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PRE 2010 DOCSVillage of Fridley, Minn. N® 1803 BUILDING PERMIT Date: .................... Owner Builder . Address...................................... Address .. .��....f/. h . � -. 5 N} �� LOCATION OF BUILDING No. . 11.� Street .. N.. ......................... Part of Aot ...... Lot ... ..... Block ..... ;2 .......... Addition or Sub -Division . ...... . Corner Lot ........... Inside Lot .. ... Setback ... 314-. Sideyard ... ................... DESCRIPTION OF BUILDING To be Used as: 1. ........ ........ Front Depth w Height Sq. Ft. Cu. Ft. ..................... Front ........ Depth ........ Height ...... Sq. Ft. ........ Cu. Ft. ........ Type of Construction Est. Cost . / jg�:�/...... 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 village of Fridley. .. .................. ......'v! In consideration of the payment of a fee of $ .`....., permit is hereby granted toC;�i /?' ..... l .. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon' violation of any of the provisions of said ordinances. Ji✓r ' ...... .................. Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. ME SUBJECT P dvH` City of Fridley_ 16118 AT THE TOP OF THE TWINS BUILDING P E R M I T r l"Ic RECEIPT • _ COMMUNITY DEVELOPMENT DIV. SEC. 7/ L✓ PROTECTIVE INSPECTION c , _ ✓ "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910—F15 4/14/81 JOB ADDRESS 6221 Trinity Drive N.E. 1 - LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Morgan Lind 6221 Trinity Drive N.E. 571-3648 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Robert Starr 10416 Partridge Street N.W. Coon Rapids 757-4281 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [A REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK reroof 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 700• WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 50 ST TION OR THE PERFORMANCE OF CONSTRUCTION. • J PLAN CHECK FEE TOTAL FEE 8.00 T X_ / > gI SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) _ PROPS LY L DATED THJS IS YOW1 ERM IT BLDG INSP DATE' SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) ME CITY OF FRIDLEY APPLICATIO:d FOR RESIDENTIAL BUILDING PEIU41TS • (New, Alterations, Additions, or Repairs) • OWNER: WLCI� ADDRESS: TEL NO: 7/ BUILDER: ADDRESS: JM,16 PGS iJ.'.. S�. stow , 6"'.jfWS, TEL 1.10: 7s 7 - 'fu= IIUJLI)Ih1G I'f;lil4JT FEE SCaIf:I)UI_E' � J;IaCTXON 2. - '.I')iZ 7n%;pector. of: )3ui.l0.i.tjU : :;Jl tl1, )�e 'Orr. i:;�ru9iig pcnnit•;s for the crection of u»y huilcl.i.r►,) or .;truct:ure, or foa: piny addition Lo ally exi:;ti.ng ),wilding or structur(..', i)r liar. any al.t.c.•r aLi�,n or. rct,aa rl; to any cri..ting hui.l.di.ng or structure, upon application thcrefor.e, require thQ payment by the applicant. for !;uch per of fee; to t)ie area+ant hrru.i.n below scat forth jvid in t)tc manner: herein provided to -wit: VVI.1.1 COIISTRuciri : Single Family homes and Garages: y4.00/7.,000 cubic feet:. PL70i CII):C1;: 25 percei,t: of building permit fee. DRIVIWAY DEYP.L•'SS20Id: .(Concrete. Curb I"trects Only) ' Alternate A: Rnmoval and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $13.50 Alternate B: Removal and replacement of concrete curb and • gutter and install •a 3 foot aide approach with • 6 inch depth; Driveway width plus 6 feet x $15.75 • —ADDITIONALIhFORMATIO�� For the purpose of computing fees for building permits,. the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point sir. (6) inches belo;•r the floor line of the basement or the cellar to the average heights of the -upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, theafee shall be at the rate of $3.00 Per each five hundred dollars -•($500.00) or fraction thereof in the cost of all proposed work. - In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50•state surcharge. - -VERIFICATION OF FQU,NDATION •NOTE: 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. -CERTIFICATE OF OCC ICY Application for a Certificate of Occupancy shall be mads. ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure hall not be used or occupied until a Certificate of Occupancy has been issued. SUBJECT - PERMIT .-•--_-..,. City of Fridley 10758 AT THE TOP OF THE TWINS BUILDING PERMIT 1R �• COMMUNITY DEVELOPMENT DIV. -------, PROTECTIVE INSPECTION SEC. 3 9 i q o � 1 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 6221 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Violet Lind 6221 Trinity Drive NE 571-3648 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Manions Master Roofing 3841 Hayes Street,.Coluinhia Heights 55421 781-7228 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (15 Squares) Tear—off 9 CHANGEOFUSEFROM TO STIPULATIONS on all new roofs or 'tear-offs and replace, .rmt roofs. State Code requires that 2 layers of 15 113, felt, mopped together, be installed to a point 24 incheS up from Werior wall line, or the use of other approved underlat;aembtane. 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 SURTA AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $780' $' 78 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC GE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.00 Fire S $$ , 50 STRUCTIOY OR THE PERFOR NCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE y_ $ .28 SIGNATURE OF CONTRACT OR AU HORIZED AGENT iDATEi WHEN PF&OPERL D T S IS YOU PERMIT s BLDG INSP OATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ 7 ADEN [ ALTER [ ] 1-1 AND R-2 Building Permit Application Effective 1/1/91 Legal Description: Owner Name & Address: y� 'Tial. Contractor: j' "l.�l�'`�( r, ,�� 1?✓a J--✓�i Tel • # �'% a-'- �{ Address: L3 ? yj e& MS a o c- c -r- S, ej IJ - --5--r Lf �?.j Attach to this application, a Certificate of Survey of the lot, with the prcposed construction drawn on it to scale. r 1R F' 1 IPTIM OF TI U S N 7VF1�II TD LTVIIdG AREA: Iength Width Height Sq. Ft. GRP -AM AREA: Length Width Height Sq. Ft. DBM AREA: TP*gth Width Hgt/Ground Sq. Ft. OTHM: t Corner Lot [ ] Inside lot [ ] Ft. Yd/��ck Side Yard Setbacks Type of Construction: `//l� ha�.a �'! sf(_ Estimated Cost: $ Approx. C7ampletion Date: �V-� ' 9f ✓ �. Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICM: Ynu. Tel. # Permit Fee Fire Surcharge $ State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPU=CNS: CI'PY USE ONLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ l 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 waiting 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: $1 to $500 $15 Minim= Fee is $15 plus m rClorge) $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 $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof ERIVERRY DEMMMICT ESCWW (Clm=ete 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 minim= of 24 hours fthe time of application to allow for proper review of the prgposed strucbu 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. SUBJECT ERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING P C D A A I C "'v 1 � t • COMMUNITY DEVELOPMENT DIV. ��------. SEC. r � � PROTECTIVE INSPECTION 1 /---1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910415 5/7/99 JOB ADDRESS 6221 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Violet M Lind 6221 Trinity Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr. 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 4051 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW O ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State 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 SQ. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,542 $.77 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 �.• 5 ill PLAN CHECK FEE Lice s C $5.0 TOTAL EE 8.56 SIGNATURE OF CONTRACTOR OR AU IORIZED AGENT (DATE, 6�E/]N/�R__ BL G INSP �VALIDA D Hljs IS YOUR FT gAtE SIGNATURE OF OWNER,IF OWNER BUILDERi IOATEI NEW [ J Effective 1/1/98 ADDN . [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 rL BUILDING PERMIT APPLICATION �- ConstructionAddress: / a A� d Legal Description: Owner Name & Address: ' a c L L 6 Tel. # Contractor: \o L iz b 14 ik S 1y MN LICENSE # V05 0 Address: �J II ��� . 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 IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: '7"—FA Z iFiz o o F Estimated Cost: $ /-5y'12 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # 5 4�4 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $l jjr Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$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 [ ] to 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.