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A� � � m 0 O 7C � D \ � 0 O � WN � � v o ¢, D �, � S� � � A � m w 0 0 � � N O � r —�-1 O Z D C) � c� � c� � �o � � �C �. 1 � a � Z � � �p � y��2 � °'r ��v �Ctd� m � � � � � m �� N N z O � � � o � �o �Z = 13 n � � � �� C o � � � � m a � n�i O cND � Q � Q � �- o � (D m D � � �� * D C� O � Q � � �� m i D � N � � N � (�0 1 L� � � � A1 � tfl � � D � N O -p � Q1 _Q � � � � � � � � � Z � � Q � � Q °' = c a � c •03 � �" �.-i- , n N � W � � c�i _ C � � -., � � W. �. � � � � fA a � � � � r� cfl r� � � o 0 0 0 � g °o °o °o g � r� � tfl c� cfl �, O O � C � � C � 6 � v � C� � O p � � � � � . i -D m � � � z 0 �� - T� n \ � � � S � � � �. D � � C7 2 m v C m m c � 3 -a � c�Q m ��m� Q' � su � _. � �- . � � � m � c � Q m fl-� � m � o � n � m � �o� � � °1 � N p N ? O cD ��N � � � c; n. m � �� o m � � � m r. �' '< c¢'i � � Q o � o O C Q -` � � � � a� � p1 m 7 Z7 C7 p., � � � �� _� �, � o C� �, ? •-�• � W S � W � � � � .� � - - � O � � � Q � m �p �. ��i, m � su � V � Q �� v � � � N d � w� C O � - � 'fl �'Z� -n q� �• � �� w D � N � z Z m� m n -� O z � < rn � � � �� m a � O O Z Z � � � D � � � O � z -D o �_� o� z� z � � � � � O � n °v �� m Nz � Q � � S O � n z �� O z , � m � (D c�. � � 0 � L � � C tv � co co v CftIlVIlVEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1: Has been carefully examin�d Yes � Na () 2. Is free from nist or deterioration Yes �No () 3. Has no foreign obj�ts lvdged within Yes � No () 4. Is securely supported Yes � No () 5. Meets all current Code requirements for size and total BTU's �.onnected Yes� No () 6 Has total heating �TLT's of �`� Q� � All other BTU's � TO�'AL BTU's � � � 0 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water hea.ter Yes () No () Remarks: _ List ALTERATIONS Bein Done- HEATING CO: Signed By: Date: , .� � y'��l\i��y/l�.��iQi97d�� ly�'L ►7�A�ds�7 .Cv��u.r.� p��se �geiLe 4lYai VV�J��rLV� tlalra ��.i� yf L.dt�8y�a5!ry'e�.�li � SY�� Y�ee.`.1�. �-,. ,:�.e�Vtle91 C��S'�1�, Idi.�I 6�4:� ' ��-��-: � e� — r � � sue�etr � PERMIT NO. City of Fridley 2 8 301 ' r AT THE TOP OF TME T1N�NS � u I L D I N G P E R M I T; �b RECEIP�-°�f�O. , .,_ � �• COMMUNITY DEVEIOPMENT DIV. --- -°" v PROTECTIVE INSPECTION SEC. 7�Ja � � ♦ _ _ r ; ' "i � . , � � /"'1 � CITY NALL FRIDLE� SSI�P NUMBEN NEV DATB PAGE OF APGROVED BY �'"""� � ,�� 612-571-34b0 910-F15 � � 10/19/98 JOB ADDRESS 5149 Sorizon Drive NE t LEGAL L07 NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. ] 9 Carlson� s Summit Manor South SHEET 2 PiiOPERTY OWNER MAIL ADOR�S$ 21P PMONE Ella Mae Henderson 572-9530 3 CONTqACTOR MAIL AODRESS ZIP PNONE LICENSE NO Viking Home Im rov. Co. 4832 2 1/2 St NE M ls 55421 572-1820 4772 a ARCHITECT OR OESIGNER MAtL ADORESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION �hc REPAIR O MOVE • O FiEMOVE 8 DESCRIBE WORK Reroof house and garage (18 Sq) Tear-off 9 CHANGE OF USE FFiOM TO STIPULATIONS Underlayment must comply with.the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL. PLUMBING, HEATIN(i, VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WQRK OFi CONSTNUCTIO{J 20NING SO. FT CU FT. AUTHORI2ED IS NOT COMMENCED VyITMIN 80 DAYS, OR IF CONSTRUCTION OR WOiiK IS SUSPENOED OR ABANQONED POR A PERIOD OF 12p OAVS A7 " ANY TIME AFTER WORK IS COMMENCED. ' NO. DWIG. UNITS OfFSTREET PARKING I HEREBY CERTIfY 7MAT I HAVE READ AND EXAMIN�D THIS APPLICA710N STAILS GAiiAGES AND KNOW THE SAME TO BE TFlUE AND CORRECl'. ALL PROVISIONS bF LAW$ VAIUATION SUfiTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK Wlll QE COMPLIEO � @ WITM WMETHER SPECIFIED HEREIN Op NOT. TNE GRANTING OF A PERMIT $1542 y� • 77 DOES N UME TO GIVE AUTHORITV TO VIOLATE Oii GAMCEL TME pEqMIT FEE SAC CMARGE PROVI ONS O ANY OTHER STATE OA LOCAI LAW REGULATING CON- STR T N TME PER RMANCE OF CONSTRUCTION �S L. LS Fire SC � I. . S�F � PLAN CHECK FEE TOTAL FEE �� License SC 5.00 58. 56 S�GNSru O� N'FACTOAOpAUTMOF��2E00GENT i•T � WMEN PFOPERLV LIDAT D THIS IS YOUR PERMIT °� 91 7 /' S�GNnTUaEO�OWNEAO�OWNEABU40ER� iO�TE� ' � Bl �NSo � �� O�tE � � . � NEw t -� ADDN [ l ALTER [ ] ConstructionAddress: � Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION Effective 1/1/98 �i` �� Owner Name & Address: ��-l� ��r� �'� ��ll��(�S� � Tel. # �� Z °� �r t� Contractor: � 1 � %1) � F-fU�UO,� �f'vl P� ✓�� MN LICENSE # �%7 � Address: ��i?j 2 Z �%z S� �'1 �- Tel. #�''� 2�. / Z� 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: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: I� J� �'�1 �'s N 2 �u"c� �s Estimated Cost: $ ��"7 02 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 8 / � � APPLICANT: � Tel. �{ � % L / �'�o Permit Fee Fire Surcharge State 5urcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ �i.as- $ � S,.—. $ $ $ �: c�� $ $ $ $ $ �°� - S7o CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 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 [ ] r ' ' - BUII.,DING PERMIT FEE SCHEDULE The Chief Building O�cial 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,Q00,000 $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) Altemate "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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building Inspections 763-572=3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: U`� -) � 1 Received By: n,�a�cr��u nv � h ��u DATE S �� YOUR E-MAIL ADDRESS P L S'�J h C Q�') �°I ��( 't- 7t �/' �L� !a� 4( � C Fa�2j SITE ADDRESS �� 0 i I� e+/1 THIS APPLICANT IS: �FOWNER dEONTRAGTOR PROPERTY OWNER/ TENANf CONTRACTOR SUBMIT A COPY OF STATE LICENSE # YOUR STATE LICENSE �D�� WITH APPLICATION pgp� PROPERTY TYPE � SINGLE FAMILY/NE O TWO FA1VID..Y/NEW PERNIIT TYPE � �DITION O BASEIv�NT FIATISH ❑ DECK �rE oF wox�c_� DESCRIBE WORK BEING SIZE OF IIVIPROVEMENT OF SQUARES GARAGES PROPOSED SIZE: PROPOSID HEIGHT: � l ��4'P1 e- 1 �%D 03� �1 �' ��!' ` � �� 'r� �`- � F� iW CONSTRUC170N COAiSTRUCf10Id ❑ GARAGFJS] ❑ ROOF ❑ SID1NG ❑ SWIlvIlvIIl�C ❑ ADDITTON PAIR t$REMODELI ��° S�SI� f LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATfACI�D GARAGE ❑ DEfACHED GARAGE � �erc�v�,te��l S E3� DATE �-,� ��v e � ❑ DRAW 7'ILE �f O'!'F�R � �►`�'��'0 9' I.�� z � A�� 53°� I �Jc`�ei "D� Ft BASEMENT REMODELING SUBMIT: 1. Fxisting floor Plan 2. Propased floor plan 3. List of strucdual members to be used SIDIlVG FOR NEW CONSTRUCTION IIdCLUDING DECKS, ❑ Viny1 DSoffit ADDITIONS. & PORCHFS SUBNIlT: ❑ Aluminwn ' �'frim 1. Site Plan/Survey showing the existing structures p p�� . O Fascia � P�P�� P%1� 2. Two sets of cot�struaion plens WWDOWS 3. EnergyCalcnlations IN EXISTIIdG OPENII�iGS �iYes ONo IACATION OF QVWDOWS OR FOR NE�V OPENINGS-DESCRIBE S1ZE OF OPENING CHANGES & �' TYPE OF WII�W TO BE WSTALLED ��✓� l�5 NUMBER OF�WIIJDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.C. FEE SCHEDULE) Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge G�,�rb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due JOB VALUA �..�� $. �?-(� `� - $ 5;U1� $ $ $ $ � $ 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} $1675 per SAC Unit (Plans to MWCC for determination) �t+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 aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances an codes of the City of Fritiley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for ermit 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 ires review and approval of plans. n �,� � J SIGNATURE OF APPLICANT � r ,� S- %°'d % Page 2- Building Residential Applica.tion � BTJILDING PERNIIT FEE SCHEDULE �`s�� `'� - �� '," � �`��. . . << �;- ; The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing bui.lding or sh uctizre, or for any alteration or repair io any existing bui.ldang or structure, upon application therefore, require the payment by the applicant for such perm.it of fees to the amoun.t herein below set forth and in the manner herein provided to-wit: � VERIFICATION OF FOUNDATION Permits for constru.ction will be issued a m.inimum of 24 hours from the time of application to allow for proper review of proposed structure and of the cons�tru.ction site. A Certificate of Survey of t�e lot, showing the location of the existin.g foundation will be requirerl before proceedi.ng with the fra.m,ing, New Houses Onlv City of Fridley Building Inspections Departrnent 6431 Uruversity Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 7. 63-572-3604 DATE / ' SIT'E ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT .,.- MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS � ❑ OWNER PHONE: '(o� S�� o2�Gv�'/ Pernut No.: Received ,A.�� CONTRACTOR COMPANl' NAME: �' ��°` CONfACT PERSON: $TJBMIT A COPY OF STATE LICENSE # � DA� �u ssz/33 YOUR STATE /' S STATE � � LICENSE WITH ADDRESS: 933b ENEi�GlEP,�� /3� �/� sl2r`�-� � CITY �d�'l � APPLICATION PHONE �( a� 1 Sb� � FAX PERNIIT TYPE TYPE OF WORK: I � � FAMILY � TWO FAMILY ❑ REpLACEMENT DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE ❑ p�L,TERATION/REMODEL cy� PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $50�OOh, � reflect only the cost oflabor ) improvement, installataon or replacement of a residential fixtur'e, excluding the fDCtures. ('Th' _ _ x.OS= Labor cost under $300 =$15.00.. Labor cost between $300 to 5500 = cost of labor ICATE TOTAL FOR PROJEGTS Wi�1tE 1ABOR EXCEEDS $500, FEES ARE BASE1� OH $10.00 PER FD�7'L1RE, EXCEpT �� NOTED. F�CfURES: (Il�1D 'MJMBER OF EACH BELOV� MODEL: _ SIZEBTU Equipment Installed . MFG' ----- MODEL: 5�� AMFG: �_ SIZEBTU MFG: MODEL: GAS RANGE/OVEN $10.00 A/C $25.00 FIREPLACE iGAS) $15.00 �W Gpg Gg�,L $10.00 —AIR TO AIR EXCHANGEER $15 FIREPI-ACE (WOOD) $35.00 Gq� �T HTR $10.00 BOILER $35.00 _F1.IRNACE $35.00 —p�J, ��R $35.00 GAS DRYER $10.00 —CHIMI�IEY LINER $10.00 _GAS PIPING $10.00 VE1�TII-ATOR $15.00 nUCT WORK $10.00 _ _W...�._.,,,.,.,,,....� .��-.,�,�. .��.�..,�s,�m+-, ..ra�,'��t�:�u" die�Si�S� Sd�;�l�' , .�J��• �:�'��% „... �� ,. � a �j�j>. "� � ,. . _ du"'' . "W+�J, ID`+�t:ta-� �?„! w•. �*�an�:kt " ,vc7z . 1�.�1Na� - - - _ �� . .. � � - �. ..� . . . ... . _ . °� � � �. ��.r. r�,.,. .. . ... n. .. . ... ._ � ' " ber of fixtui'es @ $10.00 x $10.00 � Permit Fee $ /5 �� Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ /S . S� Number of fixtures @$25.00 x$25.00 =$ Number of fixwres @ $35.00 x $35.00 = $ ,50 State Surcharge = $ Tota1= $ 'IHISS Ig qN APPLICATION FOR A PERMIT NOT VALID UNTII- PROCESSID I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the�CiW�okFs not o startlwithout apermit; th t the work w11 be in a o d�withlthe no t a pe r m i t b u t o n l y a n a p p l i c a t i o n f o r a p e r m rt approved plan in the case. of all work whic requires review and approval of pl ��'/ �� i J�� D A T E �7 ��/ � G� PRINtNAME � rr� SIGNATURE OF APPLICANT � ,: � t .` , ,' V u;; r �„�.�;,.::,..i:�.;�xs3��as�.�r�.a,ract� A'�.'TI"r,�e7'#�'C�'�`5�= , �iE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 F,AX: 763-502-4977 ... REQUIRED INFORMATION NEEDED TO PROCESS PERMIT � RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) . a. Oil or solid fuel TMC Chapter 7 with MN Amendments b; �.aTa#�al Gas or Pto}��ne/JFGC Chapter 3 with MN Ame�dmen.ts ' 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Ventin.g a. Gas appliances rFGC Chapter 5 wifih MN Amendm.ents b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooli.ng load per room a. Required on new construction IMC 1346.0312 5. Ventilation . a. Per MN Energy Code 7670 or 7672 fi. Duct Design Per IMC 1346A603.2 a. ACCA Manual D NOTE: Centerpoin.t Energy Mechanical Code Guidelines software may be used for combusfion and make up air calculations Building Inspections 763-572-3604 ,.. NLECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE f� 7-/%�� YOUR E-NWL ADDRESS srrE AnnxESS S��f� ffD r j z�� A� � THIS APPLICANT IS: � OWNER �ONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PERMIT TYPE � ADDRESS: S / `I � � � °r-'� G"-r �•••�• PHONE: � �� s�� a3� y� ,.,...�.,�.,.,.*,�. /��,�f �u CONTACTPERSON: Permit No.: Received By: � , i. '� �� , A�?+� � d I STATE LICENSE # E}}� DATE a13a0 /K� �CU � CITY .i STATE�IP �� ADDRESS:�—� PHONE �/�. 3� 1 S'��t �° FAX TYPE OF WORK: I � �W FAMILY ❑ TWO FAMILY � REPLACEMENT DETAILED DESCRIPTION OF WORK ❑ TOV+RQHOUSE ❑ qL,TERATION/REMODEL � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to S50�Uh d refiectflnly the cost o labor ) improvement, insta,llation or_replacement of a residential fixture, excluding the fixtui'es. (Th� _ x.05= Labor cost under $300 =$15.00.. Labor cost between $300 to $500 = cost of labor ICATE TOTAL FOR PROJEGTS V1�RE 1.ABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIX7'L1RE, EXCEPT �`'I�� NOTED. Fl3CfURES: (II�iD t•i[JMBER OF EACH BELOV� MODEL: SIZEBTU Equipment Installed . MF�T� �— SIZF�BTU - IvffG: MODEL: SIZEBTU MFG: ��D�" --'—' G,�S RANGE/OVEN 510.00 A/C 525.00 FIREPLACE (GAS) $I5.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 Gp� �T HTR g10.00 BOILER $35.00 ,_FU1tIdACE $35.00 '—pppJ, �p�R $35.00 _GAS DRYER $10.00 —CHIMNEY LINER $10.04 Gp� plp�G $10.00 VENTILATOR $15.00 DUCT WORK $10.Q0 , �. ��c,.r� �t��r r �t��b�S1R � �� } dC"�,�l��"'� �� „� ..�":. . �.,�.�. ..,.. �... ._ .:.. ��, .: �r'7., �.t. �. , ' "ik �F'.#:�; : �u'�i'4b.��b�Yi:v'��'ttiiui�Ffis •r: •��".t:;z:c�x;r �� - • , _ '� Number of fixtures @$10 00 x$10 00 $ Permit Fee � �—• � Number of fixtures @ $15.00 x $15.00 = $,_. Surcharge $ .50 TOTAL DUE $��•� Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ ,50 State Surcharge = $ Total = $ T�IIS IS pN APPLICATION FOR A PERMIT NOT VALID UNTII- PROCESSE� 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 thean �workFs not o startiv►�itho M� Pernut� th t the vv� k�il b ina accordance with the not a permit but only an application for a permrt approved plan in the case. of all work whic r uires review and approval of plans. � PRIN't NAME ��Y �`� �� '�Z DATE % % O , SIGNATURE OF APPLICANf '` - . , • .� . .. _ . ........._ �.�-_.,�s.a..n � �..:� �.,.�,�+� cr1 � r�e �"es��&' ..'� ;' . �i� � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 t• REQUIRED INFORIUTATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDI�IONS ❑ EXISTING HOME ❑ MAKE-UP AIR R.EQUIRED FOR NEW/EXISTtNG HOMES 1. Combustion Air (See note below) . a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Nai1u'al Gas or Propane/IFGC Chapter 3 with MN Ame�dme�.ts ' 2. Make-up Air (See note below) a. ]IVIC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendm.ents b. Fuel other than gas IlVIC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooli.ng load. per room a. Required. on new constru.ction TMC 1346.0312 5. Ventilation . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for cambustion and make up air calculations Buildir�� [ns�ection.s 763-572=3604 7ATE l V � "1 iITE ADDRESS � I'HIS APPLICANT IS: m BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �-OWNER PROPERTY OWNER/ I Np�: � TENANT ADDRESS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION � YOUR E-MAIL ADDRESS � �r�'H,e�� e��d��v�► 5 STATE LICENSE # EXP DATE PROPERTY TYPE I❑ SINGLE FAIv ❑ TWO FAN�,' PERNIIT TYPE 0 �DTt7oAi �GARAGFJSF ❑ BASENIEN7' FLNISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMMII�G TYPE OF WORK: DESCRIBE VdORK BEING SIZE OF IIVlPROVEMENT 0 � (� �t�.�� an 5�� ` LENGTH �� NUI�ER OF SQUARES ❑ HOUSE 8c GAR.AGE GARAGES a� X a� ❑ ATIACHED GAR.AGE PROPOSED SIZE: � DETACHED GAR.AGE PROPOSED HEIG� SIDING • `� Vmyi OSoffit ' ❑ Aluminum � ❑ Trim p p�� • ❑ Fas�ia WIIVDOR�S � IN EXISTII+iG OPEI�iWGS �Yes �No LACATION OF WWIIOWS OR FOR NEVJ OPENINGS-DESCRIBE STZE OF OPENIIJG CHANGES 8c TYPE OF WIl�IDOW TO BE IIJSTALLED NUMBER OF �W�iC ALL FEES ARE BASED ON VALUATION, INCLUDING ,(��(.��c � �j, (g� (USING THE 1997 U.S.Cr� TOTAL JOB VALUATION $ e C�� C� C � I�i^ Permit No.: Received By:� ��.LAGt.b_iAd � � 1°�L �S ��t. P�I� %eC0•re CITY �LQS( - i �[� - E ►—� ❑ WII�IDOWS ❑ DRAIN TTLE ❑ OTf�R TATE�IP�L?� � v� Su 5 �sh _STATE ZIP � � r HEIGHT ��.yKy BASEMENT REMODELAJG SUBMIT: 1. Existmg Floor Plan 2. Proposed floor plan 3. List of strucmral membeds to be �sed FOR NEW CONS'fRUCTION iNCLUDWG DECKS, ADDITiONS. 8c PORCI�S SUBMIT: 1. She Plen/Survey showing the existing structures � P�� P%I� 2. Two sets of construction plans 3. Energy Calculations NS � � HE COST OF LABOR AND MATERIALS: SCHEDULE) _fjCCUPANCY TYPE Permit Fee $,� `7� �" � See Back Page for Fee Schedule Plan Review $!�/. �57 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation g�}�ge $ ,�� j .0005 x Permit Valuation Minimum $.50 License Surcharge $� $S.QO (State Licensed Residential Contractors) SAC C:hazge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Pazk Fee $ Fee Determined by Engineering � Sewer Main Charge $ Agreement necessary () Non Necessary () Total Dne $ G/ (�, aj � Make checks payable to: City of Fridley Attach Stiputations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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 pemnit but only an application for a ermit 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 r ' es revie�d approval of plans. , SIGNATURE OF APPLICAN'�' PRINT NAME �'� `-�� n DATE l V'� `I �" o� Page 2- Bui.ldi.ng Residential Application . � BUILDING PERNIIT FEE SCHEDULE The Chief Buil'ding Official shall, before issuing permifs for the erection of any building or structure, or for any ad.dition to any existing building or structure, or for any alteration or repair to any existi.ng building or structure, upon application therefore, require the payment by the a.pplicant far such permit of fees to the amoun.t herein below set fortt� and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for constru.ction will be issued a minimum of 24 hours from the time of application to allaw for proper review of proposed structure and of the construction site. A Certificate of Survey of t�e lot, showi.ng the loca.tion of the existing found.axion will be reqraired before proceeding with the framing. New Houses Onlv City o� Fridley Building Inspections Departm.ent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 �°�5��'i1 � 1615� �� 6� � Page 1 of � � � 9127120Q7 r** Take this sheei to the �uilding Materials counter to purchase yau� materials. You have �eLect�d � Garage with: 22' 1�1ide X 22' Deep X 9' High Gable roof wl 4112 pitch trusses 2' O.C. 2x4 Wall Framing Material 0" gable/12" eave overhangs 112" OSB Wall Sheathing 5l8" OSB Roof Sheathing White Vinyl Double 4" Lap Siding 20 yr. Classic, Shasta White Shingles No Roof Vents Are Selected UUhite Aluminum Soffit & Fascia White Premium Roof Edge White Vinyl Overhead Door Jamb 1- Garage Door Opener Froni View �-= _—: i__ ---- ��e The options yau have selected are: Typar Hou�ewrap Back Vew �� 4 � `JO��adsu� �a�� 3�f�dlldWO� 3a0� �0� a31R�31/l32� - 1' .z,� ,,� � �,�...� - Today°s cast for materials estimated in this design� =The base price includes: 0° Eave10° Gable Overhangs, Framing Materials, �� qg E price�. 1116 OSB Roof Sheathing, 20 yr. Fiberglass Classic - Onyz Black Shingles, Pine Fascia, GaNanized Regular Roof Etlge, 8° Tezturetl Vertic�l Hartlbo�artl Sitling, No Senrice Qoors, No Overhead Doors, No Wintlows, or Any Other Options. � :_ � � r � � : ! : •� �. You may buy all the materials or any parf at low cash antl carry prices. Because of the wide aariable in cotles, Me�ards cannot guarantee �liat materials listed will meet your building c�de requirements. These plans are suggestetl designs and material lists only. We do not guarantee the complefene^�s or prices oi lhese structures. Tax, labor aotl delivery not inclutl�l. - / �. L � � � � � � V � W � 1: ' � N � 0 �o �0 I � .�� . �..° O� I � N � , •.. � a� 1 ► �� V l� � � � � � � � 7 ( � � � J � W �.� V 0 � � � � � � � -, r� -- � J � � � V v � � . � � �� _� � ' Q � � � �� + � � _S � � � 1 �! � � �� {{� � �" � � W H � 7 / Y U Q � � � � � � ,� � � 2 � � , 1%� V � �� l(� � S � A Z Q A Z W _ � W Q Z W W U � aZ �° X � �QL� o�o _. z°0a ac�� . � P4 H � N a� • Q N W \ �, � � Q � 3 ¢ vWi H = ..p U 0 � N, 3� �� A X = F— (U v � � � a � � r--� � � Q �, J Z � ` A '�t �—, � w J J P� � � Z � A i � �-- xwJ NIV-- f� � � > � � � � � x � � . � � � o� V � � .� � . � �� ' � �� V" fl� �v J H Q � LA.J A J J Q 3 a ^ � I e - � CERT I F I CATE OF SURVEY ��"� o Zo " k � rMEASUREMENTS SHOWN lN FEET AND DECIMALS OF A FOOTI � F 0 R ��.� s}��"'�[ 1�. � KUR T H SURVEY►NG, INC. 5CA ��` LE IN FEET. Ii�REBY CERTIFY THAT THIS SU : PLAN OR REPORT 4002 �ffFERSOld ST. PGE WA5 PREPARED BY ME OR UNDER D i RV I S I ON COLUMBIA �GHTS, A9V 55421 �' I b.� AND THAT I U Y L I CE SED LAN RVEY UNDER PW�� (763) 788-9769 FAX (763) 788-7602 DATE �' �@% � THE S �OF NNE50T E-MAI�: KUR7HSURVEY�ADC.COM �_ � RON MONUMENT�pr � O : 1i�Ci hG.� � �C..� ��ndy L. Kurih:' L. . No. zoz7o � —�o�=Po��Ta�.► La;T Russell J. Kurth, ..S. No. 16l13 t�u � � y � . _ 3G�+t��rs�-�S Q` � Q� �c" z r�� c � � . � _ � _ ._, �. I r Q � .,�1 �- � � �.� a� � � � ��,� ,�. - , Q _ o _ _ L� � P � I � �Y`' � y � " �o \ ° V �, o � � �o.s z5.3 «. � zz.Z � � e� .� cJ � �r � �O a- � � � � � s � a 'S't-1 t S � ` y " V .�' M- � '� Q t U' � � b i� �Q Y' H � �°�' �o � Z� � � � � V" 1 ` n V' �. � 9 � , �\ � �. � �3 � FY�Po�GP ,� C-► � �Z(`L�� N STAKE � B`t vv�l N i�(Z � � I ,.�� s d IIT N � I� � �� V Jr d Z Q ID ��. ��. �'�tis�� Y� � � ..�;,. � �. u ��. =��' �/ ' � � u o iZ�-t' t-1 L� �i := �'T �.. K-1 �.l. �. 9�1 �� ._ c� --` `i , t....: � � �,,. � . ►r\ � � � � { t� � �. `/ � ��,� �� o � � z� t�_°i � � �`n � !� � � �, � ��...�. � �c� �.,�°� °� i�-�� t�.t� �. ��`�'� , o� �--� oT d� �� o �� D ry.�-� s.� �x..-f �. ��'N o l_.. o G P!"T 1 b N OTN G'R- �t� l� L _ r, d ,-,.. � � � ( � � Y � s a: � � � � � 1 � � � u u � � N I � � � � � � � � _. T -� � � � � Uv � 2 � 2 ' -' �� •� V .� � v � � � � � � � � ,� 3 w H\ / F"' Z 0 � � PH. 763-42 I-64 I 7 CZARS OF TAR, 1NCo FAX 763-783-9183 18475 RUM RIVER BOULEVARD, ANOKA, MINFI60YA 55303 PROPOSAL AND CONTRACT PROPOSAL SUBMIT�ED T0: d� 1 i i:i �V � i'�' � r� � DATE: i�--- --' '' f� ADDRESS: .�'/ � � I� � � � � o�i ��'t' �-�- •-z. 70B ADDRESS: CITY/STATE/,�IP: �=,�! ! ��Y �. '��°y,� � PHONE(S) �: � / ' � �'�"'�'�; c-��,•a � -i . ln o-� o ..a ✓ ESTIMATORS NAME: � _�'� " �, MAP: ':..: r�! ,J'ry� %' : i -•- PROPOSED SPECIFICATIONS: CZARS OF TAR, INC. PROPOSES TO FURNISH ALL LABOR & MATERIAL NECESSARY TO COMPLETETHE FOLLOWING: �'-� • L�2. �� ❑4. ❑5. [�6. f �7. ALL OF REMOVE & HAUL AWAY: � ASPHALT,� .,� �SUD/DIRT__ CONCRETE __ OTH.ER � NEW EXCAVATION TO=BE..� �INCHES�BELOW . . .� FINISHED GRADE � iNSTALL CRUSHED CLASS 7 AGGREGATE BASE AS NEEDED TO ESTABLISIi A�,INCH GRADED AND COMPACTED BED. "fr. SWEEP AND CLEAN DRIVE, APPL1( TACK OIL AS NEEDED. OVERLAY EXISTING DRIVE�NITH INCHES HOT ASPHALT ` GRADE EXISTING BASE ADDaNG AS NEEDED,�AND COMPACT. �,,,.: PAVE W(TH_�� INCHES OF HOT ASPHALT MIX 2341A OR�2341 COMPACTING TO�A _'i` y..-- FINISMED MAT. � `��"Z-- OTHER _ __ _�_ _ �—� L�_•S/O 1 L , /C �a_�'12 ,{� Z. c �f ��'l� . _,� � L �� E _�v d - _,_ WORK TO BE C MPLETED IN SUB,ST,4NTlAL AAID WOI '-� ,,z.�.,.?.j% ,:t!��.-� _�__. SITE PLAN�AREA OR SEE ATTACHED � � .� 6 �1 � �� 1 �� --� �� :l � , H d- � �,. �f �'� C�--�- i �� E � � �� ; --� r� F. j '' .� . .I ��,� . ''� ' '-. ' �� FOR Payment to be made as follows: ' � ✓7 a down ;�'�� % after bose work is complete and balance due upon completion. Ar�y unpaid balance wi!! accrue interest ai 1.5°a per month, 18% annually. � t �, ��----i� �, ,� -•�- � •�i � . {,� •� �. �-- t- f �' {' !� )?� Q. CiU ( i p°� e a' U C I j i _ �`° � , � ��,� 1 t. - ,,.. � , ,�: t. ;�-" �''1 Y��/�� p� ; i� f,; � �; , � - --° ! � � {' F• , .; ji ' � - "1��/' :��"�✓� _�� r ,�' f � � r � % ,� /�: OF: t —�i —3 4�� ,, �"� .. rs $ u, � �. .,. AJ/ materin! /s guaranteed to be os specl(ir�. A/1 work [o be compteted in a workman/tke manner according to s[andarJ pracUcec. My altuation or deNatton (rom obove speU(ICO[lons lnwfv- Ing extro cos[ wf/1 be e�cecuted on/y upan written orders, and wfll become an rxtra charge over anG abnve the es[fmnte. A/l agieements co�rtingent upon sMkes, naidents or delpys beyond our cnr+bol: Owner to carry (lre, tornado and o[her necessary Jnsurante. Czars of Tor lnc. [arriec publit llo6fUry and workmon's cnmpensaUon /nsurqnce. Notice of lien: Persons or companies furnishing labor or materials for the improvement of re�l property may enforce o lien upon the improved land if they ave not poid for their contributions, even if such pArties have no coniractual relationship with the owner. Minnesota law permits the owner to withhold from his contractors so much for. the contrad price.as may be necessary to meet The demands of all other lien daimants pay directly such liens and deduct the cost thereof from the contratt price, or withhold amounts from his contractor until contrador furnishes to the owner of claim for mechanics lien signed by persons who furnished any.labor or materiaf of the improvement, and who provided the owner with timely notice. The owner hereby w�ives al! further reyuirements of notice under Minnesota statute 514.011. Yorar d►-ivewcry cArries A � yeAr str-ucturAl g�ArA e�; _.--.. f,-� ,,� .: � /�f a� � —.._.--f' ; � Le._. ,r %: � ''� I'� ;; f� �, �tf� ' �'-'�' DATE�l.t-v �r� x j� ��,' ,Cf � " ��.i' G_; ' � Sighaty��t{f Owner f IGNATURE OF CONTRALTOR I AGREE TO THE TERMS A OVE AND BACK NOTE: This pro�osal vnay be withcfrawn by us if not accepted within �J cfays. � � � L�� . , �� ;1J ;lJ � N (1.1 ( � l� � � � � � � —�� .. � -� � � � � � � 2 `, Z / -' dv �q � r V .� � V � � � � _� � � 1r� 3 w H � �' z a � �