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PRE 2010 DOCSv age of Frldleyq MIBA6 WELDING PEBJ 'fT t SUBJECT City of Fridley rE 8329 AT THE TOP OF THE TWINS BUILDING PERMIT RE COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 9� g r PROTECTIVE i A ��'���,CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY .-_. L JII 612-571-3450 910-F15 2/27/86 / / JOB ADDRESS 4765 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRT OR ADDITION AC SEE ATTACHED DESCR. 27, 28 5 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Erin Mitchel 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Barkley Construction Co. 1111 - 24th Avenue N.E. 789-5633 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION IX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Aluminum siding on house and garage. 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $1.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMI FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE RERFORMANCE, OF CONSTRUCTION. 44.50 oTa/ �A PLAN CHECK FEE TOTALFEE - $46.25 SIGNATURE OF CONTRACTOR OR AUTHORI E AGENT (DATE) WHE PROPE Y A D T D THIS IS YOUR PERMIT BLDG INSP G--Q-p/ - DATE SIGNATURE OF OWNER (IF OWNER BUILDERI IDATEI NEW [ ] ADDN. [ ] ALTER. [ City of Fridley R-1 AND Building Permit Application Construction Address: Legal Description: Owner Name Contractor Address y.z'_. *1 /9608 Effective 4/1/84 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 Hat/Ground Sq. Ft. ' OTHER : CL • t ,.,,m Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard ardSetback Type of Construction: $E d d .1 d % Approx. Completion Date: Estimated Cost: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: `►J $ $ See Back Page for Explanation DATE: �l APPLICANT:Z%A Tel. # ( ` 1'� 3j CITY USE ONLY Permit Fee $ k4 4SOFee Schedule on Reverse Side Plan Check $ tee_` 25% of Building Permit Fee 00, State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Ago* Fee Determined by Engineering Sewer Main Charge $ raww� TOTAL $ '� Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: %r Power N=ft aw Neebs Coating, r R ® and /qtr ConMonhq Sys mid i*vk s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RAT1B TOTAL Furnace Shell & Duct Work ... $10.00 $ Replacement of Furnace 6.00 _ Repairs & Alterations -up to $500.00 600 $ Repairs & Alterations each add. $500.00 3 0U $— NECH. WARM AYR Furnace Shell & Duct Work to 130,000 BTU each add. 60,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM or HOT WATER SYSTEM $10.00 L_ ®�� 3.UU ; 6.00 $ 6.00 $ 3.00 $ -- Furnace Shell & Lines -to 400 sq. ft. KDR Steam ?10.00 S__- Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.0n $ Each add. 320 sq. ft. EDR Hot Water 3.00 $—_`__ OIL BURNER -to 3 gal. per hour 6.00 a _ 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 TOTAL 1st 3 Fixtures --. _ _ x$ 200• - Additional Fixtures _ x .75 Gas Range to 199,000 x$ 5,00 $ Dept. of Bldgs. Phom City of Fridley: The undersigned hereby makes application for a permit for the work hereh -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. Owner Kand a Used a Tobe4 r` Fridley, Mian 19 Estimated C'oct. S. a ��R cC� (I'd New. Bwiding Permit No. Permit No. DZECRYPTYON OF WORK n �� HEATING or POWER PLANTS --Steam, Hot Water,�Not��f Trade Name_ d Sim No Capacity----���i' � � Sq. Ft. E.D.R BTU H.PM Total Connected Load - BURNER - Trade Aie.nn Size No AYR COYeSDYTYONYDOG State Surcharge .50 Capacity_ FAN HEATING STS'd#M Seo Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE I-= ROUGH FINAL / � - L -,;74 (REMARKS—OVER) Sq. Ft E.D R BTU Mr. mond NORTHEAST SHEET METAL, INC. By CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 w .,,/1 6431 University Ave NE 1 fol/) Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $_2L, 000 $10.00 $ $ 10.00 $ $10.00 $ *Air Conditioning - All Sizes $10.00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/industrial 1 % of Value of Appliance or Work $ YK o n State Surcharge $ .50_ TOTAL FEE $ _V(111 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS V?6- L /La, � IVa t 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. s ,199 OWNER BUILDING USED AS ESTIMATED COST 23 75'• rc PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)arm Air Trade Name, Size No.— BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP ED R HEATING COMPANY MINNEAPOLIS. MA 66400' Signed By PHOT 82*Mfto. `e Approved By Rough -in Date Final :Date445/)`_ FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT: FURNACE CHIMNEY 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's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY 4 Signed By Date 41 Purchaser Eva Mitchell Sales Rep�.,,,.,� $� Date RESIDENTIAL LOAD CALCULATION Running wall below grade Ft �� Ft wall height Sq Ft gross wall below grade Running wall above grade Ft (Q Ft wall height Sq Ft gross wall above grade Windows & Doors �j Sq Ft Infiltration (W&D x 1.3) BTUH Sq Ft Net wall below grade 7 `I Sq Ft Net wall above grade BTUH Sq Ft Exposed Ceiling Sq Ft Exposed Floor (o Sq Ft RUNNING WALLS © HTM BTUH HTM BTUH HTM BTUH Fl HTM P -LI, L4f2a BTUH ®HTM b BTUH HTM 3,3q BTUH �� BTUH Total WINDOWS & DOORS 2 z - (o 101 t4. CEILINGS & FLOORS 21 Y Z,3 oismsu„ ud1f ft WAkc-bmo-ki+aco. 12M SUBJECT PERMIT NO. City of Fridley 21851 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. F F •_ COMMUNITY DEVELOPMENT DIV. L 156 1 r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/14/93 JOB ADDRESS 4765 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27,28 5 Plymouth_ Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mitchell 4765 Main Street NE 572-8968 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Inter -City Builders 773 Torchwood Dr, New -Brighton MN 55112 633-7389 6018 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 ji NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 28r x 261 Detached Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Protide a hard .5ur£ace driveway. Existing 14' x 201 Garage/driveway to be removed before final is approved for new garage. Ir WARNING Before digging call for all utility locations 454.0002 REQUIRED BY LAIN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $11648 $5.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT F PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- $ 135.00 Fire SC $11.65 TR UCTION OR TH PERFOR NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE S I 3 License SC $5.00 $157.47 IGNATU F CONTRACTOR OR AUTHORIZED AGENT )DAT I HEN R RLY V LIQA D THIS IS YOUR PERMIT o-/ SIGNATURE OF OWNER OF OWNER BUILDER) IDATEILOG INSP GATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/93 -*is 61 Construction Address: D 6 5 h 2lq / "If S T, Legal Description: koT -2,2 --, a 9' i3La.--K s (yam • ia�� Owner Name & Address: n�4 <' 1-c- Tel. # Contractor:�/U> t � - G ��{ /:31 9/-5 MN LICENSE # b utt C -o ! f� Address: 3 ��/' cl ��, �.^. Tel. # 6.3.3 - 73 e ' 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 29 Width a Height Sq. Ft. 9 DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot lel Ft. Yd Setback _ Type of Construction: ki,,J Fl -,9 rn F - Approx. Completion Date: :2/, -/' Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: '! 3 APPLICANT: Tel. # 3 - CITY USE ONLY Side Yard Setbacks Estimated Cost: $ QQ //� ! CJ (Cost on Back) Ft x $ _ $ Permit Fee $ a%Fee Schedule on Reverse Side Fire Surcharge $ �, 66'.001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ J9 D $5.00 (State Licensed Residential Contractors) Driveway Escrow $ "&- Alt. "A" or Alt. "B" Above Park Fee $ 4D� Fee Determined by Engineering Sewer Main Charge $ x4a` Agreement Necessary [ j Not Necessary [ j TOTAL STIPULATIONS: 0 FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55433 • (612) 571-3450 • FAX (612) 571-1287 June 21, 1994 Eva Mitchell 4765 Main Street N.E. Fridley, MN 55421 RE: Home Occupations Dear Ms. Mitchell: In the zoning district where you live, home occupations are permitted as an accessory use, provided that certain criteria are met. I have enclosed a copy of this City Code section for your review. Recently we received information suggesting that you may be operating an automobile repair business out of your residence which is not in conformance with the restrictions. If this is correct, please comply with the City Code by discontinuing this activity immediately. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls CE -94-314 SUBJECr MIT NUr City of Fridley 2 6 _WDN 4 AT THE TOP OF THE TWINS BUILDING PERMIT r ` R EIPT NO. COMMUNITY DEVELOPMENT DIV. I y PROTECTIVE INSPECTION SEC. / r NUMBER REV' DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 910-F15 17/14/98612-571-3450 JOB ADDRESS 4765 Main St. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27 & 28 5 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eva Mitchell 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. M.C.R. 829 20th Ave. NE M is MN 55418 788-5749 20063096 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 ❑ NEW ❑ ADDITION ❑ ALTERATION )J REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House and Garage 18 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 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 $1,501.20 75 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 Fire SC 1.50 PLAN CHECK FEE TOT FEE e � \_ w -� 11 I TURE OF NTRAC R OR AUTHORIZED AGENT C NTRAC R OR AUTHORIZED AGENT IDATEI EN ROP VALIDAT THIS IS YOUR PERMIT INSP gaTE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] ALTER [ ConstructionAddress: CITY.OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Legal Description: Owner Name & Address: VA 'Iz7-Cti XZA �� .�—Tel. # Contractor:f }� MN LICENSE # 7— 0® 6,3 d i lm Address: e Ll Z r)`tA I Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /�/ y eFS• `�� =�� /. 2c3 Construction Type: Estimated Cost: $ (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ' I - APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 2_ Fee Schedule on Reverse Side Fire Surcharge t$� l� �U .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,00 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: SUBJECT P - City of Fridley( -32636 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO.��� COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 9 1 i I I.—% CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/24/02 / / JOB ADDRESS 4765 Main Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27,28 5 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eva Mitchell 4765 Main Street NE 763-572-8968 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 NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNIN SEPARATE PERMibefore digging call for T all U614loca�ons REOUIRED WIRING HEATING4546002 PLUMBING E U'RE® OY AND SIGNS LAW SEPARATE PERMITS ARE REOUIRED 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 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 I TYPE OF WORK WILL 13E O $3,930 $1.97 WITH WHETHER SPECIFIED HEREIN NOT. THE GRANTING OF AS 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. $97 25 Fire SC $3.93 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE 03.15 SiGNAT RE OF CON' ACTO AUT1.O EO T TE, ENP OPE LIDAT THIS IS YOUR PERMIT nn y �R ` BIOG SP nAtE G ATURE O�OWNER�w OWN ERBU E i ATEi NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: 1,07 - Owner LOwner Name & Address: c/< 37 if c,L 0 Tel. # '7&y Contractor. e )r-- r— :� MN LICENSE # Address: L/ 7 (o a Tel. # 7 6 3 ` 5 % .'� -e916 T Attach to this application, a Certificate of Survey of the E I - 2 " a 3 2, - 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: e C/ Construction Type: X Estimated Cost: $ / tea• / ��� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: S �� 7 ` U 2 Tel. # 7� APPLICANT: Call (763) 572-3604 for Permit Fees if cling 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 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 [ ] TOTAL $ ��� STIPULATIONS: Building BUILDING PermitNo.:Mvol� Inspections RESIDENTIAL APPLICATION Received By: A IT 763-572-3604 CITY OF FRIDLEY D 6!D'4U L 0 a 2008 763-502-4977 FAX EFFECTIVE 1-1-08 DATE® YOUR E-MAIL ADDRESS» ge��/i'i SITE AD S THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ ,2 NAME: i'v �4 ^> ��� 4,2- ADDRESS:zL� CITY ,AF gg STAT)y&4_ZIP� TENANT TENANT PHONE: �10z— NAME: AI)DRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE ,(SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK SIDING ❑ OTHER b SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT Cz LENGTH HEIGHT SQ FT ROOFING % ,❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES HOUSE & GARAGE 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: eq FOR NEW CONSTRUCTION INCLUDING DECKS, SIDIN G SERINl IRViny❑ ] ISOffIt ADDITIONS. & PORCHES SUBMIT: Aluminum �l Trim I. Site Plan/Survey showing the existing structures ❑ Other V Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGSs ❑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 UBC FEE SCHEDULE) TOTAL JOB VALUATION ! Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ANCY 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $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 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 of all work which requires review and approval of plans. SIGNATURE OF APPLICAN PRINT NAME7�DATE-% APPROVED BY DATE