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PRE 2010 DOCS
City of Fridley, Minn. 104 6431 University' Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Mate: - Juse 8. 1971 5771, . 3 . I • . :• • ..r -9, M._ •-_ Z . y,.. _ _ M. -- 1. . Address - 6070 Stinson Boulevard N.E. LOCATION OF BUILDING Na 6055 Street McKinley Street N.E. part of Lot Loi $_ Block -- 1 Addition or Sub -Division _ Amhpr nakc iMN XXXT Addition Corner Lot Inside Lot X Setback 35.' Sideyard 22' & S' mower Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: lhael ling Front _31t Depth __431 Height 20' sq. Ft. 1.,1333 Cu, Ft 266,66Q' Garage Front 22Depth 26' Height 10 ` Sq. Ft _ 572' Cu. Ft 5,7201 Type of Construction - Frame Est. Cost ..._434, $.4.Q. 00 Tobe Completed —Sept., _ 1, 1971 Stipulations: Elevation Minimum 18" above it centerline of street. Provide hard surface drive. Verifying survey to be in office before framing. WATER LOCATION: /s"s S, o />7AA,1W0 L E /®` S. ®F SEL✓EZ. SEWER LOCATION: s's/i S . ©Fg�✓�`=� �� Wye Elevation: 9„31, oz �2_ Top of Footing: 9j,,1, as 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 sekorth and in compliance wi provisions of wdinanoes of the city of Fridley. i in consideration of the payment of a fee of $-- -60, 00 , permit is hereby granted to Amber Construction to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings anthe city limits and this permit may be revoked at any time upon violation of any of the provisions of said Building Inspector HANK MUNICH NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sura to see the Building Inspector for separate permits for these items. '"W30 -ii.PL f! APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA r OWNER'S NAME: 065T9s ,�1�kt t►7s BUILDER: ^13.E4 6)6nQs � _ �JVCm ADDRESS: ADDRESS: _ G676 S 7- / Nso pq ff Z vd- , NO:. &0 STREET: LOT: BLOCK: % ADDITION:- /7 A-, CORNER LOT: INSIDE LOT: SETBACK: s SIDEYARD:��s�14.2 � Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As:^� o Front:� Depth:3 Height: Square Feet: Cubic Feet: Front: -,22- Depth: Height: Square Feet; S`7.2 . Cubic Feet: 5' 20 Type of Construction: i$f�yh.0-, Estimated Cost: roc) To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of 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 : ' -- ? '171*' SIGNATURE • � (See 36cerse Side For Additional Information.) I° i,y,�.,ic .F- t . a -�--.° 4.�'n ". �' �✓ l�. _ Ft ��-7ko BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average, height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot,.showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE.OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Odcupancy has been issued. ro GERALD T. COYNe SOT SURVEYS COMPANY RA911NpNDHO APRASCM� 3n0 C'�ZLNSVdICi� AVE 5 GOLDEN VALLEY, MINN LAND SURVEYORS BROOKLYN PA4. MINN REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 6917 Idaho Ave. N. .133.9922 Minneapolis, Minnesc.ta 55428 NDUSAL . - ILQICIAL COM�Urbeporg QCertif irate LAND INING ING THAN 30 YEARS 'JE C.Ch1nAERCIAL - TOPOGR.4vwCT, IANh SURVeYING EXPERIENCE IN THE CITY LOTS - PLATTING METgOPpLITAN AREA AMBER CONSTRUCTION COMPANY —/-35,09— Ott —/35,Q9— Qct s'k -/3s:s,— Lot 8, Block it AMBER OAKS We hereby certify that this it a true and correct representa- tion of a survey of the boundaries of the above described land and the location of all buildings and visible encroach- ments, if any, from or on said land. ��77 Surveyed by us this 2St day of Oct * , 19610 Invoice # 3093 F.H. 121-63 *Denotes Iron Scale 1" = 30' -'sr-./�-4�`--�•. ' p' � rte. j �'�.�, Signed LOT SURVEYS COMPkW 1 U!J o pv%fiw #94 r" a Aq t' v 'f �t 'II� —/-35,09— Ott —/35,Q9— Qct s'k -/3s:s,— Lot 8, Block it AMBER OAKS We hereby certify that this it a true and correct representa- tion of a survey of the boundaries of the above described land and the location of all buildings and visible encroach- ments, if any, from or on said land. ��77 Surveyed by us this 2St day of Oct * , 19610 Invoice # 3093 F.H. 121-63 *Denotes Iron Scale 1" = 30' -'sr-./�-4�`--�•. ' p' � rte. j �'�.�, Signed LOT SURVEYS COMPkW f -AVE URUNIS5 GERALD T. C®TNE LO= SURVEYS COMPANY oy ,i I�APQ 4AV N 300EiiVN'.ViCI�. GOLDEN VALLEY, MINN Tl. it HRQt''rt_YN PARK, MINN LAND SURVEYORS SEOISTEBED WMEB LAWS of STATk of ffiNNESOTA ° LiCEN9ED BY ORDINANCE OF CITY 'OF �$"N QLIS g# y�9'!%_Jdeho Ave. N. 53�*i x l 1 , Minneapolis, Minneeota 15428' _ "�. �5 - Jl@ICti1q � � • --«. COMBINING 41vPc THAN 30 YEA"45 C?E-- j tEf*IAL - TOPOGR I a.+,.;. AND SLIRVEti N EXPE IENCE IN THE .q CjC)TS - PLATTIN y y� yAE?�' PCLiTAN AREA d� . grtj t' ER i `5 UCTION CQf6ANY InvoiceF,ajj, 30 3, 63 o Denotes ron C IO tical e - /35,09_ I 17 - Lot 8, 8, Block i, AMBER OAKS tut �r We heAeby certify that this is a true and correct representa- tion of a survey of the boundaries of the above described lend and the Potation of all buildings and visible encroach- ments, if any, from or on said land. Surveyed by us this 21St+ day of 0Ct 0 1961.0 f� Signed l LOT SURVEYS COMPANY 1I �voil��o� 7�31K�f V J -'PV ' 0 ��oHlU6Gij .�P ,� �S�l Appleaflon for Poorer Pkmft and Heathg1j, Cooffng. Vel' oWnR Ref6prefta and Air Conditioning System and Devices PARTIAL RATE SCHEDULE GRAVITY WARN AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $—_ Repairs — Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. 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. EDA 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 BTL) See Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 7.00 $ Additional Fixtures ............... x .75 $ Gas Range to 19.9,000 xt-5:00 $ AIR CONDITIONIIlG FAN HEATING SYSTEM See ' Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL Mm Z., o eS� ROUGH Dept. of Bldg:. Phone e City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Owner Kind of Used as To be completed about Cost, $ ` )Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PCtWp PLANTS -Steam, Hot Water, Warm Air—No__/__ Trade Name Size No 52 e Capacity Sq. Ft. E.D.R BTU ® H.P. Total Connected Load Hind of Fuel BURNER — Trade Name Size No - Capacity Sq. FLED BTU HF. (REMARKS -OYER) Signed SUDUHUAll AIR CONDITIONING Chi. BY8419 CENTER DRIVE 04% MINNESOTA 5543'1 Business Phone No • . 53-4 9915(51 cliv of F -40.0l Application tion for Pluri'c�Ing a nd Gas � ,ins �CSe pis • • Dopt. of Sldpa. phone & —34W DESCP.IPTION 0- V/011I: L:nt: 5055 M[ Kinloy . Stro it NE Humber. 1:Ltd wid L*m1lon of Flxtures PARTIAL RATE SCHEDULE P L�i8I1iC FIXTUISE RATES: N0. RATE TOTAL Nurr.ber ilxtures ...4646.. • : • • • • • • • ----- x 52.0.0. s._.T.-- iVture Fixture 0110ning . • • • • • • • • • • •------ x $1.50 S -.-- New Fixture Old Oyrning• a e e e ••• • • • ------ x $1.50 Catch Basin ................. 6 46 0 — x $3.25 t S 831-4 Water I{eater 'Up to 99.000 BTUs 0 • • • 4646---- x • New Ground Run 01d B!d9. 0 a • :.. ---- x- CAS ntG _ 52•� .&AS FITTING FEES: xo. R:.Tr TOTAL • 1st3Fixtures •••••�••••••••'•'' -----'-x5200 5----- AdditlQnal Fixtures ..... 46 46.•.. • • • •------- x + .75 S G:s pmnze to 199.000 BTU ........... --r--- x $5.00 L�------ Esse I 3:t I i t� 1••; ri l 3:d o ;:ti •.,d with. • FL•`.:�•0 Ge::a:...e� Cr�:.t•!r.�a ucaer t }fav Firturv. Old O--esrlr-C% Cc=;Icol 0 PARTIAL RATE SCHEDULE P L�i8I1iC FIXTUISE RATES: N0. RATE TOTAL Nurr.ber ilxtures ...4646.. • : • • • • • • • ----- x 52.0.0. s._.T.-- iVture Fixture 0110ning . • • • • • • • • • • •------ x $1.50 S -.-- New Fixture Old Oyrning• a e e e ••• • • • ------ x $1.50 Catch Basin ................. 6 46 0 — x $3.25 S - Water I{eater 'Up to 99.000 BTUs 0 • • • 4646---- x • New Ground Run 01d B!d9. 0 a • :.. ---- x- E:.Ctec VIAter P.&At.ar.. .. i.... • • 6 0 ..�....---••-� _ 52•� .&AS FITTING FEES: xo. R:.Tr TOTAL • 1st3Fixtures •••••�••••••••'•'' -----'-x5200 5----- AdditlQnal Fixtures ..... 46 46.•.. • • • •------- x + .75 S G:s pmnze to 199.000 BTU ........... --r--- x $5.00 L�------ City of T'6d1cy; 9 The undersigned hereby makes appllcadon for a permit for thr work he specified. a:rz acing to do all work in strict acco.dance with tre Cit? 0:'dLni and ruling of the Depar tram of Buily.'ars. and hereby declares that all the 1 • and representations stated is :.':is applicat:oa are true and co -retia' , ' S-27-76 19 r ridley. bila Owner Costas Nichols •- Kind of Building framo Used as ros. . To be completed about Estirrated Cost. S Old—Nevi. Building Permit No. — Signed • By - Businu s Phare No ROUGH .50 State Surcha ge ALTERATIONS --Racer fo Cods . ti .Ik:czi�tlOn •'••4646.••••••4646•i4646....•.•4646...•..r4646.•. ,Cie rnrrSUCclic�'fgQ ® • TO'TAL F=5.— i SUBJECT PER City of Fridley _ 27301 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. --•--COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 NUMBER , REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/19/98 JOB ADDRESS 6055 McKi ley Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. g 1 Amber Oaks Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE fiwimx Costas Nicholi 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and izarage 24 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2001 $1.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.00 PLAN CHECK FEE TOTAL FEE IA77.75 SIG,NATU OF N, ACTORO AUTHORIZED AGENT IDATEI N P OPE BLO INSP ALIDAT D THISIS_Y_OUR PERMIT GATE ' S)GNATURE OF OWNEA IIF OWNER BUILDER) IDATEI NEW Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ,�0� '/ConstructionAddress: Leo 5� NtlCl/i/L Z Y Legal Description: Owner Name & Address: GQ S� �� l /UGL Lf �'� , �/d Tel. # Contractor: , p Q4-,4 T Ali e- o MN LICENSE #. Address: 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground XOTHER: �2 U = '2 Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ X DATE: APPLICANT: L�ralc � yVj d4w Tel. # 5 7/ — � y� CITY USE ONLY Permit Fee $ . �%S Fee Schedule on Reverse Side Fire Surcharge $ C C .001 of Permit Valuation (1/10th%) State Surcharge $ /,CC $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ BUILDING 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 FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF 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. SUBJECT PERS City of Fridley 3101 1 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � E . � ----�.� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 6/2/00 JOB ADDRESS 6055 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Amber Oaks Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Costas Nichols 6055 McKinley Street NE 571-0460 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 9' x 14' Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARM N G SEPARATE PERMITS BOOM dlooing call for all Utility locations REQUIRED FOR: 45"002 WIRING HEATING PLUMBING AND SIGNS 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 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 1 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 $1,184 @ $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .59 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•_ $44.85 Firf SC $1.18 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE le -1 1 f; . 62 4 SIGN TUBE CON'RACTORORAUT ORiZED GENT iDATE� EN Pq P L VALID TE MIS IS YOU�ERM/IjT� .,� $ NATU E OF OWNER,a OWNER BWLDE Ri iDATE. BLD INSP OAfE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� \� � q�h Construction Address: 655, No- C- S�-, !tipC -1 Legal Description: i,a -r 8'A 61,o e K /I f m REQ Owner Name & Address: COV -A4 AlW atf Tel. # 671-1)4GU Contractor. ? MN LICENSE # Address: Tel. # 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 I t1.,d0 Hgt/Ground 0 Sq. Ft OTHER:4 Construction Type: :2gTA n Id e o p Estimated Cost: $ / / 9 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 5131/,00 APPLICANT: G /11('e� Tel. # ; ?/-,0416'© CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Cf % U�-- $ C%. Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ %0 , QO2 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: BUILDING 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 $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 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 $1,000 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 $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 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 $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb 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. New Houses Only sue.iEcr PE16 City of Fridley 5 5 AT THE TOP OF THE TWINS BUILDING PERMIT (t r - —REVIETPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 : 1 CITY HALL FRIDLEY 55432 ,�� NUMOER REV DATE PAGE Oi AOPROYED Br 612-571-3450 910.F15 8/29/00 JOB ADDRESS 6055 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 1 Amber Oaks Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Costas Nichol 6055 McKinley Street NE 763-571-0460 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO M P Johnson Companies 14235 Waco St NW, Ramsey, MN 55303 612-506-0629 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0, 20156509 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW IR ADDITION O ALTERATION 0 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Construct a 14' x 12' 4 Season Porch and a 7' x 12' Deck. 9 CHANGE OF USE FROM TO STIPULATIONS VOID BUILDING PERMIT 431,011 Issued 6/2/00 for a Deck See notations on plan. SEPARATE PERMITS FOR: A, WEA NGR G® EATING 138fore digging call for PLUMBING AND SIGNS all utility locations 454-0002 REQUIRE® RV LAVA/ 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 @ WITH WHETHER PECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,394 $2.70 DOES NOT PR UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS A OTH STATE OR LOCAL LAW REGULATING CON - $125.25 TR TION T PER RMANCE OF CONSTRUCTION j Fie SC $5.39 PLAN CHECK FEE TOT L FEE Licens $5 0 $138.34 SIGNiUREO%CON"RACTORORAUTHORIZED AGENT i0 N ROP VALID T "THIS IS V UR PERMIT 8L �NSp OA1 S,GNATURE OF OWNER iii OWNER SUILDER1 (DATE, NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (63) 572-36SK ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION f Construction Address: QX�V' i7/l �1l1 L �' �� /T/� , Legal Description: &&rdl 0 k f A p 1-1 , /,6 w Owner Name & Address: &464,01 d,61 /, USC Q, /yam Tel. # 4;- 9%-U y Gd Contractor: X, A �b14"r av &vi• t f 4iyj r-1 MN LICENSE# Address:%tJ239 1VPp_6 S4,Al,W RAy5c-y N411 551303 Tel.# G!a-666-062 �S�Rsor1 oR� GARAGE AREA: 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 _ f (-+ I Width / / Height 1l� r Sq. Ft. 16 S" 1j-a� Length Width �- Height Sq. Ft. U - Len th Width l Hgt/Ground Sq. Ft. *'789K& Construction Type: �bb0d Ef Ami Estimated Cost: $ '-Af AE - 2�1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: q -- -22 — 41APPLICANT.-L& Tel. # r 7%— 19ye�& CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge 1 .001 of Permit Valuation (1/10th%) State Surcharge $- %D $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $_ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ l STIPULATIONS: BUILDING 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 $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 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 $1,000 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 $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 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 $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb 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. New Houses Only CITY OF FRIDLEY INSPECTION DIViSION ��'�` Effective On January 1, 2000 .6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �,0 s^ h'IC- ��✓�t ��.. 5 �C RATE SCHEDULE _ OWNER S � �S I LS Residential Rate TOTAL Furnace Shell and Duct Work, Burner - k BUILDING USED AS Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST /S-0.0,3 PERMIT NO. � Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water (WarmAir Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of lue of Appli� or Work � $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Wo $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and --yy S� representations stated in this application are true and correct. TOTAL FEE $ ols' DATE T Zl'C-'c7 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO G REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # i10 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a sideyard without Approved By/ Rough -In Date 0) - Ze� Final written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Infonnation Appliance #1 Type _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CRYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 November 9, 2001 Mr. Costas Nichols 6055 McKinley St NE Fridley, MN 55432 Re: Final Inspection at 6055 McKinley St NE Contractor: Action Heating & Air Cond Dear Mr. Nichols: A mechanical permit was issued on September 21, 2000 to install ductwork at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRE Effective On January 1, 2002 MUUMUU OWNER_ Residential Rate TOTAL ~� Furnace Shell and Duct Work, Burner - 906 /)o �JJ BUILDING USED AS f Also Replacement Furnace $ 30.0060 $ y V (Side Vent - Fill Out Back) ESTIMATED COST PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER;} Gas Range $ 10.00 $ �' No. of Heating Units Circle One (Steam) (Hot atgr� - arm ) Gas Dryer $ 10.00 $ Trade Name Size No.—U l� BTU HP EDR, *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP , EDR Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts'and representations stated in this application are true and correct. DATE ELAINE HTG. A/C ELECT. INC. 1366? CENTRAL AVE. WE. HEATING CO ANOKA, MN b53" Signed � �- FAX # T aa) --151– C16 (' TEL #-N-J Final Date,®�- N ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When re i* acing n _xistina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes o No( ) The axlgn+nn comhustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes Oy No( ) When required to install a new cnmhtjstinn airy it will be sized and installed A� to meet the current codes and manufacturer's specifications. Yes (� No ( ) When installing a new v _ntrng system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes 0 No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes kNo ( ) Appfiia°n°cue Typp- and Si7P/Cnmmnn Vent and Vent Cnnnec_tnr Information Appliance #1 Type Vlt� BTU Input i 56M Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter 7 inches Appliance #1 Vent Connector Height ft Length ft Diameter in]Type Appliance #2 Vent Connector Height ft Length ft Diameter, in ;Type Appliance #3 Vent Connector Height ft Length ft Diameter in4Type a' _g ALTFRATIONS- i ., HEATING CO: 1356ANOKA,2 CENT MN 5530 N.N.E. �} Signed By. ems. - Date Building PLUMBING Permit No..' C0.7 a0 7 Inspections RESIDENTIAL APPLICATION Receive 763-572-3604J CITY OF FRIDLEY Date Rec DATE /0-? YOUR E-MAIL rADDRESS C o SITE ADDRESS 0 L THIS APPLICANT IS: ❑ OWNER NTRACTOR PROPERTY NAME: I& r b Q.r0— t C0A-c,5c-kQ S ADDRESS: 665-s � -e t S N ITY r ; y STATEM (UIP�� OWNER/ TENANT PHONE: % 2 S 1 ® q CONTRACTOR NAME: 0 VV%e 0 STATE LICENSE # p 13 /� EXP DATE ® % �y C� ADDRESS: 70 0 f Vr �L o r A 0� 10 CITY T c—L k STATFi%W Nk_ rA0 7 SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONE C! b `I �/ - S� y FAX �.� ' I�Zi��' IGl APPLICATION PERMIT TYPE r" ""'GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW %4EPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK G-�'Q 4 4J {� C�� e_4_ PER MS 1613.665 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, installation 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 5- C) C) x .05 = V,__> -O (Z) FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SINK/LAV DRAINS —SHOWER —WATER PIPING —BATH _FLOOR PIPING (NEED cnymcmz) _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB —GAS CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER PERMIT FEE PROJECTS FOR UNDER $5()0 ,` . ' . PERMIT FEE Ff}R:PROJECTS LIVER $S00 , Permit Fee $ Number of fixtures @ $10.00 x $10.00=$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Q G .,�C� Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 which ui eview and approval ofplans. V O/,� DATE r d SIGNATURE OF APPLIC ! PRINT NAME ✓�-r-eI / PLEASE NCt ARATE PERNUTS ARE RE UIRED FOR'BIADING> ELECTRICAL AND MECHAMCAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 200% A106, 9'7 From: City of Fridley To: 6519051745 Page: 3/4 Date: 10/2/2007 3:27:01 PM Building $ BUILDING Pelrmit No.:.(`?.-�/c� Inspections $ RESIDENTIAL APPLICATION Received By: 7 20 763-572-3604 $ 3019 vate��: 00 Surcharge $ CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 DATE ij YOUR EIAII�ADDRESS SITE ADDRESS K, In lia JT THIS APPLICANT IS: ❑ OWNER NTRACTOR PROPERTY OWNER/ NAME: a�M eq s TENANT ADDRESS: /, ` CIC tri ST,ye�yr £ CITY %I Q STATE q�Z, PHONE' %/6 3 `71—® 01 Window Concepts IF of MN, Inc. NAME: 990 Lone Oak Road Suite 114 CONTRACTOR $ STATE LICENSE # Eagan, Minnesota 55121 SUBMIT A COPY OF Park Fee YOUR STATE LICENSE ADDRESS: License # 20163493 STATE ZIP WITH APPLICATION PH WWW.windowconceptsmn.com SINGLE FAMILY/NEW CONSTRUCTION a1zil PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHIDWS If)(-, . ❑ BASEMENT FINISH ❑ ROOF ❑ DRAINTILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION / ❑ MAINTENANCEIREP.AIR ❑ REMODELING N DESCRIBE WORK BEING DONE: nice v 644Mc2 S%Z L. Ada SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. R. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGSYYes ON, LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES &JLS L.S��- TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19 U.B�.C-F�°E�E SCHEDULE) TOTAL JOB VALUATION $ -3, ®�� (J V , OCCUPANCY TYPE Permit Fee $ q 71 A See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 3019 .001 times the total job valuation Surcharge $ /� 5a .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5' tru $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ If)(-, . 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 whi requires review and approval of plans. [ hot ® SIGNATURE OF APPLICANT%� PRINT NAME®/ DA E T uliClln� rS I p ? li 1 Permit No.:Wzq b� .. -LiUMBP inspections1 :A?'0T I A J' 0 Received Bir 763-57--36041 1 CITY OF t 1LEY. /3 F< i F,FFEC=11-I-01 DATE- YOURE-!MAIL .ADDRESS 1 SITEADDRESS W955- ftJoi 2 Sly- Mir THIS APPLICANT ❑ CONTRACTOR I I IS: OWNER I PROPERTY NAME: COS t M u S ADDRESS: L 64 Le Rt 146 CITY STATE/�'� ZIP SS Z 1o'"Ex ANT �U055- PHONE: IIQ� �i�'I— DqI o CONTRACTOR NAME: i Gt SUBMIT A COPY OF YOUR STATE STATE LICENSER E.T DATE LICENSE. BOND AND STATE BOND I=- DATE CERTIFICATE OF ADDRESS: a P'1�v�/I f"r I�(C� Ate'/ CITY 5 STATE ZIP f^�(% INSURANCE PHONE 310-dj--*q-7_19cl FAX 119 -W-2 oq� PER 11T TYPE SINGLE FAMILY ❑ TWO FAMILY El TOWNHOUSE TYPE OF WORK: ❑ NEW �OLACEMENT DETAILED DESCRIPTION OF WORK A W% Py PER MS 1613.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement„ installation or replacement of a residential fixture, excluding the fb=es. (This should reflect only the cost of labor ) Labor cost under 5300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = plus SO surcharge OR FOR PROJECTS WHERE LABOREXCEEDS 5500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $1550. _BATH SINK/LAV _)FLOORDRAINS _ SHOWER WATERPIPING —BATHTUB _ GAS PIPING (NEED QTY LIC) _ SWIMMING POOL —WATER SO FINER ($35) _CLOTHES WASHER _KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY _TWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER k �.. I,T r:. : _ V '! • ' JEC.''Ci;tQJ..;< 1�.!. r..I ..9..h 'MJ'(i J1. by aj'.y.y'T pt'A:411t'14 'r•. e�YttaD'kLVd Permit Fee $ Number of flxtures (a3 $10.00 x $10.00 = $ Surcharge .50 Number of flxtures @ $15.00 x $15.00 = $ OR Number of fnttures @ $35.00 _ x $35.00 = $ 5•� TOTAL DUE $ State Surcharge = $ .50 (MINIMUM $15.50) (MIMMUM 515.50) Total = THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED [ hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate, that the work will be in t:onformance with the ordinances and codes ofthe City ofFridlev and with the Nlinnesota Construction Codes: that [ understand this is not i permit but oniv an auplication for a permit and work is not to start .vithout a permit on site: that the' wori: will be in accordance ,.viTh 1-hp.nnnrnveri nl:in in rhe cnse of nil ,.vnric •.vhich rerniires review nnri :mnrnvni nfnign z IGNATURE i jP .':PPLIC.' NT °INT' IAivtL' /�L �� `uS�'�i� ')ATL•/IO/ D ,hnnOVPD BY ,=\ T E �: �E'i( T>✓' ,i l ._i_ :IIT I L .✓C I,:RE 1 P, :UIlRr tv )z _,T tfle-�. _' 1 V