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AF - 44307SuBJECT City of Fridley 18162� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � 'V ��'� /� oY r � � PROTECTIVE INSPECTION SEC. ' i ' � /"'1 � CITV HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'""'� � ,�� 612-571-3450 et0-F15 8/15/85 � � JOB ADDRESS 6616 Arthur Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.O 2 Creekridge SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Michael/Diane Domino 4233 - 3x`d Str�t, Coltunbia Heights, MN 55421 789-4622 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. S�ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENCaINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING Resic%ntia,l 7 CLASS OF WORK ClX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 2�' 6'" x 33 � Dwelling a,nd a 20' 6" x 28" Atta.ched Garage 9 CHANGEOFUSEFROM V�9IRENG� IIGK�Ii�it.i, PLUMBING A,ND �l�N�a STIPULATIONS proyide a hard snr$ace driveway. Provide sod in the front and side yards Provide City with c opy of the verifying survey before capping. Paying a$1500.00 Park Fee. Paying $324.00 for a 22' Driveway Curb Cut Escrow. Credit of $425.00 on SAC charge from s,chool razing. . � LOCATION: "Wye" 109' North. of Manhole (.Dep'th 6' ) WATER SERVTCE: 10' North of $ev�rer TnYye MINIMUNi FOOTING: 881. �11ARN�� THE CITY OF FRIDL�f �S ��' ��qN�,� .�� ore digging call local utilities ACCURACY OF UT1L17'� �I.�IA��,�� y.�,��pN� '�'�l.��IONE - ELECTRIC - GAS E�c. THIS DATA IS FOR 9Ti1�'I�{S��i� IPLiR�'1�� 3A1LY, ��{��,,�� .`�."�; AND PERSONS 4lS99�� '�� I+1��1�� p;�,� 3/FR1FY IT ON THE ��, SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. iIQOOC; Fr�[LG 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 R]. �.�.1.% + 574 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 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $72.350 $36.�.8 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. �332.00 Credit fram SCYlOOI. PLAN CHECK FEE TOTAL FEE 80.50 $448.68+PF&DW SiGI�'�"` N�RgCTORORAUTHORIZEDAGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT / j,j `�[' � o r[y � e� ,,. p� � � � —(!� J �\ �� C! � —�s� SiGNaTURE OF OWNER�iF OWNER BUILDERi �DATEi BLDG �NSP �AT - � � �h � �..� NEW [] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AAD R-2 pLTER. [ � Building Permit Application �f ��huw �'� C�nstructi�n Address: �� l� ' Legal Description: �� ,� �%e h�, C � e� tr �RiO�g e. I� �� Ca� u K��h �, Owner Name 6 Address: 4r`+e��c� ��iar�� D�"iv�� Tel. f �%�`� Y�22 Contractor: s ►'h e Tel . � �`� �'' '� Address: �" �%2 3.3 3r Sf. �aluvhb�y /%��hf'.5 , l�i�I. 5'� e/Z� Attach to this application, a Certificate of Survey of the lot, �+ith the proposed construction draWn on it to scale. DESCRIPTIOH OF IMPROVEMENT � •a i LIVING AREA: Length ��w� ,� Width 3 3 Height Sq. Ft. GARAGE AREA: Lengtho�� Nidth O��^ Height Sq. Ft. DECR AREA: OTHER: Corner Lot [ ] Length Width Hgt/Ground Sq. Ft. � . Inside Lot �j`] Ft. Yd. Setback �� Side Yard Setback `S ✓4'�5e -/p ` I � �� ' °u� Type of Construction: ��°'" Estimated Cost: � > D Approx. Completion Date: !V o U� ��{ 1 98 � � 2� /�� Alt. A Alt B � Proposed Driver�ay Width If Nex Opening Is Desired: � �-��`--�.-- a See Back Page for Explanation DATE: .�' �'� - �S APPLICANT: f 2� �O 1�- � t'► p Tel . 4 78 y- y 6 z z Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge roraL STIPULATIONS: CITY USE ONLY $ ��a�� 3�o B� � �.�1�°1� a �° � g I�oo� � a Iq�l�a 6� � ��e � U � R� � 1 �� y c � Fee Schedule on Reverse Side 25i of Building Permit Fee �.50/�1,000 Valuation �425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �y , i e BIIII.DIHG PERMIT FEE SCAEDIILE 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 applicatio n 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 Yaluation a1.00 to �500.00 �501.00 to �2,000.00 Fees a10.00 (Minimum Fee is �15.00) � �10.00 for the first �500 plus �1.50 for each additional �100 or fraction Lhereof� to and including �2,000. a2,001.00 to a25.000.00 �32•50 for the first �2�000 plus a6.00 for each additional �1,000 or fraction thereof, to and including �25,000. 525�001.00 to �50,000.00 aso,00,.00 to 3,00,000.00 �100,001.00 and up �170.50 for the first additional �1�000 or including a50,000. �283.00 for the first additional �1�000 or including �100�000. �25,000 plus �4.50 for,each fraction thereof� to and a50,000 plus �3.00 for each fraction thereof, to and �u33.00 for the first �100,000 plus �2.50 for each additional �1�000 or fraction thereof. DRIVEIiAY DEPRESSION ESCRO'ii (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times $13.50 Alternate "B": Removal and replace�ea�i �f curb and gutter and install a 3 foot wide approach With 6 inch depth - Driveuay width plus 6 feet times �15.75 � VERIFICATIOA OF FOUNDATION Permits for construction vill be issued a minimum of 24 hours from the time of application to alloW for proper reviev of the proposed structure and of the construction site. A Certificate of Survey of the lot� shoWing the location of the foundation onee it has been constructed Will be required before proceeding �aith the framing. '�`2,,, 3St�,� �,�, I�, � �r 26es � �'i7��.�ti � �,t�.�•��f �� , �� . � A � 83,oc� 2c� � ��, � G �c�� r �. � ; �, �� '��e � Z 3�,��► � Q. ly.s� Z4.� L��,•�c �l�.��f = 22, �5��.3� 3�?.C�� 3`� �' 2� _ (� �c �6+�e sv : 2�j, P3�� .ya ��n. '��.; �el� �� X [2�15 �t �l'�.(�6 �a��y� _.. � RONALD F. MEYER - LsND SURQEYOR L1►ND SUINtvIN6 BV/DIVIf10N D[l16N T[L[rMON[ 771-4S6d 063 JE/�IC ST. ST. PAYL. MINN. 3�101 I hereby certify that this survey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesoto. -,,r .�� - :�;L i:� � . / • : Reg. No. 9051 Date: , ;' � �f .,► . 30 ��: � / .;. �,:. j / ol �°� � F � q� �t • y,'� . 1 �\ �1 A j . �, �1 ,� � 1 1� /27 DD 10 �-- . /Z,s 9B � . o .' ; � o Indioatss iron moAnment placed Scalee 1" = 30' I �� I W � �� , � . � � h , � I � I � • '�•• •a Lot 10, Blook 2� CRffi{RIDG$� Anoka County� �aota. ,..� N 30 �l1 I 1 � �� I� � o� b i G✓ ��9� ��' � . ,�� ,.Q � i .� � . � 0 � � �� , C,��`, � _ �� . ; � a . �. ,� �:= s crnroF FRtDLEY CIVIC CENTER • 8431 UNIVERSITY AVE. N.E.. FRIDIEY, MINNESOTA 55432 • PHONE (6121 571-3450 November 26, 1985 Mr. Michael & Ms. Diane Domino 6616 Arthur Street N.E. Fridley, MN 55432 Re: Final Inspection at 6616 Arthur Street N.E., Fridley Dear Mr. & Ms. Domino: A final inspection was made on November 26, 1985 of the above noted address and the following items were noted which must be completed before the structure can be finaled out: 1. Provide City with a copy of the verifying survey by Decanber 16, 1985. 2. Provide sod in the front and side yards by June 1, 1986. This structure is approved for occupancy prior to the completion of the above i tesns . We will expect these itens to be completed by the scheduled dates when a reinspec tion will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Si ncere ly , DtARREL G. CLARK Chief Building Official DGC/mh sue�ecr p , City of Fridley 2 9 0 4 6` AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � `v _ COMMUNITY OEVEIOPMENT OIV. �� Q r � � PROTECTIVE INSPECTION SEC. i--_.� �/'�' �'� CITY NALL FRIOIE� SS13Z NUMBEp IIEV DATE PAGE OF APPROVED B� L 612-571-3a50 s�aF�s 3/23/99 / / JOB AODRESS 6616 Arthur Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMEO oescR. lp 2 Creekridge SNEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Sue Jackson 6616 Arthur Street NE 571-1499 3 CONTRACTOR MAIL ADDRESS Z�P PNONE LICENSE NO North Metro Construction 525 Tower Pond Ct, An.oka MN 55303 712-0533 0 AqCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 20098397 S ENGINEER MAIL ADDFiESS ZIP pMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR p MOVE ❑ REMOVE B DESCRIBE WORK Reroof flouse & Garage (26 Sq) Tear-off 9 CHANGEOFUSEFROM T� 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. TYPE OfCONST. OCCUPANCYGROUP OCCUPANCV�OAD SEPARATE PERMITSAqE REQUIRED FOR ELECTRICAL, PLUMBING, NEATING. VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTHOR12E0 IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOE� OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFfSTpEET PARKING I HEREBV CERTIfV TMAT I HAVE READ AND EXAMINEO THIS APPLICATION ], STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE Of WORK WILL BE COMPLIED @ WITH WNETNER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT �2 � ZZH W 1. i l DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi TME PERfORMANCE OF CONSTRUCTION �7�F. �IS Fire C�2. Z3 PLAN GMECK FE TOTA F E �1.� � _ ��'� L e C $83.09 S�GNGTUpEOFCON•AACTOAOpOUTMOA�2EDAGENT �OATEi NEN R P VA IDA IS�,YOU PERMIT j� � S�GNOTUpE O� OwNEA��F OWNEpBU�IDEpi �DATE� � G�NSP �iFtE B TTEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 f�;� � BUILDING PERNIIT APPLICATION �� , c;, �r ,�{ ConstructionAddress: �� I lo � r1-� ��' �' , i r� Legal Description: � c. � s Owner Name & Address: S c,�� c�s�.-� Tel. # S 7 I- ��`� �1 Contractor: y�� -I-� t,�e-'t'�e� a,��-r��-��-� MN LICENSE #��o� ��3�1.`� Address: �o� S I w e r 'I�� G� . f�-� c� ��►�� , Tel. # 7 � a. - o S� a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'rION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECB AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1 e�� o�-� �} c� �,�-s �. � G �, ��c� � �� c�� r-e - ConstructionType: ��- (�o�� EstimatedCost: $ 3-; ��C�-' ,�� . (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 3 - � 3 - � APPLICANT: �-cv� � _ �J�� Tel. # � ► � � � 5 � � Permit Fee Fire Surcharge State 5urcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ , � S_ $ � �.3 $ /, / / $ $ �UU $ $ $ $ $ �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] � 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 appl'ication 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 $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,(}00 plus $12.50 for each additional $1,000 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 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,Q00,000 $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 F(�UNDATION 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. o� a�i � � � � � c � "� C � � � H � � W a C7 Z t" lJ.. 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I N N !" a d o' d d � � C U .� � Y 4S �- # � LL � C � � �.�.. 3 m F' n- W O �y z'^ �0 C p� � � W `� C N C J �� m��` a m�• m � ��'� �m 3 � � a °� a� � m �u► m�m�oa�F.xx � zLL—°, a, a p ,� 3 n, �� o x A 3 � ar � +�• � � � � � � � m F-' v o Z O Gm0 c[t U O�C U) ��S �i t7 C7 Qo � � � � O Q w � Z � Q � m Q- oC Q- Q = W O o � � � m � O � a � N � W � 0 � � u�i, o a T �� m � � t U � � '� � �� w w LL � � W Y U Z 0 � � W N � �� Q { � w m t�- � Z Q a 0 � z O F w N U � � w a B O O � a w m �¢ _ N a a Z � F m g U # C�� `� � �C� O O N � Q Q N � N W � 0 Z O � ~ N U r W � a � � � Z M } W v W Z �J � � Q M � ��o LJ.. � Z M � � O? � � a� � M c � U� �� m _ N f0 � O.—,,.,� O � � o � UQ:_..,.....,�'....... u� �:.:::�: z :: • <>:: O:: � �:��: w Q`o •c�o O fn LL � z W ;:;:::: �:'•.::::�:�.' m ;;�:`::� � :. •;:::�: f- `:: :�::� ��...:..... w � y > >C � I-" � LL ::�::�:�::::'i:�::� Q :;�:;:::;i:::>3:; � :a:::::;:: ... 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Z � C am � � � � y � � � 3 � m � a`��m �°��—_= c�o �i° � i�DOO � � � � ,o L o cLi c� m m m�� Y H E �n m a a zOmmU�c�n��C�C�m v � � O Z J H m � w z � � � Z O � W J Q � � C Q � � Q a� 0 �a 2 w a� O � � O � '� � Q LL �o 0 N Z � � Q 3 c� j � .j W O _ Q �- o � C J N �Q� m c0 � C � m co � C t rn � 0 � m v > 0 Q a Q \ \ tii W W LL � � .� � � F- � � u.' � � Q co W J m H Z Q � 0 � Z O � W � � � W m � J 2 � � Q Z O H � � m � U � , FILL IN COMPLETELY FOR REPLACEMENT FUEL BUF�NING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUS'TION AIR VERIFICATION 1Nhen realacinA an existinq furnace, 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. The venting system is plastic/PVC and meets all current codes and manufacturer s�ecfications including sizing, length, number of elbows and terminatidn. The undersigned also verifies that the replacement unit is a listed assetnbly and meets the current codes and manufacturer's specifications. This dbes 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 meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and in�talled to meet the cuRent codes and manufacture�'s specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) When installina a new ventina svstem, the undersigned hereby verifles that it is a listed assembly and meets the current codes and manufacturer's� spec�cations. This does include AGA-GAMA Category I Central Fum�ce V�nting Tables for fan assisted and natural draft appliances. ; Yes () 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. No ( ) No ( ) Yes ( ) No ( ) Appliance Tvpe 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 Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : ocd �O `P ` Building BUILDING Pemut No.:. Inspections RESIDENTIAL APPLICATION Received By• 763-572-3604 CITY OF FRIDLEY vate Rec'd: f� 763-502-4977 FAX ��.rrv� 1-1-09 DATE �IZ�i' �2�� YOUR E-MAIL ADDRESS I i S LL`t CJM f' ��MQi I. CDWI srrE�nx�ss (o[a![o �}r+hu.r St�e�+- n1E THIS APPLICANT IS: ❑ OWNER �CONfRACTOR PROPERTYOWNER/ NAME: �Ci-Y1C�.�I f `Tt-�.liQ., �F�a�f(lI� TENANT ,�D�ss: �l� t l, �hY+h u�r St nf E ci� Fr i c1 l 2a! sTA� Mni z� SSy-32 PHONE: �(� 3 S7l • 4334 CONTRACTOR N�: C,rcL�-r,nna.st�,rs Rem� e� �,nQ SUBMTf A COPY OF STATE LICENSE # 2.DLoZ�Z�-%3 EXP DATE 3 3( 12.0 � O YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: �4S �o52.LQWY1 fac�l2, E�Zq CITY M(�.i0l21.U00C� STATEMNIZIP SS �( 7 IN5URANCE Pxo�ve �5 l 75� •� l aO F� �5� -r5� •�� oCo PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION s� ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER O SWIMNIING POOL T'YPE OF WORK: ❑ NEW HOME CONSTRUCCION ❑ ADDITION 1�MAINTENANCfi/REPAIR ❑ REMODELING DESCRIBEWORKBEINGDONE: �.Q.QIQL2 �D(A-��NIC1G�DUI 1R Q�CIS'I'IYX} �P2S�iY1Cd SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl �Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ T� 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 �Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF L�V iv�4 Ro�� OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ID4- NUMBER OF WINDOWS �r1P� ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION S I, 3 S�oo�G THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge 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 Pernut Valuation Minimum $.50 $ e„ � $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks uavable 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 aclmowledge 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 which requires review and approval of plans. SIGNATUREOFAPPLICANT �lAG�T�'tRAJIJ4,Q.YlLI.Q PRINTNAME �.ISQ„ /fevi�anu.5 DATE C�/iJ�/%�I 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 applicarion 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 18` $500 plus $3.05 for each addirional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 18S $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1g` $50,000 plus $7 for each additional $1,000 or fraction to and " includin $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 includin $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 includin $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 Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, NIN 55432 763-572-3604 Fax: 763-502-4977