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AF - 44272i '� sue�ecT PE O. City of Fridley O 18041 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � ECEIPT NO. � 1 L___��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i . � � ` /"'1 � CITY HALI FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BV �""""� � ,'' 612-571-3450 s1 aF15 6/5/85 � / JOB ADDRESS 6550 Arthur Street N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. '] 3 C:reekridge SHEET 2 PROPERTYOWNER MAILADDRES$ Z�F PHONE Pete Kociscak 571-7735 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Preferred Buildexs 8741 Centa:al Avenue N.E. , Mpls 55434 786-6000 4 ARCHITECT OR DESIGNER MAIL AD�RESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUIIDINO Res.idential 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION O REPAIR � MOVE ❑ REMOVE B DESCRIBE WORK Construct a 42' x 24' Dwelling & a 24' x 26� Ga,xage uri.th. a 10� x 10' Deck SEPARATE PERNIITS 9 CHAN(iE QF USE FROM � � STIPULATIONS provide a hard sur�aca drivev�ra,y, Provide sczd in th� fxont and side yards. Provide the City with a, copy ��£ the veri�ying suxv'ey before capping. No cwCb cut assessment needed as theX have paid �r�r a curb bnt it has not been installed. Correct plac�nent of cu�b�3t3.11 be made when curb installed. SEWER LOCATION: (Approx. 13' Deep in Street) 38� N. of M.H. (Inv. 877.62) WYE ELEV: 877.79 TOP OF FOOTTNG: 881.00 Minun� WATER LOCATTON: In Same T�ench with �ewer (north side). �E CiTlf �� 311?�'L£1� �30ES NOT GUA�ANTEE THE VVARNING ACCURACI� O� �UTI'L�7Y'L�4C�1"9��iS AiVD ELEVl�TIONS. Before digging ca11 locai uti�i�i�t iHIS ��,�A ��'� ��i�O��J�A1"1��9 FUf�POSES ONLY, TELEPHONE - EL��R��IC � r„�� tc �4ND P��2S0�� 7S�T�G T�A� ��VFOR�IATtON SHOULD VERiF1P ��' �1 7'�`� ��7fE. R�Qi�iR�D �`� L,� TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. OOCI k'SdI4e THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTqUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION R 1 OR WORK IS SUSPENDED OR ABANDONED FOH 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 ], STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $79�20� $39,60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR PERFORNMANCE OF CONSTRUCTION. �373.OA C�edit from $�CY100�. % PLAN CHECKFEE TOTALFEE �� $ 93.25 $505.85 SI NA UREOFCON7RACTORORAUTNOR12EDAGENT (DATEI WHEN PROPERI.Y VALIDATED THIS IS YOUR PERMIT 6 � ��/! d/ X X(A/lsU�,✓ %� G� SiGNATUREOFOWNER�IFOWNERBUILDERI IDATE) BLDG �NSP npT Naw LvJ ADDN. [ ] pLTER. [ ] City of Fridley �R-1 AAD R-2 Building Permit Applieation Effective 4/1/84 Construction Address: � �� 'Ti�f�� Legal Deseription: � � 7 /�� -�� Owner Name & ess : �°� ! � �� Tel . # ��/" � %� � Contractor: � �.. � �� • ��-(� F � � Tel. # �� Address LIVING AREA: GARAGE AREA: DECH AREA: OTHER: Corner Lot [ ] Attaeh to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTIOA OF IMPROVEMENT Length �� Width � Y Height Sq. Ft. Length �_ Width � Height Sq. Ft. Length �_ Width PC� Hgt/Ground Sq. Ft. Inside Lot [°J Ft. Yd. Setbaek � Side Yard Setback Type of Construction: S/oad,G f S /�� ' `� � Approx. Completion Date: --�'LL � � � '�� Estimated Cost: $ �r� � � '� � C.b . Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: $ $ See Back Page for Explanation ' �.. DATE: �� APPLICANT: Tel. � `� � SE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Plan Check $ G�o� a 25� of Building Permit Fee State Surcharge $ �9»�� $.50/$1,000 Valuation SAC Charge $ �n��e� �e�sc�-$425 per SAC Unit Park Fee $ I�c�o�c� Fee Determined by Engineering Sewer Main Charge $ °-'� �{�+� �p� �'° Agreement Necessary [] Not Necessary [ J i Vl�+ Y °-° �0�'� s �Sa '' :� �, STIPULA�IONS : �' ��'�., ��' ��"��v�� , � oc� a�3, �� . ��o�� -, 3��'�� '� �Gr. (�ll`�iLl� G.� Cl.A2� ��1.. a7,3 � 4�,� z II� � �,P. �2 v 2� = )t�1 � � x a�= I�`1 127 t� � ��•� y ��``�- �,Yvac� = GayX �2,�5 �iz� ��G� �.+�� j��O.�O 5 t�, '� 22 � G`4 �% � fo�� , �� 7�,a��t, �� BOII.DING PERMIT FEE SCHEDIILE 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 alteraY.ion or repair to any existing building or strueture, 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 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 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 ineluding a2,000. $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first additional $1�000 or including $50,000. $25,000 plus $�.50 for each fraction thereof, to and $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 fraetion thereof. DRIVEiTAY DEPRESSION ESCRW (Conerete 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 approaeh with 6 inch depth - DriveWay Width plus 6 feet times $15.75 YERIFICATION OF FOONDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper revieW of the proposed strueture and of the construction site. _ A CertiPicate of Survey of the lot, showing the location of the foundation onee it has been eonstructed will be required before proceeding with the framing. . � � ��' �� ' 4.'`�' . ' . � .. . . . . �`'�. � � � ` � � �� , �� . „ � T , - , . .;s�,?��'vm;ts�;<ea't�, a=-�°'-k`% , -i ,� � �Q�, �. . �`�� - �.°�n��'�`��':�,�� , � fi� � ( r y- 5 _ ' - �� i. �' � r , , �� . � . . . � 4 '., _ '89 , " .-� A ��'�„ , r .} . . . . . . - � � . ,. r. ., "' �.: -. 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A W N -� j (�A c �' � :'�;: D � � z C � W ::::: m :<:::: � :;:::� o ;:: ,n � � C � � � m --I �:::�. 0 ��::��"' W �r::. m :>?:�:;; z �`•z�>. �::»:: fn .v��-n D �• o rr- m v �� z �::::: �. ::: '.*'.�'. �.2::.�', � ::��;��.; _ .� ::� r � � O `� z N � m� n N � N n W � rn� ' �� O Z i� � C71 f�/ �Dm N Z m� � � O Z v < a � � r n � O Z � O � 'G r c � z � a z v a N � � Z � 'o rn 70 3 m m �« < m 0 � � n� � N 0 0 0 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When reulacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specfications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to rr�eet the current codes and manufacturer's specifications. When required to install a new combustion air it will be sized and installed To meet the current codes and manufacturers specfications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installinct a new ventina svstem, the undersigned hereby verifles that it is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height � Diameter inches Appliance #1 Vent Connector Heighfi ft Length ff �iameter in iype Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING. CO: Signed By: Date : c�ty of Fr�a�ey AT THE TOP OF THE TW�NS � � I L D I N G P E R M I T r � � � • COMMUNITV OEVELOPMENT OIV. � �V � f � � PFIOTECTIVE INSPECTION SEC. � . � � _ �'�'1 � CITY MALL FHIOLE� '•iS�J2 NUMBEp pE� �� '' 612-57�-3450 s�aF�S JOB ADORESS 6550 Arthur Street NE t IEGAI LOT N0. BLOCK TRACT Oii ADDITION DESCR. � 3 Creekridge 2 PROPERTY OWNER MAIL ADDRES$ Marlene Peterson 6550 Arthur Street NE 3 CONTRACTOR MAIL ADORESS Midwest Roofing, Siding, Windows 18979 Glad a ARCMITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAII ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WOF;K ❑ NEW 8 DESCiiIBE WOiiK Reroof House & G� 9 CHANGE OF USE FROM STIPULATIONS 10/3/00 21P 416-4804 PAGE Oi / / i 438 RE EIPT NO. �� 1VPROVED 8Y SEE ATTACMED SHEET PHONE 571-6597 PMONE LICENSE NO Grove. MN 55311 PMONE IICENSE NO. 20010277 PNONE LICENSE NO O ADOITION � ALTERATION � REPAIR O MOVE D REMOVE (26 Sq) Tear-off ro Underlayment must comply with the State Building Code. tYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING. HEATING, VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OF CONSTiiUCT10N LONING AUTHORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONEO fON A PER100 OF 120 DAYS AT ANV TIME AFTEH WORK IS COMMENCED NO OWLG. UNITS I HEpEBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPIICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yA�UATION AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL 9E COMPI,IEO 2 659 WITH WHE7HER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT � � OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pEqMI7fEE PROVISIONS Of ANY OTMER STATE OR LOCAI LAW REGUTATING CON• �83 � 2S STRUCTION OR THE PERFORMANC OF CONSTiiUCT10N PLAN CNECKf E SO.FT Of STALLS Lice e SC $5. S�GNATUpE OF CON'AACTOp OA AUTMOp�ZED OGENT IOATE� M PROP SiGNSTUpF OL nwNFA �ii OwNEF BuiLOER� iD�tE� B w.�h5p � OCCUPANCVLOAD CU FT. GARAGES r $1.33 SAC CNARGE F e SG $2.66 TO AL FEE 92.24 )AT D TMIS IS YOUR PERM .. /,��?� rii r N � [ ] Effective 1 /1 /2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: vr Legal Description: Owner Name & Address: �c./� P�'�•=-5,,� Tel. #��`°� �.�°1 '7 Contractor:/Vll(�w+(�F (Q�t� r Sj,�lr,�,o�r r�tf �r,i,��,� MN LICENSE# ZO�al�L7�'7 Address: (��1r1 °1 (YC�-rf y�„u,e `�Iu� �Q�� /dliU ��,1� Tel. # ��n s Y�0 � LMNG 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 Lert�t Width Hgt/Ground Sq. Ft �� (� � � �� f,., �L'�� 1 �'.- %-1-�'� -�a � , , . Construction Type: �r ✓ Estimated Cost: $ o`� �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� "°'� APPLICANT: __ V%a.� (�i e G�le+.✓D�l� Tel. #_3� �� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ .�S Fee Schedule on Reverse Side Fire Surcharge $ � irr .001 of Permit Valuation (1/10th%) State Surcharge $ %�.�,� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ � �'� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Consenration Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �- ��i BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts 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,Q00 $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 $1� 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 $100,0� $993.75 for first $100,OQ0 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,(�0 $3,233.75 for the first $500,000 plus $4.75 for each addidonal $1, Q00 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 r�placement 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 C i�ch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv City of Fridley AT THE TOP OF TNE TWINS r � � � `v __��_ COMMUNITY DEVEIOPMENT DIV. r � � PAOTECTIVE INSPECTION SEC. i__-•� ��"' �.� CITY HALL FRIDLE� SS�32 t 61 �-571-3450 J08 ADORESS 6550 Arthur Street NE SuB�HtT EU ILDING PERMIT NUMBER 11EV OATE v�GE Oi 910-F15 10/20/00 / / t LEGAL ... ..... ....... ......� . ................ DESCR. ] 3 Creekridge 2 PROPERTY OWNER MAIL ADDRES$ Marlene Peterson 6550 Arthur Street NE 3 CONTRACTOR MAIL ADORESS Twin City Exteriors Co Inc 9060 Zachary Lane N d ARCNITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER e USE OF BUIIDING Residential 7 CLASS OF WORK MAII AODRESS O NEW ❑ ADDITION O ALTERATION 8 DESCRIBE WORK Reside House & Garage 9 CHAN(iE OF USE FROM TO 3 i 503 F�ECEIPT�NO. 6( �� APPqOVEO BY SEE ATTACNEO SNEET 763-571-6597 21P PHONE LICENSE NO Grove, MN 55369 2535 21P PHONE LICENSE NO. 612-425-4737 ZIP PHONE LICENSE NO �] REPAIR D MOVE O REMOVE 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 provisiott would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl sidi�g is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. TYPE OF CONST. SEPARATE PERMITS AHE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR Cf�NSTRUCTION 20NING AUTHORIZED IS NOT COMMENCEO V�IITHIN 80 DAYS. OF li CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS I HEREBY CEFiTIFV TNAT I MAVE READ ANO EXAMINEO THIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE ANO CORRECI. ALL PROVISIONS Of LAWS VALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WOFK WILL BE COMP�IED OCCUPANCY SQ. FT STA�LS WITH WMETHER SPECIFIEO MEiiE1N Ofl NOT. THE GRANTING OF A PERMIT �9yOOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMI7fEE PROVISIONS OF ANY OTHER STATE Oli` LOCAL LA REGULATING CON- TR TION OR TNE PERFO NCE OF CONSTR ION �LC7.LS PLAN CNECK E Lice e C $ . S 4TUpEO�CON��7 TOpOp1UTM0 EDsGENT IOATE� ME��O r 1 �i � r ROUP OCCUPANCVLOAO CU fT. OFfSTFEET PARKING IGAFAGES SUR7AX $4.50 SAC CMARGE Fi SC $9.00 TO dL FEE $185.75 DeTNIS IS Vw�F PERMIT ' / /� � NE"�' [ l ADDN [ ] ALTER [ ] ConstructionAddress: J Legal Description: ° CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 Owner Name & Address: �/��Q�j%'� ,��j��j� Tel. � %� / (�5�� Contractor: TWIN CITY EXTERIOI2S CO., INC. MNLICENSE# 2535 Address: 9060 ZACHARY LA1VE N MAPLE GROVE, MN 55369 Tel. �# 612-425-4737 Attach to this application, a Certificate of .Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: F, �' �� Construction Type: '' Fstimated Cost: $ � �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: I I • � � � �i Ft. + 6 Ft = Ft x$ _$ Tel. �# 612-425-4737 CITY USE ONLY Permit Fee,f��,��'' $ Fee Schedule on Reverse Side Fire Surcharge 9� UD $ 9,�� .001 of Permit V�luation (1/lOth%) State Surcharge �S� $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharg�� „�� "$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 � 7 �7 STIPULATIONS: � BUII,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,Q00 $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 $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to. and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,OQ0 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.�5 for the first $500,000 plus $4.25 for each additional $1,Db0 or fraction thereof, to and including $1,000,000 $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. � / Building PLUMBING � Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 1� 763-572-3604 CITY OF FRIDLEX vate xec'd. �— �� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE �'�3 � v v YOUR E-MAIL ADDRESS SITE ADDRESS � D�'�C� +� r t1n++r S�' . THIS APPLICANT IS: ❑ OWNER '6�ONTRACTOR PROPERTY NqME: OWNER/ ADDRESS: ��5� � rkln..r° �,� CITY � l STATE MNZIP �� 3 TENANT PHONE� 3 � �I 1 ' • CONTR.ACTOR Np�; v� � C SUBMTT A COPY OF STATE LICENSE #��'��I�� EXP DATE I�L ��'�'S YOUR STATE / LICENSE, BOND AND STATE BOND tf �� 33�1� n EXP DATE CER1'IFICATE OF ,r�DRESS: tZ%�Z.'S� N��e,��a.�A � CITY C.de•- Y�P��►- STATI�^N ZIP J�SZ'% INSURANCE . PHONE�'3 ' � SS ' �A'rtoS FAX l.P► i. ' �a-� ' `�IDti PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ �w �PLACEMENT DETAILED DESCRIPTION OF WOR t��'�� t.�r V�,��@,. l�.x-� r��'S"f1nP-.r' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, iastallation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WI-�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.Q0 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NiJMBER OF EACH BELOV�. M1NiMUM FE� $15.50. BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPiNG BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL �WATER SOFTNER {$35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION — � WATER METER 'V' ✓!t' V � _ OTHER ...:: b I _ 1 ,;. c,.tz �� '�'`i « '� rL�'«a�-" _ � �;x9 ''X.�' .n .i. . � S� r�_o..l<.�.'.; 1z' �n h#>��.^ , �� - � Permit Fee $ � Number of fixtures @�$10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$ I 5.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 � x$35.00 =$ State Su�charge = $ .50 (MINIMCJM $I5.50) (MINIMUM $I5.50) Total = $ .S � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED T het'eby apply for a plumbing 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 accordance with the approved p in of all work which requires review and approval of plans. SIGNATURE OF APPLIC PRINT NAME�� DATE '� �� 'f d � APPROVED BY DATE �� S � �d w��W � 3 1 .i�. hc� �,.�r� ��af��, ?.._, k��, � � �, d City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 � FA.X: 763-502-4977 � Building Inspections 763-572-3604 763-502-4977 FAX �� SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTI' A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No. Date YOUR E-MAIL ADDRESS � I3I_�a K.��( T8._° �d ��.� �� o �'K`a /� �,T _ � ,,�' ❑ OWNER „�CONTRACTOR NAME:� � � L� � nnnxESS:_ �.�,�� 4R�'� PHONE: �ld � S � I '- �S NAME: �!'L� �� STATELICENSE# �� p�'y� - iy i —r�v...5 y �/NEW CONSTRUCTION CONSTRUCTION ATE�ZIP��°,�3� EXP DATE �� CITY� FAX � "'%%�� SIZE STORIES PERMIT TYPE U �DTI'ION ❑ GARAGE/SHED ❑ BASEMENT FIATISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWINIMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTI'ION ❑ MAINTENANCFIREPAIIt ❑ REMODELING . .� , . . - '� -°-. DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑ DRAIN TILE ❑ OTHER HEIGHT' BASEMENT REMODELING SUBNIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural membe�s to be used 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 construcdon plans R'INDOVVS 3. Energy Calculations IN EXISTING OPENINGS �Yes ❑No L� ITI�� W�NDOWS FOR WINDOWS — PROVIDE U-VALLTE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF (-�n.1� MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED �/ � Q NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $�i�jl ��NG THE 1997 U.B.0 FEE SCAOCCUPANCY TYPE Petmit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$22=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �� , 2� Make checks payable to: Citv of Fridlev Attach 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 accordance with the approved plan in the case of all work r�ch requires review and approval of plans. SIGNATURE OF APPLICANT � A,�%� �a� � _ PRINT NAME / /�y1�i� � �/F-t�� DATE �7'��'� � �uilding " � Inspections 763-572-3604 763-502-4977 FAX DATE •�'�`Q Z�' 9 �` SITE ADDRESS � C THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No. � - �, : - � �.,�,,,,, � , ;;s:�r �, : :�. i _ � � YOUR E-M�y�AIL ADDRESS �'] f G ��r�h i� e�� N. H hA ?� . L. C i`Ll. ('iZll7f.irii �1..st J `; .�'��7 D OWN&R `F.�CONTRACTOR annxESS: 6 5'6'O � tzi � e,J,f? rxorrE� �7g ? ° �°`7/ — 6S'y � cotvmAlvY � SUBMIT A COPY OF corrracT PERSON: �/ G�. �-� � f�%l a4 �/� YOUR STATE STATE LICENSE # (��' 6Q'" EXP DATE LICENSE VdITH �Dx�ss: � :�Z S�' �c� � �t.c o �.s,t e... rz � CITY �� 'V i b . STATF,M/�IIP '�S�/ / APPLICATION PHONE � � �%�(, `— %L / � FAX _ � � / '" `�% �, °' / Z � �' PERNIIT TYPE ��GLE FAMII,Y d TWO FAIVID.Y TYPE OF WORK: ❑ t�w �'x�.ac�rrr DETAII,ED DESCRIPTTON OF WORK I/J` � i dd L�L � ❑ TOWIVHOUSE O ALTERATION/REMODEL � FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT Wi�RE NOTID. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BII.OV4� PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHI2AE HANDBOOK Eya;�m�c in�u�a �G: a' ��' �on�.: je� HZ 13 �' &d s��ru du, ��'C MFG: �� 0'�� l� MODEL: ��l ��'Q,�D SIZFJBTU r� B� (! D C9 MFG: MODEL: SIZFJBTU NC $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AII2 EXCHANGEER $15 FIREPI,ACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII.ER $35.00 �F[JRNACE $35.00 _GAS iJDTIT HTR $10.00 _CHIIvINEY LINER $10.00 uGAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPIIJG $10.00 VENTII.ATOR $15.00 ...;..:.>:::�::>::::,.>..:..:.::•.:�:.;:.::.;.;,:r �..::.::::.::..::•::::>::;:::i:s.s:?:>..' •;•:;`>:.•:•.::...'S'S:' :::::::::;:::�:,::;::::::;::::::::::::::i;:i::;::::EE:::E;E?:i:::;:::;:�?:?i>:�:i:':::i:�::::'-�:::�::=::i:::::::::::::::::r::::i::::::::i;EirE::i:�:i;;::::i::::::::::::::::':::::::::::::;t:;:::::::::i%;:'t::::::::::::::::::;::::;i:`::::;::f:::::::::::'ti:::?:::5:::::`• �.�f7+�::#"�:�C� �: :�� ,:»;;:;><.;�:: . . ��«�:.�.: :;:.;:;:.;,.,< ::::.::::.::::::::.�.:�::.:::.�:::.:::�::.�:;::.:::;:::,.::::::::::::::::::::.::.::.:::<.:::.:.�:.�:::::::::.�:::::.�::::.:.:::::.;::::::::.:�:.:�.�.:::::::::::::::::::::::: •:::::::::•::::.� :.........::::::::.�:::.�.�................ . ....�...............� .......,....:•:.::::.�.�.�::::::::::::::::::::::::.::�::.:::�.:�:.�::::::::::............................................................:......................... �y. {: ts- =�.-i Y��::'..'''..''::�::.'.':::`:':::;:::::;:?::�::::::�::::::::::::::::::::::::;::<::':::::':;;:::::::.>:::::r2::::r::�`:�:::::::::::::i:::::::::::":�:::�i::::::;:":;'::i:`::`::%'�>:::'��::::::i::: `::'.�:;.��i.::;�::'��':'::::�'''�':i:�:`:i:::::::::::`:::;.:>:'::::;;:�:;:';::i3: ':r�:;:�'::: �� ::;:�::::5:::::ir::::::::�:::::::::;::::::::::::::;:::::$:::: ::::::::::::::::::::::::::::T:::::: �.��...::.:: ..,...N ............".d".,i""' .h...i...:::::: .............. :��:!.R�$:: ':.B^��4YSF::::i::::•::Ti:+::.i:'f.': ' .y... . ..... ...:... ......... ......... ........::::::`::::::::::::::::::::: :v::: :.:::::::i::::......... .... .'rr' ".r" .....:.. ....:..... �.�d.��:::: �. .u� . ................:: :.: :.: ::.:: :.: :.:: .: .. :..: ............................................................:....:.....:...:.:�.:::::.:�:::::::::::::.� :.::::.�::::::::::: � ::::::::::::: ::::::::::::::::::::::::::.�..�i...w::::::::::::.+i�vW-isB.......................... .. .-.,_.�. .+—mn.amn.......... ........ . v..: ................................................................"""""""'................................................. •••••••'i��•i>4':i'�:ti�.�•{y:::.::i:i{:•.5:�'i::��i w:�.��ii•:Yi::::?i::::i::::::i::::::i::::i::::��'i��i:i:}ii+jii::i::i:::%:::ji::::::i:ti::::.'•:::i�::::i:::::::vii'�iiii{::::::::::•:i:::�::::Y :::::::::::::::::::::iY:ii::::::$T::::::i�::i::i::i:::i::::::::i:::::::::::,>.�:•::::::i::�>::::Y�:r::ii::Y:i�:iy:ii%'ji:l; j:i::::•:::::•:::•i:::•iii:::•::i::ii:ti::•:::•:::•:i:i::i:::ti:i _i::i::':':i::•:::•::i:•: .:::.::•:•::ti::::.:i:'r':::ryi :: .....:.................y:::::. ��::£1��.:..,::...' �:�:..::...:::.�: � .:::: :....:::;.�::::::::::::.....:::::::::::. ...............:..:.:................. .�......... .....��...��'..��............� .................:.�:.:::;.;:.;;:•::::::::.�:::::::::::.�::::::;:;:::::::::::::::::::>;:.::::::::::;:::::::::::::::::::::::::::::::::.:::.._::::;.;:;:.;::::�; .................:....:::::::::::::.�::�._:::::::::::::......--- .::-._ :...:............... ................... :.:..:.....::::::.::::.�:.�::::::::::::::.:�:::::::::.�:: •:.�::::::::::::::-_ :.:.:...:............................................. :i�� j ��:�:��f�: ;g'.4`�...,.�,��..,.,:'.,...�•::'.......,..x`..`'`_,..y�.�'..''`....�.�........:.�:�......':';::'•'::;:;:y;:.'..�.`.�•'....••.'�..�. ..... :: `::�:;:�':'::::::::::::;:::::::::;::::::>'.�'�:;`<�:�::�::��:�;::�:::::ti::i:::::;:::::>::::::::::::::::�:::<:::::':r;;:;>i:.:::;::��%i:i:::::: :::::::::::::::::::::�:i �::::;�::�:�:i::�::%:�::::::::::::::::#::::i:':'��i:;:r::i::::i:%;:;:::::::::i::::�� :::;::%::;;;�?. .......... 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THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII. 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 tl� City of Fridley and with the Minnesota Construction Codes; that I understand ttus is not a petmit but only an application�for a '�'and w k is not to start without a permit; that the work will be in accordance with the approved plan in the case of o�k u�an3-�-approvai of plans. SIGNAT[IRE OF APPLICANT r �� r" �! / PRINT NAMEJV ii� /-tGrl95 -�%l�'.1�JRt+/� DATE ' 6 euvunver n.reuvr�rnue ern_wT�mrroa ........ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � Date: 4/20/2010 Revision Date: 4/20/2010 Site information Address 1: 6550 Arthur St. Address 2: City: Fridley County: Heenipen Application Information Business Name: Aabbott Ferraro Inc. Contact Person: Nick Steckhahn OfFce Ph: 651-776-7214 Fax: 651-776-1244 Address 1: 2328 Terminal Rd. Suite 3 City: Roseville State: MN Zip Code: 55113 Existing Construction: Pre 9 994. Project #: 6550 Arthur Lot: Bladc: Subdivision: MN ConVactor License #: Cell Ph: 651-248-2884 Combustion Aapliance Water Heater. Natural Draft Input BTUs: 35,000 Independently Vented Fumace/Boiler. Direct Vent/Sealed Combustion Input BTUs: 80,000 Independently Vented Other Combustion Apalianc�s Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Eauiament Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 170 Make-Up Air No Make-Up Air Required by Code Combustion Air Round Rigid Required: 3 inches or Insulated Flex: 4 inches �,//' f � j --�---:f . � � Applicant Name (print): /� ic � I v�� S S i��r,ls ��ignature/Date: �'�'y� � � ��- � 4 P p ,� ,� Code Official (print): Signature/Date:.� �� 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Pa�e 1 Building II1SpeCtlOriS 763-572-3604 763-502-4977 FAX S17'E ADDRESS _ THIS APPLICANT LS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERNIIT TYPE �r�rnE oF wo�: PLUIV�ING RESIDENTI�L APPLICATION CITY UF FRIDLEY r�c�nvE i-�ao�o YOUR ❑ OWNER �CONTRACTOR Permit R��a sy:. STATE LICENSE #� (' �`�, a � EXP DATE STATE BOND # ---- E}� DATE PHONE A�SINGLE FANIILY �� DETAILED DESCRIPTION OF WORK O TWO FAMILY O REPLACEMENT FAX O TOWNAOUSE STATE ZIP FEES ARE BASED ON $10.� PER FIICfURE, EXCEPT Wf�ItE NOTED. FIX7'URES: (IIVDICATE TOTAL NUMBER OF EACH BELOR�. MII�IIMUM FEE $35.50. BATH SINK/LAV _FIAOR DRAINS SI30WER WATER PIPIIdG ,_ BATHT(JB GAS PIPING (IVEED CITY LIC) SWA�vIING PaOL WATER SOFIIVER ($35) _ CLOTf�S WASI-IER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHR+ASI�R _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATiON _ WATIIt MEI'ER OTHER Nwmbet of fi�u�es (a� $1Q.00 � x $10.00 = $ � �° .� Number of Sxdu�es @ $i5.00 x $15.� _ $ Numbet af fixtures @$35.U0 x 535:00 =� State Surcharge $� Tota1= $ 'vltJ. 6l) THIS IS AN APPLICATiON FOit A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing �mrit and I acknowledge that dte inform�tion above is c;amplete and accuraie; that the work will be in conformance witi� the ordiaances and codes of the City of Fridley and with the Mumesota Conslruction Cades; that I understand this is not a permit but only an appli�� for a and work is not to start without a permit on site; that the work will be in accordance with the approved plan in thf��►� °' ork which requires review �d approvat of plans. SIGNATURE OF NAME ✓Gt I�Gk'! GGr � J'ril DATE �-�'/ YO City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � �,o'