AF - 38712�
Citp of Fridley, Minn.
BUII.DING PERMIT
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owner .......................................
Addr�s .......................................
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N° 3903
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Address ..................... ......................
L,O�C�►TIQN OF BU[LDIIVC
No. . J�°.�. •�C•(. . Street . .���C� . �... . ..... Part of t ....... . ... ..... .. . . .
Lot . . . . . . . f. . . . si�x . . . . . . . j. . . . . . . . . aaaition or su�-n��on . . .� . � . .�����
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Corner I.ot . � . . . . . . . . Ins�ide Lot . . . . . . . . . . . . Setback .�:� : .� . . ideyar3 . � .��.� � . . . . . . . . . . . . . . . . . .
DES�RIPTION O�' BUILDING
To Used as:
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�!�/��:� . From s�rd�.° � DePth .e�.%—�" x��t 1. �:� 9, sQ. �. .��. ,� e�. r�. �: ��
Z�►pe of Construction ..J� .....,. . F.st. �.�i.J.�.,��� �ro be Completed ...................
In consideration of Yhe issuance to me of a permit to construct the building desribed above, I
the proposed work in accardan� with the descriptlon above set forth and in compliance with all
ordinancea of the dty of Fridley. , ,� j'
..,� ..:... ... . ..... .. .. .. ..-.... �
agree to do
arovSsions of
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In consideration of the payment of a fee of $.�.�,......, permit is hereby granted to ..... .... ..........
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......................... to construct the buflding or addition as descrlbed above. This permit ie granted upnn
the express condition that the person to whom �tt is granted and lsfs agente� employees and worlmien, in all work
done in, around attd upon said bvilding, or any part thereof, ahall conform in all respects to the ordinances �of
Fridley, Minnesota regarding location, constructlon, alteration, mainteaance, repair and moving of buildings with-
in the city limits and tbis permit may be revoked at aY►y time upon violatfon of any�e provisfons oE said
ordinances. � .
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V'.��►�I
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s• .�,I�'��� . . Building Inspector
NOTICE:
Thla pa�mli does not cove� the const�uctlon, Instatlat(on or alte�ation for wlring, plumbing� gas heating,
sewe� o� water. Be sure to see the Bullding Inepector for separate permlte for these Items.
MARYEY A. CARTWRIGH7"
wNOKA GOUNTY sURV6r9
MiNNEPIN COUNTY 6URV£YS
MtNNfiAPQL18 $URVEYB
6410 PALM 9TREET N, W.
suNSeT a-�eas
OWNER
1NDU6TRIAL — JUDICIAL
BUSlItlEBS — TOPOCiRAPNICAL
CITY LOTS — PLATTING
Robert Hughes
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��G� � O�O� J�EB�HILL, CiVILEENGINEER
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LA ND S UR VE YORS c. F. SANDHOFF
REOISTtRSD YNDBR �.AWS OF OTAT6 OF MINNE80TA GiVIL ENGINEER
ssTaaueHEO �aoa
LICENSlO BY ORDINANCE OF CITY OPr MINN6APOLIS
326 PLYMOUTN BUILDING FEDERAL A-B721 �p'MES NELSON
SURVEYOR
HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA EST4BL18NED �oaa
�D{1�I1e11OT�� �eTtI�kLAi[' METROPOLiTAN LAND
C SURVEYOR6, ESTABLIBMED ��e�
�� L Invoice 20593
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I hereby�certif�r t3�at this is a true and correct representation of a survey of
tha boundaries oi:�
Lot 1., Bloek l, Sylvan Hills Plat 2
and oi the location of �lI cvildin�s, �' any, thereon, and all visible encroach-
ments� if an�, from or on said l�.nd. Tt �.lso shotas the location of the stakes as
set for a proposed buildin�. =�s surveyed by rae this 22nd day oi Aia�, 19�9.
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suedecr P NO.
City of Fridley 2 6 719
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. ���
i Vy ��'��'�
r � � PROTECTIVE INSPECTION SEC.
1 . i
l---. � �"'1,� CITY HALL FRIDLE� S:f4�i NUAABER REV. OATE PAGE OF APPROVEO BY
t �� � � 612-571-3460 910-F15
7/20/98 � �
JOB ADDRESS 6291 Comet Lane
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 1 S lvan Hi11s Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE
Ro er Helland 571-1355
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO
.New Haven Const. 4208 83rd Av N Brookl Park MN 55443 566-5225 20077950
d ARCHITECT OR DESIGNER MAIL ADORES8 ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS IIR PMONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASSOF WORK O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE
8 DESCRIBE WOFK
Reroof (22 Sq) Tear-off
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE HEQUIRED FOR ELECTqICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCV IOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTpUCTION 20NING SQ. FT. CU. FT.
AUTHORI2ED 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �183�F �.9L
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER ST TE LOCAL LAW REGULATING CON-
STfiU OR THE . RFORM C CONSTRUCTION �.r79..5� Fire .S�', �1.83
��� PLAN CHECK FEE TOTA� FEE
License SC $5.00 $67.25
SIGNATUREOFCONiRACTORORAUTNOA�ZEDAGENT IDATEI WHEN PFOPERL � LIDATED THIS IS VOUR PERMIT
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SiGNATURE OF OWNEFi ��F OWNER BUILDERI IDATEI I B G�NSP 6l.TE
NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: � �- / / C� D f'� -�7`'
Legal Description:
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Effective 1/1/98
S7/�-�y87
f!-Zr /�t� /-� ^�
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Owner Name & Address: O e � �����" `� Tel. # �,��� �' ���i�
Contractor• � �% ��- �'`� «'�--s - MN LICENSE # � � 4 � 7 %
Address: �y�� ��`-� �� %I�O� Tel. # .��� —�� �Z�
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.
,
Construction Type: ����� ���%� Estimated Cost: $ � �c�� ��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Fi x$ _$
DATE: � � '' � APPLICANT: G� GL��'� (� � �' Tel. # S� � ° � �
� ,.C�G� �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �- ��
$
$ - 0--�
$
$
$ �
$
$
$
$
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CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1J10th%)
$.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 [ ]
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...::��,'���`�� BUII.DING 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
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $1b0 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,Q00
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
�
or''�action thereof, to and including $50,000
$50,001 to $100,000
$1�,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,Q00
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,OQ0,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "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 minunum of 24 hours from the time of application to allow for proger
review of the proposed structure and of the construction site. a
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.
sue�eeT PE
City of Fridley 2 8 0 8 2
AT TNE TOP OF TME TWINS g u i L D I N G P E R M I T
r
; � RECEIPT NO.
� `v _���� COMMUNITY OEVELOPMENT OIV. /
r � � PFiOTECTIVE INSPECTION SEC. /� � l�
� . l%
� � �'�'1 � CITY HAL,L FRIDLE� SSI$2 NUMBER pEV DATE PAGE O� APPROVED BY
�----� • •�� 612-571-34bp 910-F15
10/2/98 / /
lOB ADDRESS
6291 Comet Lane NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED
DESCR. 1 1 S lvan �j.�.�.5 Plat 2 SHEET
2 PROPERTY OWNER MAIL ADOR�S$ ZIP PMONE
Ro er Helland 5 1-1355
3 CONTRACTOR MAII ADDRESS IIP PMONE LICENSE NO
Window-Lite 523 Central Ave. Oss o
4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO
5 ENGINEER WIAII ADDIiESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK �
❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
B OESCRIBE WOHK
Reside house and ara e
9 CHANGE OF USE FROM TO
STIPULATIONS �
Call for building wrap inspection before covering.
TVPEOFCONST OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR Alii CONOITIONING.
THIS PERM�T BECOMES NULL ANO VOID IF WORK OR CONSTpUCTION 20NIN(3 S�. fT CU fT
AUTHORIZEO IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANQONED FOR A PERI00 OF 120 pAVS AT �
ANY 71ME AFTER WORK IS COMMENCED. ' NO OWLG. UNITS OFfSTREET PARKING
I HEREBV CERTIFV TMAT I HAVE READ AND EXAM�N�D TNIS APPLICA710N 57A�LS GARAGES
AND KNOW TME SAME TO BE TRUE AND CO�iREC7. ALL PROVISIONS Of LAW$ VALUATION SUR7AX
AND ORDINANCES GO R ING THIS TVPE OF WqRK WI�L QE COMP�IED
WITH WMETHER SPE IE HEREIN OR NOT. TNE GRAN7ING Of A PERMIT ]OOO 3.SO
DOES NOT PRESU T GIVE AU7MORITV TO VIOIATE OR CAMCEI TME pEqMIT fEE SAC CMARGE
PqOVIS10NS Y TMER STATE OR LOCAL LAW REGULA7ING CON-
ST C710 R Ef,, ERF RMANCE F NSTRUCTION 1,2 FI= 2 SC 7.00
� � PLAN CHECK FEE TO L FEE
�
S�GNA q CON'FACiOA uTH i2E0eGENi iOATEi NE PROP VALI T THIS IS VOUR PE///A���MIT
� / I��
S�GNATUAEO�OWNEp���OWNEABU0.0EA� i�AiE� - ' B G�NS� � - qcrE
NEW
ADDN
ALTER
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constructionAddress:
Legal Description: � j
CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
0
Effective 1 / 1 /97
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�� �
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Owner Name & Address: ��.,v/_ .� /�l_r�� ��/ [�i�Yle � � Tel. �/s�'/-%�'�
Contractor: Lc i����3� -° f,.. �� MN LICENSE # ea�D� �ia��
Address:_ ��'� � /�j � � �� e � �Sv �Tel. �i �,�°��m?%
Attach to this application, a Certificate of Survey o�the� 6�
lot, with the proposed construction drawn on it to scale.
LIVING AREA: �
GARAGE AREA:
DECg AREA:
OTHF,R:
DESCRIPTION OF IlVII'ROVEMEIITT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
�nS� Width Hgt/Ground Sq. Ft.
Construction Type: 1 r Estimated Cost: $ �(�(, �� -��
(Fee Schedule on Back)
Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$
, a,
DATE: � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Tel. # ��-�o
$ �M'� ` t%� `� �Fee Schedule on Reverse Side
$ ' .001 of Permit Valuadon (1/lOth%)
$ �: ._ : ' � $.50/$1,0� Valuadon .
$ $950 per SAC Unit
$ � � '�-'" $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ �$450.� Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� C� �