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Demo'd Building DocsVillage of Fridley, Minn. N? i "�; s BUILDING PERBffr Office of INSPECTOR OF BUILDINGS 0 fl Fridley, Minn." 19 II LO. ATION OF BUILDING No. - street e N Part of Lot Lot �' a Block ' 16% Addition or sub -Division A r ` DESCRIPTION OF BUILDING nt Depth Height stories Manner of Construction To be used as��'4+" +^r rta To be completed l--,� � '� �; Estimated Costw� 99 Permit is hereby the buildine N ' °` �, ��'' described in the above statement. This permit is granted upon the express co clition that the person to whop t is granted, and his agents, employees and workmen, in all the work done in, mound and upon said building, 6r any part thereof, shall conform in all respects to the ordi- nances of Fridley, M74., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limit., and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In considera ion of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit I hereby agree to do the proposed work in accordance with the description above set forth d according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby s' to and say that the facts stated by me and contained in the above permit are true as therein shed. ,.-- J �• 4 Subscribed and sworn to before me at Fridley, Minnesota, thiq , day of + 4... 0 0 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Location JYA Number, Kind and Location of Fixtures Orcp NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ loco Future Fixture Opening ................ x 1.20 $ � Q <Z_ jn _ O Catch Basin ............................3.25 �Z �a F N WATER HTR. GAS ELEG $ Base 1st I 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer Now Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE -RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ loco Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................3.25 $ Water Heater (Up to 200,000 BTU) 2.00 ......Eyx $ New Ground Run Old Bldg . ............3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............... REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ 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 applica�tion%ore true and correct. Fridley, Owner Ir Kind of Building Used as To be completed about 7— Estimated —Estimated Cost, $ ffa - i Oi New. Building Permit ROUGH l_® -3 e9 — v FINAL Description .............................................. $ TOTAL FEE © 42 2M 7-59 NEW [ ] City of Fridley Effective 5/1/88 ADDN [ ] R-1 ASID 1-2 �L- S AMER [ ] b l ding Permit Application 9/ Construction Address: �� �� Al - Legal Description: Owner Nene Tel. Contr actor : Tel. # Address: Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVEMM TLMNG AREA. Length Width Height .q. Ft. GARAGE AREA: Length Width Height Sg. Ft. DECK AREA: Length width Hgt/Ground Sg. Ft. LURE& Qbrner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: S Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: l't = /� S �2 7160 Alt A $ Alt. B Width + 6" See Back Page DATE : APPLICANT: Tel. # S� % CITY USE CIiLY Permit F'he State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Dain Charge TOTAL BTIPOLAT cys: Free Schedule on Reverse Side $.50/51,000• Valuation $550 per SAC Unit Alt. 'A" or Alt. "B" Above Flee Determined by Engineering Agreement Necessary [ 1 Not Necessary [ ] CITY OF FRIDT 9T $''-$79001 APPLICATION FOR PLUMBING AND GAS FITTING PeIIT Y .PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0, RATE TOTAL b1"er-Fixtures x $3.00 S Future Fixture Opening • 3i $2.00 water x $2.00 S Catch Basin x $5.00 $ __- i water Heater - to 990000 BTU, x $5.00 $ 100;000 BTU to 1990000 BTU x w $ water Softener Neater MPJ 0 Nird Ground•Iatn Old Building ^_ x $5.00 ,�tp� Electric water Heater -__ „ a� w •;� ,G •ma u ist 3 fixtures x $3.00 $ Additional Fixtures - w a .Gas Range to 199,000 BTU x $10.00 $ 14 w t� R First $100.00 t� S as lec v, -u a w ri H S $ 1st o 2ad 3rd 4th . (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening water .PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0, RATE TOTAL b1"er-Fixtures x $3.00 S Future Fixture Opening • 3i $2.00 xew Fixture, Old Opening x $2.00 S Catch Basin x $5.00 $ __- i water Heater - to 990000 BTU, x $5.00 $ 100;000 BTU to 1990000 BTU x $10.00 $ water Softener x s $7.90 $ Nird Ground•Iatn Old Building ^_ x $5.00 $ Electric water Heater -__ x $5.00 $ GAS FITTING FEES; ist 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 S each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE (00.00) Job Address 5925 -NE 3 STREET Department of Buildings City of Fridley Tel. $571-3450 The undersigned hereby makes application for a permit for the work here specified agreeing -to do all work in strict accordance with the City Code and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cor Fridley, Mn. kkYAJM1-24-771 19 OWNER FRANC S MAY KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 1-31-77 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. CompanyGPx'Z/��Y Signed By MINNEGASCO Tel. No. ROUGH INSP. Date FIN4L INSP. Date APPROVAL FOR PERMIT i MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CIasS "A" Surchar. e City of Fridley AT THE TOP OF THE TWINS SUBJECT B U I L D I N G P E R M I T PERMM72�70 i -------- COMMUNITY DEVELOPMENT DIV. i r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 L 612-571-3450 IP / NUMBER 910-F15 REV. DATE 10/3/83 PAGE OF APPROVED BY JOB ADDRESS 5925 - 3rd Street N.E. 1 LEGALLOT DESCR. NO. 22,23 BLOCK 13 TRACT OR ADDITION SEE ATTACHED Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Eliason 405 - 198th. Lane, Cedax, MN' 434-3521 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS. ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof and reside dwelling unit 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRED FOR WIRING. HEATING. PLUMBING AND SIGNS. 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 80 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 STALLS 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 $600 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE K$15.50 SI E OF CONTRACjpAqRAUTHORIZEDAGENT (DATEI WII jEN„PROPER ALIDATED THIS IS YOUR PERMIT �. 3_ BLDG INSP TE V'SIGNATUAT OF OWNER IIF OWNER BUILDER) IDATEI 1 CITY OF FItIDLCY Effective Aug. 1, 1981 APPLICATIO:1 FOR RESIDENTIAL BUILDING PEP44ITS (Nevi, Alterations, Additions, or Repairs) q OWNER: ./ 4 '- f y , li S e ADDRESS: Va 6 /�� 1a c'R�Q v TEL 140: f 3 ,BUILDER: ��ra c, eL •L o- ADDRESS: TEL 110: Construction Location STRICT NO: J'~ / STREET: LOT: BLOCK: ADnITIO:i : f-% d� Corner Lot: Inside Lot: i �/ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF COi•ISTPUCTIO14 6 _A0.0 -r— Front: �i Square Feet: Front Square Feet Depth: Height: Cubic Feet: Depth: Height: Cubic Feet: _ Type of Construction: Estimated Cost: RD Be Cbripleted: 1-^ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ S SEE PEVF.RSE SIDE OF SHEET 19ie undersigned hereby makes application for a permit for the mark 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 represen tatiens stated in this applic..tion are ue and coir ct. ooN UWE: /G � � - 13 smmTum Stipulations: 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 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: -Total Valuation $1.00 to $500.00 Fees $10.00 (Minimum $15.00) $501 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 to $25,000 $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 to $50,000 $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 to $100,000 $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 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plan Check: 25 percent of building permit fee. 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 PE NO. City of Fridley 19174 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . I l ,,j CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/87 JOB ADDRESS 5925 - 3rd Street N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22,23 12 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Alaspa 5925 -3rd Street N.E. 571-1018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 22'-Garage 9 CHANGE OF USE FROM TO STIPULATIONS Gage can not be attached to dwelling unless frost footings are installed. Provide a hard surface driveway. WARNING FOR Before digging cell 1001 Oblities SEPARATE PERMITS REQUIRED %LEPNONE-=- TRIC."&ts. HEATING, PLUMBING AND SIGNS. WIRING, REQUIRED BYLAW., SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY.-,t AO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 $6,950. $3.48 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- $62.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $65.98 SIGNAT EOFCONTRACTORORAUTHORI EDA ENT IDATEI ♦ WHE14 PRO URL V AT,ED THIS IS YOUR PERMIT P J V SiGNATUREOF OWNERtIF OWNER BUILDER) IDATEI G INSP OATE 30 30 I -S -F LEGAL DESCRIPTION: Lots 22 and 23, Block 12, HYDE PARK, -according to the recorded plat ',thereof, Anoka County, Minnesota. Area = 10,316 square feet GENERAL NOTES o Denotes iron monument Proposed top of foundation elevation = .+a Denotes cross chiseled in concrete Proposed basement floor elevation = x939.7 Denotes existing spot elevation Proposed garage floor elevation = F9-3-9-1 Denotes proposed spot elevation. E--- Denotes surface drainage BENCHMARK: Dashed contour lines denotes proposed features Solid contour lines denotes existing features ,ALL -MET '' � LAND I hereby athat this surrey, plan or report was preparedced b by me or under my direct supervision ����` � r and that I am a duly Registered Land Surveyor 5 under the laws of the State of Minnesota. '/D . A -9) -I SCALE "w 30' �n 1110461% A AA W W A�, i A' 3 v D Ix M � I -S -F LEGAL DESCRIPTION: Lots 22 and 23, Block 12, HYDE PARK, -according to the recorded plat ',thereof, Anoka County, Minnesota. Area = 10,316 square feet GENERAL NOTES o Denotes iron monument Proposed top of foundation elevation = .+a Denotes cross chiseled in concrete Proposed basement floor elevation = x939.7 Denotes existing spot elevation Proposed garage floor elevation = F9-3-9-1 Denotes proposed spot elevation. E--- Denotes surface drainage BENCHMARK: Dashed contour lines denotes proposed features Solid contour lines denotes existing features ,ALL -MET '' � LAND I hereby athat this surrey, plan or report was preparedced b by me or under my direct supervision ����` � r and that I am a duly Registered Land Surveyor 5 under the laws of the State of Minnesota. '/D . A -9) -I SCALE "w 30' �n 1110461% A AA NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addre City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Application Legal Description: ck °`"aXA G'4� Owner Name & Address r � � 2 J � � Tel. # -5 C Contractor: Tel. # Address: t - -- 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 Lot Ft. Yd. Setback Side Yard Setback X Type of Construction: Estimated Cost: $ --7 �e-- Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation ICANT: Tel. DATE: S___T APPL �'� ��.��`� � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• CITY USE ONLY $ loa S 0 Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ ��� $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $20001.00 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 P City of Fridley "24234 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/3/96 JOB ADDRESS 5925 3 Street NE 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22, 23 12 I Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wm/Ione Alaspa 5925 3 Street NE 571-1018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Improvement 4832 2 1/2 Street NE, M ls., MN 55421 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (10 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 @ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $825 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- $32.00 Fire SCC $.83 STRUCTION OR THE PERF RMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $38.33 SIGNATU E OF CONTRACTOR 6RAUTHORIZE AGENT IDA, EI - WHEN PROPERLY LIDATED THIS IS OUR PERT S,GNATURE OF OWNER IIF OWNER BUILDER) (DATE, BEDG SP MATE NEW [ l Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & ddress: w M d' 11U (,I e— /4 I A -S PA Tel. # S %/- /D /Y " Contractor: i � Z /4 d) 4, e- ::tM L AL4 r .y� 60 MN LICENSE # ('77 L Address: ZA3 Z Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E14PROVE2dENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: J Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: _ Approx. Completion Date: Side Yard Setbacks "L➢ Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + fi. Ft Ftx $ _ $ DATE: - 3 - � APPLICANT: Tel. C USE ONLY Permit Fee $ 3-200 Fee Schedule on Reverse Side Fire Surcharge $ - .001 of Permit Valuation (1/10th%) State Surcharge $ • ��' $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ j $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 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 fust $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 cons"ction 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 PER City of Fridley 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. rry -------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. lWE'S 1 . � NUMBER REV DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/29/02 JOB ADDRESS 5925 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 22,23 12 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ione Alaspa 5925 3 Street NE 763-571-1018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MN Remodeling & Restoration Co 310 Meadow Lane, Golden Valley, MN 4789 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-377-7858 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION I ALTERATION ❑ REPAIR ❑ MOVE - ❑ REMOVE B DESCRIBE WORK Replace bad siding along bottom of walls 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ` NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $300 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $29.30 SIGNATURE OF CON'R7 CTOR OW UTHOR IZED AGENT iOATE� W N PROPERLY VALIDATED THIS ISY YOUR PERM � f — S.GN4TURE OF OW NEA Oc OWNER BuILDERi 10ATE. BLDG So GATE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ) U Construction Address: Legal Description: -5i "'b' f i r�� �' �'� A Owner Name & Address: Tel. # I. - Contractor 11411- .-Contractor.1141! MN LICENSE # 96 Address: 2l0 ,� � ' Ga,� l'r®i��.v �/� �/� i i Tel. # 7/. 3 - 3 7�P `7,P 5 2�ir LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Length Width Hgt/Ground Sq. Ft R!baa c e- Ai d i'wj-- Construction Type: ���' ��'�'� Estimated Cost: $ 19M 3 do Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: 3— -2 " - O �L APPLICANT: T®clel s Tel. # re/ Z—,70 / - 1* ko-t-' Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ C23, S'*r) $ 0 $ .S0 $ C:;29-3 o Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit _ $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by'Engineedng Agreement Necessary [ ] Not Necessary [ J 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 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 $1,000,001 and up $5,608.75 for the first $1,000,010 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 Only Building PLUMBING - Permit No.: VZV 16 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 1-25- ®S YOUR E-MAIL ADDRESS SITE ADDRESS � , 6, 3 THIS APPLICANT IS: 0 OWNER MONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: p STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: !zQCJ IV& CITY LICENSE WITH PHONE L41,, FAX (L'/Z - 7,gam APPLICATION PERNM TYPE CFSINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 11 NES' 0 REPLACEMENT DETAILED DESCRIPTION OF WORK too, Is PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor �A d ,0 X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING axo crrrrrcENz) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER OTHER ERi[ E'PRQI $ kRII?+TER $Si, PR... QVSQEi .. Permit Fee $ ...., . _.3R?CQ`f Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE iERE, VI �"I'MO. ,.�` "Ill r 1�LI�`�'I�i � CHAN City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Effective 1/1/04 CITY OF FRIDLEY MOVING [ ] r(VRECKIN� G[` PERMIT APPLICATION 6431 University Ave NE __— Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 Job Address: Legal Description: Owner & Address: sgas 3,-a- s -j. ,c)t ' o (r<c<(C149A "i V Contractor: e,;1 �- Ca. Address: lu,)oo ��`�- PI.- ►Z�a�r /'vN sS3"Sate License # DESCRIPTION OF BUILDING HOUSE: Lengthag Width a; Height— Sq. GARAGE:Length 21 Width ;a Height Sq. Tel. #-57a' 3L1/ Tel. # X14 Ft. Cbl Cu. Ft. Ft. 411 Cu. Ft. T9 I a OTHER: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost $ y, C o 3 0.0 .0 Approx . Completion Date 1/34' CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTURE. Water Bill Paid: Yes [ ] or Collect [$ Moving Route: V ] Signature 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 Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and herebv declares that all facts and representations stated in this application are true and correct. ALL Movin Wreckins Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: °Z 0 �b MINIMUM $20.00 STIPULATIONS: