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PRE 2010 DOCSDate,�i�.. ............................ Owner ... .... ,�:',��aK.......... Address�r`R ..�•t.-� ':..... 2179 Builder............................................ Address ...................................... ` LOCATION OF BUILDING No. ...as l... Street ...t#:1 " ...... Part of Lot ....................... Lot .....' ...'� .. Block .. . r ..... Addition or Sub-Division�c+� , .......... Corner Lot .... Inside Lot ............ Setback 1t deand ..., . . ey, y ........ . DESCRIPTION OF BUILDING To be Used as: -Front .. Depth . . Height ... Sq. Ft......... Cu. Ft, ........ ............. Front .. Depth .:: Height v::.. Sq. Ft......... Cu. Ft........ . cif -_ Type of Construction ;��.�;;t�t't Est. Cost ..,F'.............. To be Completed ..V:?�zw... 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. �. ................... nsideratin of the payment of a fee of $.. : permit .is hereby granted to i"..f-t ....:.. to construct the building or addition as described above. This permit is granted upon the express condition that the person" to whom tt is granted and his agents, employees and. workmen, in all work done in, around and upon said buildings, or any part thereof, shall conform, in all respects to the ordinances of Fridley, Minnesotregarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit maybe revoked at any time upon :Violation_ 0V,, y of the provisions of said ordinances. P° � .. Building Inspector NOTICE: This permli does not cover the construction, installation or alteration for wiringo plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. i 'ma, SUBJECT M) PER12'784 City of Fridley AT THE TOP OF THE TWINS BUILDING PERM r RECEIPTNO. `LIT I ______ COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY A r %.j 612-560-3450 910-F15 10/28/74 JOB ADDRESS 6260 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lillian Kraft 6260 Trinity Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson 2513 Central Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residnetial 7 CLASS OF WORK ❑ NEW ❑ ADDITION CIC ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Aluminum trim and gutters 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 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 $1,500 .75 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. $9.00 f PLAN CHECK FEE TOTAL FEE C®_ oZY-2, �4 $9.75 SIGNATURE OF CONOICTOR OR AUTHORIZED AGENT (DATE). WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 10-401-1 NaAlL, s6 - BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 'ma, APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :/1 p ��; ry dJ �y< 'q if % BUILDER.-,/)/,' ADDRESS : 6 G 0 TA: �� A�A/df ADDRESS : NO : STREET : _170,; s s LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: • m Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front • ' Depth: Square Feet: Cubic Feet: Front: IIeight : Depth: -Height: Square Feet; Cubic Feet: cd Type of Construction:Estimated Cost: O -IFO , p pb To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stzict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated -in this application are true and correct. DATE: d - 7 Y SIGNATURE • cx' J7 n ✓��--�,- .(See Reverse Side For Additional Information.) q• U U . ,7S BUILDING PERMIT FEE SCHEDULE SECTION 2. 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 belovi set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION 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 six (6) inches below the floor line -of the basement 'or the cellar to the average heights of the upper'surface� or to the average.,:- height verage:height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee 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 $5.00. VERIFICATION OF FOUNDATION 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. d.. e A Certified 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 OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been .issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. u SUBJECTNO. City ®f Fridley 26595 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. __��__ COMMUNITY DEVELOPMENT DIV. o. PROTECTIVE INSPECTION SEC. 41Q® e f r e -I e NUMBER REV DATE PAGE OF APPROVED BY e ` I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/14/98 JOB ADDRESS 6260 Trinit Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tony Yost 571-4154 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Anderson Roofing & Const. 366 Rose Lane Little Canada 11482-0511 4126 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 O ALTERATION] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 20 S Tear -off: Ice and Water Shield 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 MOT. 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 I 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 1668 .83 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A Y OTHER STATE OR LOCAL LAW REGULAT G CON- STRUCTION O T PERFORMANCE OF CONSTRUCTION. OAT 54.00 Fire SC 1.66 PLAN CHECK FEE TOTAL FEE 9 1_t e/ License SC 5.00 61.49 SIGN NtRACT AUTHORIZEDA ATtI H N PROPEJ&LY VALIDATED THIS IS YOUR PERMIT o&rb B BiOG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY.OF FRIDLEY ,ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONr��.,. ConstructionAddress: p D �grri Legal Description: � ®� , Owner Name & Address: Towq d_ (Ak Tel: #. S�/—' l � Contractor:AQnc�c__� P&�Fitj& J 4,�kZi MN LICENSE # / 2� Address:. _lAaJE� 9L4 nc- 1/7 Tel. # 48'2 --CSS// Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BiPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Groun Sq. Ft. OTHER: r Construction Type:i?j�'_Tw - °T timated Cost: s (Fee Schedule. on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: 171114 L'qe APPLICANT: Tel. #* 49A - m ll STIPULATIONS: CITY USE ONLY / Permit Fee D n Fee Schedule on Reverse Side Fire Surcharge $ l L (®& .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ !�_- 0 6 $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 $ 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. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USNG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ !212• '�` b See Back Page for Fee Schedule Plan Review 3uilding BUILDING Fire Surcharge Permit No. V/ [nspections .001 times the total job valuation RESIDENTIAL APPLICATION $ Received BY: 763-572-3604 License Surcharge CITY OF FRIDLEY Date Rec'd: 9 7-"'t T'� ®r 763-502-4977 FAX $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-08 ft + 6 ft = ft x $21 = $ Erosion Control )ATE'- 2 3- V YOUR E-MAIL ADDRESS $450 Conservation Plan Review Park Fee $ ,ITE ADDRESS (at® Tr % A 1 IV t $ Agreement necessary ( ) Non Necessary ( ) Total Due MIS APPLICANT IS: ❑ OWNER WONTRACTOR � 7 • PROPERTY OWNER/ NAME: e5 i C�' in 2A ADDRESS: bO —�� ap 1° CITY r` P STATE—Me -ZIP 5 i TENANT' NAME: e - q �45 e ZIPS CONTRACTOR ADDRESS: 1 (o `d CITY STATE/Y SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE. � STATE LICENSE # rr�7v� 15 i®L{ ( EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: —T -0:w ® 8a SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING �i `�' ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0J ❑HOUSE &GARAGE 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I . Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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: (USNG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ !212• '�` b See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 'z_ �;' .001 times the total job valuation Surcharge $ .tpe .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ � 7 • 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 application for a permit and work is not to start without a permit on site; that the work will be in a rdance w. It t e approved plan in the case of all work which requires revi a d approval of plans. SIGNATURE OF APPLICANT c �%- PRINT NAME��ut �0Wyl'-c44 DATE f'f•� APPROVED BY DA j' Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 151$500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1S1$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 151$50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 15` $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 1s1$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 15` $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, NIN 55432 763-572-3604 Fax: 763-502-4977