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AF - 46781� BUILDING PERMIT '6�il�age of Fridley, Minn. N° 2116 Date �� • �r',!. .t�1. �� . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner .�,�F�f. . . . : �'r!` : � . . . . . . . . . . . . . . . . . . . Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address I�rl� � . . . .L': . ��".�.f. .�. �: . 0�-e?'.•�. . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LOCAT(ON OF BUILDING 4� r. No. . . . . ��% . . . . . . Street . � .Z . ;1� -d.�x: . . . �� :�^4f: �. . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . .,tl r� . . . . . . . . . . . . . . . �.�C-�:-s.-r:�k.�:G.'!'.'1F� . .��'�/�' Lot ... .+v.. Block .�'.. Addition or Sub-Division Corner Lot . .. .. . . . . . . . Inside Lot . .. . . . . .. .. . Setback . �i� fi+�t. Sideyard . .,,�� . .�"':"."�. . . . . . . . . . . DES�CF2iPTION flF BUlLDiNG t^o be Used as: . ..... ....... Front .. Depth ` � , �:' . . . . . . . . �Iei�ht � � .a:A. . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . . r s` . .� .rt°:...`....... Front �<°.�..�... Depth � . . Heigzt . .� . S�. Ft. ........ Cu. Ft. . . � . l �� .�, . .�� :, . .� .. . . . . . . F � �. t � Type of Construction � .'. � t;'•?'r.'. . Est. Cost . � t fi �. �:`.'. �:`: . . . . . . . . . . To be Completed ._,i �.r;�r-. �Y;:. R � V i`�'r� �.�"��tad +�" �/�-�""' ±1� '�"�� In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the :description above set forth and in compliance with all provisions of ordinances of the village of �'ridley. ...... .. ..�% '..... ... .. --- --- � • �� ............. ,� 7n consideration of the payment of a fee of $. ./ permit�s hereby granted to :v.��.ar�'r::'��,,,■r:':.... �, " . : . . . . . . . . . . . . . . . to construct the building o�ad dition as described above. Thisypermit is granted upon t��ess condition that the person to whom it is granted and his agents, employees and worl�nen, in all work d e in, around and upon said building, or any p2rt ther�of, shall conform in all respects to the ordinances of �'ridley, IVIinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- `" in the village limits and this permit may be revoked at any ti�ne upon violat' of any of the provisions of said ordinances. . `''� � :1� .r'� )>� ' � � �`�� /_ir t5U11d1I1g Il]Sj�CtOT NOTICE: ``� This permit does not cover tHe construction, ins'tallation or alteratien for wiring, plumbing, gas heating, sewer or water. Be sure to see th�..R,s:.ilding Inspector for separate permits for these items. ;� .___._ _ � �, � � �.�._ . , � ,h . � � �� i,� f;n �'.� �� a.� r ;� $�i � a i � � � t�4j � � �° /�J� }w� \YT �Y o�s' �� g° .'-4 C� t* k". 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M N K N � 8 � 8 a o a c� Yl � � � �� . �� a A W w � v 1° � � � � � � 6 ►.. � � � ac ��o "0 � d w w � � c � � �� a ��.�h� � U 7 � M �a � � �� » b � a w o � ��W�3 � vv v o � x�� {. � '� N � � � � � p � � �[[[))) � It � � 1 k� i � ; � �i u � 0 � z z � u v }�. F M g v � � � ir w 4 � � V � � �o � M �� ro � a � O {V ;� � [� � a 0 ^ _� � � o` �? M�� 4 � a A U � � , , � � � Y v � � � � � �r .g � � � z � � � I d � � u � a F � U s, H I �o o .�r M � M � h � $ a 8 e° S � �ci c�{ �ti � � K K M� 9 � � _ ! s �' � +� 1 ' � � � � 1�� . � �� cts � � cn .....�..... k�. � � �� .. �� Q ~ � ~ W k IV ,,yr '' � a av :� � � p CG � �.; �' < U A � u u � �,�� tZ ° p � O (� U i0 S. a q� � � ��. � �� J � � � � x � � A� ^ � � d � � � � -� - � , . :, , � , 1�"t►kM .�-1 � . � �� ` X•�, Name of R�m ENTiRE HOUSE � 2 Rwm Size ! '� .3� 8 R�inning Ft Ex�osed �'Vall � _ ' 4 Ceiling Height, Ft 5 Foom C'omp�iss Directions � � �:OASt. Area • TYPE OF EXPOSURE NO. HTM °T I3tuh i.Pngth g Gro�s �. ' a _. .._ � ..-- _ � Ez�wsFCi b . — — -- • Walts and c - — _. __ Partitions � . c� ._._ ..._ � .— , ' 7' Wind�ws a . �fj � v �d b � Doors : , • c . 8 Net " , • � a . `, • - �X�� , b . ', , ��t � Walis andYl • . C � . , ;. � ' . + >:; Paztitions � � ; d, r . �'� �� ' . ' A ` 9 �%°ld� � " � a , ` . �t , , .! Ci81�111$7� . .� � �• ` ' �„ " ' �{�, 10 �Ca�c� , : r .� a �h � � . t:. Y �., t ' �'loors .. � b . _ ; ' �! I�filtration ; � .'� a . � s. • - . � ------,�-.. y: t,�n�th af , . , � ' ,� , , . ; 'Crack � , � , c • ' . . r� � . � 12 �.Sub Total Bttih Loss� -�� t � i3 Reserve Capaeity if.��esired � ` . � ' �-. i , 1� `. k�ont . ,>„ . , �� , Z , L � Wind�wa, t °I.efb � � �, ,', �,. G7 t �;3 � :� , �t :' h�,� r�G� � . ��l � � � , �'`�= Uoors � Right . � � � J � �; ' � DOt3YS - � " is: Nec ,�,; R � .. �;; � � 3 �1 ; Expase� b � � ` � ' V4'alls a�na � c , ° �`r Fartitions ' d . . � � �f. Warm �Ceilings ��. � ;�'"� �� c � , -- � 17 Wacm Floors j� jttfi{tt9t1ot1 �� .� �.�' ' 19 �'�'o �t� , _... ....�.'.;,.., .... ._ �... � ,...�,��-�.�.. � � � .� c� c . ��200 � � `r�G Qp�liances '.: , ZO Sensible Bluh Gain — — ,2 � '' 2� Total f3tuh Gain 1.3 � � �2 Ftuh fc�r Air Quantities 'r . ., X .. � 4� 'i �' t . ..A :!1 . . .9�� r .. . _ .... ��Y�f� ;.i . � .�.`.. _�..�.__ �yORK5MEET�°MEAi t � ---�—_ 2 3 q � - :� � }c X X �,` _ __ . � :1ma Area Ama Ares � ^ ' r.�n�cn Btur� i�,;;gt 'a�� i.�n�ch ��c��,� °�r �r.,,t, : � - -- — - --� � ' � .. __ _ • _;_ � . a �. ' -- _-- , i 't . ,� . • . . . � . _ i :t -f, ` �- j — ,, . _..�.._.. ,.,,,,,.__ _ _ . � -_ -- - ...:t:__ � . _ ---_ _ � . , �. � _ ' � a� r � : . r _. ,. . , • � '� � , „ - . ,,. . - �� > : ,. _ _ tie � - . �O � . , . � � , i ------- ------ ; _ , _v_ � . _ ' ____. � � ` _� �. � �: � . ` -- - - ' . _,.._. _ . �. ..�.__ . . _. _,. ..:..,. .,.,.. .. . ., 3 " ._,_ _ , . � . . . . ' �, y� • ` ' � j� ' . _ . . . �.. . � .:, _ � �;��, ,`�� .�i.s � r.�� %�> , ��'�.� as��f �� -� ��;;, {�/ . �,, a� . � . �fJL/O ��.:w,.E�I�.r ��1 i ��`� � �1. � . ` HEAT LOSS CALCUI.ATIONS DEPARTMENT OP [NSPECTION MINNEAF013S. MINN. Weatherstripa A. Guide �aitruction No. Insulation � _ Windowa Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kiad How Applied Yea—No , Yes—No 19� _ Fl.� ST .�Oa.,;- Room Length Width Height Fl.( Room Length Width Hei$ht _ Windawa and Doors—Crackage and Area Windowa and Doors—Crackage and Area tYtdth Hef�rt No. ot LSneal tt. Area WIdtA Hal�ht No. ot Llneal f4 Ana No. o[ pane o! Dane 11[�t� o! crsck �¢. [t. � ' No. of D�n• ot pane � If�ht• ot Crack . W tt. � M,j�' _ f+ � . j�`� � . � �J` Vl(% °'� � �o� 3 -� � c� r : / � ` U �O �' v� �G'� / �' s' B 8 f .� a �' =�'� J /w .�.f �._ ` p u � o?G % � Coef. Bcu � -� � - � ;% ,� Coef. Btu _ ln6ltration _ c� !� i.'�`:% Infiltration _ Glass "�_, .S'�✓ ��5� Glass .._ Fxp. walt '� r � ' 7' ?..�- --- __ fsp: wall _._ Net exp, w�ll '* T' �(�4'.� Net exp. wall _ Int. wa1�1�'iiJi% ��; c1��.�jF^�:f S�J lnt. wall .-- Ceilin8 d `d �J l �%' -� Ceiling - Floor � !; � /� ' � yd / � �' Floor 7ota! Btu. � Total Btu. __, Required sq. ft. E.D.R. or �q. ini. Qt.A. l.eader area 4'.7 Required �. ft. E.D.R. or aq. ins. W.A. L.eader ares F7.{ : Room Leagth Width Height �� ,� � r� Room ( L�ngth V�lidth Height M Windowe and Doors--Crnckage and Area Windows and Doors—Craekage and Aren �1r/�ir-°";-s � � Wldt6 Hel�ht NO. o[ LMeal tt. Aret Wldth Hel�ht No. of Llnapi [t. Area i �/ / Y. No. ot Dane ot ne IISAt• o! crack p, tt.. "� �-�" t'' -��' ' � � Na ot D�ne ot D�ns llshts ot cr�ck W. tL 7 � 3� �v ,2 � , � �„ -�- �,;; , .� IG .r �� . 1 � � �-d � fto Coef. Bcu f. cu _ 1n51tration In5ltration ` `J �� J^ Glass Gla�s �J !i. � Eup. wal) . Fap. wall lJ.�%�".a:.. .'� � �.� �_ G lVet e:p: wall Net e:p. wall -- Int. wall ' Int. waU . Ctiling - . Ceiling � Floor Floor oi D� % i'�� Tota! Btn. � i'otai Btu. Reqnired aq, ft. E.U.R or p, in�. WA L.�ader atea Required sq. ft. E.D.R. or eq. ins. �11A. Leader ares ,�.� '� � Fl. Room ( Length Width Height � F7.� Rootn 1 LenBth Width HeiBht Windorva and Doon--Crackage and Ares S/�%%f� /' �/�u Windowa aad Doors—Crackage and Area � WtdtA Hd[At No. ol Ltn�al tt. Are� ✓�/ /Y �(//i;, e1' WlQth Hei�ht No. ut Llne�l 1t. Ares No. ot pan� ot pae� Il�ht� ot c»ck s0. tt. � � �� No. ot pan� ot Dan• Ilsht� oL crRCk q. tt � i ��} � �. . r � . Coef. Btu Coef. Btu �.~ lnfiltration �6 %�% � 1n61tretion Clasa ;, " C,lasa . - Exp. wa1) Exp. wall � Net e:p. wxU Net exp. wall Int. wall : Iat. wall Ceiling Ceiling i� looe Floor . Total Btu. ?otal Btu. � • ' Required �q. f� F D.EL or �q. in�. W,A. Leader an� Required sq. ft. E.D.R or �q, in�. �3I.A. l.eader aeea HOUSE HEATING TEST RECORD ADDRESS � � `` `' a ��a''� �� ''' APT. FLOOft CITY SUBURB �l'� d �4'c OCCUPANT + � } � �' ` � ^� OWNER HEAT LOSS DATE HTG. I�N,SJT�. 7 j° SOLD BY �� "� C'r �� INSTALLED BY t� v� Eleetrical Work By Gas Line By TYPE OF HEAT GA FA v HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE � �� b' MAKE OF BURNER Model p � Mode! Ssriol d? �� Max. BTU Rating INPUT � a�E aO ° MAKE OF FURNACE Model CONTROLS i� � THERMOSTAT �� k9 " Heat Plug ` y� Vent Size � V a l v e �' KIND OF LINER �'�'�� S IZE-�NONE Limit 'u � � Draft Hood � ` ""`"� Regularor � ``'' Limit Setting '�`�-fl Filters Size l� /�� Number Fan Setting � D�� Chimney Loeation Inside �' Outside Pilot Type Chimney Construetion � ' "t�'*�-¢" - - -- — — Pilot Make G''"Lh - � Pilot Model Smoke Bomb Wiring Pilot Timing �� '� ' Draft Test Tag � L.W. Cut Off l '� Door Pressure Lighting Inat. �,. Prossure � Percent CO Date Tested � �� 2 {�ut CFH l � Peresnt 02 � V Company Testing Stoek Tem�- 1/� Percent CO � Name of Tester Form 235 .,_ , -�._ _ s�. - � . � SUBJECT . City of Fridley � 17 3 3 7 AT THE TOP OP THE TW INS B U I L D I N� P E R M� T i � � � . • COMMUNITY DEVELOPMENT DIV. � ; L ----- , �a3 r � � PROTECTIVE INSPEC710N SEC. � � �'�� C1TY HALC FRIDLE� 554$2 NUMBER REV. OATE PAGE OF APPROVED BY � ---•� � `•� 612-571-3450 910-Fi 5 11/15/83 / f JOB ADDRESS 1rJ7 HdY'�IlldTl Circle N. E. 1 LEGAL LOT NO. BLOCK TFiACT OR AODlT10N SEE ATTACHED OESCR. ],5 2 Sandhurst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Verich ].57 Hartman Circle N.E. 3 CONTRACTOR MAIL ADDRESS Z�F PHONE IICENSE NO. Brickner Builders Inc, 6240 Ben More Drive N.E. 574-9871 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI�ADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW .❑ ADDIT{ON ❑ ALTERATIOtJ ❑ REPAIR � MOVE � REMOVE X 8 DESCRIBE WORK ConstruCt a 5' x 24' Addition and a 13.7 x 29` Addi.tion t�o Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Provide fire alamas on both levels of house. VIfARNi�G &fore digPing call locaf utilities SEPERATE PERk41TS REQU#RED FOR MII[R(NQ. TElEPF{ONE - EIECTRiC - GAS Etc, �EqTlNG. PLUM61f�C ANp SiGNS. REC�UIRED BY LAV� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, VEIJTIIATING OR AIR CONDITIONING. WOOC� FZ'ZQRe THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. fT. AUTHORI2ED IS NOT COMMENCEO WITHIN 60 DAVS, OR IF CONS7RUCTION OR WOAK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEfi WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �. STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIiJ OR TJOT. THE GRANTING OF A PERMIT $ZS��iSO 512.�3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS ANY OTHER STAT R LOCAL �AW REGULATING CON- STRU O THE PERFORMA E F CONST CT10P1. y��.%S.00 None y� PLAN CHECKFEE TOTALFEE �/�� J 43 . 7 5 $ 231. 48 $�GNATUREOFCONiFA RA OR12EDAGENT iDn7Er HEN PROPEfi1.Y VAIIDATED THIS IS YOUR PERMIT ,�'..� - ��: -�,��'"�`'� C�� r G �'3 S�GNATUNEOFOWNERItPOWNEPBUILDERI IDAT�1 �'�� BLDG �NSP DA7E , SuB�ECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . � � • COMMUNITY DEVELOPMEN7 DIV. i LL """, { � � PR07ECTtVE INSPECTIQN SEC. � � � l----� ��"';,� CITY HALL FRIDLE� 55432 NuMeER i 612-571-3450 910-F15 JOB ADDRESS 157 Hartman Circle NE 1 LEGAL LOT NO. BLOCK TRACt OR ADDITION DESCH. iS 2 Sandhurst 2 PROPERTY OWNER MAIL ADDRESS David Ulrich 157 Hartman Circle NE 3 CONTRACTOR MAILADORESS Same d ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS REV � OATE 9/16/96 ZIP ZiP DAGE OF / / � �s,�,6 z., :..; �,. RE I T NO. � �� APPROVEO BY SEEATTACHED SHEET 571-2605 PHONE LICENSE NO PHONE UCENSENO PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADOITION q' ALTERATION [� REPAIR ❑ MOVE ❑ REMOVE X X 8 DESCRIBE WORK Install roof over existing deck for screen porch; reroof house (30 Sq) Tear-off 9 CHANGE Of USE FROM TO STIPULATIONS See notations on plan. Underlayment must comply with the State Building Code. TYPE OF CONS7. SEPARATE PERMITS ARE REOUlREO FOR EIECTRICAL, PIUMBING, HEATING. VENTILATING OR AtR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENGED. NO. DWLG. UNITS 1 HEREBY CERT�FV THAT I HAVE READ AND EXAMINED THIS APPL�CATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WOiiK WIIL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y��F�OOO DOES NOT PRESUME TO GIVE AUT ORITY TO VIOLATE OR CANCEI THE pERM1T FEE PROVISIONS OF ANY OTHER ST E OR LOCAI lAW REGUTATING CON- STRUCT OR THE PERFOH NCE OF CONSTRUCTION. �8%.ZS PLAN CHECK FE Li se ( SIGNA RE OF ON7 ACTOA OR AUTHOR�ZED AGENT IDA EI Q( � � S��GNATURE OF OWNER ili OWNER BU�IDEA� �DATEI � INSP m UPANCYGROUP OCCUPANCVLOAD FT- CU.FT. OFfSTFEET PARKING STALLS GAFiAGES SURTAX �2..0� SAC CHAFGE Fire SC $4.00 T AL FEE 00 $98.25 � Y VALIDAT THIS IS Y UR PERMIT / � 4TF NEW j ] ADDN [ ) ALTER j ] ConstructionAddress: � Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ��,1� ' CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 r=�� MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length " Width -Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. , , . ��- ��4 � � �.�1-�. 3p � - �j��-{�- C�'--� Corner Lot [ J Inside Lot [) Ft. Yd Setback Side Yard Setbacks �`y�ze of Consttuction: Fstimated Cost: $ � Approx. Completion Date: � � ' (Cost oa Back) � Driveway Curb Cut Width Needed: F+ 6 Ft = Ft x$ _$ '�' DATE: C• APPLICANT: - Tel. # r� 1��(/ �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: S�� 2� C � USE ONLY $ � Fee Schedule on Reverse Side $t'% �� .�� .001 of Permit Valuation (1110th%) $ �•��--� $.50/$1,000 Valuation $ $900 per SAC Unit $ S � $5.00 (State Licensed Residential Contractors} $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �3,z5 �v-� . , 0 . BUlLDING PERMIT FEE SC�DULE 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 far such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $SO1 to $2,OOQ $1,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,041 to $SOQ,000 FEES $21 (Minimum Fee is $21 plus surcharge) $21 for fust $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,D00 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $57.4.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional � $1,U00 or fraction thereof,..to and including $500,000 .� � , -. �_ , :�: , :: '$SU0,001 to $1,000,000 $2887.25 for,the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 ; $1,000,401 and up ,,;� .- -$5012.25 for the first $1,OQ0,000 pius• $2.75 for each. additional . ` . • .• $1,000 or fra�tion thereof ' DRIVEWAY DEPRESSION ESCROW (Concrete Cuxb 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 with 6 inch depth - Driveway width plus 6 feet times $15.75. VERiFICATION OF FOUNDATION Permits for construction wiil be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. ;� �., ` ~ �; ��, Q ,✓ 'ti , � ' � � ` � ,� \•,* ; j;1{'; : � � _ : _ _; � _ . � . _. . . � - . ; . . _ ._, __ .. .___�._.....__ . . . - ,. _ , , , . ! ; ' � � . : ; ._., _____ _ .�� ... _ _.. :_ _ ..�.__ _ .__ — - �. _._, . . . � . � _ � , :. _ _ _._ .... . . 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' *'r 1 I' � �C`�� ; i � I , ' f I{ i ' I�il I ��j - ` � � " � �� 2 i `�' ' �� + !, :4 � ►; ►�; �:. � ( ,�� { ',� �,� ,� ! ;; {.r I . � ..` � � ; �'' ` . i ( �I + I� �I i °- �� - ,�: �-i' i � �' I � ,� .1 .I�� t i — ' I I' i ` ; � i j� I t I�; ` '-i Fi ^ . .- ..I' . I � � r i ' .,�� '�I��`1'. � � ! i t 1 ! � . � ; _" -_ i � 1 i I i i : j ! ' � ! � ; , � ( I ii� 1 �! f{ �� ! �. �� I � � i�'� � t j E ':' � -. I; �� ; I t �;i� i � ((i;� � �� __ 1 � '! � < < � f � � ( � '� __ _ __. — � I I � � �� ' , ; : � _ _ _ _ _______ � � I � � ,� ; E _- j ,� �;�� . � �-' , .- � �� . � ��; , _ _ _.. ; , , � .� � . . , : � . _ . _ _ --- � , , • -------- ,,: � , - � � � � { � ' --- .. . • , � . i � , _, , , !: ,.. .- , _---�_:. . , . . � , j _ � —. i ,� ; . ' , . ,_. --- _ _ .-- i I��{�; ;�� -�-�_ . - - _ - __?.:: +.'_: I� '� , '.� .j � � i ; „ . i ; � �, , . . ; ` . . _ _.. _ . ... 5_ _ AT— 1 J r _ _ . .. I + __ _ _ . — � � I � � __ t : . - , ', - --- -- � �'� SUB�ECT City of Fridley AT THE TOP OF THE TWINS g U i L D I N G P E R M I T r � � � � � COMMUNITV DEVELOPMEN? OiV. � ; V �'�.��, r � � PROTECTIVE INSPECTION SEC. i � `---.�'��"' �-� CITY HAIL FRIDLE� 55432 NUMBER aEv i 612-571-3450 9t0-F15 JOB AODHESS 157 Hartman Circle NE t LEGAL �OT NO. BLOCK TRACT OR AODITION DESCR. 1S 2 Sandhurst 2 PROPERTY OWNER MAIL ADDRESS David Ulrich 157 Hartman Circle NE 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNEA MAIL ADOiiESS 5 ENGINEER MAIL ADDHESS OATE PAGE OF 6J26/97 / / 21P ZIP ZIP ��'�7 �6� ♦PVROVED BV SEE ATTACHED SHEE7 PHONE 571-7605 PHONE LICENSE NO PHONE LiCENSE NO- PHONE UCENSENO 6 USE OF BUILDING Residential 7 CIASSOF WORK O NEW ❑ ADDITION C� ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Enclose lower level under 30' x 12' Deck for Screen Porch 9 CHANGE OF USE FROM STiPULATIONS See notations on plan. TO �EpAR� pEaMRS REQUfRED � WlRING, HEAT�NG, P�uM�iNG a�vp S�� NS. TYPE Of CONST SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR A{R CONDiTIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WOqK IS COMMENGED. NO. OWLG. UN I HEREBY CERTIFY THAT I HAVE READ AND EXAMtNED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PfiOVIS10NS OF LAWS VAIUATION ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED $�j,503 WITH WHETFIER SPECIF4ED HEREIN OR NOT. �HE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- � 124. %S STRIIIS.TION OR THE PERFORMANCE OF CONSTRUCTION Of CON; RACTOR Ofi nUTMORIZED nGENT � II�ARNIHG Befo�e digging call for aii ut�iity locations 454•0002 REQUIRED BY LAW SQ. STA�LS OCCUPANCVLOAD CU.FT OFFSTREET PARKING GARAGES SURTAX $3.25 SAC CHARGE Fire SC $6.50 T�TAL F $ .50 IOATED S lS Y UR PERMII / � pa7E ��-- [ ] ALTER � ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � .� Effective 1/1/97 � � �/ Owner Name & Address: � � � ��,�� C }a- Tel. # �j�-( �7�� Q, j Contractor: ___�� .-� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IIViPROVEMENT LIVING AREA: Length � Width _L Height GARAGE A,REA: Length . Width Height DECK AREA: I.ength Width HgtJGround OTHER: Tel. # �it.�l�L� � �62C� Sq. Ft. ��, �l S. C Sq. Ft. �( IL • � Sq. Ft. ��3 �S- Construction Type:_ � � �(�,� � � � � � �, /� Fstimated Cost: $ �Q " � (Fee Schedule on Back) Dri�eway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: � PLICANT: ' , C,� V � � �i� Tet. # � ' �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY / �� `l 7s Fee Schedule on Reverse Side $ - � .001 of Permit Valuation {1/lOth°�) � � Z $.50/$1,004 Valuation $ $950 per SAC Unit � $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above � � $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ) � 3y� � . .. - - . [�UILD[NG I'EItM[T rEE SCEiEDL'L4�. '1'he Chie.f I3uildi�g Ofticiai shall, before issuictg permits for the.erection of any building vr. structure, or tor atiy addition to any existin� building or structure, or for any aiteration or repair to any existing buildinv or s�ructure, upon application therefore, require the payment by the applicant tor such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $�O1 to $2,000 FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 �Z,001 to $25,000 $62.25 for fust $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including �25,000 $25,001 to $50,000 $50,001 to $1.00,000 $100, 001 to $SOO, OOQ $500,001 to $1,000,000 $1,000,001 and up $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and inclading $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1p0,000 $887.25 for first $100,000 plus $5.00 for each additional $1;000 or fraction thereof,.to and including $500,000 $2887.�5 for the �rst.$SOO,OOO plus $4:25 for each �dditional $�,000 or fracdon thereof, to and including $1,000,400 $5012.25 for the fust $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCRO�'V (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drivetvay width plus 6 feet times $13_�0. Alternate "B": Remova( and replacement of curb and gutter and instatl a 3 foot wide approach with 6 inch depth - Driveway width plus b feet times $15.75. VERIFICATiON OF FOIJNDATIO:� .'ern�its for construction will be issued a minimum of 24 hours from the time of application to atlow for �rop::r eview of the proposed structure and of the construction site. � Certificate c�f Survey of� the iot, showing the location of tlze foundation ��rlce it has it has been c�nstruc�_•.i i�i;? f,t, rcyuired t��fore l�ri�ccedin`� �vith [1ie framin�. E �� 5 � r_ �'�'�a � • � ♦ � �'�_""_" _"_`_`__'_'.._.._ . . _ _ i 11 �� /� i . . i�'-.(��.n _'__ . �1/ � I � �� ' ']/1 aQ i d`-1 ( L7 � _� � � � I �� ; –�_._ '� i J � 4 ^�. �►�., � � � �� I � � � � � } ' I � �,�� ii �; , � I �. ��l �`• }•, Ii ~ t ^� ;�I � =-� ;; -� - i ' �o , � �9 M, : I � ^ � i � l ' ;' ; _ �+, : ' �; i I/ � �. � � � i J�' i �� _;! i�'_ ;� �;� „ . '�._ .____-__. ` '� ' C 4 / __-, _ � ! _ _- _ __ J � . „ `� � 4 � �,,�.� _ } ' �y � `'wj '� f � � � � � t.� _ .�--�� 'y�--o ; \ � � : i � �--- � � �� 1 �� -.� I�� ,�. I� l" ` � `'= 1 1 1 �d �' � �T I�; �; ,; ";�� -----. .. . � q-. G`�--.—� �.-, —— — ,� . `:� � � � �� C— � `! � "� d ��o� ;�.� � � � � � c� � ; � _ � � � � - — - --_ - -- _ :,g: � ,°%-,�° ' � � � Q� ` �\N � - t k ; � !� I � i-.. i , r --+ i .� � s i*; .y ' l; I �� ' ti - ;; �fs� �3 -- - _ i1 � —�!�! � �� 7 - ; - -�..,..�.,t :. ` t v � J � _— � � I -� f- -� ,��:. .; } (� � � _ J �y� ,: �:'. ;� _-. � �E � �_ . � .� �� 4� �F%_�.-.. , � � � 1 Y' � ? �; � . -- f i� � a� � � y -, � }- `� J •� � _ � � � � c� u: ' — �' ;;• _, Q1 ' � � i �i.( � .4 �: V� 1� ^� �J ,� 'r � t,. - -\ � 11 �, '�� V 4 r �� f � O V SuBJECT City of Fridley 25 3 2 g AT THE TOP OF THE TWINS 6 U I L D I N G P E R M I T ! r ; ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. p r � V + � PROTECTIVE IhSPECTION SEC. �% O� � � �"'1 � CITY HALL FRIDIE� 55f32 NUµBER REV DATE PAGE Oc APPROVEO Br �.---�•� �•� 612--571-3450 9t0-Ft5 7/29/97 � � J08 ADDRESS 157 Hartman Circle NE 1 LEGAL ��T NO. BLOCK TRACT OF AODITION SEE AT�ACMEO DESCR. 15 2 Sandhurst SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Ulrich 157 Hartman Circle NE 571-2605 3 CONTRACTOR MAIL ADDHESS ZIP PHONE LICENSE NO. Same d ARCNITECT OR DESIGNEA MAIL AD�RESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential T CLASS OF WORK O NEW �O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK Construct two decks to rear of house i446 Sq Ft Total) 9 CHANGE QF USE FROM TO STIPULATIONS See notations on plan. W�RNIH� Be�on ai�gi� c�l� tor r��1 ut�lity �ocatior� �54-tlt�C12 RE�UIR�D BY IA�Y TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAp SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. fT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOfi A PERi00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. UWLCa. UNITS OfFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GAi;AGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS yq�UAT10N SURTAX ANO ORDINANCES GOVERNING THIS TYPE Of WOiiK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �4fOOO �Z.00 OOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMI? FEE SAC CHARGE PROVISiONS OF ANY O1NER STATE OR IOCAL LAW REGULATING CON- @87�25 Fire SC ��F.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION W PIAN CNECK FEE T AL FEE $93.25 SIGNATURE OF CO �AA T F OA AUTHORIZ AGENi iD�rEi EN Y VAL A THIS IS �OUR PERMIT ` • � � / ` � �C � i L'-- $iGNAT E OF OW ��F WNEA BU�IDERi IDATE� Bl �NS� ��TE / . NEW ADDN ALTER Ll �� ConstructionAddress: _ Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SIlVGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � C-f/` t c� R1 �" ��/ L� � Effective 1/1/97 �� • - Tel. #�� ( . 2 0 � MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROVEMENT Tel. # Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Gro�nd Sq. Ft � S' v-9�� _ ��_��. 1� � Construction Type: 1�� Fstimated Cost: $ '��-� (Fee Schedul� on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft �x $ _$ DATE: � � APPLICANT: Tel. # S� (' `�Q � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ST[PUL��T(ONS: CITY USE ONLY $ C� /•�� Fee Schedule on Reverse Side $ •D�� .001 of Permit Valuation (1/lOth%) � �- ��' $.50!$1,000 Valuation $ $950 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review $ Fee Determined by Engineering � � Agreement Necessary [ ] Not Necessary [ ] � � �. ��- [3UILDiNG PERMIT FEE SCHEDt;(.F: 1'lie. Chief Building Of'ficia( shall., before issuing pemiits for the erection of any building or structure, or f<ir any addition to any existing building or strueture, or for any a(teration or repair to any ezisting buildinv or stivcture, 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 $S00 $501 t0 $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) Y $21 for first $S00 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $SO,Q00 $574,75 for fust $50,000 plus $6:25 for each additional $1,000 or fraction thereof, to and including $1Q0,000 Y _. $887.25 for first $100,000 plus $5.00 for each addidonal $1,000 or f�action thereo��#to and including $SOO,OOp $2887.25 for tfie f�'$500,000 pius $4.25 for each additional $1,000 or fraction thereof, to and including $1,000;000 $5012.25 for the first $1,OQ0,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW {Concrete C�ub Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $�3.�0. 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 $15.75. VERIFICATION OF FOUNDATION Pcrmits for construction will be issued a minimum of 24 hours from the time of application to allow �or pro�er review of the proposed st�ucture and of #he construction site. f� �;eru(�icate ot� Survey of the lot, showing the location of the foundation ��nce it has it ]las hecn c��nstruc�_ i ��!'' h� ��cyuircd _hc1��>rc J�rc,cceciii�<� ��it� ti�c framin��. � � � � � � �! � � ' � - �-� �,.r . �, _ - {f e '"* .'. *°z�e ~ .�.' �ft �'� � �' �qc�p- : W'.,� ��'��t � '* �c'; < � a��`} � �- � - a� ,d i'" � a5 x s ~". � ,},n, t�` `' . a � ; „fYt *x '�'�,y �� ' � � f � �', �i�-.��yz^ ��.r�} ,Y_ � 5 Y �i. t'�ia '" --:,., 'rt a '�_ . : . .a � . �� . .'-; °4 �4 �i'j :" � 3 i`_ y . � ��-� ` +�� :';!+k! �Y y � ' ,,: � � sJ ^ � .e. y�. ��`' � ��Y"�: �, N i i�S'-�..' � a,i�.= � n. ,s Y`7" ,b�;- Y' �.Y.s .,. +d � ,�. •`f-F +� ,{ F .�,-," �� ' . 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I i . -�►!-- � / /f I / � / / i J, / , f i /% / -'i j ' , ' - � /-- '/ �f` / / _; _1 i �i "( . � � � � . . . . /� � / / , / � i / � P�'4 � d�� Z _A . �,.. �'r —r� �; !, /j�I / � -1 , �� , ' � _ h �1 . , ,---- i j� �� ; / � j� - .. �_ --- � � i , i f / � � � f � � i � I � / / I � � � n � "r_� . N �! n — � �� . —� .. V, i•.� �� ' � , � - --' I , �� : �'t � � r � , � .� �� , � �� , Q- I 1 �� 1�� - � X r- �� , i Vr ,� i _ i Z_ { I �u � � � 'J� v , �� 'fp (��r _•.C�,� , ---__� {� �, _�,�� — -_ � W ..1 � _ � � � O � _ _ � � 0 J � � m C/� 1 _ � �L. ... o � � � � � � .Q z 0 � � � � � Z O U W � � � � � � i.a� � � � �� W W m � Q _ ,,. � � � � � � � � m m a 0 0 � •.°°. � � � _ � C � N � � C � � � � 0 � � � .� .a C O � � � Q. H � � � � _ N C � N � t � �O � � M w � O�� ►, C � L V a � c � Q v� d t ,. d 0 �d �� o� T � C � � � w � � � � � •. � Q • � � > � � � C � � ca L � � O W � d v O � C C 'v . d N O a a� � � t � Building I Inspections ! 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Pernut No.: -Gt71� Received By� Date Rec'd: / —/� �o DATE �� I� `�(7 � YOUR E-MAIL ADDRESS ��lV� �S A-��7 �� L��i CdY�� '�l� f', �( f e t' SITE ADDRESS �s� /Yi�i Trr/iy'1�/ ��C.�►P. THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: ATE�IP_,,�� PHONE: STATE LICENSE # !� �" ��3 3%G�EXP DATE Mht�.Z_. (��_ v .�nDx�ss: �{9/!, o urn a�� d crrY 4�6Ll1 sTA�r�?l.�fr .3c3"//D GdC�' PHONE 4G5 / —� 7� `�Sn7i1_S ❑ SINGLE FAMILY/NEW CONSTKUCTIf ❑ TWO FAMILYlNEW CONSTRUCTION O BASEMENT FINISH ❑ DECK `l[YROOF "r3 SIDING ❑ SWIMMING POOL O ADDITION ❑ REMODELING SIZE -- - O DRAIN TILE ❑ OTHER - �C!<St�tr,P� - l�,�✓/e.� -� � S S�fti�;� DESCRIBE WORK BEING DONE: SIZE OF Il�iPROVEMENT LENGTH WIDTH HEIGHT � ` S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ��_ �HOUSE & GARAGE BASEMENT REMODELTNG SUBMIT: TTACHED GARAGE 1. Existing Floor Plan GARAGES � 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FORNEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum Q Trim ]. Site Plan/Survey showing the existing structures � Other � d"` ❑ Fascia and proposed project. WINDOWS �� 2• Two sets of construction plans IN EXISTING OPENINGS �Yes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TJ3E COST OF LABOR AND MATERIALS: (US � TAE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�Z l�g ZCO_ OCCUPANCY TYPE PeznutFee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due _ 1:.��✓;f.' � i � - � � See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuarion .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residenrial Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservarion Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach TION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I ca lrnowledge 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 pemut and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re uires ' w and approval of plans. �'YJEiY�S�TQ, � B�S''�IS SIGNATURE OF APPLICANT '' PRINT NAME /%�j pX�Ai L %l� A��C� � DATE I��`�!� D(G" Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore; require the payment by the . applicant for such permit of fees to the amount herein b.elow set forth and in the manner herein provid�d to-wit: � � '� TOTAL VAI.�UE FEES $1 to $500 . $73.50 (IvIinimum.Fee is $23.50 plus surcharge) .9 . � . . ' � �. $501 to $2,000 $23,50 for 1S` $SOO plus $3.05 for each additional $100 or fraction, to and includin $2;000 $2,001 to $25,000 $69.25 for 15i $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1S` $25,000 plus $10,10 for each additional $1,000 or fraction, to and includin $50,000 $SO,p01 to $100,000 $643.75 for ls` $50,000 plus $7 for each additional $1,000 or fraction to and � includin $100,000 $100,001 to $500,000 $993.75 for 15Y $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 IS` $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 15` $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 Deparhment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fa�c: 763-502-4977 � � �-- _ � � � —�. ^. � , � , �� ' �,. �.� � ��: � � � � � � � � � �.! .. ,� � � � "� � � � N � ` � � � � � � � � ��\ � � � $' w � 4 v �� o � � � � � � r � J � � /� " �� "� . �. f__ s _ � . ^,: .. � � � � � 1 �� VJ � � � ` � � \ � �� \ � � � � �( ^ v✓ �� -� � � � c� , �� -� � : C) � , v?° �i w U `. . � LL' _ � � d !� p . (. W a / � �, \ \ \ W � � \ � W �- . �� .- .. �� .. � � � � � ��. �. � � ^ � �_ .� wy � �� ` � � � ,� �� -�- � � .-. - �.. .--. � � �� , -- �-. `� � {\�\� r, \ \ /^• �; _ � �. • '.� '� � � � �� 1 . � �, �. � � `�/ � �� t �' •�� '� ` ; F a i Q ` "'� � ' . �� : � �_��. � �; � � ; �� . ��` �{��'�.� i ^�� r� - � � € � � � � : � ^� 1 �' � :� S �� .� � � 1� � � � � ! ^. \! V � � �` �V � . �. � � �-. �—, � a� � �_ � ^ __ . --; � � �� ,� �� : `�- � � �,� �� ,-.• � � � �� . � . � � �� -�.,. � � � � \7". � � � �, � � � t�'9 ''�... `�'' , � - � �'° ,�� ,� � V' � � � �� ',� �.,�,_ � � � � �. �.� J - � � � � � �� '° � � " � ��p ',� 4 � � � � e�' j � � � � � � �� -__ �;� �� .� � � ~K �5/1998 09:27 5077327837 CUSTOM IRON PAGE 01 +� 4��-1 ` S � � � �� 2 � Custom � Iron � 2Q 1 First Svicet East, p.0. Bc�x 126 TEI, (Sp7)732-7696 (8U0)732-7699 Zumhrota, MN 55992-0126 FAX (507)?32-7837 From: �/9 UF �.�1 L IZ�C� To: 14 R � �� Hatdcopy ta �oltow: yES � ��.,� Please call 800 732-7699 if you do �not receive � legible pages, including this caver letter. l�t Po/v I�� z v z�u �- 7� r5 fi,aX' �t� � A-5 � ��g t-. c., (9 I a— S 7/—� C� 0 5� 7`� A �� C.c�s � �� f � `�� % ♦ ti �� r� � 01/15l1998 09:27 5077327837 CUSTOM IRON PAGE 02 CLiSt011'1 �Y'U1Z Splral 3talewey� 1U 1 First Sudet Ee�t: PU &»;126 Z�r°brola, MN 55992.(1126 (507)732-7696 (8tJ0)J31-7b94 FAX tSU7)732-7837 CUSZ'�M IRON, INC DI![EN8ION5 Bill to ---- Ship to ---- ANDEASON ZRON NORKS INC. ANDERSON IRON MORK3 5455 ST. li1i7�. 169 PiYNOUTH, i1N 55442 -------------------------------------------------------------------------- DATE YOUR NO. 12 / 3]/ 9? PO� VERB]1L Job* 22423 Quoted by Delbert Feenstra -------------------------------------------------------------------------- All Diwensiona are in inches and are approximats. 8piral Rallinq height above nose ot tread te approx: (it wlll be between 34-38' abovs noslnq o! tread) Spiral handrail width is: Spacdnq betwean baluatere ie approx: The space between baluetere wtli he less than: Level Ralilny heiyht le approx: (it•will be at leaet 36• hiqhy Level handrail width is: Spacing between pickets is less than: 36 1/2 1 5/8 3 1/8 4, 36 1/4 1 5/9 a• Riee per tread is: 8.77Z727 B 3/4+ &un e outside edga ot tread is: 15 Overall Qepth e outaide edge oi tread is: 16 1/2 Run ! walkline (centerline) ot tread: B 5/16 &un S 12" lrom narrow end oL tread: 7 1/2 Overall deptA e narrow end o1 tread: 2 3/16 Tread width from narrow end o! tread to wide end o! tread: 27 Heedroom: NARNZNti: CHECK LOCAL CODES � '77 1/2 STOP NOTICE: THE SELECTION OF STAIRS AND RAILINf3S AND THEIR COMPLIANCE WITH APPLICABLE HUILDING CODE3� LAW3, ORDINANCES, REGULATION3, ETC. THAT MAY APPLY i3 THE $OLE RESPON3IBILZTY OF THE 3pECIFYINC3 PARTIES. � PLEASE AEVIEti THIS INFOR?1ATION WITH YOUR LOCAL INBPECTOA. FINISH: CI will take care when packing tnis product. Scratching will ,occur.,and is the respans.ibility.o! others. Touch�,.up_;paint;.is providad. �•, �' '-('Pi�imer Only" may be �pecllied i! you wish to apY(il�. youi"own !lnish. } I've reviewed the intormation on thla sheet lncluding Lhe Warning, Notice and Finieh. i auchorize the stair &/or railinge to be built wa specttied. &ignaLure Dste Nase Th1a stalr and/or ralling cannot be scheduled to bs buflt until thia lorm, i� aignad afid returned. .. '` ' r� a �� .°�' 'n, E� x O N Q d Q O aa ta y4 O � H � � LA d £ i� o N i � E VI H S �l Q� 03 J �D N = II r�-� (�i � J W = J a ¢ .-. 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N(� J ` J a �40 Z Nlq i T W r N � 9 °� 4 � W � LEBLZELLBS LZ�60 866i/SI/T0 Building �nsp�c�ions 76�-�'12-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-I-08 DATE �� ` lO � �� YOUR E-MAIL ADDRESS SI� twD�SS /S� 7 ��% /�?A—s� ,/2 v- � � THIS APPLICANT IS: O OWNER �CONTRACTOR PROPERTY OWIYER! TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: NAME: �jr ADDRESS:�'7 /��d� �^r �1 hiz CITY. PHONE: NAME: � vs. /��A.^rsr -u ' - • �11�1►i�1�1�: .-.- -� : V� N.'.;:: � i ��• _� ATE�ZIP S� Y ATFi�/�ZIP . /OS — PHONE 6 S/" l�S� = �o.S � F� STATE LICENSE # O 6� 7� �� EXP DATE �' 3 l— � ❑ SINGLE FAMILYlNEW CONSTRUCTION SiZE ❑ TWO PAMILYlNEW CONSTRUCTION STOR[ES O ADDITION ❑ GARAGE/SHED ❑ WINDOWS 0 BASEMENT FINISH O ROOF ❑ DRARJ TILE ❑ DECK ❑ SIDING �OTHER O SWIMMIf3G POOL 0 NEW HQME CONSTRUCTION ❑ ADDiTION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK 6EING DONE: �/� Cr�t !'J � i,� +�. /�0 SIZE OF ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ V inyl ❑ Aluminum ❑ Other _ WINDOWS IN EXISTING OPENTNGS OYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES &. TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE OTiLY Q HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT BASEMENT REMODELING SUBMIT: I . Ezisting Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION MCLUDING DECKS, �Soffit ADDIT(ONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of conswction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ ��vv- °�"` OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ - - $ � s�� $ $ $ $ $ $ See Back Page for Fee Schedule � 65% of Building Permit Fee ;�,� { .001 times the total job valuation ''/� 'y ,0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+bft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks navable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED Attach Stipulations I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with� Minnesota Conswction Codes; that I understand this is not a permit but only an ap'plication for a permit and work is not to start without a permit on site; thaz the work �l b�in accordance with the approv,yd plan in the case of all work which requires review and approval of plans. SIGNATU`RE OF APPROVED PRINT NAME � �DA" DA' Page 2- Building Residential Application BUILDING PERMTT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $SQO $23.50 (Minimum Fee is �23.50 plus surcharge) $501 to $2,000 $23,50 for ls` $500 plus $3.OS for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 151$2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $S0,000 $391.25 for 15` $25,000 plus $]0.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 15L $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $SOO,OUO $993.'75 for ls� $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 additiona] $1,000 or fraction to and includin $1,004,000 $1,000,001 and up $5,608.75 for the ]S` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATI4N 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 ,. ;.�, . ; ,. License lookup :�. Construction Codes � Building Codes � Electricity � Plumbing � Boilers/HPP � Residential Contractors License/Certificate Detail Here are the details for the license/certificate you are currently looking for: License name: DOUG MORENCY CONSTRUCTION INC License doing business as: License address: 1932 FAIRMONT AVE City state zip: ST PAUL, MN 55105 License number: 20627204 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original issue date: 4/24/2007 License expiration date: 3131 /2009 License print date: 3/28/2008 Qualifying person: DOUGLAS F. MORENCY Continuing education hours required to renew license: 7 Contractor's phone number: 651-4850056 Enforcement action: No �y, Acnather Lookup� .. ... Page 1 of 1 search for (—^—j https://secure.doli.state.mn.us/licensing/licensing.aspx 11/10/2008 Building $jJ�DjN(J Permit No.: U O Inspections RESIDENTIAL AP'PLICATION xecei�ed By: 763-572-3604 CITY OF FRIDLEY Dat��: �� n�'�� , 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: O OWNER ❑CONT�tACTOR PROPERTY OWNER/ NAME: � U/ i TENANT ,yDDRESS: %(� ��h ��'�- CITY � STATE ZIP PHONE: NAME: �' /�8-" r� A k CONTRACTOR ADDRESS:%S � !T �` A"`� b� �/' L I� CITY STATE ZIP SUBMIT A COPY OF pHONE f0 5f 7SS S 3�I Z- F,4}( YOUR STATE LICENSE STATE LICENSE #�� 9�. f�� EXP DATE — 3�^ a� PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGFJSHED ❑ WINDOWS ❑ BASEMENT FII3ISH O ROOF ❑ DRAIN TILE ,� ❑ DECK ❑ SIDING �i'HER ��ir -� i2.p P�4s r O SW[MMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION a ADDTTION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �l� S�e t o—I� � u�..� ,S�J •4- 1 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NLJMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: � Vinyl ❑Soffit 1. Site PlanlSurvey showing the existing structures � Aluminum ❑ Trim ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TFIE COST OF LABOR AND MATERIALS: TOTAL JOS VALUA' Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due (USING THE 1997 UBC FEE SCHEDULE) OCCUPANCY $ �yS . `i 5 $ $ r.v $ �.� $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 rimes the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determinarion) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge t6at the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Fridley and with the Minnesota Construction Codes; at I understand this is not a permit but only an application for a pemrit and work is not to start without a permit on site; that the work will be in acco e with the approve n in e case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �� rt�� DATE 12 3�"f APPROVED BY DATE Building Inspections 763-572-3604 763-502-4977 FAX DATE � I % . O SITE ADDRESS 1 �� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATB LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING SIZE OF IMPROdEMEN7' ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum �Other _ BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLE� EFFECT3VE 1-i-09 YOUR E-MA1L ADDRESS �� 2� 1 i1-c `'e- S�W OCONTRACTOR Permit N Received By: Dat��l:� `�- jN�Q f c, . C (�j �i ADDKESS: � 5 � ��-At-r '�'v� M'J C �= CITY � `i � � � e `� STATE ��IP � �'�"� STATE LICENSE # PHONE / � ❑ SINGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILYMEW CONSTRUCTION O ADDITION ❑ BASEMENT FINISH ❑ DECK ❑ NEW HOME CONSTRt3CTTON WIIVDOWS IN EXISTING OPENINGS OYes �1Vo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF W(NDOW TO BE [NSTALLED ❑ ROOF �1DING �� SWIMMING ❑ ADDIT[ON �"HOUSE ONLY ❑ HOUSE & GARAGE � ATTACHED GARAGE D DETACHED GARAGE EXPDATE FAX SIZE STORIES � WINDOWS O DRAIN TILE �OTHER STATE ZIP FT BASEMENT' REMODELING SUSMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: O Trim 1. Site P►an/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) COTAL JOB VALUATION $ �(k�U OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Parlc Fee Sewer Main Charge Tota! Due � �[� a�_ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ J .001 times the total job valuation $ � .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) S ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridley THIS iS AN APPLICATION FOR A PERMIT-NOT VALID UNT1L PROCESSED Attach I hereby apply for a building permit and 1 acknowledge 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 fo permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all wor hich requires and approval of plans. S[GNATUREOFAPPLICANT PRINTNAME �c�j � 0. v��/�'�W�TE_�'��o � flQ � Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 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 �: Building $UILDING Permit No:: �� , Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: D 763-5�2-4977 FAX EFFECTIVE 8-19-09 DATE�� OC�i p[OQ 9 YOUR E-MAIL ADDRESS SITE ADDRESS � % �Q, � � SS�' THIS APPLICANT IS: J�LOWNER CONTRACTOR PROPERTY OWNER/ NAME: Ptv �� 6E L.i t�R,�CN TENANT ppDRESS: �S1 �t►h�'si. G�.' �E, CITY F�1Q. � � lJei`' STATE �� ZIP ssY3a PHONE: i0 � a � 3� 3 V 3`l' CONTRACTOR NAME: �C.I �— DQ,u� l I{ � SUBMIT A COPY OF STATE LICENSE �! EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHONE FAX PROPERTY 1'YPE SINGLE FAMILY/NEW CONSTRUCT'[ON SIZE__�3is��C' ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITlON ❑ GARAGE/SHED O WINDOWS ❑ BASEMENT FINISH ❑ ROOF Q DRAIN T[LE '� DECK ❑ SID[NG ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION �1 ADDITTON 1�MAINTENANCF/REPAIR ❑ REMODELING DESCRIBE WORKBEING DONE: �OS'� F�tG �E%A/iC�E��T "�XIST�..�t� LACATcO � ; i ,��1+' SIZE OF IMPROVEMENT LENGTH ��o`� WIDTH � HEIGHT �� S FT il'V � ROOFING ❑ HOUSE ONLY NUMBBR OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGFS ❑ ATTACHED GARAG£ 2. Proposed floor plan PROPOSED SIZE: ❑ DETAC}fED GARAGE 3. List of swctural members to be used PROPOSED HEIGHT: SID FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Yitryl OSoffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum L7 Trim 1. Site Plan/Survey showing the existing structures ❑ Other � Fascia and proposed project. 2. Two sets of conswction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVtDE U-VALUE AND OR FOR NEW OPEMNGS-DESCRIBE SIZE OF • MANUFACTURE STICKER ON WINDOW. OPE13iNG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL P�N:L�'S AliN: BA.1'L�'U U1V YALUA'11VN� 1lVC:LUll11V(i 1 H1: (�V�1' l UN LAKUK AtVU MA 1�K1ALJ: (USING THE 1997 U.B.0 FEE SCHEDULE) JOB VALUATION $ '��4 � OCCUPANCY TYPE Permit Fee P(an Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ U $ c� . S S S $ $ $ See Back Page for Fee Schedule 65°/u of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=5 $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks oavable to: Citv of Fridlev Attach THIS IS A�I APPLICATION FOR A PERMIT-NOT VALID UtJTIL PROCESSED �- I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work whi 'res review proval of plans. � C SIGNANRE OF APPLICANT ____ T PRINT NAME �� «'N DATE c� e� OCT Orj Page 2- Building Residential Application , . BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon appiication therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for ls` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for ls` $50,000 p(us $7 for each additionai $I,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for lu $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,OQ0 or fraction to and includin $1,OQ0,000 $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. 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Existing Floor Plan O ATTACHED GARAGE V J`V � 2. Proposed floor plan ❑ DETACHED GARAGE ��C ��' j�� 3. List of structural members to be used � 3� FOR NEW CONSTRUCI'[ON INCLUDING DECKS, ADDITIONS_ & PORCHES SUBMIT: ❑ Tr mt � S/0 �Xi �� b l. Sitc Plan/Survey showing the existing structures ❑ Fascia '4� and proposed project. ,_.tU (a �� 3q, �( 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND MANUFACNRE STICKER ON WINDOW. TYPE OF WINDOW TO BE INSTALLED NUMBEK UF W1NW WJ I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $:I Co,�"$O � 3� ��`t I OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ , See Back Page for Fee Schedule $ 65% of Building Permit Fee $ �"2, .001 times the total job valuation $ .00QS x Permit Valuarion 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 ( ) S Q°S Make checks �avable to: Citv of Fridle_y Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTlL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f r a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all k which requi review and approval of plans. SIGNATURE OF APPLICANT PRlNTNAME ��J/�� 1 �✓ t��" DATE �;`�� U Page 2- Building Residential Application BUILDING PERMIT FEE 5CHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $l00 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1 n$2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1s1$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 l�` $100,000 plus $5.60 for each additional $I,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1s1$500,000 plus $4.75 for each additionat $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 appIication to allow for proper review of proposea structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be reyuired before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 643I University Avenue NE Fridley, IvIN 55432 763-572-3604 Fax: 763-502-4977 � � � ,� ? � � w � � --Q _ �''� � � Q� -, � , { `� W �� s� U� � -�3 - �� V �w�. � � j i � '`� .�� L Q � k � � � � � /J EJ l � �� ,,� I � a� �I � �. �;. r � �,, � ' �' Cf i —, �' I � '� �M � Y/�•i � �� _' � - � "�l}" � �� a � � � � N�y�} ---� � � � , N � � !`� i . � �--�; � � `� e�,�� }� � �_ � _-- ________ _ �1 �-�- � � �- � � _� � . � ` �y ; -� � � �� r� � � � ; �, � ;� � � j � I i �� ___�_---_. � f _ _ ' i � _- ..�.._ fi--. - �,�1� - C''� � � K� � � � � � � � � � �C Z �� , w� �f y-�' ? � ';. � � � �.�, �_� � v��, f� �� ; �� i� � � � � ,�� ai � � � � x ;' „ J � � � � �.a � � � � � , , : ' �._.�____ — --_ ;—. _ - __� : _ _ _ - »- - � . _ -- ; �: � �, � � i i � . . � �'; i I s� s - �� .� . � zf { ;: � f� � ;- --__._ ' J �� --,,�I.1� � � � _Z 3 .� v n � x `so � � � � � �� i� � '7+ � ____�-- ;�---- �� . � � �� :� . - _ j,C ...._...,_..- � a _ ^ � , 1 ' t- �.-.-�.� �� a iv � �� ,' . _.: � �� :�, �� V+ �� ; �� , Sf� rh L,.er.� /i ; � M 0 � �_�..�_.__ � �----- Q ; U. � � i �U � � , i � i :r � C`( i� � U' �� 3 i'� / (+�' /j � � /t/ � y � •��_ `"^`• �..<� � �'�/ �-�1 �'1/ � �^� � v 'i�3 . 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A building certificate shall De posled in a pamsnmtly v�'bk laarion i�side the building TLe �k Certllieak Posted ccdficate sbatl be cwmpteted by 8ie builder and sha➢ list infamffiion and vahKx of compona�a listed in Tabk N1101.8. Msf1iK Address of lie Dwe6i�[ or Dw'eBi�{ UaN Ciry �� " /'7G� Y�I�h/� Ai ��FK !v� / / /f �✓' ERMAL ENVE Insulatlon Location Below Entire Slsb Fow►agaon w.0 Perimeter oiSlab on Grade Rim Joist (Foundation) RLa Joist (1" Floo�) w.0 ceumg, nac ceu�, ��wcea Bay Windows or cantllevered areaf Bonus room ovv gsrage Describe otherinsulsted areas ry�: cne� ai Tna� nPay O V N C a � F°' '�' L T W V G V � CL � W � c o � V u � u � � Q PG CO u U y v e > � � � � ° n, ii. ic o o z � � U O � ul ,r 9 3 c d ° a�a � � �oo m r-° 5 2° iD uD'. v°, u°. � a i� �ON SYSTEM Passive Q�o Fan ) Active (Witk jan and monameter or other.s�atem monitoringdevice ) Please Desaibe Here in focatio�r. int�ior e�ior a i� location: interia e�derior a in �ocatlon: interiar e�oerior a Windows & Doors eating or Cooling Ducts Outside Conditioned Spaces Average U-Facror (excludes skyligh�r and one door ) U: '� Not �plicablq all duds located in conditionad spaoe Solar Heat Gain Co�ciait (SHGC): � R-value MECHANICAL SYSTEMS Make-up Air Se(ect a Type Appliances Heating S�stan Domestic Water Heata Cooling System Not required per mech: code Fuel Type 6 ks Passive Manufactnrer f��F � ~ N'�C�k� Powered Intedocked with exhaust device. Modd e• �� Describe: l�ut in Capacity in Ouqwt in Other, describe Rattag or Size B'IL1S: Gallons: T�s: Heat Loss: Heat Gain Location ofduct or system: Structure's Calcdated AFUE or SEER: HSPF% Q� 3 (/ Cakulated Efficien coolmg load: Cfrn's " round duct OR Mechanical YeMilatton Sysiem " metal duct �tscribe any additional or combined heating or cooling systrnu if installed: (e.g. two furnaces or air Combustion Air Setect a Typ� urce heat pump with gas badc-up furnace): Not required per mech. code Seled Type Passive Heat Recova Ventilator (HR� Capacity in �'ins: Low: High: Other, describe: Enugy Rocova Ventilator (ER� Capacity in cfms: Low: High: Location of duct or system: Continuous exhaisting 6n(s) rated ca 'ry in cfins: Location of fan(s), describe: Cfm's Capacity continuous va�tilation rde in cfms: " round duct OR Total ve�tilation (intentittent + continuous) wte in cfins: " metal duct Created by BAM version 052009 �. � ti. �°Ae # 1 �'� � i � � s^ ` ��. 1 �`�� ., �. _ � � : €,T `q , �. � 4_, �e �� 3: �-h } �# � � � � �*� - ,:��_ - - �- �, . ._ � ,�� `i .�"_a .e... _ ___, -i � yF.� - - ' �� -. 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