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PRE 2010 DOCSill ' 0i VMage of Fridley, MIUM6 II BUMDING PERNIIT N? 68"9 Offices of INSPECTOR OF BUHMMfiIS ii ii honer Lrchitect Fridley, Minn., � luilder LOCATION OF BUILDING w .,r To Street '` ` " '' Part of Lot got Block Addition or Sub -Division `Av DESCRIPTION OF BUILDING Front ' De plpth_ _Height ' ' Stories — -v M -v Manner of construction+ s � X `"'a" �➢ K TO be used To be completed ,prY-'`` �" ``-3 -_. Estimated Cosh w' J Permit is hereby "ranted tom esti"° ' ""'' to_6Z the building" described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, Around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley,'! Minn., regarding the construction, alteration, maintenance, :repair and moving of buildings within the city limas, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. -4� _ Inspector of Buildings. i AGREEMENT AND SWORN STATEMENT In consideration 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 j,' and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby~; state and say that the facts stated by me and contained in the above permit are true as therein 'stated. i' �I Subscri W a#d sworn to before me at Fridley, Minngao this, iiw: AB-:R•.L•�, a -z.,,, J'.r"�-.,r, i 1:ewr;-. r day of �w=....�. G--A.D. 19- - - li ii 53-81, -S-915.51 City ®f Fridley Applice0a for PITmUng cmd Gn Rrvhg Dept. of Bldgs. Phone 590-3450 DESCRIPTION OF WORM Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $-- -New New Fixture Old Opening .......... o � " Z ~ * air O 7 Z �a 7 � �$ ► N WATER MTA. 7GASFLEC. Base Electric Water Heater............ a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 1st 2nd Enstall G s rill 3rd 4th , • Future Connection Opanlnp * Nsw Fixture, Old Openings Connectod Vailh Bower (� Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $-- -New New Fixture Old Opening .......... x $1.50 $ Catch Basin ...... a ............. x $3.25 $ Water Heater ;Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater............ a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures ................. x $ .76 $ Gas Range to 1§0,000 BTU ... ,.......... x $5.00 $ LacaticaL 6150 N. E. Sunrise Drive 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, M nn 6-21-7b Owner Lillian Holmberg Kind of Building Frame Used as Res. To be completed about 6-28-74 Estimated Cost, $ 10.00 Old-101Buildin Permit No.�-�Pe-nyn� No. Signed By - - Business Phone No ROUGH REPAIRS is ALTERATIONS—Refer to Code .50 State Surcharge Description ....... Tpp5 tg;Lj.r m.Prj- .................s 5.00 TOTAL Y= $ 5.50 71iss -A-,' Surcharge a50o City of Fridley Dept. of Bldga. Phone SOD -3M DESCRIPTION OF WORK y� Number. Kind and Location of Fixtures pq .[ Old ew. Building Permit No. Permi o. PLUMBING FIXTURE RATES: os '^ o < N v< 5 V � 4 V$ / N WATEN MTII. GAS ELEC. Base New Fixture Old Opening.......... . x $1.50 .$—__. Business Phone No Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) .. • • x $3.00 $ " ROUCiI:II New Ground Run Old Bldg........ x $3.25 $ / s $2:00 a 1st . 3AS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures ............... x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 198,000 BTU .............. x $6.00 $ REPAIRS is ALTERATIONS—Refer to Code .50 State Surcharge Description ............................................ •$ , g' 2nd TOTAL FEE 3 a 3rd 4th FUtlire :'iO snit O,p Iningi I Soarer (� + New Fixture, Old Openings spool � City of Fridley: The .undersigned her specified, agreeing to do and ruling v.' *.%c 04rart and representations state Owner Kind of Building Used as % ^" To be completed about makes application for a permit for the work herei work in strict accordance with the City Ordinance t of Buildings, and ' hereby declares that all the fact this application are true and correct to mnn- .�/A �. t-.tJ to 4. C., -j a. PARTIAL RATE SCHEDULE Estimated Cost, $� Old ew. Building Permit No. Permi o. PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ........... x $2.00 $ Signed r Future Fixture Opening ......... x $150 $ _ By ` - New Fixture Old Opening.......... . x $1.50 .$—__. Business Phone No Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) .. • • x $3.00 $ " ROUCiI:II New Ground Run Old Bldg........ x $3.25 $ Electric Water Heater............ _ s $2:00 a FINAL 3AS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures ............... x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 198,000 BTU .............. x $6.00 $ REPAIRS is ALTERATIONS—Refer to Code .50 State Surcharge Description ............................................ •$ , g' TOTAL FEE 3 a City of Fridley SUBJECT ;�_14 AT THE TOP OF THE TWINS [RvIT BUILDINGr PERMIT _ .77677444 R • ___ - _ COMMUNITY DEVELOPMENT DIV. ti - r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J ` 612-571-3450 910-F15 8/21/84 JOB ADDRESS 6150 Sunrise .Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 3 lean Hills SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Lil Holmberg 6150 Sunrise Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Fe 's Construction Inc. 13270 Jay Street N.W. Coon Rapids 755-9438 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Resid al 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK r aAddition tn Dwellincr and a 14 X 12' DeCk Areaf 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRE+*DtcFOR WiRINCh 51I r1EA�I1Vl�a PLUMBING AI��' SIGNS,.$afore digg-ing tali local utilities TELEPHONE -:ELECTRIC -GAS Etc. REQUIRED 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 $11,300 $5.65 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- S-tRVC ION OR THE PE. FORMANCE OF CONSTRUCTION, S92.50 None PLAN CHECK FEE TOTAL FEE 28 SIGNATURE OF CONTRALTO ED AGENT (DATE) WHEN PROPERL A (DATED THIS IS YOUR PERMIT Se V SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) BLDG INSP E NEW I ] ADDN. I� ALTER. I ] Construction Addre Legal Description: City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application Owner Name a Address �!L h`� ��'� S�B'�' 4 � Tel. # Contractor: Tel. # Address: ��� ®��i52!� 11 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 �e' Width G ( Height Sq. Ft. GARAGE AREA: Length _ Width Height Sq. Ft. DECK_ AREA: Length - - Width Hgt/Ground,/Sq. Ft. _2Z,: OTHER: .0 if 1. to �0, e5Y. a07C.03'pf Corner Lot [ ] Inside Lot P4 Ft. Yd. Setback Side Yard Setback Type of Construction: i`c�� Estimated Cost: $ ` a Approx. Completion Date: `-----®-� rl' Q Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee 02 ."So Fee Schedule on Reverse Side Plan Check $ _ 13 25% of Building Permit Fee State Surcharge s 'S $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Hain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ' 2 * z 6 STIPULATIONS• BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $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. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $259001.00 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. 11,360 7 a G v-- 37 . au IuX a la• �' F v7 of---- - 11 �yIN I e "; Q ob h � v�Z D LJ w 0 w SUBJECT P City of Fridley 2188 AT THE TOP OF THE TWINS � K U I L ®I PERMIT BUILDING r c , LJ 7 ® T 6 COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. ' � �� o CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �.e__!`.' '•� 612-571-3450 910-F15 6/2/93 JOB ADDRESS 6150 Sunrise Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 Sylvan Hills SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Holmberg 6150 Sunrise Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Exterior Design Service 6391 Monroe Street NE, Fridley 571-3220 3237 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair S i,di ng 9 CHANGE OF USE FROM TO STIPULATIONS d TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 50a $4 7rJ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT {' PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35. QO Fire SC $1.50 TR N OR T E PERFO CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $42.25 SIGNATURE OF CONTRACTOR ORA R12ED AGENT (DATEI WHE /(� LY i DATED THIS IS YOUR PERMIT )NSP DATE SiGNATURE OF OWNER IIF OWNER BUILDER) (DATE)BLDG EVj_�^dTM1 �} 1 t 4 NEW I ] Effective 5/26M ADDN I j CITY OF FRIDLEY ALTER I ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 l 7 Building Permit Application Construction Address: Ca 2 <) � - Legal Description: CD r, LeJ 71 Owner Name & Address• Tel. # Contractor: MN LICENSE # v®o3�-3 7 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 GARAGE AREA: Length DECK AREA: Lea4*--, OTHER. -k- til? Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ j Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ % 5 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ nn Fee Schedule on Reverse Side $ A sv t001 of Permit Valuation (1/10th%) $ • 9S— $.50/$1,000 Valuation $ $750 per SAC Unit $ D $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ j Not Necessary I 1 $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration. or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $252 'for first* $25,000 plus $6.50 for each additional $11000 or fraction thereof, to. and including $50,000 $414.50 for fust $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 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. 01 SuBdECr City of Fridley -24719 AT THE TOP OF THE TWINS BUILDING P E R M I T r PT NO. �• COMMUNITY DEVELOPMENT DIV ______ r PROTECTIVE INSPECTION SEC S CITY HALL FRIDLEY 55432 NUMBER DATE P AGE OF APPROVED BY 612-571-3450 7y__ 910-F15 10/25/96 JOB ADDRESS 6150 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lillian Holmberg 6150 Sunrise Drive NE 571-4005 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis Lane Plymouth MN 55447 553-0025 2406 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 Q REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,473 $.74 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- FireSC $1.47 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $48.50 PLAN CHECK FEE EE T:W5.71 License $5.0 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT IDATEt F,ROP ALIDAT HIS IS YOUR PERMIT -57P� —v / /yI S)GNATUREOF OWNERtIF OWNER BUILDER) (DATE) )NSP nATE 01 NEW J Effective 8/1/95 ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 616-0 Legal Description: Owner Name & Address: ' f®���ri des- Tel. #571— /-/0®S' Contractor:�� `101, _ MN LICENSE # Address: g:2!,!1'> igVA* 10 ` .� n., Tel. # g5,.3 - oo.5z S -- 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 HgtiGround Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Y,-73 Approx. Completion Date: 7 61 (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATES®— _APPLICANT: r Tel. # AS_S� G Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee s� $ Sewer Main Charge $ TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1;000 Valuation $850 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 [ ] s 01 SUBJECT P city ®f Fridley 25373 AT THE TOP OF THE TWINS ?R BUILDING PERMIT P t , I IPT NO. • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r ; NUMBER REV DATE 8114/97 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 6150 Sunrise Drive NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 23 2 I Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lillian Holmberg 6150 Sunrise Drive NE 571-4025 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Century 21 Siding & Windows 3700 Annapolis In X6145, Plymouth MN 55447 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 509-0014 20091044 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION RA REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer' specifications state it is not required. 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 S0. 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 1 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 $7,526 $3.76 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- $137.25 Fire SC $7.53 ST UCTION R THE PER ORMANCE OF CONSTRUCTION. PLAN CHECK FEE T TAL FEE �14Licens SC $Ybo $153.54 TUREO CONTRACTOR OR AU4 ZEDAGENT (DATE) jPRKY 'i R gD1 VAlCfTED THIS IS YOUR P R I a► GATE S)GNATURE OF OWNER OF OWNER BUILDER) IDATEI s 01 NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �2-1�Z BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner NamAd,® U .�l �� Tel. # 5"7 e —LP& Contractor: MN LICENSE # Z q q e)Lly Address: S— I— I =0123 —,a,, J,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: 16 � Estimated Cost: $ � . (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 9 J r �'�_ APPLICANT: Tel. # SD9--�(q Permit Fee Fire Surcharge State Surcharge SAC Charge $ 5-7, z6' '73 $- $ � OiIQ License Surcharge $ 0o Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 153-5 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alta "B" Above y` $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] no I 1 SUBJECT 0. City ®f Fridley 2 8 4 7 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 190,10 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By . L 612-571-3450 910415 10/29/98 10B ADDRESS 6150 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lil Holmberg 571-4005 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Const. Co. 4208 83rd Ave N Brooklyn Pk 55443 566-5225 20077950 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 0 NEW ❑ ADDITION 0 ALTERATION fEk REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house (15 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 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/6F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIJIN OR N.THE GRANTING OF A PERMIT $1285 $.64 DOES OT PRESUME TO E AUTHOR Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO SI NS OF ANY HE TATEO AL LAW REGULATING CON- STRU R TI N OTHE P RFO ANCE O NSTRUCTION $43.00 Fir SC $1.28 t PLAN CHECK FEE Lice C 5.0 TOT EE $ .92 S�GNAT RE OF CONTRAG ROR AUT OaiZED AGENT iDATE, EN PR P V LIDA THIS IS YPU PERMIT A, OG --NSP I QA�E SIGNATURE OF OWNEROF OWNER BU4DER1 iDATEi 1 w NEW �„ ] ADDN [ ] CITY OF FRIDLEY Effective 1/1/98 ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMU APPLICATION ConstructionAddress: �-/, Legal Description: Owner Name & Address: Contractor:,/ Address: V, e 93 Tel. #s7 MN LICENSE # �?--(96 7 7 '�, o Tel #6/-) JS(�/- --,-k �- Attach to this application, a Certificate of Survey of the lot, with the Proposed construction drawn on it to scale. DESCREMON OF IMPROVEMENT LIVING AREA: Length Width Height � .___.___... Sq. Ft. DECK AREA: Width Height Sq. Ft. Width HgttGround Sq. Ft. DTEnU : `onstruction Type: Estimated Cost- $ )851 - (Fee Schedule on Back) riveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ ATE: APPLICANT: Tei. # b -,5 2— J TOTAL $ ,Z- PULATIONS: CITY USE O xmit Fee $ oob Fee Schedule on Reverse Side re Surcharge $ /,� .001 of Permit Valuation (1/10th%) tte Surcharge $ $.50/$1,000 Valuation `C Charge $ $1000 per SAC Unit :ease Surcharge $ L-, $5.00 (State Licensed Residential Contractors) iveway Escrow $ Alt. "A" or Alt. "B" Above )Sion Control $ $450.00 Conservation Plan Review k Fee $ Fee Determined by Engineering ver Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ,Z- PULATIONS: