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PRE 2010 DOCSN �161 Village of Fridley,, Minn. BUILDING PEBMIT Office of INSPECTOR OF BUILDINGS I owner Architect_ _ ,moi Fridley, Minn-, Builder LOCATION OF BUILDING No. Street of Lot Lot Block Addition or Sub-Division"R lr i i, DESCRIPTION OF BUILDING Front Deptb - $eight. Stories Manner of Construction .To be used^` s To be completeda e: � Estimated Cost jl Permit is hereby grknW to R'- h the building described is 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, *inn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limit' , and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. i inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideratfion of the issue and delivery to me by the Inspector ; of Buildings of Fridley of the above permits I herebyagree to do the proposed work in accordance with the description above set forth a id 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 st "d. Subscribed and i*worn to before me at Fridley, Minnesota, this clay A D j SUBJECT P _ City of Fridley 29628 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. INSPECTION SEC ` r PROTECTIVE ✓�!�/ r , _ A""-, , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 16/7/99 10B ADDRESS 6221 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 1Syl van Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judy Hahn 571-8806 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Knutson Roofing & Siding 9307 Hillside - 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 O NEW O ADDITION 0 ALTERATION MX REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house (18 Sq) Tpar-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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. OWLG. 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 1573 $.79 DOES NOT PRESUME TO GIV UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTH TATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PER MANCE OF CONSTRUCTION $57.05 F1 SC$1.57 PLAN CHECK FEE TO FEE WAIILi c C 5 . 41 S ATURE 0 CONTRACTOR OR AUT AGEN tDATEi EN R P VALID THIS IS UR P M A/° oI SIGNATURE OF OWNERof OWNER BUILDERi iDAM� BLD -NSP gaTE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� 1 �/si i°1 �� `� %��• Legal Description: FR r,7 ye- S $ Owner Name & Address:Tel. Fire Surcharge $ l` # 21-06 Contractor: /� C41sr-pq �� - &4)1 MN LICENSE # Address: 3r/�� $1050 per SAC Unit License Surcharge /� Tel. # Z 3 —9 Z3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �` o� F / LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length— Width Hgt/Ground Sq. Ft. OTHER: y -"` �� 6 Construction Type: Se-612XI Estimated Cost: $ • l� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: If 1 APPLICANT• Tel. # TOTAL $ STIPULATIONS: 32,3--9Z-3;,c/' CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ l` .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ . D d $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: 32,3--9Z-3;,c/' 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 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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 4000, City of Fridley 32459 AT THE TOP OF THE TWINS K u I L D 1 G PERMIT BUILDING 1 \ C rr COMMUNITY DEVELOPMENT DIV. INSPECTION SEC - /107 r PROTECTIVE B . � CITY HALL FRIDLEY 55432 NUMBEA REV DATE PAGE OF APPROVED BY 1 612-571-3450 910-F15 3/12/02 J JOB ADDRESS 6221 Sunrise Dr NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS- ZIP PHONE Judy Hahn, 6221 Sunrise Dr NE, Fridley, MN 55432 763-571-8806 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Merit Building Co Inc, 3029 Coon Rapids Blvd #311, Coon Rapids, MN 55433 20271430 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-323-7363 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Windows -vinyl inserts, 2 exterior doors, insulation, vinyl siding 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. Per Section 1402, 1997 Uniform Building Code requires that a weather - resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions to this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in the application guidelines. Call for inspection of wrap before covering. iI ° 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 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 $16,692.00 $8.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $279.25 $16.69 Fire SC PLAN CHECK FEE TOT09. 5.00 nse 29 SIGNAT6&F OF CONTRACTOR OR AUTHORIZED AGENT iDATE, EN P OPE ALIDATE T S IS YOUR PERMIT SLOG NSR ' -' MATE S,GNATURE OF OWNEROF OWNERBWLOERI (DATEi 03/12/2002 08:30 FAX 7633237464 Merit Building Co. Inc. [a 005 NEW[ 3 CITY of FMDLI� E1' � 1!412 ADON 1 i 6431 University Ave NE. Fftey, MN 53432 (763) 5 -n -3I" 6" ka-il ALTER () SN GLE FAMILY AND MOLE= R-0 AND R-2 BulI ING PIWITAPPLICAPON 'e,,a 3, Cdnstruction Address: (-p 2 Z/ Legal Description.- Owner escription: Owner Name $ Address: contractor. r r)P r ►-+ CGOn 55L4 Aftach to this apprr0 sort. with the proposes LMMG AtiEA,: GARAGE AREA: DECK AREA: OTHER: Length Length Length TeL026a- 571-alOI mN ucENsE # 20 71 �00 Tel 7ta3-323_13k G Colt-L11$,ei&4< �- ion, a Certificate of Survey of the comstrudcri drawn on d to scale. OF IMPROWMENT Height Sq, FL Heigh Sq. Ft i OGrogldi 5q. FL Construction Type: Ulio -Vin 41 iPrts Estimated Cast: tic.Doors-2, In5tA1Cj+i0rl, V1'n(�1 9 Wveway Curb Cut Width Needed: Ft. + 8 Ft I Ft x DATE: 3 -1]- b 2 APPUCANi Call (763) 5723604 for Permit Fees if MairIng in ap; call you for card number, CITY TeL # 1(113-523 -%3fo -3 or Fax to 763-679-1287 if using ered'd card and we will! ONLY - PelTnit Fee $��9� �S Feel Schedule an Revere Side Frei Surcharge $ �� _ ,� .001 of Permit Valuation (1110th%) State Surcharge $.5W$1,000 Valuation SAC urge $ _ � $l 200 per SAC Unit License Surcharge $5.qD (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 Change $ Agreement Necessary Not Necessary { j TOTAL $ 31i STIPULATIONS: NAP, a A WM APPLICATION # 07- 00 r� CITY OF FRIDLEY 2007 LOAD LBUT MODIFICATION PERMIT JOB ADDRESS: r, / -5 c1,1/,16 Jc' DATE: MATERIAL TO BE HAULED: BEING HAULED BY: /."0? PERMIT REQUESTED BY: DATES OF DELIVERY: 3 - a 7 - U 7 (Up To 3 Days) THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXLE TO FIVE (5) TONS PER AXLE OVER THE FOLLOWING DESIGNATED ROUTE: NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to 5:00 pm. See Resolution # 01-2004 and State Statute Section 169.87 PERMIT FEE: $25.00 RECEIPT # 3XL ISSUED BY: Copies Given To Polio Engineering [ ] Signature of Applicant