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AF - 47664• • • Date: �,�.�.� ! City of . . • Fridley, Minn. BUILDING PERMIT N� s s 5 6 � �-�r �� _.._...�CL: _�`�-..�� _____ =J��.-�� _ suilkr �. . . ...._......._..le�� _T..r.:.� . �.. Addxess.__...___._._.._._._._..___ ._..___....._.._..__.._..__..._..._._._ Addresa No. . �.l._.. �.��Street ..�� ..�� ' _ ,��••'•u�� G of Lot _..._._._. .__..._.. .__._..... Lot .....�.__...._..._ Slock ._.__.�__.._.._......._.._.._ Addition or Sub-Divisfo� .... .. .. . ... i _ .._._.. .. .� Corner Lat •••--•..__..._..._ Inside Lot .....--•-`� ----•-•.. Setback .�� _..._...... Sideyard •�.l.i.-••---�_....__...—__.� Sewer Elevation ._._....__.._____ . _�___._ Foundatio� Elevation r DESCRIPTION OF BUILDING T Used : :.. Front ��...� Depth .�.. '�' .�� Height .�__. Sq. F't. �� Cu. Ftp�1....QE.� _._..._.......�......_.....__.. ...._ _M___..__ Depth __....._.. Height _��. Sq. F't. _— Cu. FL Type of Construction ._ ..........__ _�..�.. Es� CdEt�C:��_�To be Coznpleted __._.._....._. In consideration of the issuance to me of a permit to cons ' ding deacribed above, I agree to do th� proposed work in accordance with the d�scription above o in coinpliance with all pravisions of ordinances of the city of Fridley. In coa�sfideratiari of the payment of a fee o! �..��.._._.�.._._.., �erinit is hereby granted to._._. ._ to construct the building or addition as described above. This permit is granted upan the express condition that the person to whom it is granted and his agents, e�iiployees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin�s within the city ]imits and this permit may be revoked at any time upari violati�p�.of any of the provisians of said ordinanc�. l\ .�t _ / ! Buiiding Inspecto� NOTICE: fi� pMnh dea not eowr tla eom�rueNoe, tmhlldien fx wh6�W P��Y. Y�s �w1�, � er w�frr. M wn to sN fM E�iMiae lotp�elor for »p�raN p�noils for fh�a it�ms, / \ APP'LICATiON FOR BUILDING PERMIT C'ITY OF FRIDLEY, MINNESOTA ' OWN�R' S NAME .J BUILDER �/�� G' L-. , ADDi2ESS ° ADDRI3S.S � � LOCATiON OF iJ DING No. �� Street Part of Lot Lot Block Ad ition or Subdivisio �. � Corner Lot Inai Lot Setback �, Side Yard l� SEWER ELEVATION FOUNDATION ELEVATION �� / Applicant attach to this form Two Certificates of Survey of Lot aad proposed build - ing location drawn on these Certificates. DESCRIPTION OF BUILDII� To used as:� '{ Front Depth �7`"� iieight , Sq. Ft. Cu. Ft. Type of Construction To be Completed Front Depth Height Sq. Ft. ' Cu. Ft. ��--- �-� Estimated Cost The undersigned hereby makes application for a permit for the work herein apecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances end rulings of the Department of Buildiags, and hereby declares that all the facte and representations stated in this application are true an�.�correct. DATE .1 - � �_ � (schedule of Fee Costs can be found on tt�$-Roverse Side). . . .. .. . • M - ' .c s Application �or Power Plants and Heating, Cooling, Yentilation, Refrigercrtion and Air Conditioning Systems ond Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: AATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 � Repiacement of E�rnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ ftepairs & Alterations each add. �50U.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WAAM AIR Furnace Shell & Duct Work to 1?A,000 BTU . . . . . . . . . . . . each add. 60,000 BTIJ ....................... Replacement of F�rnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 .............. 4 ; STEAM or HOT WA1'ER SYSTEM � Ei�rnace Shell & Lines—to 400 sq. ft. EDft Steam .... . Fixrnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 8.00 $��_ 2.00 � 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BLTRNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. ger hour--See Fee Schedule i GA3 BURNER <up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $� GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures .......... ........... x$1.50 $ �� 5� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.OQ $ AIR CONDITIONINa � FAN HEATING SYSTEM See Fae Schedula VENTILATING SY$TEM $ ALTERATIONS & REPAIAS TOTAL FEE ��f ' S� ROUGH 0 FINAL �� Dept. of Sldgs. Phoae 3U �-7490 Lxation /� � � Q_��✓� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do ail work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � F4�idley, Minn. ,/ i� '" � , 19 �J Owner �,$��—�.�, ,,, � �Li Kind of Building _ �,��,�a Used as - -/ � - To be completed about Estimated Cost, $ S�'��4 d • Old New. uilding Permit No. �' G� � Permit No. � DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No. Trade Name 5ize N�-� •�G�► �d Z Capacity Sq. Ft. E.D.R d d jil�D� g� g,p, Total Connected Load�_�� Kind oi Fue BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BT[T FI.P. (REMARKS—OYER) �42 � Signe �"t gy _ SU�'i� �_;�, ` _ .;i:�.%i iricT�t 8c�:! ��L:ii�.. � ...��L. Businesfi�� _ iJ..� !Y: ili�iL I r.y.� � _ --�",�• \ . n.S6 <._ <z � �� d � .3 0�, � y � ��;: HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied Yes—No Yes—No 19_ Fl.� ' Room � Length p Width Height El.� Room Length / Width �9 � Height � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area tVidth HeiBht No. ot Llneal ft. Area Width HelB�t No. ot L1aea1 ft. Area No. ot vane o[ Dane lighta ot crack eQ. tt. No. of pane ot pane Ifghte ot crack sp. [t. i . , a . / ,/ _3%.� !' �.� �n Coef.l Btu In6ltration Glass Exp. wall Net exp. wall �, ' Int. wall Ceiling 6 Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Fl.� Room � Length Width Windows and Doors--Crackage and Area Wldth Helght No. o[ Llneal tt. Area No. ot pane ot Dana Ilghts o[ crack �p. tt. � 2 �. i o, /iv , i_ i� .. . �. .. In6ltration Glasa 1 Exp. wall Net exp. wall tnt. wall Ceiling Floor • Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader aroa FI. Room � Length Width Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal tt. Area No. ot Dane o! Dane Ilghta ot crack sa. tt. �- � 3 2 > �/. �. s�' lnfiltration j „6 . Glass Exp. wall � Nec exp. wall Int. wall Ceiling Ftoor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area � Height lnfiltration Glasa Exp. wall Nec ezp. wall Int. wall Ceiling Floor Total $tu. 0 Required aq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I L.ength � Width � Wendows and Doors--Crackage and Area Wldth Helsht No. ot Lineal tt. Area No. o[ Dane ot pane 11[hts ot crack ep. [t. � 2 ��. 3 7 / ,�° /_� Btu �� Infiltration �� Calaaa Exp. wa[I � Net exp. wall Int. wal! � �0 Ceiling Floor � 7'otal Btu. o°� Required aq. k. E.D.R. or aq. uia. W.A. L.eader arca / FI.� Room I Length / Width �/ Hei Windowa and Doorr—Crackage and Area Width Helsht No. ot Llneal ft. Aroa No. ot pane ot p�os Iltht� o[ orack p. tt. Bc� � �9 2 In6ltration � Glaas E�p. wall � Net exp. wall Int. wall ;_6 d Ceiling Floor �.}/'Q 7'otal Btu. Required sq. k. E.D.R. or aq. ins. WA. L,eade� area $tu �i Bn, � �♦ City of Fridley Application for P'h�mbing and Gos Fitting Pernut DepY. of Bldgs. Phone 8U 4-7 DESCRIPTION OF WORK � Number, Kind and Locatian of Fixtures Locatio ;� I � I� � I �� 3�� O � I � I u C I S� I< 3 I U' `� U' a� I U' O I F I N I G STER EIEC. :: � iI� `��1� ��i�i�s�i� ■ ' � . �■■■■■■■ ' ■ ■ .■■■ ■ . ■ ■ . . _ .� � ■ - ■ PARTIAL RATE SCHEDULE PLIIMBING FIBTURE RATES: NO. RATE TOTAL Number Fixtures .. ... . . .. . . . ... ... .. .. �O x $1.50 $ . U Ci Future FYxture Opening . . . . . . . . . . . . . . . . �- x 1.20 $ °iZ � U New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin .... ................... x 3.25 $ Water Heater (Up to 200,000 BTLT) ......—� x 2.00 $ � f a � New Ground Run Old Bld� . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL� lst 3 Fixtures ..........................�— x $1.50 $� Additional Fixtures .................... x .50 � Gas Range to 240,000 BTU . . . . . . . . . . . . . . x 2.00 � REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ V TOTAL F'EE $--��-�� City of Fiidley: � The undersigned hereby makes application for a permit for the work herei. specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares bhat all the fact and representations stated in this application are true and correct. Fridlev_ Minn /U �� 1QF�' � Owner Kind of Used as To be compieted about Estimated Cost, $ Old—New. Building Permit No. � `� Per it N. r 6 Signe ' _* By Business Phune No. ` ROUGH �� "' � `J ' � FINAL az 4M � • ��yj City of Fridley, Minn. BUILDING FERMIT N° '7043 Date: _� _.! S �',_..�g.. __ ___.� Owner: _... _ _ ..._._... ._ ..._ .___ Builder �.. ... _ .____ .__..__. Address.__._.....�__._.__........._...�......._..._.__..._._...._...___...._.__.__.._._._. Address _.�__._._.._..._._�__..__....._.._._.._.._.�.__._ LOCATIO OF �LDING No. �.!••c.�-� Street ...��r� . ,��....._ ... ....y�j.�art of Lot __ _ Lot _.__.._ .. Block �.._.._. . Addition or Sub-Di ' - - _.._. __ __.._. _ .--•.....:1�.._._.._. _._ Corner Lot .....__._..._.._ Inside Lot ..__. � ...._._.._..._ �itback . Sideyard _.�. � Sewer IIevati� ...�.._�._...._.�___..._.._._.._.. ._.�____ Fo tion IIevation _ DESCRIPTION OF BUILDING T U . ..�.,� Front `.,L� DePth �.._. Height ...,�l1.._. Sq. F't �� Cu. F't y��-�� ...._......._.....___ _.__...__. 'F'rggtt _.______..._.. Depth _.._. 'gh _ ��.. Sq. F'k ._..._ Cu. FL � Z�e of Construction _._��'�___. Es� C ... ... ....�.��o be Carnpleted _.._... � In consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordauce with the d�scription above set forth and in compliance with all pro�vfsiona of ordinances of the city of Fridley. i��---- Ea ca�sfderatfon of the payment of a fee of ��'-., permit is hereby granted to....� to canstruct the building or addition as descrlbed above. This permit is grsnted upan the express condition that the person to whom it is granted and his agenta, employees and wor1Q►zen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, re and moving of buildings within the dty limits and this permit may► be revoked at any �a� yiiola��ioff�any of the provisiana of said ordinancea. // � • NOTICE: 'lhis p�nnir do�s not eowr t1N consleuelioe, ta�laThNa� he urUiaO. Pw�W Y� �Y� �w�r w waf�r. !� wn fo s» fh� BuiWioO Intp�ceor for ap�raf� p�naih for fh�a h�n� . .. s - .-. . APPZICATION FOR HUILDZNG-PERM�T , . , CITY OF FRIDLEX, MINNESOTA.., ;: . . owr�a' s xar� ,�t� o:�� Q 7� �u ��.S� sun.n� �A/�' � .. ADDRESS �� o, �� D�. ��ADD1t�SS ' _ �S �/r L° . .-LOCATION OF BUYLDING - . . �t No. ��o %� a Stre�t �`f � i.✓ �f� S f'? A,f tJ!�art of .�ot_��,C k Lot � 3� � '� Block . �; : � � Addixion ,oY Subdi�zision /�% � p � r,v �,.., r4 � t. , �-- Cox�er Lot��Iriaide Lot Setback , Side Yard: � � . �.�.�+ SEWER ELEVATION FOUNDATION ffi.SVATION Applicant attach to th�a form Two, Certificates. of Su�cvey, o�� Lct �and groposed build- ing location`drawn on these Certific�tes. - -� To be used as: DE3Cb�IPTION OF BUILDING .. �. �A �. .. � /��' �- " • . Fxont e2 �= � � Depth :� � $eight, $�'. .,._...�.. . — _ . : , Sq.; F.t.� Cu. Ft.: ' . FronC . Dspth" Aeight _ .- � . ,Sq..Ft; ' ,� Cu. Ft. .: . Type of Construction (� 0 4i�__ , Bstimated Cost �;�.,�/'9�s•30'�% � --r* To be Completed - . . . , . The undersigaed hereby makea application for a germit for-the.woxk he�refn sp�cified, agreeing to do all work in strict accordance with the Cfty of Fridley Ordinances and rulings of the De�a�rtment of,B�ildings, and hereby decl$res that all the �ast8 and represeatations stated in this application are true a�nd correct. DeATE SIGNATURS � � i .- y �Schedule of Fee Coats caa be found an the Reverse Side). .� e � � . • � .. ,�, � k • � • City of Fridley, Minn. BUILDING PERMIT Date: _._.. e t t��--z-Q.s.....�.� � �6��-I N� 84'76 pwner• __31,obert Buksa �.�_,_,�,�_ Builder _..__ Robert Weber ___��__.__. Address __6�30. Kennaston Drive N.E.__.___.._._ Ad�s$ �3208 Skycroft Drive N.E., Mpls. LOCATION OF BUILDING No. 6 73 0___.. S�t __Kennas t on Dr ive_ N.E .-------_..__...._.___.._. Part of Lot ' Lot _...__�.�__.__ Block _..._._ 3._._._._...._._ Addition or Sub-Division ....Meadowlands - 2nd Additi�n. Corner Lot ____._.._._.... Inside Lot _._.._._._. Setback �_ �_._._ Sideyard Sewer Elevatiaai —._� _�__ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ..jZwellin� .._..._ Froat � Depth _ Height ..r..__._. Sq. Ft. Cu. Ft _..._._._._��—.� Front .._._..__...__ Depth _.._. Height _.._.........__. Sq. F� Cu. F't. Type of Construction ___....�� ___.�.........._.. Es� Cost over_._�5 00 t_��....... To be C�npleted � Repairs due to storm dama.ge In consideration of the issuance to me of a permit to construct the building cribed above, I agree to do th� proposed work in accordance with the description above set fo d' ' ce with all pravisions of ardinances o! the dty of Fridley. �"6 In co�sideratian oi the payment of a fee of �._LQ.._QQ_.�__., permit is hereby granted to_._. AF+�+^rt w�l�w�r to c�struct the buiiding or addition as described above. This permit is granted upon the expr�s condition that theperson to whom it is granted and his agents, employees and worlQnen, in all wark done in, around and upon safd building, or any part thereof, shall oonform in all respects to the ordinances o� Fridle3', Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil within the dty littuts and this permit may be revoked at any time upan violation of any of the provisians of� ordinancea � � :,�,� ;,+�� • NOTICE: 'tMs p�nah doa nof eewr tM eonshuelioa, t�alitlion fer wtri�y. PIus�66�W Ya 6wNeo, sw�e x w�t�r. !� anr to s» fh� Buftdino Imp�der for a�p�raf� p�neifs for f6� ifNns. +� � . r APPT.ICATION FOR BUILDING PERMIT CITY OF FRID�LEY, MINNESO'�A OWNER'S NAME Robert Buksa g�,Dgg Robert Weber AbDRESS 6730 Kenn�ston ADDRESS �208 Skycroft Dr. NE. Mpls. T,UCATTON OF BUILDING N0. 6730 STREET Kenn�ston P�T �F � front L� BLOCK ADDITION OR SUBDIVISION �. �_ %�/! .� � �ia c.✓ %, � �[� � CORNER LOT INSIDE LOT SET$ACR SIDEyYARD SEWER ELEVATION FOUNDATION ELBV'A�'IQN, Applicant attach to this form �'wo Certificates of Sr�rvey of Lot and propoaed buil@ing location drawn on these Certiiicates. . DBSCRIPTION OF BUILDING To be used as ; Tormato Damage Front Deptt► Height Sq. Ft. Cu. Ft. Front Depth Hei$h �_ Sq. Ft. Cu. Ft. Type of Constr�ction ',�C_.,° �� Estimated Coat ��'D� To e campleted . �` y� � � l T The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stricC accordance with t�e City af Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct� DATE �1 S�1p% /�%,��h SICrTATURE --�r--�--�-- (Schedule of Fee Costs can be found on the Reverse Side). � •, _ . .. �., - . . r � LJ • • � City of Fridley, Minn. BUILDING PERMIT nate: __..�Lu]�t _14..,Y..1�.�...____._---._.___W...____..__._.._ Owner• ___ Robert G._ Buksa _.._._.__._._._ Builder _..__.._.Same �33� � N� 9824 Address ._.._.._.�:�..',�.D_Kex�as.:iS2i1...Iir..,,..--------__.._...._....__.._. Address ____._._..��1�____.___._.._._.�._.._._. � LOCATION OP BUILDING No. _�_ �'��.Q_._. Street ._.._K83�t1&�.�.9�1._.��YY� ______._..._.___..._._..__._._ Part of Lot __..._� Lot ._.._....�._.._.._..._ Block _._.__._._..�.__.._....._._. Addition or Sub-Division ._._Meadowlands 2nd gdcln. Corner Lot ___......_..__.._ Inside Lot •---_..------X_.�_..__... Setback ...._.._._.._..._.__._._ Sideyard __._ Sewer Elevatian __._�._..___.__�_._._._...._._____......_.._.._._ Founda.tioa Elevation _--_.-- — DESCRIPTION OF BUILDING To be Used as: .�d.d..l..�]..4xL_._..�.�..._ Front _. ��.._.. Depth _��.�..__ Height .__.� 2.t.— Scl. F't. � Cu. FL _._..2�6 �__.._._....._.._____._._...._ Front _�_..__. Depth _.._..�.._.. Height _..___.._� Sq. Ft. _.._._._.._.. Gt1. Fk Type of Construction __...._...Frame_..�...........__. Es� Cost __._.._�.�_�QQ_..0.�?_........ To be ComPleted _._.. '� .Itl4slf'r�l� In consideration of the issuance to me of a permit to construct the building described abrn►e I agree to do the proposed work in accordance wlth the description above set fo and in compli with praviaiona ot ordinances of the city of Fridley. In caa�afderation of the payment of a fee of �_..__15.00 _��t � hereby granted to : Robert G. .Muksa�_.�. to construct the building or addition as described above. This permit is granted ttpoa� the express condition that the person to whom it fs granted and his agents, employees and worl�en, in all woTlc done in, around and upon said building, or any part thereof, shall conform in all resperts to the ordinancee o� Fridley, Minnesota regarciing location, construction, alteration, maintenance, repair and moving of bnil�tt� within the city limits and this permit may be revoked a t ar�y time upoa violation of ax�y of the provisiana o! sa�d ordinances. i� �1 �Jufu.[/ : � �.��+• Building Official NOTICE: 7bis p�emh do�s not eowr Nu eonsfrueNon, install�Non for wiria�, plunibino. Oa hNNn�, s�w�r w waNr. M wr� to s� 1h� Suildieg Imp�ebe hr s�rat+ p�rmNs for fh� tfNes. ., . . �• � _ . _ _ __ _ _ ___ _ _ _ __ �, . ;,,.. , . � — � y` :�'� . k• . � . t�� . �r t'"c ��., � � .,i � ` � . .i . �, �(`�; � R �; { , �� ... . .y � . � � � , ,.,.� w d� ' _ . y '': s� �.�.,.. � �'(' ,. '4`>., ii ': � �`. Fi` n.' � .`'e�. . y � , :S� � � ` ��`. r , y, ' ,'l�� .r . ' , ' . � . �'�: , j: . ' 4i^ . , . . , . . .rc. _. S.. ,�}, .. .'3S'�-t� , . � x.i'�. . .. ., . � ... . ; �. AP�T�ATION FUR 'HUII��G PERMIT '. '' _ , '� , .•.,:.,: . '� k CiTY bF F$IDL�it �_ M��9+OTA � . � ��;-. . � . �/�� bi . l � r.� o�x's �.,,_,.�.� � � � .� T . �� UILi1ER r'�� _ =�?-�.. ��-,--._ AADRBSS � [ r�i¢ �"O ��/�-�'DDIt�SS � � . ' F _ �.�.�._.�.__1��.�_..,�.._ : ��.�..� . . : � �� . . � L�i�it� ,bF SvaLnxrid � � � - . po. (� � 3 � s��r K� �� `:� � � , o � � � � �� ,�,_ ,�;".,� LOT,_�_ ,� = �BLOCR _� � ApDITI�t O1t,, StJBDIYISi�� Q c� O��'"' S f , ;. , ' ' CORTIER �LDT INSID�.LOT_%�S�'I�BAC ____.._.;,�5�'DEYl�itD�,,..�_ � ;,r, . :�� . SEWER ELEVATION TOP OF FOOTING . ;�; ; Applicau� attach,�to tb�.s ic�rm Two Certific.�tga of; Sc�c:vey 4€ I.ot apd .p�oposed , building � l�o�a't%i�a dr�ia on�-;t�ese Certif#�at:e� . ' ;; � ' � � . : ��, • .. . > . �: c: c . . - .. DESCRIP'�ION Ol� BL�#.D�NG , . � � . , , . .. . . To Se Used � ,A.g�� • . , . M .. : . . � � ;. :: . ., -., � ��/ c=l' �'� r� l 1`� Frao�tt� � Deptb ._„� . fle�,$bt,�; 1�� . ��. - - � 9quare £eet � �Cubic Feet � U J � Frant Degth j Height . •�t, -: , . _ , Square feet Cubic F et Type of ConaCructiort �:�2A M-rc-- Estimated Cost , �� To Be Campleted s��? _.�_,�N�'/� .S The undersigned hereby makes appiicatioa for a permit for the work hereia specified, agreeing to do all work in sCrict accordance with the City of Fridley Ordinaaces and ruiings of the Department of Buildings, and herebq '?. declares that alI the facts and repre�eatatioas �tated in t8ia applicatiaa � are true and correct. 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Z. fp� � o j � �'% � Od fY.� � / �oo�' �£.� S9t,<,�9 �'. � O �� .y.:� , , , a _ % _°; � � � /:.a e�`L'� , ,"F' �� , "�''`:,� �� t� � � � � � �.�.._ A�� ioH- l�{-'-o x l�_o`` 1z= Ar�p FrG, yuAEQ FlRr.�lacE K�4 S Te1 /J bt/A L L 1(0'� O. c. V E� T !- 3 ab __�=-=.:-z-»..:.,... _ _ _ ---. _. � _ _ _ _ =w,�»..._.._ __, -�,. _ ,. �, --=� .: - _ C.G-c.,C.�-:�� .•i' D��.'.�t;� �� • � � ;, > . . _ �� J�.. . . . i . . . . . . . . . _ . . . _ . . : � "�'� ��• ��!�/��r"'_ IZ_� ...-�%�-i..�• 'Z ,:. � "4r�'i./. . . � J a''�� rG' `� ) �.1 5 c! C. Ac l l 0 i.i , � �/�J'ti' )!. �6ss,.`tjs�""`� �' Z�' �L-(/ �� L9� ` _ "' � f >' _ �I-=.�^^�d �- f �" X �,;,.��._,`,�-`-,.,... _�-�:, ,� (ru��-��...%�.� ,/'r" � I � Iz``7�2Y WA�� r. �L nlSV�AT�o�G � ��,,,X �,.� /�� g � 6 � .X /D � ..... ' � �� F3" %3LK `�`� �,r�`l'�`�� i'� i,�.✓,.t' �� ti�;;�•�� ^ � �'_" ,..,s.k.�� V, i �"' �' ..�.,s�,�,,t,.�..4.,— �;/ ✓,. J �9 � � "� "�i`ZD`x8� FTG. t , _ � .�G12t�f/ . _ k/'0��-! _ . �� . . ��1 _ � Ft �;�-��.�o-�+-'_ � � ,�,.�..�P �;...� � ��.r ,�. : - _ _ : /�lJGL+�.!',��,_ : �� .� U / .�%%�;�.�'a.� ra��--� _ : _ /��u�_ s�v.uG : : � SUBJECT c�ty of Fridley 5 96 2 AT THE TOP OP TME TWINS g � I L D I N G P E R M I T � ` RECEIPT NO. � ` _��_ COMMUNITY DEVELOPMENT DIV. / `.,� I � v � PROTECTIVE INSPECTION SEC. I r , , l.---� ��"' �'� CITY HALL FRIOLE� 55432 NUMBER nEV DATE P�GE oc APPROVEO BV i 612-571-3450 910-F15 4/22/98 � � JOB ADDRESS 6730 Kennaston Drive t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED OESCR. 3 3 Meadowlands 2nd Additi.on SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Steven McConoughey, 6730 Kennaston Drive, Fridley 55432 574-2364 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Steven McConoughey (same as above) 4 ARCHITECT Oii DESIGNER MAIL AOORESS � ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ IJEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Re-roof (tear-off) 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PEAMITS ARE REQUIRED fOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTpEET PARKING I HEREBY CERTIFV THAT I HAVE REAO ANO EXAMINED THIS APPLICATION STA�LS GARAGES ANO KNOW THE SAME TO BE TfiUE ANO CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE Of WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT �1,918.ZO �•g6 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI TNE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGUTATING CON- �� $62 � 25 Fire SC � 1.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $65.13 I A7UAE OF CON'AAC70Q OA A TMOAl2ED AGENT Oa1Ei WMEN PROPE VALIDATED THIS IS YOUR PERMIT c 23 4'� C�i �.�1 - � S�GNaTUREOF wNEA�FOWNEABUiIDERi �D E� 8 G iNSP ��pTE � NEW ADDN ALTER � � [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1/1/98 �� ,i 1 �� `� J ` ConstructionAddress: 1l ��j � ��f'Il/%� s �oliL � � Legal Description: � � ,3 �l c� 3 �%� �2 �o �;c��az t�cQs ��li ~�'i c+� � _ Owner Name & Address: s� 1.t �� r� Tel. # s%� � Z 3�� ontractor: MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: 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 Length Width Height Length Width HgdGround Uriveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. . Sq. Ft. I "! I �. a7-Q Estimated Cost: $ �-� .� � f �l.Q �' O`C � (Fee Schedule on Back) Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 5ewer Main Charge TOTAL STIPULATIONS: � ��a� $ ��G� $ . 9' (o $ $ $ $ $ $ $ �� CITY 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 .. __ .� � - � f ciTY vf �t�� u�ECfi�Ur� n�l�ivn� �' sa3i un�it� �� E.�' '� � � � EtfectiYe fln,�anuarq ], 2f�0 Fnt�r► Ik�N a5432 RP�LICIkT1�iN t'O�R PG'� PLAMt� �i�D i�+tEATiNG �72-3G6t}4 RE�RiC,ERAT#ClVE AND {kIR COl�D1TK3M1�IG S'�S� A�'Np# �Ei11C��, ` 6�� - � : � 1= � ?_'i� ->-�� Resid��! Funaace St�ll and �uct Work, Burner • Risa Repl�emErtf Furnace +�YG �ei�t ' , N� W 4 ��A� �s Pi�ing (i�eeded �riEh new �tr�e, �ut rrcrt re�aa�n�en#� Cas R�ge Gas pry�er �°+Aa� Ca�ditiardng • All Sizes Af Ott�ecslR�pairs & A�ter�#i+or�s (1.t5"!' 41� E3ACK} i� of V�fue o�Ap�liance or 1N� ca�n�ta�n�ssaia� 1.25q� flf Yafue of App�iar3ce or �ltork }?ate ; 3d3.Q4 � 1Q.(� $ I4.� � IQ.00 $ 2$.D4 Si�e 3urch� TOTA.�. F�� .�.".;i_ 1J .!_'� .L.� i. . t. 1.'_'� :y �. ~ ��.� � �...r � i.. �l./...:�. J .�, 1�_�:t'__ ��f.l, �_+lal�l�-.�Llld_ d_il�]J r- .. tJ -' f � _1'. '� � � _ t .,:1' 3EInSPECTfQN E�f �4?.palHr �AR ��di�i�ers can not �e piaoed in a side �rd withoui Yr� p�saion fmrn attjeining pr�pe�tj► owne�. TOTA� $ 3a� � � �i.,________ $ $ � � �--____-- � � � �a`�O —__-„�. Kc.,�N,�s�oN r � ��.�� ac ��rl• �°�� '��-;-�'� �ii�� - � • � � � : t' F' Y i' � : -,, r - - , �_ . . ,_t.. ..... il..,J�� L +:. ..i. 1 ' ��' ....�.� �.ti. � i!l� �� N°. �� i��s,_. �. Circie One �Sfieam) {Not Water) arm Air T�acie me �.. � � :� � Size �Vc � �V BiU C`� �. c�o c? HP ., _, €DR Fue� ._._,r.� ,� tSa �S Tota# Coanect�ed L�ad —...._.— 8urner Trade Name Sfz� Na._ BTU.._... Ffp � The ur�dsrsigrte� here�jr frialses aP�i�ation tor a�ermii for the �rk here� � e�r+eelr� io do �tl w�rk in strk! accorda�ce with the Cit� Godes an ru�ngs � the Buildi� Divisian, �nd henet�y deda�es t�hat �1 the €acts and r�t�ti�ns sfated ir� this a��ic�tic�n are ttve and c�rrect. Dh�7E I — 1 � ` °� � � � 1 � � . � �• �. ► ai � � _ �! • � • I �i / � � ' • • : , ,��,,, •, t� _ � . � ; � I �> +' USE HEATING TEST RECORD �N,J.�P.�o`v� � ;, + � . '' AD�RESS ____1�t�� '=�l `� � � AP7. FLOOR CITY —.�G—SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. IN57. !� `�� '� d � i SOLD BY �� tNSTALLED BY �r"��t��`';'�� .;� l� </ t /,1� �-- Elsctricol Work By Gas l.ine By � TYPE OF HEAT GA FA �W STEAM SPACE H7R. UNIT HTR. OTHER GAS DESIGN CONVERSION `;`. MAKE MAKE OF BURNER Model (.J l, ,��>%`- Q�i L_'�UL•' ;Z..?i3 Madel Serio) � -� " ��"_1 �' r- / 9'?b :',' <,r 3 � Maz. BTU Rating INPUT � �� =� "'� MAKE OF FURNACE Model CONTR0�5 r; �,. i' - � THERMOSTAT Heat Plug Vent Size �1 ��'' `�"' Vaive 1/` KIND OF LINER SIZE NONf Limit Drah Hood Regulacor � �_ � � Limit S�Ning f�'� Fiiters $iza' �� Numbsr � \ Fan $efting �-;' S �'� °' ��- Chimney Location Insids vr Outsids Pilot Type � - �!" ��-- Chim�ey Construction � "A �� Pilot Moke �r�' Pilot Model � `� �! l'"'' �' c' "� %+ Smoke Bomb � �Niring _ Pilot Timing � =-��- Draft Test Tag ` L.W. Cut Off Door Prossure Lighting Inst. Pressuro �> ' `� �- `� Percent CO � Date Tasted � - � �Y �6'/ - — 2 Jnput CFH i�- ,� Pe�cent 0 � Company Yesting �'�'� 2 � 5tack Temp. � f� + � Percent CO U'' Name of Testsr �` Form 235 sue.,ecr PERMIT N c;ty of Fridley o 0 9 4 AT TME TOP OF TNE TWINS g � I L D i N G P E R M I T r ; ` ECEIP . � • COMMUNITY DEVELOPMENT OIV. ' ; V""" • r � � PFOTECTIVE INSPECTION SEC. � „/( �� , v� i•_-- A;�'�';.; CITY NALL FRIOIEw SS132 NuMBEN REV D�TE P�GE Of AVVROvED B� L J\ 612-571-3450 9t0-F15 8 20 99 � � JOB ADORESS ' t LEGA� �07 NO. BLOCK TRACt OR AODITION SEE ATTACMED oesca. 3 3 Meadowlands 2nd Addition Sh1EET 2 PROPERTY OWNEii MAIL ADDR�S$ ZIP PMONE Sid Adams 1- 3 CONTRACTOR MMl ADDRESS 21P PNONE I.ICENSE NO Panelcraft of NAT Inc. 3118 Snelli - 4 ARCHITECT OR OESIGNER MAIL A�ORESS IIP PMONE LICENSE NO. 5 ENGINEER MAIL AOOfiE$5 21P PNONE UCENSE NO 6 USE OF BUILOING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATIpN Q,�C REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reside house and ara e• Soffit and fascia 9 CHANGE Of USE FROM TO STIPULATIONS Call ior building wrap inspection before covering. Provide soffit ventilation to meet the State Building Code. Permit inspection Cards Will B� Mailed To Homeowner To Post TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV lOAO SEPARATE PERMITS ARE REQUIRED FOR EIECTRICA�, PLUMBING. MEATING. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO V010 If WORK Op CONSTRUCTION tONING SQ. FT CU fT. AU7kORIZED IS NOT COMMEkCED Vy17HIN 60 DAYS. OR �F CONSTpUC710N OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 Of 120 pAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNI7S OFfSTREET PARKING 1 MEREBY CERTIFV THAT I MAVE REAO AND �XAMINED TMIS APPI,ICA710N STA��S GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION SURTA7( AND ORDINANCES GOVEiiNING TMIS TVPE OF WQRK WILI 8E COMPLIED WITH WMETHER SPECIFIEO HEREIN Oii NOT. TNE GRAN7ING OF A PEFtMIT �14,132 $5 .O6 DOES NOT PRESUME TO GIVE AUTMOqITV TO VIOLATE Op CANCEL TNE pEqMIT FEE SAC CNARGE PRpVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PERfOfiMANCE OF CONSTiiUCTION $195.25 Fire $10. 1S PLAN GMECK FEE TOTA� Licens $5.00 $2 .44 S�GNATUREOFCON'F�(;TOQOp�UTMO%��ZED�GENT �DATE� EN ROPE � tIpAT �S �S V UR PEpM17 � � SGHntUQE O� OwNEQ�� O�NNEpBWIDEA� � iDATE� � BlD �NS� � 0�1F . « NEW ADDN ALTER [l �VI� � �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effe tive 1/1/99 � �� n °1(� , , y�' �nstructionAddress: �7�4 �C/?/1Q�S�D,I� �Y!l�C, Legal Description: ._ . . , . . . , _ Owner Name & Address: � �-SI� SAd�t�1 t �`D?7� Te1. # 7t1/-GG3� Contractor: �/7C�G'!'Q7�j� p� /�i(J . 11/�� MN LICENSE # a/7g Address: .3/18 �l�i� �Q�i,/1.�// V I�IJf� /�iii .s��t''%�� Tel. # ��O�o�� %?/-�G�_ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCItIPTI�N �DF IliRPRO�EMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. �ECK AREA: Length Width Hgt/Ground Sq. Ft. 4THER: Construction Type: �/Ar/�clh SO�</T �1�C//� Estimated Cost: $ /D�/3.2 � Dliveway Curb Cut Width Needed: (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: • � Tel. #(%�2� %'��lii � S�/3/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � �QSas $ /O •/3 $ ,� O�e $ $ ,,5: O d ,. $ $ $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 Neeessary [ ] TOTAL $ a�S•S�SF' • STIPULATIONS: � � � ' /' / ' o .'�� j� �F FRIDLEY INSPECTION DIV. � 0 v 6431 l�'niversity Ave NE ,�(- FXidley, MN 55432 _ r � 572-3604 . APPLtCATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTUR�S TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES; New Fixtures Old Opening, New Fixture BeerDispenser Blow Off Basin � �. N6�. RATE TOTAL JOB ADDRESS (�,�/ �'�NN��N �� . � Catch Basin Rain Water Leader Sump/Receiving Tank � Water Treating Appliance ' Water Heater -Electric Water Heater - Gas"* ,�_ Gas Range"" . Gas Dryer"• Back Flow P�eventer Required ()Yes () No $ 7.00 $ 4.00 $ 5.00 �$ 7.00 • $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Vafue of Fixture or Appliance State Surcharge The undersigned hereby makes application for a permit for the work herein � specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. //� 3t� —Cri '�� F�� . TOTAL FEE $ �� • /%� L i �.� Building Used As � >��/ Estimated Cost .� PERMIT NO. � V' PLUMBING COMPANY �ii� �/'d� SIGNED BY �GC �i� T�/� TEL N0. VL 3/v S i�—O S S�S Approved By Rough-In Date Final Date "�� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE _ _ C["iYOF FRiDLEY FRIDLEY MUNICIP,AL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February ll1, 2002 Daniel Cimbura 6730 Kennaston Drive NE Fridley, MN 55432 Re: Final Inspection at 6730 Kennaston Drive NE Contractor: Mr. Rooter Dear Mr. �Cimbura: A plumbing pemut was issued on December 11, 2000, to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you ��vithin this time to set up the inspection, we will mark the permit "no pemut called for" and take no further action. To set up �he inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. JEIVSEN g Inspector DJ/ls Buildillg $jJII,�IN(i Permit No.:��lC Z;1 `' �� Inspections RESIDENTIAL APPLICATION Received By: i� ' 763-572-3604 CITY OF FRIDLEY vate �� Q 763-502-4977 FAX EFFECTIVE 1-1-2010 �""" DATE n�� O� YOUR E-MAIL ADDRESS SITE ADDRESS _�� D 4�%7�GL S f? ��/(/� Tf�IIS APPLICANT IS: OWNER OCONTRACTOR PROPERTY OWNER/ NAME: � � TENANT ADDRESS: R /' C17Y �/� � STATE/�i�ZIP SS`7.�Z PHONE:_7 �' v2�i� • e�63� CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUC7'ION STORI$S PERMIT TYPE ❑ ADDITION p GARAGE/SHED ❑ WINDOWS 0 BASEMENT FIMSH .�BOOF 0 DRAIN TILE ❑ DECK O SIDING ❑ OTHER Q SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION AINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: YQSLII NCI I.� Y�g SIZE OF IMPROVEMINT LENGTH WIDTH HEIGHT S FT ROOFING p HOUSE ONLY NUMBER OF SQUARES p� � �l30USE & GARAGE BASEMENT REMQDELING SUBMIT: GARAGES � � ❑ ATTACHED GARAGE 2. Prostposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of swctural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCiION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing du e�cisting structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy CalcWations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS A1.1. r��:�5 alcr; BA��D ulv vALUATION, INCLUDING TFIE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ ��-,�O IN�,�I�y 1997 U.B.0 FEE SCH�CUPANCY TYPE 0�18� Permit Fee Plan Review - Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee _ Sewer Main Charge Total Due $ i/�5 See Back Page for Fee Schedule $ 65% of Building Permit Fee $ � .001 times the total job valuation $ 1 f,�� .0005 x Permit Valuation Minimum $.50 $ � $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering� $ Agreement necessary ( ) Non Necessary ( ) $ �i. • Make checks aavable to: City of Fridlev Attac6 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 rmit 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 atl rk ich requires review and approval of pl s. _- SIGNATURE OF APPLICANT PRINT NAME .X� DATE �` � rV