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AF - 43926City of Fridley AT THE TOP OF THE TWINS r � � � `y __��� COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. i•-_.� �"' �'� CITY HALL FRIDLE� 55432 L 612-571-34b0 SUBJECT BUILDING PERMIT NUMBER REV. OATE PAGE Of 910-F15 7/29/86 � � JOB ADDRESS 6063 Central Avenue N. E. 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION DESCR. p�Ce�. A� ts 11 & 1, Block 2, Moore Lake Hills 2 PROPERTYOWNER MAILADDRESS 21P Mark/Gerald Wilke 2354 - 149th Avenue N.E., Ha�n Lake, NW 3 CONTRACTOR MAIL ADDRESS 21P Same 4 ARCHITECTORDESIGNER 5 ENGINEER 8 USE OF BUILDIN(3 l�esidenti.al 7 CLASS OF WORK ❑ NEW % MAIL ADDRESS MAIL ZIP ZIP _18567 .RECEIPT NO. a �.� y APPROdED BV SEEATTACHED SHEET 434-3834 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. O ADDITION ❑ ALTERATION ❑ HEPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Const�uct a 24' x 22' D6,Te1Li�; a 20' x 22' Garage; and a 14' x 12' Deck 9 CHANGE QF USE FROM ACCURACY OF`U�IL.l7Y L-OCA�IONS AND £L.�V�A�`I�NS, THI� � AFVD PERSONS USING iHIS INFORMATJON SA�d�1�L�0 STIPULATIONS v�.n�r � � � �...• ...� ..... _, • CONSTRUCTION APPROVED TO GRADE O '1 ne�v floor truss spec's are rece:i.ved and approved. Gl �� ���� Provide Ci.ty with. copy of verifying survey before capping. Provide sod in the front and side yards, Provide a hard surface driveway. Paid $500 Park Fee. SENiER & WATER located on west side of Central Avenue. No existing "y"s or water services avai.lable. Sanitary sewer line opposite center of lot: Est. 888.05 V1tARNiNG S��'���� ��R���'� �EQ��r�E� ��R 6efore digging call locai utilities ������s �"j����6. �'����E�C Rt�p StGNS, TELEpHONE - fIECTRIC - GAS �ts. SEPARA� REAAFI��� R�GIJI�FOR"ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $59, 650 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $3�.3.00 $ 78.25 SiGN -fU EOFCONTR O AU7HOR1 (�GEN IDATE� r WHEN PF �� SIGNATURE OF pWNER UF 0 NER BUIL 1 IDATEt ci nr �w�co OCCUPANCYGROUP OCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STAILS GARAGES SUHTAX $29.83 SACCHARGE $475.00 TOTALFEE $896.08 RIY�d(ALIDATED THIS IS YOUR PERMIT N� �� City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 pLTER. [ 7 Building Permit Applieation Construction Address: Legal Description: � Owner Name & Address: Contractor:�C� Address: a ���i ' n � ///� Attach to this application, a Certificate of Survey of the lot, With the proposed construction dra�an on it to scale. Tel. # Tel . # 4r3 ei � `�d � �( DESCRIPTIOA OF IMPROVEMENT LIVIHG AREA: Length �� Width a� Height Sq. Ft. GARAGE AREA: Length a � Width �� Height Sq. Ft. DECx AREA: Length � Width i�� Hgt/Ground Sq. Ft. OTHER: o � Corner Lot [] Inside Lot [� Ft. Yd. Setback � Side Yard Setback � Type of Construction: G�io� a( �r'a �'I� Estimated Cost: $� v s�f ls. >��� ��a ���`���� Approx. Completion Date: " Alt. A Alt B Proposed Drivexay Width I4' Ne�a Ope�ng Is Desired: � $ See Back Page for Explanation DATE: � q��APPLICANT: �j c�J,�// � Tel. � ' �� �f � CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL � =�g �a,� �'�`' 11 $ "� ��� �%t �—� � - �� ^'�,,� �+ $ � ;y4' `� `� , �i � � $ �.��, � . � �� � $ �?�, :,�, � e��;?��_, _� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $�1 �5 pes° SAC Unit Fee Det�r�ined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS : ��'� �� � A ! ��" ����) � il .;..4 / � �/[rL_ �"�(o !� -�,�.» � � �s�� �, ���. .. ��e Pr� � �����.� � .—� � -} j �/ G�e�, r��.�� �� i'� a� __�. . _ �.� �� � 'f e /'1 � � �'* � �„ 4'4f . °•-.�"� � �rt�, �,: t ��'`� �- P � 'X'��d,' '"�� 1' � ^ e � '�.I � `�° ``'� d �`, � „' � a x "� ��.�� � T.�� ^�� _._ �"__�:- =� �/la .°' � � ��(�� ��; � ! e� �i''� �^e-�"+�'� � l �'_ — . : �. . . _ � .,.f BIIII.DING PERMIT FEE SCHEDIILE 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 Valuation �1.00 to �500.00 Fesa �10.00 (Minimum Fee is �15.00) �501.00 to �2,000.00 $10.00 for the first �500 plus $1.50 for each additional �100 or fraction thereof� to and including �2,000. �2�001.00 to $25,000.00 $32•50 for the first �2�000 plus $6.00 for each additional �1,000 or fraction thereof, to and including �25,000. �25,001.00 to �50,000.00 �50,001.00 to $100,000.00 �100,001.00 and up #170.50 for the first �25,000 plus $4.50 for each additional �1,000 or fraction thereof, to and including �50,000. $283.00 for the first �50�000 plus �3.00 for each additional �1,000 or fraction thereof, to and including �100,000. ��33•00 for the first �100�000 p�us $2.50 for each additional �1�000 or fraction thereof. DRIVENAY DEPRESSION ESCRO�W (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - DriveWay width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach xith 6 inch depth - Drivexay Width plus 6 feet times $15.75 YERIFICATION OF FOUNDATION Permits for coa�sstruction �s31 ���su�� a minimum of 24 hours from the time of application to allow for �sscper revi�a� ot` the proposed structure and of the construction site. A Certificate of Survey of the lot, shoWing the location of the foundation once it has been constructed xill be required before proceeding with the framing. . 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Detail ��i��C C�Ll�-'�ln� _ X / �8 � ��, � reference ��r� �.�o �.1_'� �:-.-.--�- ��-°`� --�-- - l c=►�— _ __�_- ,from X - _ attached ______-- --___--- __.�._--------- 4i C sheets +.� --------- h----- ----- � � � 7���rnr,<, 1_1�.�z.�sa. �r. �3. �S' (U) (A) Y ToTnL (U> (n> vnt.U�S DIVIDI�:� �Y /D 4�-2 Z 3. �- $�' �: � � ��..�_____ AVG ��u�� �OTAL ROOF/C�ILING AREA -.AVEWIGE ��[Ite . i & 2 Fnmily Walls .17 ,{�111 other wulls .2? � F�iented Ce�linF;s � 4 �� �� 6.�°All oCt�* ceilinfis . tl~ �. -�-� �- -- ►. � . 4 r s P •� -. L.-- .�, �. � r�. �: „d.:��4 � ..�".P. 3..: "L�:1 �,., �,,__.�_. -a-_ °�•�+�� _ : � �: ._ �,,� . �_ •�Tall �.�..� ��.V�. �._mv _ �_ S�c rir:i �!, ```"�a �, ....� _ �, . i. :_ i . :S�.�as�'i� �, i . �' �'..": p�^'.....' ' ._' � ��'-�. ���� . �.— " ' ��� .. k. °° � � 7 _.. fi � . .. _ i . �. � ?� 1 : . R', :i °'mr�i?. ��..�__ --�' .,,. . . . . �,: ;< •; ti. ,.�. __ �.g_ �'�S i9.00 s� i � I �_�7_ a c�. 3 � � i �(1^ �'�' ��z L i i:t, •�� StLld a., ..,..._I,��°._.._` " ;3 O� •w�di i ' �"� gec,tion ...- _-- � ^ t �.��ii (? m �Q ; � �� -. f � ~���' . ..��� .� Y. •- �/ �.s'.-.1: :Z:y J 1 1-� �� ���s,� �..�.__ . •, ::ibng (fl ►� t� ~:� _ c� e a � r f a� _� i�� {�-�e .��; °` � .� ___ _ 9 F� P, Jm�I. �`�� I �nd w�ll $ e�:t �on Rim J��is� ---____ _ . ��.v . ,•, :i3'_cjF .,! :.���1 i�: �' .� ��`*-�� �''�^ �t�_ ` ._�_ y :lt�� ior �,�r.l� � ^�'°"��` ....r;t� 1�ts_ a.L,n � i•� � � � --------- , � S'. �O .�1.��:*- ;.:��, ( �'� +_ . ,�._ __.. y.c':.::� ier w�lJ ... �v�r. ing ►.� �� - - _.. R t� __ °�.���•ior air ��lr.; � ..L7 t!.�._:1�`�" D �3 ���°: ��z. ��. g 6 i 3 `� „ � ., , � � �TA C. F; U `lAL'J� �_ v..___._ i (wall) t! m R =, p3 � 1 (F?•�.m1aYg) U m R II� U�d Ir.t�za•�or ai° fiL� R � •68 � ` .!,nulat :c,n t q .�o a' - ° - •-- .I1 '_� j:1C4'. 9Q£t wr,J�, R= L�� � � ��:___.` -� .h�ath i.nc� S,� ���,,C ..._.mw..._. _... �l`�` � � ��.`i. �Aic� 1.� L�QVf1i �..�� � ��..��. .�'� . Y-, � ., <: R � ,1 , � f:. . L� r El j. � ,� �i ii1 � �.�A•� -- R Tc�}�ie �% % �.�_. � � : e� ��»' � �. ,. r � �.��: t'� - •6e� �.�..m.--� - �T:v'114ai�:Z��il I�.b� ���_---� �_ cn,: a;�?.�°_i�n �. a--$ �,� ,._ .r a � ' ! •}��--;.a,s a.r ra i;� �.__/-�`1�'- � �....j�so� __.�.�� a.. •' , r �,� ,-, A �o ' c.�1' / � ! �^f' ° — __ _ ^x����}� �: �1-:c'� + _�_..,_,`_� _ � � �. ---,_. � A �, � , . � � . , '� � . ( �V�.7.1 i 2 ( ��.1u ,�oi�t) ( Fdn a ) 1 c� � R � 39 i� *s, }.,. 1 � � � i�3�p �/ 1 U � Ft i Q� ^ r � _ . �, . � 0 �EILI��� �JI'N �IENTtD �T� IC SPACE ABOVE 2 ';:+LUE R '� LUE FRAMING CEILING � n . O.EI Air Film 0.61 � t � � � InsuTation '�""�.� `�r � � � Joist . � Ceilin 9 � �.� f,� O.EO 3 7, � O� B Air Film 0.61 To ta 1 R °� ,,�,� , "�' ,� 1 U=R . ,��, FL,4� RGOF OR C�THEORAL CEILING R 'da ue R VALUE FR�;1ti�IG CEILING 0.61 I � 0.17 Inside air film 0.61 Ceiiing - Joist (stud Insulation Air space Roaf decking Insulation Built-up roof 1° ,. Outside air filn 0.17 � Total � U 3 R R Jindow infiltration .5 cfm/lineal foot of crack tesidential door infiltratien 0.5 cfm/squ�r2 foo� or deor and minimum code requirement �cn-residential door infiltration 11.0 cf�/lineal �oot of crack Jb 12" concr•ete block r�o insulation =.47 R 2.1 !b 12" concrete biock insu�ated cores =.26 R 3.8 Jb 12" 1 igl�t���eiaht block =.32 R 3.1 Jb �Z�� 1�9httiveigh� block insulated cores =.1Z R S.3 J, single glass = 1.13; with storm tvind��v .54 J double glass = .55 1 triple gl.ass = .41 a1� ex�erior �r�lls a,nd ceilings must have a vapor h��rrier (O.1Q p�rm m�x.). ;apor barrier must be c� the inside (heate�i side, of �:ra'1. rapor ba.�rTer's�of the, polyer.helene Lhin film have no R ��alue. �� - : .�w- - ,— --- -- T - -- - __ � _ _ - -- - -- � � La�►.ae-r ��=-�-c�, 1-�--�,: a,_.:�,��� $� . ���-ae,_ � - � O i LJ- _ 1 f-t� 'l/�".�R�",ti�<.--.. . �t'+'� � _1 t i -- � �- �b �-�- �._ �� �- . - � L►�_ � . � � �' � IT.�/Vvs �� �� � -- � �° �{ � - � c.�. � � � g � �- �` �� < <�.. 1_ ��_- �-o�� �a-� � � � �� � �X,��-�� = �o•� d 1`� ��-"3� ° Z-d•i Z zB.S i � �•�� = �.� � 5'�, i�.5� = S�. � o � � 3�. 9'�_3b- ? `�_ 1 ��.o g � � � L����-����'� �� � �.-z � = 3 L � _ � �n' -L _ � y.. � a z�.�- = .�. .r-- �.� ' � ._ t ; -r �---- �,--- , ±zn..� ..�-�ur�t --�t...� � d X. �� _ °-�-b Z��h `� S =- �vg � �� � �� — 3�� �) �-`i t,o — �� � 4- � `�- � = t � z_ ca -- � � �_ Z Z :� � = 1 "�� � -- i �`,� 1�p�([,?,�. � �g� 4 z 5c . 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Pq��� M�NN. 55121 E3 %�. �'. -1 r+: aE "��! 1 � �_�G� -• i:::�;8 -�.`+C-1 ?i�7c '-'Jli� �.1 a 9 �. i_�7� -1E.�� �-:':�( ) eL: �I� ( ) ��.�� "+ C ^ y..1 �� v.l '"' 1 J � • r_ .� ._r (.' �I --: "s ; ; 7 -ii� ' " ._ ._ --TDt�; �'� �;� _U�it� = � �1i��1L1'S I S . � '�".. . t�;��iTt�:u�•: c��n�� . (:i> 4X�: iS�7t7F-1.EC hlaf? �y--!��-- ':'i; .- i-;GT :_•-F?l�G FA tGSI ) FL-� tF�S? ) Ri:IF:L REFdJ">;'wG ,. .. . `. ;t �a �±� i4 ;�' i9Jc.� ci, 7�� c>, "-''' : ���. _ :_ -:�: :: ; � : �+IT;4I,"iUt+� Gl�RDE ) � 1 ) 4�:� a.�aad�3�-f . �,� 4�t�n S-r�-r= .- �.�.-.� . L-r-lC i L-��IG F�1 t��cl ) =F.'• tP�i ) tl:� I�!� �r-'.�=hlDli*!G .' .�%�J J. ��G J. f IE• 1 i 7J 1 70C) I.�. BJ ! � 1. J. 1 0 '� .� . ;: �! : f';L` (h!E�:�; �X� =i'..:,iSTUD DF —L r�c^cT � �r�s ( �J :� F? i -_ �, �.�? C V) R �:= i. ;'Sc'; �ili �. .1.=- " F?`:r!��`i �iJ'.�:5 C'J ) '=: 1== :1�"�?^ {4'i F: ::'-- ir,:`� (H) R �.= t:a i �_;c;i;�';�i�: I' Si�ER a :� �: ,. �-'• t-�`-'`-' �-' � '-' '. � Ef )r,t(.i( 7?:i ,_ �::-! r:: i E� (; �_ .. i), t_)::ifi C), ^'J'=� �. "� , _�. - . .- �r.: _ ��`RL.'S��`.i' � .._�L� T Fa��:. f` t T T_I '�1 y�___�_ =-�-+1.�..,_--��=!��---�'�+ �--L� � r.; s —. . _�1 . � "- - . . _ Li'._; _.a - �_;, �;ir?�� ALLi�vJ� i.i._ D��L, 4i_.i.'<<�) - ti� �;�• _ ri Ni� � � ��Dt;. [ ] pL7'ER. I � City of Fridley �R-1 AND R-2 j Building Permit Application Effective 4/1/Bc �� � �'�- "��� Construction Address: Lo� � e�N %R�I� /JI/� - Legal Description: � Ownez N�me i Address: H� ,f /rv/ c�c.E Tel . • 57/ /�/� Contractor: � i L�C Tel . i ,3 3P3 Address: LI9ING AREA: GARAGE AREA: DECR AREA: OTHER: Attach to this application, a Certificate of Survey of the lot. vith the proposed construction draWn on it to scale. DESCRIPTIOp OF IMPROPEI''�h'T Length Length __ �tidth Height Sq. Ft. Width _ Height Sq. Ft. __ Length Width Hgt/Ground Sq. Ft. _ Corner Lot [] Inside Lot [] Ft. Yd. Setback __ Side Yard SetbacY. Type of Construction: Estimated Cost: � Approx. Completion Date: Sv > � A�t. A Alt P raf�=i� �� � Propose@ Drive�ay i�'idth If Nex Opening Is Desired: See Back Page for Explanaticn � .tJo��%%�. Tel . �J 57/ -/�i�/Z D�,TE: D� / � 0 APPLICAt�T:/„� ' � Percit Fee Plan Check State Surcharge SAC Cbarge Park Fee Sever Nain Charge TO'PIIL STIPULRTI02:S: S i S � � � e CITY DSE ONLY Fee Schedule on Reverse Side 25x of Huilding Permit Fee �.50/�1,000 Valuation � %5 P��' �+ Uni t Fee DeLermined by EAgit�eerin� Agreement Necessary [] Not Necessary L� � BD�.DING PE1�lIT FEE SCHEDIILE ?he Chief Building Official shall, betore iaauing permits for the erection of ar.y Duilding or structure� or for eay addition to any existiag Duilding or structure� or for any alteration or repair to any existing building or structure� upon applicatio n tt.erefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner berein provided to-vit: ' Total oaluation =1.00 to �500.00 �501.00 to �2,000.00 t2,00�.00 to S25,000.00 i2;�001.00 to 550�000.00 �50�001.00 to 5100,000.00 5100,001.00 anC up Fees �70.00 (Minimue Fee is �15.00) �10.00 for the tirst �500 plus �1.50 for each edditional �100 or fraction thereof� to and includinE �2,000. �32•50 for the first �2.000 plus �6.00 for each additional �1 � 000 or fractior. thereof � to and including �25�000. �170.50 for the first �25,000 plus �4.50 for each additional �1�000 or fraction thereof, to and including �50,000. �2E3.00 for the first �50�000 plus �3.00 for each additional � 1� 000 or fraction thereof, to ar.d includinE �100,000. �u33•00 for the first �100,000 plus �2.50 for each additional �1�000 or fraction thereof. DRIVE1iAY DEPRESSION ESCROM (Concrete CurD Streets Only) Alternate "�": Aeeovsl and replacement of curb anc gutter only - Drive�aay Width plus 6 feet ti�es S13•50 Alternate "E": Re�oval and reFlacezer.t of curb and gutter 2nd in�tall a 3 foot wi�e aFproacr with 6 inch derLh - Driveway Widtr. plus 6 feet times �1;.75 VERIFICATION OF FOONDATION Ferzits for construction will De issued a air.ibu� o'' 24 hours froc the time c'' aFFlication to a:low for proper revieu of Lhe propose� structure and o.* thc construction site. A Certificate of Si:rrey o� ihe lot, shoWing tCe ]ocetic^ of tre foundatior, once it Aas peen constructed xill De require� before procee�:r.E viti t!� framing. . �t .� ,� a �� ��� S M�� � �, P?F�} '"��:�.i CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 October 23, 1986 Gerald Wilke Homebuilder 2354 - 149th Avenue N.E. Ham Lake, NIl�t 55304 Re: Final Inspection at 6063 Central Avenue N.E., F�idley Dear Mr. Wilke: A final inspection was conducted on October 21, 1986 of the abave noted address and the following iteqns were noted which must be oompleted before the structure can be finaled: 1. Provide sod in the front and side yards by June l, 1987. 2. Provide a hard surface driveway by June 1, 1987. 3. Post address number on structure hy Noyember 7, 1i86T 4. Complete the fire wall in the garaqe by Novembe� 7, 1986. We will expect the above items to be ccanpleted by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these itesns, please feel free to contact me at 571T3450. Sincerely, D G. CLARK Chief Building Official DGC/mh CC: Mr. Mark Wilke 6063 Central Averiue N,E. .�`� _� . _ s Inspec;t�ons 763-5?2-3604 STfE ADI�RESS �� TfIIS AP�LI!;r1NT IS: PROP Y O�VNER/ 7'ENANT From: City of Fridley To: 6519Q�1745 Page: 3/4 Date: 10/2/2007 3:27:01 PM BUILDI i��r P�it No.: — , RESIDENTIAL APPLICATI�N R�v�a By�—� CIT� OF FRII)LEY Dat��d:�� C01NT�iACTOR SUBMIT A COPY OF YO�UR STATE LICENSE WITI� .�'PLICATION PROP�tiTY TYPE PERl4IIT TYPE TYPE O]E WORK: DESCIZIBE �A%ORK BEII� SIZ� O� II��PROVE2v�NT YOUR E-141AII, ADDRESS ❑ 09UNER , i — ' ���•� - � � � .i• � � 'J�l _ . • � • t` � � ' STATE LICENSE # PHONE FAX '/� 'r i 1—:� ,.�. II� L l �_�+�CITY � f STA't'� '� t�?C6, p1 EXP DATE � S+,� rt� c��r c� � STAT��'� � ❑ SIIdGLE�'AMILYlVEW CONSTRUCTION ❑ T4V0 FAMILYlNEW CONSTRUCTION ❑ ADDITION ❑ GARAGE/SHID ❑ BASfi14�]T FII�TISH ❑ ROOF ❑ DECK ❑ SIDING ❑ 3WIM14IING POOL S' . ❑ DRAIN TII,E ❑ OTHEIt � � O CH HEIGHT Sa. Ft. RO� G ❑ HOUSE ONLY NUMHEI� OF SQUARE3 ❑ HOUSE �Yc GARAGE HASEMII�]T REMODELII� G SUBMIT: �ARAG ❑ ATTACI�D GARAGE I. F.xisting Flo� Plan PROPOS� SIZE: ❑ DETACi�D GARAGE 2• Proposed floor plan PRO�OS�D HEIGHT: 3. List of strudural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl , OSoftit ADDITIONS. Ac PORCHES SLBMIT: � rlluminum ❑ Trim ]. Site PlanlSurvey showing the emsting struchires 0 Other ❑ Fascia and propased project. WIl�IDO�VS 2. 1�uo sets of cor�struction plans IIV EXTS'CII� OPENINGS ❑No LOCATIOT OF W[NDOWS 3. Energy Calculatioms OR FOR N�kT OFINING SCRIBE SIZE OF � i /�I N` OP�TING GHA1� GES & i / �' � � TYPE O�' V4�+IDC�W TO �BE IN5TALLED �� OF 4�NHOtV� ALL FEES ARE BASED ON VAL�JATION, Il�iCLUDING THE' COST OF LABOR AND 11'IATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE� TOTAL JOB VALUATION $ RCI —i S OCCUPANCY TYPE Permit Fee $ �$� • 01S See Back Page for Fee Schedule Plan Reyi�w $ 65% of Building Permit Fee Fire Surch�rge $ .001 times the total job valuation Surcharge $ • .C1005 x Permit Valuation Minimum $.50 Licens� S-.ircharge $ s. �° $5.00 (State Licensad Residential Contractors) SAC Char�e $ $1675 per SAC tinit (Plans to MWCC for determinationj Curb Cut Escrow $ ft+ 6 R= ft x$21 =$ Erosio�a Go�trol $ $450 Coaservatian Plan Review Park Fee $ Fee Determined by EMgineering Sewar Msin Charge $ Agreement necessary () Non Necessary () Total Dae $ aQ /• bTake checks p�avable to: Citp of Fridley AttacL Stipnlations THIS IS AN APPLICATION FOR A PIItMIT-VOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the informatiom above is complete and accurate; that the work will be in confor�nance with the ordinances and codes of the City of Fridley and with tha l�iinnesota Construction Codes; that I understand this is not a permit bwt only an application for a permit and work is no o s without a permit; that tbe work will be in accordance with the approved plan in�tha casa of all wor ' h requ' es review and a vgl plans. � f SIGVATUB� OF AFPLI��A PR1NT NAME �, ��,���� �� (QDATE ` Building BUILDING Permit rTo.:��, �� � � ��� Inspections RESIDENTIAL APPLICATION Received By: ' 763-572-3604 CjTy OF FRIDLEY vate ' QC 0��O Q 763-502-4977 FAX EFF�cTTV�,-,-zo�o DATE P� fi YOUR E-MAIL ADDRESS , SI�� ��,�%��O /� .%�/�% SITE ADDRFSS �OFJ C GC �/ �%� THIS APPLICAN'f IS: �OWNER �CONTRACTOR PROPERTY OWNER/ N�: rI l� �( � TENANT ADDRESS: 6 � �ITY /—/)� STATE/�VZIP �.��.�� PHONE: °"7(�3 —�'TD—�j'� °7 corrr�c•roR Na,�: `� a�t� �, SUBMIT A COPY OF YOUR STATE LICENSE STATE LiCENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHp� FAX PROPERTY TYPE SINGLE FAMII.Y/NEW CONSTRUCTION SIZE �F TWO FAIVIILYMEW CONSTRUCTION STORIES PERMIT TYPE ��DI770N ❑ GARAGF/SHED ❑ WINIIOWS ❑ BASEMENT FRVISH ❑ ROOF ❑ DRAIN 77LE O DECK `�SIDING ❑ OTHER �O SWIMMING POOL 1'YPE OF WORK: � NEW HOME CONSTRUCTION � ADDI7'ION MAINTENANCF�REPAIR MODELING r r DESCRIBE WORK BEING DONE: 1// S � �(,,i ,$/ rn S1ZE OF IMPROVEMENT � LENG •S WIDTH �� HEIGHT S FT �d� xiDOFIr1G ONLY gpSEMENT REMODELING SUBMIT: NUM$ER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of strucwral members to be used PROPOSED HEIGHT: ING FOR NEW CONSTRUCTION INCLUDING DECKS, V�,,� o�� ,ADDITIONS. & PORCHES SUBMIT: O Aluminum nm 1. Site Plan/Survey showing the existing structures 0 Other ascia and proposed project 2. Two sets of construction plans �'�0�'$ 3. Energy Calculations IN EXISTING OPENINGS �Yes O1Vo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPEIJINGS-DESCRIBE SIZE OF MANUFACTURE ST[CKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS .�wl. r�r.� Anr,lsa�r,L u�v v�v.,uaiiVir,llvLLULIIVV "l�ril; C:VaI' Vr' LABUI� ANll MATERIALS: TOTAL JOB VALUATION $ a-�Q� SING THE 1997 U.B.0 FEE SC OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ 7: -� �'� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ r� :i�, .001 times the total job valnation $ 8�� .0005 x Permit Valuation Minimum $.50 $ ' $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �i �{1 „` Make checks payable to: City of Fridlev Attach THIS [S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and cknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and of the City o ridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica.tion for �t ork '' not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11 w iiich ues view a.nd approval of plans. � , SIGNATURE OF APPLICANT Page 2- Building Residential Application BUILDING PERNIIT 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 swcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $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 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1� $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977