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AF - 36515City of Fridley, Mi.n.n. 6431 University Ave. I�. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: - December 27, 1972 p��; ichard Miller Homes Builder Same __��,_._�.__ _____ Adaress 1600 Rice Creek Road, Fridle� Address Same � 11916 ~ LOCATION OF BUILDING Na 6150 Stseet _—__Briardale_.Court .N.E. --.--- ............................ Part of Lot _._W___.._.__.._._.___...__._._.._. Lot 10 Block __._...__._3.___.._.._.—..._._.__. Addition or Sub-Division _._..Briardale .Addition_ ____+ � � � Corner Lot ...______._.__ Inside Lot ___.��..__------ Setback _...-----.35 ------_._._.. Sifleyard •---.--7------sS�--._�...__..._....._.---- iS�v6��iElevation ...�..._909_ 08._..___��___.. � �,��,j�{��/��(�d�..----_..9.12.60 1Kinimum �eive Top ofFootin� ~ DESCRIPTION OF BUILDING To be v�a �: Tkapl 1; ng � Front ��_._ Depth �.��._ Height ..��.�__....... Sq. Ft. ._._1040_� �; F�, ._25�660 Total � _._. Front �� Depth � 26 �_ Height ._10_.__---__ Sq. Ft. .---- 486_._.. Cu ' ' ' . F� _..._4.,_860' Type of Construction _.HIQod___��ame,_.,�___ Est. Cost �.�.1_�903___...._..._.._.._ To be Completed ........Junes____1973� Stipulations: Provide a hard surface driveway.�rovide a verifying survey before capping. Set elevation at garage slab between 18" and 48" to provide drainage for walk out door at rear. $291.00 storm sewer escrow to be paid with water meter. WATER LOCATION: 9' South of Sewer SEWER L(� ATION: 71' North of Manhole ��ATE PERMlTS REQUIRED �OR y�tRIN MFATING, p�..��E�E�� DC �±�c G� In consideration of the issuance to me oP a permit to construct the building desc�ri�e3 a?S�b+�,' `Nagree to do the proposed work in accordance with the description above set forth and in compliance with all provisions oP Ordinances of the city of Fridley. � + _.__.. �:,�ccl �::�.1�'.�s� .��_. — 15.95 State Surcharge In consideration of the payment of a fee of $�$...QQ._._._., permit is hereby granted to_.RiChB%S�_M' �� Homes •_••----•----.__._..._ ................_...._.. to construct the building or addition as described above. This permit is granted upoA the eJCpress condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings vyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said oz�dfnances. � -.._ ) � � (� , , � .._,,,, �cz-•�+�— �%'�—��Sai�ding InsPector DARREL CLARK NOTICE: This permit does nof cover fhe construction, installation for wiring, plumbing, gas heafing, sewar or watar. Be :un to sa� th� Building Inspector for separafe permits for these items. J J t w �1P�I,TC,ATIQN FQ� RESIPE�iTFAi�, A�,T�:R,ATIl�N, pR ADAITTON �UILDI�IG PERMIT �ITY oF ��IAJ�EY, MINN�50TA �?WNEH � S Nl�ME S BUILDLR :�,,,, �. Ic1-{�4�'D � i�.�„� � O I�, E� ADDRESS: AnD�tESS:,l(AD�,�DO�c.� C.��K �oa� F,��cey r--- �0�,,,, (r �SO STRr�T� B 21A2 �L� C'�u IZT ... � ..� ., �trr; �D aLOCx: � apns�zoN: ��a�D�l-E „ �R LOT: �N�r�AE ZOT:,,�� SETBACRt 3� t SIDEYARD� �7� ��.�.�a�tt �,�ac}� ta ti� �+�ae��„ia Certificates of SuzveY of Lqt and propoaed bai, 3.d,�g �.�+ca t ion dr�ta va t�,ase � art i f icates . � ��SCRIPTIpN OF �UILpING � �e ti��d Aa : .��r rc� . �� T 4� ! �� : �.C: � x��hc : 2o r square �'se�; / D 4- � cubi,� F�et�_. ?D,�O, „ �• �% ' �" i C'�A-�'{A�r".��F �rcmt t 2D � Depth ; ZCo � Hei.ght •!O' +n...w+qi �l d /S w � - $qua�� 'eet ; �� Cubic Feet i '.`� �� , � T:� of �oA��trua�iot�� '1� �sti�aCed Cost: $ �O C`aC�� ...,......... � .. , . �� a �lated; � — I —7 � . . . . Tha a�adexl�igxted hereby a+akes ap�licatirnt for, a pe�a�t fox the woxk hsrein #g�Ci�ied# agxeei�ng t� du all. po�c in sCti.ct accoxdance with �ire C�.ty af �`�idle�' Qx'4�.�sace8 �td �['ulis�a af the Deparanen* qf Bui�dinga, e� hereby ��.asye� � ail tha �acta a�d r��resenta�ions stated i� ��is appli.catian ��a �u�e a�$ cv�xec t� . Tfii1T.$: �e � -�� SIGN1ATtTli,� : i c c-L,.cc Icci� �-��'-C ,��, � � . �R� R+�v��e Sf.de Fo� Add�#�.onal Infosa�atian.) : '' , � ' � 0 � /C.' G V � d `� �,% ' ' ' — � �, ,� �, �:� �, . � � `�' � � �" d o v � ,� � ,4, `. .+ ,� ;', ; ._� ,: � � ,� �:,, . � _ ,.�/ ••R e � � � � . � � �,_,� � �, . � #y: �,,, � � �l ' �6 .,, / � I ,. � _.. l� BUII�I�ING P�RMIT F�� S�H�LIUI,E ��CT�Q�I 2. The Inepectox vf Buildings sk�a11, befox� issuing permita for the �x��.on o� arty bu�.lsiing Qx sXructure, ox for any addition to any pzcisting 1�uildi�g ox stxuGture, ox fo� any alteration or xepairs to any ex ir�ing ��.�.��.ng ox stxucture, upern �ppl.i.�ation therefore, requ�re the paym�nt by Chs ��;��.i�a�t fpx �uch peramit o� fees �o the amount herein below set �prth ar�d i.n �n� mannex h�ax�:i� p�rovided �o-wi�; UNiFpRM BUZLDING CODEt Type IR 2& 4-$2.I5 �or each rnne xhousand cubic �e�t, pr �xaction thexeof, in sucb cubical contents. Type 3& 5-$1.85 fo�r �c,}� ons �housand cubj.c �eeC, 1�DpiTIOI�AL �NFd�MAT�ON Fox t.he puxpose of Camputia;g fees for building peanits, the cubical contents of a�y building or addition, ie det�xmined by multiplyin� �he ground area pave�'� f7cvm a poi�t� aix �b) in�hes below the floor line of the basement A� �i� C��:lax' �o the average heights of the upper surface or to the averageA �3,�b� cxf �he roA� �►t�rface of Che mai�► &able of a piCched xoo�, �'ax ��uuir� ox alt$ra�ioms �u aa existin$ srru�tu�e, the f�e shall be �� the r�t� o� $3.�A #►ex �ar�h £ive h�dred dollax$ ($�OQ,Of}) c� f��ion thaxsof i� xh�a co�� a� ali propo�$d woxk. bE �u ca� shail tbe �ee �ed fo�c �ry pe�ait aa aet foar�h �.n Seation 2 be l+�s ti�an $� . Q4. � V�R�$��ATiQN OP �aUNDATION �?T�� Pss'iaits �ox �attst�Ctt�ct�on will be ie$ued a��i.mu� c►�° �4 }►csurs fxam the ��AS of �pp�icatiot�, �v al�aw �or prager review of the p7ropos�ad s�ru�Cuxe �d �� tfie t�oetst�u.ation ai�e. ' � C��i�►� Su7Ci�'sy' p� �he lttt, �#�ing L�t+es loeatf�R of �h� faundatiatt, o�c� �� h�W i�a� �t�s�ruct+ed� wiii #� required be€ore proceedin� with the fr�aiog, C�RTIF$CA�'� QF Q��PAN�Y A�li.�a�ic�t �crx a�e7c��.�`��a�e a� Occugancy ehall bs mad� �en (iQ) day� pxiox to �h� ��e ox acaupancy �� ,�qay �trEtcteu�e far which a bui.ldi.ng pexaii� has beea issue�d; �td e$i.d ��xuckuxa �hal�, �►ot be used a� occup�ed until a Cextificate of Oc�GUpa�nay � been �.ssusd. ,� ❑ 560-3450 , ___ a��; . . JD ��'� �� L��/,/" O �`'IL�Le��/,/" a . � r:,' �� - �i V l/ �` r'- :� . � - � i � ;�_� � ,� � J I`t ,� 6431 UNIVERSITY AVENUE NE �1 TO WHOM IT�MAY CONCERN: ANOKA COUNTY December�, 1972 FRIDLEY, MINNESOTA 55421 Whereas the City of Fridley has issued a building permit to construct a s truc ture a t �/,� U�� Q�� Ct-� ��;-c.cJ�� . Whereas the permit is dated prior to January 1, 1973 and the City ot Fridley did not collect or receive any "Service Availability Charoe". Therefore if for any reason the Metropolitan Council and or the rletropo�i�an Sewer Board assess or bill the City of Fridley a Servic� Availability Charbe !=or this structure or sewer hook up, we the undersigned agrze to and will pay tne City of Fridley for said charges. �-�"' n � j,/ W'itness � � S igna tu.}�e �� i� �� /� �7- " Companq / /- T tle 0 C 0 � la�.d �lowni�q s!t'/"t��'�� A�71 NiQhwoy No.�S N.�. land Surv�ying • • j /� Minn�op�li�� SO�Iti ie�frn� / ��/'��1�,,��/� ��( • � Minn. S34J7 C�v�l Er�qin��r�ny (I �J TeltPhonr 7��-�06� M�nici�7bl E�IMIn1�� Engi»eers & Surv�yore Area Ced� 6)I � Certificate ot Survey for /��,y-a,r'� /�/��`.�C-,cl , �,�y►�=S �- . - „B =, L=V - - � ,�� - ��A �J-,'�7 t� J J) � i �,. �� NOR"'(H �RI,��D�L �" CDUR?- � � � �� C �� I DALE v VFno�ti �r0n mo�umin� ��anOk4 l�OV11�� _--- - - --, ono��c �ro�na�e � U� � �, �v �oyrm�ni 1 b�.eby ce►lifr �ha� �hrs �s a lrvo �nd �correcr •�p•�s�nto�ion e! a �urv�r ol th• boundon�s •f ►h� o11or• dtic�ibtd lond� oni oi th� loca►ion ol �11 buildin ♦, �h�►�o,n� and oli vi�ib!• entroocA�n�w�s, i1 o�y, Ir�n� M M �aid land. A� tvrr�r�d br n+• fhi► day of �� •,,. f� A.D. 10?�. _ �—�--�--- -- — . �nc1� ee� ��;COiQ � �� = �.� �— SU�URdAN iN�31NEERING, INC. En9�nt�rs 5urv�rert �r ' 7`� br[_- ___ _�. �-`� �� u r-- __ .� . 5� L w � 2 , �� K T l-� � l- �/i . f !. y ---� � �' T� �=- �/, � 6 %. 0 S -f— o(� d(= T= o G T ��/ G �� n�. q(� 2.� o 1�1 �, � �_ /��t r� , � � � �� e �, � � w/�7"r=2 CI� s�v7N o� S/_=wL-'iZ � '. , �ity of Fridley APP�icafion �or Ph�q and Gas Filii�q hn� Aept. of Bldq�. �hon� 9�0-3�90 � DESCAIPTION OF WORlC ��o��s�+ I//C /1�7R //� ��• C Q`(��r Numb�r, Kind and Location oi Fixtures � I � � � � �3 � I � �i at O � �3 � 3 � i � Ii . n � Base � � � I � ��rr��l • �■■■.■' ■■■■■■I .. • . � (9 • • WATE� N?11. 8Z Z z � �� I� �� 3�� u� U g I N GAS fLEC. 0 PARTIAL RATE SCHEDULE S�w�r Cc�apool pZUMBING FIXTURE RATES: NO. RJ1TE TOTAL Number Fixtures . . . . . . . . . . . . . . . . % � x 32.00 E „� � '. G Future Fixture Opening . . . • • • • • • • • x a1.50 E---- New Fixture Old Opening . . . . . . . . . . . x 51.50 E---- — Catch Basin . . . . . . . . . . . . . . . . . . . . x 33.25 S Water Heater ;LTp to 99,000 BTU) .••• � x 53.00 S � �' U New Ground Run Old Bidg. ........ x 53.25 3 Elactric Wat�s H�at�r . . . . . . . . . . . . . . : i2.00 s �AS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . _�— z S2.00 ; �,1 � �� C; Additional Fi�ctures . . . . . . ... . . . . . . x = .75 ; Gaa Range to 199,000 BTLJ . . ... . . . . .. REPI►IRS 8r 11LTERATIONS—R�t�r fo Cod� x E5.0� t— Description ...................... .... .............f TO'PAI..1�'EE _ � �` S �J City of P�idley: The undersigned hereby makes application for a permit for the vrork herei specified, agreeing to do all work ia strict accordance with the Cits C�tdinance and ruliag of the Department of Buildings, and hereby declares that alt the tact and representatians stated in this application are true and correct Q ♦ PYidley, Minn � / �� .�— � 19� Owner JS i • �D //'�`'`l�►/`� Kind of Building �_ � Used as D�,• `"r �� To be completed about �v,r—,�-, � �� ' Estimated Cost, � / � �/ � � � .i• :t </ ; �� Building Permit No. Psrmit No. � / Signed �� sy .�► ' �� Business Phune No. � ROUGH FINAL d � � ` %,� Applicatfon �or Pow� P[oM�s and Heafing. Coofiny, Yentitation� Re�ig�ratioe and Air Conditioning S�st��ns a�d De�rices PARTIAL RATE SCHEDULE GRAV*TY WARM AIR: !�►7'� TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . a10.00 ; RepIacement oi Furnace ............................. 6.00 ; Repairs & Alterations—up to a500.00 . . . . . . . . . . . . 6.OU $ --- Repairs dc Alterations each add. #500.00 . . . . . . . . . . . . . . . 3.00 = arECx. w�►xss un Furnace Shell dc Duct Work to 1'0,000 BT[J . . . . . . . . . . . . a10.00 ; 10 � 00 each add. 80,000 BTU ...................... . 3.W i Replacement oi E�rnaee . .....................:..... 6.00 ; Repairs dc Alterations�up to ;500.00 . . . . . . . . . . . . . . . . . 6.00 ; Repairs & Alterations each add. =500.00 . . . . . . . . . . . . . . 3.0� ; STEAM or HOT WATER SYSTEI�t �rnace Shell & Lines—to 400 sq. !t. EDR Steam . . . $1Q.00 � Ftirnace Shell & Lin�-to 640 sq. ft. EDR Iiot Water . 20.00 $ Each add. 200 aq. !t. EDR Steam . . . . . . . . . . . . . . . . . . . . . 3.00 � Each add. 320 sq. ft. EDft Hot Water . . . . . . . . . . . . 3.00 a OIL SIIRDiER—to 3 gal. per hour . ... . 6.00 � `••, over 3 gal. per hour—See Fee Schedule GA3 BIIRNER (ap to 199,000 BTU) . . . . . . . . . . ...'... . . . . . . 6.04 ; J�.00 over 199,000 B1'fJ See Fe� Sch�dul� GAS FITTING FEEB: 1�i0 RJ►TE TOTAL lst 3 F�xtures . . . . . ..... .. xa 200 � 2.00 Additional Fixtures ............... : .76 ; Gas Range to 199.00Q . . . . . . . . . ii bA0 i AIA COIfDITiO1fI11G F�x r�rixc sTSr� VENTILA'rIItG SYSTE![ ALTERATIOI78 tc REPAIAS Rovvx 1 .� J nept. of Blay.. Phor. seo-34so Loc�li0� 61$� BY''ii,T'd81e �OUTt � , � r�a�' City ot F�idley: The undersigned hereby makes application ior a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling ot the Department of BuiIdings, and hereby declares that aIl the facts and representations stated in this application are true and correct. r��a�ey, Nr�,_ M�Y 1� 1973 , ie _ pw,,,�r Richard Miller Homes Kind of Building �� as _ residential _ �o be completed about 5/31/?3 Estimated Cost, a 00 OId—New. Bnilding Permit No. Permit Iso. �� DffiCAIPTION OF WORH HEATING or FOWEii PLAN75—Steam, I%t Water� Warm Air—No_ 1 Trade Name �STINGHOUSE g�e pa FirUB-110 Capacity 88�000 gq, �, E.D.R BT[J Ii.P. Total Connected Load Rind of lh�e� Gas BURNER — 1Yade Name SAME A.S ABOVE Siu I�io Cspadty 3q. 1R. E.DR BTU A.P. � COPY OF HEAT LOSS ATTACHED. s« F« Seb.�ut• SALESMA N t John Borry � .5o St�xc�E TOTJII. PLE 1; 7.50 (REMARKS-OVER) S � ��'�'_ " �i Csi 8t C�. s� �ho�e rr�nNC R Arw � ls�s7a7 k � ��. �� i54Z6 J��°�� ` � , . ___ . . .�.__ . _. —__-�, ��✓.�-�� ' �'�-s��.� � �-- �. �-.- � �r~- r HEr1T L(?SS CALCULATIONS ' � � -- � � J . 1 � , .� �- .-,�-; �,,,, �.,. �/' "�r,r-L��.. "J=-�-�, � J �. �' � � _ [;.-t� ..�.�,i . Weatherstrips A.S.H.V.E. Conatruction No. � Iaaulation Guide � Windows Doors Reference Out. Wa(1 Is�t. Wall C.eiling Roof F1oor Kind How Applied '�' Yes—No ( Yes—I�to 19_ � � ,,/ FL� _,.'�.''�` • Room Length �';' Width r�f Height :'--- Fl ��,�.�, Room Length,,i�" Width/..Z . Height j,;j a� � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �I �Vldth He(ght 1VO. ot Llneal ft. Area Wldth Helght No. ot Llneal ft. A[ea No. of pane ot Dane IfShts ot crack sa. It. , No. ot yane o[ pane IlBhts o[ crack �C. tt. , ca� .., ' � �, �j .� r., f � i "? � �� .S .- ;; ; Coef. Bcu Coef. Btu � Infiltration �' ' � �% � Infiltration ,�-5' �? ' f �� Glass '.� . _`" � Glass � �j' S � G'c.f7a - < Exp. wall � , �^- ;' Net ezp. wall ; �i -"� = ; r` Int. wall Cei�ing � ; F? '� f-' :� S' Floor ,��.. -~� Total Btu. »y -� °/ �_ Required sq. ft. E.D.R. or sq. ins. W.A. C.eader area FI.� j%,,.,'-._. • Room' Length ,�" Width ��' ;? Height `�::;�.=- Windows and Doora---Cracicage and Area WldtA Het¢ht � No. ot Llneal tt. Area No. of pane of Dane Ifght• o[ crack ep. ft. '.�_ �. '�' �'� ,"e / r r, � �.., Coef. lnhltration °' � ,�' � Glass , �/ ✓ � Ezp. wall _ j_. � � _ � , Net exp. wall � � � �;� j Int. wall CeiGng �^ _ '✓' ..- � Flopr Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. ! , ;,� !' �.;,._,�oom � Length �`� �; Width � � Windows and Doors—Cracitage and Area Wtdth Hef�ht No. o[ Llneal ft. Area No. of D��e ot Dane 1lghts ot crack ep. Lt. 1 �—. � 'y�-- f�,�i =� / � �, � �.�1 _ _T -. � -z i ,� -� -� � Exp. wall ;'�_f Net exp. wall Int. •�all Ce.�ing —. Floor Total Btu. G Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t Fi.l ;��-,.E��- Room 1 Length ,�'� Width :� Windows and Doors—Cracka�e and Aaea R�'Idth Helght No. ot L1nea1 tt. Area No. ot Dane ot Dane llght• ot cracic sa. tt. '7 ,� _ �� ':?. ,' � -� / ; Btu �i,� r' ��_ Infiltration =�' :i >. Glass � Exp. wall �; /� Net exp, wall Int. wall ��-r+ � , j .- ' � f ah ;t;�? :lz� Coef. Btu 1n61tration -°'� � � �, .� a �8s3 _h. / J ? �'i � Exp. wall � ?� ;' T �:� ,�� Net eap. wall �; `� ^� -- �� Int. wall � Ceiling � , s � s� Floor - " v Total Btu. � f Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area Fl. ::��, ,; _=`'-1 Roocn � Length Width /U - Height r% Windows ar.d Doors--Crackage and Area Wldth Halght ��-No. of Llneal tt. Area No. of prne ot Dsne tlgCt• ot crack eq. ft. `'-� " �— .. � s.' l� � [., COGE. lnbltration �„� ^ f_s �$53 /�-. S.''" C � Exp. wall � � %^ Net eAp. wall ��- , � Int. wall Ceiling r' '7� . �,°' � 3 G �' �OOI Total Btu. Required sq. ft. E.D.R. or eq. ins. W.A. Leader area / Btu , �_, Ceiling .° Floor Total Btu. ,�.�- s� �� .°r � '7 � Required sq. ft. E.D.R. or sq. iris. W.A. L.eader area �% � Fl � "<r.,•..Room I Length �."'-.r'..,. Wi�lth /',�._. Height��- Windows and �Doors---Crackage and Area R'Idth Helght No. ot Llneal t[. Area � ,�;� No. ot pane ot Dnne Itghta of crack �Q. tt. �� ,j ,„ f �� _ - - r " +� -�: ��- / G; ,r E; y�w f�� `, � �� , l?, :� ,; Coef. Btu � Infiltration - r� rr/ .t �.. � J � "�'� r� Glass /l w S?-lr-ta• ��' Exp. wall ':,�' � � ��., ^�:� k Net exp. wall �;;,�, . -� ;'Qi . ,� Int. wall ;1'3 � /�•3 ,y ,�+,�,� �� Cei�ing -- Floor -�`- ;';:; ;�- Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arra µ; FI.� ,?= :_ -- Room I Length s,� Width .,a " Windows and Doors—Crackage and �'�Tea Wldth Hetght No. of Llneal ft. Atea No. ot pane ot Dane Ilghts ot crack �Q. tt. �="Z �%� ! � % F� %'7 �_, Coef.� Btu a. Infiltration �,7 !s GIBSS ,.�,, � E7cp. Wa�� "."'�a s �;;a - -, ., , � Net exp, wall �9 Int. wall ;,'1� i; ;� � � Ceilin8,,� Floor .�r a, � e Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leade� arca , HOUSE HEATING TEST RECORD ADDRESS '� , r a� � �'�� ' r APT. FLOOR CITY ,- SUBURB OCCUPANT t - ,'� .,�� % r �' `� OWNER �' . �, HEAT LOSS ^ DATE HTG. INST. GAS C0. METER BADGE #._ SOLD BY � ' �'� " "` INSTALLED BY � Electrical Work By Gas Line By TYPE OF HEAT GA FA�'� HW STEAM SPACE HTR. UNIT HTR. OTHER _GAS DESIGN CONVERSION MAKE p r��''%-'-- :� r MAKE OF BURNER Model f`�"�;=,� 1 ` Model $erial Max. BTU Rafing INPUT sf1'J `� ��`� MAKE OF FURNACE Model CONTROLS THERMOSTAT:' ��! Heat Plug Vent Size Valve .�� KIND OF LINER SIZE � NONE Limit '`' = l a ;r �" Drah Hood Regularor ^ Limit Setting Filters Size Number Fan Setting -- f,.� Chimney Location Inside Outside Pilot Type ' Chimney Construction - Pilot Make �'�`' r' � Pilot Model � Smoke Bomb Wiring Pilot Timing s-` -"°' #� � Draff ' Test Tag L.W. Cut Off Door Pressure Lighting Inst. � l Pressure �' L" Percent CO2 '�" � Date Tested Input CFH � " ' Percent 02 '' • �+ Company Testing ""' `= Stack Temp. t�_ - Perce�t CO J�� Name of Tester Form 235 �,w� �fA@� �!�, ��+ �. ��E✓V��` ,.n-.�,•� •,A+��( Rs. e[�� ,..^ri' �{�'� ,{�. 7,�.,�5'q ic—,r^�°,� +`�';,,w�a �',�mc� �e,r..n'"t�� 4s►'�A� 'a' o'�y�i�".a��Yi17 ��Y4`q� i f%umu9tl �d'e� +i i'Gi.'%�'wJ04:x� seV'md'��{tC�g ��,f�IPiV[��V'tcD'Y � ii�f/@'4��.isiYYOrit4T�Fl•di �� ' �'^°`�Q.,,,,, ! � ,.;! !��,�rs� �j�^nn ��r� Y7tvd4�i6434�L�ysa:� m0�•^C"��C:i Y3I 4�E.ai�� h7iNH:5 Q'S1s47r�.f�1 P,��tA� �T� �CP��'�� C;�411'PiTf vdkF'�4 AIP�: �A'Y� TO'l�I.. Plaaace S?:P2I ac Ih�M �ork . . . =10.00 � Replacement ot Flirnace g p� ;� Rcpai*s & Aitcrat;ons-- vp to SSbd.00 g pp � Repairs di ilteraiions each add. t500.00 . 3 W � b[ECH. �TAR�s .�Fii Flunace Shell & Duct Work to 130,0�0 BTU ear.4 a�d. 60,000 BTU . .i . . . . . RepLcemmt of F�rnace Repaira & ATteration.s—up to ;5U0.00 Re�,airs & Alterations each add. 5300.00 .510 0o j 3.trJ i fi.00 � 6.0o S 3.00 ; aTEAM or HOT WATER SYST£9[ �rnace Shel! Sc Lines-- to 40Q sq. tt F.DR SLeam '�IO.�JO S. Flunace Shul & Line--to 640 sq. ft. EDR Fioi Water 20.00 E. Each add 200 sq. it. EnR Steam a.Ofl �_ ___ Each add. 320 sq. ft. EDR Hot Water 3.00 a._.___,_, _ OIL r'3IIRPiEF.—to 3 gal. per hour g,pp ;, over 3 gal. per hour�ee Fee Schedule G1� EIIRIiER (up to 1�9,4a0 BTU) 5.00 = a�er 1�3.OQ0 BT'tJ See F.. Sch�dul• GA3 iI'I'TINC FEEo: 200 R,1TE T07AL lst 3 Flxtures X= gpp =_^� AddiUoaal Flxtures — x .78 i--. —_ Gas Range to 299.000 �:3 6.OD : �uR co€��oa�g�a FAR tI�.;T'�G ST1�Ya! Vi'1�"fiI.l'L"YBfG �Y$'iCS�t JtI.'f�AATIOiiII � IiEPAIA3 �ova� f ��i�L: / ' � Z ' � �P #4.317 John V. Borry State Surcharge 50 a /n , c�c� Sw FM Scbodsale � TO a �I. F'� � �t. og ��. �,� �;a_� L�� 6150 Briardale Ct. I � Cicy o2 �ri��ey: � The �zndersiqned h�reby makes application fer a perm3t for the woric Aereir• specified agrc•eing to do ali ��or� in strict accordance wit� the City Or�fanncer and niting oF the Departm�nt o4 Bui:di.-zgs, and hereby declar�.s that aIl tht fac4t and rep�esontatiuhs statrd iri this application are true aQd correct. �idley. �inn 2-20-75 1� � �,ne! Richard Miller Homes Kind ot Buitding , f ram0 �Js�d a� residence To t�e completed about. 3-15-75 Estima?ed Cos�, S - IC'�.�LJ - Old—New. Bui{ding Permit No. _—__ P�rmit No. '�lE/ ��Rfli4YI�37 O$ WOiR'"� F�ATTNG or POWER �''L.t�N°Y';'rtiUram, F%4 Water, Warm Air—No � Trade Name _ _ Siae No Capacity�._._ _, Sq, i't. E.D.R BTU gp TotaI Connected Load I�ind p! g�1tN BURNER — Trade Neme Sias No ' � tong�� es i�r �-�'iouse ir co ti� � 36,000 BTU's FRED VOGT & CO. gf�� HEATING & AIR CONDITIONING _ p260 6orliam �Avai 929-6767 � � � _a,, `.t,.✓ s� "�% ,��_��-r— @f: �ou3 eark: L�^�!sote A5426 �" • � /Li �� (RQ09AlKf-�OKRl s�s�ecT PERMIT NO. City of Fridley ., �;� � , � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T - f — ; � RECEIPT NO. � i y__.____ COMMUNITY DEVELOPMENT DIV. ` r � � PROTECTWE INSPECTION SEC 1 f�� , t �'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPRO`/EO BY �""'"�"� ��' 612-571-3450 9�0-F15 4/4/95 / / JOB ADDRESS 6150 Briardale Court NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. lO 3 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE DOn/Liza Betzold 6150 Briardale Court NE 571-0098 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Standard Water Control Systems Inc 5337 Lakeland Ave N, Crystal MN 55429 1522 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO 537-4849 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION L� ALTERATION O REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Install interior draintile (sump pump) system 9 CHANGE OF USE FROM TO STIPULATIONS Drain field must meet or exceed the City Engineering Department's recommendation. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMiTS ARE REOUIRED FOF ELECTRICAL, PLUM8ING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZpNING SO. FT CU FT AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEFiEBY CERTIFV 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 4 ES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE P VISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCT N OR THE PERF ANC OF CON RUCTION F1T2 SC 1.�FO r PLAN CHECK fEE TOTAL FEE '� ` '� Q� License SC 5.00 40.10 IGNATUAEOFCON"RACTOROAAUTMOR�ZEDAGENT io Ei WHEN PfiOPE VALIDATED THIS IS V UR PERMIT +' .W '� /(� � r iGNATUREOFOWNERi�FOWNEABUILDEAi �DATEi ' ' BlD '�NSP f�piE NEW ADDN ALTER [� [l [l Construction Address : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �,'�..r�- , � � Effective 1-1 /95 �i i 7� Owner Name & Address: ��N � Z„i � ��t7� C._� ( �30�� Tel. # �7 i - Od � 3 �_ Contractor: �'��q,d� ('.��z �---+�'�`�-- S fs��►-� S��- MN LICENSE # Of� O �S �-Z_ Address: � 3 � 7 �.�a��d� � � ✓%�- /1� �'2`1S-c�►�, 55 Y�.9 _Tel. # 5 3 7 - �/� �`l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT � Width Width Width � �� L� 5y. Height Height Hgt/Ground � Sq. Ft. Sq. Ft. Sq. Ft. ,� � Corner Lot [] Inside Lot [] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks � cY7 EStimated COSt: $ , �(�' (Cost on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _� DATE: d� S� APPLICANT: �� Tel. #�37 - 5��'' '��J � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �� . CX�� $ �, �/C� � r� �, $ $ -� . �? �� $ $ $ $ $�C'' . /� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $850 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 [ ) STIPULATIONS: _ 13UIL1)IN(� I'liRMl"1' I�EI: SC(iEI�C11._r_ Ilu: Chi�:t l3uilciin}; Utficial shall, l�cforc itisuing �x;rmits for thc erc;ction of any huilcfing or stn�cturc, ur tur any :uiclitic�n tu any cxistin�; huildint; or structurc, c�r for any altcration or rc��air lo any cxistin�; l>uililing ur structurc, u�n a��lication i.hcrcfurc, rct�uirc dic �aymCnt by tl�c a��lican[ for such j�ermit c>t I�c:s t<� thc: an�ount hcrcin hclow �cl fi�rlh and in thc ma�ncn c�rci� ��rc�victc:cl tc�-wil: "1�0"1�AL. V�LU(: � I to $500 �SO1 to �2,000 �2,001 to 525,000 �25;001 to 5�0,000 � �50,001 to �100,000 �100,001 to �500,000 $500,(30i to �I,OQ0,000 . $1,000,001 and up Fr[:S $IS (Minimum Fcc is $IS plus surcharge) $15 for first $500 plus $2 for each addidonal $ iQ0 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each addirional $1;000 or fracrion thereof, to and including $25,000 � $252 �for fiirst $25,000 plas $6_SQ for each addirional $1;000 or fraction theraof, to. and iacluding $50,000 $414_50 for C-�rst $50,000 plus $4_50 for each addirional $1,000 or fracrion thereof, to and includi.ag $L00,000 $639_50 for first -$100,000 plus $3_50 for eaci� additional� $1,000 or fraction thereof, to and including -$SOO,OOQ $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fractio❑ thereof, to and including $1,000,000 �3539_50 for the f�cst $1,000,000 plus $2 for each additionai �1,OOQ or firaction thereof - DR[YEWAY DEPRESStON ESCROW (Conccete Cur� Streets Only) Atternate �A": Removal and re�lacement of curb and gutter only - Driveway width plus 6 feet times 513.50. Alternate � Q": Reaioval alid reptacement of curfi and gulter and install a 3 foot tivide approach with 6 inch deptri - Driveway width pius 6 feet times $ I S_75. VERIF[CA"I'ION OF rOUNDAT(O[Y PermiLS for corutiuction will be issued a minimum of 24 liours from the time of a��lication to allow for �ro�er revic;�v of the ��ro��osed structure and of the coastruction site_ A Cc;rtil;c::�tc �t Jucvcy ot the lo(, showing thc localion of ttic foundation oncc it h�s it h<is t+ccn cUnstructe�i will he requirecl i�etore j�rocc-ecling with (he frarninfi_ SuBJECT F�"RKRIT�T`I��"�' City of Fridley ,,�� , �� 2� AT THE TOP OF THE TWINS g U I L D I N G P E R M I ��` r ; � NO. � COMMUNITY DEVELOPMENT DIV � LL_�'_��'' r � � PROTECTNE INSPECTION SEC. �� C� ] � � � ( C7�- ' � ��1 � CITY HALL FRIOLE� 55032 NUMBER AEV DATE PAGE OF APPRpVED 8� � '""�"� �'' 612-571-3450 910-F15 7/6/95 / / JOB AODRESS 6150 Briardale Court NE 1 LEGAL LOT NO. BIOCK TRACT Oii AODITION SEE ATTACHED DESCR. lO 3 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Leeza Betzold 6150 Briardale Court NE 3 CONTFACTOR MAIL ADDRESS Z�P PHONE LICENSE NO D M Sather Corp 7920 Powell Rd, Ho kins, MN 55343 938-7989 3778 a AACMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAII ADDRESS 21P PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFIK Construct a 12' x 18' Three Season Porch and a 12' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. INAR��H� Before digging call tot att utility locatians 454-OQ02 REQUIRED BY LAW TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�OAD SEPARATE PERMiTS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONSTRUCTION ZONING SO. fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION ,� SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED / - 00 WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT (�iJ�� 3.O�F DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERMIT FEE SAC CHARGE PROVISIONS OF ANV OTHE STATE OR LOCAL LAW REGULATING CON- TR CTIO THE PERFO MANCE OF-,GONSTRUCTION Fire SC E).O% �'� PLAN CHECK FEE TOTAL FEE �'—•—� � � � � � � � � _... a� . / G' i / S�G AIUFlEOFCON�AACT0�70RAUTN0�7�ZEDAGENT / i0n7Ei WHEN PfiOPER VALIDATED THIS IS VO�R PERMIT v J' � � SiGNATUAE OF OWNERiiF OWNEA BU�LDER� IDATEi� B G�NSP r�pi NEW ( ] � A�DDN , . , �� i : ._ . ALTER [] .: .. . :: , ..CIT�Y OF F�t�D�;EY . . SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � , "' � Construction Address: G' � �3' `� � 1� � � � � �'�" �� Legal Description: Owner Name & Address: . / � � o �"�'( Tel. # Effective 1 / 1 /95 Contractor: �, �'�l i ': �I��',_.%%��`...i. �"�,.�, � �MN LICENSE # �� ' � Tel. #!�3 g i i' g`� Address: P� `� Z,d ��/ �'�r�,`v� � �, � � � � � Attach to t}iis app�icatioi�, a� Certificate of Survey of the �� .� � lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: oTxEx: DESCRIPTION OF IMPROVEMENT i � I,ength /� Width � Height Sq. Ft. ��L x�_`� �� ' S�� Length Width Height Sq. Ft. Length � i Width l� � Hgt/Ground Sq. Ft. � f�� ]�2, ya � _ S �'- �,� r ', ;�-- �� ., _ - y, ✓� Corner Lot [ � Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: .� ��.w•.��•:� � Estimated Costi: $�? v� �' � Approx. Comp�etion Date: ;, l �? j -- % `� `` � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� ' i' .� APPLICANT: %�v 7/�_ ��w ��--� � Tel. # .3�` % �j� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � � $ ,, $ �, U% $ � $ $ 5.w $ $ $ $ $ ��1 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / lOth%) $.50/$1,000 Valuation $850 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 [ ] STIPULATIONS: • ��ui�.»irvc;. ��.�zn��►-. r-.r�, sc��er�ut.�. .. . I h�: Clii;:t 13uilciin}� Uf�ticial shall, hcforc itisuing perinits for thc ercction of� any huilding or �iructurc, ur fur any :��i�itic>n tu any cxititin}; building or structurc, or for any altcration or rcpair to any cxistin}� l�uiliiing c>r s�ructure, u�n aj��lication therefore, require [he payment by tt�c aJ�Plicant for such �ermit c>I tec:s t<� thc: a�nount hcrcin bclow sct tz�rth and in d�c �nanner l�crcin �mvi�lul to-wi(: - "CO"I'AL t�ALU(: � rr[;S �l � . tc�. $500 � � $!5 (Nliniaium Fcc is $1.5 pius �surcharge) �501 to .$2,000 $15 for fust $S00 plus $2 for each addirional $100 or fracrion thereof, to arid including $2;000 �- �2,001 to �25,OQ0 .$45 for fiist $2,000 plus $9 for each addirional $1;000 - or fraction thereof, to and including $25,0(}0 � �25,001 to �50,000 � $252 for fust $25,000 pl�s $6_SO for each additional $1;000 - or fraction thereof, to. and including $50,000 �50,001 .to �100,000 G. 1T1 ITI � 1! 111 $500,(}Ol to �1,000,000 $i,Q00,001 and up $414_SO for first $50,000 plus $4_50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first �$10(?,000 plus $3.50 for each additional� $1,000 or fractioa thereof, to and .including -$500,000 $2039_SO for ifie first $500,000 plus $3 for each additional $1,00(3 or fraction thereaf, to and including $i,Q00,000 $3539_SO for the fizst $1,000,000 plus $2 for each additional $1,OOQ or fraction thereof - DRIVEWAY DEPRESSION ESCROW (Concrete Cur� Streets Only) Alternate "A": Removai and re�lacement of curb and gutter only - Driveway width plus 6 feet times �13_SO_ Alternate "Q": Recnoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch dept�i - Driveway width plus 6 feet times $15_75. VL'RIF[CA"ftON OF FOUNDAT[O[Y 1'crmits for cor�suuction wi(1 be issuod a minimum of 24 hours from the time of a{��lication to allow for �ro�e� revie�v of the �ropose;d sUucture and ot the coastruction site_ A Ccrtiti�;;�tc ol Jurvcy of ttie lot, showi�g thc location of tlic founciation oncc it f��.s it has hccr� constructc;�i wiU bc rc;yuirccl bcfore proceedi�g with lhc framing. CITYOF FFiIDi..E`l INSPECTiUtV DIVSlON 6431 Univ�►sity Ave NE Fridl�y; MN 55432 APPLICATIQN FOR Pl3WER PLAN7S AND HEAiiNG, CAOLING, YETVTitATtON, �72--3604 _ __ REFRtGERATIOh AND A1R Ct�NNL�fT�C?iVIN� �YS7EMS ANt7 DEtACES _ _ RATE SCHEDULE Resid�n�ial Furnace Shell and Duct Work, Burner - Also Re�iacerrent Fuma�e (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace} Gas Range � Gas Dryer �� *Air Conditioning - All Sizes All OthersfRepairs � Altefations {LIST ON BACK) 1°� of Vafue of App{iance �r Wo�tc Commercial/1 ndustrial i, 25% of Vaiue of Appliance or Work Rate 70TAL $ �o.oa $ �, c� � i0.00 $ c:,u� $ iQ.�Q $ $10.00 $ � 25.W $ .� State Surcharge TOTAL FEE EffectEve On January ?; t 996 JOBAD:�RES� �P�� f'j a rc�a.-� �dckr' - The und�rsi�ned hereby makes application for a permit f6r the work herein spec+fied agreeing to do a11 work in sitict accordance uuith the City Codes and rulings of the Building Q�vision, and hereby declares that a!! the facts and representations stated in this applicatian are true and corred. CD �Ia ,1998 �WNER � n I �- � � BUItDING USED AS � e��'e n�•-z. ESTIMAT�D COST �i �� , t�D .� f�RMIT N0. � - � � C ' DESCRIPTION OF FURNACE AND QR BURNER $�_� Na of Heating llniis ( Circle One (Steam) (Hot Water) Warm Air � Trade Narne �'�r `; e c- Size No. BTU �b, 6Z�"p FiR EDR $ Fuel �',r-L�, � �z� 1'otai Connected Load $ .50 � �� MINIMUM FEE FOR ANY HEATINGlCtJUIJ�ENTILATION REFfllGERATlON AIH CQNDITIONiNG PERMIT IS $25.00 PLUS THE ��5Q STA7E St1RCHARCE REINSF'EC710N FEE $42.00JHr *Air CondRioners can not be �laced in a side yard withaut written permi�s+on f�om adjaining {xaperty owner. B;�rner Trade Name Size No, gnJ ;-{p EOR HEATiNG COMPANY ��-?�'cr_n �7�Q-� � d' �� r' � Signed 8 .�":3 App�oved By Rough-�n Date Final Date FILL OUT BACK SIDE FOR STA VER{FlCATIaN ON FtEPtACEM�Ni FURNACE ' CHIMIV'EY AND "TACK VERIFi ATION i � Th� under�igned hereby verifies that the existing chirruiey or stack: 1. � Ha5 been carefully examaned Yes (�.s} No (} 2. ';� Is �ree fram rust or deterioration Yes {� No O , ;; 3. � Ha� no foreign objects lodged within Yes (�) No O 4. Is seeurely supported � Yes (�/} No () 5. Meets all curre�t Cocle requirements for size ', and total BTU's connected 6.' 7.' 8.!, H�S total heating BTU's of �Q 6ZSa AlX other BTU's .�J, S�C� T(�TAL BTU's 1 /_ � , � �, H�;s a liner been provided for water heater H�s combustion air been provided for water heater R�marks: List ALT�RATIONS Being Done: � Yes (� No ( } Yes (✓S No ( ) Yes (✓f No ( ) � ; , I --, H�ATING CO: Si�ned By: D�te: ; � I � . .:, sue�ecT PERMIT NO. City of Fridley 30830 , AT THE TOP OF THE TWINS g � I L D i N G P E R M i T r ' ' NO. � � COMMUNITY DEVEIOPMENT DIV. �/�� r � y ' � PROTECTIVE INSPECTION SEC. � � i---- A,��"' �'� CITY HAL� FRIOIE� SSIJ2 NUMBEA NEV O�7E P�GE Of ♦vvnOVED Br t '� 612-571-3450 9t0-Fi5 4/14/00 / / 10B ADDRESS 6150 Briardale Court NE 1 IEGAI LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED oesca. 10 3 Briardale Addition SHEET 2 P��ERTYOWNEfi^ZA�� M(cJ��Q%�t�� SS ZI� s7/EVUpO 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WOqK � NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ AEMOVE 8 DESCRIBE WORK o��- a�Q ee ' lE- -, h i n 9 CHANGEOFUSEFROM TO STIPULATIONS SERE Rq rE �� °�1 QUIREQ Fp�. � P� �I BI�� HEA��G ANp ,��+��,� ?YPEOFCONST OCCUPANCVGROUP OCCUPANCV�pAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WOFiK OR CONSTRUCTION 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTFEET PARKING I HEREBY CERTIFV THAT I NAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VA�UATION $URTAI( AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED � 1� 7OO - y� . 8S WiTH WNETHER SPECIFIED HEREIN OR NOT TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTMOiiITY TO VIO�ATE Of: CANCEL THE pEqM1T FEE SAC CMARGE � PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING cor,- �69.25 Fire SC y�1.7O STRUCTION OR THE PERfORMANCE Of CONSTRUCTION � PLAN CHECK FEE TOTAL FEE � $ 1.80 S�GNA7UQE O� CON"FS q Oa • Ti+Op�2ED �GEtii i0 E� HE PROP V ALIDAT THIS IS VOU PEQMIT � v �-+ � S�GaaTUAE O� OwtiEA �iF Owr.�EA BuiLDERi �D�TEi BL �HS� r� NEW [ ] ADDN [] ALTER �] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION . r Effective 1 /1 /2000 (763) 572-3604 Bldg Insp � �.�� I N f� 30�3 � Legal Description: __S��i �` /�,tic,,Q �ou S-� u Owner Name & Address: j,.eZ$i� t�,� �� (� � f,�0 �i'ic�r��k.�Tel. # S 7/—v� �' � Contractor: � � 2c�� c u.. �-� c�`� ��o,� �� y� MN LICENSE # Address: Tel. # LIVING AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. GARAGE AREA: Length Width DECK AREA: OTHER: Length Width �erv�o�e� �w� �e:� l��n Height Sq. Ft. Hgt/Ground Sq. Ft. � � ��,� �c.�n�,�. � �i�'1 �`�r i� e� Construction Type: Estimated Cost: $_�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: `T I � � APPLICANT: G—e�'S� �7.� ( � Tel. # 57�� O � � CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $� �� Fee Schedule on Reverse Side $ f �7� .001 of Permit Valuation (1/10th%) $ . �J� $.50/$1,000 Valuation $ $1100 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 [ ] $�I��d BUII,DING PERMTT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $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 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for iust $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � �i �� \ , •� � � �� . -c— � ��, r � f � O. 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" ' _.....__"" r: _.. - _:� _- _ �-- -- . _ _._. _.. _. . _ _ __ .__-- .- ------.. _.____.____..___..� .....__._._______..._._.._.__.,- _-- � �_ __,___ _. . .. .__._.___---_.---.-.-._ _ _. , -- .__...__..._.. .__...___---.___.- - .--.---.-_-__.►.__._____._�_____._.._..__.._---• �. _..__ ___. .___.._._ �___�_ _ .__ ,__.�._.._..._----. _ _------� . - ---._. -------- ...__-- ------ :i: �-- , ,. - �,,. ___ .__..._ ._ . __ _ _ _. . ._ _ _. �. _. _ ._ ._. ...... _ ._ _. ..._ . .____ �- -- •. ._..__.__ f:� �- ___. �� --------_.--- (_� -- ----- ---- ._. _ . . �, --� ,�� i � ;3 :.� , _ _-- ----_�__. ---- ---._------ ----._____ .._______._.____ .._ ._ _. __ _ _ __ _ - -------__..__ _ � � �, � ;.- _ _--- - _ . � __ ___ _ _ _ __ -- ___ _. -- _ _. ._____. . ;- NEW ADDN ALTER CITY OF FRIDLEY � �� [] [] 6431 University Ave NE, Fridley, MN 55432 [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '> `5 �-� � Y' f �. � � � � C�`� Legal Description: � ��j�� l (763) 572-3604 Bldg Insp (763) 571-1287 Fax Owner Name & Address: �. � � �S� �i� � T Z 6 f c� Tel. # -% L � ` � %l C�O �l �' Contractor: /� 1� Ir �k �`C �-� l--��v� .�M �� oU�E�YI �� l, MN LICENSE #� 0�� 2 �2 ��l Address G�+ �� ('�✓ � j �'U � G �� c� Tel. # � �� 6 �{UG�G' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. _.� Oc /�/� Jv � � � l `� % Construction Type: �-z ;�(Gt�Cf � �G � Estimated Cost: $ �� ,�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� _ � DATE: � - �.� —�� APPLICANT: �,�� vt�-�� Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - � �'�. �?5 $ � 3:a $ 1•co $ $ $ $ $ $ --- Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ �� ' o � STIPULATIONS: BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pernut 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 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1, 000 or fraction thereof, to and including $1,000, 000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only ' cYrrrx�► c�.�soN InvesHgator Enforcement Division 85 7[h Place fast, Suite 500 Saint Paul, MN 55101-2198 T�L 651.29),4629 fax 652.296.4328 � � c'tndy.ciaason@state.mn.us ��y www.commerce.state.mn.us �DLPARTf�TNT Ol :CO�M�mcE _ Market Assurance: 1.600.657.3602 Licensing: 1.800.657.3978 E�ergy Information: t_800.657.3710 Undaimed Property: 1.800.925.5668 www.commerce.state.mn.us An Equal Opportunity Employer _ * 'HP Officejet 7310 Personal Printer/Fax/Copier/Scanner Last Transaction Date Time Type Identification Log for 7634243530 Apr 07 2005 9:06AM Duration Paqes Result Apr 7 9:05AM Received 6572964328 0:56 1 OK Building Inspections 763-572=3604 DATE J / (� ( —�— SITE ADDRESS _ THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS !C�IC� � �� ❑ OWNER �C.ONTRACTOR PROPERTY OWNER/ I Np�:� TENANT qDDRESS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE (�� PHONE: (o (,� �SS� 6a ��_ � �si � CITY �"� Permit No.: ,a�(�'? - C�3� Received By: / Date Rec' d:: � 5/ i�7 STA'T�iI/LIP Ss4z� NAME: / I�L�^� C -rel -v/v tn�L . STATE LICENSE #_�� k7 OG EXP DATE `l �J (�D % ADDRESS: 3S I i/"- Wi4L, /( f� . CITY�`�-C� �� STATE�"'�LIP ss�(Z3 PH(}1QE � I�- ° SJ'b' �' � `�°I FAX INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER TYPE OF WORK: I � ❑ DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ V inyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS �Yes ONo OR FOR NEW OPENINGS-D SCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED� ❑ SWIMMING POOL ❑ ADDITION ❑ REMODELING ,� �� LENGTH WIDTH HEIGHT ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS OF BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDRJG DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing swctures and proposed projecG 2. Two sets of construction pians 3. Energy Calculations ALL FEES ARE BASED ON VALtJATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ aS4CC� • ou OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �'3. �;� $ $ � .� $ %.�1 $ J�i (.?U $ $ $ $ $ $ �1�. i a, 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 aavable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach Stipulations 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 wor ry�r'ffes rey� �._and-a�FOUal_Qfplans. SIGNATUREOFAPPLICANT PRINTNAME�� #1% lA"i��-2� DATE �/� �� 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 1 S` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $6925 for 1s1$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 15` $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 including $1,000,000 $1,000,001 and up $5,608.75 for the 151$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 a11ow 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, MN 55432 763-572-3604 Fax: 763-502-4977 . ..... � ... . � _ . .. . � � . � . . `�;,,` .. _ � . ....G.`,i � . . _ ._ ... _. _ .,, ti , vv . ......... . _ ............ From: City of Fridley To: 7635T28889 Page: 2/4 Date: 3J23I2009 �, ,l�c� C R.�- �re�- P� ✓�-u Building PLUMBING Inspections RESIDENTIAL APPLICATIUN 763-s�2-3604 �iTY OF FRIDLEY 763-502-4977 FAX �r�cT�v�z-�9.r�9 llATti ✓� S1T� AllURFSS ` TNIS APPLiCANY IS: OH�'NER! TENANT MAME; ADURI �� OWN�R YOUR trMA1L ADURk.SS at.,ce c -�- OCO1vTRAC.'TrR l.v� � �wa. i via NAM�� ♦ v i .- .� . SUBMIT A COPY aF STA7� l.lt:tNSEtt_ (n I'�l�� P� YOUR STATE UCENSE, BOIVD AND STA7t k3nNU il CERTIFICATE OF AvU1tt5S: a+ £/n4� ��T�'— [NSURANCE PH�� -Z63 ��i�� Q' � KAx PERMIT TYPE -r�rrE o� woaK: j� N t W t NAMILY ❑ TWn YAMILY ❑ TOW'NHnUSti DE�TA[L8D DESCRIPTIOT�I OF WORK __�4� �PLACkM�N7 �:15 AM Permit No.:�7— Received By_ �' Dat�� STA7t/`lN'L1 P tXY UA Tk �.XP vATt S7A7 .r .�`%% -- �- • - ht.�5 AR� BAStUON 510.00 Ptli F11(TUNk, tXC�nT WHtKt NQTEU. h1XTUItfS: (INUICAT�. Td7AL NUMBk�KON EACH 66LAW}. MINIMUM Pkk, 53550. WATlIt PIPING HA'i'H SINIC/LAV _NL0C7M URAINS _ SH[��NkR — � F2ATHTUB CiAS PIPINf (h[ttl) CITY LI�.,') SWIMMIN('i POC)L _ WAT�K SAYTNtR (135) CL.ATHES WASHEt! KITCH�N S1NK � WATE}iC;LOSET _, kiACKNLOW PR�V.(SI51 UISHWASHtit LAUNURY T1iAY _WATtK HtAT�.li (�35) N(�R IIiIt1GAT1nN — — WATrRMETEIt �OTHtK j�aY��J��.l� THIS 1S AN APPL.ICATION k�'OIZ A Pti12M17-NOT VALID UN71 L PROC�SSED ( hcncby apply for a piumbing permit and 1 acknawlcdgc that thc information abovc is complcic and accurate; that the work will bc: in �unformanco with tbc ordinances and coda5 of thc City of Fridloy and with thc Minncsota Con�+truction Cod�; that 1 undcrstand thia is not a permit but only an application for a pctmit and work i5 not to .r•tart withoui a permit on �itc; that thc wark will bc in acc�dancc with thc approvcd plan in thc,�s ro uires rcvicw and apExoval of plans. SIGNATUAt Or APPLICANT Plt[NT NAMt T«Y �I v V" "�''""� " DAT� 3 3.4 City of Fridley Building lnspections Department 6431 University Avcnue NE, Fridley, MN 55432 763-572-3604 FAX: ?b3-502-�977 Building Inspectior..�s 763-�72-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE � YOUR E-MAlL ADDRESS SITE ADD SS � /�� THIS APPLICANT IS: ❑ OWNER CONTR.ACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PROPERTY TYPE PERMIT TYPE TYPE OF WORK: ��if1�� Permit No.: Received B Date��: m►nn�sv+�-r�,sev• cvm �nn� .�sy� � ADDRESS: ,�j `" CITY STATE ZIP PHONE: / iD 3• 37I ' D l/7� NAME. �Q.� ' STATE LICENSE � o� I%3 EXP DATE 3�l 0 ADDRESS: SSSS -L�`Z— CITY ��i�-- STATE �P55��3 Pxorr� 95z • 935 ��l��e 9 Fa,x �sZ � 935 � 4s�y SINGLE FAMILY/h1EW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: FROPOSED HEIGHT: ADDITION AIR ❑ ❑ DRAIN TILE ❑ OTHER �� / / I / �_�!:.� 1 / / �././�il.I.'/ ❑ HOUSE ONLY ❑ HOUSE & GARAG � ATTACHED GARAGE ❑ DETACHED GARAGE SIDING ❑ Vinyl ❑Soffit ❑ Aluminum ❑ Trim ❑ Other ❑ Fascia WINDOWS IN EXISTING OPENINGS ffjYes o LO� OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED �I�I1I,ENTNU 3a�, 3 )/� BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of siructural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS, & PORCHES SUBMIT: I. Site Plan/Survey showing the existing strvctures and proposed project 2. Two seu of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, I1vCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Io� ,,3(PS '°D OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due � �3, �-� $ R� $ �' $ $ 5 G� U $ $ $ $ $ $ i0 �1 See Back Page for Fee Schedule 65% of �uitd',ng Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 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 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach I hereby apply for a building permit and I aclaiowledge that the informarion 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 pe it and work is not to start without a permit; that the work will be in accordance with the pproved plan in the case of all work which req res re ie an pr val of plans. '--� SIGNATURE OF APPLICANT PRIN7' NAME /W►' � �� A7`E � / v� 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 lu $500 plus $3.05 for each additionaI $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 1�` $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 ls` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for lu $100,000 pius $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,041 to $1,000,000 $3,233.75 for ttie ln $500,000 plus $4.75 for each additi�nal $1,000 or fracrion to and includin $1,000,000 $1,000,001 and up $5,608.75 forthe 15t $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum of 24 hours from the time of application to a11ow 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, MN 55432 763-572-3604 Fax: 763-502-4977 i� � � � � � � � J � `\ � 4� Q � Z � � � :� -� (�� l � � � �� ,\_ �g I � r � � '� � ,� r � � 3 W � � �,� N � � '� � ' ', � � � � �.., �'. � c�cc. ; _ w 3� � `� � a � � � --� - �� --- �, _� 3 -,� �i ,� � . - _ r � (/� � . � � �- � �- � -� _ , -�-� z M � I M _ �� ^1 T� I � I .�"` � -3� I .M '� �- �/7 � 7 � 1 S ;� � � � S _ - -� � � � � i � � �. � � J � ;,�, � � V� � s � � �i � ' � 2 , N w �_ � �� ( � . Q . . . . . . . . � N � s ` � � � � � � � � v `"� � v � � � > � � �- � � � L ' 1 ,,._. V ' � -'� te' Z Z � v � � � � � � � � r . � ..� ,„53 �: �,� li �' +11M � . �:wf ,. z�` ' a,,. �,� E 3� . �. . f a , � ;;[�3f:'tt'� ^:.w ,._ ' . . � §� �.._..�'..�...� a_ �� .� � __�� ;�� :�, � . �..,}y b' y,y- �+e� � �b. _� � ,:,�3 �`9 �` '� _- _' °- � �1 ' �� p� . � �� .. �$3 3� .. y��" '� � � .i-',//':. ' _ " . __ � %' . � trrcrc� ,�a.�a4+- �` � � t �� „ � r�:�~:. �yi 'T-F�� .