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PRE 2010 DOCSw BUILDING PERMIT Village of Fridley, Minn. N? 2944 r 0 Date r r �. !. .................. 41 Owner .. `� ..... Builder .....".4 ..... ............�`:...... Address .� . � .�. �... a ...... .. A.tvj Address . � ..... ........ �"�_.... . %LOCATION OF BUILDING No. �ii ./ , ...... Street .............. .... .................... Part of Lot ........ ....... . . Lot ... ......... Block .. ........... Addition or Sub -Division ......I� . Corner Lot ............ Inside Lot ............ Setback .......... Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: /�� gg :.. Front/! . d> � . Depth . ?L �.. Height Sq. Ft. Cu. Cu. Ft........ . ......... ...... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ..... . of Cons . f Type truction ,�...... Est. Cost .. a ® ........... 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 yrith all provisions of ordinances of the village of Fridley. ./7 /' In consideration of the payment of a fee of $. `_,permit is hereby granted to .. ...................... to construct the buildin 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 village limits and this permit may be revoked at any time upon violation oy of the provisions of said ordinances. 7 NOTICE: This permit does not cover the construction, installation or alteration for wiring, pluml sewer or water. Be sure to see the Building Inspector for separate permits for these items. Air Conditioning Systenn -and Devien PARTIAL BATE SCHEDULE : GmAvrff 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 $ CH. WARM AM 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 .......... a ... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Eines—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Line --to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...............:. . . ..: 3.00 ' $ Each. add. 320 sq. ft. IDA 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 $ over 199,000 BTU See, Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .................. x$ 2.00 $ Additional Fixtures ............. x .78 $ Gas Range to 199,000 .......... 34 6.00 $ AIRCONDiTtONIItG D FAN HEATING SYSTE ATING SYSTEM ALTERATIONS & REPAIRS • r. See Fee Schedule TOTAL FEE $ S -V Dept. of Rides. Phone 560-3454 City of Fridley: The undersigned hereby makes application for a permit for the work hereic 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 facts and representations stated in this application are_"e and correct. Owner Fridley, . %ALM..- i►.�i�l.'J<Wfl�� To be completed about Z eL f ;Z/ Estimated Cost, $ Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Water, Warm Air—No Trade NameSize No - ' 107 Capacity. Sq. Ft. E.D.R- BTU 3T.P. Total Connected Load Kind of rue gat 4t::4_j4 BURNER — Trade NamP Size No Capacity Sq. Ft. E.D.R BTU H.1b (REMARKS -OYER) G r SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT _ .17061 i� • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1: st 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APP OVED BY 612-571-3450 910-F15 7/20/83 JOB ADDRESS 6151 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACH ED DESCR. 8 1 Sylvan Hills .Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Toews 6151 Trinity Drive N.E. 571-2841 3 CONTRACTOR MAILADDRESS 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 X1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK new aluminum siding 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, aluminum 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 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 $4,000.00 2.00 WITH 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- 44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 46.50 RAUTH RIZEDAGENr cDATEI - HEN PROPERLY V ITED THIS IS Y PERM T ~a�-� �,�ATURE.OF.CON,T�IRACTOR e f4plam ' E F WNR IIF OWNER BUILDERI IDATEI BLDG INSP DATE r CITY OF FRIDLCY 'Effective Aug. 1, 1981 APPLICATIO4 FOR RESIDENTIAL BUILDING PEW41TS (New, Alterations, Additions, or Repairs) OWIIER: ADDRESS: TEL NO: BUILDER: ADDRESS: TEL NO: / Construction Location �^ STRL•I~;T NO: �! �L STREET: p LOT: BLOCK: ADDITI0N: 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. DESCRIPTIOR OF CONSTRUCTION 15 dk— Front: Square Feet: Front: Depth: Height: Cubic Feet: Depth: Height: Square Feet: Cubic Feet: Type of Construction: To Be Completed: � �0 Estimated Cost: $ �"�� tel— Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the %:ork herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Depzrtment of Buildings, and hereby declares that all the facts and representations stated in this appli ar true and correct. O1 MTE: �� SIGNATUF�. Stimulations: �_era 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 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: Total Valuation $1.00 to $500.00 Fees $10.00 (Minimum $15.00) $501 to $2,000.00 $10..00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $20001 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 $433.00 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": 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 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 nrocegdina with the framing. SUBJECT - �CI'1 L City of Fridley ® 17873 AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. f?� 1 . ) 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F�5 3/19/85 JOB ADDRESS 6151 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. s 1 ISylvan Bills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Towes 6151 Trinity Drive N.E. 5712841 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Franzen Construction Co. 4250 r 5th .Street N.E. 788-4071 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 0 MOVE ❑ REMOVE B DESCRIBE WORK Bath Alterations 9 CHANGE OF USE FROM TO STIPULATIONS A TF rry P lS _ _ \ 'JI -RED Ort grabp �Sgym.§N.'US. 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 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 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 $41000 $2.00 WITH 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 PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 ST 10 R THE PERFORMANCE OF CONSTRUCTION. - LAN CHECK FEE FEE TE LZOTAL ��� $46.50 SI NATURE OFCONTRACTORO AUTHORIZE G NT (DATE) WHEN PROPERLY LI ATED T S IS YOUR PERMIT 'L)� 'U' /) BLDG W5F qAT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addr, Legal Description City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application Owner Name & Address: Contractor: Address: /7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 5 / ( - --' r -l" i Tel. # 78 F, �"o7/ 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 Side Yard Setback Type of Construction: y��_ e" Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: ^ l�' - 1F s' APPLICANT: G64Tel. # ? 0 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ o1.O ® $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. .City of Fridley ', AT THE TOP OF THE TWINS ------ INTER -DEPARTMENT REQUEST PUBLIC WORKS DIVISION CITY HALL FRIDLEY 88432 j 6112-860-3480 SUBJECT SEWER STOPPAGE NUMBER REV. DATE PAGE OF APPROVED BY SEWER STOPPAGE ADDRESS 6151 Trinity DATE 11-23-89 CALL RECEIVED BY Jim Saefke, then called Robert Small AT 9:50 am (AM)(PM) CREW LOCATION WHEN NOTIFIED Home EQUIPMENT TAKEN TO SITE Truck CAUSE OF STOPPAGE City line ok - in homeowner's line TIME STOPPAGE RELIEVED DESCRIBE DAMAGE (IF ANY) NOTE ANY STATEMENTS MADE BY CREW OR Received call at 9:50 am, went to HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM shop to get truck, and found manhole at 10:30 am. Talked to homeowner at 10:45 a.m. CREW AND HOURS Robert Small - 2 hours (call -out) f SUBJECT ' ,PDO� City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 2 i � RECEIPT NO. ` __--___ COMMUNITY DEVELOPMENT DIV. 2 l 7S r � ; PROTECTIVE INSPECTION SEC. J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/13/93 JOB ADDRESS 6151 Trinity Drive NE 1 LEGALJ.LOTNO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Toews 6151 Trinity Drive NE 571--2841 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 J] REPAIR ❑ MOVE ❑ REMOVE 8 ' DESCRIBE WORK Reroof House C18 Squares) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd,. Install adequate attic ventilation. Provide smoke detectors as per LTaC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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�40� $e 70 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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $35.10 SIGN E OF CONTRACTOR OR AUTHORIZED AGENT IDATEI+ WHE E VALIDATED THIS IS VUR PERJIA SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI BL G + P DATE NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 7,V - Legal Description: Effective 5/26/93 ►75 Owner Name & Address: Tel. # S7i Zd�/ Contractor: MN LICENSE # Address: % �/ 1� v2 i ,/ r= 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: i �.i - -C; f 1 � e_ /'v ( � c r� Corner Lot [ j. Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: _ �' �—© mated Cost: Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =S DATE: /3 APPLICANT: �G 4�''` �" Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ j 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 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 $2,000 $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 $100,001 to $50,000 $639.50 for fast $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 $1,00,000 $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 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 flaming. f • SUBJECT i City ®f Fridley 2786:3 3 AT THE TOP OF THE TWINS BUILDING PERMIT �. 572- � O MUNITY DEVELOPMENT DIV. •v ____ _ r PROTECTIVE INSPECTION SEC 1 � � NUMBER REv GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 '•� l.___�.' 612-571-3450 910415 11/23/98 JOB ADDRESS 6151 Trinity Drive NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 1 Sylvan SHEET 2 PROPERTY OWNER MAIL ADDRESS zip PHONE Brian & Joanne Toews - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Affordable Custom HomesInc. 690 63rd Au,- XF Erlelley - 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 O ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage 16 S Tear-off - Rubber 45 mil 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Follow manufacturer's specifications on the installation of the rubber roofing. 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q 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 $4871 $2.43 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE S7CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $99.75 F SC $4.87 PLAN CHECK F TAL FEE e 7SC 0 C112.05 SIGNATURE OF CON'RACTOR OR AUT.ORIZED AGENT [DATE, HE P Y AL ED, THIS IS Y JR EI BJCDG -NSi DAfE S,GNATURE OF OWNER,IF OWNER BUiLDE91 tDATE, NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1 �l i Ap % Legal Description: -51 a, Owner Name &Address: 42.1,,,�� , ,r Tel. #���� % Contractor: MN LICENSE # o`` ze->SS3) � Address: o A Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT O LIVING AREA: Length Width HeightSq. Ft. GARAGE AREA: Length Width Height �h Sq. Ft. DECK AREA: Length Width gt/�nd q. Ft. OTHER: //,so 3S Construction Type: e,�-- Estimated t: $ 4891 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /l/a?6iv APPLICANT: Tel.riZ-- CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ 15766 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1000 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 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. Building $ BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By:'763-572-3604 4"tt' $ '7 .001 times the total job valuation CITY OF FRIDLEY nate Recd: g} ; DATE 6— Z �i — ® YOUR E-MAIL ADDRESS $ SITE ADDRESS Al $ THIS APPLICANT IS: ❑ OWNE ❑CONTRACTOR $ PROPERTY OWNER/ NAME: $ $450 Conservation Plan Review TENANT ADDRESS: 4 is za�L��� CITY !=` STATE ZIP $ PHONE: -' $ CONTRACTOR NAME: THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED STATE LICENSE # cY G !/ Ile EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: /a 417 ,ems.( CITY /3 g STAT§i�i ZIP -S3-Y3� WITH APPLICATION PHO ! - Q 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 0 SIDING ❑ OTHER ❑ SWINIMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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: SIDING 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 ❑Yes [No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $� , — OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ '7 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ , Oey $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Ci of Fridley Attach Sti 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; 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 � z �N/rlll PRINT NAME /fiv� /V c I �J��,V®G DATE l 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 Ig $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 includin $$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 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 I' $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 BUILDING Permit No.: - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat d DATE YOUR E-MAIL ADDRESS lu50,.%NaaS !P e-C)Q1C PC • COYY-% SITE ADDRESS THIS APPLICANT IS: ❑ OWNER OONTRACTOR PROPERTY OWNER/ NAME d e 0.y -N TENANT ADDRESS: CITY STATE_ZIP PHONE: 261%)-2841 NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE ii_ 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 t STATE_ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEI — PROPERTY TYPE ❑ TWO FAMILYINEW G 651-264-4777 _ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED �EWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION AINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE-' o� W tY�.(, S W �t✓V d2J1CiS�y�R �1�Y1+Y� . SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING_ SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I (415 7 5; — 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED R I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application fo a permit and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work whi r uiresv'ew and approval of plans. �` (� SIGNATURE OF APPLICANT PRINT NAMEpI l&CMS la in,%QY%� PATE dS �I1U8