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PRE 2010 DOCS..o M BUILDING PERMIT Village of Fridley, Minn. N? 2 Q 5 8 Date.... P P. ......................... a Owner ......... Address.. Builder ........ ... . . Address.............. .. LOCATION OF BUILDING No. G1.aolI ....... Street..... - . .......... Part of Lot .......... ..... .. Lot ........... Block ... ......... Addition or Sub -Division .. ..... Corner Lot ............ Inside Lot ... f!'„ ... Setback ... ... Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: ....... Front �. Depth ... HeightI...... Sq. Ft. /M� Cu. Ft. ...... . Front ........ Depth .. Height ......... Sq. Ft......... Cu. Ft. ........ 00 �P Type of Construction .............. Est. Cost .... ! i ... ..... To be Completed .. !'ibL-P...... . 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. ... ......... ............ . In e gsideration of the payment of a fee of $f ��. , permit is hereby granted to ......... +.�a.� ......... 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, alter ' tenance, repair and moving of buildings with- in the village limits and this permit may be revoked atny time u violaty 9f of the provisions of said ordinances. f� _ �a 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. Date: Owner: Address t_ A N® 6761 ,-- /7 7 Z r Builder Address LOCATI OF BUILDING No. Street ° Part of Lot ___ Block _ Addition or Sub -Division . d Corner Lot _ Inside Lot `� Setback - Si and Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Used as: y Front Depth eight Sq. Ft. Cu. Ft. " Fri Depth Height --=- Sq. Ft. Cu. Ft. Type of Construction To be Competed 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 fob andr���e h all provisions of vrdi:tanc�s of the city of Fridley. F//lam/, J 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 dare 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 ce city limits and this permit may be revoked at agordinany� pon vi ion of any of the provisions of said Building Inspector NOTICE: Tak penuit does not cover the construction, hmftWon for wirin& plumbing, gas boating, sewer or water. Be wre to we the Building Inspector for separate pennha for these ilea. .F .zLe-' of / � a -d-69-1- APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° SNAME �� � _ �E,p s BUILDER z9 W Ze1e,5;w o elo. z� & . ADDRESS G.27/ �2�N,ty ®r,V� ADDRESS `tee LOCATION OF BUILDING No. ✓, ;,Z %/ Street-Tfe1,y� f y ,00e , y e_ Part of Lot Lot Block Addition or Subdivision -3 Y Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING 1 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height T Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict 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. 1.a,. V4'v6, _1191� DATE .9— &— 63 (Schedule of Fee Costs can be found on the Reverse Side). 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 exist- ing building 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 manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garages 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 fire -proof 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 $1.25 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 non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, Ear similar occupancy, to any existing building or for each such building or addition T ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.004 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 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no,case shall the f6c?.chargad .for any permit as set forth in Section 2 be less than $4-00, a r K - - • f ♦ . . -.t I �aa��Pr1S��y�y�pfiO��Fnryq�� F R I DpaL E i� 6431 dbai�Gbs�b L436h5 NUM L& Ra ,lD& T, M=809A 55421 360-1145 Mr. John Ivers 6271 Trinity Drive N. E. Fridley, Minnesota 55421 Decemb@r 13, 11966 6761 September Y9,_ 1963 Addrees, 6271 Trinity Drive N. E. T-VV',Attached Garage & Porch Yours very tguly, SUBJECT ER T NO. City of Fridley ® 18250 AT THE TOP OF THE TWINS BUILDING PERMIT r REC � COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 10/15/85 JOB ADDRESS 6271 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 1 Sylvan hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Ivers 6271 Trinity Drive N.E. 571-9726 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Llo d"s Home. Im rovement 3,c, 1012 - 421� Avenue N.E., Col. Hgts. 55421 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 788-5602 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Cover Soffit & Facia with Alum num 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $1/100 $,55 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. $19.00 CHECK FEE TOTAL FEE NAN $19°55 SIGNATURE OF CONTRACTOR 09AUTHORIZEDA T (DATE) "WHEN PROPER ALIDATEBBD THIS IS YOUR P/ERMIT SIGNATURE OF OWNER IIF OWNER BUILDER] (DATE) BLDG INSP OAT NEMC [ ] City of Fridley Effective 4/1/84 ADDN. [ ] fR-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address:_ Legal Description: Owner Name & Ad ess: Contractor: Address: Tel. # Tel. # /.Olt 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/Grounnd� Sq. Ft. OTHER: C� ��/%�e `7! -�-p �` •� �,ef�t .��r inr ` Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: /� Estimated Cost: $ /_of Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / I G APPLICANT:Tel. CITY USE ONLY Permit Fee $ 19 0 O Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ e5fe� $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ %9_ S"S Agreement Necessary [ ] Not Necessary [ ] _ � STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: _ Total Valuation $1.00 to $500.00 $501.00 to $2,000.00 Fees $10.00 (Minimum Fee is $15.00) $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. SUBJECT City of Fridley 2 8 4 05��®TF THE TWINS BU I L D 1 N G PERMIT(1: EC `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � I CITY HALL FRIDLEY 55432 " "'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 110126198-F15 JOB ADDRESS 6271 Trinitv Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Ivers 571-9726 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 LUcia Ln NE Fridley 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 O NEW O ADDITION O ALTERATION jZk REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (28 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 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 2399 $1.20 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 74.75 Fire SC $2.40 r PLAN CHECK FEE TOTAL F -�� '�G Lice S $5,401 3 5 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EPROP ALIDATE IS IS Y UR PERMIT / d D INSp VVV MATE SiGNATU RE OF OW NER �iF OWNER BUILDERi IDATEI NEW [ ] Effective 1/1/98 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � � �� rnl /Ul r y,lime/, 7 Legal Description: E JPS &OF Owner Name & Address: -'G iY4..' iPS Tel. #%/-C/ 7-4� Contractor:(��/� j(/�>r/�l �.�'® MN LICENSE # Address:��`®,l .�.� �� 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground . OTHER: /krv« --) �'S� T bllhW Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ -_�'5� J 9 G (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: O "_ APPLICANT: Cel L �. L,Oean el/ Tel. # S,7/ J9 7� Permit Fee $ 949§ Fire Surcharge $. State Surcharge $ /< SAC Charge $ License Surcharge $) Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ �. . STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter acid 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. CITY OF FRIDLEY INSPECTION DIVISION w 6431 University Ave NE 4 Fridley, MN 55432 APPLICATION FOR POWER .PLANTS AND HEATING, COOLING, VENTILATION, 9 ;763] 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES a RATE SCH LE r� I-- Residential PFurnace Shell and Duct Work, (Burner - Also Replacement Furnace (Side bent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range P Gras Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (UST ON BACK) 1% of Value of Appliance or Work w A �ommercialflndushial 1.25' of Value of Appliance or Work LLw 0 F- [ $ 30.00 $10.00 $10.00 $10.00 $ 25.00 State Surcharge TOTAL FELE "IIN lif8 FEE FOR ANY HEATING&MMOLENTILADO IEFRIGMATIOWAIR TIONING PERM IS 525.0 'LUS THE $.50 STATE SU ® 1EINSPECTION FEE 7.00/Hr 0 -Air Conditioners_ can not be placed in a side yard without vritten permission from adjoining property owner. c� w a TOTAL $0® Effective On January 1, 2000 JOB ADDRESS j LOOK //-^ / % /® /<-I w� ON/NER 1 0 BUILDING USED AS (b ESTIMATED COST _ PERMIT NO. No. of Heating U ts�— ircle One (Steam) (Hot Water arm Air) Trade Marne: gk[/t9✓U Size Flo. BT41IIP EID R Fuel Total Connected Load Burner Trade Name Size Na BTU HIP EDR The undersigrited hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the 'City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE A 02— CITY OF FRIDLEY PERMIT NO.: 2004-00085 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-36U4 li'AX: (763) 571-IZ57 ADDRESS : 6271 TRINITY DR NE PIN : 143024320016 LEGAL DESC : SYLVAN HILLS PLAT 3 : LOT 23 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651)646-2911 OWNER IVERS, JOHN R & GLORIA R 6271 TRINITY DR NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 113375 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.