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AF - 45493� ' �'� City of Fridley, Minn. BUILDING PERNIIT N° 3 2 3'7 Date: . . . . �.�. � r. . ` . . : : . �' . . . . . . . . . . . . . . . . . . . ' � �.3_ �. �_ ^ Owner ....................................... Builder� �:.................�..�.......:....... .:.... Addre�s ...................................... Address .................................'............ LCaCATIO�i OF BUILDINC �� 4 ° � �� t� ,r . a �� ;,�.� No. . . � . . . . . Street . � � � : . . . � . . . . . . . . . . . . . . . . . Pari ,aP Lot . . . c . ,� , , Lot ......�.... B�ock .................. Aflditton or Sub-Dfvision �..�.:.°..........`.'�•��=�'�.l�....�...�:�`�r.: . Coraer Lot . . . . . . . . . . . . Ins�tde Lot . . . . . . �: . . . . Setback . . :.. : : . . . . . . Sideyard . �` . :�. . . . : .� �e :�. : . . . . . . . . . . DESCRIPTION O� BUILDING To be Used as: ,, � _ r,�1°" � <, "�' /!� ' ^ - � ' ' <�' � � � ``r� '' ..... Depth .. . Hei ht . . . . . . .': .. .. . . . . Front / �; g . . . . : . . . Sq. F't. ,; . �. ,! . Cu. F`t.'': . . : . ,. ................... P'ront.....:......�� ........ Height .. Sb. � Ft. Z�►pe of Construction ::: �.. �'" �st. Cost....�. ...:f.�. � ..... To e ..leted ... �: �:...:...... '� � `3/�.-. :'� A' �� '"� e ^ �_ _- . , ,. � � � . � �' ,��'T ,�,F� �,� �._ . ,,.- _, � ,; , N' i � � � ° � � ` --� '"-� -�_- - - - � �,f ^ � � �„ ��. � �' ,,� . � � �. <--,,�� r , i �; � �r -, . . r , In consideration of t'he iss�iance to me of a permit to construct the building desribed above, I agiee to do the proposed work in accordance with the descciption above set forth and in compliance wit}i all provisions of ordinances of the dty of Fridley. .................................................... � �? � �'_ � ° , In conaideration of the payment of a fee of $. : : . . . : . . . . � permit is hereby granted to �. : : .�. . : . . : . . . r. . . ; . ° • • • • • • • • • • • • • • - • • • • • • • • • . to consiruct the building or addition as described above. This permit is granted upon the express condition that the person to whom it ia granted and bis agent�, emP�Y�s and worl�nen, fn all work done in, around and u�on said building, or any part thex�eof, shall conform in all r�pects to the ordinances of FridleY, Minnesota, regarding location, construction, alteration, maintena.nce, repair and moving oP buildings with- fn the city limits and this permit may be revoked at aziy time upon viola.tion of any of the provisfons of said ordinances. y , . , » � NOTICE: Thfa pe�mlt does not cover the construotlon, Installa#lon o� alteratlon for wlring, plum g, gae heating, eewer o� water. Be sure to see the BulldinA Inspeotor for separata pe�mits fo� these Itema iNOUS�rRU� eueiNess cmr �o�re TOPOORAPMIC O[APPtNO � �� %/T.r.� � f"�d",E'k'1/�!e'fA.% .��/.=yr's -- A �nl�.'T'';'m1A C. E. C O U L T E R . '' `�I Y" PuTT�NO � ' FARM BURVEYB LAND SURVEYOR tJ1KE8XOR6 REGISTEREO UNDER LAWS OF &TATE OF MINNESOTA auOtetA� IICENBED BY OROINANCL OP CRY OF MItNN6APOLi6 3300 LYNDALE AVE. SO. MINNEAPOLIS 6, MINN. TAYLOR 4-0370 �.�+ 1/h'l'` J`` FG'/C' �E:°i�Sri.y' :�'�'r :� �`%`'.;�'c: r'.sr:;...�'A �mvrgar'a �i�rl�ratr � / „ �� , .� C.�'�:,.��' • . ./:'� ,T� `'� ° °. � �'. L �,i 1'',=" - .�, �� .. , � _.L�� - , ] — — / � � , ., � � l ! �� 6J � �+ � �%i ► � � �� .� 9 n� � ' � :� ♦ : ,� i� � -��-- �' I hereby certify that the above is a true and correct plat of a survey of: Lot Two ( 2), Block Three ( 3), PARKVIENi� HEIGHTS ADDITIORI, Ar�oka County, � Minnesota. As surveyed by me this 6th day of August 1958 A. D. /" �� , ' 'Signed :�..�'� " 'nnesota Registrat on No. 25 �.pproved by �uildin Ins - � g pector n-- �° � �� - � � �.� -- _ 5e�� ,..� b� �'+f b� fi] 4� O ��+ � � r � o b � � � � „ � � � � z � � � � o F� ?� � y� O P� 'd � � � o o° K � �, � � �� :�� - � p � t' ,e� Tr � � °� ° �� 0 �� m �� '� w: � � �.�-� � . : : m . � : i . . Msj . I �_� . . � . . . I '� : : � : : � I � : : � : : : � o $�. : � � m : : � .� � �, 00 � �� c� � R � � � � '`., "tt�;y � �� m°�� ..� ` � � � � .�; � � ��.n � � � � � � � . �, �� a � ;Q � ;fl C� � � � � � b � b � G� � � " � o �� O �� o � �� . � � �� ° °�;y�u�y �� bd•� � °, bd m� N �' �G o � G o y �' Z 5' 9�� o � V ` � �� ,r _ �� : = �� =_� °� b �' � � � ' � �° ,� � � � � ,� � b �M �� ' �� '� � � �' �' � � � � � � ��n p t� f� �, � m� t� R� �� .�� '��' �� O � � � o e� � � � � � p ' � � f'��'�_ � � p � n. � W � `��r � R- �.�� a�: °� ,c �' o : . ''' ¢ o : : � t�n o . � � � � � . � � � � . �O . . o O O . . � O � • O � . E rn � ' ' : � p � : : � � : ' ' : : ' ' : : � : : � : � N�� 0 0000 � � a i,a ��,�� N�� 00000 0000 .� .� � .� � 0 � � \ � o � �� ° � � �� 8' ; � � C�' 4I � � � �.,y ,� � 1� . r�-� ,,1� �� o �� o ��@ O y � � � �� y � �c m ��' � �,�5� � y ��n �7V �� a�a� �� ., � �� ", �' � � � r�� `� � „-�,, �� o � fD M w .A„ � ��o � �. .- �.. .. c� � ts �� m I I I �� a 0 � � �� -� �� m y _ m C r m d � � � � � a � � O � -� '� �i � � i � aQ �' �Q �� . _ �, � �. �� =° °� e, �,. �� . 9 �o �: � 3. � 0. A � � City of Fridley, Minn. BUILDING PERMIT N� g 5 s� �� Date: ��,� °"-' ,�,� �..� /'� Y � 4 .t" �BPI BI1�fiG'P �.L.__�� Addresa — � Address _ _._. _ , TIOiV O�,�UILD NG No. �� Street ' _�� _:i�,t��._.++�L' art� t . Lot _...�_.__ Block .�„�� n or Sub- ' n.3�,�� r �' �Corner Lot _ Inside Lot _�I �back °" Sideyard __ Sewer IIevation ____� _ Fo da.tion Elevation ` DESCRIPTION Of BUILDING T lie U, d as: ��'� Front � Depth �� Height _..,�GG.__ Sq. F�k _'�'�!� Cu. F`t. ,�r�� Fron Depth eight �� Sq. Ft Cu. F'k Type of Constructioa ��.�� Est Cos�''��:.,�__"""_"_"°�"o be Completed In consideration of the issuance to me of a pernvtt to construct the building described above, I agree to do tk�e proposed work in accordance with the description above set forth and in compliance with all provisiona of ordinaacea of the city of Fridley. _J� In consideration of the payment of a fee of $�^�'F , permit is hereby granted to to conatruct the build3ng or addition as described above. Thia permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereoP, shall conform in all respects to the ordinances of Fridley, M3nnesota. regarding location, construciion, alteration, maintenance, repair and moving of buildings o� � dty ]imits and this permit may be revoked at any `t�e ngo�n violalaton}of any of the pmvisions of said Bwtlding Inspector NOTICE: This permi� doee not cove� !he conatrueHon, installetion fo� wiring, plumbtng, ges heaHng, sewer or water. Be sure fo see the Buildiag Inapectar for aeperete permits for fheae kems. .�+, � ti�� i``�� 4 � _ y �. �� Ar�,ac�io� FoR suu�rrrG �a�T cz�r oF r�xrui.rY, rur�sarA • � r : �, - <.� ��.- � ,��` �r� , � � - �� :<s y y �� , �� /� 4I I L�L� � �`1� ..!<Lt:v `.�� /I. �-..[.,si�r. /_ � � LOC�TION OF BUILDING No. %� � � Str� ,� Lot � Block � Addition or of Lot ' ✓/ i .-- Corner Lot �Inside Lot �Setback Side-Yard � �EWSR SLEVATZON FOUI�DATIOIV �I,EVATION Applicant atCach to Chis form �io Certificatea of Survey of Lot aad proposed building location drawn on �hese Certificates. DESCRIPTION OF BUILDING To' be used as e _ 0 e � Front �(� Depth�Height � 6 i d � �� Sq. Ft. GI�G�IC'�i Cu. FC. �7 �� Front Degth Height Sq. Ft. Cu. Ft. 0 Type of Construction ��A�_� Estimated Cost ��.� ��`_ P� To be Completed The uadersigned h�reby makes application'for a permit for the work herein specified, a�reeing to do a11 work ia strict accordance with the City of Fridley Ordinances and ruliags of the t�epartment of Buildings, and hereby declares that all the facts and repreaentaCions atated in this application are Crue and correct. DATE 2 �' SIGNATURE (Schedule of Fee Coate can be found on the Reverae Side). � « ti z1�' J� � 1 ^Z / \ gUILDYNG P�RMiT FBE SCEz�Ui�E Seatioa 2. The tn�pector of B�si9.dzn�s shril, before iaeuing any permit for the esectioa of ahy buiiding o� etructure, os for any addi.tion to aaq exiet- :Lng building or structure, or for e�ny alterations or rapaire to aay exiating buildtaig or s�i-ucture, �po�t appl,icati�n Cherefos, �require the paymea� by �he a�+pl:�cant for such permi.t of fees to the afficun� �iar.ein below set forth and �n the 3;anae� here�'n nrcrvided " to=wi.t: ' � 2.1. For any such permit for Cne exe�tion o€ anq fire-proof building, othes tDaan a garage� �arehouse, fector,� or grain ele�►a::or, or for the erectioa of eny fise-ptpof addition, for sim�.lar occugancy, t� any esisting build3ng sliall be at the zate of $�..k0 for eac� one �ha�.�sand eubi.c feet, or fraction ti�ereof, ia st�cr. ,cubical ca�ten�A . 2.2. Fox any sLCh nermit for �he esecC3.on of any fire-�roof �e�rcage, warehouse, factary or gr$in e�e�ator, cr for the"Prect_�on of a�y fire-proo� addi��oa, fox simila� accupancy, to any sxiatiag �iL.3ldt.n� shall be at the rate of �1.25 iEor each one tF�ousand c�sbic feet, cl�sai•si��i as °'fizegroof" be cection 502 of �l�e� F�ilnn�a�olis Builclir�, CcKle, , �C[3S�'S 2�3. For any such permit for the erectian of any ��r.-iireproof building other th�n� a garage, warehouse, factory or grain elevator, or aaq non-fireproof addi�3on, for similar occupancy, to aay existing buiiding - permit $1.00 for �ach one th�usand cubic feet. G��RAGFS 2.4. Fox any such permit fcr. the esection of any non-firepxoof �arage, wa�ehouse' fac�ory o� �rain elevator, or for tt�e erection.of aay n�n-fireproof additioa, for similar occup€acy, to eny existing buildiag or for each st�ch building or add3tion - riinety cents ($0.90) fez each one ehoueand cu�ic feet or fra�tio� thereof, ia �he cubical cont�n�s thereof c$ith a minimum of $4.00. Foa th� purpose of compu¢ing fee� for building permits, the cubical. c�nteats of �y building o� �addit��n to a ua�.fo�m l�eigh� througbout t+y muliciplyiag the gr.ound area covered frem a poi�,t a3� (6) inches below the floor line of the baseme�n:: or ceZL�r to the ave*age 'height of the ugner sux£ace or ta the avers�e heigl�.t of the roo� surface of tl�e m3�II gah7.e o� a pitchecl goof . 2.5. i�or repaira o� alterati�na to an exis�ing sCxucture, the £ee eha11 be at the rate of $3.00 per each Rive Sundred Dollars ($500,Q0j or fraction t�.eceo� ia the coet of a1l,psogosed wo�k. � 2„6. Ia no case shall the fee charged for any permit as eet forth in 3�ctioa� 2 be lesa th�n $4.(�0. � ..r � 4-� .r � � .� -� r - --- _ _ -------=� --- . . ,-- •- - - - '�"" DIFiECTORATE �F � pue��c woAECs CITYOF IVfEMORANOUM fRlDLEY . �: FROM: DATE: Nasim Qureshi, City Manager John G. F1ora,�Public Works Director April 20, 1987 SUBJECT: Boulevard Tree - 080 HacfQnann Circle � ° °.o o•' °o 0 � '- � �� Fh'87-122 The situation regarding the replacement of the boulevard tree at Mr. Berg's, 1080 Hackmann Circle, is essential as explained in Councilman Schneider's mc-�noran�un of April 20, 1987. ' The front yard of rir. Berg's rises quite steeply from the street which precludes the �e of the City tree spaue. Our Folicy to date has been to ren:ave ariy diseased boulevard tree at City expense arid replaoe those trees via our tree spaae onto the private property in order to preclude any future liability. In this particular case, the tree spade cannot safely install the tree. If it is desired, one of three options can t,e taken: 1. We oould utilize a backhoe to dig a hole on the property, dig the tree out, haul the tree to the site, place it in the hole, then restore the property. This rer,uires vonsideraY�le amount of effort and cost. 2. We could manually dig a hole and place a tree on the property. This also is time oons�ning and expensive. 3. We oould attenpt to replaoe the trees on the boulevard and obtain a waiver which oould be reoorded on the property rerr,oving any future liability of the City for the tree if a tree is to be installecl. Please let me know which option is most agreeahle. JGF/ts A ril 20, �9s� Speed Message To _ Jock_and_John_'/ _ Date _ p. __.------ -- NASIM QURESHI, CI?Y MANAGER'S OFFICE -- From__ ---- --- — Subject MISCELLANEOUS CONSTITUENT CONCERNS BY COUNCILriAN SCHNEIDER. __Please provide information on the item of concern listed by your name ___ __.__ on _ the a[tached __sheet . The _informat ion is_ to _be_ placed in the __ __ . Council packet today by ?��30. _. _—.-.- Thank you foryouur_assistance. ___ ___ �Q�ia --------------- ---- Wilson Jones Company � �„ Si9�ed _ _ _ -- _.• .. �.: ,. - .. •s . t. �4, 51'• i � . �. CITY OF FRIDLEY M E M O R A N D II M TO: NASIM QURESHI� CITY MANAG� FROM: DENNIS SCHNEIDER� COUNCII1�fAN WARD 2 DATE: APRIL 20, 1987 SUBJECT: MISCELIANEOUS CONSTITUENT CONCERNS Nasim� I have a couple of minor constituent problems which I would like you to check into and provide me a iollow-up. 1. Mr. A1 Fehn, who lives on Hillwind Drive� 574-1736, called to complain about all of the junk and automobiles on the home on Fillmore below him. I don't have the address of the house on Fillmore, but it's the home that looks something like a castle with tall turrets, If you recall, we've had difficulty with that home before, in that there is a lot of junk being stored on the property. Would you have someone from inspection take a look at the area, and either issue the appropriate tax and if in fact there are no violations let me know that is the case. �2 Mr. Lar Ber 1080 Hackman Circle 571-8265 a arentl last ear the �' g� + � PP Y� Y � City removed a diseased boulevard tree from his property at City expense. At the time the tree was removed� he was told it would be replaced by the City. When the tree didn't arrive last year, he called to find out why and was informed that the City would not replace the tree on boulevard property since the City did not want to have the liability of taking care of the tree in the future. He was, however, offered a tree if it were placed on his property rather than City property. He indicated that would be alright with him. Several weeks passed and no tree was planted. When he inquired as to why, he was told that his lot was too steep for the tree spade and therefore the City could not provide him with a new tree. He indicated tihat he would be willing to sign a waiver indicating that he would take care of and assume responsibility for the tree if it were planted on boulevard property. He was told that this would not be acceptable. The bottom line is the City did remove his tree, promised to replace it, and now he doesn't have a tree at all and he would like one. Nasim, would you check into this and let me know what the City's side of the story is, and what if anything we can do so that his tree can, in fact, be replaced. 3: This is just a follow-up request on my part. Sometime ago I asked whether our solicitors ordinance could be amended to include ours limiting when the solicitors, in fact, could ring doorbells. I understand that this was � researched through the League of Cities and it is possible to make the \ ordinance change. What is the status of that change� and when would you anticipate that it will be brought back to Council for ordinance ��, amendment , cc: John Flora SUBJECT Q, c��y oi Fridley 2 �� 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � i RECEIPT NO. � `� __��_ COMMUNITY DEVELOPMENT DIV. �/ � r � � PROTECTIVE INSPECTION SEC. 1 � � � �"'1 � CITY HALL FRIDLEV $$432 NUMBER REV DATE PAGE OF APPROVED BY �----� � ,'� 612-571-3450 910-F15 8/13/98 � � J08 ADDRESS 1080 Hathawa LN 1 LEGAL LOT NO. BLOCK TRACT OF; ADDITION SEE ATTACFIED DESCR. 2 3 Parkview Hei hts Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Glen & Sue Lind ren 502-9598 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tabor & Sons 3716 St Fran.�is Blvd Anoka MN 789-1902 20014248 a ARCHITECT OR DESIGNEp MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 15 S Tear-off 0 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlaym.ent must comply with State Building Code. SEPARATE PE1iMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(3, NEATINp, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONtNG. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(i SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOq A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 62 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR. CANCEL THE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �+�Y'e SC l. LS PLAN CHECK FEE TOTAI FEE -- �iZ` %�� l ' /3 ° �� 5 . 00 SIGNATUPEOFCONTRACTORORAUTMORIZE�AGENT IDATEI OPE Y ALIDAT D IS �S YO PERMI A � S�GNATURE OF OWNEF i�i OWNER BUILDER� iDATEi �NSP ppi 1vEiJV � ADDN ALTER [] Ll L] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Effective 1/1/98 �� Owner Name & Address: �� , o ' �„ � Tel. # ,�' o ��,� 9 � Contractor: ��,,,�„ "� MN LICENSE #� p� l y�, y,� Address: 'J'/6 .��' � A �� .� �� lv�� Tel. # � .� � _/ q� 1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height � Sq. Ft. Sq. Ft. Sq. Ft. l �a-� i� �� Construction Type: ��_,,,,,,...� yL�,P� �,,,,�Q Estimated Cost: $ 3 py�� ,� � i� ,. _��— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: � �� APPLICANT: ��s�,� � Tel. #_�� 9�/�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ '�"/�� C�� Fee Schedule on Reverse Side $ /- � � . 001 of Permit Valuation (1 / l Oth %) $ , [,-� $.50/$1,000 Valuation $ $1000 per SAC Unit $ .� � �1(,i $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 [ ] $ "l �•� � Q BUII.DING 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up 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 $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 $50,000 $574.75 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 $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet tnnes $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 will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. -�1 0 v 0 0 � � Oo v 0 v m � � � m c� O � O C � . 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Yes°(� No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes`(�/j No () The undersigned also verifies that the replacement unit is a listed �ssembly and meets the cuRent codes and manufacturer's specifications: This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the cur�ent codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes� No ( ) Yes ( ) No (�` /� Yes (� No ( ) /' When installina a new ventinct svstem, the.undersigned hereby verifies that it is a listed assembly and meets the current code� and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (�} /� Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. � No ( ) Yes�Q No ( ) � Appliance Tvpe and Size/Common Vent and Vent Connector Information A liance #1 T e BTU Input Fan Assisted or Nat � r�� PP YP Appliance #2 Type � BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Z Tdal Btu Input � Common Vent Type Vent Height Diameter inches " �G Appliance #1 Vent Connector Height ft Length ft Diameter � in Type � Appliance #2 Vent Connector Height ft Length ft Diameter �%'< in Type -�� Appliance #3 Vent Connector Height ft Length � ft Diameter in Type L HEATING CO Signed By: � Building �I,�$�(i Permit No.: ZZ�, �(p Inspections RESIDEIOTTIAL APPL][CATIOl�T Received By: 763-572-3604 CITY OF FRIDLEY Da�' 'ct�U 10 2�� 763-502-4977 FAX EFFECTNE i-]-08. DA� "? ��' 2O'�8 YOUR E-MAIL ADDRESS 9�r� I i �d a t'e� � net'sc aPe . Cc�w� STTE ADDRESS THIS APPLICANT IS: k�OWNER ❑CONTRACTOR . PROPERTY NAME: Gl.�+�I G 1�V1j��V ��E� ADDRESS: ��g0 �ani�awAy � lVE CITY r-2��Y STATE�NZTPSS�i3�, TENANT pHONE: �Es3"SOZ•qS4$ CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ,qDDRESS: CITY STATE ZIP INSURANCE . pHONE FAX PE� �P� 6�' SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: ❑ NEw pajtEPLACEMENT DETAII;ED DESCRIPTION OF WORK R��Z O� w�7�2- S 1,[P1'f. �( G/�vLr $�pDIILG g��t S�r—pp� ,q r�b wt�T�.'�¢.. PER MS 16B.665 the permit fee is a minimum of �15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, insta.11ation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $]0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (1NDiCATE TOTAL NtJMBER OF EACH BELOV�. MINTMUM FE� $ I5.50. _ BATH SII�IK/LAV _FLOOR DRAINS SHOWER �,, WATER PIPTNG _ BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFI'NER ($35) _CIATHES WASHER KTfCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER , r� � � :�� - � £ k.,..., w�d u" � � �' % �� :, 3 r�' � � � � �� a Pernut Fee $�.� � Number of fixtures @$I O.dO x$I0.00 —$w Surcharge .50 Number of'fixtures @ $15.00 x $I5.00 = $ TOTAL DUE $�. OR Number of fixtures @$35.00 x$35.OQ =$ IMUM $15.50 State Su�charge = $ .50 �M� (MINIMUM $ I 5.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 applicaxion 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 which requires review and approval of plans. SIGNATURE OF APPLiCANT �� PRIT�IT NAME GLB7�►IV �• G`�u,�� DATE 2 j�''ZOD� APPROVED BY DATE �"�`�~r•� a aL., .,� ��' � � �i- �' : � �..� ' ��.� .�-l�r... d,:. . �. �?F City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit rio.: ��l � �. : Inspections RESIDENTIAL APPLICATION Received By: 763-57�-��04 CITY OF FRIDLEY Date Re 763-502-4977 FAX EFFECTIVE 1-1-2010 �� DATE ` r Z� � �� YOUR E-MAIL ADDRESS ,"r'i <<''^ � � ! ��j rV°�� a h� � �!'%lV�1 SITE ADDRESS �C�� TIa�% GAN� AiC� �YLI.�� VL AJ THIS APPLICANT IS: �OWNER ❑CONTRACTOR PROPERTY OWNERJ NAME: �G��l � L I►J,�LL�J TENANT ADDRESS: I�� G�'iR�l�llA'� Gi!"/�� NC CITY ��I>CE� STATE��ZIP JfS�i3� pxorrE: i63 -S�� -�� CONTRACTOR N,�: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pgp� F� PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCI'ION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING O OTHER ❑ SWIMMIAiG P�L TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR �LEMODELING DESCR[BE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER 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: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITTONS_ & PORCHES SUBMTP: ❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project� 2. Two sets of consWction plans WINDOWS 3. E�ergy Calculations IN EXISTlNG OPENINGS ❑Yes� o LOCATION OF W[NDOWS ��'�'�� FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE S17CKER ON WINDOW. OPENING CHANGES & �y�,,r,C TYPE OF WINDOW TO BE INSTALLED G� /�' NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS• !'OTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due �SING THE 1997 U.B.0 FEE SCHEDULE) Z � � OCCUPANCY TYPE $ $ � 3� $ f � �� $ . $ $ $ $ $ . 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) $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 ( ) Make checks payable to: City of Fridley Attach 7'HIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes 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 a11 work which requires review and approval of plans. SIGNATURE OF APPLICANT �, PRINT NAME C�"iZJ/V t,�t • G/��PJ DATE�'�/O '��d Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus 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�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 ) �,�� 1?.�S i,�j�� ' w�� r-__�.____ /` r � �� 4Q �, 1 N5�-� .��v �- qjl�a c �� i i a � ��5� � cc� �a�w � � �,� ��, ;�, �� , �`c��5 � 1 � � yM` ,�v� � � ��C �G�c�� X L�p`�� v� w I i ; , fi � �Z � �� 4�� C�� i N� /��ov� F�� l.��M�V� ` �� 5Tl �� 1�� . ---�. �� A /"�• /� �� I � �`'�� ' � '( � p� I� ' � � �' � �o�� 6�Z�� -� (�, � �u �,�� , e� � V I C � �� 5�� -, zrti � � ►�l �� , �� ,. _� ��- �,�S�. � ---.�.�� .� � �-� �2 � �� - �- -- c �.�� G'��J Ll ��:C�2� �� SEC R106.3.t l�