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PRE 2010 DOCSIt Qzy ®f Fridley, Minn. BUILDINGPERMIT .6946 Owner: V Ae Builder ;-,: Address OCATION BU LDI G No..2111Street Part o t Lot _Block Addition or Sub -Division Corner Lot Inside Lot Setback---- Sideyard __ r Sewer Elevation Foundation Elevation R DESCRIPTION OF BUILDING To V A_tFront Depth - Height Sq. Ft� Cu. Ft. Front Depth�—` Height _J Sq. Ft. WCu. Ft. Type of coon --- Est.. C�.:� � To be Completed In consideration of the issuance to me of a permit to construbuilding des ve, I agree to do the proposed work in accordance with the description above set fA in comp all provisions of ordinanc ea 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 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: Ibis perm* don not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sm the Building Inspector for separate perms for them *ems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME J, a) rs► ADDRESS ADDRESS LOCATION OF BUILDING No. Street Part of Lot Lot 01 fZ Block Addition or Subdivision Corner Lot Inside Lot__ „Setback Side Yard /a SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two.Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 00 -es e,e _'M C_ R_ Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction P Estimated Cost 24 cc G To be Completed'- e �( 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 trqp and correct. DATE; SIGNATURE (Schedule of Fee Costs can be found on te Reverse ide). r BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings' shall, before issuing any permit for the erection of any building or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees is the amount herein below set forth and in the manner herein provided to -wit: 2.1., For any such,permit for the erection of any fire -proof building, other than a garage' warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one.thousand•cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any.fire-proof addition, for.similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof".by Section 502 of the Minneapolis'Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addittm, forsimilar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building' -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 cellar to the average height of the upper surface 1. to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee,chargAd for any permit as set forth in Section 2 be less than $4_00. City of Fridley Application for Plumbing and Cres Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location - f City of Fridley: �.. 7J _ y 3 vv11 S /3 3� DOLL Number Fixtures ...................... y o S <3 �U °d �U Sc U' C�9O F N WATER HTR. GAS ELEC. Base x 3.25 $ Water Heater (Up to 200,000 BTU) ...... % 2.00 o' $ New Ground Run Old Bldg . ............ x 3.25 $ 1st 0 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL /3 Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... � x 2.00 o' $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU............ REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL X $1.50 $ x .50 $ x 2.00 $ The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn z 19 �rA Owner Kind of Building` �s Used as To be completed about Estimated Cost, $ Old ew. Building Permit No �� " Permit No./ s' Signed - - r 1!i r � Business Phone No- ROUGH-4 o. ROUGH M ®' FINAL Description .................................................$ TOTAL FEE 42 2M sueJEcr PERMIT N City of Fridley o � AT THE TOP OF THE TWINS BUILDING PERMIT' P RECEIPT NO. •z: ------COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBERDATE REV. PAGE OF AP ED BY 612-571-3450 910-F15 8/29/83 JOB ADDRESS 241 Ey Sylvan Lane N. E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Sylvaxi Hil1S SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leighton Clark 241 Sylvan lane N.E. 571-0038 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 ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 12'.Shed and an 819" x 7' Entry 9 CHANGE OF USE FROM TO STIPULATIONS WARNING Be fore d' TE[EPHONE ECTRlt al utrlitie� SEPERATE PERMITS REQUIRED POR 'REQUIRED c. WIRt[�Q . PLUMISING AND BY "F-4PNGSICNSd 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 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 $1,000 $.50 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- 17.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.00 NAT OF CONTRACTOR OR AUT&IIIAGT (DATE)WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DA/E AT REO NER OF OWNER BUILD ) (DAT EI OWNER: ADDRESS TEL AO: , e CITY OF FRIDLCY Effective Aug. 1, 1981 ' APPLICATIM FOR RESIDENTIAL BUILDING PER141TS (New, Alterations, Additions, or Repairs) ,BUILDER: ADDRESS: TEL NO: Construction Location STRIMT NO: STREET: LOT: e` BLOCK: e ADDITIO : ' �,�)4, c L 7 Corner tot: Inside Lot: k_ 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 q� A Front: s , i Depth: /I Height: � Square Feet: Cubic Feet: Front: c Depth: Height: Square Feet: _ Cubic Feet: Type of Construction: Zb Be QJrtpleted: i Estimated Cost: $ 1000.06 Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: SEE PEVERSE SIDE OF SHEET . lbe undersigned hereby makes application for a permit for the uork 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 SIGNATum: � Stipulation m • a 8 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 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 $1.00 to $500.00 Fees $10.00 (Minimum $15.00) $501 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 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 $433.00 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": 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 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. Sa ` ! /0 ,SX '.,,,u 'Mr4 Land P�nna� Soa7s kst MinnbvPv�s32, ENGINEERING, INC. solo Cia/ b 4�hnirrpa! .tGhsrfd-0066 Eli" — En yineers f Surveyors Cert',ficate Of su*ve► re: 1m arti . '� 1 IV, yi �N .� -X : 4c4'.e I" -3o' / boo►�rby " " 77 l4sl des ''0 1hW ar*dmrrrc�s+y�fotars o sr.-nr }br ` Tit' � �' day y:�s . fl�vrr� . s�d.►L risi�fr � tl �' d�nnao�s �l'!�r .dex aEsr.,►brd 4n5�,,,d ate. AS� f • °'�•�'"' n ,r >� As aw Ai SUB tae ' an�n 0907 000,10uy;�c �aqatleqs 3 ;0019,q2 .10', q3Sow -3�� due osd8Za£do�d00 so 10 V ple, . rt% t SUB.IECT City of Fridley 23809 ATHE TOP OF THE TWINS BUILDING PERM I< 'r ' RECEIPT N COMMUNITY DEVELOPMENT DIV ~ r 1 PROTECTIVE INSPECTION SEC `�� `� J NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/16/95 JOB ADDRESS 241 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Eliason 241 Sylvan Lane NE 572-0240 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kastle Co Corp 7044 Elliot Ave S, Richfield, MN 55423 869-3020 20029530 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (22 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,320 .66 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR L C. L LAW REGULATING CON- STRUCTION PR THE P FIFO MAN OF TRUCTION 45.75 Fire SC PLAN CHECK FEE TOTAL FEE &4.t/ / C/ 14 FJ_ i License SIC $5.DO $52.73 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL THIS IS PERMIT '/�ALIDATED 1�i yy1 6�1 BLDGIINSP YOUR -f DATE SIGNATURE OF OWNER pF OWNER BUILDERI IDATEI t NEW [ ] Effective 8/l/95 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 46t?30 ConstructionAddress: IRV I .SYI V @ti Z a •t - e' Legal Description: Owner Name & Address: 11n09k &-moo Tel. # 0,3 V® Contractor: kAS %/1�z ('4> - C ®i2® _ MN LICENSE # o700 9 5-,70 Address: y � T J9t< X7-Wt1 11 Tel. # 30 2 b 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd ck Side Yard Setbacks 1��, ✓� "i'ype of Construction: �0 o U Estimated Cost: $ ✓l �� - CsU = jt1t z' Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ SATE; /Q _` - �' S APPLICANT: Tel. # (?6,9 -3o -2 o CITY USE ONLY s Permit Fee $ jFee Schedule on Reverse Side Fire Surcharge $ , .001 of Permit Valuation (1/10th%) State Surcharge $ g $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ AIL "A" or Alt. "B" Above Erosion Control $ $450.0 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 first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,00 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 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. SUB�E�7 P City of Fridley (---31-347 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. /I r � � PROTECTIVE INSPECTION SEC. 593 0 1a " ICITY HALL FRIDLEY 55132 *'j NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 9tQ-F15 8/25/00 JOB ADDRESS 241 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill James 241 Sylvan Lane NE 763-572-0240 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 Cj ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Change flat roof to gable roof on garage & breezeway 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. 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 @ $2,500 $1.25 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- Fire, STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE TOTA FEE 7.00 SIGNATURE OF CONTRA TOA OR AAUTT/HBO=RRI�ZEDAAGENT IDATEt EN RO E VALIDATED HIS IS Y P �.' BI OG N R RATE Si ATUNER �If QWNE WLDE Rt IDATEI NEW [ ] Effective 1/1/2000 ADDN [ ] -CITY-0F FRIDLEY (763) 57777 ALTER [ ]. SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �/ l S',r % �� L. M .e Af Legal Description: Lai / `/ )310 c k- -R Sv, / v a ,n I l pIu Owner Name & Addrefs�s: ;ilk v� 19 s �4� I v f 1/& L tg Tel. # -�"' 7 2 0�� Contractor: .fie X MN LICENSE # Address: Tel. # STIPULATIONS: 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:,hateee I- A l e j vcc+ P -moo MY A k- _r9ZE C h 624? PAX/0/ t' Construction Type: Estimated Cost: QS -06 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # .S—%,� 0 a Yo CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ ��Fee Schedule on Reverse Side Fire Surcharge $ ar7•.!r0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 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 $_ 2. r.3lj 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once -it has it has been constructed will be required before proceeding with the framing. New Houses Onlv lu 2 f -.77 ' _._.___._.,,i �' '' 4 ;4 � i U �` �° Land" cm-m#6my acs AcE. Minnw��/s32. sksmy ENGINEERING INC. Ifo � Sl�xf�-0066' f� ® Engineers Sur verrs certificate of surveT to& r,arv? Pe ori r . fix7 XSco!� f"•�c� Sys �AM r ._.-1wE 40 ",r% Amf Ata �s o Ina mill anwrmd �jorrsa�Eot or, o su-„r fir , �/a�d:, JfYrar,,.,dr/ Asid(r az�,oarJL+,afl'Ay f„ r&? M'd ANW. A s e� suduR8" El1!« act suoa uaa4 a°uo r► p ansa .�a'J • pa.z�n�'°i ' ' eq, 30 �aA.mS 3° a�1E°�a�� - .,.,•, auTroQs °T __,.,,�� aQ� a° Plug - 14233 INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (612) 572-3604 ADDRESS OWNER, --s BUILDER DATE v�`� . �v PERMIT NO. DESCR PTION I INSPECTION REPORT L If no correctii we listed above, approval he by given to proce< )u will be in violation of th .,rdinance if you do not call r the proper inspec _-.its and make corrections as called for. INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (612) 572-3604 ADDRESS OWNER BUILDER DATE PERMIT NO. DESCRIPTIO INSPECTION REPORT DATE REPORT I J If no correct are listed above, proval hereby given to prose( 'ou will be in violation of ordinance if you not call for the proper Inspea.,.,ns and make corrections as called for. 145234 4 INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 OWNER BUILDER DATE .r �� PERMIT NO. DESCRIPTION �l , If no correctic ire listed above, app al Is hereby given to proce You will be in violation of th. _ dinance if you do n call for the proper inspections ....d make corrections as called for. INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 .144545 ,I Al OWNER BUILgER /�� tir.� DATE �,ef'. a1 PERMIT NO. , -4d V DESCRIPTION / Gs INSPECTION REPORT DATE REPORT 1 If no correcif are listed above, appy al Is hereby given to procR You will bE violation of e-.jrdinance If you do no II for the proper inspections _ A make corrections as called for. N 14634 INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 ADDRESS / OWNER BUIWER T, .d04 1 nerc I .2 / —► / L �P.A DESCRIPTION INSPECTION REPORT If no corse are listed above, approval I hereby given to procq You will be in violation of tho are if you do not call r the proper Inspection'16dnd make corrections as called for. • su6�EcT P City of Fridley i 9 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. w COMMUNITY DEVELOPMENT DIV. y �® 3604 -, r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910-F15 7/9/01 10B ADDRESS 241 Sylvan Lane NE i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADORES$. zip PHONE Bill James 241 Sylvan Lane NE 763-572-0240 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rainbow Repairs Inc 5014 170 Lane NW, Andover MN 763-422-8008 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20155142 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW O ADDITION O ALTERATION REPAIR 0 MOVE O REMOVE 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. 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 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. ALI. PROVISIONS OF LAWS VALUATION SURTAX ` AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL, BE COMPLIED $2,659 $1.33 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• $83.25 Te SC $2.66 STRUCTI E PERFORM E OF CONSTRUCTION PLAN CHECK FEEO AL FEE 01 Lice SC .00 $92.24 S GOrATURE OF CONTRACTOR OR AUTHORIZED AGENT OATC, LV VA D D THIS IS YOUR PERMITS MO. DATE SIGNATURE OF OWNER IF OWNER BUILDER, IDATEI NEW [] ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Nam & Addre Contractor.:► Address: 561 t4 i Effective 1/1/2001 (763) 572-3604 Bldg Insp 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: �Lppength p Width Hgt/Ground Sq. Ft. OTHER: 9—;' - n - Construction Type4d0``' C Estimated Cost: $ 026' Ste? Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ® APPLICANT: Tel.3� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ e��Fee Schedule on Reverse Side Fire Surcharge $ 264 .001 of Permit Valuation (1/10th%) State Surcharge $ ��3 $.50/$1,000 Valuation SAC Charge � $1150 per SAC Unit License Surcharge $�to $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: .4 a 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW' (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only I� C.IiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 February 13, 2002 Mr. Bill James 241 Sylvan Lane NE Fridley, MN 55432 Re: Roofing Inspections Dear Mr. James: Our records indicate that no inspections were performed after the corrections were completed per the July 1, 1999 inspection. All inspections were completed for building permit #31962 taken out by Rainbow Repairs Inc. Please call me at 763-572-3602 if you have any further questions. Sincerely, RJ/mh