PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N? 3 910
Date: ....� . > . � ... �.�........... .
Owner ....................................... Builder ,?��.......G ,,,.... ........
Address ...................................... Address ........................................
LOCATION OF BUILDING
No. .C.P/ .. Street ....... ........ .. .::...... Part of t ........9... .... .. ...... .
Lot ...�..... Black ..� ........... Addition or Sub-Divisio . ...././� 44
Corner Lot ............ Inside Lot ............ Setback ............ Side and
DESCRIPTION OF BUILDING
To Used `� q' /'p
�y
Front Depth. Height �:. S Ft o1Cu Fi.°!
.... Front f :'� Depth Hei h f 0.'�1O Sq. Ft. Cu. Ft. .1V,.90.. .
m
Type of Construction ................... Fist. Cost... /.. I. To be Completed ...................
In consideration of the issuance to me of a permit to construct the building dearibed above, I agree to do
the proposed work in accordance with the description above set forth an in comp ce with all provisions of
ordinances of the city of Fridley.
.. ... ... .......
17
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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.. ...oc �-A_.,.A,$ui1dlng Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
SUBJECT
RM
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT(P28340
P
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
NUMBER
REV
DATE
PAGE OF
AVPFOVEO BY
E 1 CITY HALL FRIOLEY 55432
�'---11.� ���
612-571-3450
910-F15
10/21/98
JOB ADDRESS
261 S lvan Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
16
2
Sylvan Hills, Plat 4
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Betty Wickman
571-4913
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Lloyds Home Improv. Inc. 1012 42 1/2 Ave NE Columbia Has 55421 788-5602 1798
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION Ox REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (30 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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 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
1 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
$2571
$1.29
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
$74.75
d
Fir,* SC $2.57
PLAN CHECK FEE
TO Al FEE
Lice S
5
83.61
1GNATURE OFCON 'RACTORORAUTHO 19OAGENT IDATEI
EN RO
L VA 10 THIS IS Y UR PERMIT
SIGNATURE OF OWNEROF OWNER BUILDER, ADATEi
e 6 BLp 5e
OaTE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 6
ConstructionAddress: 261 SYLVAN LANE NE
Legal Description:
Owner Name & Address: BETTY WICKMAN Tel. #571-4913
Contractor: LLOYDS HOME IMPROVEMENTS, INC. MN LICENSE# 0001798
Address: 1012-421-2 AVE., NE Tel. # 612-788-5602
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: -3n G� _
Construction Type: TEAR OFF & REROOF HOUSE & GARAGUstimated Cost: $�-
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 10-21-98
APPLICANT:
Tel. # 788-5602
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ / !
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ c5,_0 U
$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 [ J 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 $100,000 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 first $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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
Su6jEtT
PER R
City of Fridley
14 2
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
i
O.
:
• r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.
,
CITY HALL FRIDLEY 55432
REv
DATE
;rGE OF
APPROVED By
INUMOER
1 612-571-3450
910-F15
10/13/00
/
JOB ADDRESS 261 Sylvan Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 16
2
Sylvan Hills Plat 4 SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Betty Wickman 261 Sylvan Lane NE
571-4913
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
All Ways Decks 310 Wexford Heights Dr, New Brighton, MN 55112 651-636-6051
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
O NEW ADDITION 0 ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 12' x 20' Deck
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
WARNING
SEPARATE PERMITS
Before digging call f®Fr
all utility locations
REQUIRED FOR:
454®0�
(MIRING HEADING
PWMBIN6 AN® S16
E ARE
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 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 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
$2,640
$1.32
OF A PERMIT
DOES NOES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC HARGE
PROVI NS OF NY OTHE ATE OR LOCAL LAW REGULATING CON-
/
STR TION OR HE OR CE OF CONSTRUCTION
$83.25
F' a SC $2.64
PLAN CHECK E
Licns S $5
T TAL FEE
92.21
uR fCON' TOA OR AUTHORIZED AGENT iDa7E
HEP Y D THIS IS YOUR PERM T
I Y//
BL Sf DarE
SIGNATURE Of OWNERgf OWNER BUILDER1 ATE.
1
NEW [ l ILI Effective 1/1/2000
ADDN [ j CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �g?s
�I
Construction Address: Z (a
Legal Description:
Owner Name & dress:Tel. #
Contractor: bI ll t' P MN LICENSE # Zc>oC) -S -5-
Address: _ 310k1e--efzrrQ Wer' �� (lam Y 4 1,Tel. #
(fel( (ol
Attach to this application, a Certificate of Survey of the Q�Q
lot, with the proposed construction drawn on it to scale. 10110.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length
Width
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length 1 Z
Width
7-o Hgt/Ground
3 Sq. Ft.
OTHER: (o Ff rem
r
Construction Type:
Estimated Cost: $
Z -) S -b, c,�
Driveway Curb Cut Width Needed: Ft
Ft =
Ft x $
_ $
DATE: I n L`11 APPLICANT:
Tel. # 6x-57--1367 rzo
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
trelf_L41
STIPULATIONS:
Call (763) 572-3604 for Permit Fees If mailing in application
i
$ Fee Schedule on Reverse Side
$ y .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1100 per SAC Unit
$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
�$ '
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or.fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
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 pnce it has it has been constructed will
be required before proceeding with the framing. New Houses Only
MuMays Derskst Inc*
310 Wedord Heights Dr. Lq,70-
New Brighton, MN 55112
License #20003805
N
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LUJU
fyfo—OtIngs will be 42" deep, 12n diameter 0 AM height 36" min. Stop rise will be 8" max.
Structure vAll be 2 x 1GT Ro" Oc- - Rail space 4'max-1 Posts will be 6 x 6
0
Decking will be cedar - Stop run will be Or min. f-
IEw [ ] CITY OF FRIDLEY
,DDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
,LTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: G I ��/g ,, L��A2 F
Legal Description:
Owner Name & Ad ress: 'fie' p I�" Tel. # ;76�-®� '�
Contractor. -51e4 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:
Construction Type:
p 44 stimated Cost.
!;7--S ,
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _
DATE: [C2 '�.5� APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 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
$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)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00.
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 existing foundation will be required before
proceeding with the framing. New Houses Only
16.E
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