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PRE 2010 DOCSN? 690 - r u F Builder_ Front Del 1h To be used as_____ ' a Village of Fridley, Mia�tu. BUILDING PERMIT Office of INSPECTOR OF BUIMINGS Fridley, Minn., LOCATION OF BUILDING Street :of Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING Hei�.9ght Stories a Manner of Construction `= To be completed a"�` ! ' Estimated Cost Permit is hereby, granted to to described In the above statement. This . the building '`' � permit is granted upon the express c d"Jon that the person to whom it is granted, and his ' agentq� employees and workmen, in all the work done in, iaround and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, j' Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limrlts, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. —, Inspector of Buildings. u AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above pe `t, I hereby agree to do the proposed work in accordance with the description above set forth land 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. SubscriWed at d sworn to before me at Fridley, Minneqgtg, this- day his day of A,..,: - _ SUBJECT P T NO. City ®f Fridley 21 1.6.7 AT THE TOP OF THE TWINS BUILDING PERMIT r09 I L CEIPT NO • _____ COMMUNITY DEVELOPMENT DIV. SEC. PROTECTIVE INSPECTION -`1 CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 TREV. 6/2/81 JOB ADDRESS 6160 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 2 Sylvan Hills; SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Robert Peterson 6160 Sunrise Drive N.E. 571-1086 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dale H. Peterson 19014 Wolfram.St. N.W., Anoka, MN 753-1663 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 Construct a 151611 x 14' Ad '.tion and an 8' x 14' Deck onto Dwelling 9 CHANGE OF USE FROM TO .STIPULATIONS SEPEIZAT'E -PERMITS REQUIRED FOR 'WORI C!, G4L FM AM 4 90Wn0ft HEA 71NG. PLUMBING AND SIGNS Final Ins cti0ns Of an r�QquirU+° *r WARNING l Before digging call local utilities TELEPHONE - ELECTRIC. Ga 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 $91300 $4.65 WITH WHETHER SPECIFIED E OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO E AU HOVY TO VIOLATE OR CANC L T E PERMIT FEE SAC CHARGE — PROVISI N OF ANY - ER STA E ,R LOCAL LAW REGULATI N— $57. DO NONE STRUC 10 OR THE FORMA CE CONSTRUCTION. S PLAN CHECK FEE TOTAL FEE $14.25 $75.90 NATURE F NTR OR OR AUTHORIZED AGENT tD EI WHEN. PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG rATE a� SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) CITY OF F1tIDLCY APPI-ICATIO'd FOR RESIDENTIAL BUILDING PEMITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: TEL NO: =/ /®Fr60 BUILDER:��- ! l� l�d�✓ ADDRESS: TEL NO: l,6;,63 Construction Location ' STREET NO: 01400 STREET: Sy /U /Z P12- � LOT: BLOC`..t:: ADDITION: Corner Lot: Inside Lot: Setback.: � Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION - • l4,®®1rodj Front: �5-� Depth: / r Height: r Square. Feet: I Cubic Feet: Front: Depth: Height: Square - Feet: '� Cubic Feet: Type of Construction: /�si?F� Estimated Cost: $ To to Completed: .9-0 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEI: REVERSE SIDE OF SHEET . Ilie undersigned hereby, makes application for a permit for the %.,ork' herein specified, agreeing to do,all work in strict accordance with the Cityo Fridley ordinances and rulings of the Departn�.ent of Buildings, andy declar s a a the facts and represcn tzti.oi statd 4V this application ZrE true c . rec - DATE.: �''// -7 /(-- / SIGNATURE:: Stipulations; / r 00 1 . . BUH-DING�PrIT FEE `;CII )ULE-� :;)SC:'C[OI7 ?_. 'J'hl� 7iv.;pector. of 131Ii.ldi.n(i ; :chrlJ.J., befoY:c: )�cnnit" for the crection of any buil(l.i.YIrl or :,t:�'uC t:tYY:c, Or: fa): any addi.t-Jon to any exist:irlg building or ,;tructur-e, 6): fo)*- any alto -ration or. repairs to -any c>:i.:.l:.i.n�i lnli.J.di:Ilc; or stzucturc, upon ar�l�la.cati.on thorefor.cs, requ.i.Y:e Ur,_, payinent: by the appli:c:arlt: fciY- :;uch permit of fec> to t11e amount her_ui.n bCl.ow sc:t forth and i.II Clic munrler hp.ci.rl provid(.-d to-%..'i:t: NEE Collsi7:tftION: Single 3.'Z111il.y homes and C}a).,-iges: ;:4.00/1,000 cubic feta:. P7,hN CHN'CK: 25 percent of l)uilding J.sermit fee. UR1VIit;A1' DBPP.i:SSIOI•:: (Concrete. C uxb Streets Only) Altcrrlat:e A: Retnoval and replacement of concrete curb and gutter only; Driveway widtlY plus 6 feet x $13.50 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 . AD IT10NIAL INFORMA TON 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 ;gain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 pier each five hundred dollars "($500.00) or fraction thereof in the cost of all proposed work. - In -no case sha.11 'the fee charged for any permit as set forth in' Section 2 be less than $7.50 plus $.50 state surcharge. -RTFICI TION! QF F U (DATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time Of-: application to allow for proper review of the proposed structure and of the construction site. J A Certificate;of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the ..framing. ._Lt:.QLI F I CITE OF OCCUPANCY Application for a Certificate of occupancy shall be mad, ten (10) dziys prior to the use or Occupancy of any structure for which a building permit l.as been issued; and_ stcid struct:urc hall not be used or occupied uIltil a Certj.fi.cate of Occupancy has been issued. j3 `} r .41q M rf'%1 _s bq��� }P11ci1'Ci J.': p •� ? r y`Ts�y, �G+..k x'Q :s2 f � ,1 r �•z� I � a � � � L -i � � x rb. 5 p" 4 � g�; ��'� a !i v {� ,uo r h : I1va.may +0Rt� tUy°a�'k�"d SbooL�:��k'Ity7� yl a re yy� I 777777 ADD AH9, { ; o , '. ? c ✓`� :f h; rn�� •f a '�d�' F 6� '*$kkt Ll r3 +$..j;t; �M��S � 'WR u4 total .a11 ak'rmer A® s Yk R16YrOXI 1 4v s� e 4�i 44u b�tL It w, t a, { � 31 IS � ri, -C . '.. .� - •� i ( ,4G � -( �C 'g� APA 1+�1'i }Y y� Um�� �g ,/% �} .r.� i � fi;l £ t ✓" Id}' f�a �, c J Tt %-,M 8 lima IDD ibR$: A b; oto �1 area ip n ° ,lura 4 y1 dfX"� r' ,{3 I�/►gi)r�7�t�?y5u C;7 `� % V � %i d'•� h+ ro; r J y apy rz d! ei v it rdd ma .+ 1 x '' n Ril i # r r 41 ` '!s r ,Nlr �}i�`tr l ! s '� x e ,� t� 'r. �yrr�i i"�`��+3' ✓3P; l: y S }•, a 1 p k p.' Y t Yr':w �-. ` h S t_.L %K+ :.Y�4.�a•4! i•:�3 yY p f 45. j ,+�,F ��� �� p u. 91M1.1" Vt ar^,.,, -_xt sr'ad .._t. t'�' ... "!>? ..'1 a : 1,. r�..Y2:3:. 7,4�"•. �. CARPENTER 15104WoLFRANI sT. N. A%*. 753-1663 ANOKA, MINN. 65308 47%L x O'l DALE' Jr. 1"E'TEMSON M -- 1.1, , INTIEIt Al PE W. -,5.1-1ow) ANOI(Ai MINN. 65303 CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDE)bTLAL �� ` Furnace Shell a' Duct Work, Burner (Also replacement furnace) Gas Piping O (piping need ith new f ce) Gas Range Gas Dryer • Air Conditioning (all sizes) RATE TOTAL $ 20.00 $cl � $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $" All Others/Repairs and Alterations li of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 1• of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. I a (®-9 _; Date rn Approval for Permit 2,' MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 6 t16 o1 1// 'A Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. 11571-3450 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. /11) Fridley, Minn. l — �51 7 '19-93 OWNER KIND OF BUILDING �✓ -ylot A „ /J USED AS TO BE COMPLETED ABOUT �y ESTIMATED COST ` U 9LDNEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER EATING or POWER PLANTS, Steam, Hot Water, rm Ai No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load ��s�Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. �Zy :7 Fill out back side for stack verification on replacement furnaces CHIMNEY 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s,�,c� CompanyCuu- Ay- Signed By Date / 7 SUBJECT PER City ®f Fridley 2671 AT THE TOP OF THE TWINS BUILDING MIT • ', IPT NO. COMMUNITY DEVELOPMENT DIV. tiO /� qq I PROTECTIVE INSPECTION SEC. r `od'dp , NUMBER REV DATEPAGE OF APPROVED BY I 1 CITY HALL FRIDLEY 55432 ti.___.i�.' '•� 612-571-3450 9t0-Ft5 7/2 0/98 / JOB ADDRESS 6160 Sunrise Drive I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 2 ISylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Randy Hanson 572-8747 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Haven Const. 4208 83rd Ave N Brookl3m Park MN 55443 66-5225 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 ❑ NEW ❑ ADDITION ❑ ALTERATION )0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building 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 BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFST.REET 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 $.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1834 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE Inv Fee SAC CHARGE PROVISIONS OF ANY .OTHER TATE LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOR CONSTRUCTION. $59.50 $59.50 Fire SC $1.83 ANCE I � PLAN CHECK FEE ,7icenee SC $5.00 TOTAL FEE $126.75 - SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DAT IWHEN�P�yRO�PERLY LIDATED X70 13LOO INSP THIS IS YOUR PERMIT DATE _ SIGNATURE OF OWNER IIF OWNER BUIL DE RI IDATEI B rrs� ri --VIP 2- 72 -�.zZ-S— ��M 0 - Ell 6 M � � 59 s� as S� 9d S,00 TC - I .0 Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No:. -, Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Dat MMNOV 763-502-4977 FAX $ Soo $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) EFFECTIVE 8-19-09 $ ft + 6 R = ft x $22 = $ DATE — ^6YOUR E-MAIL ADDRESS $ SITE ADDRESS �,(�j t0 ��ta/ �! S ®IL N-0 $ THIS APPLICANT IS: ❑ OWNER WONTRACTOR $ PROPERTY OWNER/ NAME: be L- ou $ C�u Uz TENANT ADDRESS: 6760 ,s'GrvrJ P° e U CITY 1--g. 4ey STATE POZIP PHONE: %6.7- CaV — 96/;? CONTRACTOR NAME: a e.5:7-- W "'.Ja W G d SUBMIT A COPY OF STATE LICENSE # 2 13 ® EXP DATE 63 2610 YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 373 9 /-11,* ty iv �q Ave CITY / 4,5 STATE 0X)ZIP "06 INSURANCE PHONE 61;2 - `7 &2 1-.5`^333 FAX PROPERTY TYPE iE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �l o`f� ��.- e %� �� GL 6� s2m�7' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING b HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES El HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2 Two sets of construction plans WIIVDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SIING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 6 T 9 ' OCCUPANCY TYPE Permit Fee $ ( "4"�) See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ Soo $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 R = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ C�u Uz Make checks Davable to: Citv of Fridlev Attach Stipulations 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. is SIGNATURE OF APPLICANT �� PRINT NAME O- P' � � P TIG � DATE Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for V $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1" $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1s' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up --J$5,608.75 for the V $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977