Loading...
PRE 2010 DOCSDate: Owner: _- Address City of Fridley, Minn. L N° q 692 Builder ,e-�:#=� Address LOCATION ZF BUILDING No. L Street -44d of _ __ Part of 14-t4f 7 Lot ._..,�._.:..__� B� 1 Addition or Sub -Division _..._..�..�.>-- e Corner Lot Lot .—.— Setback._'_.—_ _ _ Sid rd --- Sewer Elevation _ _ _ _ _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING Toy �e Used x Front Depth 49 - Height 1,� � — Sq. Ft. / Cu. Ft. _ . Front Depth _ _ H ght ' Sq. Ft. _.._ Cu. Ft. _ Type of Construciio f . Est. Cost a�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 ordinances of the city of Fridley. In consideration of the payment of a fee of $:9,_" _ , permit is hereby granted to..._. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. -.-1 o► 1--N .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 hems. g APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner ` s 0 Address Address LiYw1 No. S"k b I LOCATION. OF BUILDING Lot Blocks / , Addition Corner Lot side Lot SetbackSide-Yard of Lot or subdivision'r7�� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: C S -.f ti Front Dept1k. Height Sq. Ft. Cu. Ft. FrontDepth. Height sq. Ft. Cu Ft. Type of Construction Estimated Cost To be Completed -„�- The undersigned hereby makes application for -a permit for the work herein specified,' agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE I/ - 6 ` (, � _ SIGNATURE ' A) rf"� (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repair's,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•-wito 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. ROUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. ninety Cents 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 con- tents 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 room surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. in no case shall the fee charged for any permit as set forth -in Section 2 be l9ss t' Z $4.00. City of Fridley, BUILDING PERMIT N® (5:9:60 Date: -:r _ _JonI Owner: _�r^ Builder _-.. Address — Address �1TI OFAMIL NG No.= Street art of t Lot __ , Block ____ _ _ _Addition or Sub -i on Corner Lot Inside Lot Ifetback SMcieyard Sewer Elevation ___ ____ _ __ Fo dation Elevation _ DESCRIPTION OF BUILDING T Ud ; :,�.:_ Front Depth Height �`, Sq. Ft. Cu. _ Front �tDepth Height Sq. Ft. Cu. Ft. Type of Con struction 3 , . Fst. 4srt 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 ordinances of the city of Fridley. In consideration of the payment of a fee of $4L ' ., pe wit -is hereby granted to W,. 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 within the city limits and this permit may be revoked at any time upon violatiozf any of the provisions of said ordinances. ,--% _V/7 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 hems. APPLICATION FOR BUILDING PEST CITY OF FRIDLEY, MINNESOTA Owner's Name E Z (% S.s e ad Builderj�® � ,� �r , F � Q �o a c� tea , N w Address !;- frJ- y,,,e r o! Address 2,0Py- d-14, LOCATION OF BUILDING No. r, Street v,- dy t. r ® jo z r Part of Lot _....._..�..,.� Lot / Block 4�- Addition or Subdivisi ' , Corner Lot Inside Lot Setback Side- and SEWER ELEVATION FOUNDATION ELEVATION, Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Front Depth Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. as Type of Construction PK a Estimated Cost Reln n To be Completed & 6 SP 1 _ 1 - The The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct.. (A Schedule of Fee Costs can be found on the Reverse Side.) 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 firs -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. 2.20 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 "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraQtion 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. Appticartim for Rawer Plants and. Heading. Cooling. VenfiWae..Refngendion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR y� Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $_L each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace .............................. §.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE T TAL 1st 3 Fixtures x $1.50 $ �C Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ _ ALTERATIONS & REPAIRS TOTAL FEE $ ° S ROUGH FINAL Dept. of Bl gg.�ss.. �Ph{gone SII. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Used as e '� To be completed about Estimated Cost, $ ------- Old—New. Building Permit No. No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, o ;�' No Cv_L''Q_ Trade Name Size Capacity. Sq. Ft. E.D.R A�� Od ® BTU H.P. Total Connected Load —i6IR Kind of Fuel 45:�_a'ev BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R _ BTU H.P. (REMARKS -OVER) Jaz 2M 7-39 Business Phone No W� - RM, /M 11 40 City of Fridley AppCcation for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures m aa' (�90 F N WATER HTR. GAS ELEc Base f 1st 2nd 3rd 4th Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ �, o Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ O New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$� / � TOTAL FEE $ v-1_ Dept. of Bldgs. Phone SU City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do 411 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. / 12 % Fridley, Minn- G �'�e 19,6e Kind of Used as To be completed about Estimated Cost, $ Old—New. Building Permit Sign , By �✓ Business Phone No ROUGH FINAL °11, 3- I%. (' -Z-- City sof Fridley, i,w: ? 7545 BUILDING PERMIT Date: May25, 1965 Owner: Mr. Russell Everson Builder Western Construction Go. Address -5901 Tram1on Ai. Address©17I,3�,].da18 Avenue SOS LOCATION OF BUILDING No. 5801 Street Washington St • N. E• --- — Part of Lot Lot IQ –Block - 1 Addition or Sub -Division Tmdala Bpi l dogra M . Ado _ Corner Lot _ Inside Lot Setback __ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Garage Est. Cost 91,300.00 To be Completed Storm Repair Damage Rebuild Garage 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. �a In consideration of the payment of a fee of $ lO_'00 , permit is hereby granted to Western Const. 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: 'tide pormb does net mover the constrnmdon, knuMen for wldn& plumbing, gas bwflng, sewer or water. Be sora to we the gaming Inspector for separate p mutts for these hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Cerner to Name MR. RUSSELL EVERSON BuilderE TERN CONSTRUCTION COMPANY.-- Address OMPANY_ Address 5801 WASHINGTON AVENUE N. E. Address 3017 LYNDALE AVENUE_ SOUT,H_, TA -5-2828 LOCATION OF BUILDING No. 5801 Street i AS]gINGTON AVENUE N.E. Part of Loo - Lot Block / Addition or Subdivision Corner Lot XXXX Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: REBUILD DESTROYED GARAGE wont 20 Depth_ 22 Height 7T Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction---INDAR SHAKES Estimated Cost $1,500.00 To be Completed JULY The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � v DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) -.10 sto 1UtWiyzDi pWlt It 1l�i) 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 =caner 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 $1025 for each one thousandcubic feet, classified as -"fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4.. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents 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 Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone 560-3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures yy C1 .� 3 � � $ y� $ x $3.25 Y�c aye c Z � 2 O � s $2.00 � U' Z �O • F • N WATER HTR. GAS ELEC. Base 3.00 1st 2nd 3rd 4th * Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ........................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: NO 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. install (1) gas grill REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ X $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ s $2.00 $ RATE TOTAL x $2.00 $ 2.00 x$.75 $ x $5.00 $ 3.00 City of Fridley: 53-84-5915.51 The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn -July 2 r 1970 , 19_ Owner Russell Evenson Kind of Building f rattle Used as residence To be completed about J$1y b, 1970 Estimated Cost, $ 10®00 01(P—C Building Permit No Permit No. ROUGH ®LIQ . GAS. C. FINAL I J G Description ................................................$ TOTAL FEE $ 5000 42 SUBJECT P O. City of F7idleyi285 AT THE TOP OF TIE TWINS BUILDING PERMIT CEIPT NO. COMMUNITY DEVELOPMENT DIV. c� r PROTECTIVEINSPECTION SEC. � 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL °RIDLEY 55432 J 612-560-3450 910-F15 1/29/75 JOB ADDRESS 5801 Wash' gton Street N.E. 1 LEGALLOT NO. BLO¢K TRACT OR ADDITION SEE ATTACHED DESCR. 10 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russel N. Evenson 5801 Washington Street N.E. Fridley 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 XJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish WiffURNK Basement 9 CHANGE OF USE FROM TO STIPULATIONS Basement not to be used for any bedrooms SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, $750.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $6.50 SIGNATURE OF CONTRACTOR OR AUTI-19BIZED AGENT (DATE) WHEN P OP LIDATED THIS IS YOUR PERMIT s BLDG INSP DATE "� SIGNATURE OFOWNER IIF OWNER—BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA oWNER's NAME: Russel N. Evenson BUILDER: SAME ADDRESS• 5801 N.E. Washington Street ADDRESS: No•. 5801 STREET: N.E. Washington Street LOT: 10 BLOCK• 1 ADDITION Lyndale Builders 7th Addition CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: finish basement DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Wood Estimated Cost: $ 750.00 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: 1,2 7 $ SIGNATURE: (See Reverse Side For Additional Information.) -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:r 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 permj.t has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 53-81i-9915051 CITY OF FRIDLEY APPLICATION FOR PLUMB INt AND 6AS FITTING PERMIT PARTIAL RATE•SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N'a.-ber Fixtures x $3.00 u Future Fixture Opening k N $ Water x $2.00 $ Catch Basin x $5.00 $ • x ° $ 100;000 BTU to 199,000 BTU �pWi � tp Water Softener Heater rJ,•j L New Ground Run Old Building aa .. E N $ E 6 $4 $ N ro u i x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ Lao U� m v m ci n S a w y w UwaT 0 o 3as lec 1st tad 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE•SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N'a.-ber Fixtures x $3.00 $ Future Fixture Opening X $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 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: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ Lao REINSPECTION FEE ($]0.00) Job Address 5801 INE -W SHINGTON ? 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 corre: Fridley, Mn. 11-11-76 f 19 OWNER ruFsell EVENSON KIND OF BUILDING FRUE USED AS R_S. TO BE COMPLETED ABOUT 11-18-76 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company ✓ �'�cg ri _ Signed By Tel. No. ROUGH INSP. Date FINAL INSP. L —'-2 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 HOUSE HEATING TEST RECORD ADDRESS 5801 NE. Washi it St _ F'r, c�1� FLOOR CITY SUBURB Fridley OCCUPANT Russell Evens®D OWNER HEAT LOSS _DATE HTG. INST. SOLD BY Minnegasc0 Electrical Work By TYPE OF HEAT GA FA HW STEAM —INSTALLED BY s�s� —Gas Line By SPACE HTR. .X UNIT HTR. OTHER GAS DESIGN MAKE Warm Morning MAKE OF BURNER _ Model V-30— MA Model Serial ri/ 3 3 !0 Max. BTU Rating INPUT -30M MAKE OF FURNACE Model CONVERSION CONTROLS A 1 y THERMOSTAT —�'� Heat Plug Vent Size Valve L1e �� KIND OF LINER SIZE NONE — Limit Draft Hood Regularor Limit Setting Filters Size Number Fan Setting o Chimney Location Inside Outside Pilot Type �ID Chimney Construction M O Pilot Make Pilot Model Pilot Timing L.W. Cut Off Pressure— —Percent CO2 Input CFH 3 a � Percent 02 Stack Temp. Percent CO Form 235 Smoke Bomb Wiring Draft Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester a CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,000 BTU .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Boiler & Lines up to 100,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $_ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 5.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ AIR CONDITIONING s. I FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS ALTERATIONS $ REPAIRS -9 47" Q 6 f � yc' $$ State Surcharge $ .50 ' TOTAL FEE $ ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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, Minn. l9_/_o OWNER / 1� KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO. ag=-L DESCRIPTION OF FURNACE/B R HEATING or POWER PLANTS, Steam, Hot Wate , Warm Air- I Trade Name �� Size No. CapacitySq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No, Capacity Sq. Ft. EDR BTU HP 3ub' urban Alf 3—nd 1IonIO Company 8419 Centev Drive . Minn appalls M1r eSOta, 5543 Signed By Tel. No. 97-83492 416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING ARID GAS FITTING PERMIT PARTIAL RATE SCHEDULE m RATE TOTAL a m $ Fut,=e Fa -,:.ire Opening x $2.00 o New Fixture, Old Opening x $2.00 d Catch Basin water $ a m $ 100,000 B.J to 199,000 BTU x $10.00 w c N A New Ground Rin Old Building ro $, w w x $5.00 $ Heater -•� c r_ x $3.00 C to E •a ro .Y w a H ov N 4 C -+ 0 v o c ti First $100.00 14 u $ each add. $100.00 or fraction. $2.00 O U C ..� i C'1 C N •.i O O 7 41 r. cn B o w vi w U M, d s 0, t o as lec 1st nd 3r3 s 4t:, Ll ctare Connection Opening Connected with Sewer L3(INew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Fixtures x $3.00 $ Fut,=e Fa -,:.ire Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ :cater eater - to 99,000 BTU x $5.00 $ 100,000 B.J to 199,000 BTU x $10.00 $ Suter Softener x $7.00 $ New Ground Rin 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 $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction. $2.00 $ �- State Surcharge $ .50 TOTAL FEE $ 10.50 REINSPECTION FEE ($10.00) Job Address 5801 NE Washington Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby wakes 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 Departr!ent of Buildings, and hereby declares t;.at-all the facts and representations stated in this application arc true and correct Fridley, Mn. 12-1-00 , 19 OWNER EVenson KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 12-8-8o ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. f� Company 'a 4k� Signed By Mtaif?SCACC,, Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SUpMMRGE SUBJECT PERMIT NO City ®i Fridley 1752 AT THE TOP OF THE TWINS BUILDING PERMIT _ r d tCOMMUNITY DEVELOPMENT DIV. L�___�_ r -I PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/4/84 JOB ADDRESS 5801 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 ] Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Russell Evenson 5801 Washington Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. George B. Johnson Construction 411 - 70th Avenue North, Br. Cntr. 566-2351 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling nd Garage 9 CHANGE QF USE FROM TO STIPULATIONS 12,00£ can be the 2nd layer but not 3rd. Install ridged galvanized valleys where necessary. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Fiberglass 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,334 $.67 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 ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23.50 Y S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT$A23FEE .17 641y WHEN PROPERLY (DATED THIS IS YOUR PERMIT/ i # e ( I /I . SIGNATURE OF 601.1FACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE! LDG )NSP D E NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addri City of Fridley Effective 4/1/84 R-1 AND R-2 Building Permit Application Legal Description: - - t:fL-4'-- f � Owner Name &Address: s � L � Tel. #J a % , A- I Contractor Address Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ j Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ - See Back Page for Explanation DATE: APPLICANT: Tel. 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 $ [ ] 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 ' i $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) 1 $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 $263.00 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 AT THE TOP OF THE TWINS SUBJECT BUILDING P ITN 2131 i fr -------COMMUNITY DEVELOPMENT DIV. j PROTECTIVE INSPECTION SEC, CITY HALL FRIDLEY 55432 612-571-3450 ES.RMIT RECEIPT NO. NUMBER 910-F15 REV GATE 9/4/01 PAGE OF AdPROVED BY JOB ADDRESS 5801 Washington Street NE 1 LEGAL DESCR. LOT NO. 10 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Katherine Gearhart 5801 Washington Street NE 763-571-9796 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 O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof House (15 Sq) Tear-off 9 CHANGEOFUSEFROM 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION ZONING SQ. FT CU FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,608 SURTAX $.80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PERMIT FEE $60.10 SAC CHARGE Fire SC $1.61 PLAN CHECK FEE TOTAL FEE .51 S NATURE OF CONTRACTOR OR PAIPPiZEDAGENT IOATEi AGNATURE EN P ALIDAT THIS IS XLWR PERMIT OF OWNER of OWNER BU0.DERi ib E. BIOG �NS� gAtE Gf I -< .., .. � ^,.,.'F"� p W. ii i3,-. � I4w�.r , ... •:p ric ;� � -�n.; .. � s ,....� ,, w r b.:c<< r_ 7 - � , _. 9.., o� yy ._ . e�,`n Sa�. i i - _, � e .. _ ....a �5. z ..• ,� NEW [] ADDN [] ALTER [ ] Construction Address: Legal Description: Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Sg©/ W0,5k11% s7,L- /U6- Fd -I �l I*Al Owner Name & Address:ia"F'�� t/' h r��-,.erg ,�a�c�'`' Tel. #�6 Contractor: 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 Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: � � /� U b' V" -e— I -ed -d— '' Construction Type: Estimated Cost: $ /&®cq Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: nLL" I APPLICANT: �-' Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application STIPULATIONS: Permit Fee $ 60,/6 Fee Schedule on Reverse Side Fire Surcharge $ ., 6/ .001 of Permit Valuation (1/10th%) State Surcharge $ 30 $.50/$1,000 Valuation SAC Charge $ $1150 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 [ ] S-/ TOTAL $ c2. 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 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to' $100;000 $643.75 for first $50,000 plus•$7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 ,$500,001 to $1,000,000 $3,233.75 for the. first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Onlv CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 5801 WASHINGTON ST NE PIN : 233024130089 LEGAL DESC : LYNDALE BUILDERS 7TH ADD : LOT 10 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PE No.: 2004-01008 DATE ISSUED: 06/28/2004 VALUATION $ 7,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. RESIDE HOUSE & GARAGE; REPLACE 13 WINDOWS WITHIN EXISTING OPENINGS. APPLICANT GEARHART KATHERINE M 5801 WASHINGTON ST NE FRIDLEY, MN 55432 GEARHART KATHERINE M 5801 WASHINGTON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction of construction}. Anuli n9 v Date a%°V/7.W Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL C'L'D AD ATL' DL'D A.fTTC' DL"l1TTT113L'T% VA" 'n Tt'1D T7 !1'TT7L'113 TTIAXT T11L'0f1T)1T113U" AMnIT ' 139.25 7.00 3.50 149.75 NEW [] ADDN [] ALTER [ ] Construction Address: age t CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION S (f - AA Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax 9 /CZ) Legal Description: Owner Name & ress: a ea-v--(tio- f ,t r✓ A e Tel. # S Zr- 2799 Contractor. rt �- °;'.I � MN LICENSE # Address: TSI. # LIVING AREA: GARAGE AREA: Attach to this application, 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 DECK AREA: Length Width Hgt/Ground S Ft OTHER: " J Construction Type:.� Lle Lctuakj> Estimated Cost: $ ,/u® Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: Sf APPLICANT: ,�'( o a`r-7�-� ( Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side $ 65% of Permit Fee $0 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1350 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 [ ] l"1` I 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 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for'first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION 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