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AF - 47229� � City of Fridley, Minn. BUILDING PERMIT Date: _ ��ril 4, 1968 p��.; Robert Olson g��, Clemron, Inc . ,Ad� Address 710 Coluffibia Blvd . �� ' �� T� 9648 � LOCATION OF BUILDING No. - 7320 , g�t Jackson St . N. E � � p� og �t Lot 22 �__ Biock 4 Addition or Sub-Division _ Melody Manor 3rd Addn. Corner Lot __ Inside Lot ._._. X Setback 35 �_...._._.._ sideyard _ Sewer IIevation $�0.16 ^ � 873 .16 Top of Footing DESCRIPTION OP BUILDING To be Used sa: Dwe 11 in� �t �' 0' Depth 26 � Height 2 0` �� 13 76 Cu. Ft Garag�_ Front 21 � Depth 21 ��Teight —10' Sq. Ft. 44; Gw. F't. 4410 1�pe oP Construction rame �� `$ 23 , 9 00 __ To be Completed 6 Months SEWER LOCATION 184' ffiorth of Ma.nhole WATER LOCATION 194' North of Ma.nhole In consideration of the issuance to me of a permft to co the building the proposed work in acc�rdance with the description abov t rth and in c9 ordinances oP the dty of Fifdley. �/f tio�f Char to do na of In camafderatton of the payment of a fee of $ 48 • 00 � p�t is hereby, graated to Clemron, Inc . to construct the building or addition as described above. Thispe rmit ia graated upoat the express condition that thepera�n to whom it ia granted and hia agents, employees and worlmzen, in all work doae in, around and u�n said building, or anY Pe.rt thereof, shall conform in all respecta to the ordinanceg of FridleY� Minnesota regarding location, construction, alteration, maiateaance, repair and moving of buil�ng� wlthin the dty ]im�tts and this per�nit may be revoked at aqy time upon violat3on of oP the Prov9sions of ea�d ordinance.s. { •---- � Cl�ence Belis le NOTIC� � i6b psrmtf d� not eovsr ths eoestr�ctton, 6alanaMoe /er whiee, phrmbtee, eas hedine, sw�� e� w�ter. B� wn fo � fha Buitdie8 Inspse�oe }e� »parNa pormHs M� H►sa thms. � � APPLICAI'IOR FOR BUILDING PERI�IIT CITY OF FRIIILE'Y, MINNESOTA OWNER'S NAME ADDRESS ADDRESS LOC - OF B DING N0. ��,� � SfiREET �� ;,!� •�.'�-s o'�� PART OF LOT ;�'� BLOCK ADDITION OR SIIBDIVISION_� CORNER LOT�_INSIDE LO'r�� SETBACR ,-� SIDE-YAR�� SEWER ELEVATION �%D, �' l� FOUNDATION ELEVATIQN � �%� .�� , pp�� attach t��s °form�Two 'Certific�tes of Survey of Lot and propoaed building location drawn on these C"e'r"t�ificates. �' //�� ' i� ��/' � " ` . s DESCRIPTIOft OF BIIiLDING � To be ed a ; � - � � i �� cg Froat �l� � Depth��Height � Sq. Ft._ �� Cu. Ft. � � � ,/%� Front �� Depth�yHeigh�� .-y Sq. Ft. � Cu. Ft•— �� ` p U Type of Conetruction "�,s Estimated Cost �� Q� e,l � � To be completed The unders3gned hereby makea applicatioa for a permit for the wo=k herein specified, agreeing to do all work in strict accordaace with the City of Fridiey Ordinances and rulinga of the Department of Bui�dings, and hereby declares that all the facts and rep�eaentations stated in this application ArA trfla nn.9 n..,....�..o- � �scneaute or Fee Costs can be found on the Reverae Side). � � �� ° �`-� . / /r1` C � G � --0 S � %�� S� � 0 - - r..� . P� `�_ � � BIITLDiATG .PERI�RT FEE SC�IEDIJ�E SECTION 2. The Inspector of $uildings shall, before isauing any permit for the erect3on of any building or structu�e� or tor any addition to any existing buildiag oY structure, or for any alterations or repaire to any exiatin� building or atructure, upon applic�tion therefore, require Che payment by the applicant fox.such permit of fees to the amount herein.b.elow set forth and in the manner herein provided to-wit; 2.1. For anq euch permit for the erection of any £ire-proof building, othei than a garage, warehouse, factory or grtiin elevator, or for the erection of any �fire-proof additicm, for s3milar occupancy, to any esisting building, shall be at the rate of $1,40 for each one thousand cubic feet, or fraction thereof, in such cubical conteata. . 2.2 For any such permit for the erection of any fire-proo.f garage,, warehousa, factory or gra3n elevato�, or for the erection of any fire»proof addition, for similar occt�pancy�, to.any esisting building ahall be at the rate of $1.25 for eac'h one t'housand cubic feet, classified as "tireproof" by Section.502 of the Minneapolla Buildiag Gode. ,. flOIISES 2.3. For anq such permit for.tbe erectioa of any aon-fireproof building, other than a garage, warehouso, factory ar grain e2evator, or any non-fireproof addition, for eimilar occupancy, to any exisCing building,� permit $1.00 for e�ch one thousand cubic feet. GARAGES - 2.4. For any such permit-for tho erection of anq non-fireproof garage, warehouae, factory or graia elevator, or for the erection of any non-f3re-proof addition, for similar occupaney, to aay egisting buildirig ar for eacH�such � building or addition - ninety centa ($0.90) for each one thous.and cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permita, the cubical contents of any building or addition to a uaiform height throughnut by multiplping the ground area covered from a point ai.�c (6) inches below the flaor iine of the baseament or cellar to the average h�ight of the upper surface or to the average height of the roof surface of the main gable of a pi�tched roof. 2.5. For repa3ra or alterations to an eais.ting structure, the fee shall be at the xate of $3.00 per each Five Hundred.Dollare ($500.00) o.r fr�c�i�n � thereof in the cost of all proposed work. " 2.6. In no case ehall the fee charged for any permit as aet forth in Section 2 be lesa than $4.00. , , STOYtM REPAIR DAMAGE FEES: Residential: Estimated Coat of work up to 5��;�.L�� -$5.�a Estimated Cost of wor':. c-�c.�: Y�::: � al� � Y; �., �90 Commercial; Estimatedf'1st o� c.»�•;� v:�'�� ;`�a°"s;�+a ��':��R Estimated w�st of ��or�s ov�r �_��°�'. va1 - Y�iD. _� �� , r�- n �_ Y' ,.cv: �=� � 1�,,�l�y c�s�y�� 5�� N�t �IEE C"rv�l f� Mamiripol � �� .�.,� . �srs-� `rs ��. M��s�� R ��f �, t N C. :��°�° l�lrrsef d-60�t+ �� = En�in�eers � Surve�ar� ---- c�es�ta��cate o� �n,�►e Fo� ��. M i � � 61 ' I I ( � or �2 .� 1� . I a 1 � � 6� o � � „z 0 � � ��eva � �;s� �; �a z 0 � v Q � I .. �� o DENOTES IRON —""--'OEN4TE5 DRAINAGE AND UT{LiTY IEASEMENT Lar 22, 8�.oc��1��oflv Mn�oa 3ao AUD�T1pN �10KA CQUNT //�tby urfi� fhoi Nus +� a► fr� and cari2t� nr�s�rrfo}'�n a�'o sc�ratf �''�t �rrdor�+s �!ll�e al��er afscni&d load, �J e �la�cof'�ar� qf'aU td�s ,�rre�n , a►d d1 rr��ddt o�a�rmenfs , r�'a�, �ierri or n�rad land. As s�rray�d !� m� fl�s -- G� �u4�� A'��. 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INPUT ��-�" � MAKE Modsl CONTROLS THERMOSTAT �� eat Plug Valve Limit ��— '�i��.?'�.� - Limit Ssfting _ _ - �`'� _ ' _ _ Fan Setting ��`�� Pilot Type Pilot Muke Pilot Model �y °�� Pilot Timing �<�� OF BURNER BTU Rating OF FURNACE UNIT HTR. OTHER CONVERSION � Vent Size KIND OF LINER ZE NONE D�ah Hood Regularo► FHters Size i�umber -- Chimnsy Loeation Inside '�� Outside Chimney Construdion Smoke Bomb Wiring �� Draft ��- Test Tap �� L.W. Cut Off �oor Prossure Lightiny Inst�"'� Prsaaure �� P� e� COa`� , Tg Date Tsstsd �""� Input CFH ��_P6r�ebt�T��"lO,�ompanr Testing ' 2 Sfaek Temp. 1� Percent CO , �� Name of Testar Fo�ru 235 °t. , i � , � _ Q✓% " �� . _, _. '_ '.: ..- _�_ �_. � . _*�, � � G,! ' =Qct�� ., �.9f�8� -. -. f�i1�3� Fl�� _.�a.. �� ca� �ve ,� �r � � _ _ r��►�z�, . �� _ • � -�� , � �� 3�Q �� . �. �. � �� .�. �,�� .� �!��, �,� �tr3re� 1s�o. _ - �#7.fl� � ' � �e�cu�s e�� a ��j�� ttwab�r, �i g�s'�£t �h4�� cmp�iie�. -�� p�€ct �� n i0 d�g� �ar ��,� �� ,. �� w+��rY be �fl �vv�. b�s�€fi� �m pay �,1� t�+e�i� ��r� If �� a� = tv bi�.1 �� a� �� ga�n �y .w3.1� ta� ��i�r� �a� ��t �_ da�t±� �� _�1� be a�zi��sa�y� _ . _ _ _ _ : Ya�rs ��rg ��. ,...�...�.�-,.:�.i.,�� . -- � �ec�rd_: ��bam��+ar - ��ectric�l ��ge+��or LE�k� _ � � � � � � •. �i � � � n � � m � � W z e � � � � x y � n � � r H °� � � � o � �° � � � � � � �' � � •°•° �i c'' F'° � � �, � � � : � m • �o : o � � : �' d �a : � ;� y tio g 'O � � � � O • . � O ~� . � � M 0 . � � � : : : pA � ; �• � ' �n � • a � • . . � O � � • . � 0 . • . . � . � � , • �i i i . • . � . : : , i � • . . • � . . . . .. . . . . . . . i. . . . • . . . . • � ; �-' o x . . 0 �: N x w M x x K x �e �a �p Ma bp� �y+��y+� Sp� � �p W r r � � � C Qi O � O � O � � � 8 � fl► N � tA �A b► dl M � O � i � O � � 0 � � � � � 0 O � � � � A 0 D � r /� � � � � T C r m � ....1 � : .■.■' ' , � .■.�, � � ■■■�, • • .■■�, �� ,. . ...�, �� r � �D ci � ° � 8' � � � 0t a a A i�p y � E a � � p n b y � O. Q. � o. � � m � g �. � � ti � N O j . o ' �� 0 WATtR a,osRs uRU� r►tM � ewanc SINKS w� rwwn DRIHK. FOU1�1T. SMiMI1S. FL0011 DNA�NS GTCM li151N5 AuTO wwv+a c�s �. � � G�S OVENINGS � • ! • H > p r � n �. � ° � � a � ,� � ��o'� .°. �, A � � p `� � o A � �• .. �� ° a � N � � � o � A � �� b � ,d o� $- �� m � ��'�� .� �. m �� . � � �. �� r � �. I� r 3 '� �. � � � �� O �x � � p � �� ♦ : � �. �i � � �� », � � � � � � w � N ,O � � [=9 �� n 7C � O � � ` � sue�ecr IT N . �� c�ty of Fridley 2� 7 8 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � R . � ; y _____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � i� _ � --.-� ��'��,•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVEO BY t 612-571-3450 et0-F15 2/4/98 � � J08 ADDRESS 7320 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 22 4 Melody Manor 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Jim Sweeney 7320 Jackson Street NE 780-2319 3 CONTRACTOR MAIL ADDRESS ZIP PFiONE LICENSE NO Rite Way Waterproofing 448 Lilac St, Lino Lakes, MN 55014 786-0550 EXIIKPT 4 ARCHITECTOFDESIGNER MAILADDRESS IIP PMONE LICENSENO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK INSTALL Drain tile 9 CHANGEOFUSEfROM TO STIPULATIONS Electrical extension cords can not be used as part of the power source to the pump. System can not drain into the City sanitary sewer. Smoke detectors must be installed to comply with the State Building Code. SEPARATE PERMITS ARE iiEOUIRED FOR ELECTR�CAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL 9E COMPLIED WITH WHETFIER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT �4sHOO �L.�FO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHEFi STATE OR LOCAL LAW REGULATING CON- @ STRUCTIO O RFORMANC OF CONSTRUCTION. �pg9.75 Fire 5'�.' ��F.B� PLAN CHECK FEE TOTAL FEE i $106.95 �GNATURE O N'RACTOR OR AUT RIIEO AGENT i WHEN PROPERLY LIOATED THIS IS YOUR PERMIT - �> �r S�GNATUREOFOWNEA�i�OWNERBUILDERi �DATEi BLD �NSP ��tiTE NEW ADDN ALTER I] [l � CITY OF FRIDLEY SINGLE FAMILY A.ND DUPLEXES R-1 A,ND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � ?j� �� ,��.�� s.�- �� C Legal Description:�1�� `�-_n f�� S.r: vV, ��, ,I- I/l ro� p... .1.-,i _ c� ,_ � L.__ Owner Name & Address: Contractor: t, �- � , Address: �z117 l,'r�: �. LIVING AREA: GARAGE AREA: DECK AREA: OT'HER: a Effective 111/97 4� �'�� Tel. #_ �� - �3 / 1 MN LICENSE # Attach to this applic,ation, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT I.ength Length Length A Tel. # �� -C� � S e� Width Height S Ft. q- Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. +L � % i L � Construction Type:� Eshmated Cost: $�d a� (.Fee Schedule on Back) Driveway C�urb Cut Width Needed: Ft. + 6 Ft = Ft �x $ _� DATE: � � APPLICANT: .% ` Tel. �` `�S�Cp �i �:.5'� Permit Fee Fire Surcharge State Surcharge SAG Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULn"I'IONS: CITY USE ONLY � �� y Fee Schedule on Reverse Side � � �'�r' .001 of Permit Valuarion (1/lOth%) �_ �- �L�' $.50/$1,0� Valuation � $950 per SAC Unit � r $5.00 (State T,icensed Residential Contractors) � Alt. "A" or Alt. "B" Above � �$450.00 Conservation Plan Review � Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] �' �J � $ � C.' ' � / � [3UILDiNG PERM[T FEE SCHED[1[_,!; 1'he Chief Building Offcial shall, before issuing permits for the erection of a.ny building or structure,� or f<ir any addition to any existing building or structure, or for any alteration or repair to any existing buildinv or stiucture, 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 prov'ided to-wit: TOTAL VALUE $1 to $500 $501 to $2,(�0 $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 $SQO plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for fust $2,OU0 plus $i2.50 for each additional $1,0� or fraction thereof, to and including $25,Qi}0 $349.�i 5 for first $25,0(10 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for.first $SO;OUO plus $fi 25 for each additional $1,000 or fraction thereaf, to and including $1p0,000 Y - . $887.25 for first $1(}a,000 plus $5.00 for each additional $1,(�O�or frac�ion thereo��.to and including $5�,�0 $2887.25 for the first $500,000 plus $4.25 for each addifional $1,000 or fiaction thereof, to and including $1;�0;000 $5012.25 for the first $1,0OO,Ot� plus $2.75 for. each additional $1,000 or fraction thereof DRPVEWAY DEPRESSION ESCROW (Concrete C�irb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13_�0. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.7�. VERIFICATI�N OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow �or pm�+er� review of the proposed structure and of the construction site. �� Certificate of Survey �f tl�e (ot, showing the location of the foundatic�n ��nce it has it has heen a�nstruc�_- : ��-i;? h� reyuircd hcfc�rc a�r��cccdin� ��ii.h thc framin<�. � City of Frid�ey AT TME TOP OF THE TYVINS � � I L D i N G P E R M I T i � � � ' ' COMMUNITY OEVELOPMENT DIV. � VV �'��', f j � PROTECTIVE INSPECTION SEC. l-_-• A��,.j CITY HALL FRIOLE� SS�3Y NUMBEN REV DATE t �� 612-57�-3450 9�aF�s 10/26/00 JOB ADORESS 7320 Jackson Street NE t IEGAI �OT NO. BLOCK TpACT OR ADDITION DESCR. 22 4 Melody Manor 3rd Addition 2 PROPERTY OWNER MAIL AODRES$ 21P Jim Sweeney 7320 Jackson Street NE 3 CONTRACTOR MAII ADORESS ZIP Master Remodeling Inc 32 10 Ave S, Hopkins, MN 55343 a ARCMITECT OR OESIGNER MAIL AOORESS ZIP 5 ENGINEER 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW MAIL / / 3._��531 RECEIPT NO. �� pOVED Br SEE ATTACNEO SNEET PNONE 780-2319 PNONE LICENSE NO 612-932-9311 PMONE LICENSE NO. 20012916 PHONE IICENSE NO O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace windows within exis 9 CHAN(iE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwellix�g per Section 310.9.1.2 of the 1997 Ux�iform Building Code. Permit Insp�ction Card� Will �e Mailed To Home�wner To Post SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. HEATINp, TYPE OF CONST. VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED VyITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO Oii ABANDONEO FOR A PER100 OF 120 pAVS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNI I HEREBY CERTIFV TMAT I MAVE REAO ANO EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAW$ yq�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED @ WITM WHETHER SPECIFIED MEREIN OF NOT. THE GRANTING Of A PERMIT y�l'SOO DOES N07 PFESUME TO GIVE AUTMORITY TO VIOLATE Ofi CANCEL THE pEAMl7 FEE PqOVIS10NS OF ANY OTMER STA7E OR LOCAL LAW REGULA7ING CON- STqUCTION OF THE PERfORMANCE OF CONSTRUCTION �S�F.00 SIGN4TUAEO�CON�F4CTOpOF4UTMOp�ZEDAGENT IDAf�� $�GNATUQE O� OWNEA �i� OWNEii BU�IDEii� �5 irnNG� GF1pUP OCCUPANCY T CU FT STA�LS OFfSTpEET PAqKINC IGARAGES $.75 SAC CHARGE Fire SC $1.50 TO L FEE $61.25 ATE THIS IS VOUR PERMi �u��r1b—l7ycs 11 � 3`.� FklJhl l.l 1 Y UF hk1LLEY lU NEW ( j ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMI�,Y AND DUPLEXES R-1 Al`'D R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �.3 �,� •I`�-�%f'.g�J � � y��y�lb F.bl�b� Effective 1/1/98 �� _,� _, : �o� �s_ Lega1 Description: � Owner Name & Address: � i rn �'i.��e�� y %� 2, D J�z!?�v�J Z'el. �_� �%� � 2 3/ � Contractor: ��Y'��9 ��° �� -r�w�h ��r�a�a�� s��h 1�fN L.rCENSE �` Z v� e� 4 (s� Adtiress: Fiopl�ns, i'�inn�sota 553�3 Tel. � LIVING AYtEA: GARAGE AREA: DECK AREA: OTi�R: v � erm 81�66"m�'16� � d A c to this application, a Certificate of Survey of the lot, with the proposed consuuction drawn on it to scale. DESCRYPTION OF 1MPROVEMENT �ng� Width Height Sq. Ft. I.ength Width Height Sq. Ft. � �� Width Hgt/Ground Sq. Fc. Coustruction Type: ,� �.r.�,�„ Estimated Cosr. $ / S�. +� �� °�� ` (Fee Schedul e on aack) Driveway Curb C�t Width Needed: Ft. + 6 F�t Fi x$ _$ G� j� �� DATE: D�'2 � ApPX,iCANT: � Tel. ��.�� - 9?// Pernzit Fee Fire S�rcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CTTY USE ONLY $�� Fee Schedule on Reverse Side $ m� � � .OQl of Permit Valuation (1/ lOth � ) $ .�+5� $.50/$1,000 Valuation $ S 1000 per SAC Unit $ .S� �° $5.00 (State Licensed Residential Contractors) $ Alt. °A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] $ (�/, 2S� STIPULATIONS: J��1/l0� �� -%�� /�cl �� rn� �.� � ��L .��v�'�� ar- 7�✓�-,�/ .��' ��c. ��o. � � �--- ��'� �Q-�. . . , ^ � �-�i.�� 3uildin ,� nspec`- : � 763-� � L-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLE� �ATE YOUR E-MAIL ADDRESS iITE ADDRESS i fiIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PROPERTY TYPE PERMIT TYPE �rYrE oF woRx: ❑CONTRACTOR annxESS: � 3 Z� �[�sc,,• S �F PHONE: �"� 3 � o �-3 ( � NAIvlE: STA7'E LICENSE EXP DATE Permit No.: Received By: Date Rec' d: �'d � Ars �r�zrn�2 ADDRESS: CITY STATE ZIP, PHONE FAX O 7'WO FAMIL O BASEMENT FD�i1SH 0 ROOF O DECK O SmING DESCRIBE WORK BEING DONE: SIZE OF A�PROVEMENT SQUARES GARAGES PROPOSID S1ZE: PROPOSED HEIGHT: u ❑ HOUSE ONLY � HOUSE & GARAGE � A'ITACHED GARAGE O DETACI�D GARAGE O DRAIN TILE ❑ OTHER 'l�� HASEMENT REMODELING SUBMIT: L Existutg Fl�r Plan 2. Proposed floor plan 3. List of shvchu�al members to be osed FL SIDING FOR NEW CONSTRUCTION 1NCLUDING DECKS, O Vinyl �Soffit ADDITIONS. & PORCI�S SUBMIT: ❑ Aluminum ❑ Trim l. Site Plan/Survey showing the existing strucdues ❑ Other ❑ Fascia ana proposed project, WIIVDOWS 2. Two sets of conswcLion plens IN E7QSTING OPENINGS DYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPEPTWG CHANGES & TYPE OF WW�W TO BE INSTALLED NrJNBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCAEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Emsion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ Cv ,� • �r ca $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $S.QO (State Licensed Residential Contractors) $1550 per SAC Unit,�lans to M�VCC for determination) G,S ft+6ft= GZ�S ftx�2�=$��Z,So �-3rxl6.S ��/sF�,e�� $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pa_yable to: Citv of Fridlev Attach Stinulations THIS [S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 requires review an approval of plans. SIGNATURE OF APPLICANT PRII�IT NAME DATE ��/� `�° 6J o Page 2- Build.ing Residential Applica.tion � BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any a.ddition to any existi.ng building or structure, or for any alteraxion 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 cons�truction 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 existi.ng founda.tion 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