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Demo'd Bldg DocsCity of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450] DESCRIPTION OF WORE Number, Kind and Location of Fixtures Location q Ne < Y o� 8p Z O� G N S �j <3 �� �� UN' �0 F N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th _ • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... ....................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — 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 $ 3 —2L- S City of Fridley: 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, Owner. Kind of Building f Used as To be completed about e' a Estimated Cost, $ .7 i �- # Old—New. Building Permit No Permit No. / Signe Business Phone No—.. -7 g� 4 " ®� ROUGH FINAL L 3 A2 1916 53-84-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number 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 FITTIXG 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 TOTAL FEE REINSPECTION FEE ($30.00) TOTAL S S S $ Job Address -5917 NF 3 STRFFT Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 9-20-76 , 19 OWNER R RR'7M T)ANT KIND OF BUILDING frame JSED AS res TO BE COMPLETED ABOUT 9-27-76 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By. Tel. No. MINNEGAn ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT 3 _,92� , %,S' MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 ,r ro o x W Water q W01 a w Heater u M w N s, R •.�k 0i M A r •.1 N :4 41 C r. 3 O U •ti O 4 U d fa u to »i .0 i� N k .0 N ••-I O O O iJ N 1j M ` N W ro .0 " s W o o w x m w ro ro U M 7 ro Q 3 U -� O as lec m u a m m m 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = :lew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number 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 FITTIXG 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 TOTAL FEE REINSPECTION FEE ($30.00) TOTAL S S S $ Job Address -5917 NF 3 STRFFT Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 9-20-76 , 19 OWNER R RR'7M T)ANT KIND OF BUILDING frame JSED AS res TO BE COMPLETED ABOUT 9-27-76 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By. Tel. No. MINNEGAn ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT 3 _,92� , %,S' MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PE___ .13929 r 1 ` ` COMMUNITY DEVELOPMENT DIV. y _ r � PROTECTIVE INSPECTION SEC. CEIPT NO. NUMBER 910-F15 REV. DATE 2/24/77 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL L""A " ,`� 612-560-3450 JOB ADDRESS 5917 3rd Street 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20 12 Hyde Park SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Anthony Pekula 5917 3rd Street NE - O 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION LSF ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK 4 Installing new studs and sheetrock. Lr ) 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR VARING, HEATING; PLUMING 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 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 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, VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000.00 .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 TOTALFEE SIGNATURE OF CONT OR OR AUTHORIZED AGENT (DATE) HE P E Y„VALIDATED THIS IS YOU P PER IT C I. BLDG INSP IfAlt SIGNATURE OF OW ER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) i OWNER: Address: S 1'7 BUILDER: Address: Tel. No. No.: 5 9/ `r Street: R - LOT: BLOCK: / ADDITION: /� y 1� Poy k—' CORNER LOT: INSIDE IAT: Y_ SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Square Feet: Type of Construction: Depth: Height: Cubic Feet: Estimated Cost: $ To Be Completed: /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) • The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: EL b 0g 1q)> SIGNATURE: Stipulations: r r 9 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages. $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.75 G For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a, point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In-no�case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure*and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. February 24, 1977 ICI'L'Y OF FRIDL.EY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 Mr. Anthony E. Pekula 17538 Isanti Anoka, Mn. 55303 Re: Permit to Repair & Improve 5917 - 3rd Street N.E. Dear Mr. Pekula: TELEPHONE ( 612)571-3450 This letter is to remind you of the status of your house at 5917 - 3rd Street N.E. Today we issued you a building permit to add some studs, insulation, and sheetrock the interior of this house. We want to hereby remind you that this house is a legal non -conforming use and is located in a commercial zone. You, Mr. Pekula, should understand that the house at 5917 - 3rd Street N.E. is in a C-2 commercial business zoning district and that any monies expended to improve or repair the house may not be recoverable. You also should understand that the City is not legally responsible if for some reason you are not able to recover the costs of the repair and improvement. If you have any questions please call me at 571-3450. Since y, RON HOLDEN Building Inspector RH/mh CC: Richard Sobiech SUBJECT PE City of Fridley WRECKING o 19504 AT THE TOP OF THE TWINS 40 P E R _ M I T `L _.-__. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. ��®� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/2/88 JOB ADDRESS 5917 - 3rd Street N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20 12 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. T. Gunnufson 5917 - 3rd Street N.E. 571-1519 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 Shed 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Wreck an 11' x 20' Shed 9 CHANGE OF USE FROM TO STIPULATIONS Clean site of all construction 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 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT BLDG INSP DAT U SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) [ ] Moving [ x ] Wrecking City of Fridley Job Address: 5917 - 3rd Street N.E. Legal Description: Owner Nme & Addre. (bntractor: C up Tel # Address: State License # Living Area: Length Width might Sq. Ft. Cu. Ft. Garage Area: Length Width Height Sq. Ft. Cu. Ft. Other (shed2 Length 11 Width 20 • Height Sq. Ft. 220 Cu. Ft. Estimated Cost of Wrecking/Moving Approx. Completion Date Q�- 2� (o Utilities to be Notified: City Water/Sewer )VIS. Gas Company Northern States Power Northwestern Bell Tel Co. 571-3450 372-4720 1 h>1 566-9120 1 293-0665/293-1319 Water Bill Paid: Yes 14 Amount To Be Collected [$ l Initials Moving Route: FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . $ 20.00 Through, within or out of City . . . . $ 15.00 MINIUM FEE: $15.00 Wrecking: For each 1,000 cubic feet or fraction . $ L25 For structures which wculd 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 correct. — Signat EEE: '-: Stipulations: SUBJECT PE IT NO. City of Fridley 1960 AT THE TOP OF THE TWINS BUILDING PERMIT _ REC • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 I 7/20/88 I JOB ADDRESS 5917 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20. 12 Hyde Park SHEET 27 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Conni Gunnafson 5917 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Heritage Buildings 9180 Davenport Street N.E., Blaine 784-0015 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 R3 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement under present dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Insulate foundation R-5 to footing or R-10 to 42" below grade. Use treated bottom plate. SEPARATE PERMITS ,ISE I:�' Before diRgitlg call local utilities .WIRING, HEATING $.ISG � FOR PLS TELEPHONE = ELECTRtt— GAS 'Etc. AND SIG ff, REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS .VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,000 $6.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIOO HE PERFORMAN DF CONSTRUCTION. $144.00 PLAN CHECKFEE TOTALFEE 7^ZO �^ $150.50 (DATE) ' SIG ATUREOFCO AGK 7 WHEN PROPERLY V CIATED THIS IS YOUR PERMIT SIGNITURE OF OWNER 0F OWNER BUILDERI IDATEI BLDG INSP ATE HN [ l City of Fridley Effective 5/1/88 ADDN [ ] R-1 ASID R-2 ALAR [ construction Address Building Permit Application r/7 --3 d-0 E'er Legal Descri]ption: Owner Name & Address: 0 Tel. # contractor:� Tel. # ?8= 15 Address: CA, or7o �l �% . �CJ< � �• ., � �,,� � r�' Attach to this application, a Certificate of Survey of; *tt'w' ;• , lot, with the proposoed construction drawn on it to sial,&-, DESCRIPTKM OP IMPROVEMMT Length �,1`' , Height S� � Ft. Length �, ��+ �1 : s� Height Sg. Ft. Lengv t.' •, �: • t E ;�1i Hgt /Ground • a� �1 +�' , •' ` .� U��'�� �il` CS/ % ��L:�Sf�L � �=-~ Type of Qonstruction: - -Approx. Oompletion Date: Lot [ 7"_F . Yd Setback 11 Side Yard Setbacks Estimated Cost: $1 3, &c"O '�- Alt. A Alt. B Proposed DrilveWay Width If New Opening Is Desired: $ $ Width + 61. See Back Page DATE: %"' APPLICRM: Tel. # CITY USE OILY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer Main Charge TOTAL STIPULAQ'IiM Foy " (1,10 4VO OPO -J -r6-'% Fee Schedule on Reverse Side $.50/$1, 000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Flee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 9,%.l°i ®ra 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 $15 (Minimum Free is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1j,000 or fraction thereof, to and including 525,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for.each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $ 639.50 for first $100,000 plus $3.50 for each additional $10,000 or fraction thereof, to and including $500,000 4:4;3,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRTVM W= (Concrete Curb Streets Cknly) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate W: Removal and replaoement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a minimum of 24 hours f rom the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT N e e W Water lei E .ci -f to m t e b w �w w Heater o art in m 7 o g a� m vci a m m e u � as c` vii o r8. b[, w u as 3 o s lec w t3 t 1st 2nd 3rd 4th (R) b Future Connection Opening Connected with Sewer (`) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer Back Flow Preventer Required. Type v RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL ;2-© =, Yes ( ) No ( ) $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge S .50 ($15.00) TOTAL FEE $ e2o, S0 Effective Date May 1, 1988 Job Address 5917 Si vv� Department of Buildings City of Fridley Tel. 8571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. '�� , 19 J�2-� OWNER %v/A� �J KIND OF BUILDING USED AS CJ C TO BE COMPLETED ABOUT 3 Q ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO. Signed By Tel. No. 77-57c;- �Q ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT�� l7INIMU?4 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT�PERMIJ City of Fridley 9 6 6 3 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEI T NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 'c) r PROTECTIVE ----1 CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910415 9/7/88 JOB ADDRESS 5917 - 3rd Street N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 12 Hyde Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE C.T. Gunnufson-Olson 5917 - 3rd Street N.E. 571-1519 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 fj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish.Sasement 9 CHANGE OF USE FROM TO STIPULATIONS Provide fire alarms. Use treated bottom plate. Cover styrofoam with 1/2" Gypsum. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT, CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $700 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $19.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $19.50 SI� u ED OTR OR ORA ORIZED AGENT IDATEI - WHEN PROPER VALIDATE THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP ATE MN I I ADDN I I ALTER L�- Construction Address Legal Description: t Owner Name & Address ODntractor: Address: City of Fridley R-1 AND R-2 Building Permit Application Effective 5/1/88 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. Length `a Length Length Width 0 Height $ Sg. Ft. Width Height Sg. Ft. Width Hgt/Ground Sg. Ft. Cbrner Lot I I Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date. Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: APPLICMU: . Permit Flee 56,06 Fee Schedule""erse Side State Surcharge $.50/51,000 Valuation SAC Charge 5 $550 per SAC Unit Driveway Escrow 5 Alt. "An or Alt. !B" Above Park Fee 5 Flee Determined by Engineering Sewer Main Charge $ Agreement Necessary I I Not Necessary I I Tom . �a o STIHJ MIO&S: IS. Cid P%L�%O* F 141L lift *N\ Tax &TC0 %" a W% K*TL C ate•• s o Y 1CO&A w ,�-w r/� " G sop S / C) 0 .. 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 51 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $1001000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100r001 to $500,000 $ 639.50 for first $100,000 plus $3.50 for each additional $1#,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $10,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIMMY DEPRESSTiON E90M (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. 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 Certif icate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing W 1.1lCCL1Ve AUy. 1, I)dI CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 All others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit q— MINIMUM FEE FOR ANY HEATING PERMIT IS $4.00 PLUS $.50 STATE SURCHARGE $ 15.00 $ Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 5917 NE 3 St Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. 17 Sep 88 . 19_ OWNER Constance Gunnufson #5711519 KIND OF BUILDINGF" USED AS R S TO BE COMPLETED ABOUT 17 Sep ESTIMATED COST 300. OLD --NBUILDING PERMIT NO. PERMIT NO. �� 03 (a DESCRIPTION OF FURNACE/BURNER C 5rr1 �Ck FF p only. ora P�,S seam o'E Wat&keeparm Air- No. HEATIN Pe0 R Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU H - % r Signed By.i� Minnegasco f,)42-5337 Tel. No. P. 0• Box 1165 Minneapolis, MN 5544 CITY OF FRI DLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FOR14 MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION_ S 7 DATE OWNER U ou OF s®iJ ADDRESS S The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. That it is securely supported S. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU �,011 6,9 6 W 0e+ -#97Z K=*,aeo O All Other BTU 3 TOTAL U 00 REMARKS HEATING PERMIT SIGNEDp6g,"-, AZ'V* Licensee by Address Telephone Fridley City License City of Fridley AT THE TOP OF THE TWINS SUBJECT �f BUILDING PERMIT PE `�� . � ®_ 31 � � 3 r • _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 ,.J 612-571-3450 RECEIPT NO. NUMBER 910-F15 REV DATEPAGE 3/25/96 OF APPROVED BY JOB ADDRESS 5917 3 Street NE 1 LEGALLOT DESCR. NO. 20 BLOCK 12 TRACT OR ADDITION 1 H de Park SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Connie/Charles Olson 5917 3 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO EJD Development Co 4055 176 Ave NW, Andover- 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 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Kitchen Witdow remodel 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 SO. 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $15,000 $7.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST TE O LOCAL LAW REGULATING CON- ST CTION OR TH P ORMAN E OF ONSTRUCTION $224. %5 Fire SIC $15.00 PLAN CHECK FEE TOTAL FEE —� �J:x a License SC $5.00 $252.25 SIGNATUREO DR GR AUT o iZED ENT IDATEi HEN PROPPERLY V DAT D THIS IS Y R PERMIT BLDG &SP C) DATE SIGNATURE OF OWNER OF OWNER BURDERi (DATEi NEW [ ] 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 & Address: C mv;�, ��� ;� ,� Tel. # 5Z Contractor: ��-� •� Ee.t�� n,,� �� , MN LICENSE #. Address:. �c�e� -1 y�,.z ��� ��`� �i�°� Tel.-# 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 Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: v� ', �� ; 4 , �14 Estimated Cost: $ \c Approx. Completion Date: C) � LA 4 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: e APPLICANT: Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ AI' l< Fee Schedule on Reverse Side Fire Surcharge $ 60 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ -S) $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 first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1;000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each. additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. EJD DEVELOPMENT CO. 4055 176th Ave. N.W. Andover, MN 55304 Phone:753-0847 MN Contractors License # 8262 LIST OF SUBCONTRACTORS AT 5917 NE 3RD ST. CONNIE & CHARLES OLSON RESIDENCE ELECTRICAL CITYVEIW ELECTRIC 1145 SNELLING AVE. N. ST. PAUL, MN 55108 659-9496 PLUMBING & GAS PIPING VOGT MECHANICAL (NUE PLUMBING) 3260 GORHAM AVE. MPLS., MN 55426 929-6767 FLOOR COVERING (KITCHEN ONLY) MIDWEST FLOOR COVERING 4206 CEDAR AVE. SO. MPLS., MN 721-5755 SIDING CONTRACTED SEPARATELY BY HOME OWNER KITCHEN CABINETS CONTRACTED SEPARATELY BY HOME OWNER. xmm 1 1 13'-70 6'-10° NEW COH1012 IN EXISTING OPENING NEW STEEL ENTRY DOOR 1 t m O I �0 NEW CCM2024 NBW CCM2840.2W WINDOW IN EXISTING OPENING INSTALL NEW DOUBLE 2 X 8 HEADER SEE KITCHEN IE:) PLAN NEW CCM2828 WINDOW INSTALL NEW DOUBLE 2X8 HEADER NEW CON2840.2W WINDOW OWNERS SUITE INSTALL NEW DOUBLE 2 X 8 HEADER FOL INWINDOW\ FILL, IN WINDOW INSTALL 2 NEW CCM2US EGRESS WINDOWS PROVIDE NEW HEADERS co -F9 -� DEMO WALL FRAME NEW WALL _ WITH POCKET DOOR FOL IN WINDOW CLOSET NEW CDH 2020 WINDOW IN EXISTING OPENING EJD DEVELOPMENT CO. 4055 176th Ave. N.W. Andover, MN 55304 Phone:753-0847 MN Contractors License # 8262 LIVING ROOM NEW CCMU4"W WINDOW IN EXISTING OPENING NEW CDH2O20 WINDOW IN EXISTING OPENING Ij I I I I c NEW SIL ENTRY DOOR +-.q N " k ,41 CONNM & CHARLES OLSON RESIDENCE 5917 3RD ST. N.E. PMLEY, MN 55432 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 19M 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-36044 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 5q 11 3 r A 5T x) L RAS SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) -- — — Gas Piping (Needed.with new furnace) $10.00 $ ,1996 OWNER au'Q-100r)�'M Gas Range $ 10.00 $ BUILDING USED AS � kLQ— Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. 3---� *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ �i5 0� No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. TOTAL FEE - s, � 5 b BTU HP EDR UG HEATING & AIR CONDRIONING MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 3260 GORHAM AVE. HEATING COMPANY_ ST LOUIS PARK: MN 55496 SAP''92`9-6767 SERVICE 929-4011 Signed By �c, (�(d --t�cgW,�(ael No. o,A r4s A kip s,/x -/ Approved ByRough—In Date A Final Date FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE CHEWNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FfXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDRESS j / 7 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. /A( '1996 Owner Building Used As J( Estimated Cost VI -C-1 PERMIT NO. �� �C5 PLUMBING COMPANY �/&' SIGNED BY ./`%I%CGci TEL N0. Approved By A JK— Rough -In Date PLUS THE $.50 STATE SURCHARGE Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. SUBJECT City of Fridley 724526 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIP O. ;f � • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ---1 CITY HALL FRIDLEY 55432 'j NUMBER REV DATE PAGE OF APPROVED B 612-571-3450 910-F15 9/4/96 JOB ADDRESS 5917 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 12 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Olson 5917 3 Street NE 571-1519 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S, M ls., MN 55406 721-6628 2179 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 X 8 DESCRIBE WORK Reside & add fascia 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 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 $4,400 $2.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $111.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI PROPER VALIDATED THIS IS YOUR PERMIT ;WHEN A6q 9L INSP DATE S,GNATURE OF OWNERIIF OWNER BUILDER) IDATEI i�EW LllecLive 1/1/94 ADDN CITY OF FRIDLEY ALTER j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �% O�v Building Permit Application i Construction Address: I % - r'dJ-�—re.� �- N C • Legal Description: Owner Name & Address: Car l�� �I SD/7 _ Tel. # 57/- /5-/9_ Contractor: 0 F 114 IV C,� MN LICENSE # a J-79- Address:_�30 R �Sh / /i'�G Abe V(� Tel. # -70 /- 62jig 2 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 t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ) Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: res de,- -Pa Sd cL Estimated Cost: $ Z41 '-/X. 00 Approx. Completion Date: D - 3 l - 9 i0 (Cost on Back) Driveway Curb Cut Width Needed: Ft. -F- G Ft = Ft x $ _ $ DATE: _� � APPLICANT: E(, llj A Tel. # CITY USE ONLY Permit Fee $ �/ f� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $� aCa $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ C& $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 I j Not Necessary I I TOTAL $ 3 S sob -id-- o aeS- STIPULATIONS: City of Fridley SUBJECT C_i__L� 24747 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir L RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/30/9 JOB ADDRESS 5917 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 12 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gunnufson-Olson 5917 3 Street NE 571-1515 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 � EINEW ❑ ADDITION pX ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Remove existing deck; Construct a 195 Sq Ft Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for SEPARATE P all Utility locations WIRING, HEATING, REQUIRED FOR PL 454.0o02 E4UIRED AND SIGHS BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.86 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,729 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- $56.75 Xire SC $1.73 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION A PLAN CHECK F E TAL FEE �' /1) . /// /' $59.34 IG ATUOF CON C R OR AUTHORIZED AGENT IDATEI N P LY V LI/ T,ED THIS IS YOUR PERMIT LI c� DG INS" L DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) ON NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application�� OO ConstructionAddress: `'` o°' ,-� ' 5 f 21 g Legal Description: Owner Name & Address: �� y, ; (21-5m— -5-117 31? -t"51 w F Tel. # 5-7 / — /J—/ 5 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 �r Width T Hgt/Ground Sq. OTHER:z ti� �k�rST7 i� `rr�C Comer Lot [ ] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft Ft x $ _ $ DATE: q4 APPLICANT: [ G Tel. # CITY USE ONLY Permit Fee $ , —Fee Schedule on Reverse Side Fire Surcharge $ , .001 of Permit Valuation (1/10th%) art State Surcharge $ :. $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] 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' foi first $25;000plus'$9.00 for each additional .$1,606. or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or.. fraction, thereof,.:to.and .including . $500,000 $500,001 to $19000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus'$2.75 for each. additional $1,000 or fraction `thereof DRIVEWAY°DEPRESSION ESCROW. (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. suB,7Ecr 15 O. - City of Fridley : `�2 6 3 7 4 AT THE TOP OF THE TWINS BUILDING PERMIT r -RecEPT NO. COMMUNITY DEVELOPMENT DIV. n o / ______ r I L 1 PROTECTIVE INSPECTION SEC. _/ y NUMBER REV DATE PAGE OF APPROVED BY 1 /"'1 CITY HALL FRIDLEY 55432 612-571-3450 910415 �/29/98 JOB ADDRESS 5917 3rd St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 12 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS nI S917 3-rd St NE ZIP PHONE -3 CONTRACTOR MAIL ADDRESS ZIP PHO 1 9ASE NO Manion Master Roofing 3841 Hayes St MPIS MN 55421 781-7228 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Bujlding Code TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,668.00 $.83 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- $54.00 ire SC $1.67 ST UCTIONR HE PERFORMA OFC S RUCTION. PLAN CHECK FEE TOT^ FEE License_AC $5.0 $61.50 SIGNA RE OF CONTRACTOR ORA OR[ ZE AGENT IOATEI N ROP VALID INSP T THIS IS YOUR PERMIT 220 ..r w GATE SIGNATURE OF OWNER IIF OWNER BUILDER IDATEI NEW ADDN ALTER ConstructionAddress : Legal Description: Owner Name & Address: Contractor: -W Address:. -3 S- C1 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Ca �j A (- 4-6 a 1-' Effective 1/1/98 �1 Tel. # s%r 1 5— MN LICENSE # 6- ( L -f 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: Construction Type: Estimated Cost: $ STIPULATIONS: v (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `Z� APPLICANT:V Tel. # CITY USE ONLY Permit Fee $ JO Fee Schedule on Reverse Side Fire Surcharge $ f .001 of Permit Valuation (1/10th%) State Surcharge $ r 4 $.50/$1,000 Valuation SAC Charge $ $1000 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 `first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJECT PER City of Fridley 28031 AT THE TOP OF THE TWINS BUILDING PERMIT REC NO. • COMMUNITY DEVELOPMENT DIV. �V ----A_GO r � � PROTECTIVE INSPECTION SEC. F NUMBER REV DATE PAGE OF APPROVED By E = ,--I CITY HALL FRIDLEY 55432 612-571-3450 910415 9/30/98 10B ADDRESS 5917 3rd Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 12 Hyde Park SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE Charlie Olson571-1919 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors 341 79th Way NE Fridley - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO "USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2515 $1.25 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- STRUC14ON OR THE PERFO rAANCE F.CONSTRUCTION $74.75 Fire SC $2.51 PLAN CHECK FEE TOTAL FEE j �CJ License SC $5.00 1$83.51 SIGNATURE OF CON' ACTOR OR AUTHORIZE AGENT IDATEI WHEN PROP LY VALIDATED THIS IS YOUR PERMIT e'er 9rf9 SIGNATURE OF OWNEAoF OWNER BUILDERI IDATEI a OG ts"p, DATE 1 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION p �\ ConstructionAddress: ri L Legal Description: Owner Name & Address: CoAe L_x q Tel. # 'C71-1 S) Contractor:o2`At-<(ix eaeP-vc�-,f MN LICENSE # 20 bcl f 0�) Address: 3 r7'aJ_rfr LIU n� Tel. # _ _ r/'` -k" ?13, 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. Fe5I*>6- GA"!&c Construction Type: rpE - S) i'_'e Estimated Cost: $ Driveway Curb Cut Width Needed: (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ n DATE: g 1 / 3 6 2 q APPLICANT: A� I "� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ , Q� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 83, ( CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] LOY,3ciGq th BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 4 0"I UnNerslly/ AVe Nit Fridley, MN 55432 783-572-3604 Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLUUK :,:::» Auto. Gas s >< Water Heate Washt ,> ,. Floor ft>>: �v:F ern• Urinal '°ti Shower Trayflty<> :,.. r isa<:_.., Washe Ran a Gas Ele PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 6-7/ -7 3 ,e S'' '✓E New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, Nein Fixture $ 4.00 specified agreeing to do all work In strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 24 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 owner Water Heater -Electric $ 7.00 Water Heater - Gas" _ t $10.00 Building Used As Gas Range" $10.00 d Gas Dryer' $10.00 Estimated Cost 5r. a PERMIT NO. Back Flaw Preventer Required ( Yes {) No Type $15.00 PLUMBING COMPANY R 2,v Reinspection Fee $47.00/1 -Ir ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $____.60 TOTAL FEE $-A-0- 50 SIGNED BY Approved By TEL NO. 71 J 7 2 - "'pl) ! Rough -in Date Final Date - V -Co- COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE i Building PLUMBING Permit No.: VO - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 9 — Z j -� ®� YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER J2CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: _ STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: S4' 9 e �cl C.rJl.._� �� Kf r�* CITY LS STATE ~P_E��� � LICENSE WITH PHONE APPLICATION PERMIT TYPE P49INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK v PER MS 1613.665 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 3 ,, a 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 (NFF-o cr7ruc&vsE) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER —OTHER �y.xT m 0, 15 7 Permit Fee $ 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 P1 EASE 11{?TE:".EZ�II"IP:REiIJTJ:FC)tt City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 eWc o,;2jt,6 Effective 1/1/04 CITY OF FRIDLEY MOVING [ ] f RECKING [ PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 "S -3 Job Address: Legal Description: Owner & Address: clt-i 0 rid C-1 149 Contractor: e, -,l J- Ca ,-^e • f�'tc.te./Iv Address: 14000 ye�� Plalc Ra�r'! /'-w 55- lAate License # Lj DESCRIPTION OF BUILDING Tel. #-57;- Tel. -57;-Tel. HOUSE: Length 4Width ab Height '_3 _ Sq. Ft. ! 13 b GARAGE:Length Width Height Sq. Ft. OTHER: Length Width Height Sq. Ft. Estimated Cost $ S;S'],,�� Approx. Completion Date Cu. Ft. 108 Cu. Ft. Cu. Ft. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTURE. Water Bill Paid: Yes [ I 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 hereby declares that all facts and representations stated in this application are true and correct. ALL q/;3/ -I Date Signature Moving Wrecking 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: do 0) MINIMUM $20.00 STIPULATIONS: