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PRE 2010 DOCS111 Village of Fridley, Mom BUILDING PERMIT N° '754 !, Office' of INSPECTOR OF BUUMINGS No. 4160-3 Lot -4'1- `/ L"" Front ' To be used Fridley, Minn.,— 19 =� OF BUILDING Part of Lot Addition or Sub -Division DESCRIPTION OF BUILDING Depth'`Heights_ Stones Manner of Construction 41 t. To be completed Estimated Cost% Permit is hereby granted the building " '� described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. �I AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree'.'. to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. ii Subscribed and sworn to before day19 e at Fridley, Minneso-a,...-this C� J City of Fridley, Minn. BUILDING PERMIT Date: April 25, 1967 Theodore H. Willman Owner: _. Builder Address 4603 Main S t . N. E. Address No. — Lot _ Corner Lot Sewer Elevation To be Used as: Street — Block Inside Lot 37�a N9 919'7 Carlson & Carlson Construction 4416 3rd St. N. E. LOCATION OF BUILDING Part of Lot _ Addition or Sub -Division — _ _ .— Setback --_ Sideyard _ _.._ Foundation Elevation .-- DESCRIPTION OF BUILDING Addn. to Kitchen 112 Front 14-6 Depth 81 Height .__ 13' Sq. Ft. Cu. Ft Front Depth Height . Sq. Ft. _ _ Cu. Ft. _ Type of Construction Frame Est. Cost$3000.00�� To be Completed ._._.520/67 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 ah provisions of 1-%/� ordinances of the city of Fridley. In consideration of the payment of a fee of 3 5.00 permit is hereby granted to Carson & Carlson Constr. 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. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas besting, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM BUILDER PAA� a4490"4 ADDRESS ADDRESS I L11 NO. LOT LOCATION OF BUILDING STREET PART OF LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SEWER ELEVATION TOP OF FOOTING SIDE -YARD Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. DESCIPTION OF BUILDING To be Used as: i=�=t- Front Depth Height Sq. Ft. II Z. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �i ® Estimated Cost D To Be Completed 6-7 /3f 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. 9 DATE Z �� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, inn 114 2 4 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Mate: _ May 50 1972 pyvner: _ T. H. Willman Builder Gorco Construction Company Adams —4603 Main Straat N F.� Address 'AIR4 Rrow low LOCATION OF BUILDING N0. 4603 Street Main Street N _F. ____ Part of Lot %t 1-6,17 Block 1_ Addition or Sub -Division = RU Plymouth Corner Lot — Inside Lot Setback _ _ Sideyard Sewer Elevation DESCRIPTION To be Used as: 8' 24' Patio& Garage Front 24' Depth 24' Foundation Elevation OF BUILDING Height 10, Sq. Ft 976' Cu. Ft. Front Depth Height Sq. Ft . Cu. Ft Type of Construction Ainnd Fri Est Cost — $3, 600 To be Completed 3 months Stipulations: Provide frost footings for garage and a hard surface drive. In consideration of the issuance to me of a permit to construct the building described above, I agree to do 'the proposed work in accordance with the description above se rth and in compliance with ro ons of Ordinances of the city of Fridley. 1.00 St$te Surcharge In consideration of the payment of a fee of $ 12-00 , permit is hereby granted to Gorco Contruction 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 ftdley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings an � city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordin NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Hems. P APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME• �t �ietp\ BUILDER.A&�d ADDRESS: �� U3fil�t ti-� ADDRESS :_ NO:. V� STREET: 41� . LOT: .BLOCK: ADDITION• CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: Front: Depth: Height: —�.-- Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:— 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: SIGNATURE: (See Reverse Side For Additional Information.) r • MiNNEGA5CO 53��-tt8h-s-915.51 Ci�i of Fridlay Applicetian for PIUMbIng Cr -d Gcs Dept. of Bldgs. Phone 560.34W " DESCRIPTI N O: WORM 1 603 N. E. -Ma -in Street Number, Kind and Loce.Ken of Fixtures I'O�ti"a Future Coaaaciian Openings I seW®r o New Fixture. Old Openings Cccspool 0 PARTIAL RATE SCHEDULE XMBING FIXTURE RATES: r Number Fixtures ................ z $ Future Fixture Opening ........... rZt $ _. New Fixture Old Opening.......... � =�=o Z z r x $3.25 $ WATER "TR. Gas Fuc. s -e x $•' "5 $ Electric Water Heater.............. s $2.00 3 - AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • • • • • • x $2.00 $ , Additional Fixtures ........ I...... x $ .75 S Gas Range to 199.000 BTU ........... x $5.00 $ s Aj GLS 'rill i i 3 Future Coaaaciian Openings I seW®r o New Fixture. Old Openings Cccspool 0 PARTIAL RATE SCHEDULE XMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _. New Fixture Old Opening.......... x $1.50 $—.---- Catch Basin .................... x $3.25 $ Water Beater fUp to 99.000 BTU).... x $3•00 $ New Ground Run Old Bldg. ....•..:. x $•' "5 $ Electric Water Heater.............. s $2.00 3 - AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • • • • • • x $2.00 $ , Additional Fixtures ........ I...... x $ .75 S Gas Range to 199.000 BTU ........... x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the- Work her ei specified, agreeing to do all work in strict accordance with the City Ordinace and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct` Fridley, 7-16-75 19, Mina _ Theodore H. Willman Owner Kind of Building Frame _ Used as Res. To be completed about 7-23-75 Estimated Cost, $ 10.00 s ,3� Old—;rXBuiIding Permit No. Permit No. 4e/� Signed �'•® �erJs7., By MINNEGASCQ -- Business Phune No ROUGH EPAIRS & ALTERATIONS—Refor to Code .50 State Surcharge Description ..... Install Gas .Grill .� ..... ! :... 5.00 TMAL FM = 5.50 . ClaysAtircharge .500 - SUBJECT P City of Fridley 31795 AT THE TOP OF THE TWINS BUILDING PERMIT e)?c57jv ______ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. 572-3604 r ; � CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910415 J1 5/3/01 JOB ADDRESS 4603 Main Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16,17 12 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott Kuklock 4603 Main Street NE 571-5323 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 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION CKl REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (17 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 SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $1 738 $.86 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- $70.76 Fire SC $1.74 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E 1'2$7 .36 5 TURF OF N' a1TO OA�#CTHO Z AGENT IDAT N PROPE ALIDATED IS IS YOUR PERMIT 41L INSP PATE —T�' GNATURE O WNER OWNER BUILOERI I NEW [ ] 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 AddreA--4' Legal Description: Owner Name & Address: S�o>� ,� Tel. # 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 Hgt/Ground Sq. Ft. OTHER: Construction Type: 7 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 F = $ DATE: L3 0 1 APPLICANT: Tel. # -%G 3 - 5*21=S32-3 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 76 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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: m m ti f.4 Y OF FRIDLEY INSPECTION DIV. 31 University Ave NE Eley, MN 55432 Al 572-3604. FAX (763) 571-1287 Effective On Jan 1. 2003 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT .UMBING FIXTURE RATES. NO. RATE TOTAL JOB ADDRESS yUDA MA1n 5�- 11cC 0 ~ a -w Fixtures id Opening, New Fixture :er Dispenser ow Off Basin atch Basin �y ain Water Leader a urrplReceiving Tank Jater Treating Appliance 6 Jater Heater -Electric >- Jater Heater - Gas•` w las Range" :,as Dryer— ;ack Flow Preventer Required ( )Yes (} Nt Type $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of th6 Building Division. and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 . 19� 20 03 $ 7.00 , $ 7.00 $10.00 OwnerS0.'ef1Y1Y�N�- $ 7.00 $10.00 Jb _o Building Used As w In, C4 $10.00 do =hn PERMIT NO. $10.00 EsIlimated Cost $15.00 E teinspection Fee $47.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance C+ State Surcharge W TOTAL FEE PLUMBING COMPANY Qti- lJ p7aSIGNED BY TEL N0. 7 Approved BRough-In Date Final Date MINIMUM FEE FOR ANY PLIIMBINGIGAS PERMIT 1S $20.00 PLUS THE 8.60 STATE SURCHARGE :.OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Effective On January 1, 2002 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 't' JOB ADDRESS qUD?, YY1Q,l% s Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent . Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST ON BACK) I% o(Value of Appliance or Work '.ommercial /Indus trial 1.25, of Value of Appliance or Work OWNER TAA i no R�P�c � Rate TOTAL BUILDING USED AS 1W at $ 30,00 $M�Do ESTIMATED COST a to D � $ 10.00! PERMIT N0. $ DESCRIPTION OF FURNACE AND OR BURNER $ 10,00 $ No, of Heating Units Circle One (Stearn) (Hot Water) (Warm Air) $ 10.00 $ Trade Name by v t 2L. Size No. t3TU D , HP EDR $ 25.00 $ o2S Fuel Total Connected Load State Surcharge TOTAL FEE a 41NIMUM FEE FOR ANY HEATING/COOLING/VENJILATION IEFRIGERATION/AIR OONDITIONINO PERMIT I US THE $.50 STATE SURCHARGE :EINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without -ritten permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR ectrrt &L 34?TZt4pla 1 r�z Pd C. $ 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 $_` 5•. D representations stated in this application are true and correct. HEATING CO Signed DATE LTnatek 19.. ab 0 � ,l Sy_ %'?__ TEL # -M-ci P R7 FAA # ��D Approved By Rough -in Date' Final Date Y CITY OF FRIDLEY PERMIT NO.: 2004-01475 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 r'AX: (763)571-1287 ADDRESS : 4603 MAIN ST NE PIN : 263024330056 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER KUKLOCK SCOTT A & RENSTROM T A 4603 MAIN ST NE FRIDLEY, MN 55421 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4EW [ j CITY OF FRIDLEY NDDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp kLTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �1 •d3 M41AI S Legal Description: Owner Name & Ad*ess:--667T7 -14ev 2 /Y - X- AVAi, /S # `7r 7- S" 7/ -. Contractor. U N� 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 Hgt/Ground Sq. Ft OTHER: / LJ � �p' a 411v00 Construction Type: Estimated Cost: S Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: �� ds APPLICANT: e, i'%' r+�-1.( •c/C Tel.# Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ 10.3' -ZS STIPULATIONS: t FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER i Gc understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for,�specific exemption from the licensing requirements. As the owner of the property at V4 o 3 AZL: /J Fridley, am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. 17 Date Building Inspections 763-572-3664 DATEV 1 -1 1 C SITE ADDRESS q THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE BUILDING I\� RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑CONTRACTOR ADDR.bSS: 1 UvJ / u ' V ' 1 NI t "1 NM PHONE: 10—S21-5393 STATE LICENSE EXP DATE Permit No.: Received By, Date Rec'd: TE,NIP_S3_y_1 i ADDRESS: CITY STATE ZIP. [ ,E FAMILY/NEW CONSTRUCTION FAMILY/NEW CONSTRUCTION PERMIT TYPE ADDITION U UARa BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDIN TYPE OF WORK: DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ONO OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED 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� 'M2 i OCCUPANCY TYPE FAX SIZE� STOP"" 6 "_ VSHED ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER [ING POOL ION )ELING D 1't'► �a� WIDTH HEIGHT RkHOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit I� / ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used to FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ _-23-1.DL5 $ $ (p, $ '411,[ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 an 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 permit and work is t to start without a permit; that the work will be in accordanc wi the approved plan in the case of all work whic equires r i w proval of plans. 06 SIGNATURE OF APPLICANT NAME<"77- �WOCI_DATE C1. 0;� T 4 At - -- , -I.,• -.hl. , ..—If , .1 X. wik �- ;' .., i .,�% - . ir if Rr -Oman 01 W sib 44 Ow 10, . Ali 414 tj rj -IS 96 � ,, 0M W4 7AN A Jul am W1* Il'! -14 y 7:t - log 1p 7 -777RW:77= dt CIA. cu A ''d toll A Sol-' REScheck Compliance Certificate 2000 Mnnesota Energy Code REScheck Software Version 3.6 Release 2 Data filename: Untitledrek PROJECT TITLE: Porch COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.12 DATE: 09/05/06 DATE OF PLANS: August 27, 2006 DESIGNER/CONTRACTOR: Scott Voss (Contractor) COMPLIANCE: Passes Maximum UA = 50 Your Home UA = 35 30.0% Better Than Code (UA) Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R --Value U Favor UA Ceiling 1: Flat Ceiling or Scissor Truss 175 44.0 38.0 2 Wall 1: Wood Frame, 16" o.c. 365 21.0 15.0 11 Window 1: Above-Grade:Wood Frame -Double Pane with Low -E 44 0.370 16 Door 1: Solid 21 0.130 3 Floor 1: All -Wood Joist/Tmss:Over Outside Air 175 38.0 30.0 3 Proposed and Maximum U Factor Averages Proposed Maximum Average U -Factor Allowed U -Factor Above -Grade Windows and Glass Doors 0.370 0.370 Includes Foundation Windows > 5.6 12 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck inspection Checklist. Buildet/Designq Date