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PRE 2010 DOCS,,A6- J F3 �43 City of Fridley, Mian.. N° 9338 BUILDING PERMIT Date: June 27, 1967 Owner. Homedale Builders Builder Same Address 5217 Wayzata Blvd. Address Same LOCATION OF BUILDING No. _7563 Street .— Lyric Lane __ — Part of Lot Lot — a _ _ __ Block _3 —_ Addition or Sub -Division . ]e1 ody Manor 4th Corner Lot __ Inside Lot — —._ X-- Setback 351 —_ Sideyard 10' Sewer Elevation 880.27 R83 9-7 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 37 Depth 24' Height 20 Sq. p -L 888 CU, Ft, Garage Front 20 ' Depth 24' Height 10 Sq. Ft, 480 Cu, Ft. Type of Construction Frame Est, Cost 19 Z 000.00 _ To be Completed Sept. 15, 1967 SEWER LOCATION - 130' West of Manhole WATER LOCATION - 120' West of Manhole In consideration of the issuance 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 and in compliance with ail provisions of ordinances of the city of Fridley. / / % '2 /'7 zP In consideration of the payment of a fee of $ 34.00 ., permit is hereby granted to Homedale Blders . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building of within the city limits and this permit may be revoked at any time upon violation of any of the provisions d ordinances. CLARENCE BELISLE Building Inspector NOTICE: TM9 permit does not cover the construction, h»tallatlon for whing, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Heine. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER �� �s�✓ ADDRESS ADDRESS LOCATION OF BUILDING NO. � STREET PART OF LOT _ LOT BLOCK ADDITION OR SUBDIVISION It i - CORNER LOT INSIDE LOT SETBACK �� SIDE -YARD l S WER ELEVATION fd/"O�Z TOP OF FOOTING Y z _ YV Applicant attach to this form two certificates of survey of lot and proposed building location dr'wn Qn� e two certificates. DESCRIPTION OF BUILDING To be Used as: Front -3,7 Depth_ Height Sq. Ft. frr Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. M Type of Construction Estimated Cost- 40— To ost% To Be Completed The undersigned hereby makes application for .a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley 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. DATE 4'1�9 SIGNATURE (Schedule of Fee Costs can be found on the Reverse i 4 r Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ..................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ................. ...... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAJT. 1st 3 Fixtures ...................... x$ 2.00 $ � Additional Fixtures ................ x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ r ROUGH FINAL Dept. of Bldgs. Phone 560-3450 City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all 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 tru d correct. Fridley, Minn — 1 0 Owner-/�'�®%f%%�iQ' Kind of Building Used as��`+����' To be completed about Estimated Cost, $ d. Old Ne Auilding Permit No.� Permit No. ✓� DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Water,arm Ai ` No - Trade Name ex/ Size No_ �I le5 Capacity Sq. Ft. BTU H.P. Total Connected Loa Kind of Fue 5" BURNER —Trade Nam -�� Size No. Capacity Sq. Ft. E.D.R � ® BTU H.P. (REMARKS -09) RAY N. WELTER HEATING CO. Sign 4647 E�4�3 9 -AV E. By `oubampoUN 7. MINNESOTA as Business Phone No. � City of Fridley 879-01 Application for Plumbing and Gas F'it#ing Permit Dept. of Bldgs. Phone SM -3490 DESCRIPTION OF WORK 756,3 NE Lyric Ln Number, Kind and Location of Fixtures Location -7563 W $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.26 $ _ a $2.00 z n 00 • F • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Coaaection Openings New Fixture, Old Openings I Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... .................. .. Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.26 $ _ a $2.00 $ NO. RATE TOTAL 1st 3 Fixtures ....................... .. x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: 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 that all the facl and representations stated in this application are true and correct. 2oct67 Fridley, Minn 19_ Owner Homedale Bldrs Kind of Building f r Used as r e s To be completed about 6 oc t Estimated Cost, $ XXN[r-New. Building Permit No ® Pe I, No. By MIN ills GAS CO. Business Phone No OUGH Description ................................................$ TOTAL FEE $42 -5-00 �Ao City of Fridley, Minn. N9 9489 'v�7-f 'f- BUILDING PERMIT Date: — 10 5 67 owner.Homedale Blders Builder A_ R. C. Blacktop Address 5217 Wayzata Blvd. _ Address 1308 Main St. N. E LOCATION OF BUILDING NO. — 7563 Street Lyric Part of Lot Lot — __ Block — Addition or Sub -Division . — Corner Lot --- Inside Lot — Setback --_ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front _ Depth Height Sq. Ft. Cu. Ft — Front Depth Height Sq. Ft Cu. Ft Type of Construction _ Asphalt Drive Est Cost 142. To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above se forth . and in compliance with ;h provisions of ordinances of the city of Fridley. // _.�— In consideration of the payment of a fee of $_ __5_. OD __., permit is hereby granted to— Blacktop Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. MAMN Fi BUSTLE Building Bgqxctor NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sore to coo the Building Inspector for separate permits for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �y IS, L 06 / L D E-aS BUILDER ADDRESS ADDRESS LOCATION OF BUILDING N0. 7-5-43 STREET 'C' PART OF LOT r LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCRIPTION OF BUILDING -- Front Sq. Ft. Front Depth Depth Cu. Ft. Height Height Sq. Ft. Cu. Ft. Type of Construction $}( r JR/()stimated Cost To Be Completed C 7-- Ag, io The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley 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. DATE i�' SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). U City of Fridley 53-84-879.01 Dart. of Bldgs. Phone BOD -3450 DESCRIPTION OF woRz 7563 NE Lyric Lane Number, bind and Locailon of nxt,uw" Lamson MMON mom ...._ ............. PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x 52..00 $ Future Fixture Opening .... :...... x $1.50 $ New Fixture Olaf Opening .......... x $1.50 $ Catch Basin .................... x $3.25 = Water Heater 'Up to 99,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 S Electric Water Heater .............. a $2.00 $ GAS FITTING FEES. NO. RATE TOTAL lot 3 Fixtures • ............. • q • • x $2.00 $ Additional Fixtures ............... x $ .76 $ On Range to 199,000 BTU .. ,......... 1— x $5.00 $ 3.00 State Surcharge $ .50 REPAIRS t ALTERATIONS—Refer to Cede _ Description • .. .. .. . .. ... • a e ........ . • ..... . ...... .... . TOITAL FEE $ 3 _ q0 City of Fridley: The undersigned hereby makes application for a permit for the work here!, specMed. agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings. and hereby declares that all the tact and representations stated in this application are true and correct Fridley. Minn 13 Oct 72 19_ Owner D. Beglan Kind of Building fr Used as req To be completed about 18 Oct !Estimated Cost, $ tan Old—New. Building Permit No. Permit No. s'cq 413 Signed BY nnininirnAcnn Td'TR Business Phone No ROIJOH Application for Power Plants and Heating. Cooling, Ventilation. ReMgeration and C. Air Conditioning Systems and Devices 40 PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ..... ................. 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ t... ® +' 50 'TAX FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 5® ROUGH FINAL Dept. of Bldgs. Phone SW -3450 Location �J��0 3 d�t9et a C1 `°`� i .� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all 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. Fridley, Minn y-!3 19 S Owner Kind of Building'JZ�A n va C V Used as _wr4 To be completed about 0.'m 3 Estimated Cost, $S00. CIO Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name - ua_.ol Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed 4W By P,R9 J1lM-OUS,, MIMES®A b5MM 42 Business Phone No- CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 6431 University'Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 672-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r JOB ADDRESS RATE SCHEDULE ' The undersigned hereby makes application for a permit forthe work herein Residential .Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — �o rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct, ,19 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER Gas Range $10,00 $ • BUILDING USED AS__��� Gas Dryer $10.00 $ *Air Conditioning — Ali Sizes $10,00 $ /p ESTIMATED.COST� ��� PERMIT NO. �= DESCRIPTION OF FURNACE 6NQ OR BURNER Ail Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units --L_ Circle One (Steam) (Hot Water) arm Air) Trade Name_�� r, C' le Size No. G-,�r/'&, Commerclal/Industrial BTU_ E HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ 50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE 3$ HEATING COMPANY MINIMUM FEE FOR ANY HEATING/C0041NGNENTILA i N REFRIGERATION/AIR CONDITIONING PERMIT iS 115.00 Signed By PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 p©N Approved By, Rough—In Date Final Date * �I Air Conditioners. can not be placed in a side yard without written permission from adjoining property owner. FiLL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIbMY AND STACK VRRIFICATION The undersigned hereby verifies that the existing chimney or stack: .1. Has been carefully examined Yes (9) No 2. Is free from rust or -deterioration Yes (y) No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes ( No ( ) S. Meets all current Code requirements for size -and total BTU's connected Yes ( No ( ) 6. Has total heating BTU's of ®c All other BTU's TOTAL BTU's i �%• Z, Remarks List Alterations Being Done: HEATING COMPANY 4�W2 jPC�/i� Signed By Date wa /I 7 SUBJECT .. _ City of Fridley 73N4 9 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L ______ j PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 53432 612-571-3450 9tp-F15 5/30/02 r JOB ADDRESS 7563 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dwight Beglau 7563 Lyric Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contractor 6331 Riverview Ter NE, Fridley, MN 55432 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-574-9966 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,144 $1.07 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $2.14 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION � PLAN CHECK FEE T AL FEE _ 3� 8 Lice e C $5 0 $91.46 SIGNATURE OF CONT RACTOA OR AUTH 'ZED AGENT DATE- HE PR Y VALID ED THIS IS YOU3PERMIT�� � S,GNATUAE OF OWNER,,; OWNER BURDEAI iOATE) G iN rl`�' /I 7 NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ i 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:SC 3 Legal Description: Owner Name & Address: CAS Tel. # Contractor. MN LICENSE # 4A 5 Address: r- 33 Tel. # 5 7 _ f&'6' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height -Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type:-rE4WL Vr1 * Z F_cy F_ Estimated Cost: $ I r Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: S 'D k APPLICANT: L I / � �`O Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: Building BUILDING Permit Nc Q -cam Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE z -6-0 // `v YOUR E-MAII ADDRESS SITE ADDRESS S 6, 3 4— 1 Z, l - THIS APPLICANT IS: ❑ OWdF,R PeONTRACTOR PROPERTY OWNER/ NAME: rr e ��°/, S ADDRESS: 4 Plan Review TENANT r' PHONE:�� Fire Surcharge CONTRACTOR NAME: .001 times the total job valuation STATE LICENSE # EXP DATE) $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: -257/5 v CITY S LSTATI�V'�EIP WITH APPLICATION PHONE S FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE SAC Charge PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ft + 6 ft = ft x $20 = $ ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 'SIDING ❑ OTHER $ ❑ SWIMMING POOL Fee Determined by Engineering TYPE OF WORK: ❑ NEW ❑ ADDITION oe Agreement necessary( ) Non Necessary ( ) ❑ MAINTENANCE/REPAIR REMODELING $ DESCRIBE WORK BEING DONE: Make checks payable to: City of Fridley Attach Stipulations HEIGHT Sq. Ft. SIZE OF IMPROVEMENT LENGTH WIDTH ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used 3. PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl �ma ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Tm 1. Site Plan/Survey showing the existing structures p.6ther g rt+'e J ascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ��°/, S See Back Page for Fee Schedule Plan Review $65% r' of Building Permit Fee Fire Surcharge $ ® .001 times the total job valuation Surcharge $ Al 6 .0005 x Permit Valuation Minimum $.50 License Surcharge $ y , O oC> $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ oe Agreement necessary( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w c requires revie pr al of plans. (� �f % /y SIGNATURE OF APPLICAN' _4, C '=�J PRINT NAME tc/ I t e Com` / l v moo'. /'- v