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PRE 2010 DOCSCity ®f Fridley AT THE TOP OF TME TWINS r tU----- COaMUNITY DEVELOMENT DIV. PROTECTIVH IN6081IT" 63PT, CITY HAIL FRIDLEY 600$ SLOJECT Permit No._ PLUMBING PERMIT APPLICATIO14 Job Address 910-FIbA 1 0 12115/73 s I 1 1 800 5 Yg Owner Address Phone 00' a �' f AI-Ye,71 Plumbing Contractc& Address Phone Kind of Building Use j Gas Fitting Fees: 1st 3 Fixtures x $2.00 i - Additional Fixtures x $ .75 f Gas Range -199,000 BTU x $5.00 Repairs &-Alterations I IDescription; See Code State Surcharge .50 i TOTAL FEE $ . 9O !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 declare that all'the facts and representations stated in this appl tion are true and correct. S gnature Date a Comp etian Date stimate ost 7 /1��r-��% /j s ads Plumbing Fixture Rates: NO. RATE TOTAL I Number Fixtures x $2.00 $ I r I. i I Future Fixtures x.$1.50 aflnlra srfll + to I i t ' ! New Fixture -Old Open. x $1.50 •wav ) I O { Catch, Basin x $3.25 b 8Vfl + 1 j Water Heater -99,000 BTU x $3.00 + :0 —I Ground Run Old Bldg. x $ 3.25 r wall ri 'MNIYa -- I + I ! I Elec. Water Heater x $2:00 Qr s. BNISYB i r %mno! j Gas Fitting Fees: 1st 3 Fixtures x $2.00 i - Additional Fixtures x $ .75 f Gas Range -199,000 BTU x $5.00 Repairs &-Alterations I IDescription; See Code State Surcharge .50 i TOTAL FEE $ . 9O !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 declare that all'the facts and representations stated in this appl tion are true and correct. S gnature Date a I 6NIVac !14O I b o a001d •bO .0 w :0 I Sa3M0N I I ri I j pO %mno! UNIa0 a �VU1p� s1Ya1l 4Wi Nsvti+ I I I AIlI 1 8NN18 I 8N18V8I I I I MV8I I I I 81vNimn I {I { I 813801] tl31vM I I � I V a d j Gas Fitting Fees: 1st 3 Fixtures x $2.00 i - Additional Fixtures x $ .75 f Gas Range -199,000 BTU x $5.00 Repairs &-Alterations I IDescription; See Code State Surcharge .50 i TOTAL FEE $ . 9O !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 declare that all'the facts and representations stated in this appl tion are true and correct. S gnature Date a 3Y SUBJECT P<RM City of Fridley 3041 AT THE TOP OF THE TWINS BUILDING PERMIT i ` RECEIPT COMMUNITY DEVELOPMENT DIV. r ; PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �••"� � ,�J 612-580-3450 910-F15 JOB ADDRESS 7548 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Bayer's Lakeside Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE last 1785 Canyon Lane New Brighton --i-CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. n- W- rnnqt-nmj-jCjn IRS04 Lexington Avenue 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK NX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK CONSTRUCT RESIDENCE 24 x 38 x SPLIT, GARAGE 26 x 24 9 CHANGE OF USE FROM TO STIPULATIONS MUST FILE PLAT BY JULY 1, 1975 SEWER: (APPROX. 8' DEEP) SOD FRONT & SIDE YARDS NO SERVICE, 8" MAIN CL OF MCKINI PROVIDE HARD SURFACED DRIVEWAY. WATER: MUST BE TAPPED 6' Main is 15' E. of E.PL. WAltilING call local ut►It Before dig;ng TELEPHONE -ELECTRIC- ASE FOR WIRING, AIIITS REQUIRED BY LA SEPERATE PER. REQUIRED- t4.EATINC, I7�:�.II�c�,a�. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. FRAME THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 18,140 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 15,25 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. 43 � 7] $325.00 PLAN CHECKFEE TOTALFEE 383.96 SIGNATUREOF TRACTO O AUTHOR) AGENT (DATE) \AIH PROP LY HIS IS YOUR PERMIT 23, 1975 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG. INSP DATE 3Y .APPLICATION FOR RESIDENTIAL., ALTL'RATION, OR ADDITION.BUILDING PERMIT CITY OF-FRIDLEY, MINNESOTA OWN ER ' S NME • j&tBUILDER: ADDRESS • ADDRESS • g''YG__� No:. % (49 STREET:___ a rT' LOT: BLOCK: ADDITION: s �Cc c sl L v CORNER LOT: U INSIDE LOT:SETBACK-. ;j SIDEYARD :_LL__ Applicant attach to this form Two Certificates ,f Survey.of Lotand.propose' building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: l Al 1 Front : Depth • -Height:_ 7i - Square Feet: Cubic . Feet : r. �oGe V r • Front: 42 Depth: —Height: -SLVV PS 5 Square Feet; Cubic Feet: (f9_ 6 T,rpe of Construction: era— W? -e_ Estimated Cost: 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.)' Mow- Flat ' 10tW .4W 3 c6 'ZULU %.%'414 6.► SWo Prwmr 4AWS169 %, Ill ,, �SOTA(,q fkrNNESOTA VALLEY �TA�gI SURVEYORS & ENGINEERS CORP. 12000 E 12TH AVENUE SAUtN BURNSVILLE, MINNESOTA 55378 W IA— 890 7750 �y0RS ENG FORS EN ('ertificate of Survey for : -'LR&-",i _C__BU i /37.37 Lo 0 7 X/; o � � v� /37.23 ��#�f� di %Ing aatl Mal , •ELECTRIC DO! IkkQUIRED BY LAW Z-ol, 7 9 B/cck / Bayes-.: Lakeside AdVlr�e�; i 7l= 40 - o L7��o�es ��on in"�nrrine�f I hereby certify that this n a eruct and correct representation Minnesota 'Alley Surveyors & of a survey of the boundarret of the above described land, Eagi rs. CPrP-• and of the location of ull build—g, thereon, and all visible ,e, _ l�r -1.. S encroachments, it any, from at an said land. %Q� As surveyed by me this_ day of ..CLL.,.- .__._A. 0. 1971'"tau, jie9• No. 9W ---- to AYMOND GERALD BRUNSWICK T.W CO AVE.LOT SURVEYS COMPANY 6911 7 IDAHO AVE SCM 300 BFUNSWICK VE S GOLDEN VALLEY, MINN LAND SURVEYORS BROOKLYN PARK, MINN, REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 533-9922 Minneapolis, Minnesota 5428 INDUSTRIAL - JUDICIAL r INVOICE No. CGMMERCIAL - TOPOGRAPHICAL Ourbeporg Certcficate FIELD BOOK CITY LOTS - Pi_ATTING SCALE:I" O o ; J, 31ock : , _;AYER' 3 LAK ,a _;IDE ADDITION We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described property, and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is as- sumed except to the holder of such mortgage or any other interest acquired by reason of such mortgage. It is under- stood and agreed no monuments have been placed for the purpose of est_*"shing lot lines or boundary ' Icorners. Surveyed by us this - 5 day of Nov 925 Signed T T SURVEYS COMPANY I�I Poww oa and Air Conditioning Syftm =W Devien PARTIAL RATE SCHEDULE GRi Wff WARM AIA: RAIZ TOTAL. Furnace well & Duct Work ..... . $10.00 $ Replacement of Furnace 6.00 Repairs & Alterations --up to 1M.00 6.00 Repair& & Alterations each add. $.500.00 300 Furnace Shell & Duct Work to 120,000 BTU ..$10.00 $— earh add. 60.000 RTU 3.W i Replacement of Furnace 6.00 $_ Repairs & Alterations -up to PW.00 6.00 $-- Repairs & Alterations each add. $500.00 3.00 $ _ STEAM or HOT WATER SYSTEM Furnace Shell & Lines -to 400 sq. ft. FMR Steam $10.00 Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam xon.-- Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BURNER -to 3 gaL per hour 6,00 S. -_ over 3 gal. per hour --See Fee Schedule _ GAS RUBBER (up to 19RAW BTU} over 199,000 BTU See Fee Schedule GAS FITTING FEES. NO RATE 3 Fixturesx$ 200 7T*1st _ Additional Fixtures x .76 GasRangeRange to MM X$ 6 OP $ AIA C Q t FAIT IWA21MG STSTF.K Fee sisTF.� Scbadole ALTERA270M & REPAUIS TOTAL VISE FIl$ALa-,�-7� Dept. of MdoL Phoma 5e0 -3M City of Fridley: The undersigned hereby makes application for a permit for the work here&,- specified, agreeing to do all work in strict accordance with the City Ordinancev and ruling of the Department of Buildings, and hereby declares that all the fad and representations stated in this application are true and correct. Fridley, Minn 9-10 -� _142 Owner Kind of Building .. __ _ ._ Used as . - - ,L/&J- C4 4 �L C_ To be completed about _ Estimated Cort, $ Old ew Building Permit No. _— Permit No. DESCRIPTION OF WORK HEATING or POWERPLANTS-Steam, Not Water, *wra Aid-No 1 Trade Name6�S ccl-a Size NoZ 61160 Capacity—_-- — Sq. Ft. E.D.R BTU RP - Total Connected Load _ Kind of met/ /2QE (a BURNER - Trade Nanta_(. Size 11ia .L�( ? �� Capacity Sq. !!. EDR a= BTU- RKY TU A111111-4DMI RKY k WELTER WEATING (Xj 4687, CHICAGO AVE. 2=11 s 1tl fl 1�<1a- 696:,2 Mr. Clyde Wiley Mechanical/Building Inspector City of Fridley 6431 University Avenue Northeast Fridley, Mn 55432 Dear Mr Wiley; I live at 7536 Mckinley Street Northeast in Fridley, Minnesota. I have no objections to my neighbor Douglas A. Stam having a central air conditioning unit on the south side of his house between our houses. Douglas A. -Stam lives at 7548 Mckinley Street Northeast in Fridley, Minnesota 55432. Mary M*es r JoAnno ers CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with now furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL li of Value of Appliance or Work REINSPECTION FEE $30.00. Rough Insp. RATE TO'PAL $ 20.00 $ $ 10.00 S $ 10.00 $ S 10.00 $ $ 10.00 S 10.00 State Surcharge TOTAL FEE Date Final Insp. L///2 "000 Date Approval for Permit E� $ .50 $ 15.50 MINI14UN FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 7548 NE McKinley St, Fridley, MN 55432 Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. June 4, 19 91 OWNER Douglas A. Stam KIND OF BUILDING frame USED AS Residence TO BE COMPLETED ABOUT ESTIMATED COST 11401.00 //yy OLD - NEW BUILDING PERMIT NO. PERMIT NO. C1 T rj�Tj) DESCRIPTION OF FURNACE/BURNER Ait_AT�FinGor;;N NTS, Steam, Hot Water. Warm Air- No. Trade Name Comfortmaker Size No. 2 ton/12.5 Seer Capacity 24, 000 BTU Sq. Ft. EDA BTU 2yT000 NP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU Company Signed Byy( Tel. No. 57-5040 Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Com pa ny _ Signed By Da to CH -j of Fridla / • Appliccalan for PIJ lsg cnd Gas M'Jmg P«nnit Dept. of Bldgs. Phone SFA -3450 0 "- DESCRIPTION OF WWI= motion 5.7 -va c Number, Kind and Locei±en of Fixturei O I'< (V z0 � N 2 w�r[a Mre. 1st � i• i o. 2rd _ 3rd S:h City of Fridley: The undersigned hereby makes application for a permit for the- work here! specified, a",reeing to do all work in strict accordance with the Cian City Crdinee and ruling of the Department of Build:nZ�s, and hereby declares that all the fact and representations stated in this applilcation are true and correct Fridle , YJ nn 19. c� Owner ��l_ Kind of Cosaoc::.d s: ita • Future Conaact,ca Oporir4s Sasrar ❑ Used as • Now Fixture. Old Openings Ccaapool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ 6, [J Future Fixture Opening ............ x $1.50 $--. New Fixture Old 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 3 Electric !Hater Hoatar...... ..... a ;2.00 3 ZAS FITTING FEES: NO. RETE TOTAL Ist 3 Fixtures 11� x $2.00 $ ,,? , ® "' Additional Fixtures .............. x $ .75 $ Gas Range to 199.000 BTU ........... x $5.00 $ REPAMS & ALTERATIONS—Refer !o Coda To be completed about Estimated Cost, S Old—New. Building Permit No. reit No. • Signed By e�✓-L� Business Phone No 7 5�5-" 3!L ROUGH FIAT.'tI, /®_ - % e7 .50 State Surcharge Description ............ 0........................... .$ TOTAL FEE $ _ale '5 Building $ ois BUILDING Plan Review Permit No.: 00-005L{s Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received ByA 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ DJEM A P R 2 9 2001 763-502-4977 FAX $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ EFFECTIVE 1-1-08 $ $450 Conservation Plan Review DATE YOUR EMAIL ADDRESS Fee Determined by Engineering SITE ADDRESS 7SY6 / %c!l/Nl-�)l .S7 N E. /Q/DLC N N Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: �WNER ❑CONTRACTOR Make checks payable to: City of Fridley Attach Stipulations PROPERTY OWNER/ NAME: S'T V=— A!fC/y9,+hi9A1 ADDRESS: %S'le /y/cA'2/v4--Y_Vr dV ,�F- CITY STATE/&WZIP 0"07— 3ZPHONE: TENANT PHONE:(7&3) 78 0— /3 8S --- NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE DINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 1tWOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION VIAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �P� S/��yGiGCr �aDF SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY MOUSE & 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 PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. &PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Aluminum [I Trim and proposed project. ❑ Other ❑ Fascia 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 OPINING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: G yl ING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ (9.5 �� OCCUPANCY TYPE Permit Fee $ ois See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ d S .001 times the total job valuation Surcharge $ .' l .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ R 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 Con truction Co es; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in a ocdance th thea ved planin the case of all work which requires review and approval of plans. SIGNATURE OF APPL � ` a PRINT NAMEeSAL-V C DATE /�1 ��"l'`� ��c ocj �9 C try �;�.� /`'e Building BUILDING Permit No:Ow�-013P Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D°fln 763-502-4977 FAX EFFECTIVE 5-19-09 p DATE /— /8— 0 % YOUR E-MAIL ADDRESS SITE ADDRESS 75�g S7- M. E'. THIS APPLICANT IS: W6WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: Sr 2=-]/E 1WC14,'W,01✓ TENANT _ ADDRESS: 7Syg -S'% "G. CITY STATE &V ZIP S:5--Y32- .SY3ZPHONE: PHONE:7&3) 780- 1-365- 3$SCONTRACTOR CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE GnINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMITTYPE ❑ ADDITION ❑ GARAGE/SHED I8'WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK LTJ -SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION [8'1GIAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: g W"Do(U T' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ 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 PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim l . Site Plan/Survey showing the existing structures 0-9flrer 7- 11 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS W�es ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS %® ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ `l OCCUP Permit Fee $ /&r -f, W5- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ,/ .001 times the total job valuation Surcharge $ tJ.. .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary ( ) Total Due $ 79,r .70 Make checks Davable to: Citv of Fridlev 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 on site; that the work will be in accordance with the approved plan in the case offwork which requires //r view and approval of plans. - / SIGNATURE OF APPLICA G PRINT NAME /_ fCI W/�I�O,V DATE