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PRE 2010 DOCSDate AY01 Owner Address ' , n. No. .... Lot .. .: J. Corner Lot ...... BUILDING PERMIT Village of Fridley, Minn. N? 2247 a ....... ............ .... Builder . .. Address ........ , .. ........ ....... . LOCATION OF BUILDING 0 Street ............. Part of Lot . .................. . .. Bloch . ts.. .Addition or Sub -Division . M, 1......... ......... ..... Inside Lot .. .. . Setback ' Sideyard.� . ........... F DESCRIPTION OF BUILDING To be Used as: Front Depth .'Height S4. Ft.. ... C ................. .. Front ...... Depth p ...... ,�,:Height .....:.... Sq. Ft......... Cu'. Ft, ........ Type of Construct n ? . Est. Cost ... .. . To be Completed 0. " • 'i r II I : in considerati n of the issuance to we of a permit to construct the building described above, I agree to do the proposed workin accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. Ge onsleratio of the payment of a fee of $.;,, .; permit is hereby gr 'ted to •.. to construct the building or•addition as described abe. This permit is granted upon kiti)*n•that the person to whom it is granted and his agents, employees and workmen, in all work done in, aroundupon said building, or any part thereof, shall gonform .in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village lima and this permit may be revoked at any time upon violation ;of any of the provisions of said ordinances. , �r Building Inspector -. - to -.. NOTICE: This permiti does not cover the construction, installation or alteration for wiring, plumbing, gas Heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City 1 Fridley,Mimi. BURDING PERMIT ? 1 4 Date: Omer: Builder 4Z& Address, Address O CATION BUILDING No. Street _ Part nf Lo Lot --- Block __.._ -- Addition or Sub -Di = Corner Lot _ Inside Lot- &*tback Sideyard Sewer Elevation — FAdation Elevation DESCRIPTION OF BUILDING To UJ d Front Depth Height A.. «�* p Sq. Ft. Cu. Ft. Fron Depth _....— Height _ _ � SQ. Ft. Cu. Ft. Type of Construction Est. Cost To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $2____,_ ro ,permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any ctipart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, m y be revokealteration, any muni 111 repair off any the moving buildings sai within the city limits and I ordinances. Building Inspector NOTICE: This permit don not cover the construction, instaiisdan for whing, phmrbing, gas hodin& W~ or water. 80 aura to see the Building Imspsater for soparato permits for those items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLLY, MINNESOTA Owner's NameuilderCG` LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot 1.Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as-:� Front Depth -Height 12, Sq. Ft. S - Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft: Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and.'rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �� '� t� SIMATURE (Schedule of Fee Costs can be found on the Reverse Side). APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ►S NAME � / j, � �l, �>� S'C li�l � iji BUILDER A%,.Jo 721-1�7T ADDRESS SVA tJAAJ fi An7e- ADDRESS 7 2d / 7&-s LOCATION OF BUILDING NO. STREET LOT BLOCK ADDITION OR SUBDIVISION �4 14,J /�i e �s ® �q 7 - CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates_of.:Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: / A /7-10,3 Front Depth / x Height Square feet Cubic Feet Front Depth Square feet Cubic Feet Height Type of Construction Estimated Cost "�0 ® �'- To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE , -3 - 9 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) NOTE: A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. C . PERMIT FEE SCHEDULE SECTION 2. The Inspect r of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or b ilding,.or for any alteration or repairs 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 he manner herein provided to -wits Uniform Building Code: Type 1, 2, & 4 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any'buildin "or -addition to a uniform height throughout 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 height. of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterati ns to an existing structure, the fee shall be at the rate of $3.00 pe each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the 2 be less than $5.00. NSSSD Connection charged for any permit as set forth in Section based on location - Area 1 or 2. j �& Y Applicafto for Power Pkaft cmd H ® VentilaRooR RefdwObn cmd Air Condi coning Systems and Devices PARTIAL RATE SCHEDULE ' GRAVITY WARM AHA: RATE TOTAL Furnace Shell & Duct Work ............... I .......... $10.00 $ Replacement of Furnace .............................. 6.00 $ Repairs & Alterations—up to $500.00 '................. 6.00 $ Repairs. & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 Replacement of Furnace .............................. 6.00 $ Repairs & Alterations --up to $500.0 ................. 6.00 e d a Repairs & Alterations each add. $50:00 .............. $.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & %roes—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 $ Each add. 200 sq ft. EDR Steam &M, $ Each add. 320 sq. ft. EDR Hot Water ..... ............ 3.00 $ OIL BURNER --to 3 gal. per hour :... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) .............. I......... 5.00 $ over 195,000 BTU See. Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures —42.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199AM .......... it m $ AM. COIiDITtoNIIfa FLAN HEATING SYSTEM VENTILATMO SYSTEM ALTERATIONS & REPAIRS ROUGH See Fee Schedule $ TOTAL FEE f Dept. of Bldga. Phone 860.3480 Location Zz;;p zzzz City of Fridley: The undersigned hereby makes applieation .for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn — �d ,. I& — Owner '%% "/ 4fz Kind of Building Used as ��A% %ZX G{2, To be completed about ,���I 4? Estimated Cost, $ oe��e)P Building Permit No. Permit No. 416 70 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—N Trade Name Size No Capaci Sq. Ft. E.D R BTU H.P. Total Connected Loa& Hind of Fuel -o BURNER — Trade Name size No Capadty sq. FL ED R BTU (REMARKS -OYER, Badness Phone N0- p/ -o S (REMARKS -OYER, Badness Phone N0- p/ ��� ���� e ,, Original PERMIT for Power Ranh and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make Oil fired—,* Coal fired—, Gas fired ; Gas Authorization No, Remarks Approved Final Inspection Date , 19_ U Inspector Permit N ® 4670 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. )CM -240 , 192-6 Owner 44 -Ls LFixjse, ty146 t Location / a �� �� /V LAM—C-. Kind of Building 1r)6q11cC— How Occupied � J ELL, A) G Work to be Commenced—, 19— To be Completed Opel L A ,19 rib Estimated Cost, $ --206-00 0s ml Building Permit No. Permission is hereby granted to e ' 2Uy 1 �P �✓/Vl ,L to install—erect—use the material and devices 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 and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set f rth in the approved application for this permit on file in the office of the Inspector of Buildings. 5�/ Inspector of Buildings 42 2nn11-67v SUBJECT PERMIT City of Fridley 167 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. IL CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---'j j 612-571-3450 910-F15 19/24/82 JOB ADDRESS 160 Sylvan Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE _ Bill Kleinschmidt 160 Sylvan Lane N.E. 571-2968 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 C REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK reroof second roof 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. asphalt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 50 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 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 1300 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE •�� 22.65 22.65 GNATURREEOFCONTR TORORAUTHORIZEDAG NT TE) (DA21 n EN PROPERLY V LID TE THIS I YQUR T �® ® z4a..' I .. '®% "'®genA� S G TURE O 9Y9RI F OWNER BUILDER) (DATE) r rs BLDG INSP GATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIGN FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OWNER: � /_- _S /hr i� BUILDER: - ADDRESS:�,,/0 5��1>�i��O —"/l0 TEL NO: ADDRESS: .-- TEL NO: ' Construction Location - STREET NO: STREET: S/Z JW Z/% LOT: BLOCK: `� 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 s� r Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: , f_ -'� Estimated Cost: S Zb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET . Tile undersigned hereby makes application for a permit for the %-ark' herein specified, agreeing to do -all work in strict accordance with the City of Fridley Ordinances and rulings of the Deih-irtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE:' %� `�-- SIGNATURE:6�//�.�.�--��!�� c — Stipulations: 4, damp BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or"repairs 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 $15.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $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 to $50,000 $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 to $100,000 $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 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x $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 x $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. SUBJECT RMt City of Fridley 24658 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC J% NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/11/96 JOB ADDRESS 160 Sylvan Lane NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruben Diaz 160 Sylvan Lane NE 571-4383 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 Residential 7 CLASS OF WORK CI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 16' x 8' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $800 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- Fire SC $.80 STRUCTION OR THE PE ORMANCE OF CONSTRUCTION $29.25 PLAN CHECK FEE TOTALFEE $30.55 SIGNATURE OF CON' RACTOR OP200THRORIZED AGENT IDATEI WHEN PROPERLY )DAT D THIS IS YOUR PERMIT W/ • BLDG INSP Al BATE S-GNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�� c� Building Permit Application ConstructionAddress: ID \SRW CM_ Legal Description: ;s\,,-, � Owner Name & Address: Contractor: Address: Tel. # 8 3 MN LICENSE # 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: A( VA S V� • Q, S to . U L Comer Lot W Inside Lot [ ] Ft. Yd Setback 3 VA - Side Yard Setbacks Type of Construction: W o o� Estimated Cost: $ R 0 0° 0 0 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: to -`'- '�L APPLICANT. �,��,.� \a, -L Tel. # CITY USE ONLY Permit Fee $29� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ .,S70 $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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: 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 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 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 fust $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, _to. and. including $500,000 $500,001 to $1,000,000 $2887.25 for the fust $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 first $1,000,000 plus $2.75 for each. additional $1,000 or fraction thereof s 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. | C ' / * � ( / / . | ! ! ! ' ' | | �` | L�J[� ~' � ' --_' � ' ! | { | i ' ' / — ------------ ---� . � � ! . � i� � ~^� / ` ' / | �{ / / { '� n�i� '� ' 8di*, [~ Shingles Metal drip edge � 1Xtiescla �iit�INI1�InIRI1111�:1iIV�l��■� 2x4 _— rough sill 1 `l f 2x4 trimmer studs 2x4 bottom plate 2x4 studs CDX plywood suofloor Blocking 3 -Stud Corner CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 December 30, 1998 Ruben Diaz 160 Sylvan Lane NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit (Reroof at 160 Sylvan Lane NE) Dear Mr. Diaz: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, 4,71,/". 4/, //Z,�/ BARRY IESCH Building Inspector suukyIT NO. City of Fridley 3 221 1 AT THE TOP OF THE TWINS BUILDING PERMIT 16. ' _____ COMMUNITY DEVELOPMENT DIV. ev- 572--3604 . RECEIPT NO. 6/ oq r � PROTECTIVE INSPECTION SEC. (� � 1 . � NUMBER REV DATE PAGE OF APPROVED BY I = "'-'1 CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 10/2/01 JOB ADDRESS 160 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Sylvan Hills Plat. 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruben Diaz 160 Sylvan Lane NE 763-571-4383 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGEOFUSEFROM 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. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU- FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 r $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 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 PLAN CHECK FEE7rALFEE 40.25 SIGNATURE OF CONTRACTOROR AUTHORIZEO AGENT IDATEI HE PRO R VALIDAT D THIS IS YOUR PERMIT ATE BL I" MATE S,GNATURE OF OWNER.,F OWNER SUILDERI IDATEI NEW I l Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ' \Y„ e Legal Description: Owner Name & Address: Tel. # �L 3 - ST -93.3 Contractor: MN LICENSE # 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 Width Height Sq. Ft. 1�6-00 GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground _ySq. Ft OTHER: 'cZ�Ax�y\c"h f- Ss i) f- W)L"a,C Construction Type: x V Estimated Cost: $ '0 C) C) — Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: -® APPLICANT._ e h k a Z Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee _ --Fee Schedule on Reverse Side Fire Surcharge $ ),06 .001 of Permit Valuation (1/10th%) State Surcharge $ ,!�;p $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $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 $ //0. Q 5 - 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 FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to _$50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $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 $1,000,001 and up $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. New Houses Only J SUBJECT P TNom. - --. City of Fridley 32258 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. ,(q�, 7p.. 'E 6T E . � _ �1 CITY HALL FRIDLEY 55432 IL"--A.� �'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/16/01 108 ADDRESS 160 Sylvan Lane NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 Z 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruben/Linda Diaz 160 Sylvan Lane NE 763-571-4383 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renaissance Exteriors 2556 Hwy 10, Mounds View, MN 55112 763-780-2000 20220285 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace Windows Within Existing Openings 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. Caulk and flash all diterior 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 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 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 $3,600 $1.80 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- TgUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 FiA SC $3.60 PLAN CHECK FEEFEE 77$107.65 Lice e SC $ SiGNATUREOFCON , CTOR OR AUfkORIZEDAGENT IDAtEr WH PR E VA DA THIS IS YOUR PERMIT aulbG INSGATE S,GNATURE OF OWNERoF OWNER BWLDERi iDATE. J NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: /it O S�, C/I Llan Lo Legal Description: '-� rI=ig �7rA N S7. Owner Name & Address: f2 C;ral & `Di a2 &0 Sd Iva., Lt) Tel. # 7(03 - 591 - y3 93 Contractor: p v► a) SS a n ce. x�e�r�- / MN LICENSE # 6?0oa�?9rS Address: hlw ✓ 10 moundsyTtw , Mri ! SL10 Tel. # 763 -iff®- aovr-) 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: eerala« mv-nr W: -Keit,. -Js Estimated Cost: $ 360® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1y11(pZ01 APPLICANT: tj — Tel. #_/U�/(� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ ,2S� Fee Schedule on Reverse Side $ 3, (,5 .001 of Permit Valuation (1 /10th%) $ r. v)Q $.50/$1,000 Valuation $ $1150 per SAC Unit $ S` d 0 $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 PERNIIT 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 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,00 $500,001 to $1,000,000 $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 $1,000,001 and up $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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv su9�Et1 PE City ®f Fridley % K- 7 AT THE TOP OF THE TWINS BUILDING P C D� A I r LIPCOMMUNITY L"'v, RECEIPT NO. __ DEVELOPMENT DIV. >V ------ PROTECTIVE INSPECTION SEC. r � e 1 ,•� CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 6/10/02 JOB ADDRESS 160 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Reuben Diaz 160 Sylvan Lane NE 763-571-4383 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW JJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 13' x 20' Deck; install exterior steel door 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMIT S WARNING REQUIRE® FOR: (before dig digging WIRING HEATING 811 utility on$ PLUMBING AND SIGINS 4WO02 RIEQUIRED B111r LAVA 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION ZONING SQ. FT CU. FT. 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 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 @ $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,990 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC ARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. a SC $2.99 STRUCTION OR THE PERFORMA CE OF CONSTRUCTION $83.25 //�� k-, o-87.74 PLAN CHECK FEE TOALFE6 SIGNATURE OF CONTRACTOR OR AUTHOR AGENT iDAtEi � Y VALI ke q1mG SP T THIS FOUR PERMIT GATE S-GNATURE OF OWNER,IF OWNER BUILDER1 IDATEi 10 NEW [ ] CITY OF FRIDLEY Effectivq'dg 002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 57,' 3 Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (� BUILDING PERMIT APPLICATION �( Construction Address: \ U SN L V� `U L (ANA Legal Description: o "\-,) e- c.\, Owner Name & Address7l,\, 2gv, "'t, sati \\.o Sy \VUh �n - Tel. # 763-571-4383 Contractor. MN LICENSE # 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 I Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Q Hgt/Ground �S Sq. Ft A 60 OTHER: �C70'�' 3� X 90 �,Ae&\ X114' 0r Construction Type:�dC Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft= Ft x $ DATE: b -'S - C7 2 APPLICANT: _V.�, *\-,s \C�' Z— Tel. # Call (763) 572.3604 for Permit Fees If mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Jc Fire Surcharge $ 2 a State Surcharge $ , ,ISD SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $—. Sewer Main Charge $ TOTAL $611), Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: BUILDING PERNUT 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 i, 11 11 � ' f 11 111 $1,00,001 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, tc and including $50,000 -1 AF, $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 $500,00 $3,233.75 for the first $5.00,000 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) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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 een constructed will be required before proceeding with the framing. New Houses Only 19178912 , Please bring these plans td the cashier to purchase.0 ofr " 110ew �� A0V v IMAID ZAPY 40� r// -N ;- 76 - wo AlWi 40 4A � . W 11 2 4p 40 AllW� M .::::::::::::::::.::::::::::.:::. W or lot 40 Ch.. do WWW 41 40 -2 E c� W E ..W.- e'vs E CD 40 Wo CU A2 tv QW M.N 1w)e ,o2 I LAN APP OVED ,.JECT FIELD I GTION TO INSPE Illustration may depict options not included. Post and Boom �l 44 /04 % imension Sheet 11318 ;76/j 5'601 5'6 w Design #:11321 4��� 6/3/2002 Take this sheet to the Building Materials desk to purchase your materials. You have selected a 13' x 20' deck 2' off the ground. AC2 Pressure Treated Framing Material Horizontal Decking 5/4" x 6" Ultra-Dek Plastic Deck Boards Heavy Duty Cedar Lattice 6" Poured Footings 12" Tube V -1W deep�lk Premium Green Phillips Drive Screws Galvanized Framing Fasteners 2" x 10" Joists 2" x 10" Beams 40 PSF Deck Live Load Stair Widths : none For Building Material's use only: 1562400?.40114000000000403046130200030305 Today's cost for materials estimated in this design with options: $1313.13 *The base price may include: 40 PSF deck live load, horizontal decking, 2x6 green trsated"deck boards, green treated framing material, no stairs, and galvanized box nails. IBASE price): $855.70 Joist layout for Your Deck The Scale is 1/4" :1' Design#:11318 Mark length Description Usage A 12'9" 240 AC2 Joist - B 12'10-1/2" 200 A02 Rim joist C 1919" 200 AC2 ledger D 20' 200 AC2 Rim joist Joists to be on 16" centers. Joists to be hung from the ledger with joist hangers. Joists to be too -nailed to beams with 2-1/2" (8d) galvanized nails. Rim joists to be face -nailed to joists $ ledgers with 3-1/2" (16d) galvanized nails. Blocking and bridging is not shown, but may be required by your local code. Illustration may depict options not included. 1: ri 44 C4 suajECT MIT NO. ' City of Fridley 33551 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v .may r PROTECTIVE INSPECTION SEC. �,�(` , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 5/23/03 JOB ADDRESS 160 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruben Diaz 160 Sylvan Lane NE 763-571-4383 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 Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION C7 REPAIR 0 MOVE 0 REMOVE X B DESCRIBE WORK Reroof House & Garage (26 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $3,010 $1.51 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 $97.25 Fire SC $3.01 PLAN CHECK FEE TOTAL FEE $101.77 �G A%UREOF N"RACTOROR UTHO iZE AGE,i� ATEi llt_a HEN PROPERLY VALIDATED THIS IS YOUq ERMIT `�f 8IkG NSP _ jr#AIE 5 NATURE OF OWNER,,F O N R BLIALDER1 iD TEi 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) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: ILe ® I ✓ /9- � /-- Legal Description: II� Owner Name & Address: b -e �! Z Tel. # -M ���� Contractor. MN LICENSE # 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: e --e- ��C � gt l 4 �� Construction Type: g -Q 12- Estimated Cost: $ l Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE• /r --7-L3 " APPLICAN . al Call (763) 572-3604 for Permit Fees if mailing in application. Fax 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 TOTAL $ 99, Z' Fee Schedule on Reverse Side $ : Of .001 of Permit Valuation (1/10th% $ , ��/ $.50/$1,000 Valuation 3 _ Tel.#� if using credit card and we will $ 1 $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 [ ] $ / / STIPULATIONS- BUILDING PERAM FEE SCHEDULE The Chief Building Oficial 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 $100,01 to $500,000 $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) 17 S'0 Removal and replacement of curb and gutter only - driveway width plus 6 feet times $ l -M. 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 Building MECHANICAL Permit No.:Au_UQ_JJ,3 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date I: i tj I a 763-502-4977 FAX EFFECTIVE 2-19-09 DATE (:)C YOUR E-MAIL ADDRESS ,{ SITE ADDRESS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: 2 OWNER/ ADDRESS: \ �, C) 5 �� C&�M C& l CITY - T' STATE, ZIP S S TENANT PHONE: -S:1 I S I CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX 1g" SINGLE PERMIT TYPE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW [REPLACEMENT ❑ ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXWHERE NOTED. FIXTURES: INDICATE TOTAL ,NUMBER OF EACH FLOW )� Equipment Installed MFG: OCEPT k aQ _ PqA( MODEL: [A(, SIZE/BTU /� MFG: dVdia Gr,� MODEL:G 0q C� SIZE/BTU g0LOV0 �\ MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 _GAS _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _NEW _BOILER $35.00 2FURNACE $35.00 UNIT HTR $10.00 _GAS _CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00 _POOL _DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 q, 'ice F f 4 REN, /�ppMt 'M' M 2 § yp � �. 3 � � S� t m ' �. � � v s � � �` � ..sr, x �3,� z „�� � i z �"� ✓ ,�, � _ c .� ,M '. s �'' uhf 3 21 g ''✓� 3 x:�?", 'v i+y'i_. w. {,'deg' r �. �� :k iF''. �.'.,�'�i F 'M1 fii a 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; that the work will be in accordance with the approved plan in the case of all work which re wires review and approval of plans. SIGNATURE OF APPLICA _PRINT NAME SnLV,_DATE O ... City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS 0 EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.