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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® 4321 Date:....7...... `_..._............. ........ ........ /ztOwner: .................... Builder . 7 AddressAddress._............._............_.--------.._._._._..._.___....._......._.._..._.......__....._.._... � LOCATION OF BUILDING No.... -- __..... treat ._.._ .._ ..... Y... .... ........... ... _..... Part of Lot---------..__................_............._............._............._... Lot....................................... Block - ...... Addition or Sub -Division ................. ................................. ..................... ........................... ............ >, r a/0 Corner Lot .................................... Inside Lot .--)(............................. Setback ..... .._ ......... Sideyard_.._ --.. 0 .... ............................. ............ Sewer Elevation ....._ ............. _............................ -....... .............................................. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ��''-�� t/ / �r---..._a ....._------ Front .?.:..'. P, Depth,;.� -_ Height ....®... Sq. Ft.—I-R. Cu. Ft. .. � ....._.............-..._..._..........._............... Front .....----------- Depth ...................... Height _..................... Sq. Ft. _.-. -.......... Cu. Ft ... ............ Type of Construction ...._/........__.......... Est. Cos ..... .....�..._.._..--.--.... 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. \ ,-e A, C�C� In consideration of the payment of a fee of$._............-..., permit is hereby granted to. .......... ................................. ...... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the' city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 1�--� 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. City ®f Fridley o 879.01 Dept. of Mdg& Phone 5W-3990 DESCRIPTION U7---nman PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ . New Fixture Old Op6ning to $ Catch Basin .. .. .. ... WATER HTR. GAS EIEC. .... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater =00 $ GAB FITTING FEES: NO. RATE TOTAL. 1st 3 Fixtures ......... . .............. x $2A0 $ F M Base Lias Range to 199.000 BTU ............... x $5.00 $ istt R pl ee 1 2nd 3rd -- nth _ _ ° Fie cowNcibm Openino coWith Now Mz2un, Old OpenizWI sewer C] cesspal PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ . New Fixture Old Op6ning x $1.50 $ Catch Basin .. .. .. ... x $3.25 $ Water Heater (Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater =00 $ GAB FITTING FEES: NO. RATE TOTAL. 1st 3 Fixtures ......... . .............. x $2A0 $ Additional Fixtures ..... .............. x $ .75 $ Lias Range to 199.000 BTU ............... x $5.00 $ REPAIRS & ALTERATION&—Reiss to Code 6120 NE. Trinity Drive City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn. Jane 20 • 1970 , 19_ Owner Oliver W. Olson Kind of Building Frame Used as residence To be completed about Jan • �3 s 1970 Estimated Cost, $ 10.00 ROUGH FINAL ,- r®- 7 0 Description ................................. ...........$ SAL, FEE $ OO Replaoe (1) range SUBJECT ' -� PER TWO --- City of Fridley 26 48 6 AT THE TOP OF THE TWINS BUILDING PERMIT - ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. tr � r ; PROTECTIVE INSPECTION SEC. � I , rMqBJER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 I ---- '� LJ`612-571-3450 - aF15 7 7/98 JOB ADDRESS 6120 Trinity Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8,9 2 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Baumann 6120 Trinity Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Top Gun Inc 5014 Parrish Ave NE, Rogers, MN 55374 428-4559 20128211 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 J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) 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 SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 08r� $1.05WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE T L FEE License C $5. $82.89 1 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PROP VALI BL INSP T HIS I RM i , OAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Igo T �j el. # Effective 1/1/98 QQ 1_ Contractor: 12 `A 6ON -T _50/ q PaA_ .� 6Ztte Ajit. MWLICENSE # x®10 ?a11 Address: s , L? -55-3-P-1 Tel. # V, $ $1000 per SAC Unit License Surcharge $Do Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'T'ION 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: Estimated Cost: y ` o 4;104S_"S— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / 2 / (99 APPLICANT: Tel. # �S _ �`S�5 cra USE ONLY Permit Fee $ 2!! y 7,S/ Fee Schedule on Reverse Side Fire Surcharge $7_40.7 .001 of Permit Valuation (1/ 10th% ) State Surcharge $ �„p s $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $Do $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 $ r<a, STIPULATIONS: I - 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.