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AF - 47061Citp of Fridlep, Min�n_ � 1113 2 6431 Univeraity Ave. N. E., Mmneapolis, Minn. 55432 BUILDING PE�MIT �ate: �g�., � ��i OWaet: ._A�w'! �-1ia�a Builder Same Address - A1E�=86tta.-l�ven�a.e r� Z►T. Address _SR�e - LOCATIOiV O� BUILDING No 670 Street Ironton Street N.E. p� of Lot �� _36,��,38 ,$�� R Addition or Sub-Division _ Riverview Hei�hts Addition Cor�er Lot inside Lot X Setback Sideyard �� '�� Foundation IIevation DESCRIPTION OF BUILDiRIG To be vsed as: _ n�,P 11 i�_„_ �nt � Depth �3.$_' Height _._2 Q_� Sq. Ft �2$.�. Cu, Ft. .�2,_ZCiQ .arag,e F1,ont .��_ Depth ��. Hei�ht 1� � Sq. Ft � 2� � Cu. Ft. -4a 200 � Tj►�C p1 COl'l8jTllCtfpII _ T'+ramA �t, �s� ��`18. �11 To be Completed Nov. 1�, 1971 Stipulatioss: Provide a hard surface �1�{�� drive. Provide verification survey before capping basement. WATER L�ATION:96' West of Ma.nhole 10' East of Sewer Service SEWER LOCATION:106' West of Manhole Wye Elevation: 820.57 Top of Footing: 823.57 In consideratton of the 3ssuance to me of a peMnit to consiruci ti�e building described above, I agree to do �he PraP�d work in accordance with the desc�lpt3on above set forth and ia compliance with all provisiona of Ord�ancaes of the city of Fridley. � - `,��i � ' � 9 0 t S�ir�harg� In con�ideration oP the payment oE a fee of $ 4�0 , permit is hereby granted to—A� W i 11 � am� � to construct the building or addition as described above. This permit is granted npon the express condition that the person io whom it fs granted and his agents, employees and workmen, in aIl work done in, azound and upon sa3d building, or any part thereof, shall conform in all respects .to the ordinances oF Fr'idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building8 �� dty Ifmits and this permit may be revoked at any time upon viola.tion oE any of the provisiona of satid C � f` T AR �('F RFT TST F NOYICE: ffiis permit do� aof eover fhe eonsfrudion, tnafallaHon fo� wtrLeg, piumbing, eas heating, aewar or water. Ba surs to sas �6s Building Iaspecro� for separate permits for iheae itema, � �.- - ' �:. . � �� - . � `;i��ti�ll� ,� �. �.�'� -- � 4: .3�.�` . . . , , '�k . i, �� 1 \ `�. ,; 9 .- v .'. � .�.�`�. - J� � , � � ��5�~��r�`r� ;� � , � '.,3 y r � ;= � � � ��` 4 � k jt A � } � �,� -11!lIi7M� M�S- -.. �` �c i .`� � � �� .{� � �� t��i � b k�T� a AM . � �� *� s � `�-� : � ' . �;�,: _' _ . . : ,� yr_ � -�'. 0 a� �"31 � �'� �. ' : �• 4 � �. � F. .�.�. ._ , s. _.:.X�- .5t,�''"... , c . . �"'� 1 � � `" '�'�`�€. ��' �.�� a�� ;� � , ' - , s � �;; `�° � �'�,��% � ,� ,:.�, F . �t,{•i- I y _ ��r t�r ''y :. = '� �:;,�: �� .. �� ,r t :; � , � � �� R �� M'�`t..�' 1 :T t _ 1�� 1��ki/'M�� ' - - ` _ T t � �t� 1 � _ F " � ;� �'� r .r f �� °� � `� �� ,' �' �� ..` .' �'. "i�OMl.11tiD�M Q'#li;� � "!'11� ��1'�i �S i1�il�ft�i►, �,..::� � . Q�� ' ' �r.a�� ,�.....�+� .�. �` . ' i�lf� •'�� -� �+�� 1. � o_� �1�it�!"� �I�U�1EM'C $: �,; � � � � y � .� '�`ayryr*+r�„�=�►.. �,�c. s.� r:- t�i s'�i 1+�w� ap. L; �^« n � � } � � �'. , f X� i „ '� ', � �xY � � ' . � � � ��}..� � fi )'p t g � . .� } $� � �,: _ ,�' d . , : "x� �' F, _ _ < �: .�,- �: '1 C �% k- " �� il�- � k° � �5' �' � '� �,i^�ri.� . � �, � _ ._ , . . . . . . : . . . � ��,� �� . _, . ry $ f �� : ��i_+ a.. . .. .t�� . . .. - .,.. .� � � �, � , . ' x . � }� �6, �. �" � +io �4 . . .�!�.R� . � � . i n � �De.t � x � `'` � .aa �4�� t'� { '' t �..� � oY++..} .� A � i.. ? f�. ,,,'�e '�'' a� � r.`, - h4 3y ' , :_ t, � & �`.. . fi .- _ �':' � '.. *� � w �?�� z � s..' � � � � � b+ir��iw��aar�rr�r�Y�. ;•�»� - - : f' � � 4 3 C�" � f � ;� 3. �s.. i� x � � : � p . � ♦ ? t! .',",' � ' I•.: u% � � ��' � t� � . 6 E . R .'; ♦ (s�� ihiili! � F iy . _. . � 14r.., I - ��. �: � � :� �r i��.+-' . � - � ' � ' . . ,.., " - : . . . .' � .'� 3' :� . � I C AT E. O_ F S U R V`'�Eq'�Y `�� CERT1 F JAM ES L. KURTH LAND SURVEYOR �. .� 4Z01 N..E. 5TH STREET 7�_g��,q COLUMBIA HEIQHTS SS421 � MEREpy CBRTIFY TMAT TNIS SURdEY, PWN. OR REPORT WA8 PREPARED BY ME OR UNDER MY DIRECT SUPERVISIQN ANO TMAT 1 AM A DULY REOtSTE1�EU LAND SURVEYOR UND6R TNE LAWS Of THE 3TATE OF MINNEBOTA. , � ' ��j DATE 4'29 '�-� � G`l- �� SCALE t"= 3� , MIPINESOTA REGISTRATION NO. 5332 0= IRON MONUMENT � , . _ - - � � � - � IZ o � �-c a N. _ S •— . - - I � 0 m 99� s, �� s- 11.5 � �S � �� a -�- ao � r0 4 � � � � 3, ,� - ' � J; _____ - s.o � �� /� /1 � �� `�fi.. � ii p/ „ o 0 . �� m� i o' � ��,4 �,s,� -� "�:�...o -� .. , �::. � Svrvey of Lots 3b. 37 Q^d 38. Block R, Riverview Neights, O�no�ca Ccwnty, Minnesofo � �,. �- � , � _� � ,. q - Z �..o � - r r� APLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :� ,�, �l � L/A iti C BUILDER : .S'� �j ,� annx��s :_ �� °� � � �J Anrn�ss : _ S A.�. N0 : . , � (�� STREET : _ � �6 �/ �`'�'J LOT:,��-�7� j�'/ BLOCK: /� ADDITION:_ (�` i!/�'�/(� �/% /��% ��%`S CORNER LOT: INSIDE LOT:�SETBACK: SIDEYARD; Applicant attach to this form ltao Certificates of Survey of Lot and proposed buildiag location drawn on these Certificates. BESCRIPTION OF BUILDING To Be Used As: � ` � Front • �� Depth • .� � Height • � �,-' Square Feet : �� Cubic Feet : ��;j ,�'�� .- cg1� �' Front : ,� p Depth • 02 % Height : � ��' Square Feet; '��' �' ��' Cubic Feet: - �� 1�ipe of Construction: �j�iq-,i.� ,� Estimated Cost: $ � �, � � � . �' To Be Completed: _ /j/' r� J/ �% —/%7 �_ The undersigned hereby makes applicativn for a permit for the work hereia specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and sulings of the Department of Buildinga, and hereby declares that all the facts aad representationa stated in thia application are true aad correct. � DATE: `�� SIGNATURE• . � (See Reve se Side For Additional InfoYmation. ) - -°'' ,� � ' - `�1 ' �s , 4 .. .��, �`' - �^ <' � � ; , . ,, '�' � � IJ ,,,� � ,�. � .�/�--•- ` ` ��, � • � � '�. `'��" �" � d ;��` � �' r� �' „ � \ � � �" ! � � � �..�,y� °�" � ? � __ � �� _ � . � c' , � , , -' 1 � ,� `'.�'� )-�'` e p �� z BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, o'r for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the appl3cant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: UTTIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point aix (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average* height of the roof aurface of the ma.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Penuits for construction will be issued a minimum of 24 hours fram the time of application, to allow for proper review of the proposed structure aad of the construction site. A Certified Survey of the lot, showing the l�cation of the foundation, oace it has been constructed, will be required before proceedint� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy qf any structure for which a building pexmit has been issued; and said structure shall not be used or occup�ed until a Certificate of Occupancy has been iasued. • � - _'� .� -r. , - �-- .� -_ ._ _-- -- �, - y - - �� . �t � � •; � , ,� ,�-,, v I - q'*,� � A li , � -.-� ..� , � � � . 4 Ae � , � r 0 � � � � �� 1 � V � t� � � � � �� O � � � O R � � � ��° � .�..,.,- .� _ � � � U, ,�, �� fi � � � .. ��w � O� M � C �r s ~ �� s r � ��: �� : �� . m _ : : � �. : ' � $ : �. °° � ° � $ � 8 � 8 � �` o �` � � � O r � � <� M I W� 00 W V � '� � ., � �o � C M �. �: �� ' : � S � � � w �r �� a a � " 5C N Q A e�o y o q � C �� °�� x�� o��o � � � $ �: ��. . : � � : : o � . . �,. : : � : : � . W ;7D p O � � 8 8 � � ° � � � � �z � � � n � �, � �, �, � x � � � d � ° q � � � � � O ,� � o � o � ; � � � 8 � ,� � � � � � o � o a.� � � �� z � � � b V P� � � �. m n �� P. � z � 0 b �. �. g �. o � IG1f � � 0 I I 0 � �� . � � � �� . �► ° �, Ro � � � M 00 � �� ; �� a� � � � °' � : . `'' � � � � � � : : : � � W O� O� h� O. 8. 8 8 � 8 � � Q � � � � �. � � � � .. � � � � � � �� y�� R� R° � � � �a�.� � � o � M � � � � F � � � �� a, ° : a�': : � g : : $ $� � � � .. w � � a � 8 $ 8 8. � � I �i � ( �+ '� A ��.�� M �a� m�� ~� � � � e�� o� b ��o � od�� M 0 � �� o�� M �' � �'1 ��m a� �� .. m �� . �� S � � � c� � s� � c � � � �; D � � � � � � m C7 � � � � � t� �z ,` h � � 0 �i � � � �. � _ �o � �.� W � �. � D . � � � � � �� _ � �� .� HEAT LOSS CALCULATIONS DEPARTMEIti T� Weatherstr_ips A.S.H.V.E, Constrnction N Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Yes—l�lo I Yes—No 19_ Fl.� Room � Length� �idth Height �� Windows an oors—Crackage and Area - Wldth Height No. ot Llneal [t. Area No. of paae ot pane Ilghte o[ crack eq. [t. , — . �� , .3 .;z �. v z. J� , 1�. � � H / �'�. ��s,'� Coef. Btu Inhlcracion , 3� <�-� / C.lass . .5 .� 3 �. Eap. wall /1 k Net eap. wall �? / �� Int. wall Ceiling ,� Z j � Floar � � �� z ,�. � Total Btu. / ,�'� Required sq. ft._ E.D.R. or sq. ins. W.A. Leader area Fl•� ) � ' E�oom ( Length � �idth o/ Height � Windows and Doora—Crackage and Aeea Wldt6 Helght No. of Ltneal Lt. drea No. of Dane ot pane - llghts ot craek �eq: ft. �� Coef. Beu In6➢tration � S' ,� J , j-�. Glaaa �� S / ''� � �p. Wau i � x �r 9 � Net exp. wall / �; / Int. wall � Ceiling � Z, ll z, � floor _ � 3� % � — Toeal Btu. ^ �(' Requiced sq. ft. E.D.R. or aq. ins. W.A. Le�der area �1. Room � Length Width / Height Windows and Doors—Crackage and Area Wldtd Helght No. ot LSneal tt. Area No. o[ Dane ot Dane Ilghta ot crack sq. ft. Infiltration I �d�i� " i'sI858 % .�/ _ ��. Weu � x I �.2 1Vet eap. wall 7 ,; �ot. Wau Ceiling J t / }� loor � i 1 y Total �tu. Required sq. €t. E.D.R. or aq. ina. W.A. l.eader area Btu ��,.� �F INSPECTION MINNFAPOLIS� MINN. o. Y�sulation Roof F1oor Kind How Fl.� Room Lxngth Width Windows and Doors—Crackage and Area Wldth Height No. ut Llneal fL Area No. ot Dane ot pane Ughta of crsck eQ. tt. � I � Infiltration � � � , C,lasa % G ��` E.�p. wall �- G, k ' Net egp. wall j Int. wall Ceiling � � // �j � Btu l� �� yx Floor � X f / % ' � o � -� Total �tu. / 1/ ESequ�red sq. fe. E.D.Re or aq. i�s. W.l�. I.eader area Fl.l � Roam I i.eng�h � Width �' Height �� Windows and Doors—Cracka�� aaad e�►rea �6'tdth Helght No. oe Llnesi ft. Aree No. ot Dsne of pane lfght� oi crack aQ. [t �-9 � � � � � Coef. Bm In6ltration , 3 �' G1ass `� e/ S/ � �d � �p. �au - -- � x I Net esp. wall Int. wall I �, Floor V � X .� G % � a Z Tota1 Btu. � Requieed s�o �t. �.D.iZ. or sq. nns. WA. Lead�r area F7.� Rmaua I Length Width �� Height � Windowa and Doora-Crackage amd Area Width He1ghC No. of L4nea1 ft. Area No. ot Dgne of paae Itghte ot crack aQ. tL. -�f� /� /f � l�a� Ccef. Btu Infil�rac;on l (� a _ .3.�( /' ,� �' �i� Glass Esp. wall / i (p� Net eap. wall aAt. Wau / /��°� Ceiling %�� ' Floor � / y Total Btu. �� I� Required aq. ft. E.D.R. or aq. ins. Q/A. L.eader area � g ; . `p . `°� " : i n f^' � ��-_ f`! ...- , . . � A :�� i. - 't` ' � ji 1� � :i �x`:::�, � �� . ' . ✓ � ;��e . . . . . �,�,�� . ... .. ,: `.. , '�t. . .. ' . .. . . . �' __ � ,. . , . �'_'� , �'x" , :� � � : ��.�" , g ', .°�� ,��tri• �� . � ��_- � < � ��,.� `��,.. ~ , ,. ',��'-� +� � ��IM�IIt� ' � ��-�I�i� > . - ' � � �� , -. � � � � ,' �� , . . �. � � . �� , �m: ..: . �" - _ . +frY4 • . . .._ .._ . Yt,.Y" � . . .. _ - '�'� � ' . ' _-_____.__�__._..q_.�. �,.��._.._.�. _� � . , � . ��:�°� . � , _ � � . � . '. _ - . :.. "��: s .. . .,.} �. . • .. � Or_ 4? , s \'- �y� l � . . S � 2 � � ; ' � .. . � . . ' i, .. . ' `� " . _ .' � . : � � � � n � � �� o � 3 � a �' `om � � � A �a a O � � � � `� �� K A � Q � � 0 c .. � � �r � D 0 c� � zn -a � �� v z R' D � n� m� � D n � � � O z Z l� 1; ' e� � � � m z � v � � 0 z m � � � v G � a � � � � O c m s ► � v � � � m � � � � � cn � tD � � � � z 0 V lTi V I � N O O . a D _-! z Q c� O � v z � W C'� N '7'-� r� �x H � � y z c� r� a z� I C�7 �2+ � � � � � � n V Z H z c� � � rn � � � c A S A1 (a � -' o �3 0 °. 3 �� ° m� = �. , �a c � � �� 0 0 � �� 1 � � � �� o � �. � � �� t 'w' D � � � � �� -� m 0 0 (� y d y � � N '� --1 z � n � :cN O 0 0 : � v � , � � � � � � v � � � � Q. � � � 3 A tD �c A o � � � � � �� -� v 3c ,� � '' �o x W � 3 � � t �d9 {fl �i �fl O O O O � °o � c� o° ?: � t� � �s tn �n � t� � �D cb' fr-' � C W � � � � m z A� .� i -v I � m z 0 rn� v � . �°-i°�o � �c� o z= �� . � � � c 3 � S � O A m � 0 0 7 � m � �. � � r � 3 ��o= G � v � � D m � � r�r v � O � � -D m � � Z � V' �) �� W C r= � z � c � rn v � � � ty z � � � C � � N —� `� _- m m 5 � � N � � � o � � o ��. NW�� y C � Q �� Q� o � 7 � D `� �; v��,' �' � m r� ? o m � � � � �• Q 3 'U -� � m o � � � A � ��o�' �. � N n � Q- rt � � o � o �=• _,�,, p� �S p� � d ~ � M ? � W • ? � \ � � � y"' i�i 7�' � �' l�D � t» � � � =• a � w �' r . I L O 00 v v � m � � s V 0 H O � 0 z � � t=1 r� H A � �� W � � � �z�� N � Z Z m� m � � v < m -av �� mn �1 ..9� � � 0 Z Z � Z � v� D �7D n � D � =1 Z Z t�j� Z y � Z v� v -c = t'�r' D � � �Z �� . �o mZ �� m Z r,i � Z � � O � L � C � � � � � � � �. �._ �-� �-� -`�� CHIMNEY AND STACR VERIFICATION The undersigned hereby verifies thatL the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration � Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes O No O 5. Meets all current Code requirements for size and total BTi7's connected Yes () No () 6. Has total heating BTU's of Al1 other BTII's � � ' TOTAL BTU's � Remarks List Alterations Being Done: � HEATING COMPANY Signed By Date SuB�ECT City of Fridley 3 i 5� AT TNE TOP OF TME TWINS g U I L D I N G P E R M I T f � � RECEIPT NO. � `y _�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� 1 . , i•-_. A ��"'�•� CITY MALL fRIDLE� S�132 NU48EF NEV OATE VAGE Of APPNOVHD 8� L �� 612-571-3450 910-F15 10/31/00 / / lOB ADDRESS 670 Ironton Street NE � �E�� LOT NO. BLOCK TRACT OR ADDITION DESCii. SEE ATTACFIEO 36,37,38 R Riverview Heights SNEET 2 PROPERTY OWNEq MAIL ADORES$ 21P PFIONE Robert Miller 670 Iron�on Street NE 763-792-4389 3 CONTRACTOR MAIL AODRESS tIP PMONE IICENSE NO Mo�z-Ray Inc 801 BoonE Ave N, Golden Valley, MN 55427 546-8625 5111 4 AqCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO S ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK O NEW O ADDITION O ALTERATION 6� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace six Doubie Hun Windows & one Storm Door 9 CHANOEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. [�ermit Insp��#io� �a��s W11B �� ai�e� T� Womeowo��r To Post SEPARATE PERMI7S ARE i;EOUIRED FOF ELECTRICAL, PIUMBING. HEATING, TYPE OF CONST. OCCUPANC� GROUP OCCUPANCV �OAO VENTILATING Oq AIR CONOITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OI9 WORK IS SUSPENOED OF ABANOONED fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. OWIG. UNITS OFFSTREET PARKING I HEpEBY CERTIFV THAT 1 MAVE IiEAD ANO EXAMINED THIS APPLICA710N 1 STA�LS GAHAGES AND KNOW 7HE SAME TO 8E TRUE AN� COFiREC7. ALL PqOVISIONS OF �AWg yp�UATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WOFK WILI BE COMPLIED WI7M WME7MER SPECIFIED HEREIN OR NOT. TME GRANTING Of A PERMIT ��F9OOO �2.00 OOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL TH� pERMIT fEE SAC CMARGE PROVISIONS OF ANY OTFIER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TNE PERFORMANCE OF CONSTRUC710N �9�] .�S F� 2 SC ��F . OO PLAN CMECK F E TO l FEE Lice e C $5.0 $108.25 S�GNATUAEOF�QN•AGCTOpONAUTM0�1i2EDOGENI IOATEi M PROP VALIDAT D THIS IS YOUR P MIT , /O I � �� $�GNAtU�7EO�OWNEA��OWNEpBU4DEpi IOAiE� �G �NS� ry6tE �� [ ] ADDN � �/�� n 1� Eff�re S/10199 [ ] CITY OF FR]T1LEY � [�l SI,tvGLE FAIVIILY AND DY�-�� L-1 AND R 2 BTJII,DING PERMIT APPLICA7�ON Constyruction Act�ess: 670 I RONTON ROAD Legal Description: Owner Name & Address: ROBERT MIL'l'ER 670 IRONTON ROAD �e�, � 763-792-4389 ConuYaetor: MON-RAY, INC 801 Boone Ave. No. ��C�SE # 0005111 qd�: -Golden Valley, MN 55427 �e� � 546-8625 Attach to rb�its applic,�tion, a Certificate of Sunray of the _ _ _- lot, witb� t�e proposed cansh uction �rra.u►n on it to scale. DESCRIPTION OF IlVII'RO�'��1�NT iTV'l'NG AREA: Length Width Hei�ght Sq. F� GA1tAGE AItEA: I,e�gth Width Y�ight Sq. Ft. D�+ CS A1tEA: Length Witdth �IgtlCrround Sq. Ft Q�g; REPI!ACE (6) DOUBL!E HUNG WINDOWS &(1) STORM DOOR Consixvct�ion'I�: RESIDENTIA�: ��. C��; $ 4000.00 Driveway Gi�rb G�t'GVidth N�: F� + 6 Ft = Ft �$ _$ . DATE: a`7 p0 A�'�,ICANT: Tei. # 546-8625 Permit Fee Fire Surahazge S't�te Surchar.ge SAC Chazge Y.ic�ense 5`u�rcharge Dri^veway Escraw -Er�sion £�oi Park Fee CITY USE ONLY $ �9.25 �ee Schedule on Rew;rse Side $ 4.00 .001 o�Permit Valuation (1/10th%) $ 2.00 � $ 5.00 $ --$ - Sewer 11�a�n Charge TOTAL $.54/$1,000 Valuation $1050 per SAC Y7nit $5.00 (State Lic�sed Residential Contractors) Alt. "A" or Alt. "B" Above �58:88 Comervaation �an 3l�v�+e� ---- - $ Fee Determined by Engin+e�ru�g $ Agreeme�t �Tecessaiy [ l Not Nec�ssarY [ � $ 108.25 ST�ULATIONS: ��v��. o,�� "?�� L �'�e�- !�►,.t�o �� GG--�t�"Y�`G� 6� i�� s'� �la� 9 /. Z-i 1�� .?,-�.�� £0iz0 ' d _ LL689�S Ol x3�Q I 2!� �0 Al. I� ,� �''i"'`� i��G .C�'�'/n/-c! � /�u.l� ��^ W021� 6�:60 666T-LZ-Ntll £0'd �d101 �IJII�DING PERMIT FEE SCAEDULE � , Th�e C1a�e� Bui�dua,g �fficial shall, befrnre �ssuiing pe�ts fox tb�e exect�om o� any bui�clun,g or stxucture, or for any addition to any existing bu�ding or st�ucfure, or for any alteration or repair to any existing building or shvcwre, upon application therefore, r�equire the paymern by th� applicant for such permit of fe�s to the amount he�reiu� below set forth and in the manner herem proviided to-w�it: � TOTAL VALUE $1 to $500 $501 to $Z,000 $2,001 to�$25,000 $25,001 to $50,000 $50,00� to $��,�0 $100,001 to $SOO,Q� $500,�1 to $1,000,�0 $1,OOD,OOl. anci up .� $23.50 $23.50 for fust $S� plus $3.05 far �.ch additional $1(10 or fiaction thereof, to and i�ludin,g $2,� $59.25 for fast $2,000 plus $14.00 for eacb� additt�onal. $1,000 or &action thereof, to and includiug $25,000 $391.?S for first $25,000 plus $10. �0 �or each add�iional $1,�0 or fraction there�f, to and including $SO,OQO $643.75 for first $50,000 �lus $7.00 for each additional $i,000 or fraction thereof, to and includin,g $�00,000 $993.75 �ox �rst $100,OQ0 plus $5.60 for each additional $1,000 or fraction therreof, to and including $500�000 - $3,233.75 for the first $500,000 plus $4.75 for �ch additional $1.,000 or fraction thereof, to and including $1,000,�0 $5,608.75 for the �rst $1,000,�0 plus $3.15 for each addiuo�al $1,000 or fraction tb+ereof DRYVE'qVAY DEPRESSTON ESCROW (Conarete Cbrb Streets On1Y) �te�ate "A°: Remova� and replacement of curb and gutxer anly - Ihive�way �widxh plus 6 feet t�nes $15.50. A�ternat,e "B": R�oaova� and xeplacement of curb and gutter and install a 3 foot wide app�oach with 6 incli depth - Driveway width ptus 6 feet times $23.25. VERIFICAI'YON OF FUYJNDATION Pe�ts fox co�astruction will be issued a minimum of 24 hours from the time of app�ation to allow for proper review of the proposed stivcture and of the constiucdon sxte. A Certificate of Survey of the lot, showin�g the �ocat�on of the foundation once it has it has been consav.cted w�l be requi�red be�'o�re pmc�ding wirh the fratning. ., • . a _, a . . _ . v -^ ..�? . . � . • £0/£0 ' d , LL689bS Ol `J,3�Q I21,� �0 rtl I� W0� 6� : 60 666Z-LZ-N(lf Building Inspections 763-572-3�D4 SITE ADDRESS _ 7'HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS L ��-,�le��. ❑CONTRACTOR � ,�le Pernut No.: Received By: Date Rec' d: � � � �� °� .��, ,I �La�m STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIP PHONE FAX TVJO FAMILY/NEW ❑ BASEMENT FQ�iISH � ROOF O DRAIN TILE O DECK ❑ SIDIAIG O OTI-IER O SWA�IlvlWG POOL DESCRIBE WORK BE1NG DONE: SIZE OF IMPROVEMENT ZE NUMBER OF SQUARES _ GARAGES PROFOSED S1ZE: PROPOSED HEIGHT: SIDING ❑ v�,yt ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS OYes �IVo OR FOR NEW OPENWGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WDVDOW TO BE INSTALLED ❑ HOUSE & GARAGE O ATTACI�D GARAGE ❑ DETACf�D GARAGE oso�c ❑ Trim ❑ Fascia L�AT10N OF WINDOWS PiUMBER OF �� ss i�v HEIGHT BASEMENT REMOA&LING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structwal members to be used F� FOR NEW CONSTRUCTION MCLUDING DECKS, ADDITIONS. & PORCHES SUBMTf: 1. Site Plan/Survey showing the existing structures and proposed projeck 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�_O OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Totat Due $ �"�.'� � See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ - .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �-{ . Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pernut and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved pla.n in the case of all work which r qu' vie and approval of plans. SIGNATURE OF APPLICANT �� ll.� PRINT NAME V P'� �(, C- ��C3 � DATE� �� I o� 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, showi.ng the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Departnient 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 s 9 ' CIIYOE FRIDLEY FRIDLEY MUNiC1PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, ��'�� i,�S�� , understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific e emption from the licensing requirements. As the owner of the property at (D� ��n ��, N� , Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt frorr� the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspeats of the construction or improvement of this house and I �nderstand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forteit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being perFormed on this property. Name Date � � �� Building Ins�ections 763-572-3(04 , SI1'E ADDRESS lO /C THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: � Received By: Date Rec'd: YOUR E-MAIL ADDRESS L��C � , G 1'1 � 2 �SO �r�dl-c�, . M� a I�OWNER ❑CONTRACTOR annxESS: (070 �rdn-�ot1 $-t � � � Pxor�: i�.,�- l70 - 3 y3 I STATE LICENSE # EXP DATE s,y�� ADDRESS: CITY STATE ZIP [�SINGLE FAMILY/NE ❑ TVJO FAMILYMEW BASEMENT FIIdISH ❑ ROOF O DRAIN TILE DECK O SIDIAIG ❑ OTI-IER � SWIMMAIG FOOL DESCRIBE WORK BEING DONE: % e�� +��7 y�,l �- e x rs}� nr� la-c� �u fn an¢� �°I�+ ro�'�� SIZE OF IMPROVEMENT OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum 0 Other WINDOWS IIV QQSTING OPININGS �Yes ❑No OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPENWG CHANGES & TYPE OF WIIVDOW TO BE WSTALLED ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACI�D GARAGE ❑Soffrt ❑ Trim ❑ Fascia L�ATION OF WINDOWS !�l1ul: �• • WIDTH HEIGHT Ft BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of strucwral members to be used FOR NEW CONSTRLi, Ct :� v INCLUDING DECKS, ADDITIONS. & PORCfL3 SUBMTf: 1. Site P1an/Survey showing the existing strucdues and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING T�iE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �Q � o OCCUPANCY TYPE Permit Fe,e Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge G�rb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ ,;J'�' , See Back Page for Fee Schedule $ � j��, �� 65% of Building Permit Fee $ o�� .001 times the total job valuation $ • �'O .0005 x Permit Valuation Minimum $.SO $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreem�nt necessary ( ) Non Necessary ( ) $ ' S/ / Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PR�ESSED I hereby apply for a building pemut 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; tihat ., ��nderstand this is not a permit but only an applicarion for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w' h r uire vie and approval of plans. SIGNATURE OF APPLICANT �� PRIIVT NAARE �ie�� - ��n DATE � o�o' � f o�p Page 2- Building Residential Applica.tion BUIIrDING PERNIIT FEE SCHEDULE °� The Chief Buildi.ng 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 a11ow for proper review of proposed stru.cture and of the construction site. A Certifica.te of Survey of the lot, showing the location of the existing foundation will be required before proceed.ing with the framing. New Houses Onlv City of Fridley Building Inspections Deparlment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 . � � �� , a �.. � o � � � ,A � �/� C'/ � � �` � o � f A- C vv � � rn . �� -- 1 Z -- � m � 1 ' � ^��c � V � � � � 0 t� T � „z ,� ► M � G � � - `i..� n � co � (.� '�'�' , -� � � , �, � � p o � � � � -1-- C �„�,��► W � � � � bd 0 C) � � � � � GA � .�OQ� ��Q`� �� ♦ �„� � ,�� 14? � � -�.»;::::>� � „�'�� ► �oQ o �np�� ,_o� � � � (�0 7 �nU �G` 4...0 :�::; ��<:;.� :::'::. � ::::::� �::::::� ::: � o �� r� kr1 ':; �, �,, ;; QO '�,�,r ;;; hJ '.�� :�%7 >:': � ,.CDi ..!.•. � 4 � � ';.� i�:�..`��:,`;�,,...... (!2 :;' � I�°Z �' ni-Ji'{'» :'•:i %: ':•iM::diti�''�' �i'�tii '-:{i:: � ...................:..u�.ne..�uvu�v..,.n.........i�. ui{i��V.� •�4•��Y '`•�Vf��i.��va...�r.uu�..n..�...n��u.u.n.,:.,.nn�n�n�.,.,:.. �Q� -� � C r- � m 7 Q � r� n-. � z l/" � � / � � G � Building Materials: 2x4 Pine Studs 2x4 Green Trea.ted Pine Studs '/Z inch Sheetrock Building MECHANICAL Permit No • � Inspections RESIDENTIAL APPLICATION Received _• - 763-572-3604 CITY OF FRIDLEY vate Re�'c1: 763-502-4977 FAX EFFECTIVE 1-1-08 DATE -� °3 � Q �1 YOUR E-MAIL ADDRESS SITE ADDRESS �7 ) �rGn �n ��., � ` � THIS APPLICANT IS: � OWNER �CONTRACTOR PROPERTY NpME: '� !'Scr� ,%� OWNER/ ,qDDRESS: �7�J .�tdn�I-�111 S� N r CITY !_��ti'`��. STATEMN ZIP S>y� TENANT PHONE: %�v ,� - j 7U '� CI j I CONTRACTOR COMPANY NAME: NOTE: SEPARATE CITY CONfACT PERSON: LICENSES ARE STATE LICENSE # EXP DATE REQUIItED FOR GAS C�y STATE ZIP AND HVAC. ADDRESS: SUBMIT COPY OF BOND pl..Ip� FAX AND INSURANCE PERMTT TYPE � SINGLE FAMILY � TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEIvIENT �QALTERATION/REMODEL DETAILED DESCRIPTION OF WORK ..��I I I (i�U�°Inruc� ��^�/s°� FU°1 - PER MS 16�.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, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI� Equipment Installed MFG: 1�1i'J�U�� MODEL: ��S S��T� MFG: MODEL: SIZEBTU �G; MODEL: SIZEBTU A/C $ZS.QO _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR E7{CHANGEER $15 _FIREPLACE (WOOD) $35.00 AIEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 AS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 _DUCT'WORK $10 00 ¢ _,GAS P[PIAIG $10 00 y � �M '� �. �.., `�� '� �'* NF�. .3.��..� ,��%� a ? Fi 1 �,: ?z � . .. r �- ,., t .w :..__ �..,,. ., - `� rn+��.. .�i'... u 5 ' V� ......�... . _ -�._ �.. . , ,".,,. ..�.;..,, . = „W.. «..�,,. _ ��. ��'�-_ _ �,..<.:: . _w�. ; _,r.. �-� �_...� _�. � ~ Permit Fee $ Number of fi�ctures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 � MWIMLTM $15.50 MINIMUM $15.50 Total = $y�� THIS IS AN APPLICATiON FOR A PERMIT-NOT VALID UNTIL PROCESSED 1 hereby apply for a mec anical 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 Fn and with the Minnesata Constr�ction Codes; that I understand this is not a permit but only an application for a permit and work is not to start witF►out a permit; that the rk will be in ac dance with the a proved plan in the case of all work which requires review and approval of plans. �� J e� ��c� DATE � I3 SIGNATURE OF APPLIC NT PRINT NAME APPROVED BY . ° ,,° �` �� DAT ` � r �� La" � �� ..�.� � �..,„ � T � �w��Y�c � j ��,,,u�. F f'c�. �f � i't: f itv nf Fridlev Building inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with NIN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with NIN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 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 combustion and make-up air calculations. Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By� Date Rec'd%�� DATE � �� l �9 I �W�t� YOUR E-MAIL ADDRESS '��?� . � ,Qfi ��Q,{SG(1 �,�1�� I � („p �/V) SITE ADDRESS � 0� O TrUn� �-I N� THIS APPLICANT IS: � OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: �Q,�� T+lO�s°''� TENANT qDDRESS: C01 C� �o�l'�jJ� S� , � F CITY �d 1(�O��l STATE�"1 V ZIP, PHONE:�(n�, ��0. � N 3 t CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP, PHONE STATE LICENSE # FAX EXP DATE PROPERTY TYPE I�1 SINGLE FAMILYMEW CONSTRUCTION SIZE � Y/(?U SQ/�F� ❑ TWO FAMILY/NEW CONSTRUCTION STORIES 1 PERMIT TYPE 0 BASEMENT FINISH ❑ ROOF , ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION 0 ADDITION ❑ MAINTENANCE/REPAIR �, REMODELING � i��, DESCRIBEWORKBEINGDONE:�(`cf�-qn�i ��2c.�tOLk � �O��S o�l�hc h�� iun��lo�_ SIZE OF IMPROVEMENT LENGTH aN WIDTH �1.� HEIGHT —I SQ FT`� S� ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes �AIo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINIIOW TO BE INSTALLED ❑ HOUSE OM,Y ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE O DETACHED GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUC7'ION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $�� SC�� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ �;� ='' � $ ; �; � $ � ,'1� $ d . �� $ $ $ $ $ $ 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering . Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D 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 Cod ; that I u derstand 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 a wi the ed plan i the case of all work which requires review and approval of plans. SIGNATURE OF APPL NT PRINT NAME �� (i��Soi� DATE � a�� O� APPROVED BY �, �_y/��/%�' `' DA Page 2- Building Residential Application BUILDING P�RNIIT 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 Pernuts 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 Faz: 763-502-4977 Jeff Anderson 670 Ironton ST NE Fridley, MN 55432 763.370.3431 I am requesting two building permits (electrical and framing) to begin rer�odeling a section of my basement at 670 Ironton ST NE. All work will be done by the homeowner. Included with this letter is a basic drawing of the layout. I will be installing a 2x4 stud wall along the block foundation and one additional wall that will make the boundary between the storage room and hallway. I will be installing a vapor barrier between the block foundation and the stud wall. I will be moving and installing new electrical receptacles (outlets, switches and lighting). I will be installing fiberglass insulation on all the outside walls. The stud walls will be covers with'/Z inch sheetrock. I will be installing a drop ceiling. There will be no changes made to the mechanical systems. Please contact me with any additional questions you may have. 'Thanks, Jeff Anderson � �-��" ' .S' ., �'� '�L��"��i��iZ�� ' �.��-��7/�-� � _i �� C"i n NprT� , _... '�;�� '.. _ .._.... _ _... _ , � f ��s��n5 �,..��,h � � ,' � t .�`� �16 �� c�o �n �� , 1 _ .,_ _,, ._.�.. _ _.. . ........_ _ �. , �...�--.:- C c � �tJcao�n � � - � Materials List: 2x4 Studs (Standard and Pressure Treated) 2x2 and 1 x4 boards for framing around ductwork and support beams 4mm Sheathing '/2 Sheetrock Ceiling tile and framework 1 x 32" Bedroom Door Electrical Wire (14 Gauge) Standard Outlets Light Switches Canned Lights �uilding Inspections 7b�-5'�2-3b04 763-502-4977 FAX PLUIVIBiNG RESIDEi�TIAL APPLICATION CITY UF FRIDLEY pA� / Z 4� 0� YO R E-MAl1.. Ai3DR CSS SI7E ADDRESS �° �� D � � � TH15 APPLICANT I5: PROPERTY owt�tE�w TEI+EANT 5UBMIT A COPY OF Youx sTar� LlCENSE, BOND AND CERTfFICATE OF TNSURANCE PERIVIIT TYPE ❑ OWNER OGONTRACTOR E t'--F ��2.50 Pemnit No.:�� I Received By: �°� �� Z � n�C�� 2 9 NArnr, - - - - . ., l �. STA ADDRESS: fo "'J e rT R d�J � v�I S i' CITY � Y p��NE: °� t� 3• 3'� a.. 3 v 3 �� jJAME: ! STATE LICENSE � 1D � R� � m S?ATE S0�1D if ADARESS � PHONfi �3 •' � � Z - �— TYPE OF WORK: � � �W FAMIi.Y DETAILED DfiSCR1PTIQN OF WORK i� T�1+0 FAlVIILY Terry Overacker Plurnbing, Inc soa E r�� st Analca, MN 55303 �EPLACEMENT o Towr�HOUSE � AT'E !-� - PER MS 16B.665 the perrrsit fee is a miniceum oi$15.00 or 5% oE the tota�i cast up te �500.OU; whichever is greater, for the impravement, instatiation or replacement of a residential f:xture, excluding the f xtures. (This should reflect on1Y the'� ��arge J..abor cost under $300 =$15.00. Labor cost between $300 to �500 = cost of labot x.OS = P FQR PROJECTS WFiERE LABrJR BXCEEDS SSDO, FEES AR.E BASED aN S IOU.00 P£R FIXTURE, EXCEPT WIiERE NOTEU• F17CTURES: (WDiCATE TOTAL hlUMBER OF EACH BBLOVI7. MTN[MUM FE� $]5 SQ. SHOWER WA7'ERP1PNt3 BATH S(TIlU�-AV FLOOR DRAfNS � WATER SOFTNER (S35) � BATHIUB � GA5 PIPIAIG (NEED CITY I.tC) � SWiMMING POOL +' gACKFLOw PREV. (S� 5) �CLOTHES WASHER + KITCHEN S[NK _ WATER CLOSET r DISHWAS4�R LAUNDRY TRAY __WA'TBR NEA'FER ($35) � F�R 1RRlGAT10N -- — wnTER METEit _OTHER � �� TQT .50 $ . Number of fxtures @ $10•00 X $�� $ Number offixtures � $15.Q0 x $15,00 = $ OR Number of fxtures @�35.40 x$35.OU =$__ ___, St�te 5urcharge = S tM1NIMUM $1 S 50) Totat = $ TFt[S IS AN APPLICATIQN FOR A PERM2T•N07 VAf.IE� UMT1L PROCESSED I 1leteby apply For a plumbittg permit and � acknowledge that the infor�nation a�ove is complete and accerate; thac the work wii3 be Conf�tmanCe with the orflinances and �ades of ttie City of Fridley and with the Minnesota Construction Codes; that i understand th+s not a permit but only an applica€ian foc a permit and work is not to start without a permit on site; ihat the work will be in accordarn with the approv lact in the case of all work which requires review and approval oi'plarts. PRMT 1vAME. �fjG+L'. r� �{.. � d��tl+� DATE l��Z �%` � SIGh1A7'IiRE OF APP I T .�t- • �� DATE APPROVEp BY _— - _ ` City of Fridiey Suilding Inspections Department b431 University /�venue NE, Fridley, MN 55432 ?63-572-36�4 FAX: 7fi3-502-4977 � � . _I ........-. . A.. ... r ........ ...... " _ _ IAIV f11'Q("G (tAf17lR7/71 �AIP(l �7f7 'O�C�J� •�G�A[)fl7/PfYI! 'IIII'fIJ� ��^ �^ ��