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PRE 2010 DOCSsueJEcr of Fridley �PERM"-�City AT THE TOP OF THE TWINS BUILDING PERMIT _ r - RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 0 PROTECTIVE INSPECTION SEC. / I I NUMBER REV. DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 7/16/86 JOB ADDRESS 6230 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 2 1 Sylvan Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Giadon same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R-1 7 CLASS OF WORK I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 10' x 14' storage shed. 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood 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 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 $845,00 $,50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $16.00 PLAN CHECK FEE TOTAL FEE $16.50 SIGNAT OF CONTRACT R T bRIZED AGENT (DATEI WHEN PROPERLM VA ED THIS OUR IT BLDG W$P DATE _ SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Z evdc �s Z)/' Legal Description: Tel. # Owner Name & Address: Contractor: �`E" Tel. 4 Af 2— Address • t1a 2-2>_0 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 Sq. Ft. OTHER: � 0�%L--' S'f� .® In /K/7 ,Hg`t/Ground / Corner Lot [ ] Inside Lot [C] Ft. Yd. Setback Side Yard Setback Type of Construction: ���•/� -E ��'�- � Estimated Cost: $ '7 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT: Tel. # �%2-0 2_ 3 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 7 v� &__ f(),()u D� 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: $25,001.00 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. ---All- I ■�h�■.. MVJRIJ aAtxgIfs 62 30 Q OR SLA R STATE OF MINNESOTA DEPARTMENT OF HEALTH ABANDONED WELL RECORD 1. LOCATION OF WILLI MINNESOTA UNIQUE WELL 110. County Name Anoka I (leave blank if Got knave) Township Naas Township Number I Range Number Section No. Fraction 4. WELL DEPTH (completed) Date sealed E 4 %of % Fridley 30 or 23 Yr 14 SE SW SW 58 ft• 5-4-90 s Numerical Street Address and City of Well Location or Olstaace from Road S. DRILLING HMO (if known) Intersection IRI Cable tool 40 Reverse 70 Driven ICC1 Dug 6230 Sunrise Drive,.: Fridley 20 Mallow Rod EO Air C)Bored .110 Show e t load 30 Rotary 60 Jetted s0 Poor Auger t on gr d w th •K•) Sketch map of wall location 6. OBSTRUCTIONS H Well obstrccttd ® Yes 0 Ifo x MENU HENN VNE Obsercettoas rumored ® Yes 0 No if obstructions Cunt be MON 21' 1*11 Drop Pipe & �sellli Contact E 'Packer Type Jet ?. USE T hoc., Lto Domestic 40 Monitoring 1[3 Neat Loop XII 20 irrigation 50 Public 10 industry 1 I I 30 Test Well 40 Municipal 1100 Commercial r1 to -- _a 10 Air Conditioning 110 2. PROPERTY OWNER'S NAME Ouiling Address if different than B. CASiNG(S) 1/property address indicated above I® Black 413 Threaded 70 Tom G 1 i adon 20 Galy. g0 Welded 30 Plastic do Stainless Steel HARDNESS OF 2ta. to 254 ft. 3. FORMATION LOB �� COLOR FORMATION FROM TO 1f not known. indteformation log from new well or nearby well. In. to ft. 2. SCREEN ® screened wall from544 ft. to 58 ft. (It known) 0 Open Role from _ ft. to,.__ ft. 10. start TER LEVEL _Tt. ® below 0 above 5-4-90 land surface oma Measured ll. WELLHEAD COMPLETION 10 Pitless Adapter - C) Found Buried 2M Basement offset '513 30 Well Pit B. REMARKS. ELEVATION. SOURCE OF DATA - CASINGS REMOVED. CASINGS PERFORATED. ETC. i 12. GROUTING INFORMATION IM Rest Cement 20 Bentonite 43 Grout material Nt. Cmt. from—Ltq51 ft. Co. yd$IL b 13.EAREST SOURCES OF ONTAMINATION reel Sout� direction buried sewertype Well disinfected before seal.ingl E3 Yes pipe in f 1 oc r 14. PUMP ® Removed 0 Not Present Lx Type: 1[i Submersible 30 L.S. Turbine !0 Reciprocating 2® Jet 40 Centrifugal 40 15. EXISTING WELLS (Please sketch locations of abandoned and active welts in remarks section or on back.) Other unused well(s) an property? 0 Yes (3 No Abandoneds ® Permanent 0 Temporary 0 Not sealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my Jurisdiction and this report is true to the best of aW knowledge and belief. MORK WELL COMPANY, IN02133 Licensee Business Name License No. Address 7,303 185tn e NW Anoka stgae au — Q n Danielson Data 5-4-90 FICIAL ABANDONED WELL RECORD (May be used for Property Transfer) Name of Driller IXPLRM": FZW Nrm DASD ags 01 SUBJECT PE City of Fridley -9 AT THE TOP OF THE TWINS I III D I 1 %� BUILDING D[ D� a I T D v L ' v V r C R'v, I 0. Ir? COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/20/95 JOB ADDRESS 6230 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 2 Sylvan Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Heidi Smith 6230 Sunrise Drive NE 572-2189 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mr. Builder Inc 17527 Xenia St NW, Andover MN 55304 753-0101 2370 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 Cl. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Building bathroom and bedroom in basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide rescue windows to meet State Building Code in bedroom. Provide smoke detectors adjacent to all sleeping areas. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 I 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 $7,000 $3.50 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- $90.00 Fire SC $ 7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 105.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHE PR E Y VALIDATED THIS IS YOUR IT BLDG DATE`�- SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 NEW [ ] ADDN [l ALTER [] Construction Address: Legal Description: Owner Name & Address:., Contractor: -- Address: Effective 1/ 1/95 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application e cel N0> Y, !Q EPA Tel. # MN LICENSE # Tel. # � 3 —®/® Z- - 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 GARAGE AREA: Length Width Height DECK AREA: Length Width. Hgt/Ground OTHER: -' V/ L� � P�l�1�- Corner Lot [ ] Inside Lot [ 1 Ft. Yd Setback Type of Construction: Approx. Completion Date: Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ (cost on Back) Driveway urb Cut Width Needed: Fit + t = Ft x $ — $ DATE APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ BUILDING PIsRMI-r FEE SCHEDULE The Cilio Building; Of ficial shall, lleibre issuing permits for the erection of' any building or stricture, or for any addition to any existing building; or structure, or for any alteration or repair to any existing; buliding or structure, upon application therefore, require the payment by the applicant for such permit oI, Ices to lite amount herein below set t<trlh and in the manner herein provided to -wit: TOTAL VALUE. Fr I:S $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additioital $1,000 or firactioa thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4-50 for each additional .$1,000 or fraction thereof; to and including $100,000 $100,001 to $500,000 $639.50 for first -$100,000 plus -S3-50 for each additional. $1,000 or fraction thereof, to and including •$500,000 $500,001 to $1,000,000 - $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $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 guts only - Driveway width plus 6 feet times S13-50. Alternate "13": 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- ' VERIFICA"CION 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 Ims it has been constructed will be required before proceeding with the framing. 0. t--vc_ OWNER c_ % f ®- CONTRACTOR 1 °7Sc)7 �4 Lv A—yv' pe) 0 �� m S� If 5-L (--)- V 6-/,6 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 6Q,:�D :a-" rlI'se- New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 oln PC o�t l� ,199.5 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Building Used As Gas Range $10.00 Gas Dryer $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes Dlo Type $5.00 PLUMBING COMPANY }SaPX3,4 UMAe Reinspection Fee $30.00 SIGNED BY 41C Z TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ' 1 % of Value of Fixture or Appliance Approved BRough—In Date Final Date State Surcharge .50 44 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ ? /. S 0 PLUS THE $.50 STATE SURCHARGE Ae SUBJECT City ®f Fridley C'2741 1 AT THE TOP OF THE TWINS gUIL®INC PERMIT-ReCftFrN0. _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. WWI NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 18/26/98 % JOB ADDRESS 6230 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. '29 2 ISylvan Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Heidi Smith630-9344 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton Johnson Co. 525 Lowry Ave NE Mpla PIN 55419 791-9949 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 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 21 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE p RMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE, PERFORMANC OF CONSTRUCTION. $56.75 Yire SC $1.75 PLAN CHECK FEE TOTAL FEE �s Ir Pn. EN ROP ibZG INSP 194-17 LIDAT HIS I$ Y1R RMIT SIGNATURE OF CONTRA TOR OR AUTHORIZED AGENT (DATEI SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ 1 Effective 1/l/97 ADDN "' ' [-I ' CITY OF FRIDLEY ALTER I.XI SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6230 Sunrise Dr. Legal Description: Owner Name & Address: Heidi Smith (same) Tel. I# 630-9344 Contractor: Milton Johnson Co. MN LICENSE# 2083 Address: 525 Lowr Ave. N.E., Mpls. 418 Tel.# 781-9548 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: Tear off and re -roof Estimated Cost: $ 4 /'7K/ house an garage (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ - _ $ DATE: 0� APPLICANT:. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge' driveway Escrow Erosion Control Park Fee fewer Main Cliarge TOTAL i•I'li'ULATIONS: CITY USE ONLY Tel. # 781-954.8 $� ���_ Fee Schedule on Reverse Side $ f 7S .001 of Permit Valuation (1/10th%) $ l $.50/$1,000 Valuation $ $950 per SAC Unit $ U 6) $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 [ ] BUILDING NE10111' FEE SCHEDt.'LE - • VW 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 FES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for fust $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 S62.25 for first S2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 .$887.25for first $100,000 plus $5.00. for each additional $1,000'or fraction thereof,.to and including $500,000 $500,00l.to $1,000,000 $2887.25 for the fusf $500,000 plus $4.25 for each.additional $1,000 or fraction thereof, to and including $1,000,000 ` $1,000,001 and -up $5012.25 for the fust $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) .1ternate "A Removal and replacement of curb and gutter only = Driveway width plus 6 feet times $13.50. iternate "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 N crnlits for construction will be issued a minimum of 24 hours from the time of application to atlow for prop-dr :� iew of the proposed structure and of the construction site. Certificate of Survey of the lot, showing the location of'the foundatioll once it has it has-been construcii:d i !­ required 11cf-trt fr.1111ill'M M/ 01 SUBJECT PERMIT City of Fridley 33646 -� AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. dz r f 15 10 CITY HALL FRIDLEY 55432 REV DATE PAGE OFAPPROVED 8V 763-571-3450 rUER 1041 s 6/26/03 JOB ADDRESS 6230 Sunrise Drive NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED OESCR. 29 2 Sylvan Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hiedi Smith 6230 Sunrise Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Highmark Builders Inc 12901 Abbott, Burnsville MN 55337 952-292-0473 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20393854 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS 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 for 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 their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. 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 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 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 $6,500 $3.25 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- STRUCTION OR THE P RFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT L FEE License $5.00 154.00 SIGN TUBE OF CON'RACTOR OR AUTHORIZED AGENT IOATE. N ROP VALIDAT THIS IS YOUR ERMfT [��INSP S-GNATuRE OF OWNEROF OWNER BU[LDERI iDATE, M/ 01 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: ^ & z S o Legal Description: Owner Name & Address: Tel. # Contractor: H k i 1�vvse f2 L" k!g4J Z ( (A MN LICENSE # Address: l Z'10 I Ak,A—co F Ftp yks\rAc GtilN Tel. # 9!� 2 - 29 Z -0q2 3 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: 4 Construction Type: Estimated Cost: $ wCQ�'-C)O Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: IJ 2(0 APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 391.2 $ � CCS $ J -2S $ TOTAL $ �� r 6 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] 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 CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION 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 31 Univei�ity Ave NE 31ey, MN 5r2 i3) 572-36 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT LUMBING FIXTURE RATES: NO. RATE ew Fixtures --" lid Opening, New Fixture eer Dispenser ,low Off Basin ,atch Basin ;sin Water Leader -- ,umplReceiving Tank ---� Vater Treating Appliance — Vater Heater -Electric ----- Vater Heater - Gas' * Sas Range" jas Dryer" lack Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 =$1fl.0Ei $10.00 TOTAL JOB ADDRESS 2;� 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. .2 Owner Bu+iding Used As Estimated cost PERMIT NO. $15.00 ,--__.__.-. Zeinspection Fee $47.001Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of F'odure or Appliance State Surcharge .50 TOTAL FEE $ Xf PLUMBING G0MPANY--.jJH�—E=ffffgi4Avw- SIGNED By r Approved By_: �Rouqh-ln Date Final Da MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $20.00 PLUS THE -S lRt STATE &UI... RGE PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE ;OMBUSTION AIR SHALL BE PROVIDED APR -04-2003 12-13 FROM CITY OF FRIDLEY TO 6513651332 P.02i02 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURN WG APPLIANCES OR THE APPLICATION WILL BE RETURNED MMMON VEr+rr' VENT CONNEM13 AND IN AIR 'VFlaOCA M When MRjaajI3U an axiong ftiml3pig the undersigned hereby verifies that the venting has been examined and is free from rust deterioration, obstructions, and Is securely supported and firestopped where required. Yes() No ( ) The venting system Is plasticJPVC and meets all current codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The cmicHno mrnImLsHM airis sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to instaNAtae.�.-,OMt''uwbts�.t will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When h3gbilinn a rmw ventico splam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I (ventral Furnace Venting Tables for fan assisted and natural draft appliances. Yes {) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per curve d codes. Yes( ) No ( ) Appliance #1 Type BTU Input Fan Assisted or Nat,� Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU .Input Fan Assisted or Nat Total Appliances _;_ _. Total Stu input Common Vent Type Vent Height, Diameter----- inches Appliance #1 Vent Connector Height ft Lengtht Diameter in Type Appliance 42 Vent Connector Height ft Length ft Dlameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter -ire Type HEATING CO: Signed By. Date: TOTAL P.02 G7YOE FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 June 29, 2004 Ms. Heidi Smith 6230 Sunrise Drive NE Fridley, MN 55432 Re: Final Inspection at 6230 Sunrise Drive NE, Fridley Contractor: H P Pipeworks Dear Ms. Smith: A plumbing permit was issued on December 4, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. ENSEN Inspector DJ/mh NEW i i CITY OF FRIDLEY ADDN [ j 6431 University Ave NE, Fridley, MN 55432 ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION I t 5-K�q. Effective 4/1/2004 (763) 672-3604 Bldg Insp (763) 571-1287 Fax Construction Address: -�� j'yj ' Legal Description: Owner Name & Address: Tel. # ��, ` 47 Corltractor. NO- Hu tI"0 ' MN LICENSE #2 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: ,c -5";0 n7,-, Construction Type: l`r, p� / 0 4 0 c ems' — Estimated Cost: $ 2 G 3 - Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x R7 7� 5°S7 DATE: �/O//OCAPPWCANIT: Tei. �# S 0 Call (763) 672-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CiTY USE ONLY - Permit Fee $ ? 3•-2�; Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ -0 -3 .001 of Permit Valuation (1/10th%) State Surcharge $ / ®a-- $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ ®O $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "Nor Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ? I-jo STIPULATIONS: 20/Z0'd ATIGIdd d0 Al I3 VS:ZT b00Z-L0-03C I3tilding LOAD LIMIT Permit No02bq" Inspections MODIFICATION APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 157-62 763-502-4977 fax EFFECTIVE 1-1-08 APPLICATION DATE: %' Dg YOUR E-MAIL ADDRESS: THIS APPLICANT IS: id HAULER D PROPERTY OWNER PROPERTY OWNER: _A414/- Y. - JOB ADDRESS: yam. . MATERIAL TO BE HAULED: R MATERIAL BEING HAULED BY: DATES TO BE HAULED (UP TO 3 DAYS): THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXEL TO FIVE (5) TONS PER AXEL 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 MUST BE IN VEHICLE WHILE HAULING ON ESTABLISHED ROUTE. PERMIT FEE: $25.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a load limit modification 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. I understand this is not a permit but only an application for a permit and hauling on restricted ro ds is not to start without a permit. SIGNATURE OF APPLICAPRINT NAME A i G��r �� �Ii�ATE T If 1/`0 APPROVED BY DA COPIES GIVEN TO: C"fOL` E GKGINEERING City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Page 1 of 1 Julkowski, Ron From: Otteson, Layne Sent: Tuesday, April 15, 2008 1:42 PM To: Julkowski, Ron; Jensen, David; Beckfeld, Tina; Hickok, Scott; Kosluchar, Jim; Lindquist, Dave; Jensen, Jeffrey; Benson, Jeannie Subject: Tree removal at 6230 Sunrise Drive Hi all. Eagle Tree Service will be coming in for a 5 ton permit to remove an extremely large tree (100' tall) from a back yard. The City's forester (Dave Lindquist) said it is a very weak tree and should be taken down as soon as possible. Because of the public safety concern, I am allowing equipment exceeding our 5 ton limit to perform the removal immediately. A crane will sit in the front yard and lift the tree over the house. They are directed to travel to and from the property using the University Service Drive and then on to Sunrise Dr. They are to be charged $25 per vehicle per day for all vehicles over the 5 ton axle limit. If you need further clarification, please contact me. Thank you. Sincerely, Layne R. Otteson, P.E. Assistant Director of Public Works City of Fridley (763) 572-3551 4/15/2008 Building LOAD LIMIT Permit No.:a(a' Inspections MODIFICATION APPLICATION Received By: 763-572-3604 763-502-4977 faX CITY OF FRIDLEY Date Rec'd: I EFFECTIVE 1-1-08 APPLICATION DATE: �� — 1,5— 0 9 YOUR E-MAIL ADDRESS: THIS APPLICANT IS: Ji HAULER ❑ PROPERTY OWNER PROPERTY OWNER: JOB ADDRESS: j ,% r MATERIAL TO BE HAULED: MATERIAL BEING HAULED BY: DATES TO BE HAULED (UP TO 3 DAYS): 7 " 4 ' i THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXEL TO FIVE (5) TONS PER AXEL 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 MUST BE IN VEHICLE WHILE HAULING ON ESTABLISHED ROUTE. PERMIT FEE: $25.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a load limit modification 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. I understand this is not a permit but only an application for a pe d hauling on restricted roads is not to start without a permit. SIGNATURE OF APPLIC PRINT NAME / i APPROVED BY �'�� DATE COPIES GIVEN TO: POLICE D.ENGINEERING City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Page 1 of 1 Julkowski, Ron From: Otteson, Layne Sent: Tuesday, April 15, 2008 1:42 PM To: Julkowski, Ron; Jensen, David; Beckfeld, Tina; Hickok, Scott; Kosluchar, Jim; Lindquist, Dave; Jensen, Jeffrey; Benson, Jeannie Subject: Tree removal at 6230 Sunrise Drive Hi all. Eagle Tree Service will be coming in for a 5 ton permit to remove an extremely large tree (100' tall) from a back yard. The City's forester (Dave Lindquist) said it is a very weak tree and should be taken down as soon as possible. Because of the public safety concern, I am allowing equipment exceeding our 5 ton limit to perform the removal immediately. A crane will sit in the front yard and lift the tree over the house. They are directed to travel to and from the property using the University Service Drive and then on to Sunrise Dr. They are to be charged $25 per vehicle per day for all vehicles over the 5 ton axle limit. If you need further clarification, please contact me. Thank you. Sincerely, Layne R. Otteson, P.E. Assistant Director of Public Works City of Fridley (763) 572-3551 4/15/2008