D.THIS IS YOUR PERM
SIGNATURE OF OWNERoF OWNER BUILDER) IDATEt
DATE
NEW [ ] Effective l/ 1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: :-�I z _1 �,a'Z44k 4&,11"7-
Legal
&1"Legal Description:
Owner Name & Address:_ Tel. #
Contractor: � &SMN LICENSE # c�009001'7
Address: 1. # 3/f' �S 6
LIVING AREA:
GARAGE AREA:
Attach to this application, a Certificate of Survey of B`e
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: >„, Estimated Cost: $ Z_��.
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 7 APPLICANT: Tel. # 3/5 --
CITY
a
Permit Fee
$
Fire Surcharge
$
State Surcharge
$
SAC Charge
$
License Surcharge
$ D
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
CITY USE ONLY
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 [ ]
TOTAL $ e � l -
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL 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.
Su Bj ECT
PE
City of Fridley2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.R��
• ______ COMMUNITY DEVELOPMENT DIV
v PROTECTIVE INSPECTION SEC
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
6/16/97
JOB ADDRESS 101 Ventura Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
5
1 Carlson's Summit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Seetadai Bashier 101 Ventura Avenue NE572-9037
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Hendricks Roofing Co 2521 Jones Pl W B
-881-7274
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20032276
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
X
6 DESCRIBE WORK
Reroof House & Garage 23 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
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
$1,897
$.95
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON-
@@
$74.75
Fire SC $1.90
STRUCTI THE PERF R NCE F CONSTRUCTION
0
PLAN CHECK FEE
TOTAL FEE
(/(y„
4IGNAtIDREOF
License SC $5.00
$82.60
OR AUTHORIZED AGENT & IDA EI
HEN PROPERLY
IDATED THIS IS Y(?UR PERMIT
YRAICTOR
_
a
S-GNATURE OF OWNER pF OWNER BUILDERS IDATEI
BLD NSP
PATE
7NEW [ ] Effective 8/1/95
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: ' I 6i -ru (zip 0�- ®V _
Legal Description: ) a
Owner Name & Address:
Contractor: " m
Address: BLOC -7 2111IG'
LIVING AREA:
GARAGE AREA:
DECD AREA:
OTHER:
NNT 554312337
Tel. # a2 0 -� I
MN LICENSE #0
Tel. # o
►r ttf R
Attac oVt u apl cation, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft. _
Length Width Height Sq. Ft. _
Length Width Hgt/Ground Sq. Ft.
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
-i--` Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
Tel. # C/
CITY USE ONLY
Permit Fee
$ `/. �'
Fee Schedule on Reverse Side
Fire Surcharge
$ 1,90
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.0 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$e
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or .for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,01 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500401 to $1,000,000
FEES
$21 (Minimum Fee is $21 plus siircfiarge)
$2 t. for first $500 plus $2.75 for each additional $100 , or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,00a,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.
-
SUBJECT
City of Fridley
rp
2 7 7 5
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
RECEIPT NO.
1. ______ COMMUNITY DEVELOPMENT DIV.
*° PROTECTIVE INSPECTION SEC.
6®A
r
o I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
1"'
612-571-3450
910-015
9/14/98
JOB ADDRESS 101 Ventura Ave NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 XXX
5 1
Carlson's Summit Manor North Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Bashier Same
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Viking Home Improvement Co 4832 21 St NE Minneapolis
572-1820 4772
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
O NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (23SQ) Txxx Tear -off; Reside (6SQ)
9 CHANGE OF USE FROM TO
STIPULATIONS
Reroof - Underlayment must comply with the State Building Code.
Reside - Call for building wrap inspection before covering.
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
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
$3,771.00
$1.88
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-
$87.25
Fire SC $3.77
STRUQ TION OR THE PERFORMANCE OF CONSTRUCTION.
-lq
PLAN CHECK FEE f
License.
TOTAL F E
$97.90
SIGNA URE OF CONTRACTOR ORAUTMORIZEOAGENT IDATEt
N P0qOPEP1 ALI ATE
BL INSP
IS IS,07R PERMIT
r
r
t7AT
SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI
I.
OF
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: /0",
/ A l%(
Legal Description:
Owner N
Contract
Address:
Effective 1/1/98
MN LICENSE #
Tel. # 72-- (rz®
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width
GARAGE AREA: Length Width
DECK AREA: Length Width
OTHER: .. ,
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
Construction Type:T/ if-�� #- Estimated Cost: $ /� J%91
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
$ 8? -)S-
Fee Schedule on Reverse Side
Fire Surcharge
$ %9
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /,98 - .
$.501$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ S160
$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 [ ]
--;
199.90
STIPULATIONS:
4 \ 0
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.
q y „