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AF - 36449• City of Fridley, Minn. N° 10109 BUILDING PERMIT Date: _.._..._.._. Feb� 20��1969 _��.____ pwner; ____Fourzi Rehani __ __�_ Rodney_Billman Inc..� ��M�� Builder _..�_._. . Address _.__ 151 Silver Lake Road Address _..._.._.._............__._.__._.__.._ .�. __.._._.........._.._...._._.___.._. _ _.._..____._.__.__..._..._._.._.._. _.._. LOCATION OF BUILDING No. ___._1545__.... Street __..._Berne _Road...._.___...._.._.------._..__.----.---....__.... Part of Lot ._.._.._..._ �.__,___19__,______.__._._ Block _.___.._._._.. 1..___..._......._._. Addition or Sub-Division _._Innsbruck 5 th Addn . �� Corner Lot _.--••---•-•-•-•--..._.. Inside Lot ----•—x---•-•—•------•-•---- Setback _----._..._.._35 ___._. Sideyard .__._15____� ._._. Sewer Elevation .._._.....__9 7 9_. 42 - - --------- --- ---_------------- ---- �------� �4 2 .— Ton of Wve 979.42 Top of Eooting DESCRIPTION OF BUILDING To be Used as: _..�.��..��_._.....__.._ Front 49 �_._ Depth _3 ��.,�4 ��Height ._S� 1 i t �, �, 185 7 �, � 3 7_�12 0 _ Gara�eW._.._....:.__.._._ Front __.22.�...._ Depth _30�_.._ Height ._Z�.�_._� Sq. F't. _.660� Cu. �. 6600 Z� of Construction _----...._Frame._...__.._.____ Es� Cost _...---$---37,.000----.._........ To be Completed _.._..._�_._ • SEWER LOCATION - 217' West of Manhole • WATER LOCATION 228.4 West of Manhole 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 fo��h attd in compliance witi► all pravisions of ordinanoes of the city of Fridley. ,�' ,_ _ i � �� e �ction Cha Ea comsfderatfon of the payment of a fee of �._. 66 . 00_..._.._..� permit is hereby graated to Rodney Billman Inc . �.__,........_..�.._._......_.:.._.____.._._. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and movinS of buildin�s within the dty limits and this permit may be revoked a t any time upa� violation of the provisio�s ot said ordinances. ♦ Official ` enry F. Muhic � NOTICE: lhis p�nnh deu not eowr tlu eonshveHon, installMion fer wieina. piumbino. Ou h�Min�, »wK er wahr. !� wn fo tN 1h� dvilding In��eto� for s�p�rah p�rmifs for �h�a h�ms. ' tit � . . . !- � APPi�ICATIG�T� � OR. BUII,�INu PEL?MIT "?T�Y O.r FRIDLEY9 MT�SOTA G`W1�TEE� � S I�AN� --- � � ' � � , E -__� �1�� , T� BSJII:,'�' Eft ;! �.� .t . �.� �'�j�.�-'�-z �,c.�. / A.DDRP�aS _ A'i�R��S '� C�� n , � ;�, U �Lt--�� !��/'�-�,��1�r.j't I,C:,AI'.��T OF BJII.;�.�I�.�� ..- .— n �J l�Z.- ��ao 15�� E� � l�z�. ��. LOT � G BLOCK ��,A.�7DIT �Ot� OR SUBJIVi��O��`+ �,2 � J� r �-�'�� r�� c��r � z�.sz�E �,o�r � s�jBA ;x � � �y��r� � ,1 — % � s�� ,��Al �ertl �ro� o�� ,o:;�zri a Ap�l�car�,t at �ach to this ? o�+r. 'I'�?c !"^� tiiivatG � c�" Sur�re;y of' I,ot anu p�opo�e� bui�!�l�^�g locatio:-� cu�ar;�� oX� �ch��•� �E.�tiiiW�.t�:�� :f��'S sN.TT.�-aI'�%O.i�T Ci Bi.?TI.,DT1Vi; p t 'I'o �3�; U��^c A�: � .c' � c .�� CL-c. � � � L`�" �`� � _ � �Fro�?+��=l.�: �t1:1 -�� --- ��Height � � —��_—, � r-- -, �qua�e �°eet % � �- ,� �ubic �'Er � /� � �'.�� , �� • ¢ / ,} � ��.,� F�°ont „� '� 1��th ?4j ` _ Height � a — Squa�e �'E��t �A� °'r� (.�.�+ � "�'��ubic t � ;,� T,ype of Gonst�uction_��L,/ �ti��t== �- Estimated �:os,; m�� _ / To Be Completed � � / l The uncle�sig�n.e� hereb,y mak�� application ior a pex°mz � f.°o� the �arh. he�ei� speciii�;d9 ags�eei.b�g to �.o all work in strict accordar.ce �ith �h� ,'it.y oi Fridley Ordinardc;;s �nd rulings of" th� D��partnent o�. B:zilding�, ancl he��by d.e��.ares that alT th� f�cts ard �p��sertdtions stated �n �his ap��icatzoY�. a.re tru� �;Mri cc;�x°ect o ��'� _c � .L. /� �` / �� L �.c.--�--. � �C� a' J r" DATE � fl� C�� 5iG?�ATYTRE '` G e �---- _�_' � � (�c�h�%:ule o�° ��ee �o�ts car be ioza.. on the eve s ic1e�> r � � � � c � 7 � �' °� %� �-�- � � � ` � 5 ,� -5, _.__�� — . �_�.. � �l F� � y a - - _ �� , � �` /` . / Y/ V ///, � �� `aT� �--�� , � a � � • � « r � � . . . » r. � BUILDI?'�U PERM�T �'EE S�I�DULE SECTION 2o The Inspector of Buildings shall, �a�iore is�uing perr�it� for the �section of an.y builaing o.r st�°ucture�, o�° ior �ny adc�ition to aa�y existing stx°ucture or bui:i�i�g, or ior an.y a,lte�ation or x�epai�s to an,y existirg bui�.r3ing or s �x�u�tu�e 9 upor� a�p�i��.t�on ther�f��, � equire the pa,yuzent b,y the �.pplie�,nt �or such perm.it oi iees to ttze amou:z± h�rei.� below set iorth an� in the Ma:�.ner he�°ein �rovi��c� to��pit: U.r�iiorm Buiiding Codea Typ� 19 2, & 4 m$1�75 ior each one thousand cubic feet, or fr�,ctio.n thereof� in such cubical c:ontent�o Type 3 8� 5- $1 � 50 for eac�. one thouuaila cubic f eet o For the pu�°po�e of' computing fees f°o�° building permits, the cubical co.ntents of any buil�ing or addition to a uniform height th�°oughout by multipl,ying the groun� area covered from a poi�?.t six (6) inches bel.ow the iloor line o.f the baseme.nt or the ceilar to the ave�age height of the upper� �uriace or to the average height oi the rcof'•suriace of the main gable of a pitched roofo For repairs or alteratio.ns to an existi.ng str�uctu�e, the f°ee sha�l be at the �ate of $3e00 per each f'ive hundred dollars ($500�00� o� fraction therc�oi ir� the ccst of a,l.l proposed �rorko In no case sha�I the �ee cha�gec� ior any permit as set f°orth i.n Sectio.n 2 be 1�sa than $5o000 NSSSD Connection ChaY�ge� based on lo�ation - Area 1 c�r 20 � • r- . . �� Permit for P UMBING AND GAS FI�I"ING N.B. When woxk covered by thie permit is ready, the Plumbing Ordinance requirea that requeat for inepection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Stories Basement 1st 2nd 3rd 4th � W � W N Q r Z 3 u � DESCRIPTION OF WORR Number, Rind and Locafion of Fixtures Na _.F�MI m I ? I S� � I O� I N � O O� U m i / Connected with Sewer-Cesspool / Z K W X N LL �J i li. G � � — � . w I WATER HTR. � � � GAS iELEC. Gas Piping for Openings y Permission is hereby granted tb do the plumbing and gas fitting in the building descrabed in the statemen hereto aiiac d, upon the express condition that the person to whom this permit is granted, and his agenis, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildzngs Roughing in Inspection Date nspector. Final Inspection n n N° 48'73 � � y( ��/� IPermit ��• �-� � Fee $ City of Fridley �"'4�U � % ,19_ Owner %�`�� /��'t�e,. �� Location � Kind of Building t Used as To be Completed � � � , 19� Estimated Cost Old-New. Building Permit No. j �/' U 9 _ 0 Inspector. P Inspector of Buildings. :,,� tM—a-ca.v Cil� O� FI'tC��@�/ I �i�ICl�IOtl �'Or � AIld �7�K � �!1'llllt Dept. of Bldq�, Phoas 3�0-3450 DESCRIPTION OF WORS �� /�� Numb�r, Kiad and Locatfoa of Fixfures � � . e WATER HTR. � 3� � S� i � �� -� S� <� �< .�.� � W i N GAS EIEC. �n 3� o�r r 3 U' U' (!S Ba� z — 3 lst � � � ` . _ . -- — 2nd _ ' 3rd — - c. —. ---- 4th • Fut�u� Coaa�clion Op�ninga C� td with — --- -- * New TYxluro, Old Oy�niags I S�w�r (� Cesspool (� PARTIAL RATE SCHEDULE PLIIMSING FIXTUAE RATES: NO. RATE TOTAL Number Fixtures � Z x$2.00 $��/. C' � � Future F`ixture Opening _� x$1.50 $ L"�� New Fixture Old Opening x a1.50 $ Catch Basin X �,� $ Water Heater (Up ta 99,000 BTU) � x$3.00 $ �'� �� New Ground Run Old Bldg. — x$3,25 $ IIectrfc Water H�ater z$2.00 i GAS FITTING FEEB: NO. R]1TE TOTAL 2 V c_, cs' lst 3 Fixtures ... �L._ x 32.00 ; Additional Fixtures . . . . . . . . . . . . . x a .75 � Gas Range to 199 000 BTU . . . . . . . . . . . . . x 35.00 $ REpAIRB d� ALTEAIITIONB—R�f�r to Cod� Description .... .. ......... ...........; ��. � :�..,�a Cily ot PYid2ey: � — L' ' � The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling o! the aepartment°oi Buildings, and hereby declares lhat all the fact and represerltations stated in this application are true and correct.. Fridley, Minn_ � "- 2 `j - � � , 19_ Owner _ �m <-�'�d� ' Kind of Building ,��tj � � i Used as To be completed abou� �` —� y Estimated Cost, $ _ Old New,•`Building Permit No._— .l �" �� j Permit No. / a� —y--�—„ ,l .-- Signed _ �/L.k��_`E � gy_ _ -b-� .. ^- � Business Phune No. �� S �� .�� v ROUC3H FINAIr ' � sue�ecT PER . City of Fridley 213 9 5 AT THE TOP OF THE TWINS g �{ L D 1 N G P E R M I T � � RECEIF'T NO. � � � • COMMUNITY DEVELOPMENT DIV. 6 r � v � PROTEC7IVE INSPECTION SEC. L` y�0 .� � � � . � � � /"'1 � CITY HALI FRIOLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BV �'""� � ,'� 612-571-3450 910-F15 6/11/92 / / 108 ADDRESS 15.�5 Berne Road NE t LEGA� �OT NO. BLOCK TRACT OA ADDITION SEE ATTACHEO DESCR. 19 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fourzi Rehani 1545 Berne Road NE 571-4893 3 CONTRACTOfi MAIL ADORESS Z�P PHONE LICENSE NO. A1-Ko Ho� Improvement 8090 4�h Ave, Lino Lakes �gg- g 1927 4 AFCHITECT Ofi DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDFESS ZIP PHONE LICENSENO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo� House & Garage (28 Squaresa. 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roo�ing can be th.e 2nd layer b,ut not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPAFATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, YENTIIATING OR AIR CONDITIONIIJG. 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 FOfi A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,484 $. %4 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS' OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- Fire SC 1.4S STRUCTION OR THE PERFORMANC P CONSTRUCTION. $3S.00 PLAN CHECK FEE TOTAL FEE � License SC $5.00 $42.22 S�GNATUF7E OF CON ACTOfl OA A ORIZED AGENT IDATEI �/1/HE PF ERL V ID ED THIS IS YOUR PERMIT � 6 //� ,� SiGNATUAEOfOWNERUFOWNEABU�LDEA� IDATEi � BLOG INSP 6a7E NEW [ ] ADDN [ ) ALTER [ J Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � �� l/ ` i a �i' r,, i `Y��i/� Effective 3/ 1192 � 2. Owner Name & Address: � � �c .� � ` ,� � LL- Tel. # %� � � l-� Contractor: � � MN LICENSE # �� % Address: " ��%� � Z� ��,i � �,c � � � Tel. # �% �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: , L.�ngth OTHER: DESCRIPTION OF IMFROVEMENT Width Width Width Corner Lot [ J Inside Lot [] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Height Height HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: �`�� l��G�, (Cost on Back) Ft x $ _ $ � ,r DATE: � � � � )� APPLICANT: Tel. #�� / � �) J� � CITY USE ONLY Permit Fee $ ,.�_� . C?h Fire Surcharge $ l, �%<`� State Surcharge $ �� SAC Charge $ License Surcharge $ :� - � � Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ � • � � STIPULATIONS: Fee Sch�ule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $700 per SAC Unit $5.04 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement N�essary [ ] Not Necessary [ ) BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteradon or repair to any e�sting 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 $SO,OUl to $100,000 $10(},001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additionat $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,OOU or fraction thereof, to and including $50,000 $414.50 for first $SO,OOQ plus $4.50 for each additianal $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additianal $1,000 or fraction thereof, to and including $1,000,000 $3539.SU for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus b feet times $13.50. Alternaxe "B" : Removal and replacement of curb and gutzer 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 a11ow 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. CtiY O� FRIDLEY INSP�CTIflN DIV, 6431 University Ave NE Fric4ley, MN 55432 572-3604 , ,: • APPLlCAT10N FOR POWER pLANTS AND HEAtiNG, GOOLING, VENTIlAT10N, REFRIG�RATinN AND A1R CONDITIONING SYSTEMS ANp DEVICES Residential Fumace Sheil and Duct Work, Burner - A1so Rep{acement Furnace Gas Rip(ng (Needed with new furnacej Gas Range Gas Dryer *Air Conditioning - Afl Sizes All Others/Repairs 8� Alterations (LIS7 ON BACI� 1�0 of Value of Appiiance or Work Commercial/lndustrial 1% of Value ot Appliance or Work Rate TOTAL $ 20.00 $ �2�_�r� �1 $10,00 � /�G��' $ 10,00 $ $ 10,00 $ $10.OQ $ /�� c� Effective On January i, 1993 J�B ADDRESS �'� yS l3 -c rN-e �C� The undetsigned hereby makes application for a permit for the work herein speci�ed agreeing to do ail work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this app)ication are true and correct, - ��..�_..L`."� � 199� OWNER �o� � �Z_�j iZ� � R � � BUILDtNG USED AS �`�S �, d�N T�`a C. ESTIMATED COST �C%OC�, f�� PERMIT NO. �� 15��> CI�3 : • � ;. : • � ; $ ~— No, of Heating Units /� Circle One (Steam) (Hot Water) arm Ai Trade Name �r�, j. t�. �� Size Na, °� s u� !� ;�r�,1 BTU I Z-a C-�i Hp EDR $ Fuei G, ��. �,, Total Connected Load_ e,� � f�cJ Siate Surcharg� � .5(1 T07AL �EE � J. � MINIMUM FEE FOR ANY HEATING/COOLIN�ENTILATION _�q- / „ REFRtGERATION/AIR CONDt7tONlNG PERMIT IS �15.p0 1� PLUS THE $.54 STATE SURCHAfiGE �' REINSPECTION FEE $30.00 � Burner Trade Name Size No. BTU MP EDR MEATING COMPANY_ �-f? T'-� �'S u�'►/ %j!'c7 S, Signed By�-�� Tel No. % �2'c17�Z- Approved By Rough-In Date Finai Date *A}r Conditioners can not be placed in a side yard without written permission from adjoining property owner. F1LL OUT BACK SIDE FOR STACK VER(�ICATION �N REPLACEMENT FURNACE CHIMNEY AND STACR VERIFICATION The undersigned hereby verifies that the axisting chimney or stack: l. Has been carefully examined Yes (k) No () 2. Is free from rust or deterioration Yes (� No O 3. Has no foreign objects lodged within Yes (�f No () 4. Is securely supported Yes (j� No O 5. Meets all current Code requirements for size and total BTU's connected Yes �f No O 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Beinq Done• � � � � � f . ,� ,^ � �. d � 0 HEATTNG COMPANY ��-� (' SG/� �`>�'C� .�� S igned By ��.,.� ��z,�� Date J � � /, �r ��/� � Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: � Date��{�I: �rt /� DATE s— � 3` 0 I , YOUR E-MAIL ADDRESS !' � Lf �� 9�C–" S/ O �` i C C. h�T SITE ADDRESS �.� / � � �^ n 2 R , /�!� � �r � cl/e� THIS APPLICANT IS: ❑ OWNER C7CONTRAC70R PROPERTY OWNER/ TENANT CONTRACTOR NaNtE: t- o �f Z/ E�3e ✓ei^/� K� ADDRESS: �J'r�S �B �%t'.t''n e /� � �� PHONE: '% � 3 — 5 %l — 'Y � � �-,' �dley STATC�I�LIP 5��7�a?/ �5ta�^�rf,`o�n I�E'souv�CeS /nC, SUBMIT A COPY OF STATE LICENSE # aa3 9� o o� EXP DATE 3 f D� YOUR STATE LICENSE aDD�ss:_�� 70 5h � n� (P C r e z k �l<wx ,B-r�ocrrv �8r�� WITEi APPLICATION PHONE �I %i �J ��J(o�' �� o O F.�x `7 b 3— 5( /– 6ao/ % PROPERTY TYPE PERMIT TYPE ❑ TWO FAMILYMEW ❑ ADDITION O BASEMENT FINISH ❑ DECK TYPE OF WORK: � ��' L�J'fviAINTEN DESCRIBE WORK BE1NG DONE: SIZE OF IMPROVEMENT ROOFING 3� NUMBER OF SQUARES GARAGES PROPOS£D STZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ' ❑ Other . WDVDOWS IN EXISTING OPENIt3GS �Yes �1Jo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPEI�IING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ GARAGE/SHED �'1FOOF ❑ SIDING ❑ SWIMMIIJG POOL � ADDITION ❑ REMODELING �� IL o o l` . � 2°l Y�' i�, ❑ DRAW TTLE ❑ OTHER °f` �'C' -`J�,��14�e- LENGTH WID'TH HEIGHT ❑ HOUSE ONLY C�'I�iOUSE & GARAGE ❑ ATfACHED GARAGE ❑ DETACHED GARAGE �Soffit O Trim ❑ Fascia IACATI013 OF WTNDbWS NUMBER OF A'1'M�IP C'�'�3 p BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structurai members to be used Ft. FOR NEW CONSTRUCTION MCLUDMG DECKS, ADDITIONS. 8c PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy CalculaLions ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) �I � TOTAL JOB VALUATION $"�.% c(� .(: I�i OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ��/ >1.5 S $ � 7� $. �7.'3�� $ , 5:G'v $ $ $ $ $ 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) $1675 per 3AC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pa_yable to: City of Fridley Attach THIS IS AN APPLICAT[ON 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 requires review and ap roval of plans. SIGNATURE OF APPLICANT �� PRINT NAME � � � � u � � N DATE � v � � � �� Page 2- Suilding 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 repaar 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 including $2,000 $2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and �includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for I$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,OU0,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each addirianal $1,000 or fraction to and including $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 Ioca�ion of the existing founda.�ion wili be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Frid.ley, MN 55432 763-572-3604 Fa.x: 763-502-4977 Minnesota Commerce r - �At. ' t��w� �r i�. ,.,r��l�� Energy Info Center � News Releases j Gontact Us � RSS Feeds ( Page 1 of 1 Commerce Home � North Star Home � Commerce Site Ma� Thursday, May 31, 201 .., �r��ra;��t� t�c�N�t�s�.ai Advanced Search � Search 7opics �� Ail NorthStar �� Cammerce Site Only Consumer Industry Licenses, Info and tnfo and Registration, Services Services Certification License Detail Unclaimed Heating Weights & Minnesota petrofund Property Assistance Measures Relay Here are the details for the license you are currently looking for: Licensee Name: RESTORATION RESOURCES INC Licensee Address: 8234 39TH ST N City State Zip: LAKE ELMO , MN 550420000 License Number: 20396008 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: May 19, 2005 License Expiration/Renewal Date: Mar 31, 2008 Qualifying person: SHELBY WESTERGREEN Number of hours of continuing education required to renew license: 7.0 Enforcement Action: No Copyright 2000 North Star, Minnesota State Government Online State Of Minnesota � About Us � Get Acrobat North Star is led by the Qffice of Enterprise Technology Reader � This site best viewed with 1024X768 or greater and with Netscape 4.7 or Internet Explorer 4.5 or greater. https:llwww.egov.state.mn.usJCommerce/license_lookup.do?LIC_NUM=20396008&LIC ... 5/31/2007 Building PLUMBING Pe�it Ivo.: �� Inspections RESIDENTIAL APPLICATION Recei�ect sy: 763-572-3604 CITY OF FRIDLEY Date Rec' DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME: �^ OWNER/ pDDRESS: ��LjC , �'�.�Q,/U � CITY STATE�IP_:�3 TENANT T'°— PHONE: �+�7iJc��-- CONTRACTOR NAME: SUBMIT A COPY OF $TATE LICENSE # C EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE F/+X APPLICATION PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ��PLACEMENT DETAILED DESCRIPTION OF WORK S(� - PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICA7'E TOTAL NUMBER OF EACH BELOW) BATH SINKlLAY FLOOR DRAINS SHOWER _ WATER P[PING BATHTUB GAS PIPING MccoC�rrcrCENSE) SWIMMiNG POOL _ WATER SOFTNER ($35) CLOTHES WASHER �'�KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) � DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) — FOR IRRIGATION WATER METER OTHER r ,. ,. , ,:, �- y . . � '.y,� , . ��,'i_. <_.. _ ' _-. . , . � ... . o-, , .< ..: Permit Fee $�. Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $�_. Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 Tota1= $ 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 o 11 work which requires �view and approval of plans. SIGNATURE OF APPLICANT � � PRINT NAMEi%!�� DATE "� �'� � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit Ivo.: G-/! �i Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ��N �7 DATE �YA� � �Z. � � b D ! YOUR E-MAIL ADDRESS � S /�" /'JI � //��$ � � , G O r+� SITE ADDRESS � j 7 S �� C Y'N �- /�C' d THIS APPLICANT IS: ❑ OWNER �fCONTRACTOR PROPERTY OWNER/ NAME: r%4 a �'�r "� TENANT ADDRESS: /� �j/S � C r' ^� � ✓� CITY �'r � o%�=y STATE ZIP PHONE: CONTRACTOR NAME: ��"I/C �. L✓ �! A/�y C%�j4 � r�t^' �y �1 �' ds STATE LICENSE # Z�I 6�I 7 2- 6 EXP DATE �� b S SUBMIT A COPY OF � � 5 S—l/2 YOUR STATE LICENSE ADDRESS: � S 7 O u l� tv vc> ca oI^ CITY Ne +i d' i3 STATE_ZIP WITH APPLICATION pHONE � SI � 3 6 % 7.3 8 FAX PROPERTY TYPE '8 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDI1'ION ❑ GARAGE/SHED 8 WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING B.OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR � REMODELING DESCRIBE WORK BEING DONE: /�e P% e � 02 �>�- o�+3 � IQ c- 5 � ei� ro c + lQc -/.ys ��a z 1C� r a� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDI1'IONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS �es ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $,�.. / C v OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �i�� . $ $ a.iU $ /•GS $ s� $ $ $ $ $ $ �/. 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) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work ich requires revie and approval of plans. , % � ti. SIGNANRE OF APPLICANT � /�'�— �/6�� PRINT NAME � � U � � (�� / � %'DATE �" ,v � � 6� �2 Op 7 �� Building BUILDING Inspecti�ns - RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX �c�.NE 1-,-os DATE ZK ��. �.00 � YOUR E-MAIL ADDRESS , �6t STI'EADDRESS l54� �1-n... �ZvGd . �i-ic1t.�_u _ Y�U . _ 4-21 THIS APPLICANT IS: �) OWNER �CONTRACfOR PROPERTY OWNER/ TENANT Permit No.:a�� !� Received By: Dat��d�!�"�� _ �� , Avvx�ss:�545 �C.Y YyG ^ CITY F�td t�� STATEIILC�►r5�42 I PHONE: � IL� 3 ZU B�I �I O3 CONTRACTOR a�nDl�ss: SUBMTI' A COPY OF pHONE YOUR STATE LICENSE STATE LICENSE PROPERTY TYPE I i$ SINGLE FAMILY/NEW CONSTRUCTION ❑ TWO FANIILY/NEW CONSTRUCTION PERMIT TYPE � �DTI'ION ❑ GARAGFISHED ❑ BASEMEN'I' FIIVISH ❑ ROOF �DECK ❑ SIDING ❑ SWIbIIVIING P(�OL ATE�,,Z[P _ FAX EXP DATE s� sTOiuES�l�c.i ❑ wirrnows ❑ DRAIN TILE ❑ OTHER TYPE OF WORK: I❑ NEW HOME CONSTRUCfION �ADDITION ❑ MAINTENANCF/REPAIR ❑ REMODELING DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSID HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DEI'ACHF.D GARAGE ❑Soffit ❑ Trim ❑ Fascia WINLIOWS IN EXISTING OPENINGS �Yes �No L.00ATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLID NUMBER OF � HEIGHT BASEMEN'I' REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of suvctural tt�mbers to be used FOR NEW CONSTRUCI'ION INCLUDING DECKS. ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the exis6ng struc and proposed project 2. Two sets of oonstruction plans 3. Fa�ergy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 199'7_U_BC FEE SCHEDULE) TOTAL JOB VALUATION $ `�'' Y Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ �`1 b $ $ $ $ ANCY. 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) $1825 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 payabte to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a buiiding pernut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and � of the City of Fridley and with tt►e Minnesota Construction Codes; that T understand tlus is not a permit but only an application for a permit and work is not to start wit6 pernvt on site; that the work will be in accordance wit6 the proved plan in the case of all work which requires review and approval of plans. Sit`�s _�VVT i�:' � P'RINT NA�F�( 1�i ��I A�aT DAT ?' APPROVED BY DA'� 7 �� .� . J� �� ;1� �� ,� ,,�,,i� �al�____"�' I ! � � � � �� 1 � � �� - � � i � 1 I �� I 1 I .i. � � ,\ �' e�