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PRE 2010 DOCSCity of Fridley, 'Minn. BUILDING PERMIT N® 3934 Date: ...� . ./.� ......... Owner ....................................... Builder ... ... €.. ... Address ...................................... Address ............................................. LOCATION OF BUILDING No. PLO—(• ... Block Street �� � . 1- `.", . �.� .... Part of t ...... . .... �. Lot .. .. �jd .. .... .. ...... ... Addition or Sub -Division .jldte .. � ... ... ...... Corner Lot ............. Inside Lot A .. 4 t Setback ...... ...4�........... DESCRIPTION OF BUILDING To be Used y .... Front *!` DepthV7-97f Height !. Sq. Ft. /�Q Cu. Ft9V0,9 0 .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft. ........ . Type of Construction ................... Est. Cost.. -•. 0�v To be Completed ................... In consideration of the issuance to me of a permit to construct the building degribed 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, plujWing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 1 City of Fridley Appiiccatian for Pimbing and Gas Fafing peermit ',Z Dept. of Bldgs. Phone SIT 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... (3 x $1.50• O O Future Fixture Opening ................ � x 1.20 $--1,(-00 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: NO. RATE TOTAL 1st 3 Fixtures .......................... x$1.50 $ f • 5® Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL= $ /6 10 - City of Fridley: 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 representations stated in this application are true and correct. Fridley, Minn 19 Owner ® -''2 ' 19— Kind 9 Kind of Building Used as To be completed about Estimated Cost, $ New, uilding Permit No Signed Business Phone No �� -70a 19_ Connection Permit No. ......................... Water Sewer 11 IM -8-58 Meter Deposit A -- Z 2 L pZ (Tj Z O= w Z 4 §+ WATER HTR. GAS ELEG 3Ci z Uzi 3� OLL Sm F N rn m� m N LLo a3 c�a C94a too Base Ov I ) 1st I 2nd 3rd 4th Future Connection Openings Connected with °x New Fixture, Old Openings Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... (3 x $1.50• O O Future Fixture Opening ................ � x 1.20 $--1,(-00 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: NO. RATE TOTAL 1st 3 Fixtures .......................... x$1.50 $ f • 5® Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL= $ /6 10 - City of Fridley: 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 representations stated in this application are true and correct. Fridley, Minn 19 Owner ® -''2 ' 19— Kind 9 Kind of Building Used as To be completed about Estimated Cost, $ New, uilding Permit No Signed Business Phone No �� -70a 19_ Connection Permit No. ......................... Water Sewer 11 IM -8-58 Meter Deposit A -- 11 R City of Fridley, Minn. BUILDING PERMIT N® 4 0'7 4 Date: ....._.7 .......... .....--- ------ --•----_----_- -_ ZIP/ Owner:...::.............. .......................... - - - -- -- _ Builder ... _........... - ._.._.._...._............- _ .. ._.__. __.. Address......... ... ............. ......................._....._......_......__.._._... ............... Address_..._..............---...-----•---._.....----- No......1.... Street Lot...... ................................ Block ............. ........ .............................. Addition or Sub -Division ..... _............................................ _........... .............. _.._.......... ... __..... _..... CornerLot .....-........................... Inside Lot ....................................... Setback ....-----------........----------------..... Sideyard.............. -.... _.............. ...................... ................ SewerElevation---.._............._............._-----------------------------.............. ................... Foundation Elevation .......... __................ ................................ - ............ ........ _...... DESCRIPTION OF BUILDING To be Used as: ...... r ..- Front &_!0 Depth .... ...® ... Height ./ .......... Sq. Ft. Cu. Ft... � ............ _...... _...................................... Front .......---...................-Depth ............... Height . Sq. Ft. Cu. Ft........................ Type of Construction .............................................. .. Est. C .....� �1..... _....................... 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 fo d in compliansp withJl pro ions of ordinances of the city of Fridley. e �� In consideration of the payment of a fee of.O.49........, pei 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 th provisions of said ordinances. _ _ _ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 04. Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ...:........... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR, Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ c_ -j , 'rZ) over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ c Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM It ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone 560-3450 City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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 representations stated in this application true and correct. Fridley, Minn 19 � Owner Kind of Building Used as To be completed about Estimated Cost, $ �,n Old New. Building Permit No. Permit No. --5 C7 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade N Size Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Nam Size No 3 � S� Capacity —f� �j�� %lJ%i p�-`'l (REMARKS -OVER) SUBJECT PEry City ®f Fridley 2 16 5 9 AT THE TOP OF THE TWINS BUIL ®I P E R M I T r , LJ RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. /e 7d CITY HALL FRIOLEV 55432 16 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/17/92 JOB ADDRESS 281 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESOR. 18 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Hosman 281 Sylvan Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pro Exteriors 13012 Kentucky Ave N, Crystal MN 55427 546-8329 6094 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 (28 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with.. the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,484 $:74 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- $35.00 Fire SC $1.48 RUCTION THE PERFORMANCE OF C NSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $42.22 SI NAT EOFCONTRACTORORAUTHORIZED AG (DATE) HEN ROP LY VALI AT THIS IS YOUR PERMIT LOG )NSP DA7E SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: A �'l S q 1 �la A ' Legal Description: Owner Name & Address: ko h r° PS G S 'W'o � Tel. # Contractor: MN LICENSE # G 0 b ,( O Address: 30 I �- �C�� �� ,� fUe • �T, _5;!5' q Z -7 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: Corner Lot [ ] Inside Lot (] Ft. Yd Setback _ Type of Construction: j Pa r, a& ,a c, d r e r a a Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ _ ryo�a� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: 1'/ (G APPLICANT: v�-� Zl Tel. # - 5 Permit Fee $ J Y co Fire Surcharge $ �. y State Surcharge $ 7 SAC Charge $ License Surcharge $_`� - 00 Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ �� STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above 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 FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $29000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,01 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the. first $1,000,000 plus $2 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 tunes $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.