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AF - 35619SUBJECT ERM . � City of Fridley 140'72 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E I T RECEIPT O � � `L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. I .1 , (4 1 /"�'1 � CITY HALL FRIDLEV 5$432 NUMBER REV. DATE PAGE OF APPROVED BY "•-"� � ,�� 612-560-3450 910-F15 5/10/77 � � JOB ADDRESS g080 � Broad Avenue N.E. LOT NO. BLOCK TRACT OR ADDITION 1 LEGAL SEEATTACHEO oESCa. 1,2 U Riverview Heights SHEET 2 PROPERTYOWNER MAILAODRESS ZIP PHONE A. L. Williams Construction 947 - 86th Avenue N.W. 784-4690 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Sasne 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL�4DDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Q REMOVE 8 DESCRIBE WORK Gonstruct a 34' x 24' House and a 20' x 24' Garage 9 CHANGE qF USE FROM . � STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide lovered door and exhaust fan in utility area or window. SFWER L�ATION: (Approx. 9' Deep) (Off Ely Street) 61' E. of Manhole WYE ELEV: 812.34 TOP OF FOOTING: 815.34 Minimum WATER LOCATION: 10' E. of Sewer Service, 49.1' N.W. of Manhole 41.5' N.W. of Hydrant , DRIVEWAY DEPRESSION COST: N/A Existing Bit. B@YIIl itiE C1T1f OF fltli�tEi! DOES NOT GUARANTEE TME �� c�u�ac�r o� ur�unr �ocA�+oHS �w� ecevv�►r�oNs. Befare digging caN t�si utilities 1HIS DATA (S FOR INFORMAilUN PURPOSES OIdtY Aty� TELEPN4NE - ES�C�R�C •� Etc. � IdS�NG R SHOULD VERIkY INB WfORRJIMMitON RE(,�UIRED �Y t.�►W SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOfl FY'd�e THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. S�.G + 484 ZI.�ZEO TO't7.�. 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 CORRECT. AtL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. y�ZC �%SS y��.3.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $84.6/� $375.00 STRUCTION OR TkIE PERFORMANCE OF CONSTRUCTION. � `�¢7 ';� � PLAN CHECK FEE TOTAL FEE r � �" f-- � $21.16 $494.18 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI k� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �l � I a�.e�-� � �a � i SIGNATUREOPOWNERUFOWNERBUILDERI (OATEI y� BLDG WSP DATE ' _ Q...��y\ � � . s Q�,/ LJ ��f�.�srs�?�'� - � i��X � S� �_ �l� � � �� ►� �s�,� �.3y' — �l� X � z � L� �,�� _ . , ��. ��1, �� 3 � �' ��,/,� - �� ..�. ' = -�� 9 � 9z �6` ��c�� ' C d = �8 �4 .�.� �� o �� 4— 8i � x � av � �f � � �, �� _ 1 � �/ � .0 � �, G o t lo � ��, �� - - - - _ �� - �� X 7 �� t �� /• � � _ _ _ � �� _ ?Z �� ,, �� _ �� '�;" � � � �-� �53. �� s� 3 �'�` �-� I _ - ��''� /� - -- � _ __. �1-� �' --- -- _ _ - � , _ , ��. _ � V'� / �� CITY OF FRIDLEY APPLICATI0�4 FOR RESIDEl�TIAL BUILDING PERMITS iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) � � / �� 1 � • � .E � � �X.i� - L�'' / i , �.. � � �. s BUILDER: � / Address: Tel. No.: �,��'— �� sr-��--- /��5 I � ��d No.: street � ��-� LOT: BLOCK: � ADDITIQN: �/ I�� Ul �L�� 5 CORidER LOT: %\. INSIDE IAT: S; TBACK: � SIDEYARDS: � Applicant attach to this form �to Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: / � Front: (/ Depth: � � Height: d � Square Feet: � Cubic Feet: —��} —j�(� r, �? � 2 / }- � C�� Front: Depth: ��Height: 1Q �� Square Feet: Cubic Feet: � �� Type of Construction: �,/��-� �' Estimated Cost: $�� To Be Completed: �� Alt. A Alt. B / l� Proposed Driveway Width If New Opening Is Desired � $�_ $ (SEE REVERSE 5IDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for addi 'onal infoxmation. ► � DATE: — SIGNATURE: P Stipulations: - -_� .�?iiii u. � /�- '�- _ �.�._�...r �� -___. i �� r � i . .. . .-. - -, ..._"_ .. �.a.:o+tl�+./�r'°, �.�.e.�...' --. .. ..... ' _ .. . .^-� . ! / / / / / , / / , • r �./ � .. %' , e ��`�. � i �C-� s � � J/ � s � � e-� " � 1�.�/� a�'.,. /...� .- %� � . !'�� ,/ � ��' J - �(�'��e`.:-9� BUILDING PERt�1IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any eacisting building or structure, or for any alteration or repairs to any existing b�iilding 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: NEW C�NSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 �' � �.�-��:L��l � ' ` :�� For the purpose of computing fees for building permits, the cubical contents of any building ox addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIO� OF FOUNDATIOfV NOTE: Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Surdey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. a � �m T. � �r r'"� fl"rt � — — �`l��'iF � ��_� , � . , _ ir � tis� �.�� `�`E � T 1 F' 1 C AT E O F" S U� V L Y ' J A M IE � L. iC U R Y M ��'�`�" � � �` L�►�ID 3lJR!lEYOR 4002 JEFFERSON ST.�� E. a COLUMBIA HEIGHTS 5�,�a421 ��97� 1 H616�OY ClfilTiPY TM{�1T TNti SURVBY. 1"LAN. OR REPORT WAS POR�PAftCD BY MI� OR UNDER MY DIRECT BU�(tVI81pN ANp T01J14 I AM A OULY, R[�i1fTER�D LAND iURVRYOR UNC�R TFdB LAWS OF TN6 STATB OF MINNE90TA. Y � DATE �- ~ I9 �"I n�.,..._ — , `° 'S�ALE 1"= 2�,�, MIN C3T�1 REG[STRATION NO. 5332 I o= IRON MONUMENT � � ��. ��...� �: � � � �� ' � �,°��--� �., .. . � � - � � . .S� . . �:,- ,. .... i • � L�� 1-- � 2� �c.�, u � �iv�i vt��( �1�1� -� � �t0}� C�. � (��i, _ � _ -c� � v ,, �� d �. 2� 9� [�� , , � � i U � � i Y � �: � 4i ��v�c �� o-�� v �� , � '�� .�. �-� � �/ ! �° . � . c P � 11J�� /, - �'/ �, 3 �% � _ �-� �� - -� � �%� � �/ � � �� '��/ c k � � l.% � �' l ' I�,1,�/, � i��. � �/, 5 ` �, c� �� yp � (,l� �� ,��'.�'s c� ,� e� � � o �/ � ` ��T i,�� ; �,.. �� y� ��6 � � �� , �� '1/�� ; `, �� r� N . .. ,.,,_ . , , _ , , _ _ :_: �' : � ��:..' . .r. °a., n> . . . .., . � • ^z �y � ro o � o �0 �� r �, K M m� �� E rt o rt � E�� a rt � �r w y �r c� k t� k x� � z p' o� c~o w�e '-' °� i°-n o a w�F��-"� � o r ct z � a rt o rr w rt ie r�e 'rJ N o r ��i � rt �a o� � A c� r+ �-, X o ° � � � � � ►�s n � � i o m � C ° �y o�t U' m a o� �� tr� n � o° �0 m w rw sc w � m � �C � ~ o °o w � � � cn �--� O� Gt C •• r � � � � � rn � � � n � M� C � ( I I 1 I I(�I I�I� � m w m x x x x x x x� x oe x x . tn tn tn t� i-� ta +� tn tn tn t-� tn in tn in �n � N V� O I-+ W ' U7. 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N 1� N � F.' ab �e°� � �x p' o* o 0 0 00 0 O O O H C � �PJJiPN O O O O O 00000 � �n �, < � z rororo � � " w w a w r9- y��pfD a R+ ¢i � � � t �F+rt� a a � m m r°n F' f. y w a �' �.° 'u ?? o o � � � ��an --� t� W � p n � X � �o v� acy'i� m � •° ,�'n o p S o r �T� � �N p J J N y 0000 CS7 0000 i/! i!1 i/1 N N tA th i/l iA �f/f tA N N N N td N N iq tn i/1 in i!1 iA tn N � O � � °� r 9+ C O � µ � b' � � ' � m m m� a z � w �C � � K � K d � � a a � O M � C w F° � �d , � Rf � r{ t��f �. �N z � � � - ro � x ro � � � I n �y ro 9 y N °z 0 0 � � w c � m K S(�� w ' [7 o a c � b � M � I O O N O /''�� 1 M \ ty�7 O aP° �rd @7' � • t+l G y � z � � o � y H 0 .i M � H H O V � � N O � Cy � 00 C H Z � � ,R7 MW N Hn�7 N a w N� ~K H{t '.7 � fD � . J rn N a'wacan i ►�s� N � W t�n �w�p.+,0 ) � M� � � p (p � u �S � w � � w� co w � a rt m W bW � k{p W � � K O � m s a� � � � 9 . � �� r 1-a+ aMX� � � c w t%� . w � t� � � µ �'S W � � W H- O • P� N tI y b , � M ►� a m o w�oet � m aro � N y �ng Pt 'C -m W W 4�f � �' M � � � � 8�� ' �� (� �� v m�� O C! � K m N N 0 'v � r �7 a -� 0 2 O .'O -D 0 � m :S7 � �� c"� -Z-1 o v, Z C D --1 G o= .-. n � � �� -< � N -m-1 C"� 3 � y O Z G') d ► C C < � t'� �-+ m � � -� . O z � � m T � � m D -a 0 � a Z d n � 0 T 'Ti � `--� d � sue�ecT PERMIT NO. City of Fridley 2�.19 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � ` _____ COMMUNITY DEVELOPMENT DIV. ��' � v � PROTECTIVE INSPECTION SEC. r , , � ,1 , � 1 /��'1 � CITY HALL FRIDLEY SS4$Y NUMBER REV. OATE PAGE OF APPROVED BV �•---'�"• •'� 612-571-3450 910-Ft5 2/6/92 / / JOB AODRESS 8080 Broad Avenue NE t LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �- � 2 U R1V0Y,'Vl@W HEICJY1tS SHEET 2 PROPEFiTYOWNER MAILADDRESS 21P PHONE Steven Adelmann 8Q80 Braad Avenue NE 786-7666 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �t,�in City Storm Sash 10825 Greenl�rier Rd, Mtka, MN 55343 546-8160 3090 4 ARCHITECTOR�ESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION C� ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Soffit and fa,scia 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AY ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �- 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 $1�920 $.96 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $45.00 FliE SC $I..92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $47,88 SIGNATUfiEOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHE PROPE LY ALIDATED THIS IS YOUR PERMIT - . .e � � z —(O — � � SiGNATUREOFOWNERiIFOWNEiiBUILOERi �DATEi BLDG �NSP �iATE NEW t ] �c ADDNee r ] � �.'rER I I � CITY OF FRIDLEY SINGLE FAHIILY AND DUPLEXBS R-1 AND R-2 Building Pe�nmit Application Construction A�ress: .�'C' ,� �� jz.�a C�� l�/ � I,egat Descripbion: Owner Name 8t Address: � � Co�ttaCtor: �ii�sc� � � '� �� Effec�ve 1/1/91 � Tel. � - �F°� ��G � �� Tel. # � �'`� - �'/� D Address: > ° �' � 5 . � �' � �� , ��,. s S_3 , Attach to this applic�tion, a C,e�tific�te of S�nvey of the �t, with the proposed oons�on drawn on it to scale. LMNG AREA: GARAGE AREA: DECK AREA: OTHER: ��IP�@'IOh+� OF ��0�6�A1T Leagth Width Height Sq. Ft. I.ength Width Height Sq. Ft. Ltngth Width Hgt/Ground Sq. Ft. C,orner Lot []� Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Esdmated Cost: S /!�� Q�� Approx. Completion Date: � a ..*, Driveway CY�rb Ght Width Needed: Ft. + 6 Ft = Ft a S =S y�- DATE: / y � °-' APPLICANf : � � Tel. �i S �` � - �/� C� � CITY USE ONLY � " ,� � � � � .r,�,�-.0 � ----�� c Permit Fee s sv c�� Fire Surcriarge S /• 9� State Surcharge S �� SAC Charge S Driveway F.SCrow S Park Fee S Sewer Main G'barge S TOTAL S �� STIPULATIONS: �� Fee Schedule an Reverse Side .001 of Peamit Valuation (1/lOth96) S.SO/51,000 Valua�tion 5650 per SAC Unit Ah. "A' or Alt. "B" Above Fee Determined by Eng�ering Agreement Nece.ssaiy [ ] Not Necessary [ ] �� j,� 1✓l� �- � - 1 �i! �� r � �3��/ � � D ��`' I�� BUII.DING PERMIT FEE SCH�?DULE - � The Chief Building Official shall, before issuing permits for � erec�.•tion of any building o� structure, or for any �tion to any eaisting building or structure, or for atty alteration or rtpair to any eaisting building or s�vcd�re, upon application dierefore, t�equire the payment by the applicant for such permit of fees to the amount herein below s� forth and in the manner Lerein provided to-wit: ° 'i'OTAL VALUE S1 to 5500 ZSOI to 52,000 52,�1 to �25,000 525,001 to 550,000 550,001 to 5100,000 5100,001 to SS00,000 SS00,001 Lo $1,000,000 51,000,001 and up �� S15 (Minimum Fee is S15 plus snrcharge) S15 for first 5500 plus S2 for each additional 5100 or fraction thereof, to and including 52,000 �45 ��r %t �2.OQU pla� S9 f�r �cb �dd'atio�l � 1,000 or fraction thereof, tn and including 525,000 5252 for fitst 525,000 plus 56.50 for each additional 51,000 ar fraction t6ereof, tn and including SS0,000 s414.50 for first 550,000 plus 54.50 for ach additional 51,000 or fraction thereof, to and including 5100,000 s639.S0 for first 5100,000 plus a3.50 for each additional 51,000 or 5acdon thereof, to and including SS00,000 52039.50 for t6e first 5500,000 plus S3 for each additional 51,000 or fraction thereof, to and including 51,000,000 53539.50 for the first 51,000,000 plus � SZ for each additional 51,000 or fraction th�eof �1�IV��I/AY DEPREe�SJ(aN ES�RA�V (concr�ete Gtirb Streets only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times 513.50. Alternate 'B": Removal and replacement of ca�rb and guuer and instaU a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times 515.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of t�e prc�osed stivcpire and of the construction site. A Certificate of Swvey of die lot, showing the location of the foimdation once it has it has been constructed will be required before proceeding with t6e framing. NOU-18-1998 13�39 FROM CITY �F FRIDLEY � � � � 0 �� '� � 'ti � N � � • a � � . �� m � � � � � 0 � z° � � � � � � � � � � � � � � � � _ � � o � � �r g�, < , - � � � � � � � $ � �� m .� p �� a� �� . � �� 0 � � � � � � b Qo � � �� Q � � � � � � � � �' � � � � � � � � t� � � � . � � �� m � � m Q � ��a 0 m �. z .� Cn � �' � ~� � � � � � �. ' �� a � "S a ° Q d� �� ro � 0 � �� 0 � 8 TO 4248651 P. 01�2 � �' � � � � � �-��a � �m � �� r 4 � "ii O � ��. � � � � .� � y � .. � ( 4f3 ta� � �� o • �� s �. �m�� ^ f�d �� 9. v g� ,,�v- � g�� _ � -�. � � � � � � J � rvc � � �� j m w � °- °' � `° � s�� ` �� O � 0 � � e � b �a�� -. �� z � � � � � � � Z Z Q � "V � � �,� � � �� o .,� �� ' v� a �� g .� O G z �� O � � � 0 � m �� e a 0 NOV-18-1998 13�40 FROM CITY QF FRIDLEY TO 4248651 P.02i02 C�YIMNEX A�N� STACK VE�I�'1'CATION The undersig�+ed hereby vez�es thaE t1�e existin,g chiwney or st�k: 1. .�ias been caref'ully examiaed Xes �No () 2. xs �ee fxram nTSt or deteacioratiaa �. 4. 5. Has � fareig�t objeas lodged, within r� s�ly �� , 3 Meets all cnrrent Code req�irements far size and total$TtJ's co�ected 6 Has tot�l heat�ag B'I"U's of ' 7. � All other �BTU's TOTAL BTU's � . ov� �3as a liner been provi�ded for water heater Has combustion air beea pravided for wate� b�eater �:. • Iast ALTER.A,1�0�1'S �eia Daaan�e: Yes �No ( ) Yes ( ) No (Oj� Xes � �To ( ) Yes (,�yNo ( ) 'Yes ( ) Na � Yes �Na ( ) ROYALT(7N HEATING & �OOL�NG � 4120 — 85th AVENUE I�O ` �ROOKL`fN PARK, NdN 55443 i�FAT�NG CU: PNONE 424-8333 Signed By: . ; .�,�°i a� , �BtC: � i �_/_ c7 TOTRL P.02 r� �►r ux�s or y W.A. c��. QF c�►� r�. 8ta. � �� are. uea s . i1►;� n � a � �:;; ��. �:�.wa�..;,:`�, • � , FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 12, 2001 Steve Adelmann 8080 Broad Avenue NE Fridley, MN 55432 Re: Final Inspection at 8080 Broad Avenue NE Contractor; Royalton Heating & Cooling Dear Mr. f�delmann: A mechanical permit was issued on December 7, 1999 for the installation of a furnace at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the work. As of this date no inspection has been called for. • The permit fees that were paid covers the inspector's time to check to make sure the appliance was installed correctly. We also check to make sure combustion air was installed and that the vent and vent connectors are sized properly. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at_(763) 572-3603. S DA��ISEN Buildin�(nspector DJ/mh Building Inspections 763-572-3604 DATE � ' SITE ADDFESS � THIS APPLICANT IS: �i .� i" ; : BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER �CONTRACTOR PROPERTY OWNER/ N�g; � � d-C TENANT .e,DDxESS: �d �� CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERlVIIT TYPE TYPE OF WORK: PHONE:��O 3 % � �P — �%� (o � Permit No Received By:� Date Rec'd� �Z�JIi[�� C F/L��e��'l!'�STAT�',�hZ�1P�r � Z NAME: TJIV�N CITY HOIIAE REMODEUNG, I��:. STATE LICENSE # n�� EXP DATE � � � � �' � � ADDRESS: F.� %� P,'SINGLE FAMILY/NE ❑ TWO FAMII.Y/NEW �72A25'7 STZE � BASEMENT FINLSH ❑ ROOF ❑ DRAIN TILE ❑ DECK �SIDING ❑ OTHER ❑ SWIMMING POOL ❑ REMODELING DESCRIBE WORK BEING DONE: i�i �"/ ��/; r�� ,' SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING �Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS �1'es ❑No OR FOR NEW OPENIAiGS-DESCRIBE SIZE OF OPENING CHANGES & TYPR (1F W1Nl�nW TO BE INSTALLED OO I/. LENGTH WIDTH HEIGHT ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit �Trim O Fascia LOCATION OF WINDOWS �i�IUn � NUMBER O WINDOWS� TE ZIP BASEMENT REMODELING SUBMTT: 1. Existmg F7oor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATI N, INCLUDING THE COST OF LABOR AND MATERIA.LS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � B� OCCUPANCY TYPE Pernut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ 0�.�0. �- S� $ $ / � �" $ i.S°B $ .� � o $ See Back Page for Fee Schedule 65% of Building Pernut Fee .001 times the total job valuation .0005 x Pernut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MVJCC for detemunation) ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ � 7�.'7 � Make checks payable to: City of Fridley Attach THLS IS AN APPLICATION FOR A PERMTT-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 f the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a pemut but only an application a pe and ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w q' re ' and approval of plans. SIGNATURE OF APPLICANT PRINT NAME�C /N�°'��/�' �� DATE �` �'D � � Building Inspections 763-572-3604 DA� A'' ° / - v ? SITE ADDRESS c? o TfiIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS 1JP��'J � � /T-�/E • �OWNER OCONTRACTOR Permit No.: Received By:� Da� ��: JUN - ADDRESS: y50 �� 0%I� � CITY F r aCfe �- STATE�IP �� . PHONE• �C�o �^ �� I' / �� —� � NAME: STATE LICENSE # EXP DATE ,a,nDx�ss: crrY srA� z� PHONE FAX O SINGLE FAMILY/NEW CONSTRUC110N SIZE ❑ TWO FAA�,Y/NEW CONSTRUCTION ST�RiES O BASE1vIENT F7NISH ❑ ROOF �ECK ❑ SIDING ❑ SWIMM � DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPQSED S1ZE: PROPOSID HEIGHT: SmIlVG ❑ Vinyl 0 Aluminum ' ❑ Od�er . WINDOWS 1N E3QSTING OPENII�TGS DY� QNo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE 1NSTALLED CElR.EPAIR ❑ REMODELING LENGTI3 o�C ❑ HOUSE ONLY ❑ HOUSE & GARAGE � ATTACHED GARAGE ❑ DEfACHED GARAGE �Soffit ❑ Trim ❑ Fascia I.00ATION OF WINDOWS NUMBER OF �WINDOVw ❑ DRAIN TILE ❑ OTf�R � / � �VID1'H �01 HEIGHT � S . F�`� �� VID BASEMENT REMODELING SUBMTf: 1. Existing Floor Plan 2. Proposed fl�r plan 3. List of structural members to be used FOR NEW CONSTRUCTION IIdCLUDWG DECKS, ADDITIONS_ & PORCHE.S SUBMIT: I. Site PianlSurvey showing the eacisting strucdues and proposed project. 2. Two sets of conshvction pians 3. Energy Calculations ALL FEES ARE SASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �a�c� px � 3 �_ (USING THE 1997 U.B.0 FEE SCHEDULE) �OTAL JOB VALUATION $ � / � � ` �' OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ � See Back Page for Fee Schedule $ � � 65% of Building Permit Fee $ P �� .001 times the total job valuation $ , .0005 x Pemut Valuation Minimum $.50 $ $5.00 (Staxe Licensed Residential Contractors) $ $1675 per 5AC 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 aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances codes of the City of Ftidley and with the Minnesota Construction Codes; that I understand this is not a pemnit but only an application f r a rmit and is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi h rev' d approval of plans. SIGNATURE OF APPLICANT l PRINT NAME J T�''C f'T�P//y�nn' DATE ��r �� Page 2- Buildin.g Residential Agplication �� BUII�DTNG PERNIIT FEE SCHEDULE The C}uef Building Official shall, before issuing permits for the erection of any building or structure, or for any ad.dition to any existing building or structure, or for any alteration or repair to any existing building or shuctuxe, 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 tawit: ' TOTAL VALUE FEES $1 to $SQO $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 � $23,50 for 1�` $500 plus $3.05 for each additional$100 or fraction, to and includin $2,000 $2,Q01 to $25,000 $69.25 for 1�` $Z,000 plus $14 for each additi�nal $I,000 or fraction, to and including $$25,(300 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each addilaona.l$1,000 or fi-action, to and including $50,000 $50,001 to $100,000 $643.75 for 1� $SO,U00 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 $SU0,080 $500,001 to $1,OQ0,000 $3,233.75 for the 1� $SOO,U00 plus $4.75 for each additional $1,000 or fraction to and incTudin $1,000,000 $I,OOO,QO1 and up $5,608.75 for the 1� $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for consfruction will be issued a min;mum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certifica.te of Survey of t�ie lot, showing the location of the existing foundation will be required before proceedi.n.g with the framing. New Houses Onlv City of Fridley Build.ing Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fa�c: 763-502-4977 � � � � ' � .. . _� � s �� • r � � ��: . _. � �N � �� s � � �� I . ,.. � � � X 6� � Q �' � \ a r: � F- � � Q � � ��,,�. N .r�, � \ '-' � �'� \ X � j� G � � � � ,.� �� - � � � � ��` � �A� � � � �.. � � � 7e � A � � S� � �� i � � � � � � �` ^ � i� � '� �___...--- .n � a� a � � � � , � � �• � � � � � � �. � � � o N �" � � � e�. `�i, � •° � , 1` � � 6� 0 � , �, �. �- � .M ._ �. � � � � � �- .�-�- �z �; .� � _ a. �. 5 , � \ � � � , � � � r, 7 � � . � r�� , : � ,, C ,� � . � � � �� . W�` � � 1 " � �' � �� . �-- � -n-�. � � S � � � � .�"�: � �� ,' � � N � � � � . � � � 1� � �� n . � . � � ,� � ��. �� Z ''� o--�i; �` � M � � ° � � `° �� G� � � � � � � �� '' t�. � �, � �, � � � �- �� . � c^ � . � � � �. �. � � h � �� ( �� j 1:. � � � � � � x � � �, � � � � � �. �� —: �a � , :� . w g�— �� . r---t� - � �' � � � � � ...�"� j �'/ ! V " • L� � �/� � /,,jL� � „ / (, �I �{.. � � � � Z' � • �� i ,�.. . � � � ��'.� � �i � � � �_ � �� - rn � �s � , � 1 �' � � v� � � � • -Q�.,. '�... L � ,