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AF - 36441� � r� U • City of Fridley, Minn. BUILDING PERMIT Date: _.._..._f�._Ma�ch 196Z._._..._._..__.._._..._.___._.�..__._ �C 9 i� ]�y'Q 914 �) Owner : .:...........�obert _ Pro�ulc__._..._.._..._.._._....__.__ Buiider _.._ Rodn�_,Billman, _ Inc......._. _ Address....._......._ ............._.._.--------..._._._.�...._..._._.._...__..._..--..-.----- - Address _._...3000 .-.--- 36th_Avenue__� ._..__..__..__.____ xo. ..15 3 0._..._...... Lot .--��----8 ..._......._... Corner Lot ----_.---- Sewer Elevation LOCATION OF BUILDING Berne Road Street..---------------••--...._..._.._..._...---.._._.___-------.__....--�-- ......................_..... Part of Lot ...._..--•-•_....__...__..._____._.�..__... 2 Innsbruck 5th Addition . Block ._.._..._-•--•--••-•--•-----------_..--------._. Addition or Sub-Division ...-•---._.._._.._.._...__.._.__.___.__.___.__._..__....... ..--•--•--- Inside Lot ------......_X.......------.------ Setback .....__35.....-•---._._---.-- Sideyard .._...._._.__.._.._..___._.._�...__.. ---••-•- --•-•--.._.._....---..._....----•------_..---_...._ .............---...._ Foundation Elevation ---•--...--•--.._....._...._......._...._.._.__—__.__ DESCRIPTION OF BUILDING To be Used as: _._A�ni.�lllll,�.._....._...__ Front _...50...---_ Depth ....._.26...._. Height ---��---••-----. Sq. F� _1300.._ Cu. Ft 26, 000 _.. Garage......_....... _...._ Front ___��.....__ Depth _..._ 28..._.. Height .._1�.._....__ Sq. Ft. ----560_.. Cu. F'� ..._5,600 --• -•- Frame .��, Cost _....�.$..$26,5_00._......._. To be Com leted _7_-1�-67.._.__________ Type of Construction _..._......._...._...---------..._....__..•-•_- --- ....... p Sewer: 151' West of Manhole at St. Imier Dr. Water: 161' West of Manhole at St. Imier Dr. Top of footing: 978.5' In consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above set forth d in compliance with all provisions of ordinances of the city of Fridley. . __...._ _? L�� In consideration of the payment of a fee of $....�_.._._32...IID, permit is hereby granted to Rodney M Billman, Inc . to construct the buil ' '' ' ' permit is granted upon ._. __,........_.._...__.__...........---_._-- -_ duig or addit�on as described above. This 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 buiiding, or any part thereof, shall conform in all respects to the ordinances of Fridiey, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of bufldings within the city limits and this permit may be revoked at any time upon violation of aay of the provisio�s of said ordinances. ,�A�CE �ELISLE g��g �� NOTICE: • Thts p�emh doa not �owr tks eonstrudion, instdlation fsr wiriny, plvmbing, yas h�aUn�, s�w�e or wN�r. 8� sun to »� fha Buildin8 Intp�cfo� fe� s�p�rat� p�rmfts fe� fh� fMms. OWNER'S NAME APPLICATION FOR BUILDING PERNIIT CITY OF FRID�LEY, MINNESOTA . � ADDRE S S � ADDRE� Sy?i �o -- � (v �/t�� LOCATION OF BirILDING N0. _�,5� (� STREET � PART OF LOT L�� BLOCK � ADDITION OR SUBDZVISION �ti.�/1��,,`� ;�� /�-�. ; CORNER LOT iNSIDE LOT ✓ SETBACK .�-.�� SIDE-YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates �of Survey of Lot and propoaed building location drawn on these Certificates. DESCRIPTIOR OF BUiLDING To be used as; � �/�j C� � � �- Front..".'_�°Depth�Height � �� 5 � ��i�zC...�.u� Sq. Ft . j ,� � �a .5�� Cu. Ft . �� :� - �"71�""G► - � �'�� '1 i ;• '�,�,_,,.;� Front � �� Depth. �� r � Aeight�� , � Sq. Ft. � ' Cu. Ft. �`i . �. 0 0 d Type of Construction Estimated Cost �� v d � To be _completed �� ' 6 � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and rulings of the,Departanent. of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /�� C� � �� 4 �� DATE SIGNATURE � � (Schedule of Fee Costs can be found o�/�th everse Side). U ;r ., � �. c: <<. . �� . � � � r�, �-�, /V S S � ,;s, � � � ��., �,. �, w-� � �; .}� ��. -..� � T� � �- , �, w� �� -� ! �.._ • BUILDING PERMIT FEE SCHEDULB SECT� IO_ IQ 2. The Iaspector of Buildings shall, before is.suing any permit for the erection of any building or strucCure, or for any addition to any existing building or structure, or for any al,tex�.tione or repairs to any existing building or structure, upon agplicatiori therefore, require the payment by the applicent 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 ahy fire-proof building, other than a garage, warehou�e, 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 �1.4Q for each one thousand cubic f.eet, or fracCion thereof, in such cubical contents. 2.2 For any such.permit for the erection of any fire-proof garage, warehouse, factory or grain elevator, Qr for the erecCion of e�y fire�proof addition, for similar occupancy, to any existing building shall be at the � rate of $1.25 For each one thousand cubic feeC, classified as '�fireproof" by Section 502 of the Minneapolis Building Code. . HOIISES 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 add3.tion, for similar occupancy, to aay existing bui�.ding - 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, factary or,gxain elevator, o� for the erection of any non-fire•proof addition, for similar occupancy, to any existing buildiag or for each such building or addition - nin�ty cents ($0�90) for each one thous.and cubic fe�t or fraction thereof, in Ehe cubical contents thereof with the minimum of $4,00. For the purpose of computing £ees for building permits, the cubical contents of any building or addition to a uniform height throughout by mult�plying the ground area covered from a point six (6) inches below the fkoor line of t�ie basement or cellar to the average h�fght of the upger surfawe or to the average height of the roof surface of tihe main gable of a pitched ro.of. 2.5. For repairs'or alterations to an existing structure, the fee.ehall be at the rate of $3.00 per each Five H�1ndr2d Dollars ($S UO.Gt�) ar fraction. thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit Section 2 be less than $4.00. STORM REPAIR DAMAGE ^�FS: Residential; Co�nercial; Estimated Cost of work up to $504.00 -$5.00 Estirnated Cost of work over $5�J.00 -$:.U.00 Estim.ated st of work .ug ta, $5�?�.00 -$10� Estimated�st of work over $SGti.00 - $20. as set forth in Application �or Power Plants and Heertfng. Cooling, Ventilation. Refrigeration and Air Conditioning Sys�ems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE T� Furnace Shell & Duct Wark . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs dc Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & IJuct Work to 120,000 BTU . . . . . . . . . . . . each add. 60,000 BTCT ............. ....... .. . Replaceznent of F�rnace .............................. � Repairs & .Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . .... . . . .. .. . . 8.00 $ v 2.00 � 5.00 $ 5.00 $ 2.50 $ �BTEAM K ![OT �NAlER SY�'Eli[ Fizrnace Shell & Lines--to 400 sq. ft. EDR Steam .... . 8.00 $ Furnace Shell & Lin�-to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR 5team . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDft Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURDiER—to 3 Sal. per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal, per hour—See Fee Schedule GA5 BURNEA (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ v GAS FITTING FEES: lst 3 �xtures ..................... Additional Fixtures ................. Gas Range to 200,000 BTU . . . . . . . . . . . NO RATE TO�iL _x$1.50 $ 1/ _ x .50 $ _ x 2.00 $ AIR CONDITIONING a FAN HEATING SYSTEM See Fee Schedule VENTILATING 8YSTEM $ ALTERATION3 8t REPAIRS TOTAL FEE ROUGH �-`� � .�, Jk : / �� o � f� �� , S/ FINAL �+"� �,��,.,�.��.w�, Depi. of Sldgs. Phone SU �-7470 ��O � � �� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true a correct. , � Eridie�*, Minn. �' , 19 6� ,� �✓/ _ Owner Kind of Used as To be completed abou� Estimated Cost, $��D� � � � -- 4��uilding Permit No. !/� a/ Permit No.�O �� DESCRIPTION OF WORK HEATING ✓� _ , , Warm Air—No.� Trade Name �G��-P� Size No.,%��/��/�� Capacity Sq. F't. E.D.Rr��, 7� D BTiJ H.P. Total Connected Load �� 9�j Kind of Fue� %'c�� BURNER — Trade Name ,��/ Size N �U'�'�� Capacity Sq. Ft. E.D.R�� ' BTU g,p, �%'1�'� �/j l� � � � L� ' �,/`r-�.� : (� • � � (REMARKS—OVER) �'� a 2 4M . � .� �j ii�� .► . . : -. . � i � � • �. - � � �.. � � �� i � i -- �,� � . � ��. � ,�g � �'� . ��,7- � f � .� �� HEAT LOSS CALCULATIONS ' DEPARTMENT OF INSPECTIONS < MINNEAPOLIS. MINN. \ Weathustrips A.S.H.V. , Conatruction No. Iaaulation Guide Windowa Doors Reference Out. Watl Int. Wall C.eiling Roof F1oor Kind How Applied Yes-No I Yea—No 19_ — Fl.� •��'t-, Room Length Width 'j,. Height FL� , ��{ ooat Length '-Width • Haight Windows and Doors—Crackage and Area �s Windows and Doora—Ccackage and Acea �� tV1Jth Height No. of Lineal tt. Ares _� r Widt6 Hei�bt No. ot Lineal [t. Are4 � `� � � No. ot Dane o! Dane Iigh[a ot crack �q. [t. . No. ot pans o[ pane U[hb ot cract p.. tt. . .� "�.�. G.-�i �' �"3 � �. IG � � 'i � � � �� 1 � '� ".� '�` � �+� �ip "� �-; � Coef. Btu C' "� , Coef. _' $tu . Infiltratioa , � "r' =-� Infiltration ' ` ` Glaaa ,,.'' ' Glasa Exp. wall �,r _ Exp. wall ^`'�' Net cxp. wall � � Net ezp. wall Int. waU - Int. wall , Ceiling Ceiling �„ Floor �� sf '�° � �` �`+ z Q ' � ' ' Floor Total Btu. "`� Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area Required aq. ft. E.D.R. or eq. i�ta, �.t�. l.eadtr ares Fl.� �, Room Length ,� Width Heeght "�` f FI.I ?�, -:;= K Room ( l.ength . Widih " Hei�lit � Windowa and ISoora—Crackage and Area /""` Windows and Doora—Cracicage and Area � Width He18ht No. o[ Lineal !t. Area . �� Width Het�ht No. ot Line�l tt. Arei ` No. ot Dane ot pane Itshu ot cnck �Q. tt. -- •- No. ot D�ne ot pans It�hb ot crsek �Q. tt. • '„' „' "i � � � � � � i � . _ .. � .- F : �,,..,� ._ . . COtf. Btu 4 Infiltration � Infiltration Glau Glaaa _ ' Exp. wall � ?'� '�"i Exp. wall � �� - . , Net exp. wall �� . Net esp. wall lni. wall Int. wall Ceilin8 / �� Ceilin8 � �! �"' Floor Floar Total Btu. 1 f" Total Btu. �°` Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Re uired . ft. E.D.R. or aq. ina. W.A. Lea r area Inapectora notea: 0 ,,. � . � , � � �' ,'� Permat Fee �•-•-•-----• ................. APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No.P ..............•--------- ' Date of issuance--------------------------------------••---•- --�--•-•, 196---••- L�tion_._... ..-----------..._... ;.----- --•-...._.._........... .Minneapobi�8, Jrfinn.,•---•-------------••.•--•--•---•------•--....., .T96._.... Inspector of BuiZdings The undersi�sned hereby makes a.pplication for a permit for the in.stalla.tion, alteration o�r repair af a hcatin5, �zir eonditioni.ng or ventilatin� s��stem, device ur eqzai��r�ient, as he�•eire speeifced, 2�reein� to do a.Ll• �uch tt�ork tn, strict aecordcince tvith the City Ordincin.c�c5 ccnrl rulin�s of the Departnzent of Ingpections ancl tlze tipeci ficutions set fcrth in this application as �c��ruz+c•d and filed in tfre. Drpartnient of Inspeetiartx. ...�Iddre�r o __ ----••- -----•---•--•------ Oumer ...................•••-•-•----•--•--••-...._..-•--••-•--•---...__....._.....--•--•--- f Ouner_...-----: -..---...-• - Kindof Building---• ...............•--•--•-- ----•--•---.._...---•---.....---..How occunied.....------ ----._.i.,.-----••--------•--...------- -•---._ .._..:...... , ' Work to tic started-------------------------•---------------------•--, 196------ Work to be completed-----------------------•-------....-----, 196.---•- ' Estimated �'ost �---•--------------------•-----•--•---•------•-----•---•--••---Old — Ne�a Bz�ildirz�s Permit No.--••---------•--------......._......._....._ DESCRIPTION OF WORK � Nofe: Insert the word instaN, add, alter, or repair, aaording io which is to be done. Undar "Rsmarks;' itemize removols, if 4ny, and alterations to equipment. -•---.Mechanical Warm Air Heating Plants—Furnaces --------------• -- -. fi.�^: � i: dYfake----------------•-•-----•--••--•------•----------------------•-----..._..._�__...----------•---------•-•----•Size ...-----••--•--.._._.........._.._.._..._ Conneetedload---------•----------------------•.._........----.._..---••-•-•------•-----------....---•-•--Capcccity •----•--•--- -••--•---�----�--._�......._._:_.'_,.:..._....: ; Air Conditioning System: Summer — Wir�ter — �411 Y'ear------------------•------•-----------------------------------•----•-•---------...-.---•-- JKake-•----•--•------• ...............•------•----••---....__...........-------••-•---..__..._.. ..Capacity-•-------•--------•--------•----•--••---Cim• ------•----...----------......__ ....................................•------•----...._......_._._.......---....-•-•-•-- --•---•--•-------- -_. _................ .--- -----------------•--------------------------------------- Ventilating System: .Mcake----......-•--•----• ....................•------••---•- -•------;-Capacity.-•----- -------------•--- Cfm..-- --------- _ ....---•--------- ------ ------------------------------• •---••---•-•---......---•----• Explanation of xork to be done: ____.__ ..._..---...--•-••---• .................................................•----...._... ._..--------•-----------------------•---•--• .qpproved---------------------------- •-------•-----• ..... ... ........•---------•---- --•--•--...----...-•-----------------------••--------• •-------....-----------•------•--------..._..____....._.. -------•- -----------••---------- ----.- Plans �rith permit (yea) (no) ------------- 196.----- ..-----•-•-•----• •---••••-----------•• ••-- In,spector. .................•----------------••------ ---------------------------------------• Si�sned--------------•----••------ B�J--------------------------- �4ddress---_�-----•-- Telephone-•---•- � -•-----•-• • •-• ••-••---•------• •-•--•-•-......-•----- ............................•-----------------•----.....---------••----.......------------•-----------�---••---•--------•---.....-----....--•-•-----•------•-•--•--•------------..._......------..._....---- • .......................•--.._...........----....--•--........-•---....---......---....------..._...........-•--•--....---••----•------.._......------•---....-•----•-•--•-•--•----------•------.._....,._._ 0_2o z�e � • 'y' ` � r . 't� •. , , ,, HEAT LOSS CALCULATiONS DEPARTNIENT OF INSPECTIONS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V. . Conatruction No. Insulation Guide Windowa I Doors Reference Out. Wall Int. Wall C.eiling Roof F1oor Kind How Applied Yes-No Yes—No 19— FI.� ; Room � Length �'"Width .�, Height Fl.� Room l.ength Width � Height Windows and Doors—Crackage and Area Windows and Doora--Crackage and Area �Vldth Height No. of Llneal ft. Area Width Height No. ot Llneal ft. Ares � No. ot Dana o[ Da�e lighta o[ crack �Q. tt. �;:�"" No. ot Dane ot pane Ilshts of Crack W. tt � � '� � '� � ;'_ ,� � •'� � Infiltration �. � � � G � '"% Glaas 'Z E�cp. wall � . ` ,. �� Net exp. wall ` "' Int. wall ... Ceiling � �!`.. C"'. � (,'`:. .w Floor 7'otal Btu. �,. 1 Required aq. ff. E.D.R. or sq. ins. W.A. Leader area Fl:� Room ( Length � Width (",} Height Windows and Doora--Crackage and Area Wldth Het6ht No. o[ Lineal tt. Area No. ot psne ot Dane If�hts ot crack �q. tt. . -+y "'�.C"� F� f "'z.. '? J �! Coef. Btu In6ltration �,.� � Glaa: Exp. waJl �. j r Net exp. waU "� C Int. wall Ceiling Floar Total Btu. Required aq. ft. E.D.R. or aq. ina. W.A. Leader area Inapectora notes: Infiltration Glass Exp. wall �'Z �. ' Net exp. wall Int. wall Ceiling � "'� �. 1 Floor Total Btu. Z — -- uired aq. ft. E.D.R. or aq. ina. WA. I.esder area Btu �� ri �, � =-'� T�'t ; Fl.l Room I Length Width � Height Windows and Doora—Cracicage and Area Wldth Hefsht No. ot L1nea1 tt. Aroa No. ot pane ot pans ll�bts ot crack �q. [t. Infiltration Glaas Exp. wall Net ezp. walt Int. wall Ceiling Floor Tofal Btu. Reauired aa. k. E.D.R. or aa. ins. W.A. Leader area ,. � , _� :i � . r �� 1..�d . +t Permit Fee �` ............................ APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No. P.--• .................... Dateof issuance..-•--•--•-•--•-•••----•----•---•----•-•••-•----=-•-•-, 196-----• Locatiorz--••---•-•-•••------•----•••-.....----•----------•-•-•--• ...............•----------- .Minnea�poli,s, ,Minn.,•------------------------•--•-••-----••-----•-, 196---•-- Inspector of Buildings The undersi�ned hereby makes application for 2 pernzit for the instaLla,tiorz, alteration or repair of 2 heatin5, �ir corxditionrng or ventilcctin�% s��ste�n, device or equi��r�zent, as h.erein specifced, 2�reein�s to do a-Ll• such zt�ork in, titrict aecordance zvith the Ci.tz� Ordi.nccn.c�e� arul rulin�ss of the Department of InBpections and tli.c �peei ficutions set fcrth in this application as ap�ruz�rd cznd feled in thc Dr��artneent of Irespeetions. Owner-----•••----------••----------------•---•-•-••----.._....-•---....---••---------•--•---.�4ddres8 of Ouner----------------------------- -- . - ------- •-•-----.....------ Kind of Buildin�---•-------•-•------------------•------••-•-------------••-•----..How occunied...-----------------•------•---•----- -•-•--•--------------------•----•-•---- Work to be started--------------------------------------------------- 196------ I�'ork tn be completed---------------•-------•-------....-•---, 196..---- Estimated Cost �------------------------•-----•--•--------------•-••----.-..�.Old —.N"er.a Bu,ildirz�s Pernzit No.----------------•-----..__..........._.._._. DESCRIPTION OF WORK Note: Insert the word install, add, alter, or repair, aaording to which is fo be done. Under "Remarks;' itemize removala, if any, and alterations to equipmenf. ..................•---------••-•-----..._.....__Mechanical Warm Air Heating Rlanta—Furnacea ._.....----------------------•-----------,-----,-......-•-•---•---- .hfake----------------------•------------------------------------•-•--------.._._...-•-----------......._._..-----..Size •-•---------••---•---•------••----•------ -......-------••--------._._.._. Connectec� load---•--•----•-----•-•------••-•----------•-------•••--•--....----•••--••---•-•-••-----------.Capcccit�J -------•-••--------•-•••-•-•-----------------•---•---•-----•---- Ai� Conditioning System: Summer — N�'ir�ter —,,411 Y'ear--------------••-------------....._._..-----•----------------------------••---•---------- Jrlake---•--•--------••--••----•-------------•----....---•---........._......_..._......._...... . _Capacity---------•-•---....._....._..._-•-------C� • ----•-•--------------•-•------•- .......•-----------------••---------•-•-------._......---•--•-•-•....-•---...._...--•- ---••-•-•-- ------ -�-----....--•---•-•-----•-----•---•-----------•----•--------•------....._..._...._..---.._. VentilatingSystem: .Make----•--•------•----••---••--------------•------•---••-------------Capacit�.------------------------------- Cfm�---•---------------•---------- �---•--••-•-•-•-------------------------------••--•-••--••----.........-------•--..........--------•--�----------------------------...-•--------....---------...-------•----•-•------------•--.... __.. _.---- Explanation of xork to be done: --•--••--------•--------- ----------------------------• Plans with permit (yes) (no) �-----•-•---._.....-•-------------------------------------•----._..__......_..-------.._..._...------ ------------•----------------....----------------------------•--------•--•------------�----------.._. �-•---•• ............... �-•---•--------•-•----- ---------------------••-----.._...__......------..............-- -------------------•---••---•-•-•-----...-----•-----•---------� --------•---------------------------••--•--•--._.......-•--••--- -----------------------------------------•-----•-----•--•------ Si�^ned----•--------------•--...----•--• •-•-------------- By----------•-•-------•--•--••-•-------------------- .................. � �pproLed------------------•--------......-----•---•---•-------------------•-, 196------ �ddress--------------------------------------------------------------------•----- �---•-----••-----•-------------------------------------------•------------._...._...--•--------------- Telephone-------------------------•---------------------•------......-•-•---- Irt,spector. --------------••-------•---•------------•---•-----...-•-•----•----•-------•--•-•-• • •-...-•-•----•-•----•------•-•------------•----•------•--........----••--• •-----•--•--•------• •--•-•--•-----.....----.... .......---•--...---•-•-------------------•--...---•---•--.._. _........-----•-•-•---•-----...----•-----�---•------•---•-•--•--•-•----• •----------•---•--•---•------....---•-•-----•---•--------•--•-•-..._._. � ----•-...-•--•-.....-•----•-• •--•----...-----• •------------------•--.... D_� _.=�e....�.......-••••-^---• .......................°--••-»--•••-••••-••-•-•-••-•••••--. . ...°-...._...---.._..-°-•------°.... _._................ •-•----•- ._..._..... V t App�cafion 1�or Powt�r rteMts and HsaHng, Cooling, Yenh'btioe. R�ig�rahon aa�d Air Condttioning SYst�n�s c�nd Devius PARTIAL R�TE SCHEDULE 3RAY*TY WARM AIA: �� T�� 1�Lrnace Shell & Duct Worlc . . . . . . . . . . . a10.00 i RePlacement oi I�rnace ..... 6.00 t Repairs & Alterations—up to =500.00 6 pp a-_--_- __ Repairs dc Alterations each add. ;500.00 , g.p� j_ ________ MECH. Wl►R�i 1►I!t �unace Shell ac Durt Work to 190,000 BTU .. .. . . 510.00 ;— each add. 60�000 BTU ............. .. .... 3.W ; RepLcement oi Flirnace 6.00 f Repairs dc Alterations�-up to :500.00 6.00 ; Repairs & Alterations each add. =500.00 3.00 = STFJ►!t or HOT 111ATER SYSTE�[ � �rtsace Shdl d� Lines--to 400 sq. tt� EDR Steam �10.00 S. ___ �maee Shell 6c Line--to 640 aq. ft. EDR f%t Water 10.00 a_ Each add. 200 aq. tt. EDR Steam �.(1f1 �--- --- - Each add. 320 sq. K. EDR Hot Water 3.pp ;__ OIL BIIRNER—to 3 gal. per hour g.pp ; ____ over 3 ga3. per hour�ee Fee Schedule 3A8 BIIFtlfER tup to 199.000 BTU) b.00 ; wer 199,000 B'1'tI See F�e sclwdul� GAS FITPIIiG FEEB: 1�0 RATE TO'IAL lst 3 i�xtures . xs 200 i Additional Fixttues = .� _ Gas Range to 199.000 � 6 0� i � x?`'D5 �- �IA CO1fDTR0ltI�O � �Z�� i� //, • /� P111� iIEJITIIfG 3!�?rJ[ SN PN Se� v�rnia►ru�c s�raraM � �►Lr�rioirs � ��uns rozu. r� �� /D - -5'a ROUGH FINRL � � Z- - % y n.�. o� �aq.. r�. seo-�so �:i�r / � irw_ - - � = ='-�. city or �xai�y: The undersigned hereby makes application ior a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Orditnance: and ruling of the Department of Buildings, and hereby declares that aIl the fact� and representations stated in this applicatioa are true and correct. F1�idley. Minn _____ ! � ., 1S� �' Owner Kind of Buildi� ._____ rJse� as��'�`�i�j-� --_ - --- -- To be completed about _�vi�,e��_`Z Estimated Cost, ;�� J _._ Otd—New. Building Permit No. P�rmit No. .._,�� (U D�CEtIPTi01� OF WORt HF.ATING � POWEA PI.AN1'S--$team. Hot Wata�, Warm Air—No Trade Name g� � Capacity— gq, g�, E.D,R g7V �,p Total Connected Imd g� � �1 BURNF.R — 1Yade N■� g� � �D�db 3q. !t � _ : « �,.> . . ,:� _, � : � i �AiV Y 1400 COf�t;c)�Uf'1, ST. PAUL,. MINN. sip�a� .� �� ' � Hs � pboae �1�� - r%�� .� (lEMARKS-OVER) sus�ecr PER O. City of Fridley �- 15 5 5 9 I AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � f ; � RECEIPT NO. . COMMUiJITY DEVELOPMENT DIV. � � ti: ----- � r � � PROTECTIVE INSPECTION SEC. � 1 i �t � /"'�1 � CITY HA�L FRIDLEV 55432 NUMBER FEV. DATE PAGE OF APPROVED BV �..�_'.�'/ �.J 612-571-3450 910-F15 11/15/79 � � JOB ADDRESS 1530 Berne Road NE. 1 �EGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 2 Innsbruck 5th SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Harry Mayes 1530 Berne Itoad N.E. 571-9128 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Minnesota Exteriors 295 Highway #55, Hamel, MN 55340 478-6002 4 ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install aliuninum trim on soffit and facia and �indows 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERhiaTS RE�7�;r�� V�r�R��( HEATING, P1.UN►BfNG ANp SIGNS, � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 720 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 STAILS 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 3 OOO �I. �JQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMIT FEE SAC CHARGE PR S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S CTIO OR THE PERFORMANC O CONST UCT N. $ Q PLAN CHECKFEE TOTALFEE ��x%0 � $19.50 SIGNATUiiEOFCONTRACTORORAUTHOAI DAGENT IDATEI WHEN PROPER V LIDATED THIS IS VOUR ERMIT ' // /s.� SiGNATUREOFOWNERiIFOWNERBUILDERi IDATEi BLDG INSP �p7 CITY 0� FRIDLEY • AP-PI_IC/1TION FOR RESTDEP��rIltL C3UILDIPJG PERMITS (fdew, Alterations, Addil;ions, or Repairs) awr�ek: � RDDRCSS : � � 3 � �—�- � TEL iVO: .S_.�f ' � � �- � �� , ; ��tr'- - ri'�✓��j-t�� / "`��'c�y''�� ADDRESS: � f- .�t.� �`5� l��`-�- -`� 5 3`�d TEL N0: L� ? � '— �QD�--- Construction Location STRI�T NO : ! � � � STREET: � � � �I �- 11 �, l � �� ,�.�� LOT: 4 BLOQC: ADDITION: Corncr Lot: Inside Lot: SetbacY.: 5ideyards: Applicant attach to this i'orm tti�o Certificates of SunTey of lot and proposed building location drawn on certificates to scale. DESCRII'TI01� OF CONSTRUCTION I'ront: �P� � Squa�e Feet: CUbic Fcet: Front: Depth: H eight : Height: Square Feei:: Cubic Feet: t�...�� --� 2 oz - �� ' - Estimated Cost: $ J ��i Type of Construction : '�' . , . `J-(j-�-v�ttti�.✓.f- • Zb Be �mpleted: % °�- �i "-i � Alt. A Alt. B Proposed Driveway Y;idth If New Opening Is Desised: $ $ SEE REVERS� SIDE OF SHEET . The undersigned hereby makes application for a pennit for the work herein specified, agreeing to do all work in strict accordance witn the City of Fa'idley Ordinances and rulings of the De�artment of Building�, and lzereby declares that all the facts and represen tations stated in this appli are true and orrect. DATE: l�- <S � l � SIGNATURF:: ��'" � ° r- Stipulations: � / � �� _, . � .. _ �` � � j.� IiUILDII�G f'ERM1T (=Ct� SCNCDULC SI.CTTOIQ 2. '1'he Ins��c:etor. �f' l3uilcli.n��• :,h��).1, be%ot�c� i_ �:�uing penniL-s for the erecLion oi any bu5..ld:inq or :�Lruct:tzrc, or foz an}�� aQcii.t�.on Lo any cr,i�t:ing uuilding or strucL-ure, or.' for. any al.t:cration or repairs Lo �a;7y ci:a.,t.ing 1�u�.l.cli.ru� or :;L-r.ucturc, upon ap�,�lication i:hcr.efore, requa.re the L�aymenL by U�e apZ�].a.cant far. sucl� per.mi L- of fees to, the amoun� hcrcin be].ow seL- for.L-h and iri L-}�e �nanncr. nercin providcd L-o-wiL•: • N)'s4J COI�STP.UCTTON: Single 1'amia.y IIomes and Garayes: $4.U0/1,000 cubic fee�. Y.I�AN CIILCY.: 2.5 ��ercenL' of bui.ldincJ pexzni.t fee. DitIV��1AX ll�PRLSSI0i1: (Concrete, Curb Streets Only) � ' A1L-ernai:e A: I2c:moval and re;�lacemenL- of concrete curb and guii:er only; Driveway width plus 6 feeL- x Y15.75 1�].ternaL-c B: Removal and replacemenL- of eancrete eurb and gutter and instalZ a 3 foot wide approach wiL-h �' 6 a.nch depth; Driveway width plus 6 feet r. $17.85 ADpITI0�A1� I �(FOR�I IO I'or the purpose oi computing fees for building permits, the cubf.cal contents of any builda.ng or addition, is determined by multiplying the ground ar_ea covered frorn a point six (6) inches below tiie floor line of i:he basement or th� cellar to the average lieights of the upper surface or to the average heiyht of the roof surf:ace o� the nain gable of a pitched roof. For repairs or aJ.terations to an existzng structure, the fee shall Ue at the r.ate of $3.J0 �ier each five hundred dollars-�($500.00) or fraction Lhereof in the cost o�' all proposed work. , ' In�no case sha11 the fee charged for any permit as set fort}i xn Sec�ion 2 be less L-han $7.50 plus $.50 state surcharge. ' _VERTFICATIO� OF FQUNDATIOf� N�TE: Per�nits for con7truci�ion will be issued a minim�n of 24 hours from t1�e time of application to allow for proper review of tlle proposed structure and of the construction site. A Certificate of 5urvey of the lot, showing the location of the foundation once i.t has beeri constructed will be �equired before pr.oceedinc� with the frama.ng. CkRTIFIC�TE OF OCCUPANCY �PP�-icaL-ion for a Certificate of Oceupancy shall be made L-en (10) days prior to the use or occupancy of aiiy structure for �aliich a buildiiig permit has been issued; and saad structure s2ia11 not be used ar occupied until a CertiLicate of bccupancy has been issued. � sua�ecT RMIT NO. City of Fridley 2 2 6 6 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' i � RECEIPT NO. r � � COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. i�� /'�'1 � CITY HALL FF;IDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED 8� �•""�' �'� 612-571-3450 910-F15 7/5/94 � � JOB ADDRESS 1530 Berne Road NE 1 LEGAL LOT NO. BLOCK TRACT OR AD�ITION SEE ATTACHED oescR. g Z Innsbruck Sth Addition SHEET 2 PfiOPERTY OWNER MAIL ADDRESS ZIP PHONE Helen Mayes 1530 Berne Road NE 571-9128 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Sela Roofing 4100 Excelsior Blvd, St Louis Park MN - 4 ARCHITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAI� AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (32 Squares) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROYISIONS OF LAWS yALUATfON SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 (}OO � L. ZO WITH WHETHER SPECIf1ED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITfEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 54.00 Fire SC �Z.�FO TRUCTI OR THE PE RMANCE OF C STRUCTION. � , ._..., . PLAN CHECKFEE TOTALFEE � � � License SC $5.00 $62.60 S NATUAE OF CON'RACTOR OR AUTMOR ED AGENT 1 ATEI N PR PER VALIDATED THIS IS OU E� � �-�-�� SiGNATUREOFpWNEA�IFOWNEABUILDEAi �DATEi BLDG �NSP �°TE I�FEW ADDN 1�LTER CITY OF FRIDLEY S(IYGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit APp{ication Constructicm Ac{clress: �S_3 0 ___�,�/�,l/C � _ -- ----- �------------ Effective l / 1 /94 �'�.�yZ-- C,egal Descri�tion: Owner Name cXr. Acidress: _��V �'l /�5�� Tel. # �jr7�- `l'/-2-� — Cantractor: �EG�- j�v0 t'( /fl�- � MN LICEI'�iSE # f d S`"C� Adciress: ��j� ��CCFLS� o'JP � Lv/� 5T[.v�iS p,C � Tel. #. � �'Z�- �0 �� Attach to this application; a Certifirate of Survey of the ... .. . � � I�t, with tlie proposed construction drawn on 'it to scale. � , LIVINC AREA= GARAGE AREA: � . DECK AREA: � OTHER: � . D�SCRIPTIO�I OF.I�VIPROVEMEN3': : � . �� . � � Length ' � Width � . Heighf � � � Sq. Ft. � � : � Length .� Width . Height Sq. Ft. . Length _ � � � Width � - . � Hgt/Ground Sq. Ff. '� � . ' . . .. �- . �- � � �� ` � . � �,�?o � >.� � , � i 1 � tl ��': - �? ��" � � � . � • • : . ` . . . . � . � .. . . Comer Lot [) Inside Lot [] Ft: Y� etba�k � Side Yard �Setbacks ._ �..� S .�/ r-� . Type of Construction: �,�4�'��-�+�� . �r ._.�. Estimated Cost: $ 3�.�$--�' ��iC'� - �, � - - �_.�- Approx. Completion Date: J'] / l d ��/ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � fiPPLICANT: �%t� ,�1��/,�j�� Tel. # L�_�'�� Permit Fee Fire Surcharge State Surcharge SAC Ch�trge License Suz�charge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTA[, STIPULATIONS: CITY USE ONLY � �% 7��=' �' Fee Schedule on iteverse Side $ =� � �'� �' .001 of Permit Valuation (1/ lOth %) $ ,i� , � C` $.50/$1,000 Valuation $ $800 per SAC Unit $ `�' - c �' �: ? $5.00 (State Licensed Residential Contractors) $ A1t. "A" or Alt. "B" Above $ �450.00 Conservation Plan Review $ Fee Determined by Engineering $_ Agreement Necessary ( ] Not Necessary [ ] � �[' � lC^C�l CIN OF FRIDLEY BUtLDING INSPECTtON 6431 Universit�+Ave NE � Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residentiai Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Freplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes ��.o�� Effective 4/1/2004 APPLtCA�'�i FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGE�T"ION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS I�� °L� � ��` �� Fee Total $35.00 $ Owner Building Used $10.00 $ ESTIMATED COST PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units� Circle One (Steam) (Hot Water) (Warm Air) �y� Trade Name Size No. $25.00 $�'��J BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1°� of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industriai/institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ � � •� ��$ • *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPIACEM�IT FURNACE Burner Trade Name BTU Size No. HP _ EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do aii work in strict accordance with tiie City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. �IEATING CO �' STANDAAD H�Al'ING & AIR CONDITIONING CI FAX # 6 / �-- Approved by 4'10 WEST LAKE NIFINNEAPU�.IS, � - �-3� Rough-in Date Finai Date � � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinq an existinq furnace, the undersigned hereby veri�es 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 specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assemb{y and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existinp combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () When instatlin� a new ventin� svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting 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 SizelCommon Vent and Vent Connector Information Appliance #1 Type _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type _ BTU Input Fan Assisted or Nat _ BTU Input Fan Assisted or Nat BTU Input Fan Assisted or Nat Tdal Btu lnput 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 : ,� Building Inspections 763-572-3604 SITE ADDRESS � THIS APPLICANT IS: BUILpING. RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS OCONTRACTOR Permit No.; Received By: . D�(��; i. PROPERTY OWNER/ NAME: i yi i�l. � %C�. (/ S�`� TENANT qDDttESS: ��' 3 O ,(��'�'/ +e- JeIJ . C[7'Y �� G L' �y STATE�t`P '��Z-� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: pHOrrE: 7 � :3 � �/,,3�� STATE LICENSE �t EXP DATE ADDRESS: CITY STATE_ZIP. PHONE SINGLE FAMILY/NE TWO FAMILY/NEW ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK FAX �ROOF SIDING ❑ SWIMMING POOL f� SIZE ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER -- —_ _ DESCRIBE WORK BEING DONE: N��' R,C'JA�� SIZE OF IMPROVEMENT xvur uvu L NUMBER OF SQUARES ��q-� f1 e��' GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENDVGS-DESCRIB£ SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED LENGTH O HOUSE ONLY ❑ HOUSE & GARAGE /'y A�y 6 2 � ATTACHED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia IACATION OF WINDOWS NUMBER OF HEIGHT BASEMENT REMODELING SUBMIT: l. Existing Floor Pian 2. Proposed floor plan 3. Lis[ of structural members to be used Ft. FOF� NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS_ & PORCHES StJ�MIT: l. Sitc Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Ca{culations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due_ $ $ $ / � // $ $ $ $ $ $ $ (i ,,S`7 See Back Page for Fee Schedule 65% of Building Permit Fee .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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; that the work will be in accordance with the approved plan in the case of all work which re uires review'and approval of plans. SIGNATURE OF APPLICANT < I�� PRINT NAME DATE� d Jci-g �O 7 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 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 15` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 15` $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 1�` $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 br fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the ls` �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 --- 6�3��3ni�ersit�-�ro��e�E Fridley, MN 55432 763-572-3604 Fax: 763-502-4977