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AF - 47906,� � � Date: O�aaer: City of Fridley, Mirm.. BUILDING PERMIT � N° �� '7389 Address Address �= Lb TI .' �J DI, G No. .��9�� Street ��'�' � � �"�� p t _� - � Lot .�'�� Block �.�°� Addition or Sub-Division �. - d=' �-� Corner Lot — Ins3de Lot � S.etback -�� S�deyard ____,G:,1� ��-��'' Sewer IIevation � � Foundation IIevation DESCRIPTION OP BUILDING T v : � � , .� ` '-� , Fiont � Depth i�'�'_ Height � �1. F't. !� / � Cu. `�' � � '' '%� Fro t Depth _C��I�eight �,y;}._ Sq. Ft Cu. Fk / 4< Type of Constructi � _1�� '� F�� l� _; _� "��To be Co�mpleted � In consideratton of the isauance to me of a permit to conatruct the building descxibed a�iove I agree to do th� proposed work in accordance with the d�scription above set fo and �` c�pli afl provisions of ordinanc�s of the dty oP Fridley. l/ - � In conafderation of the payment of a f� of �� Permit fs her�by granted to to cronstruct the buflding or adclition as d�cribed above. This �err�uit is granted upon the exPress candition that the person to whom it is granted and his agents, employees and worl�nen, in all work done fn, arouad and upon said building� or anypart thereof, ahall conPorm in all reapects to the ordinance� of Fridley, Minnesota g locatlon, conatruction, alteration, maintenance, repair aad movin� of buildings wlthin the dty limftsean�this permft may be revoked at a�y time upoa violatton of any of the provi�ttons of sa�d orclinancee. ,.�, _ .�a ��i ��8 � NOTICEs 71�5 permit dea eet eewr �la comfrueHoe, i�allatlee �ee wWa9. P��B. 6a 6utine, aw�r er wmr. B� wro to a� ih� Boildl� lesp�cto� to� ap�rah pumhs /or � N�ms. e, � � .� � '�s:r � ' -�/��r�►E� �iv��r�E�R,aiv� Co., �rT�. LANO SURVEYORS AND CQNSULTING ENGINEERS 6418 56th AVENUE N�RTH, MIAiNEaPOL15 28, MIN�Y: ��-�`�it� 7-3637 C/V/L AND MUN/C/Pd! ENG/A/EER/NG L ANO S!✓RVf YING �,AND PLANNIN6 ` ` SfJ1LS' TEST/NG � f �,�` -� � ,� - ��''j° d-°�-°�''� �� %" ��"'" -g' � �r "': °` �,- ��t ' `��d �'' - _ _ . ��i ��t�� ^�,,,�� - 6 V� � � ' � . �1s"',�� Jy n^+� .- ° �r°.'+{�,' �.,p a � � '�� ( � / I� � i {y9+> �• C" l�v:+ e8=,�r a � � _ ^� ........., �" _ S �p I 3 � i ._� � �� , u 1� s � ' "� _ �, � ,y �. �;� ' � 1~'� � j ' w �� L . �j � i � � a � ` � � ..�� 1 q _ ,A' . ,,�.1. �� R � " � 5 • ��c `. / �� P4 � � � 3 � � .:, � . � j�f� ca e� /�� . c ; �.�; �� " , �R,' . � v < �;ai.a!`°''- �A�/'':*"% ,r - _ � � • , . , , , ,� ' ; ., " � • �� . �. + �'� �� • , `� ` � �, � ' � �� } � Y� . �; �� - � '; : � � � �_ ='�_..�.�_ � .�G�.�:`f°° /i '-- ,:�'�� " Q �4 �s'� M �L�_�:i j/� "'..�� 1'. , � ., , , . . • . . � � , . Y � ., �, .,/+q i c +.jy �!<��7 `d�`�.�,�+` f✓ � . `'�'� i�'/ �..�' .,��t� .� � A�!" �> � �' ,�r'�.I � � � C� �.+" � ;�': . % �� J� ��s�'� �" f �,1." �1�" a'°�'" r E�` :7�.'a`. ° � - . fs'�: •6.tn. r 1N� �V�t{EgY CEKTiFY '[�I�.i THIS 16 A"tA� �NO COR�Ett REPRESEM'A�tON dF A St1tNEY OF f11E B�UNUARIES 4F ?HE �AKD ABOV� D�StRtBEa AN� Qf THE CbeAT10�10i �Ll �l1lbIltGS, 1f I�+1Y, �H�'REO�, AND A�l VISl81.E ENCROAeHMENTS, tf ANY. �AflNI Dii 0!1 SA10 1.A1'10. �'� �-�' � M1Ni3'ER EN�i11�1EER1fi16 tti., INC. a��o �c,Ft1g�..DAY A� A.o. �ac � .; �, -�,� ,�,,� � � ti ��,,,, .v'' ,.� �'� �,,,:�,;.� .. : b� :.�� t '� t .� , , ��°.�`: ��•-��,., ��!.� �''� ATTENTION OF: ;� _ f..:,�` -- � —�-- — —_.� � _ .. TO ,,;�_ �• FrARL i. �, C�LCg T�n3g,Qi � - ' � ,�: � -, � l SUBJECT �EQQS�' $F � �Ei�T',R3�CrL'Y� C{�R� ;' DATE �'Y�Iy S� ��15 �a is a zequee� b�y Alea Gans�s�ct�oc� �Ga�a�y � buiTd � i�ans� � tba e�sti� famdatiom lacated �n 3,s�ta 34 a�i 31, �lacic P, 8i�rvi� fl�ights Additic�� s� �i� 6�t'► Y.i�ati �fi�reet �. 8. md to b�iid � aew dn�eli�g oa Lats 32 smd 33, B1oek P, Hivv�e��r H�i.gb�s ,�dditit�u, sane i�istg 67b i�i�bal:� Street �.�. ,- Tt�e �.stsag £cua�ti� �s br.�u ias�e�E�t by this d�g�r��at a�d �oi�d to 6e satisfa��ory far �s c+oa��a� o£ ��e. SIGNATURE � �'s. �s �n�� Ia18�E� REPLY: ..►�� DATE � � SIGNATURE RETURN THIS COPY TO ORIGINATOR � � CI�iYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1?87 April 18, 1990 Glenn and Suzanne Sampson 676 Kimball Street N.E. Fridley, NII�T 55432 Subject: Lots 32 and 33, Block P, Riverview Heights Dear Mr. and Mrs. Sampson: The above-referenced property is located in Zone C of the flood insurance rate map, which is considered to be areas of minimal flooding. The community panel map number is 270013 0003 B, effective March 2, 1981. If you have any further questions, please feel free to contact me. Sincerely, Barbara Dacy Planning Coordinator BD/dn C-90-201 iVO�CV� City of Fridley AT THE TOP OF TME TW�NS � � i L D I N� P E R M I T r � �' COMMUNITY OEVELOPMENT DIV. ��, � j V �'�� r � � PROTECTIVE INSPECTION SEC. � . � � _ �"'1 � CITY MALL FRIOLEw SS�32 NUM�EN NEV O�TE p�GE O: �"'"� � �'' 612-571-3450 9t0-F/5 4/10/O1 / / JOB ADDRESS 676 RIMBALL STREET NE t LEGAL ��T NO. BLOCK TRACT Oii ADOITION oescR. 32,33 P Riverview Heights 2 PROPERTY OWNER MAIL ADDR�S$ Suzanne Egan 676 Kimball Street NE 3 CONTRACTOR MAIL ADDRESS Same 4 5 ENGINEER DESIGNER MAILADDRESS e USE OF BUILDING Residential 7 CLASS OF WORK p NEW MAIL ADDRESS ZIP � ADDITION O ALTERATION � REPAIR 8 �ESCRIBE WORK Reroof House (16 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment� must comply with the State Building Code. TYPE OF CONST. SEPARA7E PEpMITS ARE FiEQUIRED FOR ELECTRICAI, PLUMBING. MEATIN(i, VENTII.ATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHOR12ED IS NOT COMMENCED 1�ITHIN 80 DAYS. OR IF CONSTHUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 12Q OAVS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS I NEREBY CEiiTIFY THAT I NAVE REAO AND �XAMINED THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VAIUATION ANO ORDINANCES GOVERNING TMIS TYPE OF WOpK Wlll 8E COMP4�ED @ WITM WHETHER SPECIFIEO HEREIN OR NOT. TME GRANTING Of A PERMIT y�1,636 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEqMIT FEE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STqUCTION OR TME PERFOiiMANCE OF CONSTRUCTION �67.56 S�GN4TUpE OF CON • AACTOA Op oUTMONQEO AGENT IO�T�i ,� � � � �-to -d I .� S� TUAEO�OWNEaii� NEABU�IDEAi ID�TE� a� SO.PT STAILS 3i737 RECEIPT NO. /�� PVnOVED Br SEE ATTACFIED SNEET PHONE 786-9135 PFIONE LICENSE NO PMONE LICENSE NO. LICENSE NO O MOVE O REMOVE �ono CU f T OffSTREET PARKING GARAGES SURTAX �.82 SAC CMARGE Fir r SC $1. 64 TOT FEE . �.�2 >A E TNIS IS VQ P��T ) p�TE �/ s NEV1l [ ] Effective 1/1/2001 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '� Legal Description: �� 2 F�131oC-l� I� Owner Name 8� Address: S l,t.� ��✓► P_ K l�k � v� Tel. # % g(ea `" �' 13 5 Contra�tor. ��/� _ MN UCENSE # I� jA Address: �o� (o �� v�'1 �0� l 1 �� I�i � Tel. # a� �� o J'e- LNING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft OTHER: �oa� Construction Type: Estimated Cost: $ i o ��/ 3� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing In application $ �.�GQ Fee Schedule on Reverse Side $ f, b�l .001 of Permit Valuation (1/10th%) $ . $� $.50/$1,000 Valuation $ $1150 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 [ ] , �, �� , ;, - ,, . ,-� 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 amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5(� $501 to $2,000 $2,�1 to $25,000 $25,Q01 to $50,000 $50,001 to $100,000 $100,�1 to $500,000 $500,�1 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $SQO plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,0� or fraction 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 $50,0� $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1�,000 $993.75 for first $100,QQ0 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $SOO,Q00 plus $4.75 for each additional $1,0(}0 or fraction thereof, to and including $1,0(10,000 $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) Altemate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv �-, , �� • sue�ECT PER��N4._ City of Fridl�y `. ��3 214 8 AT TME TOP OF THE TW1NS g� � � D I N G P E R M I T � -"'�' -- - r � ` RECEIPT NO. � • COMMUMITY OEVELOPNIENT DIV. ��p.��0� s_��0 9 � j V ��'•� . . r � � PqOTECTIVE INSPECTION SEC. �� 1 • � ( � �"�1 � CITY MALL FRIDLE� 5��32 NUMBER REV OAT@ PAGE OF AVVROVED 8� �--�� '' 612-57�-34b0 s�aF�s 9/5/Oi / / J08 AD�RESS ��6 Rimball Street NE � 1 LEGAL ��T NO. BLOCK TfiACT Oii ADDITION SHE ATTACMED oescR. 32,33 P Riverview Heights SMEET 2 PiiOPERTY OWNER MAIL ADpRES$ 21P PNONE Cort Martin/Sue Egan 676 Kimball Street NE 763-786-9135 3 CONTHACTOR MAIL ADDRESS 21P PMONE UCENSE NO Grayhawk Builders 3020 Centerville Rd, Little Canada, MN 55117 651-486-9888 e ARCNITECT OR DESIGNER MAIL AOORESS ' ZIP PHONE LICENSE NO. 20174611 5 ENGINEER MAII ADDRE$S ZIP PNONE IICENSE NO 8 USE OF BUI�DING Residential 7 CLASS OF WORK O NEW 8 DESCRIBE WORK Install soffit/fascia 9 CHANdE Of USE FROM O AqDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE STIPULATIONS Install soffit ventilation to meet the State Bu�lding Code. �ermit inspection Cards Will Be Mailetl To Homcou��'�� st " TYPE OF CON57. SEPARATE PERMITS ARE RE�UIRED FOR ELECTFICAL, PLUMBING. HEATING. VENT�LATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHOfiIZED IS NOT COMMENCEO WITNIN 80 DAYS, OR If CONStRUCTION Y OR WORK IS SUSPENDED OR ABANQONED fOii A PERIOD OF 12Q OAVS A7 ANV TIME AFTER WOiiK IS COMMENCED. ' NO DWIG. UNITS I HEREBY CERTIfY TMAT I HAVE READ ANO ExAMIN�D THIS APPLICA710N 1 ANO KNOW TME SAME TO BE TAUE ANO CORRECT. All PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL B� COMPI,IEO 2 692 WITH WHETHEii SPECIFIED MEREIN OF NOT. TME GRANTING OF A PERMIT � s DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE PqOVIS10NS OF ANY OTNER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PERfORMANCE OF CONSTRUCTION �8,3 • 2.� PLAN CNECK FEE Lice S S�GNSTUpE O� CON'aACTOQ OA AUTMOA4E0 AGENT IDATE� EN Ri ro�Te� -. / ' STALLS 5.00 cr �oao CU fT. ' PARKING GARAGES $1.34 SAC CMARGE Fire SC $2.69 fOTA�FEE $92.28 TMIS I Up MIT � �� RUG-�6-��1 11•41 FROh1 ��IT'�' GF FRIDLE'�' TC1 NEvv [ � ADDN j] , CrIY OF FRIDLEY ALTER .[ j SWGI.� �qMIL� AND DUPLEX�S R 1 AND R 2 8UilDING PERMITAPPLlCATJON �51-1'c;6cb3: P. C.�1, ",� ��+e v��2oo� (7�63) ST2-360� Bldg Insp Consfruction Addr�ss: ��, �in ,�r L � ,��° . , Le9al Description: Owner Aiame & Address: � �e.r l��r,��g ��'� Tel. #_ 7G �-7>P� --9/_3 S-� Contractor_ __ ,��,,, ��; � �� - MN IiCENSE # �i 7 �� / / Address• �o � d L�i�� s� � �a� ,�x �c� �� ►� Tei. # / 5/ - ��G -- i �' �' � . �in.. �si�7 Attach to this application, a Certi�cate of Survey af the lot, witfi the proposed c+�rrstruction draum on it to scale. � UVING AREA: GARAGE AREA: DECK AREA: OTHER; �►ESCRlPTDtlN OF OMPROSJEOL�NT Length Wid�h _________'_ Height Sq. Ft L�r�gth Width Height _ Sq. Ft L�ttgth Width � Hgt/Grovnd Sq. Ft Consirudion Type:��i r v� � Estim�ted Cos� $ 2� 9 2, o 0 Orivev�y Gurb Cut Width Needed; �_Ft + 6 Ft =_�,Ft x$ _$ DATE: �� / APPLICANT: � � Tel. # �/- s�d� ��' �� . CITY USE ONLY - Permit Fe� �re Surchar�e State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Coritroi Patk Fee Sewer Main Charge TOTAL Ca0 (753y 572-3644 for Pe�mit Fees if mailing i� apptication � � 3. � S Fee Schedule on Reverse Side S��q fr3� .Q01 of P�rrna; Vatuati�� (1!4€3thr�laj $ j 3� � $.50/$�,000 val�iation $ $1150 per SAC Unit $ S o o $5.4D (Sta#e Licensed Residenti�ai Co�tractars) $ Att "A" or Alt. "B" Above $ $450.00 Conservation Plan Fteview $ Fee Determined by Engineering � �qreement Nec�essary { ] Not Nec�ssary 4 ] $ qz. Z � 5'I (PULATIONS: � � � ,7 .a � City of Fridle� AT THE TOP OF TME TW�NS r � � � • COMMUNITY DEVELOPNIENT DIV. � •V � � � r � � PROTECTIVE INSPECTION SEC. i . � � i �"'1 � CITY HALL FRIDLE� SS�32 �.---� • •,' 612-571-34b0 �U ILDI�'JG PERMIT ��0�'ii�'�� NUMBEii 11EV OATE PAGE O� 9/0-F/5 9/11/O1 � � JOB AODRESS 676 Kimball Street NE � t LEGAL LOT NO. BLOCK TRACT Oii ADDITION oesca. 32,33 P Riverview Heights t PROPERTY OWNER MAII ADORES$ Cort Martin/Suzanne Egan 676 Kim.ball Street NE � rnuroerrnc MAIL ADDRESS Same 1 ARCHITECT OR DESIGNER 5 ENGINEER 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW 8 DESCRIBE WORK Reside flouse & Garage 9 CHANGE OF USE FROM MAIL AODRESS ADDRESS � 21p ZIP O ADDITION O ALTERATION C� REPAIR TO 32155 RECEIPT NO. ��I AvvROVEO er S6E ATTACMED SHEET 763-786-9135 PHONE IICENSE NO 763-786-9135 PHONE LICENSE NO. E IICENSE NO O MOVE O REMOVE STIPULATIONS Per Section 1402, 1997 Uniiorm. Building Code, requires that a weather resistive barrier be piaced over exterior sheathing to p�otect the in�erior wall coverir�g. Exceptions for th�s provision would be if sheathing is an approved weatherproof panel or when the sidizg �s an approved weather barrier. Vinyl sid�ng is not a weatherproof covering unless the manufacturer states this in their application guideiines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. FIEATING. VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OR GONSTRUCTtON ZONING AUTHORIZED IS NOT COMMENCED V,IITMIN 80 DAYS. OR IF CONSTRUCTION + OA WORK IS SUSPENDED OR ABANqONEO FOii A PERIOD OF 12Q OAY$ Ai ANV TIME AFTER WORK IS COMMENCED ' N0 DWLG. UNITS 1 MEREBY CERTIFY THAT I MAVE REAO ANO EXAM�NEO THIS APPLICATION 1 ANO KNOW THE SAME TO BE TAUE AND CORRECT. ALl PROVISIONS Of LAW$ yALUATION AND ORDINANCES GOYERNING THIS TYPE OF WOFiK WILI Q� COMPUED �S�OOO WITH WMETHER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAMCEL THE pEqMIT fEE PROVISIONS OF ANY OTMEFi STATE OR LOCAL LAW REGULATING CON- �111.25 STRUCTION OR TME PERfORMANCE OP CONSTRUCTION O� CONCqACTOp Op 0 I � ' / OCCUPANCVGROUP OCCUPAN SQ. FT CU FT. OFFSTREET PARKIN( STAILS GniiaGES SURTAX $2.50 Fire SC $5.00 �OTAL FE $118 75 � �s +Pep r`� � r�atE N� I l Effective 1/1/2001 ADDN [] ', CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �J � � K,(,W11f ) Q. �, � _��"�. JJ� Legal Description: Owner Name & Addr S: Cmr�r Mar�r� n� �� I� EG�rQI� Tei. #�Ii0�7�7�b �Q I 3�j Contractor. dv � MN LICENSE # -o Address: Tel. # LNING AREA: GARAGE A�REA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. F� Length Width Height Length Width��.� Hg� � t r� �. z r —�� [.�C � f � Sq. Ft Sq. Ft or Construction Type: Estimated Cost: $ SbtaC� "' Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. #�IG3'�I QIo -913� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge_ SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $- , o�� Fee Schedule on Reverse Side -- - $ � . (�Z> .001 of Permit Valuation (1/10th%) $ �, � C,7 $.50/$1,000 Valuation $ $1150 per SAC Unit $ r_` $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "6" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $�r�� K - 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 amount herein below set forth and in the manner herein provid.ed to-vdit: �� TOTAL. VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,0� $SOQ.,OQl tq $1.,,000,000 $1,000,001 and up � . � ' FEES $23.50 � $23.50 for first $500 plus $3.05 for each additional$1� or fraction thereof, to and including $2,�. $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction 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 additional $1,000 or fraction thereof, to and including $1Q0,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5(�,000 $3,233.75- fot the first $500,000 plus $4.75 for each additional � $1,000 or fraction thereof, to and including $1,000,000 � $5,608.75 for the first $1,000,0(}0 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "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 Pernrits 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. New Houses Onlv "� pertnit No.: � Building NiE��NICAL Received By: Inspections RE5IDENTIAL A]'PLICATION ��e�� : 2p07 7.63-572-3604 CITY OF FRIDLEY wo�a�oas� �T cow� _ 7,_ g,._. � YOUR E-MAIL ADDRE3S " O DATE f,-, P_ ✓.,�.. 4, �, t � �� SIT'E ADDRESS _. THIS APPLICANC IS: PROPERTY OWNER/ TENANT' CO CTOR SLJg� A COPY OF YOUR STA'iE LICENSE W� APPLICATION PERM� TZ'pE TYPE OF WORK: OWNER DCONTRACTOR p,,�,,,��. _c 13 S � or�• `7 (0 3 7 Sm — PH COMPANY NAN�. CONTACf PFRSON: STATE LICENSE �_ FAX 7�3 zz7 -13 � DATE w PHONE ❑ 7W0 FA1dII1-Y O TOWNROUSE L�SINGLE FAMIL,Y - o NEw ° x�.�'cEr�' ��xnnowx�oDn- DETAILED DESCRII'TION OF W�RK � �.=�- ' fee is a minimum of 515.00 or 5% of the total cost up to �50�•00, a`hichever is greater� for �e ac.�ment of a residential fixture, excluding the fixt�s• �is should reflect only the �°s� °f ��Or � PER MS 16B.665 the permrt �mprovement, in��on or repl x.05=� Labor cost under $300 =$15.00. Labor cost between $300 to $500 � P� �fFiXT�UROrE. EX—T NOT'FD F�CTURFS• (II�IDICATE TOTAL FOR PROJECCS W� ��R �C�S $$�' F� � B�� ON $10. SIZEBTU � �NBER OF EACH BELOV� MODEL: �-- SiZEB'N �-� i ment lnstalled MFG: � MODEL: �— SiZFJBTU �— I� P ' ' IJ�� .�— MODEL: �� gpT1GFJOVEN $10.00 A/C 525.00 G�g S15 —qIR TO AIR EXCHAN B�ySLINER $l0.00 DUCT WORK $10.00 — Permit Fee Surcharge TOTAL DUE MFG: �— GA5 p�LACE (GAS) $15.00 T1ER► GAS GRILL $10.00 —FIREPLACE (WOOD) 535.00 GAS UN1T HIR $10.00 '—gURNACE $3i.00 PC�L HEA'CER $35.00 GAS DRYER $10.� yENT'tI.ATOR 515.00 GAS PIPING $10.00 r _ n. � Number of fixtures @$10.00 x$10.00 =$�.—... . $ — Number of fixtures @ $15.00 f x $15.00 = $ �=-- $ .50 eS $25.00 x $25.00 = $�— Tlumber of fixtur @ $ ,�—• I•Tumber of fixtures @ $35.00 x $35.00 = $�— State Surcharge = $� •� Total = $ �� hDS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII- PROCESSED that the work will be in rmit and I acknowledge that the information above is �°mplete �o � es; that I understand this is I hereby apply for a building pe and r,vith the Minnesota -Constru 'cation for a permit and work is not to start vvfthout a permit, that tk►e work will be in accordance with the conformanae with the ordinances and codes of the City of Fridley not a permit but only an aPPU uues review and approval of plans. approved plan in the c�se of all vvork which � P��N�E C u ��n� �C �d� DA.�.E 7— g— b% J OF APPLICANT . _....�. _ SIGNAT'URE .._ . . . .._ . . '"�?f��?``��. � _.._._.�. ....,::.r:.e..t"4��-rMYn`il.i�,'. _ = _ . . City of Fridley � $uilding InSPnue NESFUr�idl y MN 5 432 _ 6431 Universrty 763_��2_3604 FpX' 763-502-4977 . ,.- REQU{RED INFORMATION NEEDED TO PROCESS PERMIT \' l- � ''� _.,�; RESIDENTIAL PERMIT APPLICATION HVAC � . ❑ NEW HOMES/ADDt�tONS ❑ EXISTtNG HOME ' ❑ MAKE.-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (S� note below) . a. Oi.l or solid fuel IMC Cha�ter 7 with MN Amendments b. Naivral Cras or Propane/IFGC Cha�ter 3 with MN Amendments � 2. Make-up Au (See note below) a. IMC Chapter 5 with MN Amendmen.ts 3. Venting � Gas a�pliances IFGC Chapter 5 with MN Amendments b. Fuel other th.an gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load. per room a. Required on new canstraction IMC 1346.0312 5. Ventilation . � a. Per MN Fnergy Code 7670 or 7672 6. Duct Design Per 1MC 1346:0603.2 a. ACCA Maaual D NOTE: Cenierpoint Energ� Mechanical Code Guidelines soffiware m�y be u�ed for comb.us�ion and make up airt calculati.ons $-uilding Insp�.��ns 763-572=36Q4 BUILDING RESIDENTIAL APPLICATIOliT CI'I`Y OF FRIDLEY DATE �` �'� o� YOUR E-MAIL ADDRESS SITE ADDRESS �7 lo K.► rnba.l\ S-rr�e-4- t�y � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR suB�r A corY oF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE �CONTRACTOR .n.n� � A c� - �g �-qi�S � ' - � . Gi:r� i � �� - - . : _� .��- . � :� � �;�� ; � _ : , - ��iirl � crr�r r sTA�"' zrn S�`F3'Z_.. 7�,3 - 227 —13 (� � STATE LICENSE # E}� DATE ADDRESS: CITY STATE ZIP PHONE F� ❑ SINGLE FAMII.Y/NEW CONSTRUC110N SIZE ❑ TWO FAMII.Y/NEW CONST'RUCTION STORIES TYPE OF WORK: I � O DESCRIBE WORK BEING SiZE OF ,�ASEIv�NT FINISH ❑ ROOF DECK ❑ SIDING ❑ SWIIvIlVJ ❑ DRAIN T[LE 0 OTHER 1 LENGTH ��Li �� WIDTH 7 i Sq. Ft. ROOFWG ❑ HOUSE ONLY � NUMBER OF SQUARES ❑ HOUSE & GAR.AGE BASEMENT REMODELAIG SUBMIT: � ATfACI�D GARAGE 1. EX�sting Fl�r Plan GARAGES 2. Proposed floor pian PROPOSED SIZE: ❑ DEI'ACHEU GARAGE 3. List of structvral members to be osed PRO�SED HEIGHT: SID1NG , FOR NEW CONSTRUCT(ON IIdCLUDING DECKS, ❑ Vinyl OSoffit � P nDTTiONS & PORCt�S SUBMIT: O Atuminum ' ❑ Trim 1. Site P1mJSurvey showing tlie existing structvres ❑ �� . • ❑ Fascia � PmPo� ProJ�- R'INAO'WS � �'J� -'�j(�y� Z. Two sets of construction plans 3. Energy Calcul�eons 1N EXLSTING OPENWGS DYes �No N OF WQ�WS OR FORNEW OPENINGS-DESCRIBE SIZE OF ,�.dGt ��i h25� � f Y) �o� OPENWG CHANGES & TYPE OF WII�IDOW TO BE INSTALLED AiUMBER OF �WINDOW5 � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.S.0 FEE SCHEDULE) TOTAL JOB dALUATION $ � � `� � � �C�� TYPE � Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge C,i�rb Cut Escrow Erosion Control Park Fee Sewer Main Charge Tntal Dne $ $ � �? • �� $ f-I� $ $ $ $ � $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the Wtal job valuation .0005 x Permit Valuarion Minimum $.50 $5.00 (State Licensed Residential Cont.ractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+68= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make c6ecksp�able to: City of Fridley Attach THIS [S AN APPLICATIOId FOR A PERMTf-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 pemrit 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 a11 work w ich requires review and approval of plans. SIGNATURE OF APPLICANT 1 ` � pR1T1T NAME ��z' a � � e � �DATE � ` � — � �_ �� Page 2- Builda.ng Residential Application � � s BUII..DING PERMIT FEE SCHEDULE � � The Chief Building Official shall, before issuing permits for the erection af any building or siructure, or for an.y addition to any existing building or structure, or far any alteration or repair to any exis�ting building or structure, upon applica.tiori therefore, require the payment by the applicant for such permit of fees to the amoun.t herein below set forth and in the manner herein provided to-wit: , VERIFICATION OF FOUNDATION Permits for consi=u.ction will be issued a mini.mum of 24 hours from fihe time of application ta allow for proper review of proposed structure and of the construction site. A Cerfifica.te of Survey of t�e lot, showing the loca.tion of the exi.sting foundation will be required before proceedin.g with the framing, New Houses Onlv City of Fridley Building Inspections Depar(ment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 " 0 w �� _ y � � � -a,2� 1 � � � � � � r ,. -. 7��; f". . _ _,�_ _ , �i�i" �qk� cS5 Wl .■ �_ � ,;, d�� ``-�'' �►>--: f�� 'i � ;►� ,s �1 �ss, _ ,� I; �II I'f' �- �� II ;; ; ` � ;. , . . . . . . ��iA � � � W� u�.l tlC�J U� �` 3' � QC ,r�,,� � rv�� . 4 s �a., �c� S � ��t � �,,� � �.�c 1��. � � � �� --�, �` � � ^� — `�Z�`t�. , — � u (0, � — U��.0 : ,�;; , ,. �.. � � �� "�' 1� _ �" : � � 'tvw��p� ��`A � �1— - -- �� Building PLUMBING Permit No.� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat '• ... - 7 DATE �" � b� YOUR E-MAIL ADDRESS hgp4� �(O 0.S"�C Q WtG �� • GaY1^ SITE ADDRESS �� o K i mb�tl � 5fir ee -� I� L ^ THIS APPLICANT IS: OWNER OCONTRACTOR PROPERTY NAME: S 2� a►n Cd�''� Yir� OWNER/ pDDRESS: 4'� � �� CITY 1 STA'f� ZIP SS�-1 3 2, TENANT PH�IVE�%i93 -7 g fo ' q � 3 S oY �°%%3 �'+ `a7 - 1 3 b`� CONTRACTOR NAME: j� ��'1 SUBMIT A COPY OF STATE LICENSE # EXP DATE � YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH pHONE FAX APPLICATION PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE �� TYPE OF WORK: � NEW ❑ REPLACEMENT . DETAILED DESCRIPTION OF WORK -� IhCO r�po�'ai"e- � (�a-i'�ro Dw� t rr�0 -�2 �X l�i v1G �ocs�AY� Vl'� � �F' 0� � Y��l�er�l �0.��yipe,.��r 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 residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (DVDICATE TOTAL �UMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRA(NS L SHOWER WATER PIPING _BATHTUB GAS PIPING �Nra��c'i�rUrJ:NS�:) SWIMMMG POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINk � WATER CLOSET BACKFLOW PREV. ($IS) DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER � � '"� [] �'^ �.6.. ..4 � ...,� . ..-,...�.,..�. ', �'�� ...��.... �� , . . . ,.i ��• y�. .� ., ,��.4" b t � ,..t S ��}ym�. � k�� '� � , �:'��R�� y5r ��w��, � .. ��u�� . �ha Permit Fee $ Number of fixtures @$10.00 � x$10.00 =$-;� Surchaz e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$35.00 x$35.00 =$ State Surchazge = $ .50 Tota1= $ , THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SlGNATURE OF APPLICANT PRINT NAME �C.a Vi Vl e K �C{ Z�12 DATE �^ I— b l A,°i; �� u � �� 1`' , �, . . °��' , , � ,` ��"�`� . . . , ; �`,� �� ±1,. :��'T:��`� ��,�� .., � � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977