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PRE 2010 DOCSSUBJECT City of Fridley 56 CE AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 � ! "S CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 TREV. 6/11/85 JOB ADDRESS 6160 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4, 5 2 1 KM Sylvan Bills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack/Darlene Landberg 6160 Trinity Drive N.E. 571-3817 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 xO 8 DESCRIBE WORK Construct a 431 x 161 Deck 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR WARNING WIRING$ HEATING, PLUMBING AND SIGNS. Before digginE Call local utilities ,yup" - ECTRIC - GAS Etc. R QUIRE'D 6Y LAW 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 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 $44100 $2.05 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- $50.50 None STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 2.63 $65.18 TUR E OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V IDATEDTHIS IS YOUR PERMIT /SyIGNA a If a LDG INSP 6- SATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. f R-1 AND R-2 ALTER. L'1 Building Permit Application Construction Address: 6 /4 d Legal Description: Owner Name & Address :7A C e a —dVa �/� �� �^�� ��'� Tel. Contractor: Tel. # Address: 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 4(3 Width /6 Hgt/Groundj,�7L. Sq. Ft. �� I OTHER: 1 7L/�ia�7 Corner Lot [ ] Inside Lot [�(] Ft. Yd. Setback Side Yard Setback ® (� Type of Construction: Approx. Completion Date: Estimated Cost: $ 3-` Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE •g-e� a- PSS APPLICANT: Tel. CITY USE ONLY Permit Fee $ e5z Fee Schedule on Reverse Side Plan Check $ , -63 25% of Building Permit Fee State Surcharge $ �s�� $•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ ®i 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. IIA/1' -�a.DU JL5 i a Ilia � w'I i gaol run 'D'O- 9 (qp W-bQq +S'C� i IT Awa 8 (s: u f • I w 71 TjI- - 9+r ,�h CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range JOB ADDRESS! The undersigned hereby makes application for a permit for the work Rate TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares $ 20.00 $ �� "0� that all the facts and representations stated in this application are true and correct. s; "19 91 $ 10.00 $ � :il d 0 'Cl n ; $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 10.00 $' All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ ° 1&#- -(o _`Y "Y t/ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 OWNER --) A L�A _,K U:Y" BUILDING USED AS ESTIMATED COST PERMIT NO. / 0 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Air Trade Name % Size No. 31` ` ` C BTU ��I'- ® 9- HP EDR Fuel [,At, Total Connected Load `7 Burner Trade Name Size No. BTU HP EDR HEATING COMPANY, Signed By. Approved By Rough -In Date Tel No. ?5 7 —& '6 Final Date 6-2_,J_71 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL ­ BTU's s Remarks List Alterations Being l 7 - HEATING HEATING COMPANY Signed By Date ' August 24, 1996 Two Party Agreement .Property owners, Lundberg (6160 Trinity Drive) and Hillyard (6150 Trinity Drive), mutually agree to pave the medium up to and including each property line. �Lundberg ack 6160 Trinity Drive Fridley, MN 55432 Steve Hillyard 6150 Trinity Drive Fridley, MN 55432 SUBJECT City of Fridley Z27 6 THE TOP OF THE TWINS BUILDING PERMITO. rAT DEVELOPMENT DIV. i L __--_COMMUNITY PROTECTIVE INSPECTION SEC. 1 NUMBER REVDATE PAGE Of APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 _J 9/9198 JOB ADDRESS 6160 Trinity Dr 1 LEGAL LOT NO. BLOCK OR ADDITION SEE ATTACHED oEscR. Pt4&Pt5 2 TACT 1Van Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Lundberg 6160 Trinity Dr 55432 571-3817 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 Q NEW ❑ ADDITION ❑ ALTERATION L9 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof jhouse & garage (24SQ) 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 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 $2,056.80 $1.03 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- $74.75 Fir STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALOE $77.84 SIGNATURE OF CONTR R OR AUTHORIZED AGENT IDATEI R E , I T T I$ I$ Y PER22— ® AATUREOP-OWNER /(rpR BLDG SP � MATE OF OWNER SUILDERt 1 !DATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY it -41 - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: 1 -P a Al -1 Owner Name & Address: � L �:� �« �, Tel. # Contractor: —S' )�-w MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF EMPROVEMENT Width Height Width Height Width Hgt/Ground Construction Type: 0 C 1C 0 G Estimated Cost: $ Driveway Curb Cut Width Needed: r Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ DATE: — c:�' —GJ �PPLICANT: Y r J E � Tel. # �e l CITY USE ONLY STIPULATIONS: Permit Fee $ ) Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $_ , G $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ 0110-11 STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to. and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing.