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AF - 40767City of Fridlep, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Da�: May 25, 1972 pwner; Viewcon, Iac . Address 5901 Brooklyn Blvd. 8uilder S ame Address Same � l� � �14�3 LOCATION OF BUILDING No. _, 5549� S�t �East O�erlin Circle p� of Lot Lot ___ 6___�._ Block 8_�__�._ Addition or.Sub-Division I�sbruck North Townhouses lst Coraer Lot Sewer IIevation Inside Lot Setback Sideyard Foundation IIevation DESCRIPTION OF BUILbING To be Used as: T ownh ous e Y-- . Front 2�� Depth 31 � Height 2�� Sq. F't. .1.,2L�D_ Cu. Ft. 12,�i.4B ,Garase _�___.__._. Front ?�� Depth 22 � Height 10' �q, �, 440 �� 4,40D Type of Construction �ood Frame �,� �� �19,700.40 To be Completed 12/1/72 �Stipulations: 1. They will see that fire protection is provided to the construction area, water is available through the hydrants and good access provided to the construction area. 2. It is the responsibility of Suburban Engineering and Viewcon to see that the grade elevations of the units is satisfactory to conaect to the utilities. 3. Occupancy of these units mill not be made until a11 utilities have been checked and approved by the City. In considerafion of the issuance to me of a permit to construct the building described above I a�ee� 't¢ do � proposed work in accordance with the description abov�rth and in compl4ance with�t'11 pravlsions oE Ord"inances of the city of Fridley. �� / � �� n � In consideration of the payment of a fee oP $ 3 2. 00 ���t is hereby granted to V i ewc on , In . c. to construct the building or addition as described above. This permit 3s granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, ffi a11 W�k done in, around and upon said building, or any part thereof, shall conform in all respects •io the ordinaace� of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of 'buiti�a� �� city limits and t6�is permit ma.y be revoked a t any time upon violation oE any of the provis�tona of t�id �� Inspector CLARENCE BELISLE I�IOTICE: This� permlt does not cove� the eonatruction, ias�allaHon foe wiring, plumhing, gas heatfng, aswer or wete�. Be sure to sae t6s Building Inspeetar fo� separate permits for tl�ese hems. _ �� APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : �I�JC�.� �� N� 1 BUILDER :� 1 ...�. ADDRESS :�OL�C��IV �l ADDRFSS • NO•. STREET: �i• � LOT: BL�K; � ADDITION: � . CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: ��� Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. � �ESCRIPTION OF BUILDING To Be Uae As: 1 1 i7 7a7,e2p • � Front: Depth: �� Height: Square Feet: /��� Cubic Feet: /a�/� O /99�•e2U ,�. Front: �� Depth: �y' Height: �r%r Square Feet; �5�0 Cubic Feet: <,/S/O C} R �9, 700.�0•. Type of Construction: (,l��pC��/ZC�L/i'yUQ� Estimated Cost: $ � To Be Completed: The undersigned hereby makes applicativn for a permit for the worlc hex'ein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordina.nces and rulings of the Department of Buildings, and hexeby declares that all the facts and representations stated in this application are true and correct. . DATE : • S IGNAT[TRE • (See Reverse Side For Additional Information.) ���.04 q-�'� � ����� � BUILDING PERMIT FE� SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for ��e erection of any building or struc�ure, or for any addition to any existing building or structure, or for any alteration or repairs to any �xist�ng building or structure, upon application therefore, requ.ire t�n� p�.��an� '��� d.:�c applicant for such pexznit of fees to the amoun� h�gein beb��r �eu ���°�� ��F� -= the manner herein provided to-witm UNIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one lthousax�d cubic feet, or fraction thereof, in such cubical contentso Z`�rpe 3& 5�$1a�5 �`o�c ��.ch one thous�.a�d cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered fro�m a point six (6) inches below the floor lina of the basem��nt o� �he cellar to the avex�a�� heights of the uPpex surface or to the avera�e ��ight of �h� roof suxface of the m�in gable of a�aitched rouf. For repairs or alteratiuns to an exis�ing stgucture, the fee shall be a� the rate of $3.00 per each five hundred dollars ($500s00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth i.n Section 2 be less than $5.00. VERIFICATION OF FOUNDAI'ION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framingo CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) da.ys prior to the use or occupancy of any structure for which a building pex�nit has been issued; and said structure shall not be used or �ccupied until a Certiticate of Occupancy has been issued. �- _ l � fl _-`.'_ _. ��` � \• �,�� � i`', � .l: , . `� ' � or � . `� �' �Z � - � � , r �-� , �_ � � r•- y 1-k�' --F.J �.� i -� J� �� � 1..J, �� G!��-N ' l.` �� �"T✓�.;.�vl-�J��'i[. � \a � _ � � � . c � Q, � '; � - - , , 2 2 ' ` `� " _ -' � _ � - - ' 10 `. ` ;.4 __ ^ ^. .:� ,4 _ --` 3, , � L , � 1 �\ [� � � .�. p� `.'E � r' �� _ nl (._� �-' u �. - � iJ � � , r-- f' •, f� _-_ �r �.. @�' `.Si-� �`J � G t 1 , � � � � ��' � � ��' �' . � �,� ! ` '_`�''�i � . • - � ..� � . _ - ` -�__ .P � - _ - � 4-, 1 , L L � il . -- _ _ _ _" ... . y — -- , ,�� , ;, __,--- --- � ._------`" � �--�� � \ �. 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'F . k �ai a•t � .; �' � n �,. ";� c� e � °� � ,�� � � � ��� ��� ���� ���� .� � �� �� � �� �� �� � �.��� � �� ��«� �� � � �'0 �� s� � � . � �� � .. � � o� � � ��^ � � �=��' � �i � �� � ! � � � ����� ����� � . : � � � ,� C>J � c-Fy' � � � ° � �, e� I'^� •i x� �� � � � � � � ���� ���a �� � � � � � �. d � � � � � � � � � �� �� �D ����� � � � � � � � : . � � . � � � ; � � � � .d � � � � � � � $ -a z, {p .�.�a � '� 8r � � � � � � � � ��� �.� � � .� � � � � u � � I � !� � � � � � 00 � � �� � � q � � o��� � � � Ri � � � � � � �� �� g ;} � � � � •� PI I�i �r � M l�! �� � � � � � � �. 's g �� b � � 'I � � � � � � � � � � � � �� �� � � � � � � � � � � � �g�� `� , . � o��� � � � � � iN - � � � j S, � � � � � ~ � � 10 -��M�� ��� � � � ` � � � � . ���� � � � � � � oR � � r • � b� u_� � � 6 i � 0 .� � sue�ecr PERMIT. NO. City of Fridley �`� �� �3 � ATTHETOPOFTHETWINS gUILDING PERMIT �22537 �'` r i � CE,IPT NO. � • COMMUNITY DEVEIOPMENT DIV. � ��: ------� r � � PROTECTIVE INSPECTION SEC. � i � � i ( � /"'1 � CITY HALI FRIOLEY SS43P NUMBEF REV. OATE PAGE OF APPROVED BY �"'"'� � �'' 612-571-3450 910-F15 5/18/94 / / JOB ADDRESS 5549 East Oberlin Circle 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. fj 8 Innsbruck North Townhouses lst SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Dicks Fire & Storm 864 19 Ave SE, Minnea olis MN 5 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (Tear-off)• Install utters 9 CHANOEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIiiED FOH ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORI2ED IS NOT COMMENCEO WITHIN 80 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�890 �1.�FS 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- �(i,3.00 Fire SC STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. � 1. H9 PLAN CHECK FEE TOTAL FEE License SC $5.00 $51.34 SIGNATURE OF CON i RACTOR OR AUTHORIZED AQENT IOATE� RLY ALIDATED THIS IS VOUA PERMIT �� SiGNATURE OF OWNER iIP OWNEF BUILOERi IDATEI �`�� BLOG iNSP D/•TE NEW ( � Effective 1 / 1 /94 ADD1V ( � CITY OF FRIDLEY ALTER � � S[NGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ��� Construction Address: _5 5 4 9= E a s t 0 b e r 1 i n C i r c 1 e _ _ __ _ __ Legal Description: Owner Name & Address: CUntraCtor: Dicks Fire and Storm Tel. # MN LICENSE # 2 4 81 Address: 864 - 19th Ave. S.E. M�ls , Mn 55414 Tel. # 781-b17Q Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA_ Length Width Hgt/Ground Sq. Ft OTHER: Remove and replace roofing on garage. Install gutters. emove an replace roofing on house. Coraer Lot [] Inside Lot [) Ft Yd Setback Side Yard Setbacks Type Of COaStruCtiOII: R o o f i n g/ g u t t e r s EStiII1�tCd COSt: $ 1, 8 9 0. 0 0 Approx. Completion Date: ' - (Cost on Back) Driveway Curb Cut Width Nceded: F� + 6 Ft = Ft x$ _$ DATE: S/-r �/ 9 4 APPLICANT: D i c k s F i r e a n d S t o r m Tel. # 7 81- 617 0 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� �'� $ , � B . �,�� $ $ �' � $ $ $ $ � �/ J L CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Re.sidential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engine�ring Agreement AT�ry [ ] Not Necessaiy [ ] �� BUILDING PERMIT FEE SCHEDULE The Chief Bui(ding Official shall, before issuing permits for the erection of any buiiding or structure, or for any addition to any existing buiiding or structure, or for any alteration or repair to any existing building or stYUClure, 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 $SOl to $2,000 $2,001 to $25,000 FEES $15 (Minimum Fee is $15 pius surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $45 for fiist $2,000 plus $9 for each additioual $1;000 or fia.ction thereof, to and including $25,000 $25;001 to $50,000 � $252 for first $25,000 pl�s $6.50 for each adclidonal $1;000 - or fraction th�eof, to. and including $SO,OQO $50,001 to $100,000 . $414.50 for fust $SO,OOU plus $4.50 for each additional $1,U00 or fraditon thereof, to and including $100,000 � � . � $100,001 to $500,000 $639.50 for fiist -$100,000 plus �$3.50 for each additional � $1,1�0 or fraGion thereof, to and including -$Sfl0,OQ0 $500,001 to $1,000,000 - $1,UOU,001 and up $2039.50 for the first $500,000 pins $3 for each additional $1,Q00 or fradion thereof, io aad including $1,OQ0,000 $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fractioa �thereof - DRIVEWAY DEPRESSION ESCROW (Concrete (�rb Sireets Only) Alternate "A": Removal and replacement of curb and guttea� only - Driveway width plus 6 feet times $13.50. Altemate "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 $15.75.. VERIFICATION OF FOUNDATION Permits for coashuction will be i�ssued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the coastruction site_ A Certificate of Survey of the lot, showing the loca6on of the foundation once it has it has been con.structed wil! be required before proceeciing with the framing. � � � i c� � c O > N W Z � g � Z W � � � �� O W � U � (7 � � � �w _ � 0 � z�� z �z zo �~ 0 � az W0 C3 3� oQ ao � � � Z �O O t=- Q U � a °LL�. Qw � � 0 Z 0 U t!1 � W � Z Z � ¢ N � � � Q � � � m Z'_ �t � c � o O � m r�i ,-- 1 (� (�D lL U i � '�w v ) � � a 0 g m O � � W U F Q � c � �T � � V C ._ � 4f Y U � o >, � 3��- m U m � 'L N r ..: ` � — o o s � y •- " o �3.�� iV U � _ � � � m i i U ` 0 o m -- v � m � � � � � v m = � � m o Q � L �: ci.c� o 1� Y � Q Y � � � � 3 O u� � y a�.. � Q � 0 = � �3 m � O � � t �� � "� _ � 0 3 � s�l c m c a��m o �, �a � a m ZS +- C � m o � 7 ` � � m m � C Q rt-�2m c� rn rn T � � a o � _ � � m � .o 0 � o 0 (� T � � i L m c � 3 i m Y � U > m m � � 3 � O i 0 ?r. 7 � _ � � � m � @ � .� C � � C m t U � ? � � � m c m � � � a ai � � � m !L Q C'S ¢ O 4 . � Q 0 � � � � Z 0 � � �.� � � e O z !-- � � !1J a �I � s �\ �V F- � O EU 0 lJ.i a � � � � Q � lQ � . � i m � � i oo$ °w v N W � Z � � � N (n , p ln � m m = = c o ° � U i 0 d U a~ `�_ _ � � N m c E � Z c m m � E � = Z _- E- � � O m � � � � i � ZF�tL - mffi � � � � 0 0 0 0 0 �n 4— � N � � �s m a� c � o� N � C7 � � a� � C� � m 'Nrt v/ Q � W C C O � � c 0 U Q Q m � 0 H � Y _I L � � � c O •- :, O � m Y � Q � �$ � O m m � � j m O � Q \ �� � . � Y >O > O m U C t0 � Q : �- �, a � O G G1 � � � � o v o E � O N UT � � U W � � fA J m � ar o v� F- } 2 Q a � U � Z Q w _ � V 0 Z � F- � � C � � m R 0 � � LL m � 0 c � L � � O � a OD 'a > O Q. Q _ 0 O N 'ct E+9 W w LL Z � 1-- U w a � Z i[J ac Z O Z O Q U � � > Y Q � � W V O Z w p� � � � U W m � lJJ ~ U �g 0 J a � � � 0 � 3 � i � m a � O '� � � m c � O 'C Q. U � � C Q �C �O '� O � C c o U '- � � O C N O �� � o a U m i � Q �k C�IIlVINEY AND STACg VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefiilly examined Yes (�) No O 2. Is free from rust or deterioration ` 3. Has no foreign objects lodged within 4. Is securelY �PPo� �� 6 Meets all current Code requirements for size and total BTU's connected Has total heating BTLT's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water he,axer Remarks: . List ALTERATIONS Bein'� Done: HEATING CO: Signed By: Date: Yes()No() Yes()No() Yes()No() Yes()No() YesONoO Yes()No() SuB�ECi City of Fridley 31039 � �U ILDING PERMIT AT THE TOP OF TME TWINS � � � REC O. COMMUNITY DEVELOPMENT DIV. � � � r � y � PROTECTIVE INSPECTION SEC. � � 1 . � l--__ A; ���,.� CITY NALL FRIOLE� SS1$2 NUMBEP pEV D�TE PAGE OF AViROVEO B� t �� 612-571-3450 gt0-Ft5 6/8/00 / / JOB AODRESS '� f E2.St ,5549�53,57,61,65 69 Oberlin Circle t LEGAI LOT N0. " BLOCK TRACT OR ADDITION SEE ATTACMED oesca. 1-6 8 Innsbruck North Townhouses iS't SFIEET 2 PROPERTY OWNER MAIL ADORES$ 21P PHONE Innsbruck Townhome Association 651-224-5482 3 CONTqACTOR MAIL ADORESS 21P PHONE LICENSE NO Garlock-French Roofin Co 2301 E. 25th St. ls. NW 55406 612-722-7129 4 AfiCNITECT OR DESIGNER MAII ADORESS ' 21P PMONE LICENSE NO. 00001423 S ENGINEER MAII ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WOqK O NEW ❑ ADDITION O ALTERATION �J FiEPAIFI ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Building 9 CHAN(3E OF USE FqOM TO STIPULATIONS Underlayment must comply with the State Building Code. �er�At Inspection Cards �lill �e Mailed �'o �o�aeowner To Rost SEPARATE PERMI7S AqE REOUIREO fOR EIECTRICAL, PlUM81NG, HEATINCa, TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTI�ATING OR AIF CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING S0. fT CU FT. AUTMORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED NO DWLG. UNITS OffSTREET PARKING 1 HEREBY CERTIFY TMAT I HAVE READ AND EXAMINED THIS APPLICATION 6 STALLS GARAGES ANO KNOW TME SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of �AWS yALUATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED �'�1, 704 71 �rJ . HS WI7M WHE7MER SPECIFIED MEREIN Ofl NOT. TNE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqM�T fEE SAC CMARGE PAOVISIONS OF ANY OTHER STATE OR IOCAI lAW REGULATING CON- STqUCT10N OF THE PERfORMANCE OF CONSTRUC710N �209.25 Fire .SC .��.�.. %� PLAN CMECK FEE TOTAI. FEE $ 26.80 S�GN4IUNE OF CON'FACTOp OA AUTMOp�ZED OGENt �O�iE� N ROPE AIID T TMIS IS V UA PEpMIT � �� ��/ S�GN4IUAE 0� OWNEA��F OWNEABUILOEa� �DATE� g� �NSv f„rE NEW [] AoD� "` Il a��R Il Construction Address: �� Legal Description: Owner Name � Address: � Contractor. (� �i.rl DGI�— rY Address� .� �il� 1 �s'� ; LMNG AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R 2 BUILDING PERMIT APPUCATION 51. (�1 . t�S, (r �I Effective 1/1/2000 612-572-3604 Bld Insp . �p3 . .:�� �� . G rc.l� � � ssac; �,-hornei. # (�s i - �a �! - sN� � MN �icErvsE # �bol �a3 N SS�-Io�Te�.# ivl�- �I�a-�71� �'i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IIIAPROYEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: � b � In Estimated Cost $ J I.�I b�-I • 7� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �� APPUCANT: �1�- 11�Inr,1,�PX1 Tel.# t,�a-�aa-7�'a�i CITY USE ONLY - Call (612) 572�604 for Permtt Fees if malling in appUcation Permit Fee $�� �- y'S Fee Schedule on Reverse Side Fire Surcharge $ // 7b .001 of Permit Valuation (1/10th%) State Surcharge $ �S^'�� $.50/$1,000 Valuation SAC Charge $ � $1100 per SAC Unit License Surcharge $. — $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee Sewer Main Charge $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] • - � � ?i � ` � � � STIPULATIO : BUII,DING PERMIT FEE SCHEDULE � � The Chief Building Official shall, before issuing �rmits 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 $500,0(}0 $500,001 to $1,000,000 $1,000,001 and up FEF.,S $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 &action 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 $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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed wi11 be required before proceeding with the framing. New Houses Onlv ,� c��y of Fridley AT THE TOP OF TNE TWINS � � I L D 1 N G P E R M I T i � � � � ; v __��_ COMMUNITY DEVELOPMENT DIY. r � � PROTECTIVE INSPECTION SEC. , � , � �"'1 � CITY HA�L FiiIOLEv S�IJ2 NUM�@N nEV DATE �----�� �•' 612-57�-3a50 9�aF�5 8/25/00 lOB ADDRESS 5549 East Oberlin Circle NE 1 IEGAL ��T NO. BIOCK TRACT OR ACOITION DESCR. C) 8 Innsbruck North Townhouses lst 2 PiiOPERTY OWNER MAIL ADDRES$ ZIP Greg Chekal 5549 East Oberlin Circle NE J CONTRACTOR MAIL ADDIiESS ZIP Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 4 ARCNITECT OR DESIGNER MA1 ADDRESS ZIP 5 ENGINEER MAIL ADDRESS 21P PAGE Oc / / R�"`�d"'�. 31346 GClT�! N0. `.��..I— vqovEO Br SEE ATTACMED SNEET PMONE 763-572-0504 PNONE IICENSE NO 502-4777 20130983 PMONE ItCENSE NO PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Replace natio door within existing ovening 9 CHAN(3E OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. ��rr�it Inspectio� ���'���� �lill R� Mail�d To Hom������ �o Posfi SEPARATE PERMITSARE HEOUIRED FOR ELECTRICAL, PLUMBING, NEATIN(3, ' rrcvr �.v�a�. VENTI�ATING OR AIF CONDITIONING 7HIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION 20NING AUTMORIZEO IS NOT COMMENCED V�IITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERI00 OF 120 DAYS AT ANV TIME AFTEFi WOHK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIfV TNAT I HAVE READ ANO EXAMINEO THIS APPLICA710N 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWg yp�UAT10N AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L BE COMP�IEO @ WITH WME7HER SPECIFIED HEREIN Oii NOT. THE GRANTING OF A PERMIT `I'1,965 DOES NOT PRE$UME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL TNE pERMl7 FEE PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON- STRUCTION OR TME PERFORMANCE OF CONSTqUCTION �C79.ZS S�GNSiUAE OF CON'aACTOp On 4UTMOpiZED eGENT � oGGUPANCY GfiOUP OCCUPANCV LOAD SO. fT CU PT. OFFSTREET PARKING STAI�S GARAGES SUFi7AX ` $.98 Lice e C $5. iOniE� H P O �D�TE� B ih �. '_ L e SC $1.96 TALfEE $77.19 THIS IfQyQUp�ERI r� � t NEw [� � ADDN AI.1'ER [1 � �onstruction Address: Legal Deseription: _ Owner Name & Address: Effective 5/10/99 CITY OF I'�LL� S�IG� �'A,MII.Y AND DIJPLE�ES R i ANI? Yt B BUILDING PERMIT APPLICATION Contractor:; � i Address: � Attach� lot, wit_ `�Y� ��. °cf C�.� � . 'T �i��`�.� 11 � Tel. #�(p� - 5�� — (� �C�� RENEWAL BY ANDERSEN MN I.ICENSE #� 350-73RD AVE. WE Tel. # FRIi7LEY, MN 55432 ( 612 ) 502-477.7 �. of the � L�CENSE #20130983 = s — _ _� scale. DES�I.�1�T OF ��i��i'��V�ENT .. � ' LIVING A,REA: Length Wi�th Height Sq. Ft. GARAGE AREA: I.ength Width �ieight Sq. Ft. DEC% .AREA: Length � Fdi� � Hgt/Ground Sq. Ft. o�+�: `�� ��(1, i o \ nn� � rs� �rv<�C' . ' �,_ �� ... _.. _ � . � �_ '' ' ,, ,., � ^ . r, _ ����� . Constiruction T � � YPe' � Estimated Cost: $ � , q �D Driveway Ciirb G�.it Width Needed: Ft. + 6 Ft =_ Ft x$ —$ . D��: -�3- C� arPLIe�v�r: �n. � � ��, � T�. # �� • ��1� � CQC��L � � CITY US� ONLY Permit Fee Fire Surcliarge s�� s��� SAC Charge Licsnse Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � C�� a� $ , 4l0 $ � c(`�, $ or� $ �:..r $ $ $ $ � �j� Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%} �.sor�i,000 v��tian $1050 �r SAC Unit $5.00 (State I,�censed Residential Co�ractors) Alt. "A" or Alt. "B ° Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary I] Not NecessarY [ l s + y G � � �� `r� � �I° �: ,�, :,i �l.r The Chief Building �ffiicial sha11, before issuing permits for the erection of any building or stivct�ue, or for any addition to any existing build.ing or structure, or for any alteratiQn-oF ,r.epair to any existimg building or sttuctur�, upon application therefore, require the.payment by the applicant=:for.;sucYr permit:o� fees w the amou�herein below set forth and in the manner herein provided-to-wit: . _ _ TOTAL VALUE $1 to $500 - $501 to $2,QQ0 $2,001 to $25,000 $25,OD1 to $50,000 $50,�1 to $1�,000 $100,�1 to�$5�,0� $500,001 to $1,�,000 $1,0�,001 and up ----.._... - FEES $23.50. $23.SD_for first $SOO�pIns: $3.Q5 _for each additional $100 or fraction thereof, to aIId anclnding..$2,.QQQ �.... . . $b9,25 for first`$2;.Q� Plu�. $.14.�:f�s each additional $1,400 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,0� or fraction thereof,. to and: includ.ing $50,�0 -- $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereaf, to and including $100,000 $993.75 for first $10a,000 pltxs $5.60 fo� each additional $1,000 or fracrion thereo�,� to� and including $�OO,ODO , - $3,233.75 for the first $500,000 plus $4.75 for each additional $1,�0 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,OW,(�?0 plus $3.15 for each additional $1,000 or fraction thereof ` DRiYEdVAY I)EF�SSION ES�tOW (Co�rete Curb 5treets Only) . Alternate "A°: Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": RemoVa� and replac�ment o€ eurb and gutter �nd:uista,li a 3 fflot:�wide_� .: . - approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VER1Q+'YCATION OF F(�UNDATION Permits for construction will be issued a minimum of 24 hours from the time of,application to allow for proper review of the proposed stivcture and of the construction site. � A Certificate of 5urvey of the lot, showing the. location of the foundation once it has it has been �o��t� �ll lx required before proceeding with the framing. ., -� � _ Sue�ecT c�ty of Fridley 3 i 5� AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � �v _�___ COMMUNITY DEVELOPMENT OIV. �� �� r � � PqOTECTIVE INSPECTION SEC. � � j � � ��"1 � CITY MALL FpIDLEv Sj1$Z NUMBEN 11EV OATE PAGE OF APPROVED BY �'""� � �'' 612-571-3450 9iaF�5 11/14/00 / / JOBADDRESS 5549, 5553, 5557, 5561, 5565, 5569 East Oberlin Circle NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMEO oescR. 1-6 8 Innsbruck North Townhouses lst SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PNONE Innsbruck 1Vorth Townhomes 3 CONTRACTOii MAIL ADDRESS 21P PHONE LICENSE NO Colum.bus Exteriors �nc 2131 111 Lane �TW, Coon Rapids, MN 55433 763-757-7530 a AqCHITECT OR DESIGNEfi MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDqESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 6 Unit Townhouse Building 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION �7 REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reside Building; Install trim 9 CHAN(iE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Buiiding Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall cover�ng. Exceptions for this provisiorL would be if sheathi�g is ar� approved weatherproo� panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARA7E PERMITS ARE REOUIRED FOii ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCV (;ROUP OCCUPANCV �OAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION LONING SO. fT CU FT. AUTNORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOHK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PAqKING I HEREBY CEFiTIFY TNAT I HAVE READ ANO EXAMINED THIS APPLICA710N 6 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS Of LAWS ypLUATION SUFTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED @ WI7M WMETMER SPECIFIEO MEREIN OR NOT. TME GRANTING Of A PERMIT W3Hs 167 �19.OS DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL TME pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTNER STATE Op IOCAI LAW REGUTATING CON- ST CTION OF ME PERFORMANCE Of CONSTRUCTION $532.6.5 Fire S�'i �.38.16 PLAN GMECK FEE OTAL FEE �'� ������� $589.89 S�GNA EOFCON'p TQAOAIUTMOp�ZEDeGENT iD�iEi N P P �V V I TED 7M1S IS VOUR PER IT — � � ll�/��P�1� S�GNSTUaE O� OWNEA��F OWNEpBwLDER� ID�TE� �DG �NS q�Tt Prepaid Plan Check $ Effective 1/1/2000 Estimated Cost $ CITY OF FRIDLEY (612) 572-3604 Receipt # R-3, COI�IlKERCIAL & INDIISTRTAT• BIIILDING PERMIT APPLICATION �j � s�'� � Od� c'�--� ✓ n- �-` � 0'� l' "� oy, � .� Constructioa Addresa S `� y� -�`3 � �, � � � � S ^ � % Zoning � Legal Owner & Address�� J2S ��'� _-`% /� ���i�-�� Tel# ( ) �'" a. CONTRACTOR & ADDRESS o��/I.oim 6 L2s �%S 7'P!' r J�3. �- L Tel# (��� )�.l`�7'� �� 3 v F� l � / ��/ � L � 1,a� !� J ��� S , ✓�i G✓ � � K �� Architect Reg.# Engineer Reg.# HIIILDINC� CONSTRIICTION ,�Q/� C � TYPE OF WORK [] New [] Addition [] Alteration -Describe �� °�+ Jt �� a°"f � ��� ,,�- OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTF�R AREA: Length Width Height Sq. Ft. APPLICANT Tel # /,(� � / �� �� 3 �Date !/ '�� � � v�wIIAT=orr Sq. Ft. x $ Sq. Ft. x $ Sq. Ft. x $ Cost/Sq. Ft. _ Cost/Sq. Ft. _ Cost/Sq. Ft. _ Valuation $ ) Valuation $ ) Valuation $ ) =s��`,�7-°= � TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $ ��0�' `�� Plan Check $ - — Fire Surcharge $ s�n , / k� State Surcharge $ � / . �� SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $�C, � PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/lOth �) $.50/$1,000 Valuation iSee Sched. for >$1 Million) $1100 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot . .. r .� ATTACH STIPIILATIONS $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1Q0,001 to $SOO,OQO $5�,001 to $1,(}00,�0 $1,Ot?0,(�1 and up BUILDING PERMIT FEE SCHEDULE $23.50 (Minimum Fee is $23.50 plus surcharge) $23.50 for 1 st $500 plus $3.05 for each addn' 1$100 or fraction, to and including $2,IX}0 $69.25 for lst $2,000 plus $14.00 for each addn'1 $1,000 or fraction, to and including $25,000 $391.25 for 1 st $25, 000 plus $10.10 for ea�� � addn' 1$1, 000 or fraction, to and including $50,000 $643.75 for lst $50,000 plus $7.00 for each addn'1 $1,000 or fraction, to and including $1Q0,000 $993 .75 for 1 st $100,000 plus $5 .60 for each addn' 1$1,000 or fraction, to and including $500,000 $3,233.75 for the lst $500,000 plus $4.75 for each addn'1 $1,000 or fraction, to and including $1,000,000 $5,608.75 for the lst $1,000,(�}0 plus $3.15 for ea.ch addn'1 $1,000 or fraction PREPAID PLAN CHECB FEE SCHEDULE Per Minnesota Building Code - 65 % of building �rmit fee. PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements, a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, water & sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the building permit value up to a 2 million dollaz project or a $60,0� bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as-built" drawings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscaps installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. o> e_ N O O N � a A 7 C � -� C O c� > d w Z O 1-- y Q � � V F- } Z 1.'J � > C � z Za N J � O W U N � � Z � �z = O a � Z p Q Z � U Z a� �¢ �n C Z ls.l d � Z O � O � F � � W � Z C3 � O � � Q W �' v � � G. z a o a � � z 0 H U W W n" Z N z y N Q M >- C+- W >, L,� d' � y � � ! � � z M o� �' ,.. v .-. .�m-�� — �y"� � c2i:a"d � �J � � `� �. � ,� � v °� � � � � V , �� U � I � � � � � Z � � 0 � ltl N � C7 Z 0 J � tl v 1,� O z � i� W � � b � � N O U 0 W ¢ � G� W � ¢ ►-- � 0 F- 69� fA .a; o 0 ru O O � M O � � �� ... � v� ►�.. Q d � �� O� � ,.� Z �w R � �N J � � -� v V G C � Ua� � � U � G.. f-' 2 � N = � - � m b�c �� = zr O � � _ � � i 1— � ZI—mti 69 Fii tf3 0 O O � � o °o O N � � L � C cUp � L I'� n s w c W Y U �,T � � L ��,� o e� [0 c a� � 01 � tUp .0 tC 3 L � 3 aai 2 v o,�=.�s: N ,a�'� � O � C � � � C Q � � � Z � � � V } v.n . � � Q� � C ' • � a ���d � 0 � C N � R R ,ai ti ¢ C7 C7 C7 TOLSLSL Gl N d � a QG C �C C 0 U ¢ � 0 w Z N � a _ Cl � cc Z � -a ` f- i d i� m L'^ 64 Y U Q m z � � :/� J Y o � � := o a`� v Q � �! ¢ aa � � \ � �i t o O � Q ~ c � cv •� � C � � N '� O N �, U... v � � :° � "'C d �' U � t � � � +- � �, O •- � +� O .� • �o v ��`"c d�y�v a���, �W 'O V .r ..� V 'fl ` o�.�� � U a�. O V N = � .a v � a�ca � Y � .� Y � � y <a � 'H t E �c ;> � �, 0 0 •- � 'O a,p -a i p C � � �' ' � L C,p � +'n � �d m y C pCp i d O • no s :� i R `• � °��oc C •� N d � U C � ��-a f-L- a � i I � 1 1 •� ��� ��� ��� �UZ ��Q m� O � � � -4 t�4 bA d d0 �`v -� w 3 � � � � N O Y O 3 0 � � l0 �v Q a. Q y O 3 C 7 \ ; W ``o � o � � O .-i �.3�a t a� �o ur � � � � � � � � ` 1 �/ � � � � � c � �f � � 0 c � � r � � � � a � � � � • �'. �� U �' � � Z ` d � Q � x w � T (n L¢y, 6�0'tl� T�:BO � m � a� � O a Q Q. � O � .` � � � a> � 3 � o �� N i l0 Q C � � � v a'0 L tv � = aF g �� w+ � � C � W � o W V C LL y C L' •N O � N C . O V y d � � a � U � Z y LLJ Q � �eez-9i-radr i Jr;� 1- _�-?�k7? 08 ��? t-F?Uf 1 � 1 i Y ur rK i u�r. r IU �� ro roi r. Gc� r�._ THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCATION WiLL BE RETURNED ('[�MMON VFNT� 1/FNT C�NN GT�R Nl� f_nMF;LISTIQN A IR VFfZIF(CATInN When rp ta i an �ia+in0 f�ran _P, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstn�ctions, and is securely supported and firestopped where required. Yes (�„i No () The venting system is plasticlPVC and meets all current coaes and manufacturer specifications including sivng� length, number of elbows and termination. Yes,(�,No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does � inGude AGA-GA�VIA Category I Central Fumace Venting Tables for fan . assisted and natural draft app{iances. Yes (� No (). The PY�p.s�❑mh LSr�c,n a�r is sized and installed to meei the cuRent codes and manufacturers spedfications. , W�12t1 t'2C�UIf@d �O i,astall a new _emb �stien air^it will be sized and installed to meet the current codes and manufacturers specifications. Vyhen jp5f�11jl1g a.new v�+�tin���#Pm, the undersigned here6y verifies that it is a lis�ed as�arbly and meets the ca�rreni codes and manufadure�s specircauons. This does include AGA-G�tA Category I Centraf Fumace Ventir�g Tables for fan assisted and natural draft appliances. Is the c�mmon vent and vent connectors sized and installed coRectly after an appliance has been removed from the cammon vent and vented separ:ely as per current codes. Yes(�No( ) Yes (�. No ( ) Yes�No ( Yes`� No ( ) ��eliance TYn� and 4i7olCommon VPn�nci Van� (`rnnpeta�r Informa4ion qpp{�� �� Type �(/�l� BTU Input 75,oz�v Fan Assisted or Nat� Appliancz #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat - Sst�l Ap�P►c-es — -- -- ----�at��-8fu tr���t _ _ -- - Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height fi Length ft Diameter in Type Apptiance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #�'3 Vent Connedor Height ft Length ft Diameter in Type � • - •► �.- ..- e, . 13562 CE6�TRAL AVE. N.E. HEATING CO: A6�OKA� NJN 55304 Signed By: ��� �- ����ru-.�--- Date : ���� O �' TOTAL P.�� �, HEAYING AIR CONDITIONING AND ELECTRIC, INC. ADDRESS ��� G / � �Y� ( � �! �L � OCCUPANT �1' HEAT LOSS DATE HTG. INST. �� SQLD BY C� EIeGVical Work By P� 1 TYPE OF HEAT GA FA HW STEAM SPACE HTR. � QAS DESIGIN MAKE Model P ' 6� Serial L�� � �j INPIff � �� �� ��'�% CONTROLS THERMOSTAT_ Heat Plua Value__ ��. L C� c� Limi q �o Limit Settina � Fan Setti Pilot Type � Pilot Make U1J � Pilot Model Pilot Timi � � L.W. Cut Off Pressure Percent COZ Input CFH � � � Percent OZ ') � Stack Temp. ��b r' Peroent CO ��� � HOIJSE HEATING TEST RECORD �T. FLOOR CITY 1�1�IY-�jg�pg OWNER INSTALLED BY _ �/ ll�� ►J � '�'��.�'/ �� Gas Line By UNIT HTR. OTHER CONVERSILIN � !! Vent Size �r---- KIND OF LINER SIZE � NONE Draft Hood s �t Repulator Filters Size Number � Chimney Locaaon Inside Outside Chimney Construction � l ��iy 7— Smoke Bomb y�ry��e � Draft Test Tag %� Door Pressure Ligh6ng Inst. � Date Tested Company Tesung /DC� ^ �t P �/t9% Name of Tester 9.� � Pressure Percent COZ Input CFH Percent OZ Stack Temp. Percent CO Building Inspections 763-572-3604 BUILDI�TG RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: � ' Date Rec'd: �' � ��-� DATE Q I a� OCm YOUR E-MAIL ADDRESS -t-i r�hs�a �ld er � o�n e s, corv� srrEAVD�ss 55�q Eas� Ob�c���nC':rc�� THIS APPLICANT IS: ❑ OWNER PRi�iPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPL PERMIT TYPE �E oF woRx: AnDxESS: 55��-Iq F'nst Olo�c ��v� C� c-c� � crrY rrid�eu STATI�I1$IP�{�Z PHONE:'763) S 1Z.• pSp `"E- N�:_ RENEWAL BY ANDERSEN sTA� r�cF 1920 COiJNTY RD. "C" WEST .e,�DxESS:_ ROSEVII,LE, MN 55113 Pxo�, 651-264-4777 ° s�rGr� F LICENSE #20130983 ❑ TWO FAh_ CITY STATE ZII', QADDTfION ❑ GARAGE/SHED �WII�IDOWS ❑ BASEMENT FWISH ❑ RQOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTf�R ❑ SWA�IlvtIIJG POOL � DESCRIBE WORK BEING DONE: � t��Y1do�.JS ? CZ� C��'rS SIZE OF NUMBER OF SQUARES _ GARAGES PROP(?SED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl � Aluininum ❑ OFher V��INBOR'S IN EXISTING OPENINGS ❑Yes DIJo OR FOR NEW OP�INGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WWDOW TO BE 1NSTALLED o xousE ox�,Y O HOUSE & GAR.AGE 0 ATfACHED GARAGE ❑ DETACf�D GARAGE ❑Soffit ❑ Trim ❑ Fascia IACATION OF WINDOWS NUMBER OF WIDTH HEIGHT BASEMENT REMODELING SUBMTf: 1. Existing F1oor Plan 2. Proposed floor plan 3. List of shruchiral members to be used F� FOR NEW CONSTRUCTION 1NCLUDING DECKS, ADDITIONS. & PORCHES SUBMTf: 1. Site Plan/Survey showing the existing siructvres and proposed �roject. 2. Two sets af construction pians 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDUI�E) TOTAL JOB VALUATION $ '� C2�C5�a -- OCCUPANCY TYPE Permit Fee PIan Review Surcharge Fire Surcharge License Surchazge SAC Charge Curb Ctiat Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ A3�. � � $ $ �, �"b � �_ $ �: J $ $ $ $ $ See Back Page for Fee Schedule 6�% of Building Pemut Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALII? UNTIL PROCESSED I hereby apply for a building permit and I aclmowlectge 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 d w rk is not to start without a permit; that the work will be in accordance with the approved p an in the case of all work which re uires r view dapproval o€plans. IGNATURE OF APPLICANT /!Ir PRINTNAME �11M SC��VI{� DATE gI �f IO�o Page 2- Buildzng Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Buil.cTing Offi�cial shall, before is�uing permits for the erection of any builda.ng or structure, or for any addition to any existing building or structure, or for -any alt-eration or repair to any existing builda.ng or structure, upon application therefore, require the payment by the �pplicant for such permit of fees to the amount herein below set foz�th and in the manner herein provided to-wit: , TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.5.0 pl�s surchazgej- $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for ea.ch addirional $�Od or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for ea.ch additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $'� for each additiona.l $1,000 or fraction to and including $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 inclttding $500,000 ' $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additionai $1,000 or fraction to and includi.ng $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 fra.ction VERIFICATION OF FOUNDATION Permits for constru.ction will be issued a min;mum of 24 hours from the time of application to allow for proper review of proposed structvre and of the constructi.on site. A Certificate of Survey of the lot, showing the location of the existi.ng foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Departrnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 , ,.