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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT rT° 4580 Date: .. _.. ..• ..... 4 =! _.___......___.. Owner:- ... .00 Builder ._...... _........... ...... __...._..__....__....__ ._.... Address ...Z_,__.. _ .. Address........... _°:......-ear..._._ ...................... _.......... LOCATION OF,, BUILDING Street ..... v . No...�, ......_.. _. ✓ �.� .::�. �. :::.......�._..�:........ Part of Lot ....................... ._.... ....._......... Lot ..-.._...... .................... Block ...'�................... . Addition or Sub -Division . r6 .:.��, Corner Lot ........................ __....... Inside Lot ... ......... Setback ....�. ...__......_ VSideyard ........... ................. yl.Sewer Elevation....._....4..11.e.' ........................................................ Foundation Elevation ....... ......,.:..a.................................. .............. _.. DESCRIPTION OF BUILDING To be Used as � _ �` � `• Front ... Depth .. c _.. Height ... e "':4 Sq. Ft... Cu. Ft. , , .�_ ...... _......... ..__..... From, ........................ Depth ................. efeeight ............ Sq. Ft. ..... .................. Cu. Ft. ..... _................. Typer~ 1� of Construction Est. COSAY -- 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. G 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. u n violatiori-of-,,py of the provisions of said ordinances. /) Inspector NOTICE: This permit does not cover the construction, installation foe wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items, i 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name /® "le Builder �e ea>��% �% S'�� �� °';✓ Address /�Llv/l. ±,o Address LOCATION OF BUILDING No. ,,.;°- C� Street ,�y�i✓�� Part of Lot Lot Block Addition or Sub.Div: Corner Lots,,,; Inside Lot t Set Back „_,., � Side -Yard .e � SEWER ELEVATION� � � . 0'4mxl , FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: e Front Depth�017H-ight--49 4ia,,.. Sq. Ft. ZZ_ Cu. Ft. 44-3,?A* Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �-/'a �- ______, Estimated Cost_-��"`���.' To be completed i/ / 4�0 The undersigned hereby makes application 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 representa- tions stated in this application are true and correct. � SIGNATURE cYf� (A Schedule of Fee costs can be found on the Reverse Side.) L V 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 existing 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 to 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 fireproof 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 fireproof garage, ware- house, factory or grain elevator, or for the erection of any fireproof addition for similar occupancy, to any existing building shall be at the rate of 61.25 for each one thousand cubic feet, classified as "fireproof' by Section 502 of the Minneapolis Building Code. HO-�-ES 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 addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents 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 or 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 sha3:l be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. SUBJECT PER - City of Fridley 1 ' AT THE TOP OF THE TWINS BUILDING PERMIT r RE NO. L4------ •COMMUNITY DEVELOPMENT DIV. ______, VE INSPECTION o/ II; PROTECTI� � SEC. t � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY A,t 1,J 612-560-3450 910-Ft5 8/5/74 JOB ADDRESS 260 Sylvan Lane N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 Sylvan Bills Plat 4 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Lowell J. Swanson 260 Sylvan Lane N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OFWORK [� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct a attached garage 16h x j 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway and add on 161g feet only and maintain 5 foot side yard to west property line. SEPERATE PERMITS REQUIRED FOR WIRINGt, HEATING, PLUMBING AND SIGNSA TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 t 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 $2,533 1.27 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- $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $10.27 SIG TUREOFCONTRACTORORAUTHO ZED AGENT (DATE) WHEN PROPERLY V LID TED THIS I& YOUR PERMIT a t BLDG. )NSP DAT S GNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Lowell J. Swanson BUILDER: Sam ADDRESS: 260 Sylvan Lane ADDRESS: NO: . 260 STREET: Sylvan Lane LOT: 4 BLOCK: 3 ADDITION: Sylvan Hills Plat L CORNER LOT: INSIDE LOT: x SETBACK: 35, SIDEYARD: 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: Garage .e Front: CO De the 2'9I Height: Square Feet: 7 Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Frame Estimated Cost $1900.00 22 To Be Completed J Dec. I' 1971 3' wy l The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: Aug* 20 1974 SIGNATURE: V - P(See Reverse Side For Additional Information.), 5, a /( Of �- `7 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined 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 heights of the upper'surface or to the average, height of the roof surface of the main gable of a pitched roof. 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. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. CITY OF FRIDLEY qO- 34FS'3'S Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL ` RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ ®�D•bl? Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. S S Job Address Q �+ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. --d 19 J y OWNER - L J KIND OF BUILDING USED AS TO BE COMPLETED ABOUT l� ESTIMATED COST I 40,0 OLD - NEW BUILDING PERMIT NO. PERMIT NO. W 2 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 9 Trade NameSize No. Capacity Sq. Ft. EDR BTU / HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company 0 n � A � � �_ 4 _ Signed By HEATING & AIR CONDITIONING 00 8910 WENTW09TH AV! Tel. No. MINNEAPOLIS Nli1 4`_. Fill out back side for stack verification on replacement furnaces o1r2eit., 6 -3 522 CITY OF FRIDI EY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FOR14 MUST ACCO11PA14Y STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION DATE 3 -SJ I' OWNER ADDRESS The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully a --,amined 2. Is free from rust or deterioration 3. too foreign objects are lodged within � 4. That it is securely supported S. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU �l.v C>v All Other BTU 3� TOTAL . REMARKS a - HEATING PERMIT byfr Address yEATIN0 & AIR CONDITINI 8910 @NE Telephone MINNEAPOLIS, VAN 55420 Fridley City License I SEDGWICK HEATING & AIR CONDITIONING CO. HOUSE HEATING TEST RECORD ADDRESSf of} !� �';° d CITY 4F4- OCCUPANT' < <� �''.r d' 47 el OWNER HEAT LOSS DATE HTG. INST. SOLD BY sr'"�ti, INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT -HTR. OTHER GAS DESIGN CONVERSION MAKE / ¢. )I ; '-. Model° a L*� INPUT CONTROLS THERMOSTAT.�eat Plug Valvel Limit Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model L-'' Pilot Timing L.W. Cut Off Pressure ` °� �- Percent CO Z Input CFH '= Percent O Stack Temp. ' Percent C.02 J MAKE OF BURNER _ Model Max. BTU Rating — MAKEOFFURNACE Model Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size Number Chimney Location Inside ---."Outside Chimney Construction Smoke Bomb Draft Door Pressure Wiring Test Tag — Lighting Inst. Date Tested Company Testing Name of Tester, r • SUBJECT - P ... City ®f Fridley 2813 4 AT THE ' S4 BUILDING PERMIT = o COMMUNITY DEVELOPMENT DIV. SEC. -70 / r PROTECTIVE INSPECTION 46 e NUMBER DEV DATE PAGE OF APPROVED By = 1 v"'1 CITY HALL FRIDLEY 55432 ------ �'' 612-571-3450 910-F15 10/7/98 JOB ADDRESS 260 Sylvan Lane ` 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 3 $ lvan Hills plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Hustad 572-9312 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Rem. 7930 University Ave NR 'Frid1py 59432 795- 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 ❑ ALTERATION 3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIONZONING 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 $2142 $1.07 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE IS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ORRMANCE OF CONSTRUCTION 71PPLAN $74.75 Fire & 2.14 CHECK FEE TOTAL F 7SIGNA Lice SC 5.0 82 96 FOR OR AUTHORIZED AGENT IDATEI UR)�F PER IDATED TH S YOUR PERMIT i k��zr S,GNATURE OF OWNER OF OWNER BUILDERI (DATE, S. riAiE l NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:�� 1Ja4q Lt�j Legal Description: Owner Name & Address: (�� sL Tel. # 7c;_ Contractor: e' 10® l Luc' MN LICENSE # Address: 2233 bo i ci-ors( cj�e, Tel. # W,6-- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF LVIPROVENIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length —-- Width Hgt/Ground Sq. Ft. OTHER: l g'` aide �d -D c r Construction Type: RUM, eye I -t_ d- R4--%) -Roo- Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATE: ®– �� APPLICANT: Tel. STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ - (q .001 of Permit Valuation (1/10th%) State Surcharge $ % o l $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S--60 $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: