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PRE 2010 DOCSCity of Fridley, Minn. WELDING PERMIT /3— Date: ........................................ Owner....i.................................. Address ...................................... N® 3649 Address ............................................. LOCATION OF BUILDING .... Part of Lot No. . y.1.. Stree .. ....... .. :.... .. ......... .... .......... Lot .. . Block ........ ... �.... ..... Addition or Sub -Division .lidet/O.-I-0 . ... . :.. Yom . Corner Lot ............ Inside Lot .......... Setback .�. ................... . DESCRIPTION OF BUILDING To be Used as: P6 ../.1� ... Front..... Depth . ? 69..® Height /�:.®. Sq. Ft �k1.7.a� Cu. Ft. .................... Front ........ Depth ........ Height �........ Sq. Ft......... Cu. Ft. ......... Type of Construction ................... list. Cost.. �./l.6 �d..°C .. ��. To be Completed .................... 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 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 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. �- 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. City of Fridley, Minn. BUILDING PERMIT N® 3856 Date: ...4 ....(............. Owner....................................... Builder c:............................ .. Address ...................................... Address ............................................. �j / LOCATIONOF BUILDING No. . i?. !.. a • .. Street ...... .. .4i :.... Part of t .... . . Lot .. , .jl ...Block ... ....�...... Addition or Sub-Divisi ........ .. ..... .. ... X- ........ Setback J T. ... .ideyard /.Q .' Corner Lot ............ Inside Lot .................... DESCRIPTION OF BUILDING To be Used "- 'o J ,�-. 6 °� l .�h "' S Ft. �0 % .� Cu. Ft. R4� ! . i �„A ... .... Front ....... Depth ........ Height ..... q. .. .................... Height Front ........ Depth ........ t .. ®. Sq. Ft. ........ CuL Ft. ........ Type of Construction ................... Fast. cost.1.3, ,47 ...4V To be Completed ..............: 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 forth and in compliance with all provisions of ordinances of the city of Fridley. . ......... .................. :..... In consideration of the payment of a fee of $07, ..."" . 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 th!,provisions of said ordinances. - �99yii61Gii:i�� NOTICE: This permit does not cover the constructlon, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these Items. h•T- APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners -Name ' Address A dre s — LOCATION OF BUILDING No. Street ^°�� -� Part of Lot Lot'- 17 Block Addition or Sub. Div. l L� Corner Lot Inside Lot 's Set Back 3 � Applicant•attach•to this form Certificate of Survey of Lot and proposed building location: DESCRIPTION OF BUILDING To be used as Front. Depth Height Sq. Ft. Cu. Ft. Front ._.___._✓..Depth eight Sq. Ft. Cu. Ft: �._.+. Type of Construction Estimated Cost ...?._., To be completed The undersigned hereby makes application for a permit for the work herein*specif-led,.agreein`g to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Date Signature r(A Schedule of Fee Costs can be found on the Reverse Side) P a J� i ovo. d BUILDING. PERMIT . FEE SCHEDULE Sc.tion 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 atriount herein below set forth and in the manner herein provided to -wit: 2,1 For any such per�-it for the erection of any fireproof 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 fra ction thereof, in such cubical contents. 2,2 For any such permit for the erection of any fireproof garage, ware- house, factory or grain eleva,tor,•or for the erection of any, fireproof• - addi-L-ion•• for siffilc occ,�p.iMe�Tr to any existing building shall. beat the rate of 4l; 25 for each one thouaand cubic feet, classified as "fireproof" by Section 502 of the Ml i.n_r.ea ol:+ s Building. Code. HOUSES 2,3 For any ;such pe:nmi t For rte ere• (:.ion of any non -fireproof building other thaan a garage, war'ehouse,'factory or.,grain .elevator,.or any non-fir.eproof_addition; for similar occup ,ncy, to any existing building. Permit $1,00 for each one thousand cubiY.,feet.. GAMGE5 2.4 Fox ..an-.--. such perLait for the erection of any non -fireproof garage, wa.rehouoe, ; actor; or grain ele-*atom,._ or: for .the ,erection of any non- ' _ eprooF add i t ".or_, for sj-nLi lr..:r occupo.nc'r, to any existing building or for each such `L-:xildi ng or •adcl_tion•6 . Ninety Cents for each one thoaaoand c-u'oi:; faot or Fraction thereof, in the cubica_ l contents thereof 1,17 �'h a min-17Tza of c . For the pu-t_ooso of : Cm at',.nM feos' for building permits the cubical contents of an7.r buildi.aa or addition to a uniform height throughout by: �-e!.• c-).sere.d.:f on a point six (6), indhes: below the br:oar- o�^ ce'�.?ar to the average height of the.. upror surfa.to ry, t3 he 4fit .of Ache robf" surface of the min gable, of a to au e11�ist,.ng structure, the fee shall be at the rate of ,._o :) ;h F L -^ 11,.:ncirod Dollars (6-500.00)•, or, fraction thereof in ;;h;; cos;.: of al1 proposed wore., 2.6 in. no -case- shall t1he fee charged for any permit as set forth„3.n Sect -ion 2 be less than X4,00:, 3%-:7.2— City of Fridley, Minn,. N0 9455 BUILDING PERMIT Date: Sept. 18, 1967 Owner: Valerian B. Kuechle Builder Same Address 271 Sylvan Lane Address Same LOCATION OF BUILDING No. 271 Street Sylvan Lane . Part of Lot Lot - 17 __ Block 2 Addition or Sub -Division . Sylvan Hills Plat 4 Corner Lot . _ Inside Lot — Setback --_ Sideyard Sewer Elevation ____ Foundation Mevation DESCRIPTION OF BUILDING To be Used as: Garage Front 19, Depth 22' Height 10, Sq. Ft. 418 Cu. Ft. 4180 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ 15 00 __ 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 $ 6.40 permit is hereby granted to Valerian Kuechle 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits and tbis permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: TMs por* does not cover the eoostrudioe, haftWon for wiring, phmbbng, gas hading, ewer or wafer. Be sore to see the Building hnpoclor for separafe per nhs for those Herm. i � � A?!ru :C,Vf .i1:a FOR 'BUILD 'NG Me.s'aT cb� o� ��:;��•, r��n�;�scTA i . OEMR `S NAME; % �L—(BU','f �- -DER ADDRESS ADDRESS LOCATION OF BUILDII G NO,� STt.EET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT 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 Ad: y Front /C Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 7�11 E Estimated Cost / �® To Be Completed 60 C.) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE f� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). � ti v BUILDING PEPd4IT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of 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- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents, of any building or addition to a uniform height throughout by multipluing 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. 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. NSSSD Connection Charges based on location- Area 1 or 2. i. k r' MA SUBJECT City of Fridley ;PrE�IrN-0 16023 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J \ 612-571-3450 910-F15 11/26/80 JOB ADDRESS 271 Sylvan Ln. N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 4 Sylvan Hills Plat #4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Sampson 271 Sylvan Ln. N.E. Fridley 55432 5741187 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hearth and Home 219 W 90th St. Blocmin ton 884-4156 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a built-in fireplace. 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 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 $900.00 $� r,� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE ON- PROVISIONS OF ANY OTH R STATE OR LOCAL LAW REGULATING CON- �. 50 STRUC ION OR THE PERF RMANCE OF CONSTRUCTION. STRUCTION PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF JONTfiACTOR OR AUTHORIZED AGENT IDATEI rJ JWPROPE L ATED THIS IS YOUR PERMIT BLDG ASP DATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI MA 9 4789 72025 THIS IS YOUR INVOICE� PLEASE. MAIL CHECK TO MAIN STORE: ■ > MINNEAPOLIS, MN. 5540S 2004 Lyndaln Avg, So. So. 871.0558 BROOKLYN PARK, MN. 55422 T340 Brooklyn BIV'1 (Hiway 162 ) 661.9720 f'+�'u�•e'�'5435 �a►,"7 � % - /' �,.t/ ,"�.""' ,oma"°"--' .� 3490 NAWnit 70tH St aet �G-(`��,� -- / ` '�.?1 / 20-527e g`i �` �� 4: } P✓-` +`t,.•�-: �j� /- �.� .�®/",� �li® 1��- �- ST. PAUL MN*S 55102 38451. Fi-25ateStreet j�..�. 't+l� �n�fD.1:!:{a;'�'. / ,�t�� ;3�;�i5;1 dl• I��ii l��/. ,:(o d) :f'�,l�n. / 222.2649 S1 PAUL MN. 55119 . 1650 778-0427r Ave. BURNSVILLE, MN. $5337 14160 Nicolret Ave. S. Cobblmtone Court 435-6888 SOLD TO DATE AODRESS_b�!� �/7K� L� SALESMA CITY & STATE .� (� PHONE DELIVER TO: V��/� DELIVERED INSTALLED T SAL AN MUST SPECIFY E PAID IN FULL R M C H S _ QUAN. AN. ORDER- TAOKREN DESCRIPTION ED DELIV. if G ORIGINAL INVOICE , 1 BY DATE SOLD AT: Hillcrest ❑ DATE BILLED Lyndele ❑ Brooklyn ❑ St. Paul ❑ Edina ❑ BY ��. THANK YOU CITY OF FRIDLEY APPLICATION FOR RES ID111TIAL BUILDING PER11ITS (New, Alterations, Additions, or Repai-rs) OWNER: ADDRESS : ?, 7/ 5y /LIy, U'l TEL NO: S-✓ -L/ - Ile 7 —1 BUILDER: ADDRESS: • �� " c�i • All . TEL 140: �'�- SG% Stela Construction Location STREET NO: 7/ STREET: S LOT: 2-7 BLOCK: ADDITION: � ✓�� Corner Lot: Inside Lot: Setback.:.. Sideyards: Applicant attach to this form tc,,o Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet.- Front: eet: Front: Depth: Height: Square- Feet: Cubic Feet: Type of Construction; �41 d i�•E �GC Estimated Cost: $ ':�®o- Ta Be Cbripleted: Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the vork' 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: �f ' d. (p � �0 SIGNATURE: Stipulations: S� 7 I BUrLDJNG vumr r HE SCHEDUr_E A S)"CT101-1 2. - 'ThL ln�.:factor.' of 1}ui.ldinw,, ::hril.l, beforr, i.:::,ui.ng pernnits for the arect:i.on of .ally huildi.r►rl or or for ally addition to ally exi_si:ing 1.)uildiajg or :>Lzucture, ci)' l: a;• ally alteration or. repairs t.o •any exi.:.t:i.n9 bui.l,di.nq or. sty:ucturc, upon aT?j?li.cati.on thcr0fore, requlrc the payment. by the appl.i.cant: for such permit of fee:^, to thb amount heroin below scat• forth and ill the manner hci;_'n provided to -wit: 14} 1l CONSTRUC'UOI4: Single kamil.y llotres and jos; 14.00/1,000 cubic feet.. 1.'7.7:14 01):CK: 25 perce»t: of building }permit- fee. DRIVEWAY DL•'MSSION.- (Concretq Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x 1,.15.75 Alternate B: Removal and replac:•cment of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 I QUAL INFORIJATIOP For the purpose of computing fees fora 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 tha 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 Liar each five hundred dollars .. ($500.00) or fraction thereof in the cost of all pr4Posed work. In -no case shall the fee_ charged for any pen:it Las set fori -;.n Section 2 be 1: sueJEcr IT City of Fridley 6026 ;>f AT THE TOP OF THE TWINS BUILDING PERMIT r EIPT • COMMUNITY DEVELOPMENT DIV. SEC. 7�0 L✓ � � PROTECTIVE INSPECTION 1 V CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J \ 612-571-3450 910-F15 12/2/80 JOB ADDRESS 271 Sylvan 3MM219 Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Sampson 271 Sylvan Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Michael Spencer Contr. 2752 Co. Rd. H2 784-7778 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 ❑ REMOVE 6 DESCRIBE WORK Remodel Interior Bedroom, Remove Existing closet and expand bedroom 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS MQUOtED f HEATING, PLU ; Am si. 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 $70� $• 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 SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 7.50 STRUCTION R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SI URE OF CONTRACTOR ORA THORIZEDAGENT (DATE) _ WHEN PROPERLY VALIDATED THIS IIS YOUR PERMIT 1�1I AA IS ^� AkJ _. BLDG INSP AT SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESI(li NTIA1. G'UILDIi1G PERMus (Nev)* Alterations, Additions', or Repairs) OILIER: SAn PP o BUILDER: _j'�C h+��;� er T ADDRESS: LxAt,.d ADDRESS: a-7,S—Z - (�-Q t4 -L• TEL NO: TEL NO: Construction Location STRUT NO: STREET: SL /0 41V LOT: / BLOCK: o ADDITION: ly e r_y �%.` , 7 - Corner -Corner Lot: Inside Lot: Setback.- Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION ,�� j Co• c ' • � , -` -",1 Front: Depth: Height: Square -Feet: Cubic Feet: G Front: Depth: Height: Square- Feet: Cubic Feet: Type of Construction: ��,� ��aa-� �-�- Estimated Cost: $ O <��•- To Be Ooripleted: �� ✓L -J Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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 Buia.dings, and hereby declares that all the facts and representations stated :in this application are true and correct. MTE: 4� Per— '3� SICNA`.CURE : Stipulations: BU1LiANG PER'MIT FEE r: SCIIEDULE SI.:C:TIOm 2. 'TIIL% 7nI.;hcctor. of Bui.ldi.1i(I . :;Itnl.l, before i.r; ;uing perinits- for the erection of al)y buil.cl.inu or :,t:::uct:urc, ok for tiny iac](Iftion to 11137 eriotillu building or structure, 6r for any alteration or repairs to -any e;,J.-.l:i.nU bui.l.di,n-1 or structure, upon appli.cati.on ttirrufor.c, requIr.e Uic paymcut. by the applicant far such permi.t.• of fee.^, to the amount hrruin below set forth and in t:I16 manner herein f)rovidt..d to -Wit; NEE Cow"I'3ttictION: Single Family homes and Garages: 14.00/1,000 cubic feet. I'IAN CII3:Ci;: 25 percent: of building permit. fee. L•RIVBWAY DEPR3sSSI03•I: (Concrete. C` ixb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet X-1.15.75 Alternate B: Removal and replac:emcnt of concrete curb and gutter and install a 3 foot wide approach with ' 6 inch depth; Driveway width plus 6 feet x $17.85 • AD12I T� I ONIAL I ITOMMAT I ON. For the purpose of computing fees for building permi.ts,. the cubical contents of any building or addition, is determined by multiplying �:he ground area covered from a point sig: (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 &r each five hundred dollars ($500.00) or fraction thereof in the cost of all prpposed work. ' In -no case shall the fee. charged for any perk t as set for Uh,-in section 2 be lass than $7.50 plus $.50 state surcharge. - VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the, construction site. A Certificate • of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupiedunt-i.l a Certificate of occupancy has been issued. City of Fridley SUBJECT - 8 51rp ZEC AT THE TOP OF THE TWINS BUILDING P�RMIT ` ______ COMMUNITY DEVELOPMENT DIV. UPROTECTIVE INSPECTION SEC. 07 �Id ® 5 r "3 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/16/82 JOB ADDRESS 271 Sylvan Lane N.E. 1 LEGALLOT NO. 17 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Sylvan Hills Plat 4 SHEET DESCR. 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Mark Sampson 271 Sylvan Lane N.E. 571-1262 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct masonry- fireplace 9 CHANGE OF USE FROM TO STIPULATIONS �j �y ¢, PEii'i9$��`�j B! �'jSEPE'ygRATE q�yy 5 y� }J TINC_ Aag�ST-y�dEL.I �O iitIif TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Masonry THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 $2,000 $1.00 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- $32.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $33.50 p7 SIGVAjuRE OF i ACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR ERMIT • SIGNATURE "'INE OWNER IDATEI BLDG INSP r)ATFf �� CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations. Additions. or Repairs) OWNER: lw' _.� j�a-'-5'j BUILDER: ADDRESS: , r� 7 (�y� ADDRESS: TEL 110: % / _ / TEL NO: • STRIST NO: STREET: Construction Location IAT:HIAac: ? ADDITION: Corner Lot: Inside Lot:, Setback: .__..._ Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION r E 42 IS C, f Front: Depth: Height: Square Feet_ Cubic Feet: Front: Depth: Height: Square Feet: Cubic feet: Rype of Corztruction : i Estimated Cost: $ 600, C)C) . r Rb Be Cbr.ipleted: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ S SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the viork' herein specified, agreeing to do ,all work in strict accordance with the City of Fridley Ordinances and rulings of t11e Delkxrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: Ll 6 6sa SIGNATUIE: Stipulations: f NZ®Thi,y / ` ✓ c�J®� BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and Ln the manner herein provided to -wit: TOTAL VALUATION 3WS $1.00 to $500.00 $10.00 Minimum Fee $15.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replacement of curb and gutter only , Driveway width plus 6 feet x $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. HARVEY A. CARTINRIGHT ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS MINNEAPOLIS SURVEYS 6410 PALM STREET N W SUNSET 4-7655 OWNER INDUSTRIAL — JUDICIAL BUSINESS — TOPOGRAPHICAL CITY LOTS — PLATTING Carlson-LeVine, Inc. CMTWMGHT & OLSON LAND SURI`EYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 326 PLYMOUTH BUILDING FEDERAL 6.6721 HENNEPIN AT SIXTH " • MINNEAPOLIS 3. MINNESOTA 6srbtpor's d trtiiicatt 1v A .. L F, "I" COMBINING THE RECORDS OF J. E. HILL. CIVIL ENGINEER ESTASLISNED Io" C. F. SANDHOFF CIVIL ENGINEER ESTABLIS14ED IM11 JAMES NELSON SURVEYOR ESTABLISHED 1022 METROPOLITAN LAND SURVEYORS. ESTASLISHED 1051 Invoice 20173 .Skl GRAN I hereby certify th<.t this is a true and correct plat of a survey of Lot 17j, Block 2, Syly::.n Hills Plat 4, .nol'.a County, Xinnesota, as surveyed by rie this 1'.;th day of July, 1757. F CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r RATE SCHEDULE 1p RESIDENTIAL RATE TOTAL Job Address Furnace Shell and Duct Work, P Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicati n are true and correct. * Air Conlitioning (all sizes) $ 10.00 $ Fridley, Minn. Q ` �, 19 All Others/Repairs and Alterations OWNER 1% of Value of Appliance or Work $ KIND OF BUILDING v COMMERCIAL/INDUSTRIAL USED AS W G 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT Z ESTIMATED COST % 0 0 -0 State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $� Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date HEATING or POWER PLANTS, Steam, Hot Wa�Warm.Air- No.Final Insp. Trade Name ( / ,,9 L AN _ Date L( Capacity Sq. Ft. EDR BTU �q HP Approval for Permit ,f�/J Total Connected Load / Kind of Fuel Ele BURNER - Trade Name (— Size No. 7(r Capacity Sq. Ft. EDR B HP MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 Company PLUS $.50 STATE SURCHARGE ::� Signed By Attach stack verification form with replacement furnace permits f Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. sea HEA�° TIONS DEPARTMENT Ol Class Cur" N96 GuideConanwim s / �- Windom rs $&efer Out. gall Int. i�aB1 CnU mLen`eh ht windows and a®---gL_racka►ge and Area Total Btu. WWI) $tolgbt No. oof troek oRn}t. Wa. o} too 08 ®ono Ittr Gv COLE Btu Iaftlerskin .----� Class Exp- wall . Net cop. wall Int. wall Ceiling —® Floor m----® Total Btu. - Required sq. ft. E -D -IS. or aq. ins. W -A- Ltader area Room I Langth 36 Width Z Height DWu,dows and Door+--Crackage and Area 08rIota No. or Sano mto®t rl®. of 3daeal tt° aro& at*;:.. ttfbar of took N• }t• -�l4 Z® Inffitratioa - "' -- Class Cur" wall Net exp. Wall s / �- Ink. wall Ceiling �D /n Floor 7�a Total Btu. Required sq. ft. E.D.R- or sq- ins. WA 1-cader area �. RoOtn ►Leegth Widel: Windows and Doors-�Crackage and Area . W0d10 ti®16'bl t"' at Lin®al tt. d.4et1 }t&. of pan® of ttsn® tubi. Of or&ek ot. ft. Nei exp. waU Int. wall Ceilinc Floor 9 L Total Bt - Required Q. ft. E..D.& or sq. ins. W.A- Leader area F INSPECTION Hoof Floor .. FLI Room I Wwdows atsd Daorr«--Cr wtb st1}at !to E11®. of Pave of wa W _..14W ANVIW �VidellTHeight Area — f Infiltration Clam re- .11 Net ezp. WAD Int, wall Ceiling Floor Total Btu. Required sq. ft. F.D.R. or sq. ins. WA. Leadcr area F1.1 Rommm I Length Width Wm&m and Doom--Crackage and Area w Iota n Mme' tais oeoe„ti. Wo. of vas 60tratlon Class Emp. waU Net em. wall int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. Or aq. ins. WA Leader area FLI Room I Length Width Windows`and Doors--Crackage and Area u -.ewe ..:at I Luteal rt» I Ana to >ef.. Btu In6dmuon Class Esp. wall Net M. wall Int. waU Ceiling floor Total Btu. Required ft. E.D.R. or sq. ins. WA Leader area 0 eight m CITY . OF FRI n1 -EY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FOR11 MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORK. LOCATION _ DATE X I kAfA OWNER m ADDRESS ��i✓�� The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. Ua t it is securely supported S. That it ireets all current Code requirements for size and total BTU connected 6. Total Heating BTU 6 All Other BTU L/ 02 n� TOTAL 1/0 000 REMARKS I 1! /9 4 fi HEATING PERMIT 0 SIGNED by Address E censee Telephone Lf -?—V --;F �7✓3 Fridley City License • Cl I Y Of- f mut.(_) �_ i JUN l)1V 6431 (Jniversdy Ave NE 1=ndley, MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK N1IMRFR CW FIxTI P17C Tr -1 oc MIcrnl I F_ ,. ., 1. L-Uectivc Un Jan 1. IU02 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range" Gas Dryer" Back Flow Preventer Required ( )Yes () Nc Type Reinspection Fee $47.00/Hr NO. RATE TOTAL JOB ADDRESS o�-]� l (a L to /Do T $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city odes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. • t ii �_1 .al Building Used As Estimated Cost �5n:2— PERMIT NO. i. PLUMBING COMPANY__�y - t h SIGNED BY _��ia� TEL NO.oz FAX Approved By Rough -In Date Final Date. 50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT- IS $20.00. $_.4 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED MMMON VFIUT VF T CC NNEC'TM AND QMRIISTInN AIR VFRIFICATIM When ten_ i, aring an existinIran a, the undersigned hereby verifies that the -and venting has been examined is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The axisting combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a ritaw ninmho fiction air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a naw yentinn synty, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Appliance Tyne and Siza/Common Veant Vent Connector Yes( )No( ) and Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input. Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date : CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 29, 2004 Mr. Robert Matusovic 271 Sylvan Lane NE Fridley, MN 55432 Re: Final Inspection at 271 Sylvan Lane NE, Fridley Contractor: Northwoods Mechanical Dear Mr. Matusovic: A plumbing permit was issued on June 19, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DAVEVENSEN Inspector DJ/mh v v Building MECHANICAL Permit No.. Inspections RESIDENTIAL APPLICATI®N Received By: 763-572-3604CITY OF FRIDLEY D DATri I aCQ ` Ae> YOUR E-MAIL ADDRESS SITR ADDRESS �� ► �t i�G►'r1 'I'I IIS APPLICANT 1S: ❑ OWNER QfONTRACTOR PROPERTY NAME: OWNER/ i ADDRESS:__ r A A I qac CITY \ STATFMZIP TENANT PHONE:�ic•�I�l�i• ii-3-3 CONTRACTOR COMPANY NAME: : Vk Ice CONTACT PERSON: SUBMIT A COPY OF YOUR STATE STATE LICENSE ##A lI ';►S `!t W---5 EXP DATE ��p►,',,�� LICENSE WITI1 yy ADDRES . CITY�� A -A STATI MZI APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE. OF WORK: D NEW M EPLACEMENT ❑ ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of residential fixture, excluding the fixtures. (This should reflect only the cost of labor j Labor cast under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NIJM13ER OF EACH BELOW) DO Equipment Installed MFG: MODEL a- SIZE/BTU Q MFG: MODEL: SIZEIBTU MFG: MODEL: _ SIZEBTU FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 —A/('$25.00 A I RTO A I R EXCHANGEER $15 —FIREPLACE _ (WOOD) $35.00 NEW GAS GRILL $10.00 'FURNACE $35.00 UNIT HTR $10.00 BOILER $35.00 _GAS C'I IIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 _DUCT PERMIT FEE Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00_V_ x $35.00 = $ `79> CD State Surcharge = $ .50 Total THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will bein conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OFAPPLICAN PRINTNAME 1L� DATE PLEASE NO'T`E.� AiREARQUl<U AOR-BUI INa, -`T)�jCA1 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.:' 0 5� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dc'm AY 200 763-502-4977 FAX EFFECTIVE 1-1-09 DATE 7' %Z — 0 .^ ^ YOUR E-MAIL ADDRESS 1�y4n1 I �► rs�C f �,G �� SITE ADDRESS d 7 / THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: Opt ►-0- A4V de -f'3- 0 on 02 TENANT ADDRESS: a 7/ Syd{/AA) CITY �� e STATE/h4f zip,S s Y7 ;L PHONE: /a — O S— Y 7 S g CONTRACTOR NAME: Mc%i uf-e &9 (4 Axe, Free MAf A& ° SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # a aablo 9 7 EXP DATE 7-10—q AND CERTIFICATE OF , ADDRESS: (,� 7 t 7 / u N r (/e rf iy CITY MO S STATE %AkIZIP SSW 1 INSURANCE PHONE 63—S"&'0—UW FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Z C 0 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING� ^ 13 HOUSE ONLY NUMBER OF SQUARES ego, MOUSE & GARAGE BASEMENT REMODELING SUBMIT: I . Existing Floor Plan GARAGES )[ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE ORWINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING1997 U.B. FEE SCHEDULE) TOTAL JOB VALUATION $ A 0 D D TT " 2(99,B�f OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be id conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all woylc-wthich requires review and approval of plans. SIGNATURE OF APPLICANT l2v ir PRINT NAME�y a ` �"� DATE ,5 ra ^ O Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1" $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1 g $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building $ ,-5,11 rip BUILDING Permit No.: � Inspections $ 114 RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY $ 763-502-4977 FAX $ Erosion Control $ Park Fee EFFECTIVE 1-1-2010 Sewer Main Charge DATE EL -231 - 1U 1 YOUR E-MAIL ADDRESS calms 1 �-n f4 4� IS b"y In 6 A- h"o. � l . to .-J, SITE ADDRESS i`� S �> v/fA A 4 � � 1-e/ e A (c%,/Pt BU S5 `t 3 t � THIS APPLICANT IS: OWNER []CONTRACTOR PROPERTY OWNER/ NAME: �Y_LuY AMcsJ✓1 ADDRESS:- d 5 y 1ycl'. A) CITY Jj2?j tL STATE_MALZIP 55LI37- TENANT PHONE._ 1 Z-- ` 2-0 V - "718' CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE tkSINGLE FAMILY/NEW CONSTRUCTION SIZE 11 TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR REMODELING DESCRIBE WORK BEING DONE: F c, rr-S Sys iKl eco �n SIZE OF IMPROVEMENT , �— LENGTH WIDTH a� I HEIGHT J 13 sQ FT ROOFING 13 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS XYes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF �it�rLS1 U re.� p MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED M, 46"NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION 'I 0 /9 A OCCUPANCY TYPE Permit Fee $ ,-5,11 rip Plan Review $ Fire Surcharge $ 114 Surcharge $� 1 _ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 1di ," See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks vavable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT - - PRINT NAME). � • (�.DATE Page 2 - Building Residential Application x BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 -for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I" $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I9` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 J- r tJ� 1,,/ n We- ►'vtq ALI �X Yt2. yv� nc5�v� W 1 o'^' WL<lCjVLj �k3� �. REVIEWED Inspector