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PRE2010 DOCS City of Fridley SUBJECT WRECKING 22006 AT THE TOP OF THE TWINS XiRU4tXp G P E R M I T • ���JJJJ"``��11`"`���L LY r� tJ' RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. -- r � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 7/29/93 JOB ADDRESS 609 61st Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. See File SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley (Park Dept) 6431 University 571-3450 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. City Park Dept. Same Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Shelter Rilding 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Xl REMOVE 8 DESCRIBE WORK Remove 261 x 14' Park Shelter Building 9 CHANGEOFUSEFROM TO STIPULATIONS Clean site of all demolition debris. 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 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 None 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- None STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN LY IDATED THIS IS YOUR PERMIT /-;, ,9-ff- SiGNATURE OF OWNER OF OWNER BUILDER) IDATEI BLDG INSP nA Ti [ ] Moving [ Wrecking cry op FRIDLEY )CVM OR WOXMG APPLIC MCK Job Address• Legal Description: Owner & Address: MCI r k� Tel. Contractor: 40 Tel. # Andress:_& 1l e "/ State License # DF—IPR CK of BUIMIM Living Area: length Width Height Sq. Ft. Cu. Ft. Garage Area: Ie rjth Width Height Sq. Ft. Cu. Ft. Other: Length Width Height _ Sq. Ft. cu. Ft. No 2 Estimated Cost of Wrecking/Moving �.�o.N 0< rox. Capletion Date .3p/ UTILITIES 70 BE ZUTI= City Water/Sewer Mpls. Gas Company Northern States Power Northwestern Bell Tel Co. 5-6/ -9�6' ! � Da I// 571-3450 [ ) 'a7.2 i0 [ ] -?f' [ ] 293-0665/293-1319 [ ] Water Bill Paid: Yes [ ] Amount To Be Collected [$ ] Initials Moving Route: FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . $ 20.00 Minim= Fee: $15.00 ?though, within or out of City . . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Department, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and PERMIT FES: AN9 Ae- Signature STIPLUI. MOM: SUBJECT PER City of Fraley :3312 4 8 AT THE TOP OF THE TWINS BUILDING PERMIT (:] r � ftECIElFTN `�------ __._ COMMUNITY DEVELOPMENT DIV. , / b r ., PROTECTIVE INSPECTION SEC. 17/0/ F � , CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE Of APPROVEO By L 612-571-3450 9:0-F157/26/00 JOB ADDRESS 609 61 Ave. NE 1 LEGALLOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Common 1 s Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley 6431 University Ave NE Fridley, MN 55432 763-572-3564 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO City of Fridley 6431 University Ave NE Fridley, P.'!n1 55432 763-572-3564 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Commercial 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION X7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Shelter Building - No heat 1/2 (35 sq) Heat A 1/2 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 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 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 $3,059 $1.53 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• p{ NA STRUCTION OR THE PERFORMANCE OF CONSTRUCTION N PLAN CHECK EE 0TALFEE $1.53 SIGNATURE OF CON'RA(;IOR OR•UTMORIZEO AGENT iDA iE, H PR Y VA 10 7ED THIS 10UR PERMIT �,l�f ATU E F O vNER,IF N B RDERi iDAT B G iNSv riArE Prepaid Plan Check $ Effective 1/1/2000 Estimated Cost $ CITY OF FRIDLEY (612) 572-3604 Receipt # R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construct Address 609 7��-'1� / Zoning Legal LDS Owner & Address 1 Tel# (7[03) CONTRACTOR & ADDRESS �J3 RJly . �E✓j� Tel# ( ) Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] Alteration -Describe4 e A7- 02 OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT Tel # -7(p-S- Sa 3-S Date VALUATION ©S� "r Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) � Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning (]Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No PERMIT FEES Permit Fee $ "' See Fee Schedule on Reverse Side Plan Check $ '` In Excess of Prepaid Amount - See Reverse Side Fire Surcharge $ .001 x Permit Valuation (1/10th t) State Surcharge $ S3 $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1100 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary [] Driveway Escrow $ _ feet x $15.50/foot TOTAL $ ATTACH STIPULATIONS BUILDING PERMIT FEE SCHEDULE $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23.50 for 1st $500 plus $3.05 for each addn'l $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1st $2,000 plus $14.00 for each addn'1 $1,000 or fraction, to and including $25,000 $25,001 to $50,000 $391.25 for 1st $25,000 plus $10.10 for each addn'l $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1st $50,000 plus $7.00 for each addn'1 $1,000 or fraction, to and including $100,000 $100,001 to $500,000 $993.75 for 1st $100,000 plus $5.60 for each WWI $1,000 or fraction, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1st $500,000 plus $4.75 for each addn'l $1,000 or fraction, to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1st $1,000,000 plus $3.15 for each addn'1 $1,000 or fraction PREPAID PLAN CHECK FEE SCHEDULE Per Minnesota Building Code - 65% of building permit fee. PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements, a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, water& sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the building permit value up to a 2 million dollar project or a $60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as-built" drawings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. 3 • owl 9ow. Department of Admmtstratson BUILDING CODES&STANDARDS DIVISION 408 Metro Square Building, 121 7d'Place East,St.Paul,MN 55101-2181 Voice: 651.296.4639;Fax:651.297.1973;TTY: 1.800.627.3529 and ask for 296.9929 Minnesota Bleacher Safety Act.-- Certification of Compliance In accordance with Minnesota Statute 16B.616, Bleacher Safety,this certification is required to be completed for each apvlicable bleacher structure and submitted to the Commissioner of Administration by January 1, 2002. 1. Name of Facility where bleachers are located � 1� 12lcf��L- 2. Location of Facility(e.g.complete address; city/township; orientation direction; field no.; visitor/home) e�009 -- 4:�5/S-r E: •s 4�-7 A/X/ Len / �� 3. Description of Bleachers Check applicable:Indoors /Outdoors , gth : Height; No.of rows; Materials: Foot&Seatboards/T��^"Lj ',j ^ Understructure <72525� 4. The open space between bleacher footboards,seats,and guardrails do not exceed four(4)inches *Initi ; or(9) inches if retractable bleachers in existence as of January 1,2001 *Initial • If approved safety nets are installed instead,initial here . Detail on attached sheet(s)description of nets. Inclu e type of net material used and how fastened. Digital photo would be helpful. • Entities utilizing retractable bleachers as permitted above must have on file a bleacher safety management plan and amortization schedule. 5. Bleachers have vertical perimeter guardrails with no more than 4-inch spacing between rail *Initial or, • If 2"nominal chain link fencing of at least 11 gauge is used in guardrail system instead,initial her • If other approved guardrails are used that address climability and are designed to prevent accidents,ini lal here Detail on attached sheet(s)a description of this"other approved guardrail'used that addresses climability. Include type of material and how fastened. Digital photo would be helpful. 6. The bleachers are structurely sound, i.e.no broken,badly deteriorated or unconnected brackets,no rotten or missing boards. *InitiaV,7C to e ➢ Contact Person/Agent for owner: �"�js,//, f?' Phone: 40— ,Z—3,6 I hereby certify that the information above is correct to the best of my knowledge and that I am a Minnesota Certified Building Official(cert.No.or N/A ,Minnesota Licensed Design Professional(license No.or N/A ) or the designee responsible for buildings&grounds for the school district(district No.or N/A } / .v 763-1170� -3�2- Name rint) Phone Name(signeA Date Return completed Certificate and a photo copy of your Certification or License to the address above,attention:Scott McLellan *Incomplete Certificates will be returned for additional information* b ' 'State of t-ItiteSvin COMMISSIONER OF ADMINISTRATION Certifi Qfficial CLASS; CER FFICIAL C48 L - JuHwwakl.Ronald TO: 9156 Terrace Rd.N.E. Blaine MN 55434 EFFECTIVE DATE EXPIRATION DATE 12/31/1999 12/31/2002 AAA AAAAAALAAA t