PRE 2010 DOCSCity of Fridley, Minn.
MU DING PERMIT IST® 3 313
Date: .........
Owner ..................................... Builder............. ..........o................
Address...................................... Address .............................................
LOCATION OF BUILDING
No. .. Street .. ....... Part 4Lot... o.. ..
Lot ...... Block ......... ....... Addition or Sub -Division ...........:.. s... .... .......... .
Corner Lot ............ Inside Lot ... d<...... Setback ..: ..... ideyard .. ��e ... �. 9......... .
DESCRIPTION OF BUILDING
To Lbe Used as: ,
. K.. .. Front ... � .. Depth � . Height ........ Sq. Ft. ��. Cu. n �D
Front ........ Depth ....�.. ht ........ Sq. Ft. ....... Cu. Ft. .......*.
Type of Construction .. ..:ts°.' .... lust. Cost.. f. �..�...... To be Completed .......... .
k
x
i
4?
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set fo d in ante with all p ovisions of
ordinances of the city of Fridley. /Cvl 91m
In consideration of the payment of a fee of $ �...., permit is hereby granted
.. 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 part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. a
®Building Inspector
�a
NOTICE:
This permit does not cover the oonstruction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
C�•ty ®f Fridley,
BUILDINGT N® 6231
Date:
Omer�All 110
r
Builder ,
Address Address —
CATION BU I G
No. Street . Part oLot•---
Lot.Block ____ Addition or Sub on 11 Al -A$4
corner Lot inside Lot ac . r ideyard �; a
Sewer Elevation _ _ F dation Elevation
DESCRIPTION OP' BUILDING:,
T ra ,v
� r Front Depth � 2 Height , .... Sq. Ft. Cu. Ft.
Front Depth eight _ .: Sq. Ft, Cu. Ft.
Type of Construction AA -44-19 Est.`` 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 $ , 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 graated and his agents, employees and workmen, in all work.
done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of
Fridley, Miimesota regarding location, construct►on, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upoa violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
IMs pennh dos not cover the construction, kmaiiailen for ri Mh& pheahng, on hosting, awer or water. Be sure to see
the Building Inspector for soparaN permits for thea items.
Owner's
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA,
a.A4rtLLVM yr DVJJAULL4 s
No. / � � Street L _� Pa :t of .1,ot ,1' eta &
Lot Block Add on or Subdivision `
i
Corner Loth Inside Lot 4' _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-
W,
?- 4 Front Depth. - Height
Sq. Ft. �7 �SCu. Ft.
Front Depth Height
Sq, Ft. Cu. Ft:
Type of Construction0 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 representta=ti rated is app1
�i
are true and correct.,��
DATE SIGNATUR
a
(Schedule of Fee Costs can be found on the Rl, se 'Side)
" ' -W go , . I v
OR
SUBJECT
-
P R_
City of Fridley
19343
AT THE TOP OF THE TWINS
BUILDING
PERMIT
.
�
R
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/
�C
1 � �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
- PAGE OF
APPROVED BY
j 612-571-3450
910-F15
3/16/88
JOB ADDRESS 161 Sylvan Lane N. E. _
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
1
Sylvan Hills Plat #3 SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Matthew Field 161 Sylvan Lane N.E.
571-9697
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
❑ NEW % ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 11REMOVE
8 DESCRIBE WORK
Construct a 14' x 14' Addition to Dwelling
and Replace front room window; Reside
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan
WARNING
Before 4igging call local ufilite ,
TELEPHONE e ELECTRIC — GAS E'te s
SEPARATE PERMITS REQUIRED FOR
REQUIRED BY LAV
WIRING, HEATING, PLUMBING AND SIGNS,
,,,,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
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
$9,500
$4.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$80.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
0.13
$105.38
SIGNATUREON CTOR OR AU ORIZ ENT IDATEI
WHEN PROPERLY V (DATED THIS IS YOUR PERMIT
p
BLDG INSP O
DATE
.� - SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI
OR
6"
r
q r
NEW [ ]
City of Fridley. Effective 4/1/86
ADDN. [ 7 R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: 161
Legal Description: IJ )4 -C -r @o
I -Al, d4- Tel. #
owner Name & Address:
MAT r fjg;W f''l�t� 141 -4!71VA-a
.-
Contractor: � �g�J Tel. � a�r
Address:
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 ®/ I Sq. Ft. /91- �Aj A°\
GARAGE AREA: Length Width Height Sq. Ft. r,
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
�Lpz v�(Pj� A) 6
196)e V.0
Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback
Type of Construction: WtoEstimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: .3®®APPLICANT• i�� Tel. # 57141°97
CITY USE ONLY
Permit Fee $ '30.-S® Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
el
State Surcharge $ �l+� $•50/$1,000 Valuation
SAC Charge $ $5159 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL $ ®�
Agreement Necessary [ ] Not Necessary [ ]
� +�
STIPULATIONS:
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SUBJECT
City ®f Fridley
� 7
20537 ®0
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
NO
COMMUNITY DEVELOPMENT DIV.
(0 � f
r PROTECTIVE INSPECTION SEC.
1
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
:1L
1L""
I'J 612-571-3450
910-F15
8/28/90
JOB ADDRESS 161 Sylvan Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
11
1
Sylvan Hills Plat 3 SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Matthew/Susan Field 161 Sylvan Lane N.E. 571--9697
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 10' Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
Maximum height 14''..
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$500: $,50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$15.00.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$15.50
S NATURE OF CO ACTOR ORAUTH RIZEDAGfr T (DATE)
WHEN ROPERLY THIS IS YOUR PERMIT
INSP DATE
SIGNATURE OF OWNER OF OWNER BUILDER) 'DATE)
j
NEW [ ) Effective 1/1/90
_ ADEN [ ) 1-1 AND R-2
AIM [ ] Building Permit Application
Construction Address: I kO ktil t
iaaal De.�c lotion: L o % //,2 . /. <J.v-, / )(AT , 3
Owner Nene & Address: s a sAw Tel.
Contractor: 5tAILWir AK Tel. # _V-71107
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVIM AREA: Length Width Height Sq. Ft.
GMUM AREA: Length Width Height Sq. Ft.
DDCR AREA: Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yawl Setbacks
Type of Construction: Estimated Cost: $
Approx. Cmpletion Date:
P?_}oposed Driveway Width If New Opening Is Desired: Ft. $. $.
�Fl dth + 6' See Back Page
HATE: APPLICANT: /°��, �� Tel.
Permit Fee $ /� • D D
State Surcharge $ S U
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
STI ULATIONS:
CITY USE CNLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
43
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SUBJECT
PER MB-�-,�
City of Fridley
21211
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEIP
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
��
,
1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�.__..11•' �•� 612-571-3450
910-F15
2/19/92
/ /
JOB ADDRESS 161 Sylvan Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
1
Sylvan Hills
Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Matthew Field 161 Sylvan Lane NE
571-9697
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS of WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Install window in basement den
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.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$325
$150
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
215,00
Fire SC .33
PLAN CHECK FEE
TOTALFEE
$15.83
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHE PROPER Y T HIS IS YOUR PERMIT
BLDG INSP
90_%__
DATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATES
NEW ( ] , Effective 1/l/92
ADDN (] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction - Address
Legal Description:
Owner Name & Address: A -IW 7Th'igr ✓ Tel. # 5-7//%6
Contractor: 215W MN LICENSE #
Address: t5 -Tel. ��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width
Length Width
Length Width
��'T / /l�✓ aCou
Corner Lot [ ] Inside Lot [ l
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback
Height Sq. Ft.
Height Sq. Ft.
Hgt/Cgound Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ ?-25
(oma on ark)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft - x $
M91
DATE: /9 Z APPLICANT: Tel. # 5 "7/-q6f�%
Permit Fee
$ /6-00
Fire Surcharge
$ —3-3
State Surcharge
$ -
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement N y
] Not Necessary
AUGUST 24, 1995
TO WHOM IT MAY CONCERN;
I Edward Wetterberg owner of 175 Sylvan Lane
grant permission to Matthew and Susan Field owners of
161 Sylvan Lane to install a hard surface parking pad
up to the property line on the northwest side of my
property. The approximate property line according to
the property irons is five feet from 175 sylvan Lanehs
west garage wall.
Edward Wetterberg
(owner of 175 Sylvan) F
M thew Field
(owner of 161 Sylvan)
SUBJECT
NO•
City of Fridley
25058
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
�• _______ COMMUNITY DEVELOPMENT DIV
v
r 1 PROTECTIVE INSPECTION SEC
1 �
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
5/13/97
JOB ADDRESS 161 SYLVAN LANE NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
11
1
Sylvan Hills Addition Plat
3 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Matt Field 161 Sylvan Lane NE
571-9697
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
❑ NEW ❑ ADDITION ❑ ALTERATION ji REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (20 Sq) 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
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1 650
$.83
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
I
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-
$54.00
Fire SC $1.65
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TO L FEE
$56.48
SIGNATURE OF CONTRACTOR OR AUT foRIZEDAGE T (DATE)
E FP
8 J&G iNSP
VALID D THIS IS YOUR PERMI
.7z
MATE
Si ATURE OF OWNEFI OF OWNER BUILDERi iDATEi
NEW [ ] Effective 1 / 1 /97
ADDN [ ] CITY OF FRIDLEY
ALTER. [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION c7
ConstructionAddress: /�✓%/ lz
p y Gr
Legal Description:
.S� L.✓
Owner Name & Address: �j�����%;�� �s rs Tel. #
Contractor: MN LICENSE #/j�
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Height Sq. Ft.
Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Estimated Cost: $ /4 L;D'
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + G Ft = Ft x $. _ $
DATE:
APPLICANT: Tel. # S7/-5'4'7 -7
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ �_
Fee Schedule on Reverse Side
Fire Surcharge
$ _S
.001 of Permit Valuation (1/10th%)
State Surcharge
$. 3
$.501$1,000 Valuation
SAC Charge
$
$950 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
STIPULATIONS:
OF
SUBJECT
ERMIT NO."'a
City of Fridley
26975
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
' ,
T NO.
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
r
411z�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
,j 612-571-3450
910-F15
8/4/98
E/
JOB ADDRESS
161 S lvan Lane NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
1 1
1 $ lvan Hills Addition
Plat #3 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Matthew Field XXXXX 161 Sylvan Lane NE571-9697
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Owner
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 LR REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof garage 6.5 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building
Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
583
.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 COW
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$23.75
Fire SC .58
PLAN CHECK FEET
TAL FEE
ef=�__
/
$24.83
SIGNATURE OF CONTRACTOR OR AUTHORIZE AGENT (DATEI
ENR
BL G )NSP
YVAL A ED THIS IS-W PE I
i r
DATE-
SI NATUREOF OWNER U WNER BUILDER) IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
ConstructionAddress: (® C— ),—rA,./ L c A1.7t Ai.
Legal Description:
Owner Name & Address: �,� j, e ,, p Tel. # < i 1-q
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 IldPROVEMENT
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:
Estimated Cost: $
'(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = . Ft x $ _ $
DATE: �/ �� APPLICANT:
��� Tel. # 5-7, 9 i
CITY USE ONLY
Permit Fee
$ 3,
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ S—?)
$.50/$1,000 Valuation
SAC Charge
$
$1000 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:
01,
Su6.iEtT
ovfRmIT NO.
City of Fridley
32622
AT THE TOP OF THE TWINS
BUILDING
PERBVIIT
r
� `
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REv
TO -TE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
1 612-571-3450
910 -Fl-
5/21/02
10B ADDRESS 161 Sylvan Lane NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
1
Sylvan Hills Addition Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Matt Field 161 Sylvan Lane NE
763-571-9697
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
Remove and replace concrete garage floor
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
SO. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
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
$1,500
$•75
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-
SC $1.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$54.00Fife
PLAN CHECK FEE
TO AL FEE
56.25
SIGNATURE OF CONTRACTOQOR IOATE,
HE PR
Y VALI AT HIS IS YOUR PERMIT
�RIZEOAGENIT
A�S�
URE OF OWNER iiF OWNER BUILDER, iDATE,
8L G 11SP
GATE
01,
NEW [ j CITY OF FRIDLEY Effective 1/1/2002
ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 1(ok tri' e -
Legal Description:
Owner Name & Address: M al+ TT -Jd 161 S� Iut,, (c-,,,,_ Tel. # -763-S�-71- (,57
Contractor. MA -i- T'—'0.i.Q LoMN LICENSE # (75
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: a
Construction Type: A4�LZ e -i -t-- Estimated Cost: $ ,45®I
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$
DATE:APPLICANT: - E Tel. # "743 �7s a69 7
Call (763) 572-3604 for Permit Fees if maili g in application or Fax to 763-5714287 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
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
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 [ ]
TOTAL $ STIPULATIONS:
FROM :City of Fridley FAX NO. :76357112E37 Apr. 19 2006 08:56NI P1
Building
.111spections
763-572-3604
]BUILDING
REST-DENTIAL APPLICATION
CITY OF FRIDLEY
DATE- 4 YO'LJR EMA IF. AL)DRESS
ADDPtESS
THIS APPLICANT Trit *OWNER QC.0W'ffkACTO_ R
NAME;...
AI)DRESS:
NIONT-i
Pernuit NoC& �D
Received BMJ:_4
Z'
Date Rec'd:b
P�R_O_PERXY OVWVrNERJI
TEMANT
CONTIUCTOR
SUBMTFACOPYOF
NFOUR STATE LICENSE
WITH APPLICATION
PROPERW TW.E
PERMIT TW. F,
MU, OF WORK,
... jTAT"4W... 34
. 0�L
NAME;
STATE TATHLLC-M4SE-# RXF DATE
AI)DRESS; (,.I-'j-y_.STATr_, _ZIP.
PRONE FAX
b —sgwm. TARIETNEW coNs-rRucTION
AND M*TERIAIS!
ST —
0 TWO FAMILYIN14W CONSTRUCTION
' STORIES
13 ADDITION
0 GARAGE/SHED
0 WINDOWS
E3 BASEMENT FTN ISH
X,00F
0 DRAIN TILE
$
DKIII)ING
❑ OTHER
$
0 SVMVflVMr3 P00),
Surcharge
$.0005
0 ADDITION
License Surchargo
0 MAINTI-NANCrYRITAIR,
Q RRMODBLING
SAC, Cl vxgc
.
.9
S 1550 put SAC Unit (Plain to MWCC. for detenTfinstiori)
Curb Cut Escrow
T)F,SCRTBE WORK BEING D(-) ..F.:,, . I rqC--,F- ___ - _.
SIZE OF
SQUARES
CY'ARAGFS
PROPOSED SIZE:
PROPOSED IIEIdIif.'*'*"*'
. smuit'i
'1 13 Vinyl
13 Aluminum
0 Other.
WINDOWS
rN EXISTINC
.TOPENINGS OYes UNn
SIZEOF
OPEVINOCHANOLq &
LENG'11-1
0,HOUSE & GARAGE
0 AITACHED GARAGE
0 DETACETED (IARAO'E
0soff-It
0,Hn-,
0 Fascia
LCX:A'110X OF WnqMWS
RA,9EMBNTREMODEUN9SUiMM
1. Existing Floor Plin
2.. Propwrd flan plan
1. Lit;[ of structural Inenibes to he used
FOR NEW INCLUDING DECKS,
ADDITIONS, & r9t—C= SUBMIT:
1. Site I'laufSunrey showing the eei.»ting structures
and ptvpciscd proj-L
2, Two SCU Of MrSiTucticm PIMS
3. H-nergyCalmlatioils
ALL FEES ARBIBASM) ON VALUTH-ON, INCLUDING THE COST OF LABOR
AND M*TERIAIS!
(USING TIM, 1997
1).B.0IITIF, SCHEDULE)
TOTAL JOIR VALUA'r1ON $OCCUPANCY
TYPE
_Ve*
per)-niffee
's
See Back Fa—ir. for Scb.edule
Plan Review
$
65% of Building Permit Fee
Fire Suieburge
$
ml tilos the totaljoh Valuation
Surcharge
$.0005
x Rcrn -dt Valuation Minillun, $.50
License Surchargo
$ . .....
$5,00 (SUte J.jai)tseA Residential Cont—tors)
SAC, Cl vxgc
.
.9
S 1550 put SAC Unit (Plain to MWCC. for detenTfinstiori)
Curb Cut Escrow
R+ 6 ft= ft x $20
Frosion Control
$4_50Conservation Plan Review
Park Pee
Fee Detennined by Engineering
Sewer Main Cbarge
$
Agreement necessary( ) Non Net;essary(
Total Due
$
Alla,,�h
Make checks payable t�: �!L AFridle��
THIS IS AN APPLICATION FOR A PFRmjT-No'r vtLiL) UNTH, PROCRSSED
I hereby apply for a building pen -nit and I acknowledge that the infom-clition above i% eciTnplete and accurate; 41 -at the work will be in
conforniance with the ordinances and codes of the City of Fridley and wide the Minnesota Construcjio.tj c,,4r.irles, that I understand this is not a
pernift but only an application for ki permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the ewe of all work which requires review lglbroval of plans.
SIGNATURE, OF APPLICANT—
PRJNTNAMF- 17A78
Lit