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AF-R - 40789City of Fridley, M.inn. BUILDING PERMIT N° 5 6 2 4� Date: _i—.(�� 'r" `"" , %� Y�. � "`� � a d �W[18T: �� '' '�+°` Bll�ld@P � Address f Address — �,1Y��„��,-'� � ,F,,� �TIOM ��UILDING No: . Street +" �� Part of Lot Lot ,��1�'_�� Bloclt � .— Addii3on or Sub-Divist�n Corner Lot ._ �""� Inside Lot Setback �� Sideyard � Sewer IIevation Fo�mdation Elevation DESCRIPTION OF BUILDING To t� v� � �� :�� .�..- �� -- + Front ,�� DePt�i Height Sq. Ft. Cu. F't. Fr Depth � �ht —� Sq. Ft _.._ Gu. Ft Type of Construction ��'h��!ri'L�� Faat. Cost ��. To 1� Completed ..� In consideration of the issuance to me of a�rmit to construct the building descrlbed abQVe, I agree to do the proposed work in accordance with the description above set forth and in compliance with all Provisions oE ordinancea oE the city of Fridley. � / ...�+. In consideration of the payment oP a fee of $.�'_t� , permit fs hereby granted to to construct the building or addition as described above. Thfs Qermit is granted upon �he express cond3tion that the,person to whom ft is granted and his agents, empioyees and workmen, in all work done in, around end upon said building, or any part thereof, shall conform fn all respects to the ordinances of Frldley, Minnesota regarding locaiion, construction, alteration, maintenance, �ePa3r and moving of buildings wlthin the dty limiits and this permit may be revoked at any tlme upon violation of any of the provisions oE said ordinancea 'f� Buildin8 Inspector �, > , NOTIC� This psrmh doas aof cover t6s eonstrudfon, iettaWHoe Mr wUine, P1�+�9. 9� b��8, �er or water. Be sun to aes tha Bulldln8 Inspeetor for tsparate permlts fo� t6ae hems. _ � y r"' 4 ''``' �:,,� _-- _.. . � owner's Adcires APPx,ICI�TI0�11 FOR BUI7�D�1�G PERI�lIT C iaRIDLEY, M�NES�TA ��r�U,�,s .�. �� `� � ��a.�d . S � b�,� �o �—. Na�►e "�� su�.��er � e�, �. o o C1 �t � .,�� .._ ��:�.5� � �1 � � � - Addre�s .s� �Y1�1 � � �4y; �'� �� , �� ., ., oF suar�na�� No, �'' Stre� `� < Part o� Lot Lot � Block Additi�Sn o�r �tib�c�iv� n� �.�..�....__ _ .� ._.._.__ _....-.---- 1 1 Corne�c Lot 3nside Lot Setback�Side-Yazd �'� SEtiJE�i ELEVATION �''OUND�1Ti01lT ELEVATI01iT Applicant a�ttach to thi� fornt Certi�ieate o� Survey o� Lot and �ropose� building location. DE�CRIPTION OF BLTILDING �o Ioe used as a � � �,�,� i � �'� A �,�� . � �ront_,_,�„�, Depth I3eight Scge Ft. Cu. Ft. Front ep�h ,� e�lght Sq. Fte Cue Type o:� Construc�3on��_ S �,�.��di,� �.�,Estlmateal To be Comp �� The undersigned here�y makes application for he�ein specii�,�d, agree�.ng to do.all work in the Ci�ty o�' Fridley Ord3nances and rul3.r�g or ings, and hereby declares that all the �ac�s s�tated �.n this ap�lication are true and co � Da� � 1� szc��un� (schedule of Fee Cos�s ca� be round oa the ��__� r,. Ft. . '� :� � �, a permit �or �the wosck stric� accordance with the Depar�cment of Build- and represen�a4ions ct . � �'�1 r � �a��$e ��de� . � v ��,�� . _ . �o�� . G�'� � BUILD�NG PERM=T FEE SCHEDULE Sec�3on 2. The Inspector of Buildinr�s shall, be�ore issuinq any per�n3.i: �or the e�ec�ion o� any building or structure, or for any addition to any ox�s��ng Iouilding or s�ruc�ure, or for any alterations or repairs fco any oxis�iny buildfng or s�ruci:ure, upon application �h�re�or, require fi,he payinent by the a�plicant Lor such per�nit o� fees �o the amount herein below set forth and �tn the manner herein provi.ded to wito 2.1. For any such pe�nit for the erection oiE any fire-p�oos`. building, o�her than a garage, waYehouse, factoscy or grain eleva�tor, or for �the e�ect�.on of any �� ra-p�oo� add3tion, for similar occupaaicy�, -to any exis�ting building shall be at the rate of $1.9�0 for each ona thousand cubic �eet, or �Erac�t3on thereof, in such cubical contents. 2.2. For any such perm�� or the erection ofc any f3re-proof garage, warehouse, �actory or grain elevator, or �or the erection oi ar,y �ire- proo� addition, iox s3.fxnilar-occupancy, to any existing building shall be at the rate of $�..25 �or eactz one thousand cubic feet. classi�ied as "iireproo�" by Sec�ion 502 of the Minneapolis Builrling Code. 80USES 2.3. For any such permit for the e�cect�.on of any non-fi�ceproo� build- i.ng other than a garage, warehouse, fac�ory or grain elevator, or any mon-�ireproo�E addit�on, for s�tmilar occupancy, to aay exis�ting building Permit $1.00 for each one thousand cubic feet. G�GES 2.a. For any such pe�mifc for the erect3on o� any non�fireproof garage, warehouse, �actory or grain elevator, or for the erection of any non-fireproof add�tion, �Eor �imila� occupancy_, to any existing building or �or each such bui].ding or additione Nir�oty Cen�ts for each one fihousand cubic ieet or fraction �hereo�, in the cubical contents thereof wi�th a m3.n�anum of $4,00. For the purpose or compu�ting fees for build3.ng permit� the cubical con- tents of any bu3.ld�.ng or addition to a unifo�n► height throughou� by multiplying �the g�ound area covesed f-rom a point s3x (6j inches below �he floor 13ne o� the basement or ce11a� to the average height of the uppe� surface or fio 'che average he3gh� of the roo� surface o�E the main gatole oi a pitched roo�. 2.5. For repaira or alterations to an existing structure, the ree shall be at �the rate of $3.00 per each F3.ve Hundred Dolla�s ($500.00j or �raction �hereor i.n �the cos�t o� all proposed work. 2.60 �n ao case sha11 the �ee charged �or any permit as eet �ort,h in Section 2 �3�e,less t�n $4.00. ^ _ � , , --- � _, � a�� • a m � o+ � ��e C a �� , � p�q m � a � � -� a � a� � � d C � � 'cU � � �� s m Q � D C � G � � E 0 � G C � � a � �� v .� � 3�a � � M Y � U � u w��o �"3�0�° � � � �n w � d � � ti� p? q � � c3 ��a �� a � � a � '� a�a � �� °�� .a � a� '� � � �i � y '� a � o�� y Y � oY � d 0 .� .� � � � ��°� � � h �� \. � .. � i �J � � I 1 � .� � � � � ~ � � o v ° � v a � � � o �x � H � �` � a �� o � U . � � � �� 8 W J � W U � W � J Q � a q � � .� � � �s � � \ � 0 x �I .� r� � E � O� H e�r � e�r e�s �r c�r � � N O N O N � H .-I W N Cq p4 k >C i! �' IC °z\� � : : : : � : : : yq : °o � : � .� : o pq Vd • .� e� • N '�O � � a g' y O 4� � o �, a � �� ° � � � � � � � � � � � � x � � u .°�, � s7 � � r � � z� z � R z oa � a a � � � � � O E v� �r so- �� °o � N pS iE k O z ' ; f� ' o : � o 0 : � o 0 � � ,� � o � � � �� =f�� 1� : � . 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Job Name "�s6 � 4410 Exaelsior Bonlerard, Minneapolis 16, Mlnn. ze N�AT LOSS CALCYLA'�IONS �' �'�� ,¢ �� Job Address A.S.H.V.E. Weatherstrips Construction No. I Insulation Guide Windows ( Doors Reference Out. Wall Int. Wall Cxiling Roof F7oor I Kind How Applied Yes—No Yes—No 19_ Fl �i � R9e� Room � Length�� Width:� p Height � Fl.� �� d� Room Length d Width �� Height'�`, � Windows and Doors—Crackage and Area sss��,,,''' � Windows and Doors—Crackage and Area tYldth Helght No. ot Llneat f. Area. ��, �i �� Wldth Halght No. ot Llneal IL Aren No. ot pane oP pane Ifghte ot crack ap. it. �� No. o[ pane ot pane lighte ot crsek eq. tt. �- �r Q � � �,�a a: g�y � �. � �J � ' � .� � o � 8 �� d� a ,�s � � 0 r�#1 � �l � � � Q �Q ° � � o `�'' Coef. Btu Coef. Btu Infiltration � �e � � � 2. ��o �' `� r "� �> ,r_,, � m° � In6ltration � Glass �a � � � �� Glana 6 c� " '' �� s� Exp. wall °� ��° m� �' Eap. wall � D° a� �� d' Net esp. wall a'.� �'�r' �� 64 .�s �t� Net eap. wall °" �� C2 :� E s;_ ''�; e;'`, Int. wall Int. wall Ceiling Ceiling Floor �• At � �' '�' %� �� Floor ✓' r`� 0� d � 9��b.'-� ',$' Total Bcu. "�� Total Bcu. ;r. - ` �° � -' – Required sq. k. E.D.R. or sq. ins. W.A. Leader area Required sq. k. E.D.R. or aq. ina. W.A. I.eader area Fl.� "� Room ( Leagth Width / Height ��`�' ��,�]�m � Length,�� Width� � Heig}�':; Windows and Doors—Crackage and Area �' Windows and Doors—Crackage and Area Wldth Helght No. ot Lineal ft Area Wldth Hefght No. of Llneal tt. Area No. ot pane ot p ne llghte of crack eq. t� � No. of paoe ot pane 1lghte ot crack eq. it � �� o � �o�;� �2. � d� � � �' �" � �9 ;� � � �s�, �" �� Infiltration � �• ,� �� Glaas c� �'� 0 Eap. Wall � �� o �� d Net eap. wall " a � � � Int, wall Ceiling F�oor li a � �� Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area FI. �"p Room � Length Width �9 � Windows and Doors—Crackage and Area Width Helght No. o! Llneal tt. Area No. of nane ot Dane IlRhte ot crack ea. tt. Infiltration �� Glasa � � Eap. waU N�� p. Wau ,� � � Int. wall Ceiling 1=1oor �' ; � �� Tbtal Btu. Required sq. ft. E.D.R. or sq. ias. W.A. Leader area e� � B�� Infiltration Vl88E Fap. �,►eu �.� �,� � � � � Net eap. wall � Int. wall Ceiling Floor �`�,(,� �.+ ? g�¢' Total Bta Required aq. it. E.D.R. or sq. ins. W.A. L.eader area F1� � p�a Room I LenBth Width Windows and Doors—Crackage and Area Wlflth Helg6t No. of Lfneal tt. Area No. ot pane ot pane Itghts o! crack eQ. tt Btll �� Infiltratioa � Glaas �. Wau "� Net eap. waU Inw wall . Ceiling a`�'� Floor � � Q�, ° Total Btu. ; `��' - ired aq. ft. E.D.R or sq. ins. QIA. I.eader area =�d `� ,.�1. ��:� •a . _:� �- -� Btu � � � � � ,- :5 CRONSTROMS HT�'s: �c AIR COND.� INC. �ob Name YD-s6 ' 4410 Bxcelsior �ulevard, Minneapolis 16, Mlnn. z e N6AT LOSS CALCYLAilONB ��, %��' e--� ,� n„�ob Address � �-.„ Weatherstrips A.S.H.V.E. Construction No. I Insulatioa Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor ( Kind How Applied Yes—No Yes—No 19_ � Fl�j�d�'¢ B�� Room � Length�p Width � Height Fl.� Room Leagth Width � Height �;;. Windows and Doors—Crackage and Area � Win ows and Doors—Crackage and Area ' �Vldth Helght No. ot Llneal 1t. Area Wldth Hef6ht No. ot Lfneal ft Area No. ot pane o[ pane Ilghte ot crack eq. [t. No. ot pane o[ pane tlghte ot crack eQ. tt. �� n� �� l� �, � � � 4 ` d � � � ;� ��2 , � ,� Coef. Btu Coef. Btu Infiltration 9 � � ��auon � � �, � �: Glass ��,: A, � p° Glaas `, �c �. J Eap. wall ,� �a s ,�' v Eap. wall � �, , . - _ _ �, Net eap. wall m� � U� � `� �> Net esp. wall � � �. �, n � ,s Int. wall Int. wall � ;� J � Ceiling Ceiling Floor Floor 1'otal Btu. Q Total Btu. n � n .� � Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area ° � d� J'`' Required sq. k. E.D.R. or aq. ins. W.A. Leader area � Fl.� �� Room � Length �.� Wid A Heigh�' �� ' Room ( l.ength Wid Height ,,;; Windows and Doora--Crackage and Area Windows and oors—Crackage and Area � Wldth Helght No. o[ Llneal tG Area Wldth 8eig6t No. o! Lineal tt. Area No. of pane o[ pane llghte ot crack ep. tt No. ot Dane o[ pane IlBbte ot crack eg. [t Biq In6ltration Glaaa Exp. wall� S Net exp. wall Int. wall Ceiling Floor Total Btu. � �� m �n� Required sq. k. E.D.R. or aq. ins. W.A. l.eader arca �. �.I � a� R�m Windows and Doors—� Wldth Helght No. ot pane ot psne : W th and Area neal !t. Area crack eq. it. Bhl Infiltration Glaas Exp. wall f �.'= ,� m � :.�, � rr�� . W8u .�- Int. wall Ceiling Floor Tbtal Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Infiltradon Glass GS�I� WSll � SA� �. Net eap. wall � Int. wall °�`��' ° Ceiling Floor Total Btu. Required sq. k. E.D.R. or sq. ins. W.A. l.eader area �.I tt�m � �� w�a� Windowa and Doora—Crackage and Area No. ouane ot Dene Uahte ot crack I eartt In6ltration Glass Eap. wall rr�t ��. Wav Int. waU Ceiling Floor 7'otal Btu. Required aq. k. E.D.R. or sq. ias. WA. L.eader ana Btu , � W „ �' -. ..� CRONSTROMS H�G�.' & AIR COND.� INC. 1ob Name D-56 ��0 Ezeelaior Bonlevard, Mieneapolis 16, Minn. � =e HBAT LOSS CALCYLATIONS�?�t`'``` t�� ,,� g�� Job Address Weatherstrips A.S.H.V.E, Construction No. I Insulation Guide Windows Doors Reference Out. Wall Int. Watl Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19_ I ��D t�� D �6o Room � Length� � Width � B Height,� �' Fl.� ��...'"�-'�� Room Leagth �� Widthl' � Heighd.; ? Windows and Doors—Crackage and Area � Windows and Doors—Crackage and Area �Vldth Helg6t No. ot Llneal ft. Area W►dth Helght No. ot Llneal 1t Area No. of pane o! pane Ifghte o[ crack eq. It. No. ot pane ot pane 116bte of crsck eq. IL Infiltration �� 8SS . �o p � Eap. wall � �j ,� �' < Net esp. wall � �� "�,�`'�, (f Int. wall Ceiling �(j � � � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � Fl•� � Room � Length Width;¢ �� t B Windows and Doors—Crackage and Area Wldth Helght No. of L1nea1 IG Area No. ot De.ne ot pane tighte ot crack ea. ft. Infiltration Glaas Eap. wall � �Q�v � � Net eap. wall a-• � �, Iac. wall ° Ceiling �' ye j � Floor Total Btu. Btu ;0 � Coef. � Btu Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area � Fl. �� Room �Lengtl� .� Width � Windows and Doors—Crackage and Area Wldth Helght No. ot L1nea1 tt. Area No. ot Dgne ot pane Ilghte ot crack ep. tG � � � � � � � �� __� Infiltratioa Glasa Eap. wall � Net eap. wall Int. wall Ceiling 1 Floor Total Btu. m � 0 d� � �� ft. E.D.R or aq. ina. W.A. Leader area �, ��f8hOQ �%v� �BSS o Eap. wall �i � �± � � � % Net eap. wall m- °� � R Int. wall Ceiling � ��' `�' �'� Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area � Fl�� D� e Room (1.enSth�� Widt� � � Windows and Doora—Crackage and Area Wldth 8e1gAt No. o! Llneal tt. Area No. of paae ot pane llghte oL crack eq, tt � � � �e �m � �JI� �� ' ��O � In6ltration '" Q Glass � . Eap. wau � �j �' ° � ` Net esp. wall � �� , �� t�? Int. wall Ceilin8 � � �1� $— � �'� �' Floor Total Btu. Requued aq. k. E.D.R. or aq. ins. WA. l.eader area F7� Room I Length Width� � � Windowa and Doors—Crackage aad Area Wtdth Helght No. of Llneal ft. Ares No. of pane ot.p4ne Ifghts oL crack eQ. tt B� I I � In6ltration �,� Glaas Eap. waU �� Net eap. wall Iat. wall �� Ceiling �' � Floor �� Total Btu. Required aq. k. E.D.R. or sq. ins. 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C a � � .� �i m> �o 0 U T 0 w O Z � 2 � z � r E m'm � m � � � � � � � �:.� � � � '� � � � � � U � z u� _ �!" � ` � m f- � C � r � � � � i w � 0 � � a a' c'e � .� � 0 W Z O U w a � Z W �[ O Z O d u aC Y Q � �� O Q w Z t] j �� a� HV �g �� V � � .�i� � O � � � m = o s�s s�' � � Q. c .� ^ •� � O _ �� ci m a�� :a;ga :�g pau�is =0� J11iLI.�i ,:�: ()oi�i()�x ()oHt)�x t)oAt()�� ()oAi()�� {)oH()sa� ()oAi()�� :s�a�wa� ia�ea�q r,�e� w3 papu+wd uaaq .u� uoqsnqaco� se� �e�a� .� .w3 �p�� i � sgH s�ILi.s 'l�ZOs S�fl.Lg ��o Iid ;o s�fLLg $�q i� �H pa�auao� s, nsg F� P� azcs w3 s�uawannbaz apo� �ua.u� ne s�aL1t pa�oddns �Ciam�as si �t� Pa�i �� a�tau>3 ou s�eH �:3 .� 9 "5 .� '£ ooA�oua�aP so � mo� �33 SI 'Z ( ) ori i ) �� pa�a ��as� �q seH ' I . :�� io �iammc{� �aqsnra aq�t i�tR s��ua� �qa�att Fau��aPun a�.L �: L��fifi��: i c, ic-��f; �il'� �4.Yii.` �'1�:� (; -: I:�i� • a�8uin� �uan ap�s s$u�sn uat�ri pai�nba� g� u�no.zu� T�t : gypH sue�ecT p , _ City of Fridley 33357 - AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � COMMUNITY OEVELOPMENT DIV. RECE��N� � • � ; V �"�� f � � PpOTECTIVE INSPECTION SEC. i .1 � L---.�; ��,,, CITY HALL FRIDLE� SSIJZ NU48ER REV OATE PAGE OF ACVROYED BY L 763-571-3450 910-F15 3/10/03 / / lOB ADDRESS 5950 � East River Road NE A t 10 1 LEGAL LOT NO. 9LOCK TRACT Oii ADDITION SEE ATTACMEO oescA. pt 17,18 Auditort s Subdivision ��78 SMEET 2 PiiOPERTY O N MAIL ADDRES$ 21P PHONE Maris Sc�ii 91in 3 CONTRACTOR MAIL ADORESS ZIP PMONE IICENSE NO Jerome Roltes Construction 14022 Raven 612-386-7924 4 ARCHITECT OR DEStGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILOING Apartment 7 CLASS OF WORK O NEW ❑ ADDITION 0 ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WOFiK Replace one window within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PEFiMITS ARE FEOUIREO FOR ELECTHICAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILA7ING Op AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITMIN 80 DAYS. Ofi IF CONS7RUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANV 71ME AFTER WORK IS COMMENCED. NO OWLG. UNITS OFfSTqEET PARKING I HEREBY CERTIFY TNAT I MAVE READ AND EXAMINEO TMIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND COFREC7. ALl PROVISIONS Of LAWS yp�UATION SUR7AX AND ORDINANCES GOVEpNING THIS TVPE OF WORK WI�L 8E COMPLIE� WITM WMETHER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PEFMIT �SOO �.SO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL TME pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE Ofi LOCAL lAW REGUTATING CON- TRUCTI N OR TME PERF qMANCE OF CONSTRUCTION �23.SO F]..iE SC �.SO PLAN CNECKFEE TOTALFEE � - /U- � 3 $24.50 S�GNGTUAEOFCON'NACTOpOAAUTMOAl2E0OGENT iD�iEi N PROPERIV VALIDATED TMIS IS VO R PER T S�GNi1UqE O� OWNEa �� OWNEp BWIOEA� i011E� g� 50 ��k � \ � - y NEW ADDN ALTER [] CITY OF FRIDLEY Effeative 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763j 572-3604 Bidg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION i �,� � � J Construction Address: -��O �i°� 5'7` 12 o r�-� 2 12c� Legal Description: Owner Name 8� Address: M �9 ��s Sc � o Lt, ,v q a Tel. # 7� 3 7 S3 � v 3 6 Contractor: .� ��o �o �o eT*s �v.�. � %r- MN UCENSE # Address: /�fo � z �s� vp� s T �u � Tel. #� Gia 3 s c 7�2y LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length �dth Height Sq. Ft. Length Wdth Hgt/Ground Sq. Ft. �c..c �Lrv �.� t�� /�l�7' /c� c Construction Type: Estimated Cost: � •�8 0�'� Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x� _$ DATE: �/0� as APPLICANT: d�E� v Tel. # 7G.� 7 SS S 8�� Call (763) 572-3604 fo� Permit Fees if ailing in application. Fax to 763-571-128T if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control $ �. �� $ , S �, $ � ��=� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $ F �` . �� STIPULATI�NS� BUII..DING PERNIIT FEE SC�DULE The Chief Building Official shall, before issuing permits for the er�tion of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any e�sting building or structure, ugon 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,(�0 $100,001 to $500,000 $500,�1 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additiona.l $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 $SO,OQO $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof cvRS cv�r Escxow (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for consfruction 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the e�cisting foundation will be required before proceeding with the framing. New Houses Onlv sue.,ecT P IT NO. C�ty of Fridley 3 4 4��' � AT TME TOP OF THE TWINS g U I L D I N G P E R M I T� ; � o. � ' v __�� COMMUNITY DEVEIOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 .1 � `--_- : ��;•I CIiY HALL FRIOLE� SS132 NUMBEN pEV DATE PAGE Oi APPFOVED BY L J� 763-571-3450 s�aF�s 4/18/03 / / JOB ADDRESS 5950 East River Rd NE 1 I,EGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. lA & 1B 1 East River Estates SMEET 2 PROPERTY OWNER MAIL AODRESS ZIP PMONE Maris Schilling J CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO Jerome Koltes Construction 14022 Raven St NW, Andover, MN 55304 612-386-7924 4 ARCHITECT OR DESIGNER MAIL ADDFESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PNONE LICENSE NO 8 USE OF BUILDING 12 Unit Apartment 7 CLASS OF WOFiN ❑ NEW O ADDITION ❑ ALTERATION L� REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Replace windows within existing openings in apartments 9, 6, 5& 2 9 CHANOE OF USE FROM TO STIPULATIONS SEPARATE PERMI7S ARE RE�UIREO fOR ELECTiiICA�, PLUMBING, h1EAT�NG, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTI�ATING Op AIR CONOITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. fT CU fT AUTHOR12EO IS NOT COMMENCEO WITHIN 80 OAYS. OR IF CONSTRUCTION OR WOiiK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIfY THA7 I MAVE iiEAD ANO EXAMINEO THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COFiRECT. ALl PqOVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING 7HIS TVPE OF WORK WILL BE COMP�IED @ WITH WHETMER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT W8SO.00 �.SO DOES N07 PRESUME TO GIVE AUTNORI7Y TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON• STRUCTION OR TME PERFORM NCE OF CONSTRUCTION $35 . 7O Fire SC �.8S ,` /1 PLAN CNECK fEE TOT L FEE ✓�L� d�� $37.05 iGN4TUpEO�CON7RACTOpOA1UTHOp�2ED4GENT �o�rE� �EN ROP VA�IDAT 0 THIS IS VO % EAMIT — ' _a3 S�GNOTUqEO�OWNEp��FOWNEpBU�IDEp� �O�TE� Bl �NS� r��tE CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE R-3, COMMERCIAL & INDUSTRIAL Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 FAX (763) 571-1287 CONSTRUCTION ADDRESS �'��/.S4 ��as�` l�/!14 /� .� � Zoning Legal Owner & Address�'/�%1! S Sc �� LLr.� �- Tel# ( ) CONTRACTOR & ADDRESS ,� �,1 p/Zo i� e ,�L7v S �orslL Tel# (�Z ) 38� 79 z�/ /yo�a .RwvPti s� �� .vdaw.� �vr.� �s3o � Architect TYPE OF WORK [] New � OFC. AREA: Length WHSE AREA: Length OTHER AREA: Length Reg.# Engineer Reg.# BUILDING CONSTRUCTION [] Addition (�] Alteration -Describ Width Width Width LC `"� i`" Height Height Height �G--S-� o� k�.s;�� `'��t;�>.�CS Sq. Ft. Sq. Ft. Sq. Ft. APPLICANT a��eo Tel # Gl,z 38G 792�! Date y� �8" 03 VALUATION Sq. Ft. x$ Cost/Sq. Ft. = Valuation S ) aC��%' Sq. Ft. x$ Cost/Sq. Ft. = Valuation $ )_$ �� Sq. Ft. x S Cost/Sq. Ft. = Valuation S ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount S See Reverse for Schedule Received []Yes []No Permit Fee S ` �'� �� Plan Check $ � Fire Surcharge $ a � � State Surcharge $ � � � SAC Charge S Erosion Control S Park Fee $ Spec. Assessments $ Curb Cut Escrow $ TOTAL $ � �° �`�' � � � �` �} v�V \ . l..-� ^-,.Il- 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 (See Sched. for > $1 Million) 51275 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x 517.00/foot �c Cr,�� `� ATTACH STIPULATIONS �� $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $5(�,001 to $1,000,000 $1,000,001 and up BUILDING PERMIT FEE SCHEDULE $23.50 (Minimum Fee is $23.50 plus surcharge) $23.50 for lst $500 plus $3.05 for each addn'1$100 or fraction, to and including $2,0(� $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 lst $25,000 plus $10.10 for each 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 $1�,000 $993.75 for lst $1�,000 plus $5.60 for each addn'1 $1,OOQ 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 $1,000,000 plus $3.15 for each addn'1 $1,000 or fraction PREPAID PLAN CHECK FEE SCHEDULE Per Minnesota Building Code - 65 % of building permit fee. PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a mulriple 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, blacktapping, 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 dollar project or a$60,000 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 rema.in 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 landscape 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. �., s _ ADDRESS PIN LEGAL DESC PERNIIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 l+AX: : 5950 E RIVER RD NE : 223024120003 : EAST RIVER ESTATES : LOT 1 BLOCK 1 : HEATING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ADDITION/ALTERATION 571-1287 PERMIT O.c� 2004-0007� DATE ISSUED: Ol/21/2004 f_ ,�� VALUATION : $ 23,000.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER LTMC SECTION 504(A) AND TABLE 6-A INSTALL 12 FURNACES (WARM AIR, GIBSON, 45,000 BTCJ) APPLICANT SUPERIOR HEATING AC & ELECTRIC 2132 2 AVE N ANOKA, MN 55303 (763)422-1721 OWNER SCHILLING, MARIS & BARBARA 17025 ROUND LAKE BLVD ANDOVER, MN 55304 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and conect. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a pemut does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg � HEATING PERNIIT FEE, COMM STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 13948 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 287.50 0.50 288.00 �•`J` � Cr1 O 0 N � � �I � � cd �7 41 � +� U N w W W Z � F- N g��"' Z 0 ' Z � Q Zy O� W V� Z � F- Z �Z� =O C F" a°z Zv � aa 0 W Z �a z .o°, o �Q O p� W Z C'3 O� �" 4. VW � J a z �- o a � � 0 Z O U w a W ^ � Z � Z � N � M } Q ,�. I� 0'yln� u�1 �, m � Z � LL .0 � 1� � � � � ^ v �ma� �•�^ U��.. r� m Z O � W J � G W _ �.i N W a �.' 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N3HM NI a3T11� 381Sf1W MO'139 3H1 �uilding Inspections 763-572-36 SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ ��, 1 CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: �1�/.�'�� JJILDING � ' � �'� t'1 iE`�� ,4� /�-PPLICATION � CITY OF FRIDLEY ❑ OWNER STATE LICENSE PHONE YOUR E-A9AIL ADDRESS 1 FAMILY/NEW CONSTRUCTION E}� DATE � BAS�TiT FINISH �OOF ❑ DRAIN 7TLE � DECK 0 SIDING ❑ OTf�R � SWDvIIVID�1G POOL n DESCRIBE WORK BEING DONE: SIZE OF INlPROVEMENT NUIvI�ER OF SQUARES _ GARAGES PROPOSm S1ZE: PRO�SED HEIGHT: SIDING ❑ d'myl O Aluminwn ❑ Oth� WIIVDOR'S IN EXISTAIG OPENINGS DYes ONo OR FOR NEW OPENINGS-DESCRIBE SlZE OF OPENING CHANGES & TYPE OF WIIVDOW TO BE INSTALLED � HOUSE & GARAGE � ATTACF�D GARAGE � DETACf�D GARAGE OSoffrt � Trim ❑ Fascia LACATION OF WINDOWS NUMBER OF WIl�II Permit No.: ` � C Received By: Date �: i b�G'l�f�.��Y f�(�Q,�"�i�-�v7 STATE� " ,� STA7'�IP J V�' G� HEIGHT FL BASEMENT REMODII.ING SUBMIT: 1. Existu�g Floor Plan , Z. Proposed aoor plan 3. List of structural members oo he used � FOR NER+ CONSTRUCTIOId INCLUDWG DECKS, ADDI1'IONS. & PORCI�S SUBNIlT: 1. Site PIarJSurvey showing the existing sUvctures and proposed project Z. Two seLs of c�nswction plans 3. Energy Calctilations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCI�DULE� TOTAL JOB VALUATION $ OCCUPANCY TYPE Perniit Fee Plan Review Fire Stucharge Surcharge License Surchatge SAC Charge G�rb C�t Escrow Erosi�n Conlrol Park Fee Sewer Main Charge Total Dne $ '?_�57� $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 ger SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge 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 aot a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of aIl wor w ich ,eq ' e review and approval of plans. SIGNATURE OF APPLICANT I I(A PRINT NAME � DATE / \