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: