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PRE 2010 DOCSCity of Fridley, NUnn. BUILDING PERMIT Date: (0** Builder Address N° 5'7`70 )' + ,+L C ION O B LING No. +,,�[ Q Street �' P f Lot ,7 Lot .__ Block i Addition or Sub -Division Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation _ Foundation Elevation _. DESCRIPTION OF BUILDING To Used2144., �* . ,� Front Depth 7 Height . r� ,, Sq. Ft // 10 Cu. Ft AU�Q0 Front ��' Depth -„� �eig�ht+�, e Sq. Ft °- Cu. Ft. { � 99 Type Construction Est -j Cost 'To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. J# 4740 .44 In consideration of the payment of a fee of $At , permit is hereby granted to to construct the building or addition as described above. This permit is grantedupon 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 dies. city limits and this permit may be revoked at any �u o h of any of the provisions of said ordin Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, $ewer or water. Be sure to see the Building Inspector for separate permits for these hems. r 4 APPLICATION FOR BUILDING PERMIT . CITY OF FRIDLEY, MINNESOTA Owner's Name_Builder_��.rJ� Address dress LOCATION OF BUILDING No. Street IWA Part Of Lot Lot_ Block f Addition or Subdivision Corner Lot Inside Lot Setback �Side-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To bA used ass Front-- Depth Seight Sq. Ft. Cu. Ft. ight_ /40 sq. Ft. Cu. Ft. Type of Construction Estimated Cosi To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correc . DATE �- 5- - Z - S•I GHATURE �J (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and. bleating, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ (z each add. 80,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule / GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ w. Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ +FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ' ROUGH FINAL City of Fridley: The undersigned hereby makes application_ for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mnn MAR 2 7 1962 19 — Owner RO.D �b/,L J., /19 N ., _ Kind of Building Used as To be completed about S 1�ISIC12 , oa Estimated Cost, New. uiiding Permit No. Permit No. DESCRIPTION OF WORK HEATING et,42eWER - , Warm Air—No &Wg GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ (z each add. 80,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule / GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ w. Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ +FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ' ROUGH FINAL City of Fridley: The undersigned hereby makes application_ for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mnn MAR 2 7 1962 19 — Owner RO.D �b/,L J., /19 N ., _ Kind of Building Used as To be completed about S 1�ISIC12 , oa Estimated Cost, New. uiiding Permit No. Permit No. DESCRIPTION OF WORK HEATING et,42eWER - , Warm Air—No &Wg / Trade Name ;IL�C f %%��'%�� Size o- 12Z -/k Capacity Sq. Ft. E.D. BTU H.P. Total Connected Load " ) Kind of Fuel BURNER— Trade Name 1� / A- i- / A'V-4 4' rl) Size No� --"-V oor Capacity Sq. Ft. E.D.$/J&,A'X-BTU C'LO. SEDGvVICK HTG. & AiP,-(:ONI)Z�� 1001 Xenia Av. S. Minneapolis 16, Minn. Signed .1611 By t c %'�.4a 2M 7-59 Business Ph94 No (REMARKS—OVER) D•J6 � v ' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ I, FLS I. Width ' ' Height -, II D FI.I Room I Lensth Q Width L'i Height Windows and Doors—Crackage and Area e Kt Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. p P L a C Width HelghC-- No. of Lineal ft. Area No. of pane of pane lights of crack sq. M Coef. Btu Coef. Btu Infiltration Infiltration Infiltration Glass t�3 Glass i �,71 Glass, Glass ��, " fir• `i..; Exp. wall`= 0, GP f Exp. wall Exp. wall Net exp. wallc 2) Net exp. wall Int. wall Floor Ceiling `�Lbz Floor Ceiling Ceiling Total Btu.,° Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length, Width Height ` Windows and boors—Crackage and Area e Kt Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. p P L a C Width HelghC-- No. of Lineal ft. Area No. of pane of pane lights of crack sq. M Coef. Btu Coef. Btu Infiltration Infiltration Glass t�3 f-, i �,71 Glass, Glass l Glass 0, GP f Exp. wall Exp. wall % ',; 2) Net exp. wall Net exp. wall Floor Int. wall Int. wall Ceiling Ceiling Ceiling r - Floor Floor Total Btu. (j ` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area W M1 I r RMrn II.Pnoth '��( \&4th 17P7Qht Windows and Doors—Crackage and Area Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area P L a C Width HelghC-- No. of Lineal ft. Area No. of pane of pane lights of crack sq. M Coef. Btu Infiltration Coef. Btu Infiltration Glass t�3 Infiltration''' '": 710 t� 1-j,`, Glass l Glass 0, GP f 7 - Exp. wall % ',; 2) Ceiling Net exp. wall Floor Int. wall Int. wall Ceiling Ceiling r - Floor Total Btu. I ° I . I_, Windows and Doors—Crackage and Area Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack Height Windows and Doors—Crackage and Area P L a C Width HelghC-- No. of Lineal ft. Area No. of pane of pane lights of crack sq. M Coef. Btu Infiltration Coef. Btu n �4' Glass Btu Infiltration''' 31� Exp. wall Glass�R, l Glass Net exp. wall GP f 0. -. Int. wall i L Ceiling Net exp. wall Floor Int. wall Int. wall Total Btu. I I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 [ Q Room I Length I I Width L,:5 Height Windows and Doors—Crackage and Area P L a C Width HelghC-- No. of Lineal ft. Area No. of pane of pane lights of crack sq. M u z =• fz� i? Coef. Btu Infiltration Coef. Btu Infiltration''' 31� - _ Glass�R, Glass GP f 0. -. Exp. wall i L Net exp. wall f a Int. wall Int. wall Ceiling Ceiling Floor)1!' Floor Total Btu. I r, -' ` (: _ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l tz 1--� Room I Lensith B �`a Width Height Windows and Doors—Crackage and Area ld Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. P L a C Coef. Btu Infiltration 41 31� - _ Glass�R, Exp. wall; Net exp. wall f a G Int. wall Ceiling Floor Total Btu. r, . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 11 Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1-$6 CQBPD79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— -) FI_I ti-' �. c Rnnm I Lenath ( r< Width P;"' Heiaht ' II FLA Room I Lenath Width Height Windows and Doors—Crackage and Area a I , Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. ( pp, 05 Coef. Btu Infiltration Coef. Btu IIn Infiltration _ Net exp. wall 77filtration Glass Glass Ceiling Bl e." �A A Exp. wall, Exp. wall Net exp. wall Net exp. wall Int. wall Int, wall T- Ceiling Ceiling Floor Floor =�': Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length Width _'�, Heiaht W,, Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration �x`i> Net exp. wall =�', C'. Glass Ceiling Floor r^'f"' Exp. wall Net exp. wall Int, wall T- Ceiling Floor =�': ; Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F%. r. Rnnm I Lenath � Width Heiaht Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llg6ts of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Net exp. wall L '� Glass Ceiling Floor - Exp. wall Net exp. wall'` Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK Location J ? �& / /� *-, dI'I� Number, Kind and Location of Fixtures % G7 g �� yl _ Z uTgj 68' Z v�Z W W Z • F y N WATER HTR. GAS LE i7.. N 3� o� �7i �i 0 a V al Q t�9d t�94a (�90, Base f 1st i 2nd — 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $--a'�—o Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ '91,00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures ................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicationn% are, true and correct. Fridley Minn- / ,`� Q Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No 7 ® Permit No. oZ Signe By Business P, ne ROUGH -3-0� " Z FINAL Description .............................................. $ TOTAL FEE $ /� Sd 42 2M CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 1981 Mr. Justin Weeldreyer 5286 Matterhorn Drive N.E. Fridley, MN 55421 TELEPHONE ( 612)571-3450 Re: Intersection Vision Safety Zone Obstruction at 5286 Matterhorn Drive N.E. Dear Mr. Weeldreyer: in order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on June 30, 19.81 and again on July 9, 1981 has determined that the sight line for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is- described as follows: That area bounded by the street right of way lines of a corner lot and a -straight line joining points on said right of way lines twenty five (25)_ feet from -the inter- section of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and make the City's streets safer for travel. A reinspection will be conducted on or about July 20, 1981 to determine compliance. We are confident in your cooperation to correct this matter and if any questions.or problems. result from this. letter, please contact me at 571-3450. The inspection of your lot indicated that the following obstruction is existing and should be corrected: Bushes or shrubs growing into sight line - trim down or back to be less than A feet high Hedge greasing into sight line - trim down or back to be less than A feet high Tree branches growing into sight line - trim up Fence extending into sight line lower or remove. Sincerely, Y' STEVEN J. OLSl9N, R.S. Environmental Officer 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 Mr. Justin Weeldreyer 5286 Matterhorn Drive N.E. Fridley, MN 55421 Be: Intersection Vision Safety Zone Obstruction Dear Mr. Weeldreyer: TELEPHONE ( 612)571-3450 In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on July 11, 1983 has determined that the sightline for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet from the intersection of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and to make the City's streets safer for travel. A reinspection will be conducted on or about July 25, 1983 to determine compliance. We are confident in your cooperation to correct this problem, but if there is any problem with the interpretation of this letter, please feel free to call on me at 571-3450. The inspection of your property indicated that the following obstruction existed and should be corrected: Trim the branches on the bushes to be no more than 2-1/2 feet above the curb. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh CIiYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 May 29, 1987 Justin J. Weeldreyer 5286 Matterhorn Drive N.E. Fridley, 1V 55421 RE: Plantings at the Corner of Matterhorn Drive and 53rd Avenue Dear Mr. Weeldreyer, An inspection of your property at 5286 Matterhorn Drive revealed that shrubbery on your lot planted at the corner of Matterhorn Drive and 53rd Avenue pose a potential safety hazard. These bushes block the view of northbound traftic on Matterhorn Drive for drivers traveling eastbound on 53rd Avenue. I have enclosed a copy of the Fridley Code as it pertains to plantings on corner lots. As you can see from this document, a clear zone from 30 inches to seven feet in height is required on corner lots in the vision safety zone. Please trim these corner bushes so that they are less than 30 inches in height. This will help make travel through this intersection more safe. I will conduct a tollow-up inspection on June 10, 1987 to determine compliance. Thank you for your cooperation. Respectfully yours, Daryl Morey Planning Assistant C-87-241 elA'O W FRIDOF LEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (612) 571-3450 • FAX (612) 571-1287 September 29, 1989 Justin and Lois Weeldreyer 5286 Matterhorn Drive N.E. Fridley, MN 55421 Dear Mr. and Mrs. Weeldreyer: A recent inspection revealed that the bushes at the southeast corner of your property appear to be causing a vision obstruction at the intersection of 53rd Avenue/Matterhorn Drive. They extend into what is called the "Vision Safety Zone" (see attached definition) restricting a clear sight path for motorists eastbound on 53rd Avenue at this intersection. It is important that I speak with you so that we can arrange to resolve this problem. Please call me at 572-3595 as soon as possible. Thank you for your cooperation. Sincerely, Steven Barg Planning Assistant SB:ls C-89-630 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITT11Nc PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FL06R Wash Floor Auto. XXXX.::: W as Heater Water ri Stoes nn Shower Tray Drain Washer R a n g e :X Gas Elec Basement X Floor 1 . .......... ... ...... ... Floor 2 .... ....... Floo Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS - & 4 "7 New Fixtures $7. 00 The undersigned hereby makes a plication for a permit for the work herein Old Opening, New Fixture $4.00 specified' agreeing to do all work I strict accordance with the city codes Beer Dispenser $5.00 and rulings of the Building Division and hereby by declares that all the facts Blow Off Basin $7.00 — and representations stated In this pplication are true and correct. Catch Basin $7.00 Rain Water Leader $7.00 Sump/Receiving Tank $7.00 _ 1996 Water Treating Appliance Water $10.00 Owner1 0o r1jS74 :r?/- 775y Heater -Electric $7.00 Water Heater - Gas** $10.00 Building Used As Gas Range" $10.00 dU Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required )Yes No 3AVIC & SONS PLUMBING Type $15.00 PLUMBING COMPANY— 8 WATER SPECIALTIES, INC Nigritingawft N'W. Reinspection Fee $42.00/Hr 12 -Coon Rapids. MN 55448 SIGNED BY TEL NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS C70 1.5% of Value of Fixture or Appliance 640 Approved By Rough-I Date Final Date State Surcharge $ .50 TOTAL FEE MINIMUM FEE ANY PLU BIING/GAS PERMIT IS $20.00 $00 PLUS THE S.50 STATE SURC ARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM IZE 9 SQ INCHES. 4o�- 70 3 if /,Q . Building Permit Fee BUILDING 22 z6- See Back Page for Fee Schedule Permit No.: Inspections RESIDENTIAL APPLICATION Received By: Lej .4 763-572-3604 3 .001 times the total job valuation CITY OF FRMLEY Da$Mld O DATE t% e� YOUR E-MAIL ADDRESS Q Al Q SITE ADDRESS �� / �L;I�o✓ a t l� /t� �� P THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: e-( $450 Conservation Plan Review TENANT ADDRESS: Fee Determined by Engineering / STATFj%Ln'��L%2 I $ PHONE:?" 3-71 7 23Y $ CONTRACTOR NAME: 04(4111'k STATE LICENSE # 7 y �I�� gG° EXP DATE /,L SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: RZ19 A(A) 0.5� ,;AA -J -e_ 10 CIIY�pi'C54 STATLO'LIPo�10-2r WITH APPLICATION PHONE Z� a 3 FAX e!�7_1 D r� PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE 77 ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISHROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:EW 13 ADDITION ❑ MAINTENANCE/REPAIR ❑ REMO LING DESCRIBE WORK BEING DONE: — SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT 0 S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES _ WHOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 UjLC FEE SCHEDULE) TOTAL JOB VALUATION $ 0 OCCUPANCY TYPE Permit Fee $ 22 z6- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 3 .001 times the total job valuation Surcharge $ / .0005 x Permit Valuation Minimum $.50 License Surcharge $ �'" $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 Dae $ ,`, �, 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 fora and work is not to start without a permit; that the work will be in accordance with theproved plan in the case of all work whi r review id approval of plans. p -1-7-- SIGNATURE OF APPLICANT / �� r