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AF - 47461� � City of Fridley, Mi.nn. �UILDING PERMIT Da�: _ �" � ,� � _ ,f, ,.� `� �VPII@!i ��'.�..'_$�'`,�=,-. ��, �� ..� Bll�CIP .��'� �' Ad�ess Address �� N° .7430 � OCATION 0,�;� UILDING � , , No. � Str�et �� Part oP Lo I Lot ..�'� .� _ Bl � Addition or Sub-Divfaion �` -. � ' � �;c � Coraer Lot _ Inside Lot � S.etback ,514 ,�1_� Sideyard �� "� Sewer IIevation ��3 IIevation _ � �'�• �-� 7°��' �� t�F�� DESCRIPTION OF BUILDING T ' U P `�•�"" FYont -�� DePth ��-�- Height � Sq. FL � C�. ��-��-,� Front -�-- �P� - ;� ��t � Scl• F't. f� CtL F�� '�`,l 5�� Zjme of ction � °l��__._ F�t. Cost � __ To be Completed In cons�lderat[on oP the fssusnce to me of a permit to construct the building descril�d above I agiee to do � ProP� work in accordance with the dreacriptlon above set f�h aad in c�anpliance� a'll �ona oP ordinances of the dty oP Fr1d1eY• // � / ��7� � Ia cam�deration of the payment of a fee oP $,�� , perrnit ia hereby graat¢d to to c;onstruct the buflding or addition as described above. Ti�ia permit ia granted upon ��P� �nc]ition that the peison to whom it is gra.nted and h3s agents, employees and worl�nen, 9n all work dame in, around and upon said building� er anY part thereof, ahall conform fa all reapects to the ordinancee of Fridley� Minnesota regardiag location, construction, alteration, maintenaace, repa3r and moving oP bufldings a►1o�� dty ]imits and ttiis pern�it may be revoked at any time upon violat� of an�► of the pravisions of said BuiidinS Ins�ct� � NOflC� 11ds p�e�t doa eet smroe Nro eo�eeueN�, E�talWl� fer �rWnB. P��& ea b�8. awu er wafu. e� son to as� � �+��b8 �� e► pP�►+!� p�rmhs /ee th�a hems. . � °� " ' � F i, � • �f I ., ' . ' . . . . ... .. .'�r , I ` APP�ICA.TION �FOR .BUZLDING ;PEI�MI� • � � . CI!�Y �OF FRZDLEY, MINNESOTA . , t . � . �� LOCATION BiTYLDING . . No. / _�!�!-l1� _ SCreet f �art ;of �Lot "; �- Lot � � , _ ],ock � �Addit �o� or Subdiv3$ion� �� .. . , t o ,� Corner Lot�_Inside Lot Setback ��.' Side-Yard ` '� SE'�TER ELEi1ATI0N FOUNDATION II.EOATION Applicant atCach.Co thi� form Two Cextificates o�f Surtrey of i,ot �nd proposed build- irig locat�icn drawn on theae,Certificates. DESCAIPTION OF BUILDING To be used as: �Q/��= � Front__i�ld Depth � Heighe; � �_.._._+ , �.� Sq. Ft.: ,, f�'.�� Cu. Ft.. ' � :� Fronr� � Depth , Ae3ght �� Sq. Ft • ,_Cu . Ft . . ° . Type of Constructi��jf�'��'��-�,��t�ted Cost %� ��------ � , To be Completed , The undere3gned hereby makes application for a permit for xhe work herein specified, agreeing to do a11 work in strict accordaace with the City af Fridley Ordinances and rulings c�f the Department of Bu�],diags, and hereby declares that all the facta and representations stated in this application are Erue and correce. . / DATE SiGP1��Z'URE C��.��.�� (Schedule of Fee Coste csa be found on the.Reve se ide). ��%� �• _ � '�� _ . ��' , 6 e � . � BUILDING PEP.MIT FEE SCHEDULE Section 2. The InspecCor of Bu3.ldin�s sha11, before issuing any per�i.t for the erection of aay buildiag or structure, or for any addition to anq �xist- ing building or structure, or for any alterations or repaire to any existing building or s(�ructure, upon application therefor, require the payment bq the appl3cant for such permit of fees tv the amount hereia below set forth and in the mannes hereia provided Co-wit: 2.1. For any such parmit for the erection of any fire-proof building, other thaa a garage� warehous,e, factory or graia elevator, or for the erection of aay"fire-proof addition, ior similar occupancy, to any exiatiag building ehall be aC the rate of $1.40 for each one thousand cubic feet, or fraction thereof. in such cubical aoatents. 2.2. Fo� any such germit for �he erectioa of any fire-groof garage, warehouse,� f�ctory or grain elevator, or for the erection of aay fire-proof addition, for similar accupancy, Co any esist3ag buildiag ahall be at the rate of $1.25 for each one thoueand cubic feet, cla�aified as t1fireproof" by Section 502 of the Minneapolis Buildiag Code. AOUSBS 2:.3. For �up such permit for the erection of anq non-fireproof buildiag otheY �� than a garage, warehouse, factory or grain elevator, or`any noa-firegroof addition, for similar occupancy, to any eacistiag buiidiag - permit $1.00 for each one thous8nd cubic fest. GARAGES 2.4. For any such permit for the erection of any aon-fireproof garage, - warehouae, factory or grain elevator, or for the erection of any non-fir�f add3tion, €os--similar occupancy, to any existiug building ox for each euch „__ .�buiiding or additio.n - aiaety .cente ($0.90) for each oae thousand cubic feet pr fraeCion thereof, in the cubical contents thereof with a minimum of $4.00.- For the purpose of camnput3ag fees for building permits, the cub3cal coirtents of aup building or addition to a uaiform beight throughout by multip?tiying the ground area covered from a point si� (6) iachea below the floor line.of the . basement or cellar to the average height of the upper aurface or to the average height of the rpof surface of the mai� gable of a pitched roof. 2.5. For repairs or alteratioas to an existing etrucCwce, the fee ahall be at the rate of $3.00 per each F3ve fluadred Dollars ($500.@0) or fraction thereof in the cost of all proposed work. . 2.b: . In no case shall the .fee_.char�ed for--anp-permi�-es set forth in 3ection 2 be 1ess. thaa $4.00. _ -.�, r /'i1 � � ti. _ l�,r - ._ „ "'1'�— - . , � �'yq"' . . t . � , ,- �.'l ' . .. � £�d` rt" � � S �, ��'t' r' y � . }}� r 4 > ;" 9 . . tr. .�F � '��` 4'�< rw �� k . . . . �. ..+� t � '� r � F A k . . . . . •r _ 4 ;. _�, � �,� � :� . . ' Iq , • � � � �� y� .. � . . .. � . . x . d'� i 4 .. . . . ' . �'k x �� . . . . � - S'c" .. i . iRilt � � - ��. � y..r� ��. �` '�':r'F` a ��G'1�� w - ��+� � .�� =�� !, C1M! d �oJ: � i � � , , t . ;�� . ,5 • . �n,�,,,,q """"" , � �1'i�'+�rf'�' . � �tl�` .",� �'.;'..� ' � . _ � } �� +iC�l�""�'��i��t �1� � �:��s�r .,� � �. . _ . . . ��;� . . -:; . , - ,, . . � . . , . . , .: ; .:, . _ � . � - �:, . � � � �� ° . _ , �:�. � � � , ,�� , . , ,%A �. , � . _: . . , , . � ' � . . .. . f" . - . . . . . . � . 5:: � . � . ' � .�� . . � '�pi . � � , . ' F . � . .. � . �Y p' . .. `' . � . _ , ' ' ^ � � � . . �Y� .. . . � �� • .. . � V. � .. . .. . . � . . 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' � � �� m �y m � O x y �� R° y � � � � � � 0 0 m ',� � '�d � � � ca w o 0 � � °o o° � � � � � � � m fD a � � �' � � � O C m � �: x 0 � 0 � m 0 � � � w g � � � � x �° � � � �� R° �' co `� � � �� w� Mro � R° � O O C'y F �� w3 0 � f� Q � ro � � � a � � � o a � : � •. o : ' � � Q . . 0 O � . . 0 � � � � � � � b � � S � � � � � y � � � � R� R° � � y �� o �� « `b �p � G�} C `� �) �a � � � ti � � � � a � � � a�'. . w . . v�i Q ' : O 0 . . Oq . . O : . : a w c� o� w o w o� a� o �y o° � °o °o �b °o o° °o °o L'J �, b, �, a. �, $, 0 � H L.• �. �. w o � �, � � a�n � ` � ti � c.a� � �� ro �s �- �, m mo�awC � w�"y � ��:°..�, y doo i� �� ;b o ��o � w� p � � `� ��y �, � �� b �5'� � �b °aw"'� � �aop �� 7 �� ' �. o��► � y ��hr � � .7' � A� �D w 8 ��o � � � � Cr �� D � i � � m y^ ,I _ 177 C m � d � � � � � ;� x �� m � � � � e\� '0 8 0 � � � O � � �O O � � p d� O� � � � � �� f/1 v 0 � 'o. =° < a A � �p� '' 3. D � �• � � � � 0. b � �` a � a �—___ --- -- - --------- -- - --- - _ --- _-- — -- -- -- �- �z S �, � ;� �;:,��n ° ' :i i �� `�" ,, r ;��x , � � ��'�►�"�.ti,s� �C1�c.�c�t..A�noNS ��tn�nrr aF sun.onvcs �y Z � �- � � ys'�ltatheraRrips A.S.H. ' Coaatruction No. lasulation � Guide , W�uadc�yve �Uaors Reference Out. all Int. Wall GeJ;ng ' Roof Floar Kind How Applied < — s�'p '� e Na 19— 1..�1 _ �/Y/,� CC `� e e ,4.; ` F!: ' ' `Floom Length Width �J �'Height e Fl. � Room Length� �lidth � �ieight`t�' m:; V6lindow9 �i� Tyoors--Crackage and Area Windows and oora—Craekage aa�d Area f ^ 5!}Yldttv ;';. Height No, ot Ltneal f. Are� Width Height Na ot Lloeal tA Area F :.No: `` ot Dane'. ot paae lighte ot crack aq. Lt. No. of De�e ot pane Ilghte ot crack . t .� � �% - '`� °� 'C' G , � � p � '�C Z, 2 � � � � � _ '� r �' � � s �q -rti, � . .� �, � � � � � � � �ef. �� tu � � � �. o e � �/ c � Coef. �n In6ltration - � Iafiltration �'°:�al�'sa + .° _ � Claaa i � Z1 ' Facp: wall : . °�"'�j : x � ' Eap. wall � �-' � ,Net eap,, wap Net eape wall � 0(J ,� In�."wall s ;:�, a - , ., �. - Int. wall . Ceilin8 / O f U � Ceilin8 :�( / 2.- Q Q S o o .z 'r''`Floor ' „ . . � Ca Fdoor b C1 .t° D� t`=1'ota! Stw :" ..� i Total Bhe. 7 S Required aq. ft. E.D.R. or aq. ine. W.A. L.eader area � Required aq. k. E.D.R. or aq. ina. W.A. Leader ares " � FI.� °d �. , ' I�oom Length _Width �j' _ Heighe � Q FI.I ` Room I Length �id � — Hei — �;� `�.W'tndows .�aad Doors—Craefsage and Area �lindows ae�d D�n—Crackage and Area ' �'� Wldqti Hetght, No. o[ Llneal t� Area Flfdth F2elght No. ot Lfneal ft. Area ��Ta�; ��^ o! pane ' ol pane ' Ifghts ot creck ea• tt. ' No. ot yaee of pane 1lghte of crack eQ. tt. t:; ^� �-. 2 � ''3 Z l ( -t �'� . - �� , �4. , � l�� o ,} � ;{� � � � ' � � i4 `,, Coef. Btu Coe �t�tltq�atiot� " n� ` / � G 1n61tretion 3' • 3 L) ;,;'Q1aea• ' ` . d Glaas t7 �, �`oG .. ,F.�iF: rA�aU "'' ' `.4. , S` Esp. waA y 5 � �� , i ,-.Net esp: wall �", Nee esp. wall / l� D � lnt. wal! _ � - � ' €� Int. wall ' . •Ce�ing •t°� � � Ceiling .l� / � � ;-,�'loor �� E � �loor 1'otal tn: � , � r � �, , 7° 7'oeal �tu. , s�2equited sq. ft„ E.D.R. or sq. ine. W.A. Leader arra (Zequered eq. k. E.D.R. or aq. ina. �I.A. Leader dres F;? . F7. ; Room � Len$th idth Height —'" �7. Room ( Length —�lidtEt — Height "'.r:° WiQdowe an Dooes-�-�raekage and Area �lindow+e and Doors—CrackaAe and Area �., �. ,�.. - a ' `' .� � ° �� . , " . "� - , ° � Coef. �en i116EtP8:{OA , b ,�lome � .5`� ?�M„�p,':�bel� ��`°Net eacp. wadl < /' 'int. wall ' , , '' ,C�ilinig � ` NlaoF�,° � �. Totat� $tu. �� : Requ6ted ec�. 'it: E.D,R. or aq, ins. �/.A. Leader area � ,, �" `e.a, s�a , � ,' Infiltratiom Glaao EZp. wa11 � Net eap. wall Iat. wall G I -c l� 'ot�l Btu. ;equirrd aq. k. E.D.R. or:q. ins. �IA. � ^/ r c` /� a � � � Btn f�.�S/ SUBJECT c�ty of Fridley - 2 ,� �-�� . AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � �� RECEIPT NO. � ; y � COMMUNITY DEVELOPMENT DIV. /�, r � � PROTEC7IVE INSPECTION SEC. l�1 I � , 6 � , /'��1 � CITY HALL FRIDIEV S$432 NUMBER REV DATE PAGE OF APPROVED BY �'""� � �'' 612-571-3450 910-Ft5 5/22/95 / / JOB ADDRESS 7520 Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. 3$ 4 Melody 1Kanor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pat Barry 7520 Jackson Street NE 784-9367 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO Dave Berry Construction Inc 14470 96 Ave N, Ma.ple Grove MN 55369 868-3116 9204 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO- 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION [� REPAIR ❑ MOVE ❑ REMOVE 1C 8 DESCRIBE WORK Reroof House (22 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the third. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARA7E PERMITS ARE FEOUIpED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOf;K OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHOfiIZED 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 COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ], 2lO .( 1 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- CTION OR THE PERFORMANCE OF CONSTRUCTION �31.00 Fire SC �1.21 ��,, PLAN CHECK FEE TOTAL FEE � �' " �� 1�''1�°� � License SC $5.00 $37.82 SIGNATUAE OF CON'RACTOA O AUTHORIZED AGENT IDATEI WHEN PqOPE Y VALIDATED THIS IS VOUR PERMIT � "�/Zyl �o G!�/G 2 S�GNATUREOFOWNEAiiFOWNERBUILDEAi IDATEi BII G iNSP qiT NEW ADDN ALTER [� [l t� i CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applica.tion ConstrucdonAddress: � �' �'� � ►��i�� Ri° �1 �- Lega1 Description: Effective 1 / 1 /95 �� Owner Name & Address: ��-i ��,�i'�� Tel. # i(5`�l � 3(� � Contractor: l�' ;� �:. %�j� �,` 7 °- � � �1' � �il�- MN LICENSE �i �.�--�� Address : l � G✓ ��L' �� -� � r�.�� , � � Tel . # �� - 3 ! / � Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction dra.wa on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length R�idth Height Length Width Height L.en width xgtJGround _ ' � (� G�r�� S,Z . �a-'l� � " � Sq. Ft. _ Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks �� r Type of Construction: ��z r a,l'��r� �-� � Estimat� Cost: $ i�-� / i� �-.. Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: � � � � _� APPLICANT: 1��- (�s"�'� Tel. # �t�� - 3i/-� Permit Fee Fire Surcharge Sta.te Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fes Sewer Main Charge TOTAL STIPULATIOATS: $ �/. v� � l.�/ $ � $ $ .a - G��' $ $ $ $ -- � � .�� CITY USE ONLY F� Schedule on Reverse Side .001 of Permit Valuation {1/lOth%) $.50/$1,� Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $4.50.00 Conservation Plan Review Fee Determined by Engincering Agreement Necessary [ ] Not Necessary [ ] 13UILUING Pi:KMI"I' PEL SCHEDULE �I�lic; Clii::f t3uiiding Ufticial st�all, (x:forc issuing permits for the ercction of any building <�r struclurc, ��r li�r any a�iclicion to eny cxisting buildin�; c�r struclure, or for any altcration or rcpair to any cxistin�; l�uiliiing c�r st��ucture, u�n applic'aUOn therefo�e, rc;quire the payment by thc applican[ for such �ermit �>f� t�c;� t<� thc; amount hercin t�cibw tict fo�ih and in thc mannen c�rein providcxl to-wi(_ "1'O"1'AL VALUI: � 1 co $500 $501 to $Z,000 �2,001 to �25,000 �2.5;001 to �50,000 - $50,001 to $100,000 $100,(}Ol to �500,000 $500,001 to $I,000,000� . $1, OOO,OQ T and up r-r_t�s $15 (Mini��um Fee is $IS plus surcharge) $15 for first $SQO p[us $2 for each additioaal $100 or fraction thereof, to and including $2,000 � $45 for fust $2,000 plus $9 for each additional $1;000 or traction thereof, to and includng $25,000 ' $252 for fust $25,000 ptus $6_SO far each additional $1;000 or firaction thexeof, to_ and inicluding $50,000 $414_SO for first $50,000 plus $4S0 for each addi6onal $1,000 or fradioa t�reof, to and includin�g $100,000 $63950 for €ust �$100,000 plus� $3_SO for each additional- $i,000 or fraction d�eof, to and includiug -$500,000 $2039.50 for tfie first $S(T(),OQO plas �3 for each additional $1,OQ0 or fracbion thereof, to aud including $I,000,000 $3539_50 for the first $1,OQU,O(}0 plus $2 for each addifionai $1,000 or fractiou theroof - DRIYE@f/AY DEPRESStON ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and re{�lacement of caub and gunter only - Driveway width pIus 6 feet times 513_50. Alternate "E3": Removal and reptacement of curb and gutt,er and i�tali a 3 foot wide approach with 6 inch depth - Driveway width pius 6 feet times $15_75. VCRiFICATION OT FOUNDAT[OIY Permits for constiuction will be issued a minimum of 24 hours from the time oF application to allow for proper revie�v of the p�o�wseci structure and of the construction site_ A Certitic:ite oC Sucvey of d�e lat, showiag the location of the fouaciation once it ha.c ii has been construcie�i will fx: re:yuireci befc�re proceediag with lhe framing. sue�ecT T NQ� City of Fridley �''� AT THE TOP Of THE TWINS g U I L D I N G P E R M I T � � 3 4 4 , r � � T NO. � `y �_�� COMMUNITY DEVEIOPMENT DIV. � f � � PROTECTIVE INSPECTION SEC. Lj� 1 i i ! ' /"'\ � CITY HALL FqIDLE� SS432 NUAABER REV DATE PAGE Oi AVPROVED BY �•"__�' ,•J 612-571-3460 910-F15 8/21/98 � � JOB ADDRESS 7520 Jackson STreet NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3$ 4 Melod Manor 4t dit Il SMEET 2 PROPERTY OWNER - MAIL ADDRES$ ZIP PNONE Patricia Barr 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Seal Guard S st ms _ 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and ara e (25 S) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD VENTILATING Oi; AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SQ. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTHEET PARKING I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oii NOT. THE GRANTING OF A PERMIT 2 8 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR T ERFORMANCE OF TRUCTION. PLAN CNECK FEE T TAL FEE �� LIc SC $5. 0 2.87 SIG REO CONTFACTOROR 12EDAGENT IDATEi NE PR Y VALIDAT THIS IS OUFl PE,RMI - 'vC - SiGNATURE OF OWNEA iIF OWNEA BU�LDEAi IDATEI B G INSP 6ATE � [] ADDN � ~ [ l �� [ l co��ao�aare�: �"i Legal Description: Owner Name & Address: Contractor• ��. Address: Q � vl � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY - SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUII..DING PERNIIT APPLICATION � � Effective 1/1/98 �t� '1� �- � Tel. # " I iS `-t'— I �I • r �1 � �/ � � Tel. � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlViPROVEMENT Length Width Height Sq. Ft. _ Length Width Height � Sq. Ft. _ Length Width Hgt/Ground Sq. Ft. _ Construction Type: �,—�1,� I �1 l � Estunated Cost: $ O� �� _ �� . (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: °'l,� APPLICANT: ' U Tel. # �I� �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPUL.ATIONS: $ .�"✓ $ •� $ e� $ $ �J_ b� $ $ $ $ � � I� ► CI1'Y 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 [ ] (��j (��' i `�,�s� � �� = - --� �I � 3100� BuII.nnvc� rE�rr � sc�nvi.E � -_ . a° - -• . 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 �rmit of fees to the amount herein below set forth and in the manner herein provided tawit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $SO,QO1 to $100,000 $100,001 to $5�,000 $SQQ,001 to $1,000,000 $1,000,001 and up FEFS $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,�0 or fraction thereof, to and including $25,000 $349.75 for first $25,�0 plus $y.W iur 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 $1�,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,0OO,Oi}0 plus $2.75 for each additional $1,(}00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet 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 FOUNDATI4N 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. . City of Fridley " 6431 University Ave NE Fridley MN SS432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection ❑ Existing. Date: r � / � � �65 ` ��-��C� l S~ � ❑Utility Line Repair/Relocation OWater and Sewer Connection Job Address: "7 S� o�,q � �� s�,� Srt n� � Name of Applicant (Plumber): Name of Property Owner: �a--fr S<-i Existing Structure Permit # Perniit Type: Sewer Fee: . Water Fee: Meter Fee: Repair Fee: �', o(`� �� Relocation: State Surcharge: SAC Cha.rge: Special Assessment Fee: Total: $�� Applicant Signature: �� Inspector approval: r 04/04/OS From: City of Fridley To: 6128252303 Page: 2/3 Date: 10/4/200711:57:41 AM Building MECHANICAL P�'►it No.: ' pD• �nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ��r T° srr� ADnRESS �� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION YouRE-�. �D�s r�c � wcl��_ r�ie°�� • ow. A/.� 0 ow�t �e6NTTtncTOR NAME: �D�SS: �s ��, �'�eKs��,}.��?� �� STA PHONE: �o�� N�: �u. 1� �,c1� � CONTACTr PERSON: Nj. � STATE�kG� y 3OG �a �_ E3� DATE �/ �— ADDRESS: I G1� CTTY STA' PHONE �,� • � � �+ �Q/O �l FAX LIQ � �J % �L . �� PERNIIT TYPE �GLE FAMILY ❑ TWO FAMII.Y TYPE OF WORK: � �' ��LACEMENT DETAII.ED DESCRIPTION OF W.ORK A_ I�t d w� i ' - ❑ TOWNHOIISE ❑ ALTER.ATION/REMODEL �d PER MS 16B.665 the permit fee is a minimnm of $15.00 or 5% of �►e total cost ap to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtiu�es. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor dost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WF�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTiJRES: {II�IDICATE TOTAL NIJMBER OF EACH BELOV� EquipmentInstalled MFG: � MODII.: �11% �i� ��I�p SIZEBTU 0�� G� MODII,: SIZEBTU 14IFG: MODEL: SIZE/BTU A/C $25.00 FIRF.PLACE (GAS) $15.00 C3AS RANGF✓OVEN $10.00 AIti TO AIlt EXCHANGEER $15 FIREPLACE ('WOOD) $35.00 NEW GAS GRII,L $10.00 _BOII.IIt $35.00 �FURNACE $35.00 GAS TJIJIT HTR $10.00 CF�VVINEY LINER $10.40 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 ,_GAS PIPING $10.00 VENTII,ATOR $15.00 Permit Fee $ Number of fixtures (�a, $10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures (a� $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures (a� $25.00 x$25.00 =$ Number of fixtures (�a, $35.00 � x$35.00 =$� Stete Surcharga = $ .50 Tota1= $� THIS LS 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 permit but only an application for a permit end work is not to start without a parmit; that tha work will be in accordence with the approved plan in the case of all�which require rev' d approval of pl s. SIGNATURE OF APPLICAAI-'P"� yy � � PRINT NAME r .� L:.�LK �Q.� DATE �D' y� 7 r.. City of Fridley Building Inspections Department 6431 Uruversity Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 From: City of Fridley To: 6928252303 Page: 3/3 Date: 10/4J200711:57:42 AM City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �XISTING HOME 0 MAKE-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustioa Air (See aote below) a. Oil or solid fuel IMC Chapter 7 with MN 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 MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling loa.d 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 Maaual D NOTE: Centerpoint Enet�gy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. aate: 10/4/2007 Revision Date: 10/4/2007 Site Information Address 1: 7520 Jackson St N.E. Address 2: City: County: Application Information Business Name: Ray N. Welter HVAC Contact Person: Warren Existing Construction: Pre 1994. Project #: Mrs Pat Barry Lot: Block: Subdivision: MN Contractor License #: Office Ph: 612-825-6867 Fax: 612-825-2303 Cell Ph: Address 1: City: State: Zip Code: Minimum Mechanical Code Requirements Met Will you be replacing or adding a water heater, furnace, or boiler? Will you be installing a decorative solid-fuel appliance? Will you be installing an exhaust fan 300 CFM or greater? You have met the minimum requirements for make-up air and combustion air as required by the international mechanical code, as adopted by the state of Minnesota with amendments. NO NO NO Applicant Name (print): � dl, `�'�(' �,v�T��, e S Signature/Date: � a-�-c�-��,t e. L� 0— 4_ d^t Code Official (print): Signature/Date: � ' � � -��. 3 � �lm � -. o� C.$,,,�17- v�;,�, ' u,,�sz �w�a�- �.�..�.J�.� . � .. �-tr��. � ,� �� v�..� �.� � !�� 2004 CenterPoint Energy Minnegasco. 2004 Mechanrcal Code Guidelines. Page 1 Building Inspections 763-572-3604 763-502-4977 FAX DA� "1('I I U'1 SITE ADDRESS � THIS APPLICANT IS: PROPERTY OR'NER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE �rYrE oF wo�: DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING Vinyl ❑ Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR &MAIL ADDRESS C}T �, ❑ OWNER DgCONTRACTOR �D�S152o �cK.so�1 ST NE �� -�.t�t.�Y PHONE: � ��p3""l��- q31�'1 N�: F�C 1�.�,e� STATE LICENSE # Z�� q�� E7� DATE a�nnxESS:�4�J�0 SOC.�1.`� �.i RD I�i crrx,�g, PHONE I/1�I-��3-5ilo F,� 1�51-�31 ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMII,Y/NEW CONSTRUCTION STORIE,S ❑ BASIIVIENT FINISH ❑ ROOF ❑ DECK J� SIDING ❑ SWII1�IIVIIlVG FOOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION L$ MAIN'I'ENANCFJREPAIR ❑ REMODELING :��l.Pct,�►Jl� S ID� �Jb 'DV� 'Co S`Coi LENGTH WIDTH ❑ HOUSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia R'INDOWS IN E}IISTING OPENINGS OYes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ❑ DRAIN TII,E ❑ OTHER HEIGHT Permit No. �� 3 �� Received By: - � Date ��au � E P 5 2( .� BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structutal members to be used FOR NEW CONSTRUCTION INGI.UDING DECKS, ADDT!'IONS_ Bc PORCHES SUBNIIT: 1. Sibe Plan/Sucvey showing the existing structures and proposed proje�t. 2. Two sets of construction plans 3. Energy Calculations � TYPE OF WINDOW TO BE INSTALLID NUMBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �oO�O. DO OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Sutcharge SAC Charge Curb Citt Escrow Erosion Control Park Fee Sewer Main Charge $ � 25_25 See Back Page for Fee Schedule $ 65% of Building Permit Fee $ , 3 • .001 times the total job valuation $ � .0005 x Permit Valuation Minimum $.50 $ �j . n � $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreemecrt necessary ( ) Non Necessary ( ) $ . _ Make checks navable to: Citv of Fridlev Attac THIS IS t'(AT APPLICATION FOR A PIItMIT-NOT VALID UNTIL PROCFSSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I underst�►d this is not a permit but only an application or 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 ork 'ch r uires review and approval of plans. SIGNATURE OF APPLICANf I PRINT NAMEI�N� IN � DATE R'�Q 9 PLEASE NOTE: SEPARATE PERMITS ARE REQUIRBD FOR PLt7MBING, ELECTRICAL AND �uilding BUILDING Permit rio:. � � � Inspe�tions RESIDENTIAL APPLICATION Received ByJ" `� • D 763-572-3604 CITY OF FRIDLEY vate��: � 763-502-4977 FAX EFFECTIVE 8-19-09 DATE � I�7/ 09 YOUR E-MAILADDRESS SuS�e. oioZ Io � InC3FYhCt� �•CC91�'1 sITEADDRFSS %5ao Jactcsvr� sT NE� �r�d��ya M�,} S5� 3 a THIS APPLICANT IS: � OWNER OCONTRACTOR PROPERTYOWNER/ NpME:�-fi•-;c ;a (3ar�� TENANT „�D�s:"�5ao J0.CVcS�STlJ£ CITY �T� d1e� STATE�N ZIP 554 3 a PHONE:� CP 3 -�7 $ � - � 3�� CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTffICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE pq}( PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERNIIT TYPE ��DITION ❑ GARAGFJSHED O WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE O DECK � SIDING � OTHER. C �r � ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCI'fON ❑ ADDI770N O MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOk'ING ❑ HOUSE ONLY BASEMENT REMODELING SUBNII'f• NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Exisring Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCT[ON INCLUDING DECKS, � V��Y1 ❑Sotfit ADDITTONS. & PORCHES SUBMTf• O Aluminum � Trim 1• Site Plan/Survey showing the existing structures ❑ �� ❑ Fascia and proposed project. 2. Two sets of construction plans WINAOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCAT[ON OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES 8c TYPE OF WIlVDUW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS• TOTAL JOB VALUATION Permit Fee Plan Review Fire Surchazge Surchazge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due (USING THE 1997 U.B.0 FEE SCIiEDULE) � _ OCCUPANCY TYPE $ 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) $ $2000 per SAC Unit (Plans to MWCC for determination) $ Zo ft+6ft= Z,� ftx$22=$ 572 $ $450 Conservation Plan Review' $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ S 7 Z Make checks aavable to: Citv of Fridlev AttA� 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 accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT � �,te oan 1 i n s�... .. _ PRINT NA MF �« c e., �,.. __. n e�rc �1 � Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for l�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for l� $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 l�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 s b � � � � � � F �� `�!� � � � x � � �t�� V � Z� � �' w � P Z la� Q� �7 :;�,. �� 1� . �',I: � �' �.A. �` ��r :� ,y. Y }` a � . . . �i • �) • I � � �. �. r s �� ...s � f� � �� ' i•� � -� �} � �, �., .�. � � � �.. � �.� �- � � �.. �+ � � �+ � �. � — � �