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AF - 46928O � x r � � � y x x � o � � � x x z � �n��o RP � � M � � � n � � � �� n �n � � o � �E m � � Y � � c�ay y y ¢ " � �•.. `� 4�'� � � M .. t� o k � N N � o� o � O y • O � o� . : [ : : � � � x k �! k � N � 004�, H! {fl {fl � 0 � Y � � a°o � 5�d b e�► O � 0 0 0 0 O m � � 0 O � � o w � o w � w . � � �, � ce °�_ � � � � � � � � � � � � � � � � � � � � � � �� z � ;� �� y � � ° � � �� n zs�z � � � �o 0 s � O r o� 0 � e° � � o w � � � � � � r"�. y O � M � � � to � . m � • m: p' : � � � � � 0 O tfl �� w a o °o ',� ',� �� o� 8 ti � � �� O c�o y � � � � � � � � � � � � � � � �� 0000 f!i �FA ffl S!i � � � � �, x° '�O 0 �� O � a . fi i � � � � � � � F, � z m � 0 �C � 0 � n � m � g �. � �°� �° �� eo R° R° � � 3 �� '� � � �* p�, R° � � O � � � � �r' '`� � � v"�� a, � � � o p, � : � .. � o : : � � $ : : $ 0 .° : : : � ��N� 00000 � � � � � � � � � � a. a. � � bd � o�' � �°mb �S ��'� � � o � tt� R° �, �n y �a�.� � � a �/� � Fis F_ M � � � � O 0 � � � � �, b � o � a � � � a v' . _ ca . . � o : : 0 0 : . o . . $ : : : w en a o� � �000 p O O p tn ifl 0 � O � � �y n �' � aa� � '�'f (p ,�%, �'w .� r�s O � �y � y �m � pp�Q�� R�. w �d � � om��' p �ov� � �, �� p y ��A � � � � � ... �► E . 0 . � �ro�. , i m � � b��'o� � � �� wv�inn o- �.fn m CL ��'�p � � � � �� ay ��m � . � a� �� a � �� M �� o � � r �D �y. I � � , � D '� D r � m y _ m C m d b M m � d% � � A A V O � 'o � � � � O � ao 0 � �a o; � o' � � � � � �� A ; �. � A .� � 3. � � � � � ' o. � �r FIRE DEPARTMENT MEMO T0: BUILDTNG INSPECTION " ASSESSING SUBJECT: FIRE DAP�AGED STRUCTURE DATE: Dec�. 28, 1981 FIRE HAS OCCURRED AT 576 Ironton St., owner: Shelly Fitzsimmoas ADDRESS December 23,•1981 DATE OF FIRE r � 1J _c.t._.-�� e .i Ii� FPa-s • SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � � COMMUNITY DEVELOPMENT DIV. L PfiOTECTIVE INSPECTION SEC. i ` _ � -'- r � "" ; � , � _ ��"1 � CITY HALI FRIDLE� 55432 NUMBEP REV OATE �"-'� � �'� 612-571-3450 910-F15 2/22/94 J08 ADDRESS 576 Ironton Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 41,42 G Riverview Heights 2 PROPEF;TY OWNER MAIL ADDRESS Z�P Patty Donnay 5980 2 Street NE, Apt ��1, Fridley 3 CONTRACTOR MAII ADDRESS Z�P Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASSOF WORK � NEW MAIL ADDRESS PAGE Of � � ✓' PERMI 22305 R�-f�PPT"N��O. �`�9 APPROVED BY SEE ATTACHED SHEET PHONE 572-8011 PHONE LICENSE NO. PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANOE OF USE FROM STI PU LATIONS TO TYPE OF CO SEPARATE PERMITS ARE REQUIRED POR ELECTRICAL, PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFiK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 7O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- � STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. _ OF CONTRACTOR OR AUTHORIZED AGENT IDATE� ' �� ' 7' o�m NFRRIllI.�ERI IDAT i _ �CCUPANCY GROUP OCCUPANCY S�.FT. CU.FT. OFFSTREET PARKING STALLS GARAGES SURTAX .85 SAC CHARGE Fire SC 1 TOTA�FEE $41.55 g�-�(ALI AT D THIS IS YOUF PERMI �' �/ A�a �e�i°�-C r1Ew ADDN AL'I:ER �l [l [l � . CiTY OF FRIDLEY. � . ' SINGI.E�I;'AMII.Y.AND DUPLEXES R-1 AND R-2 � . � � Building Permit Application � . 0 Construction Address : 1� Effective 1/1/94 �� Legal Description: " , Owner Name & Address: ,�'�' fsp � �`'0� � el. # A 5 �� // Contractor: MN LICENSE # Address: LIVII�TG AREA: GARAGE AREA: DECK AREA: � '1 ' . Attach to this application, a Certificat� of SurveX of the • lot, with the propos�. constructian dra�vn on it to scale. DESCRIPTION OF IIVIPROVEMENT Length � � � Width � Height ' Length 2G' - � Width � Height Length ' Width Hgt/Ground e i,r /.. ,.. � A w e f1 ...,, e, ,, Tel. # _ Sq. Ft. _ Sq. Ft. Sq. Ft. � c � � F?� Corner Lot {] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: �.e Estimated Cost: $ f 7 �� Approx. Compledon Date: . �..:� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =� DATE: � �� y APPLICANT: �2� ��`�/ Tel. # y" �72 - �l� // Pennit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � �C�� $ �- �� $ � �' $ $ $ $ $ $ $ , �'�� ' 1 �!_ Fee Sch�ule on Reeerse Side .OQl of Permit Valuation (1/lOth%) $.50/$i,000 Valuation $800 per SAC Unit $5.00 (State Licensai Residential Contiactors) Al� "A" or Alt. "B" Above $450.00 Conservation Plan Review Fe,e Determined by Engineering Agreement Necessary [ ] Not Ne�ress�► [ ] .BUII.DING PERMIT FEE SCHEDULE The Cluef :Buildiqg Official shall, � before iss�ting permits for the erection• of any building or sh�ucture, or for any addition to any existing building or siructUre, or for any alteration or repai�r to any existing building or structure, upoa app�tication therefore, require �e payment by the applicant for such permit of fces to the amount herein below se� forth and in the manner herein provided to-wit TOTAL VALUE $1 ' �� to $500 $501 to $Z,000 $2,001 to' $25,000 FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $S00 plus $2.for each additional $100 or fractiom theieof, �to and including '$2,OOp .$45 for firsf $2;Q0p pius $g for �ch additional $1;000 - or fraction thereof, to and including $25,OQ0 . $25;001 to $50,000 ' . $252 for first� $25,000 pl�s $6.50 ,for each addifional $1;000 . or fradivn thereof, to. and including $50,000 $50,001 to $100,000 � $100,001 to $500,000 $500,001 to $1,000,000 $I,OOQ,0p1 and up $414.50 for fir� $SO,OOU pius $4.Sp for each additional .$1,000 or fraction th�eof, to aad including $100,000 $639.50 for first -$i00,OQ0 plus $3.50 for each additional� $1,000 or fraction ther�f, to and inclnding �$500,000 $2039.50 for the first $SOO,Upp plus $3 for each addition,al $1,000 or fraction thereof,.. to and including $1,000,000 $3539.SQ for the first $I,OQ0,000 plus $2 for each additional $1,000 or fraction �thereof - DRIYEWAY DEPRESSION ESCROW (Concrete Ctirb Stireets On1Y) Alteraaie "A": Removal and replacement of curb and gutter only - Driveway width plus b 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 coastruction site. A Certificate of Sucvey of the lot, showing the loca�ion of the foundatioa once it has it has been constructed will be required before proceeding widi the fcaming_ s� SUBJECT c�ty or Fr�aley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � ; L ___�� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � _ �"'1 � CITY HALL FRIDIE� SS432 NuMeER �""'� � �'� 612-571-3450 9t0-Ft5 JOB ADDRESS S�C) Ironton Street NE 1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION DESCR. L►j,42 G Riverview Hei 2 PROPERTV OWNEFi MAIL ADDRESS Jerry Kloop 576 Ironton Street NE 3 CONTRACTOR MAILADDRESS Steve Bodinski Construction 2215 135 Ln NW, 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL B USE OF BUILDING Residential 7 CLASS OF WOHK ❑ NEW REV DATE PAGE OF 10/13/97 � � T�lt S Andover MN ,�'I�AIT NO. 255�7 RECEIPT NO. �.d J �� APPROVEO BV SEE ATTACHED SHEET 783-0401 ZIP PNONE IICENSE NO. 55304 754-8917 ZIP PMONE LICENSE NO. 20019069 ZIP PHONE LICENSE NO. ❑ ADOITION � ALTERATION �] REPAIR � MOVE O REMOVE 8 DESCRIBE WOFiK Reroof House & Garage (14 SQ) Tear-off 9 CHANdE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV iiROUP I OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. fT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GiiANTING OF A PERMIT �1 � 16$ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE PROVISIONS OF ANY OTHER STATE�OR LOCAL LAW REGULATING CON- �/�,0. ZS STqUCTION O E PE MAN CONSTRUCTION � PLAN CHECK FEE LiGense SC $5.00 SIGNATUfiE OF CONiRACTOR OR AUTNOpIZED AGENT IDATE� � WHEN PROPERLY VAl iDATEi e � CU.FT OFFSTREET PARKING IGARAGES $.58 SAC CHAAGE Fire SC $1.17 TOTALFEE $47.00 IS YOUR PERMIT �v� �� NEW [ ] ADDN [ ] ALTER [ ) ConstructionAddress: Legal Description: CITY OF FRIDLEY S[NGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIOIV / �� 5 �7I0 Owner Name & Address: t� P�r Contractor: �/' o � Address: � at f 5 J 3� T�' � ..L ✓'o�. Y'o n . �✓'O � �D /'l , � �i/oU� /'� SGIr pnS�, h i � �� j/ �N�°l'. /�%� `7 7��d Effective Ul/97 ��g � � d�� Tel. # % �f �� a'y0 / MN LiCENSE #� Q' D/ f D(� ! Y� Tel. # �%S�/ - � `�j/� Attach to this applica6on, a Certificate of Survey of the lot, �vith the proposed construction drawn on it to scale. AESCRIP'rION OF Il1�IPROVEMENT LIVING AREA: Len�th Width Height Sq_ Ft. GARAGE AREA: Len�th Width Height � Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft_ OTHER: ��Ger D'� %�C DD ��t s� ` Cra9 P j' �/ ��3�ar5 . � i '�'E'�r D� Construction Type: ,�J � �(� ��' . Estimated Cost: $ � ° �� /� � �" � � --� • , . (Fee Schedule on Back) � . Driveway Curb G�t Width Need�: ' Ft + 6 Ft = � ` �t x $ ` -. ` - $ . . , DATE: �' (� � � � " � � APPLICANT: �! Tel. # �SY` �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charae TOTAL S"('IPUL�'['IONS: � $ �;��.�'� $ �• "`� �� $ , a �-- $ $ � a� � �� $ $ $ $ $ �t` ., � C� CITY USE ONLY Fee Schedule on �Reeerse Side .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 [ ] f�Utt,[)L\(; f'F;It��rt["i' r[7.;E SCf-[EDt't.f�, �l�lic Cliief f3uilding OI�1�icial si�all, hclor� issuin� perniits for the erectioi� c�f any building c�r structurc, or ti�r ai�y addition to any existing buildii�g or s[ructurc, or for any alteration or repair to any cxisting buildin� i�r strucwre, upon app(ication therefore, require the payment by the applicant i'or such permit of fees to the amount herein below set forth and in the manner herein provided to-�uit: � TOTAL VALUE $1 to $500 $�01 to $2,OQ0 �? , �O 1 to �25, 000 $25,001 to $50,000 ��O,OQ1 to $100,Q00 $100�,001 to $500,000 $SOO,OQI to $1,000,000 � $1,000,001 and up FEES $21 (Minimum Fee is $2i plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,(� $62.25 for Frst �2,000 pius $12.50 for each additional $1,000 or fraction�thereof, to and including �25,(}00 $349.75 for first $25,000 pius $9.00 for each additional $1,0{}0 or fraction thereof, to and including ��0,000 $574.7� for first $50,000 plus $6.25 fo'r each additionai $1,� or fraction thereof, to and including $iQ0,OQ0 $887.25 for fust $1�,(�0 plus $5_pp for each addifion�.l - $1,D00 or fraction thereof, _to and including $SOU,� <, , $2887.25``for the fust $5�,000 plus $4:25 for e�ach additional -` , $1,000 or fraction thereof, to aud including $1,0�;00p $5012_25 for the first $l,t�p,ppp pius ;�2.�5 for each additional $1,0� or fracfion thereof DRIVEWAY DEPRESSION ESCROW (Concrete (�cb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.50.. A(ternate "B"_ Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway widtli plus 6 feet ti�nes $15.7�. VERIFICATION OF FOUNDATION I'c;-mits for coi�struction will be issued a minimum of 24 hours from the time of application to allow �or prop�t- rcvic�� vt' the pro��osed sttucture and of the construction site. %� ��_;ci�tit�ic:ilC Oi �Ui'V(;�� c�f� thc lot, sltowin�, thc; location of Ihc �oundatio�i �+I�ce it }ias it h;iS t�C::il CC1n�ii'UCit:::{ .. ; h- �-�yuir�,:cf hcli�re J�rc,.:��din�, u�itli H�e fr.tinim,_ - _ ,,� ,>: ADDRESS . PIN • LEGAL DESC . PERMIT TYPE . PROPERTY TYPE . CONSTRUCTION TYPE . CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 r'AX: 576 IRONTON ST NE 033024230059 UNAVAILABLE LOT BLOCK ELECTRICAL RESIDENTIAL ADDITION/ALTERATION 571-1"LS"/ PERNIIT NO.: 2004-00775 DATE ISSUED: OS/25/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. WIRE AIR CONDITIONER # INSPECTIONS 1 APPLICANT KOVAR ELECTRIC LLC 23049 ARROWHEAD ST NW ST FRANCIS, MN 55070 OWNER KOOP GERALD C 576 IRONTON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and e�catnined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 6078 „�,�,,. SEPAKA'1'� Y�KMl l � tc��uuc�L r �ic w vnri v � nnn � r,�.,. i�i:.��.avuuL a�uv • a.. 20.00 0.50 20.50 �uilding Inspect�ons 7. 63-572-360�4 SFTB ADDR�SS � i�IIS APFLICANT IS: OWNER/ TENAN`�' � � MEC�A�XCAL Pernait No.. V`r� r�� YtE'�SII)ET�'I'IA.L APPLiCATIO�.Y ��i`'� By: � �r� o� ��a��' Date Rec'd: _ .o.s— YOUR FrMAII- ADDRESS O OWI�tER �1(� �° I° �e CON�ANY NAH.�:J �fANTRACTOR ��)�I (i l� l 1 � S'CJSMIT A COP'1�'' OF CONTAGT pF�itSON: ,��►�e �� ca �totnz sra� srA� uc�sE � � DA'I'E t,ic�tsE wrrx An�x�ss��5 �.� � i� c� �e— c�r�r St- (��- sra�� 5'S t� arp�.tcartoN �or�,�„ 2,�° e-' q oZ ► F,�x S t�. Z �— c�� , PERMiT �X'YPE ��GLE FANiIL'Y 0 TWO FN+R1-`Y [] 70�VM�10U5� ' TYP� OF WORK: o rr�W ��cEMErrr D N.��owREMOn�a. � D�TAII,ED DESCRIPTiON OF WOR]:C d d ' �� P�R MS 16B.665 tlae permit fee is a minis�a�ae of $15.40 or 5% of the totat cost ap to SSQO.OQ, whichever is grcater, f�r the improvernent, installation or replacema�iE of a r�sidenflal fixu:re, exclud�g the fixt�ues. {'�'his should re8eet only the cost of labor } Lahor wst tmder $300 =$15.00. Labor �sr between $380 to $500 ° Cost of labor `� R•OS ° FOR PROJECTS � U1BOit EXCFERS $500� F�FS ARE $ASED ON 510.00 PEit FIxTURS. L7CGEP'i' W� NO'�. FDCTLTRES: (AIDICATE TOTAL rtT.TMBIIt OP EACH BEi.OVI� MODII.: �_ StZPJBTU ��1� �m� (�{e� , MFG: la�' _C3�e��'`� SIZE/�t7'I1 � �,: �� v.J MODF.l..: ._--- S¢EBTU � �}: MObEL: ,!_... A/� 3Z5.� �,�'7REP'i.ACE (GAS) 515.00 GAS RIWGFJOVEN S10.00 AIR TO AIR EXCHANGEER $l5 FlR�,7LACE (WOOD) 535.40 I�W c3AS GR�..L SI0.00 BOIf.�R S33_00 �Fl1itNA�E 533.00 ,,,�CrAS U[JC!' ii11t 510.00 CH�IEy L,IIVER $10.00 GAS DRY£R 510.� ,�PObL HE�F►'[°E1L S35.OD DUGT WORK 510.00 GA5 t'iPiNG 530.00 Y�TJTIIATOR 515.00 � � — �5�7 rur�.� .-�.a—.�-�.—..a.-�—� __ • -- . Pet[nit �ta $ __ . Ntunbe� v� es • x • ° ° • Suraharge S _ ,50 . Number of fixhu� @$15.Ot1 x$15.00 = S TOTAL DUE $ ��,� Number of �'ixtx�res @ �25.0� x $'15.40 = $ Numbet' of fixtttres cQ $35.00 �d x$35,00 =$� State Surcharge � S 50 Tota1 � S� '�1.5 IS AN A,P'P1 ICA7'TOI�1 iOR A PERMtT�►OT vALID UNx11. PROCESSED ' I hereby apply for a building perrmit a�ad I acl�owiedffie that the infnrmation abovo is cfliaplete and ac�urate: 't3tet ch° work w�71 be in confor�ance with the ordiaances a»d codes of the Clty of Fridley and with the 11�nnesota �Construction Codes; that I nuaerstand tbis is nat a permit b�t o�1ly an appl� on for a permit and work is not �to start witlio a permit; that tt�e work will be in accordance with the approved plan in t�►e case o all ork w'ck► tequir eview end approval of an . 3IGNATURE 0� APPLI PRWI' DATE �/'l`� ,� . � — �� A Ckty of Frit�ley B��lding �nspections �epartme�t 643I Ucuvers�ty Avenue N�, FridleY, MN SS432 '163-572-3604 Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS " . THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMYf TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS �L� ?�� ❑ OWNER ❑CONTRACTOR � ` r ESS: S' � _ � ✓ s r. CITY � r�� E:h��l �s�n��4i� STATE LICENSE # EXP DATE Permit No. ` Received By� TE�ZIP. ADDRESS: CITY STATE ZIP PHONE pp�{ INGLE FAMIL EW CONSTRUCTION 0 EW CONSTRUCI'ION ❑ BASEMENT FIMSH � ROOF 0 DECK ❑ SIDING ❑ SWIMM SIZE TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTITON �,MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: �' rQ SIZE OF IMPROVEMENT LEN � 3 WIDTH ��G ❑ HOUSE ONLY NUMBER OF SQUARES ' ❑ HOUSE & GARAGE GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: ❑ DRAIN TILE ❑ OTHER BASEMENT REMODELING SiJBMIT l. Existing Floor Plan 2., Proposed floor plan 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl OSoffit ADDITTONS. & PORCHES SUBMIT �� ❑ Trim 1• Site Plan/Survey showing the existing structures � �►� ❑ Faccia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WIldDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ _ __ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Swchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ �� v �'� 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 THIS 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 accura.te; 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 hich req�es review and approval of plans. SIGNATURE OF APPL.ICANT ' �(�an, PRINT NAME U@�ff�l� _ LJ . W� 5 DATE �°'�5�� 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, reyuire 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 $100 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 $] 0.10 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 forthe 1�` $1,000,000 plus $3.15 for each additional $1,000 or fra.ction 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