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AF - 47484City of Fridley, Minn., �UILDING PERI�IIT N° Date: �"�.�L.. "�".' � �„ , � Owaer: �� , '�, �=�� Buiider _ Address _._. � Address 585'7 YION O �' �i�9G No.��+�� Street Part oP t Lot �_�_ Bl �_ Adclition or Sub-Division — {+ - ',� � �,. JT Coraer Lot _ Inside I.ot �'� Setback ,,,_ >(�?� ideyard .��._.. Sewer IIevation " Foundal3on IIevation DESCRIPTION OF BUILDING � �� T�fe Us ', �� Front .�� Depth �� Height � Sq. FL� �.�^�' � Cu. Ft +�� Fr t Depth eight Sq. Ft. Cu. Ft � Zj�pe of Construction ��"'�_ Est.��.__ To be Completed In consfderation of the fssuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth aad ia compiiance with all provisions oE ordinances of the dty of FrYdleq. �' In consfderat3on oP the payment of a fee oE $�� , permit is hereby granted to— to construct the buflding or addition as desc�ibed above. This permit is granted upon the e$presa condit[on that the person to whom it is granted and his agents, employees and worl�aen, in all work done in, around and upon said building, or any part thereoP, shall conform in all respects to the ordinancea of Frldley, Minnesota regardiug location, construction, alterat3on, maintenance, regair and moving of buildings within the dty limits and thia permit may 1� revoked at any time upon viola ' of an,y of the provlsions of said o��. � � .,� �'� � �� NOTICE: - � Thb permit does em eovar the eoestrucHoe, imtalletlon for wiring. plua�bing, eas heatteg, sewer or wa�er. Be snre fo see ths Buitdh�g (nspeeMe foe separaTe permtis for lheae items. • �, 4 �,, . !�' +'� — � — ,;,+'a! .. ,r^r - APPLIC�iTIO�T k'O� BUILDTNG PERMIT C�TY OF �RIDS�EY, 1+�NNESOTA awrie�'s Name Bui].der L , � �� Address Address `/�`��/�� . LOCATION OF BUITi�DING � No e �� " Street �--�� art of Lot L��`�� Lot_ � S1ock / . Addit3on or Subdivision___��___ Corner Lot Inside Lot ✓ Setback`Si�e-Yard /a `��'j � SEWEI2 ELEVATION FQUNDATION ELEVATIOZ�T Applicant attach to thls sorm Certi�icate of Survey o� Lot and proposea building 1oca�ion. DE�CRSPT30N OF SUTLDING To �Oe used as e� S @�,,�, �-�- °� SA`� �J �ront_____ Depth He3gh� eS� s Ft • \r�i • �� • Front�_„_Deg�-� _ He ight Sq. Ft. Cua Ft. lype of Construcicioa Eatimated Cos•t lo be Completed The undersigned he�eby makea application for a permit €or �the work hereir� specified, agree�.ng to do a11 work 3n strict accoro�ance with the City o� Fridlay Orainances and ruling o� the Department oi Huild- ings, and hereby declares that al1 the facts and �epresen�a�tions s�ated in this apg�lication are true and cors�ct. . � �, � D�TE �� L °� � SI�TtTi�E � (Schedule of Fee Costs can be �ound on the Reverse Sic]e). � ,. �`� �i - _ � , _ _ ., BUILD�NG PEY�MST PEE� 3Q3EDULE SecL3on 2. The 7mspector o� Buildin5s shall, before issuing any pa��i� �osc the erec�3on oL any building or struc�ure, or for any addition to any exis�iag build�.ng or s�ruc�ulce, or �Eor any alterations or repairs ico any �xis�cing building or si:ruc�cure� upon application :h��eior, requixe �he payvent hy the a�plicant ior such permit of fees to �the amount herein belaw set forth and in the mar�ner herein prov�ded to wito 2.1. �or any such pa�nit for the erection o�E any fire-p�ooL building� oi:Yier than a garago, warehouse, factolcy or grain e].evato�c, or �or the erec��on of any zire-p�oof addition, ror s3.milar occupancy, to any ex�.s��ng buildinc� shail be at the rate o� $1.40 for each ono thousand cu�ic :�eet, or �ractcion thereof, in such cubical contents. 2 e 2. For any such p�rfn�t �or the erec�tioa of ar�y �'iro-proof garage, waxehouse, fac�o� or grain elewator, or for fche erection or ar,y �ire- prooa ad�it�.on, io�c simi.lax occupancy, ico any existing bui�.d�.ng shall be at the rate oi $1,25 for each one thousand cubic feet, classif�.ed as "�3reprooi" by �ec��.on 502 oi the Minneapolis Building Code, fiOU�ES 2.3. Forc any such pe�cm�i.� for the erection of any non-iEireproo� build- �ng o�her than a garage, warehouse, �ac�ory or grain elevator, or any non�sireproo�E addi�ion, for s3miZar occupancy, to any exis�ing building Pe�cmit $1.00 �or each on� thousand cub ic feet. G�GES . �� 2e�. For ariy sucl� �e�mi�t for the erec�tion o� a�ny non�fireproog ga:�age, warehouse, �actory or g�a�.n eleva�or, or for the erection of ariy non-fireproo� add�.�ion, �Eor aimilar occupancy, to any existing building or �o� each sueh buildiag or add3tiona Ninoty Cen�ts for each one thousand cubic feet or fraction ichereoi, 3n th� cubical contents �hereof wi�h a min�xaum o� .$4000. For the pu�po�e�oc compu�ting fees for building perm�.ta the cubical con- tents of any build�ng or addition �o a unifornt laeight throughoui; by multiplying the g�round area covered �rom a�oin� six (6) inches below �he floor lin� o� �he 1�asement or ceila� to the average heigh� og the up�e�c sur�Eace or �o 'che average heigh� o� the roofc susface of �the �a3.n gable of a pitched �coo�. 2.5.� �'or repairs or alterations to an e�3s�ing structure, the ��e shalZ be at �the ra�e o� $3.00 pe� each Five Hundred Dollars {$500.00) or rraction�thereor �n �he co�t o� all. prcposed work. 2.6e ia no case shall tho ree charged for any permit as set forth in soction 2 be less t17� $4.00 e n �� a �� < A .� � � - -�'e Lond Plonnin9 Larrd Surveyin9 Sni/s Testin9 Cfvi/ b Mrm"�cipiol En9ineerin9 ��IZ 6875-Hifhwoy *�S NE. Min�aPo/s 2/, EN G i NEE R I N G� I N C. Min�esofv SUnsei4�6066 � — En�ineers E Su�vec,ors — cesti�scate o� ssurve �o: �+ � � DE�� : , � . , � - ,� a m: - i3.� > � - LOT �' L I'/�'0.9��E BU/,CD 3L G'C � 7TH �. ��, � , � � � � � � a � � W LL li. �i.1 � �� ,9��/%/�i�r�' I b�by �i�y fhoi fliis is a five and aorr�cf �eprese�otran o�'o sarrey �'fln b�.,,do��es o�ilhe abo►� dew�6�ed /�A, m�d a�'/fi� laco�fion o�'o// b�ildin9s ,lfkreon , ma�o// risib/e awnadimenfs ,��'o�y, �'ran or a� soid /and. As sur�reyed by me /fas - cby a�' Fe b r U c� � l� a.0. /9.�1. SUB UR 8AN ENG/NEE2/NG ,/IVC. L-n�in.,eers E Syr-re�ors SC�1 L �E /�,,",-- 30` _� - ------ �* . � �� r',�.. �-��ry •_ , �✓ — --- - _ __- __�_ - .. � = -- -- — ---- -- ----- _ _ --� ---- .. � - �--- -- _ 6�f�' — -, Date: OWliC'T 1 1 1 1 A�.....w..�al6ai.�'<.�. � �' ;� 1 ,.�- -� ��f� ..�. � � y.. ,r� ., _ � ! � No. �� UJU -� �� 1 �� # ..v% ,' � / �;1�",�i� � .,it�., ..�i . .r. Coraer Lot � Inaide Lot _._.. Setback ._._._ Sideyasd �_ Sewer IIevation �— — Fotmda.tton IIeval3on ,�: DESCRIPTION OP �UILDING To y��vsea as�'� � ,� �,} ,r '� f Front � Depth .�� Height -�� Sq. Ft ��Cu. Ft ��J � Depth � e�ht .—��,e Sq. F't. w Cu. Ft � T�pe of Construction _ .� F�t. Co�� '�Tbe Completec� � __ � < �" t �` �� In consideration of the issuance to me of a peiznit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the dty oE Fridley. � � In consideration of the payment of a fee oP $..c��- , permit is hereby gra.nted to, to construct the building or addition as descrlbed above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said buildfng, or any paxt thereof, shall conform in all respects to the ordinances of Fridley, 1Viinnesota regarding loca.tion, construction, alteration, maintenance, repair attd moving of buildings within the city limfts and this perinit may be revoked at any time�on viola.tion� of the proviaions of said ordinances. .,�''' �.s .� ,�` $ Inapector NOTICE: ihis permit does nof eover ths coestruetion, inataqaHon Po� wirin8, plombing, gas heatlne, sewer or water. Be wre to a� �hs Bulldine U�speetor for aeparate permita for these ttems. � 4 � � _._f �:.� � ,,.. - - APP'LIGATION FOR M01/IN�G P'ERMIT No Fridley, Minn.,_.� 19�� Insgector of Buildings, 6431 Univ. Ave. N.E. The undersigned hereby ma.kes applica,tion for permit to m�ove building as herein specified, agreeing to do a1l work in strict a.ccordance with the Gity Ordinancea and rulings of the Il�partmeat of Buildinga, and hereby de- clares that all the facts �nd representa,tions at�ted in this application are true and corre,ct. Present Loeation � � � . To be moved to: �� . Routing : ��z�-� - ' � �r � O � Lot Block -y --y —, � � �� Addition � Distance moved it.To be completed about 19— Taxes pa.id? Estimated cost $ Fouadation and alteration permit aumbera Certifica,tion as to c:ost : I hereby certify that the above designated building is worth at least sixty (60) per cent of the cost of a simi- la,r new building. Signed �� 4��rrr�--�v,� Owasr or Ageat Agproved by: Utilities Notified: .Water & Sewer Department lViinneagolis Ga� Co. (da.te (Tit1e) Northern States Power Co. (date (Title) Northwestern Bell Telephone Co. (da,te) (Title) Signed t�i _ _� �-� (See reves� side fos fns3rudions) �.I.iceased. Mover � � City E�gineer In the event that the moving �nait is to be apglied for by the owner or by anp other person thaa the licensed Mover, the following letter mnst be campleted an�i aigned fiy said mover: Inspector of Buildinga, 6431 Univeraity Ave. N.E. Fridley, l►�inneaot� Please issue the bearer of this application, Mr, a permit to move building from :. Date , 19 � to: to which � hereby authorize him tc>;sig,n my ns�me. Sign� Lefcensed Mover GENERAL INSTRUCTIONS The following must be secnred before moving permit will be issned: 1. A building permut for new location of building to be moved. To obt�in this building permit, tha following is reg,uired: (a) The buildi�g to be moved must be inspectecl for atructural soundnesa by the building inapeetar. Phoae this office for inspection. SUnset 4-7470. (b) A survey of lot to which building is to be moeed. This survey mast be made by � liceneed surveyor. (c) The building and moving permit muat be obtained at the same time. 2. Tax receipt showing that all rea.l estate taxes due have been paid. Duplicate receipts may be obtained at Anoka County Auditor. 3. Approval from, the Fridley Water and Sewer Department ahowing th�t bills chargeable against the property to be moved have been Faid and water connections have been discontinued at the curb line or at the main. (See reverae side of form.) 4. Approval from Fridley Director of Public Works office approving rauting. 5. Natification to, and signature of utility companiea. (See reverse side of form.) (a) Minneagolia Gas Co., 739 M�rquette Ave., Engia eering Depaxtment, Fourth F`laor. (b) Northern States Power Co., 16 South bth Street, Applica,tion and Extension Department. (c) Northwestern Bell Telephone Co., 224 South 5th Street, Bu�inBss Office, First Floor. li 2saa-sa '�` "° � � �� -- � d � Li: p �9 : t� : � ' � , � � N � � � ►+ !�y � ' � � w � � � � W � o � �° � � � . O • O � . o . . �'r : : I I I � � k � N N � O O O � -03 f!! &i H H � z � r � � z� � z� z x 8 � � � � � N � � � � a' �' � �u � '� � : O � � b �' ,� � � a� �� ° � � � � N . . W _°o : 0e : ¢ o . py . . � � . . . . : � : : : : � '�a iC aq '�a oC 'va � � W N W F+ F+ ►+ � p C�7� O O O .,�,� ifl �! {/i fA ifl {fl � UV y � H � � 1 0 � x � � � � � � �• ta � p N � � r � m �^ lI 2 m C r m � �' o � `r m fD � � O a � � � � � e�.h � �¢ � � � � � \ � � �� , ■��1 - : ■..I�, : � ��I�11 � � ■■■I'�I�i ;; ; ��1�1� :. : ��IIIC! � m '� a O .�+ M � a a � G� ��-b y � 5 � �, � � � V , � � � WATEIi � URINALS enn+ rues s�siws SINKS W�, rw.rs ORINK. FOUNT. sHwas. FL�R DRAINS CATCH BASINS Auro WASHER GAS APPL GAS RAIdGE GAS OPENINGS a i 2 • � � s A n � �. � � � �� ► R, co w � �' �M' � � i"' � � I+ �� 5' � � �a � �"'° � {�"i � � � �b � � • � � � M � °a��,� 0 � p, o p fD�a� ti ��w � ¢� �� ti � �� . � � w g �O� �� A e�, �, � °� � � c �' d G� � � � a��o �f �� p � �� M i�a � � W � � � � � � � � �O �`' � � d RL a � � � � � � M `� �. �a� �m � a �`�° �• . A V O �� ' � � �1 � . . . � Caty of Fridley, Minn. BUILDING PERMIT � - �; _ _ a � / � � � • .%.Si�/ +C �s f1 y� .�v/ �.. , /� 2:c� � - ��.�� ./.°G/:[ - �v � �7 N° 64'72 i CATION F B ILDING No. �e_�f� Street �� Part oP t Lot ��.._ Block �._ ddition or Sub- on Corner Lot � Ins�tde Lot �� l�tback —..._ Sideyard .._._ �� Sewer IIevat4on — � Founda.tion IIevai3on DESCRIPTION OF BUILDING T U Front �.�� Depth �...� Height �� Sq. F't. !�� Cu. Ft Fro t Depth FTeight �� Sq. F't Cu. F't. 1�pe of Conatruction _... Fast �.c.7_.�� __�'. �.' _ To be Completed In canaideration of the isauance to me of a germft to construct the building described above I agree to do th� praposed work in acc�rdance with the description above set forth and in c:ompliance with afl ons of ordlnanc�s oP the dLy oP Fridley. In conslderation of the paqment of a fee of , pern�it 3a hereby granted to to construct the buflding or addition as d�cribed above. This permit is grented upon the expresa condition that thepe�o n to whom it is granted and hie agents, employees and worl�en, fn all work done fn, around and upon safd building, or any part thereof, sl�all coffiorm 3n all reapects to the ordinanc� of FridleY� Minnesoffi regarding location, conatruction, alteration, maiatenance, repair and movin� of buildinga o�� dtY ]imfts and tbis permit may be revoked at any ��pon viol�a,�taton of aay oY the P�� of said Bwllding Inspector n NoflC� 7hb peredt dosi rtot eovs� t6s eomtencHee, ieshll�lee hr vrtrleg, plumbiee, en 6saNeg, ssw�r er �ratsr. B� surs fo ss� 1ha Buildtng lasp�efar Me apa►aN p�rm6s �or t6as (t�ms. .� i. ' � APPLICATION FOR BUILDING P�RMIT CI7.`Y 0� FRIDLEY,. 1�IINNESOTA � OWN��It' S NAME Q.i�j'�ii7� � �� ',� �SU7I�DER �i�� ADAR�SS rJ e�� E`fi��..��c��% �%'e.�ADDRESS _ . �S�%v�.�" LOCATION OF BU$DING No. � Street ��6% �- = ParC of Lot Lot � Block � Additioa or SubdiV�ision ��%�',�/�C.� s�t0�'��/J'�f' �� : Corner Lot Inside LoC rs �Setback Side-Yard _ SEWER ELEVATION FOUNDATION �LEVATION � Applicant aetach to thia fosm Two Certificates of Survey of Lot and proposed build- ing location drawn on theee Certificates. To be used as; DESCRIPTION OF SUILDiNG � Front � � � � Sq. Ft. �� ' Cu. Ft. �� Front, Depth Height �i��Ft . Cu . Ft . Type of Construction ��i��.� -� G`�s� Est�mated Cost %��, To be Completed �� 1'P /%lo � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in atrict acco=dance with.the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares,that:a3,1 the facte a�c� representatioas atated in thia applicatioa are true and correct. �A� � — �' ' � � szc�� P � (Schedule of Fe� Costs caa be found on the Reverse Side). � �- - / � �� 4 I �- � � .� � BUILDING PERMIT FEE SCAEDULE Section 2. The Inspector of Buildinga sh�ll, before issttiag att,y per�tit ios ��ie erecCion of any building or structure,,or for any addition to any ex3st- ing building or structure, or for any alterations or repaixs to any e�isting building or stsucture, upon application therefor, requ3�re the payment by the appl3cant for euch permit of feas to the amount herein below set forth�end in the manner herein provided to-wit: Z.1. For any such permit for the �rection o.f any fire-proof building, other than a garage, warehouse, factory or grain elevator, or fos the erection of any fire-proof addition, for similar occupancy, to any existing building shall be gt the rate of $�..40 for each one thousand cubic feet, or fraction �herceof, in such cubical contenta. 2�2. For a�y auch perm3t for the erection of anq fire-proof garage, warehouse, factory or grain elevator, or for the erection of any fire-proaf additioa, £o� similar occupancy, to any existing building shall be at the r�te oE $1.25 fo� emch one tl�ousand cu61c feet. classified as "fireproof" by Section 502 of the Minaeapolis Buildiag Code. �-AUSES 2,3. For any such permit �or the erection of.any non-fireproof buiidiag other than a garage, warehoi�se, factory or graia elevator, or any� noa-fireproof addiCioa, for similar occupancy, to any esieting building - permit $1.04 for each one thousand cubic feet. GA.�tAGES 2.[�. For any such permit for the erectiaa af anq non-fireproo� garage, w�,rehouse, factory or grain elevator, or for the erection of any non-fisepr�.i addie3.oa., £or a9.milar occupancy, to anq exfstiag building or for each auch � b�idfng or addiC3.on - ninety cen�s ($0.90) for each aae ebousand cuk�ic feet or fraction thereof, in the cubical cantents thereof witb a minimum of $4.00. For the purpose of c�pu�iag fees for building permits, the cubical costents of any buildiag or addition to a uniform height throughout by mult2p�ying the grouad area covered from a�oint six (6) inches below the floor li,ae of the basement or cellar to the average height ot the upper aurface or to the average heig�nt of the roof surface of the main gable of a p9.tched roof. 2.5. For repaira or alterations to an existing structure, the fee shall be at the rate of $3.00 pes each Fine fluadred Dollara ($500_00) or frection thereof fn the coet of all.prop�,sed work. 2.G. ?�. AO '�8�0 8$8�,1 tlTe �ep cliat'�ad fnr anp permik ae set forth in 3ection 2 be less than $tF.00, �.�-�_ I � -� -� � _' - s- �. � � SuB�EGT City of Fridley AT TME TOP OF TNE TWINS g U I L D I N G P E R M i T r � � ; `L ��_ COMMUNITY DEVEIOPMENT OIV. r � � PROTEC7IVE INSPECTION SEC. � � ` . � �"'1 � CITY HALL FRIDLE� SS132 NUYBEF aev �"""'�� '� 612-571-3450 910-F15 �oe nooaess 5812 Jefferson St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. $ 1 Lyndale Builders 7th 2 PROPERTY OWNEFi MAIL ADORES$ Ma.ry L. Ellison 3 CONTiiACTOR MAIL ADDRESS Owner e AqCMITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAII AODRESS 8 USE OP BUILDING Residential. 7 CLASS OF WORK DATE 8/16/99 ZIP / / 30056 RECEIP-T NO. �� APPROVED B� SEE ATTACHED SMEET PNONE 586-0832 PNONE LICENSE NO PMONE LICENSE NO. PNONE LICENSE NO O NEW ❑ ADDITION � ALTERATION O FIEPAIR O MOVE O REMOVE B DESCRIBE WORK Install egress window in basement bedroom 9 CMANGE OF USE fROM STIPULATIONS TO Install smoke detectors to meet the State Building Code - in each sleeping room and on each leve� of the house. SEPARATE PERMI7S ARE REOUIREO FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF C VENTILATING OR AIR CONOITIONING, TMIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONS7RUCTION ZONING AUTMOiiIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOO OF 1T0 OAYS AT ANY TIME AFTEFi WORK IS COMMENCED. NO. DWLI I HEREBY CER7IFV TMAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATIOI AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIEO WITH WHE7NER SPECIFIED HEiiEIN OR NOT. THE GRANTING Of A PERMIT .$�.ZOO DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OFi CANCEL TME pEqMIT FE PROVISIONS Of ANY OTNER STATE OR LOCAL LAW REGUlA71NG CON- STRUCTION OR 7NE PERFORMANCE Of CONSTRUC710N �Q�Q�. HS S�GNa ' F �pN'aAC a, AUTHOAIZED eGENT 1DATE� �=�� ° NnTUAEO OWNEA��OWNEpBU�IDEiii _ iDATE� � � �� oGCUPANCVGROUP SQ. FT UNITS OFFS' S7A�LS SUR7 $.60 OCCUPANCVLOAD CU fT ' PARKING GARAGES �e SC $1.20 AL FEE _, , . M K �w [ ] ADDN ALTER Effective 5/10/99 I l CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.DING PERNIIT APPLICATION � Cb � � � Construction Address: � E �� d � - � �^ � 5�/ � � n I.egal Description: _ Owner Name & Address: �Cc F�C/ ,� .��/ Shc� Tel. # 5�°��o� Contractor: �n e d� MN LI�ENSE # Address: LIVING AREA: G�RAGE AREA: DECB AREA: 01'HER: Construction Type: Tel. # Attach to this application, a Certificate af Suruey of the lot, with the proposed constructian drawn on it to scale. DESCRIPTION �F IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgtJGround Sq. Ft. ,• n �� l l �e� �� s � �v r'rx-�/c� �� °� � ��o� Estimated Cost: $ ��ZLL�� . � � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ e�� A DATE: � —1� - l � APPLICANf : �'� Tel. # � �� 5 ,�� Permit Fee Fire Surcharge State Surcharge SAC Charge Lice�se Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� S $ %- � O $ . <o�► $ $ $ $ $ $ $ �� ,5� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per 5AC Unit $5. � (State Licensed ResidentiaL �ontractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _ • . ,. BUII.DING 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 amouut.he=ein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,�0 $100,Q01 to $500,000 $500,001 to $1,000,000 $1,000,001 and up M�� Cy $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fraction thereof, to and including $2,.000 $69.25 for first $2,000 plus $I4.Q0 for each additiQnal $1,000 or fracdon thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each addidonal $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Oi?0,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. r'iuru. vn� ui nnaazy �u �u�u� ro}jc, sa.r ua�a, w..rcwv v.�....� .,.o � Buildfng ��# 1��AL p�""� ��_: � Ins�ons R1ES�lE�Y.Ai. �]P�'Y.ICAiCI�i1�T ��'�� 763-57Z-36U4 nats R�°a: 11 �/ �' ��'I"!� �F F�I,�� — �A�1�1 .i____`� Y4u� ��_ ��. ��=� �� - I� SITEADDHF�3_ ,��._�..2�1_1.� - �--- �ts ,�.teart'e 44� t7 owt�t t�.ac eo� PRIiPF.RTY NA[�: ��,f__� �( ___ . . . � %\__ _ . _.. .. —__ ._--�- - - - 0�4'1�GIi! ADDRFs33 Z. S� GCPf'Y � lC`� �'P�l�/ 3TA'f�J� �'ENAIiT'i' � . -� �-, � � -� 'T Ctil�`i'�.C'PQ8 C�7I�ANY?JAME� � ► sc�s�trr A�r�► oF coArrncr �sa� �� G� -C; YOUR. STA7'E STATB L[CBN� � FiXP DATE --- Ltc�S� wrrx nnat�:1 l.Q L� �'-' cx�r APFLICATION PIibML� lP�� - �YC�I FAX ��_/ �i:.J.W�i �FA TY!'J� UF W OBK: 9AYGLG FA�IILY ❑ T'9� FAAd�.Y iu�w o ��►csan�+rr OF WvAK �� e �. �. �r� . � 4. o �u.rea.A.Ttoru�oaa. PBR MS i 6B 655 the garmit fee is u mininsnm of $15.4fl or �°Ib a� t6e tofnl c�t ap ��8500.� whichevor is �r�ar, far �e impmvemetn. inste!lation or replaaea�+eut o€ a resid�nt�! facture, �cciudi� the �rxbures. {'This s4�ould refleet auly the aost of lebnr } I.abor cost taidar $300 =$1 S.OQ. L�sbor coet betwer� $340 to �SQU ° co� of labar s.OS = FOSPRO]EC[9 � 1ABOREXCF�B �, FEE9 Rit� 8A� ON i10.� P�t �UtTU�C, �RGG�?'�E N01� F�1'tJ�9: (�I{:ATE TOTAi. 1�Bk� C1F �ACH PEL��1N} . �qnipm� L[�llcd MFG. biODi�.._ — -- -- -- S1�JDT[I � — — n�� eaon�.: sr�e;lN�Pu MFa AQOD6L: . SIZFJBTU �AlC �.5.44 _ � — FlltBf+LAG'� (GA 5} �! 3.A� GAS RiWtiE/OV6Af S10.t10 -� �,AIR TO AIIL F.XCbiANCrF�3lt S13 „TFIR�PLACE (YVOOD) f3i.00 rI38W CiA3 QRiI.L S� 0.� BOII.ER 935.OD FURNAGE S35.Oli iiAS UAlIT IiTN. 510_� TCH[63NEY L11N&R 410 � t3AS DRYBdt $Ifl.flif FOQF. t�A� $35-�0 DitC1' bU4RK 510.00 4A3 PIPII�Ki �] 0_00 VEN77LA'POA SI5.00 x��'�:��.�� . � � ;. - . .. .: ,. . . , :... . `: �;�:�.>�e3��.��:� Permit Fee � Number of fuctitr� (a� $ I O.W x$10.� m$ �trr.h�rge � __ ._ � .:. ., _ Numl�r �f 6xture9 (t� $15,00 � x $15.� = $ _. _ T�TAL DUE $� j. N�cmber of fixtures (� $2S.U0 ___ x 325.00 = S _ Number of fixtuces (d� S35.t�U � x$35.04 =$ �ate �rge � $ .SU r�t s s THTS [S A�1 APPIaeaTlaAl F�� A PkBMtT-NOT vAL[D U1dT[[. PNt]C� I hereby eppiy far n bnilding permit aral ��elrnoarledge tl�fi the in%rmation abo�e ia caa�le°te and acdtt�De; that the work v�n71 ba in conformance vRith tha or�d�artc� and c�a�s of the Cety of Fridsay artd wah tha M'mrtasota Car�uetivn Cfldoar, that I underatend tiyis i�r not a panait hut. oaily aa � for a��rmit s�ad�' k is nat to �t without e p�rmi� tl�art the wark wi1! be ai a�ce rnith the ep�n'oved pi� ui Ehe c�e�war�whicb t�u� t�v4e� �prcval af plaos. Sit3fi3ATCT[tE OF IVAMB DA7E �i�y �f F�edl��► ��i�g ]fn��tio�s DD�par��t 643� University.Aveaue 1�TE, Fridley, MN 55432 763-572-36U4 FAX: '7b3-SU2-A977 �� r I� Building pI,jJMgING Permit No.: �' � Inspections RESIDENTIAL APPLICATION Received By: - 763-572-3604 CITY OF FRIDLEY Date xec'a.: l/, �� DATE I�/ l 7 O�a YOUR E-MAIL ADDRESS IGo�..r�C9 �c..�vDC�,C.d"�-• srrE aDDx�ss 5 �12 �c�-.s�.- S$. �/r`L /�-;,� < Im� �3 � THIS APPLICANT IS: �pWNER ❑CONTRACTOR PROPERTY N,�: (�i � �l�,,� OWNER/ ADDRESS: �$i'L ,�.' �w Sl. NI� CITY 1'i^:r�(�-� STATE aG/V ZIP 'J*� TENANT PHONE: 7�3 - �02 -13�°i CONTRACTOR NqME: - SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH pHONE FAX APPLICATION PERMIT TYPE �INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 01�tEw �Pi.,aCEMEt�tT DETAILED DESCRIPTION OF WORK ___ r�.,o��,¢�n ��,.s�. J�- ,,,�,.,%-. �. ,;.,�s�,JI� r�,.� �.c�e.,� .�P.JT :�a�1.a✓" � � � � QOS l� "�+�'_ � Y'� �� /l% °�Q `Im r� Q'�'i�' 6 PER MS 16B.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, insta.11ation or replacement of a residenrial fixtwe, excluding the fixtures. (This shouldreflect only.the cost of labor ) Labor cost under $300 =$15.00. I.abor cost between $300 to $500 = cost of labor x.OS = �FOR;�ROJECT� WEIEERE LABOR EXCEEDS��OO; FEES ARE BASED ON $10.00 PER FIXTURE, EXCEP'f�l�Vi�RE�'�'f�D>:RI�{'f�Ss..(WDICATE TaTAL NUMBER OF EACH BELAVi� _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (n�o crrrtrcEnrsE) SWIMMING P�L f� WA'fER SOFINER ($35) CLOTEiF.S WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATER MEI'ER _ OTI-�R ��_ '�� Q � �_ � �r �.�� ;�- � �,�. � �� -,�.�� _ Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DLJE $ Number of fixtures @$35.00 �- x$35.00 =$�% a. C�U State Surcharge = $ 50 Tota1= $ �°t o . S THIS IS AN APPLICATION FOR A PERNIIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances 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 plan in the case of all work which reyuires review and approval of plans. SIGNATURE OF APPLICANT � � %'°� PRINT NAME�/a,�� w I%�c�'� DATE /I ll ��06 �� ,`'� _ �;w, -- - y�?,,., �',.. �� z� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-36 4 DATE �" � � SITE ADDRESS THIS APPLICANT IS: PROPERTY Np� OWNER/ ,�DR TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WTI�i APPLICATION PERNIIT TYPE MEC�CAL RESIDENTIAL APPLICATION CIT�' OF FRIDLEY 0 OWNEK COMPANY NAM CONTACT PERSi STATE LICENSE YOUR E-MAIL 41 MN 5 Pernut No.: Received By: Date Rec'd: A' ADDRESS: - • - �� „�," STATE ZIP PHONE F� FAMII.Y ❑ TWO FAMILY TYPE OF WORK: I❑ t1Ew �LACEM�NC DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE ❑ ALTERATION/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of ihe total cost up to $500.00, whichever is greater, for the improvement, installaSion or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labar cost under $300 =$15.00. Labor cost between $300 to $5� = cost of lab'or � x:OS = FOR PROJECCS R�FiERE I.ABOR EXCEEDS $5 , FEES ARE B ED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FiXTURES: (IIdDICATE TOTAL NUMBER OF EACH BELOWj &�uipment Insta[led . MF . MODEL��_ SIZF�BTU � Q,�� G: MODEL: SIZE/BTU MFG: MODEL: SIZFJBTU A/C $25.00 FII2EPLACE (GE4S) $15.00 GAS RANGElOYEN $10.00 AIR TO AIR EXCHANGEER $15 FiREPLACE (WOOD) $35.00 NEW GAS GRII.L $10.00 BOII.ER $35.00 �FURNACE $35.00 _GAS UtdIT HTR $10.� CHIIvWEY LINER $10.00 GAS DRYER $10.00 P((mL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 , � � a�- ., ,.. . .. _ . __- _ Permit Fee $ Number of fixhues @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures a� $15.00 x$15.00 =$ TOTAL DLJE $ Number of fixtures @$25.00 x$25.OU =$ Number of fixtures @ $35.00 � x $35.00 = $_ • � State Surcharge = $ 50 Tota1= $� THIS IS AN APPLICATION FOR A PFdtMiT NOT VALID UNTIL PROCESSED I hereby apply for a building permit 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 ' f Fridle�+ and with the Minnesota -Construction Codes; that i understand this is not a permit but only an appli r wo is not to start without a psrnait; that the work will be in accordance with the approved plan in the case aIl w c i r es revie and approval of��lans� � �', /�� SIONATURE OF City of Fridle� Suilding Inspections l}epartment 6431 �Tniversity Avenue NE, Fridley,. MN 55432 . 763-572 3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �EXIST![�G HOME ❑ MAKE-UP AIR REQUIRED F�R NEW/EXISTIN .C� F�(3NfES .::,, . . . � fii..l,i: � . .. , _ i . . .. • r� 1. Combustion Air (See note beloz�v-)�' �, �,, "r ' � . ..:t-.-, a. Oil ar solid fuel IMC Chapter 7 with MN Amendments b. Nafural Gas or PropanellFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendm.ents 3. Venting a. Gas a}�pliances IFGC Chapter 5 with MN Amendments b. Fuel oiher than gas IMC Chapier 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & coolin.g load per room a Required on new construction IMC 1346.0312 5. Ven.ti.lation . a, per MN Energy Code 7670 or 7672 6. Du.ct 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