The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, A inn. BUIIDING PERMIT No50�6 Date: Owner: `► Builder _ — ----- Address ____ _ Address — — -- ;LOCAsTIt OF BUILDING No. St, ee _ --- _ Part o t - Lot .�... � Block Addition or Sub -Division Corner Lot _____. _ _ Inside Lot Setback Sewer Elevation Foundation Elevation — -- DESCRIPTION OF BUILDING To as: Front Depth ��+ Height Sq. FL, Cu. 4 Front _ 04 _ Depth Height Sq. Ft. Cu. Ft. jLao Type of Construction _._..,�.-ti Est. 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 $ _ , 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 viola ' of any of the 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 Rema .QW4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ../— / Z p a ---- Owner Is Name - Builder c5A, -/r AddressAddress LOCATION OF BUILDING No. 110*�/611 Street Y,11 Z Part of Lot Lot Block Addition or Subdivisio L Corner Lot Inside Int 1-,� Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: .9 a' �� ®� Front o� Depth Height Sq. Ft. Cu. Ft. Front / Depth --Z Height Sq. Ft. �' Cu. Ft. Type of Construction ° R`'?G� bVCEstimated Cost 3a�s To be Completed ,r ® 45 / --- 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. DATM �i.� �� SIGNATUNE (A Schedule of Fee Costs can be found on the Reverse Side.) 2 3 BUILDING PERMIT FEE SCHEDULE Section 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 build- ing 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 amount herein below set forth and in the m=er herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof 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 $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a. garage, warehouse, factory or grain elevator,'or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any nor -fireproof garage, warehouse, 6otory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $1+.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying 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. 2.5. For repairs or alterations to an existing -structure, the fee shall be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of.al.l proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $1.00. SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r t , ECEIPT N 1, • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 � ---- 612-571-3450 910-F15 4/11/83 JOB ADDRESS 6161 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Hills RXIET Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Holmquist 6161 Trinity Drive N.E. 571-3167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. ACCAP Construction 7150 East River FA Road N.E. 572-0060 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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd layer. 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 $1,750 $.88 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIN CON- $29.50 R OR T E PERFO ANC OF NSTRUCTION. LAN CHECK FEE TOTALFEE $30.38 a S .17 // �o•J( SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENTIDATEI WHEN PROPERLY V ATED THIP IS YOWtm�la, BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION F014 RESIDENTIAL BUILDING PE-RiiITS (Rew. Alterations..Additions, or Repairs) OWNER; A ADDRESS: 1 TEL 110: 8d BUILDER: ADDRESS: TEL 110: 4' D 6 a Construction Location / ` , a o _01 ' STR=T NO: (o STREET: b LOT: 7 BLOCK: ADDITION: d4 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 /- � Q _s Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Costs Tb Be Cbropleted:lay ��25C a Alt. A Alt. 8 Proposed Drivetiay Width If New Opening Is Desired: S S SEE MERSE SIDE OF SHEET Tile undersigned hereby makes application for a permit for the work herein specified, agreeing to do ,all Work bi strict accordance :with the City of Fridley Ordinances and rulings of the Delkirtment of Duildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: F -3 SIGNATUIC: Stipulation s 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 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 FEES $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 $S0,001 to $100,000 $263.00 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": Removial 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. sueJEcr PERMIT NO. . . City of Fridley 2561 3 AT THE TOP OF THE TWINS BUILDING PERMIT RE EIPT NO. _ _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. /�"� r � � PROTECTIVE 1 I i CITY HALL FRIDLEY 55432 �.__.11.' '•� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/17/97 10B ADDRESS 6161 Trinity Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE June Halmquist 6161 Trinity Drive NE 571-3167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 20010277 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (30 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 $2,502 $1.25 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 Fire Sc $2.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEET TAL FEE L en SC $ 00 $83.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI VALI A ED THIS IS YOUR PERMIT MY k8jF1;1-NS0' MATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI SEP -25-199' 14 -*05 NEW ( ) A DDR' r i ALTER l I CITY OF FRIDLEY 612 5 r'i 1287 P.01r'02 N, Ct T OF FRWLI&V h"�° EI'factive 1/1/97 SINGLE FAMILY AND DUPLE R -x AND R-2 y(� 1 p BUIL DING t'i't' AppUCAT[ON a N r@ nl i 9! L Fr�A AQP ®6 /°YAREA: DESC I+ OF .i OYEM&N ` LWW GARAGE s+L�_ g�� ______ Width Height �- SqFt _.�...r._.�m DECK AREA; Length _ � ,$Vim .2 �� %A o A -�- Ground ___-_ Sed. Ft ___�__.— onsftuwoa Tlype:-Rt74ji n cA 4SdMftdCosa:.$ (Fee Sche& le c nacr) .4,TFA AL2 "PLICANIP. - L Td. # Ll Ll g, 0 rmit Fee/ 7S7 - /S r tom! �Vf:'P.^� ,Sgt le Su� +P a2• S �- -('01 of Permit vaftwon (Vi ) o�S+ $•5W$1/0W Vahadon C Charge $950 m SAC unit am Surcharge$+ .4 ,ate %c ►ed stW C'cu�ctom) veway row .Fs Alt. "A® or Alt. "B" Above 'Ston Control $ �.� '$4454.00 Consmvadon phn RWview k Fee $ Fm DeWrmimW by ftinwrivg ler Wn Charge $ Agre=eW Namnry C Not Nwmwy j 170TAL "b 'U[.,t TIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK Nt1MRFR OF FIXTHRFS TO BF INSTALLED ON FACH FLOOR Effective On May 10, 1999 Stories . Urinal � II��; Shower Wash ....:.:.::. Tra » I'�C'`...... •�< ;:.:•::`<:.::.:. F r loo Drain o :a :: Auto. >rl ` Gas=:::...:. �::<< Washer ��:��?�" ��<:�:�: Ran a :its.:: <:. .:...: �:....:.... ::: Water H eater :::: r. •• Gas Elec Basement >> ` Floor 00 1 Floor 2 ':>` Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE TOTAL JOB ADDRESS I �� ra`' Dr L Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'"` Gas Range'" Gas Dryer"` Back Flow Preventer Required ( )Yes () No Type $ 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 Reinspection Fee $47.00/Hr 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 codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. L ,1999 Owner Building Used As�-- Estimated Cost f PERMIT NO. PLUMBING COMPANY SIGNED BY f:T1 TEL N0. -C�_U 2— Approved By Rough -In Date Final Date $ •5Q MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $� PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A MINIMUM SIZE 9 SQ INCHES. SUBJECT IT NO. 1 City of Fridley 2 945 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. - ______ SEC. A r PROTECTIVE INSPECTION 7`96 1 � = 1 e CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY ' 612-571-3450 910-F15 5113199 JOB ADDRESS 6161 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Klingbeil 6161 Trinity Drive NE 502-9546 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 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Alterations to finish basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1994 Uniform Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 OWLG. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. FiCH SC. $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $38.75 PLAN CHECK FE TOT L EE 0.25 SIGNATURE OF CON' C OR AUTMORI AGENT �ATEI S fs,GNATUA-E-04VYWE7IIF MEN RO V A 10 PIT IT I�R 7-1 OWN ILD RI ID EI 8 G NSP `/ gtiTE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 r BUILDING PERMIT APPLICATION Construction Address: Dr Legal Description: Owner Name & Address: a( ICS, I Tel. # 5-0 Z -- Contractor: C- 'W e %r MN LICENSE # �- Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: F -0z r� c ,gr 3 {-C G w• s I �W$% "f,e r mac°'°"` Construction Type: L( wG'I S ljd w t( Estimated Cost: $ License Surcharge Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: �� / �- APPLICANT: , r C i Tel. # rd 2- STIPULATIONS: CITY USE ONLY Permit Fee $ oc?; Fee Schedule on Reverse Side Fire Surcharge $ f .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 $ to . 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. **","" x4 v!w '.ZZ 4SP!A v!W yon m1hrido J. bs UEjn $NJ IOU aP!ADA I!449 pus ,Jose ate} aAoQe .4b UatJ't uaw IOU Jo Itil V p!s 'a 'Ala MP%A aua issal v usp 11243 woo,: auidaais dxaA3 aVe _ 1,�v55 vq Wray J-- V S,AvvAr d ;� NC�ffv r"eq r4,!!�ty IhSd! I/ 6A 01 SUBJECT City of Fridley 3 0901 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `L COMMUNITY DEVELOPMENT DIV. ___-_. r � � PROTECTIVE INSPECTION SEC. A-101 NUMBER REV DATE PAGE OF APPROVED BY { CITY HALL FRIDLEY 55432 '•� L.__.�.' 612-571-3450 9iQ-FIs 5/3/00 10B ADDRESS 6161 Trinity Drive NE I LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Klingbeil 6161 Trinity Drive NE 763-502-9546 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 fj NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Construct a 17' x 12' & 16' x 5' Decks 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING` � EPARA: �-. RI a j efore digging call for REQUIRES $$ FOR. all anility locations WIRING, HEAPRG 454-0002 PLUMBING AMD REQUORED InoY 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 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 1 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 $1.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,669 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 TOTAL FEE $87. 7- S1504,TURE OF CON;+RACTO OR AUTHORIZED AGENT iDATE� \ ENP PERLY A ATED THIS S YOUR PER I R .i(1M/p / 0 Vv/i v S,G ATURE OF OWNER ��c OWNER B OERi iDA E� BLDG Sp OFtE 01 NEW [ 1 Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 / BUILDING PERMIT APPLICATION 40 ?0 / Construction Address: lr �� D f IV &,- -1o 7 Legal Description: Owner Name & Address: Contractor. f Tel. # -e 1 17— MN LICENSE # Address: 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 -7 Width 2- Hgt/Ground Sq. Ft �Q l 2,80Y OTHER: Construction Type: �reS+e Estimated Cost: $L - Driveway Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: G 6 APPLICANT: � 1 Tel. # A6?-rL 2 SJ- y CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application - $ Fee Schedule on Reverse Side $ 4 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL STIPULATIONS: r 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Only N NO - 1. SUBJECT City of Fridley 3 3 3 71 ' AT THE TOP OF THE TWINS BUILDING PERMIT _____ COMMUNITY DEVELOPMENT DIV. �L — RECEIPT NO. r � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 3/17/03 JOB ADDRESS 6161 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Klingbeil 6161 Trinity Drive NE 763-502-9546 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside front of house (cedar) 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 @ $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $600 .50 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. $26.55 Fire SC $.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL EE $ .65 SIGNATURE OF CONT TO 0 auTNOR4ED NT IDATEi IZ y ALIDATED IS IS Y UR ERMIT0 EN �J a WOPE BLDG N qAt SIGNATURE OF O NERD OWNER B OER, i AiE� NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: LW 77-1 ;ni llll Legal Description: - Owner Name & Addrress: '�Ctre1 1,,,a4 be,i/ Tel. #74V-50-2 - 9.SA-6 Contractor: moi' MN LICENSE # Address: 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: -Pvn+ ®C )°1®u4e. OrAoi Construction Type: CGe� Estimated Cost: $ &90° ®® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 1 -110 3 APPLICANT: AUayuace �'►_� Tel. # 77-� ��2 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ C4)9 6 � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] BUB.DING 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. 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. VERIFICATION OF FOUNDATION 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 U SUBJECT . City of Fridley ?__1 3 5 6 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • DEVELOPMENT DIV. -------COMMUNITY III PROTECTIVE INSPECTION SEC. 290 E E � NUMBER REV GATE PAGE OF APPROVED BY _ CITY HALL FRIDLEY 55432 IL---- 1•� ��' 763-571-3450 910415 5/30/03 10B ADDRESS 6161 Trinity Drive NE i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Rlingbeil 6161 Trinity Drive NE 763-502-9546 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 O ADDITION 0 ALTERATION Ej REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof House (26 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 REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 @ $3a010 $1.51 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- `P STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 14TURE $101.77 S. FCOy'R C QA AUT R12F ENT iOaTE, HEN PROPERLY VALIDATED THIS R PER IT ;SYO S-GNATURE OFO ER,it OWN U1LDERI tDATE, BLDG iNSP ��ATE U NEW (j CITY OF FRIDLEY 9 ADDN [ j 6431 !University Ave NE, Fridley, MN 55432 (763) ALTER J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Nerve & Address: Id , L, � ve 1/1/2003 604 Bldg Insp 287 Fax Tel. # _ 76 - L Vo 2- — z .-r Contractor:e!�' 6' ®v V— MN LICENSE ; Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft ® Ft x $. DATE: S 6 APPLICANT: (C (' Tei. # Call (763) 2-3604 for Permit Fees if mailing in application. Fax to 763-571-1257 If using cre call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main. Charge s , X- IS - Fee /L)/,TOTAL $ �� Reverse Side .001 of Permit Valuation (1 /1 Oth%) $.50/$1,000 Valuation per 111 - =. VR6�.= r;�.�. $450.00 Conservation Plan Fee Determined by Engineering Agreement Necessary [ ] Not Necessary /b and we will 3uilding Inspections 763-572-3604 y )ATE ;ITE ADDRESS �A PHIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS ❑ OWNER Permit No.. Received Date Rec'd: 10 NAMt;: STATE ZIP ADDRESS: �. >' CITY Prol3uI America PHONE: Esther Dahl, contact NAME: 2211 11th Ave E STATE LICENSE# C`- � ' - EXP North St Paul, MN 55109 ZIP ADDRESS: 651-770-5570 -----__ FAX F. TWO ❑ BASEMENT FINISH 0 ROOF S DING ❑ DECK ❑ SWIMM FE DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ vinyl ❑ Aluminum ❑ Other il LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia SIZE STORIES <!p WINDOWS ❑ DRAIN TILE ❑ OTHER WIDTH HEIGHT �-06 Ft. BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used RNA FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations WINDOWS IN EXISTING OPENINGS t�Yes ONO LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & NUMBER OF WINDOWS :� TYPE OF WINDOW TO BE INSTALLED ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATE (USING THE 1997 L�B.0 FEE SCHEDULE) � �a, � �s f�c'�'?� nrrTTPANCY TYPE AL JOB VALUATI 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 6.)- /0 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$20=$ $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 l be ir I hereby apply for a building permit and I acknowledge that the information above is complete and accurattheatthaderstand thist the work lis not conformance with the ordinances a emit and work s not to start withthe City of Fridley and out a permitthe ; that the sota work will bction Codes; in 9accordance with the approve( permit but only an application forp plan in the case of all work which requires review and approval of plans. m d (?)(_ e7 SIGNATURE OF APPLICANT ' ` PRINT NAME r�� DATE 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 1s` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for la` $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 ls` $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 0 $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $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 A-PPLICA.TION Received By: 763-572=3604 CITY OF I+RIDLEY Da 'd: 7 DATE YOUR E- ADDRESS P ,`{4 �(g� m/ SITE ADDRESS G'/ r1074 ydcl�yl"� THIS APPLICANT IS: OWNER ❑CONTRA R PROPERTY OWNER/ NAME: ,- TENANT ADDRESS: CITY � %— STATI ZIP PHONE: ®.2 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE MINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH b ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER JWSWD^4]NG POOL TYPE OF WORK: ANEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:-e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GAfiAGES ❑ 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 I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WMIDWS 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 $ �3CXD - 00 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 0a 65% of Building Permit Fee Fire Surcharge $ ,W .001 times the total job valuation Surcharge $, ,,, .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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: City of Fridley Attach Stipulations 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 figr 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 w r es revie and approval of plans. SIGNATURE OF APPLIC � �� t PRINT NAME d/'/'DATEe �� T 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 F" $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 $39125 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 l' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for l- $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 MESON EMENNONNONONE ■MMVFwll;1131PNI■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ •www■■■■■■i l!!■■i11i(irw■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ •7■■■■N■ w■■■■■■■ ■■■O ■■■■■■■■■■■■ MEN ■:■Ili IgWmit7 ■■■/lEO■■iE■N■ w■■o\IIGNIm■1/^ ■■■■MINIM■■■ ■■N■■■■■■■ ■MINIM■■■■■■ ■■N■■■■■■■ ■■■■■■■■■■ ■■■■N■■■■■ MINE■w■■O■■ ■■■OOIM■O■■ ■■■■■■MINIM■ ■■■MIME■O■■ ommmmmmmmm ■■■■E■■■■IM■■■ ■E■■■N■■O■M■■ iii■■■■I�■■f■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ NONE MEMO NEON NEON NONE MEMO MEMO SE■■ WIN ■■ ■■■■ NEON MEMO "MEN MONO Sm we ■■ ■A ■.■ ■1 ■7 on ■■■■■■■■■■ ■■■MINIM■■■■ ■■■■■■■ ■O■ ■■■■■■NI■■■ ■■MINE■■,.■■ no o e OF MINNEAPOLIS NORTHWEST o = o "OD 7007 LAKELAND AVENUE N • BROOKLYN PARK, MN 55428-5612 (763) 560 SPAS (763) 503-9138 FAX • (952) 997-6000 SERVICE mmm,(7727) ° PHONE BEST TIME TO CALL SOLD TO: GEOFFREY CAIN HOME 763-502-1465 6161 TRINITY DR NE FRIDLEY, MN 55432 SALESPERSON STORE LOCATION �� J AEE TAX I.D. No. CASHIER PICKUP/ CNOPY • • . 55 JOE CARTER BROOKLYN PARK WA 15:47 6/30/07 BPMEG 03 6/30/07 12985 LINE NO. SKU NO. #CTN DESCRIPTION UOM ORDERED' TAM UNIT PRICE EXTENDED - 1. 11080 -3 241X52" HERITAGE W/ PANEL AQUA LEADER EA 1 0 3,900.00 3,900.00 + CAUTIONIIIIIII • NEVER DIVE INTO AN ABOVE GROUND POOL. ABOVE GROUND POOLS APE NOT DESIGNED * FOR DIVING. SERIOUS AND PERMANENT INJURY WILL LIKELI, RESULT FROM DIVING IN * * AN ABOVE GROUND POOL. " 2 16410, 1 291X52/54" BOULDER DAM-OVRLP P30 LIN(TRU EA 1 0 .00 .00 3" 14410" 1 24' SILVR DIAMOND SPACE AGE SOLAR ELANKT MIDWEST CANV EA 10 .00 .00 4; 12660 1 WIDEMOUTH THRU WALL SKIMMER EA 1 0 .00 .00 5 17142 1 271X1.25" VACUUM HOSE W/SWIVEL CUFF PLASTIFLEX EA 1 0 .00 .00 6 r-68280 2 SWIMPRO 175FT ELEMENT ,FILTER. W/ 1 1/2 HP HAYWARD POGL EA 1 0 .00 :00 7 17702 1 DMMHON MAINT KIT IN GRAY SWIMLINE EA 1 0 .00 .00 a 17350 1 8'-16' VAC POLE W/WHITE HANDLE SWIMLINE EA 1 0 .00 .00 9 19521 1 AUTO CHLORINATOR AQUASMART FEEDER 5720 KING TECHN L EA 1 0 .00 .00 10 19309 1 LOW CHLORINE PAC (AQUA SMARTE)01-04-5750 KING TECHN L EA 1 0 .00 .00 11 19526 1 SWIMWAY NEW POOL START UP KIT 774143 HAVILAND PRO EA 2 0 .00 .00 NEW POOL START-UP CHEMICAL KIT INCLUDES: CONDITIONER 3 LBS. PH PLUS 2 LBS.,, PH MINUS 2 LBS. AND BLAST 2LBS. 12; 12296 1: HALOGEN ABOVE GROUND POOL LIGHT-AURORA EA 1 0 .00 00 13 17279 1 AQUA BUG AUTO POOL CLEANER W/HOSE HAYWARD PO L EA 1 0 .00 .00 19112 1 POOL MAGIC & PHOSFREE SPRING/FALL TOTE NATURAL CHEM EA 1 0 .00 .00 15 68282 2 SMART STEP 24" SYSTEM-TAUPE MAIN ACCESS EA 1 0 00 .00 16; 12801, 1 50# SILURIAN FILTER SAND WEDRON SILC EA- 2 0 .00 .00 17 980010 1 DOOR STEP DELIVERY (NO ASSEMBLY) EA 1 Deliver KU 50.00 50.00 ADDITIONAL MILEAGE CHARGES FOR DELIVERY OR INSTALL OVER 40 MILES FROM WA SONS IS PAYABLE DIRECTLY TO THE INSTALLER AT $2.00 PER MILE ONE WAY OVER 40. EA 1 install KU .00 .00 40 MIL S FROM WA SONS' ES TOTAL .00 .SA customer bignature I h3fiLfi�V { rC U V C THE CUSTOMER IS RESPONSIBLE FOR COMPLIANCE OF ANY AND ALL CODES, REGULATIONS, ORDINANCES, OR PERMITS NECESSARY PERTAINING TO THEIR PURCHASE. WATSON'S GOAL I , ;3 100%SATISFIED CUSTOMERS if you have a problem, our Customer Service Dept. is trained to assist you. CUSTOMER SERI , (952)-997-6000 DEPOSITWATSONS RETURN POLICY WATSON'S WILL CHEERFULLY REFUND ANY iAND �'� pFF6 L PURCHASE r. iRP r 1.._i<:' -h t PRICE a, ON ST UNUSED AND UNOPENED * RETURN UNUSED IN THE ORIGINAL CARTON WITH PACKING AND INSTRUCTIONS DAYS. . RECEIPT ir ACCOMPANY 1 i `.. RETURN. * THERE IS A 50% NON REFUNDABLE DEPOSIT REQUIRED ON LLSPECIAL ORDER ITEMS YOU PAID OR IF THE AMOUNT REFUND IS IN EXCESS OF $100 YOU WILL RECEIVE YOURREFUND BY MAIL IN APPROXIMATELY i DAYS. NON- RETURNABLE. *, PARTS AND REPAIR P 1 P REPLACEMENT OF DEFECTIVE ITEMS ARE DDBYOUR SERVICE DEPARTMENT PERMANUFACTURER'S WARRANTY. * A 15% RESTOCKING FEE WILL BE CHARGED ON ALL RETURNED MERCHANDISE ON ANY MAJOR PRODUCT ACCEPTED BACK BY WATSON'S. * A CHARGE OF $20.00 WILL BE APPLIED TO ALL CHECKS RETURNED FOR NON -SUFFICIENT •� -U l3eso4® _s®4® OF MINNEAPOLIS NORTHWEST 7007 LAKELAND AVENUE N • BROOKLYN PARK, MN 55428-5612 (763) 560-2� (763) 503-9138 FAX • (952) 997-6000 SERVICE OLD TO. GEOFFREY CAIN 6161 TRINITY DR NE FRIDLEY, MN 55432 7m,NG POOLS NNINGBED CC SSO IE PHONE HOME: 763-502-1465 PAS, & HOT B CASUAL FURNITUR N O UC' $Ak ESRERSONSTORE LOCATION' TINFI /ATE I.D. NO. CASHIER 55 JOE CARTER BROOKLYN PARK WA 1 :47 6/30/07 BPMEG UNFRO.1 SKU NO. #GTN DESCRIPTION UOM BEST TIME TO CALL POOL TABLES �G SL=O- 03 1 6/30/07 1 12985 WATSON'SGOAL €S100% I w k CUSTOMERS S .' If you have a problem, our Customer Service Dept. is trained to assist you. SERVICE E 2+•Iia ,i0k��i�f CUSTOMER (+ k_ WATSONS RETURN POLICY ATc,' ? E WILL CHEERFULLY — AN DEPOSIT rP Ot,,, AAAA Naid FULL L.. Pa._,iRi HASE PRICE ON . MOST 1.xNi._tS...D AND UNOPENED MERCHANDISE. * RETURN UNUSED IN THE ORIGINAL CARTON WITH PACKING AND INSTRUCTIONS WITHIN 14 DAYS. YOUR ACCOMPANY * THERE IS A 50% NON REFUNDABLE DEPOSIT REQUIRED ON ALL SPECIAL ORDER * IF YOU PAID BY CHECK OR IF THE AMOUNT OF REFUND IS IN EXCESS OF $100 YOU WILL RECEIVE REFUND BY MAIL IN APPROXIMATELY 10 DAYS. * "AS IS" OR SPECIAL ORDER MERCHANDISE IS NOW RETURNABLE. . B HANDLED* MISSING PARTS AND REPAIR OR REPLACEMENT OF DEFECTIVE ITEMS ARE OUR SERVICE DEPARTMENT PER MANUFACTURER'SWARRANTY. * A 15% RESTOCKING FEE WILL BE CHARGED ON ALL RETURNED MERCHANDISE O. ANY MAJOR PRODUCT ACCEPTED BACK , a CHARGE OF iii WILL BE APPLIED !I i ALL CHECKS RETURNED FOR NON-SUFFICIENTFUNDS. Building BUILDING Permit No.: �- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY Datfft EFFECTIVE 1-1-09 DATE Z ® Y E-MAIL ADDRESS SITE ADDRESS _ _RR 1 i�J R F THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME: P Z TENANT �p ADDRESS: S nt S S� I CITY STATE ZIP �Z PHONE: �L �Z" /Y6 1/ 4i CONTRACTOR NAME: -{- of f S 1 l a SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # .60-1z j' -EXP DATE 3 D 1 AND CERTIFICATE OF ! --- ADDRESS: I �(6 � Ue�v�-,7 G�v`%R- bGJ CITY � / Z INSURANCE PHONE CI 2. D ` -�J e'l o 0 FAX 61(,5-2– C�WITATEAWZIP el l ( 2 S-0 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION s ❑ GARAGE/SHED ^WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION XM TENANCE/REPAIR 11 REMODELING DESCRIBE WORK BEING DONE: e Q w1 ,do-iS S o P --t,/75 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ 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 ❑No LOCATION OF WINDOWS OR FORNEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & V1 I TYPE OF WINDOW TO BE INSTALLED 111 NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �SlH Tffl. C FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ �j See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ g .0005 x Permit Valuation Minimum $.50 License Surcharge $t $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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: City of Fridley Attach Stipulations 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 applicatio r a It an 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 a w hi c re i es review and approval of plans. SIGNATURE OF APPLICANT I RINT NAME (�(7JlC_— . DATE do z/2�� 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 $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 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' $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 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763) 571-1287 ADDRESS : 6161 TRINITY DR NE PIN : 143024330067 LEGAL DESC : SYLVAN HILLS PLAT 2 : LOT 7 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01763 � )) I DATE ISSUED: 10/06/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER KLINGBEIL PAUL W & NANCY R 6161 TRINITY DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.