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PRE 2010 DOCSCity of Fridley SUBJECT PERMI AT THE TOP OF THE TWINS ® (1,144 1 1 PERMIT r ` BUILDING * EIPT I may_-_"_ __ COMMUNITY DEVELOPMENT DIV.�� r � I PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 6/7/77 JOB ADDRESS 5638 Matterhorn Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 Innsbruck North SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Mike Radkowich 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Gorham Construction 9050 Collins Drive, Anoka 421-0998 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 Construct a 28' x 46' Dwelling and a 26' x 20' Garage WANING Before diBB�ng call lose uh SEPERaTE PERMITS REQUIRED R& ° 9 CHANGE QF US1� PLUMBING AND SIGNS. REQUIRED BY LAM! :STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide window or exhaust fan in furnace room. Provide City with copy of truss design. SEWER LOCATION: (Approx. 8' Deep) 143' South of Manhole (Inv. 966.39) WYE ELEV: 970.54 TOP OF FOOTING: 973.75 Minimum WATER LOCATION: 10' South of Sewer Service DRIVEWAY DEPRESSION COST: N/A Existing surmountable l curbing. TME Off OF NOW DOES NOT GUARA M M ACCUTACY OF UMITY LOCAUM AND EMATION1 UNS DATA IS FOR INFORMATION PU1105ES ONLY ahl : PUISON3 USING IT SHOULD VPJff THE INFORMATION ON TMs STB SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 23,336 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z 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. $50,400 $25.20 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- $114.14 $375.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE $ 28.54 TOTALFEE $542.88 SIGNATURE OF NTRACTOR OR AUTHOflIZED AGENT IDATEI WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY. APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEw, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 'd)-� t 9d OG d Ld W 1 L4 BUILDER: Address: Address: 9 c ro cedljS / t IV fI�. Tel. No.:- C/ 2- l G 9 ?,' No.: 4-6 3 R _ Street: tin_'-�+r r y r.✓ A- LOT: % BLOCK: 7 ADDITION: I NA.1SC Zt (iy � ba CORNER LOT: INSIDE LOT: _ SETBACK: 37 SIDEYARDS: /0 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: S'[,vc•lc �Q rte% ��/ Front: 46 Depth: -2ss Square Feet: 7.7, `j Cubic Feet: Front: Depth: Square Feet: Cubic Feet: Height: Height: Type of Construction: &V a Estimated Cost: $ q&O To Be Completed: LZ }� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired �� $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: S -A ] --7 7 SIGNATURE: Stipulations: cm, 67 7 . 6MAL.R t COYNE 300 fl UNSWICK AVE. S. -GOLDEN VALLEY. MINX WNN. REG. NO. 4741 !DRUM CONSTRUCTION COMPAN r < O1 1 ,D r is t r 4 i Q a ° =2 LOT SURV"$ COM, PA Y LAND$Li8 RTORS Riilr3'> XXD MDXR L14� OT MIX Or n UCMUMD .8 - OitMAN® Q! 1,M QD 110901LA"La 5767 W. Broadway Minn ap41'ts. Mimes ota 5542✓} ST1.9421 d fT Lot 4t Block 4, 1 , INNSBRUCK NORTH r RAYMOM A. RRASCH 69.17 ApAHO AVE M. OtOGKLYN PARK. MINK WINN. REG. NO. 8743 ,tom 585 0 wme 114 a 30' Q -- DMOTES IRON Mad e41 Z �m 0 We hereby certify that this is a true and carred repm-ftfetion of a survey of the boundaries of. the above � described land and the location of 60 builtdings and visible encro6chments, if any, from or on said Land. Surveyed by us this 25 - day of may SMVE MPMTr G evIn� w 3J/t4 CY3� 03M3Q jo '� � 0� 6 £ ' 996 �Sz Lop tf le� 6� 09RQLS T. COYN6 30D SRRUNSWICK AVE S. SOLCEN VALLEY. MINK. fd NN. REG. NO. 4741 INDUSTRIAL -- JUDICIAL Oi]M IERCIAt — TOPOGRAPHICAL CITY LOTS. PLATTING ! R i CONSTRUCTION COMPAN4 ll <1 Asf S N its r,)6 o rp o41 ro LOT SUAV"S COMPAPW LAND 80MYOM iD IflPD1iCl: =. W8 OT f�Aft OT XWXCWU SaCpan ilk .,4ifitWAliT=.. t CM OF laN"X$" 1H 5747 W. Broadway Minneaparrs. mimmsote WU SUM22 ---124-1111 - RAMM A. ►RASH 0.17 JDAW AYE'. C 111iEOMYN PARK. MINX MUNI RM NO. -.043 30' 4 6 MOTES MON „1, --- 124,94— /01 1 24,94 d. d1 fry Lot 4, Block 4; INNSBRUCK NORTH We hereby certlfy that this Is a true and correct reprasentation of a survay of the boundaries of the above described land and the location of 60 builtdings and risible encroachments, if any, from or on said land. ft!ied Surveyedby us this 25 - day df May 19 %? MWEYS C6XPAW L� a Fo o —1 / .4U 6- - /p k of t9U.) F -le tf 9 V)c g, P/a) pf PR4FS'sle "V �VsrwA� C.'r G'v eel NC', c a9 y i Y7 yid, s y S U RM o a v7-,,ndr--f- C c azg',r'16 'In,/A 8 8 x d t_ C>�x zo = '5- -0 k / d 3 7!v __ as p2 ,- `3 /yl j'/ ov as p2 ,- CITY OF FRIDLEY t APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $12.00 .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 4.00 �^ GRAVITY WARM AIR: RATE TOTAL sob Address 92. Furnace Shell & Duct Work $12.00 $�_ 4.00 Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. AJ4LC FINAL INSP. 9/, ''2 Date s— APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) UNIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. )O i l DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name /�/ / Size No. --r Capacity Sq. Ft. EDR BTU �7�TU�-�FI— Total Connected Load Kind of Fuel c BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company 1 Signed By r Tel. No. Z, --/a / / The undersigned hereby makes application for a permit for the work herein $12.00 $ /i specified agreeing to do all work in strict accordance with the City Cades 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 4.00 $ $ Fridley, Minn. 1i�2 OWNER $12.00 $ KIND OF BUILDING 4.00 $- 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. AJ4LC FINAL INSP. 9/, ''2 Date s— APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) UNIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. )O i l DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name /�/ / Size No. --r Capacity Sq. Ft. EDR BTU �7�TU�-�FI— Total Connected Load Kind of Fuel c BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company 1 Signed By r Tel. No. Z, --/a / / Weatherstrips t`suide Construeion No. Insulation Windows Doors Reference Out. W&U ' int. Wall Ceiling Roof Floor Kind How Applied Yes—No 19 Fl.1 LA Room I Length �T l Width A ZnHeisiiht !;; II / F1.1 r) --A/ Room ILenitth 9 ©° Width Y,9 ° Height Windows and rs—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane of pane lights of crack sq. M Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. s77 1 Coef. Coef. Btu Infiltration Btu �a �.3 Glass 5-6 Glass Exp. wall `` . L b 9 C) Floor Net exp, wall �! Ceil. Int. wall Net exp. wall Int. wall « Floor Int. wall Flpor Ceil. Floor Ced. Fl i l A )—V v Room Length Width r te / Height -C, / Windows and Doors---Crackage and Area Doors—Crackage and Area 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 eq. ft. s77 1 Coef. Btu Infiltration Coef. Btu Glass Exp. wall �.3 fy'0 Net exp. wall IS' Glass Int. wall '� 9 C) Floor Exp. wall �! Ceil. Net exp. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area B Fl_I . ,O, m i t, a i Room I Length '� A Width 9 i .a. °" I4e;ght 9 Windows as Doors—Crackage and Area Width Height ,No. of Lineal M Area No, of pane of pane lights of crack eQ: ft Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. s77 1 Coef. Coef. Btu Infiltration �.3 fy'0 Glass Glass n '� 9 C) ? a• ��; Exp. wall / 'fes Net exp. wall Net exp. wall Int. wall « Int. wall Flpor Floor Ced. Cell. Total Btu. Windows and Doors ..Xmckage and Area Doors—Crackage and Area Width Height ,No. of Lineal M Area No, of pane of pane lights of crack eQ: ft Width Height a Nof Lineal ft. Area No. of pane of= lights of crack sq, it. s77 Coef. Btu Infiltration ?1�1 �.3 fy'0 Glass Glass' n 9 C) Exp. wall Exp. wall / 'fes Net exp. wall Net exp. wall « Int. wall Int. wall Floor Floor Cell. Cell. Total Btu. IV Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FU Vi e° a Room I Lensth V4" Width 7 'f?, °" Height P Windows an Doors—Crackage and Area Width Height No ofLineal ft. Area Na of pane ormane Ifpahto of crack sq. ft. Width Height a Nof Lineal ft. Area No. of pane of= lights of crack sq, it. s77 Coef.1 Coef. Btu Infiltration �.3 f Glass' Exp. wall Exp. wall ' 'fes Net exp. wall Net exp. wall Int, wall Int. wall Floor Floor Cell: Cell. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i FU .-a 7'r�,1,c o/Ronin I Length i --, r Width I 9— p ,Height ° Windows and Doors—Crackage and Area Width Height No ofLineal ft. Area Na of pane ormane Ifpahto of crack sq. ft. @ f y Coef.1 Btu Infiltration 21_ C Glass Exp. wall ' Net exp. wall Int, wall Floor Cell: Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ` �I Required sq. ft. E.D.R.,or sq. ins. W.A. Leader area Weat6eff - s Wde Consbwtion No. Windows DoorsReferenda Out. Wall 'Int. Wa1I Ceding Roof �o 0 19 4 F1.1 h n i P P Room I L.enath ® 2 1 wah l 66ht II Pj FI 1 Windows a id Doors—Crackage and Area __o__. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area Na of pane of pane ilghts of crack sq, ft. Z 1 .. Coef. Coef. Coef.1 Btu Infiltration. Glass PH w �a Glass Glass Exp. wall; Exp. wall r. A A , Net exp. wall Net exp. wall ° ; F� Net exp. wall Int. wall Int. wall /v Floor Floor eT 7 ;1 Ceil. a` Total Btu. s �� Required sq. t. E.D.R. or, sq. ins. WA. Leader area h ll F1( p1;�d Room I Length 7-' i'll Width Windows a d Doors—Crackage and Area Doors—Crackage and Area __o__. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Arca No. of pane of pane lights of crack sq. ft. Z 1 .. Coef. Coef. Btu Infiltration 7 Glass `� "`' ,- Glass Glass Glass Exp. wall; Exp. wall r. f-1 ° Net exp. wall Net exp. wal ° ; Fsa Net exp. wall Int. wall Int. wall /v Floor Floor Ceil: Cell. a` Total Btu. Required sq. E.D.R. or sq. ins. W.A. Leader area M.l - ..g.7 Ta o' i, R.,.,r.. I i pnvth n h umth 0 : t";.1'!'OZ Windows "pd Doors—Crackage and Area __o__. Width Height ,No. of Lineal ft. Area No. of pane of pane lights of crack ". ft. Width Height No. of Lineal ft. Arca No. of pane of pane lights of crack sq. ft. Z 1 .. Coef. Btu Coef. Btu InfiltratloII Glass 9 Glass Glass Exp. wall Exp. wall c f-1 ° Int. wall Net exp. wal ° ; Fsa Net exp. wall Int. wall Int. wall /v Int. wall Floor Ceil: Cell. a` Total BtjL -- - - - - - - - LV e -`j Z, - Required sq. ft. E.D.R. or sq. -ins. W.A. Leader area Iesnlation Floor Kind How r--- Rr nvn l heath 11 " #' Width a ' Height q Windows and Doors --Grattage and Area � __o__. Width Height ,No. of Lineal ft. Area No. of pane of pane lights of crack ". ft. 21 Coef. Btu Coef.1 Btu Infiltration Glass 9 15t, Glass Exp. wall Net exp. wall c Exp. wall Int. wall ° ; Fsa Net exp. wall Int. wall /v Int. wall Ceil: Floor Cert. 6 A0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 01 LM 1 J --, f2 �n__— t f ---L a e. 1r341ALUL /7.9 o„y,o LL: -Lr ell '� w ••1 A � fi P Ic' v y.' ... 1 w..pw ` Pm 0 .Y Windows and Doors—Crackage and Area � __o__. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 21 Coef. Btu Infiltration Infiltration Glass Glass z , Exp. wall Exp. wall Net exp. wall c Int. wall ° ; Fsa Floor Int. wall Ceil. Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.lWidth Height 91 Windows and .Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane oflpane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall c Net exp. wall ° ; Fsa E 9:S' Int. wall Floor Ceil: 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 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL 9 x $3.00 $ —)?,()0 _S y�� $2.00 u x o $ Water m $5.00 � 4 9 x $5.00 E 4 m yyq�� Q w (d M pa, w $ Heater +4 m A x $5.00 NW / 4J H A dl � A', m $ H m x $x:0.00 $ pand o 8 ao+ m 41 m InU oC a1 ai 3 A w v[i w U eros 3 C� O as lec 7F�P. 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer M = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL 9 x $3.00 $ —)?,()0 _S x $2.00 $ (o•0(D x $2.00 $ x $5.00 $ / x $5.00 $ S C3 V x $10.00 $ x $7.00 $ x $5.00 $ x $5.00 $ / x -$3.00 $ d0 x $1.00 $ x $x:0.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE S/- Sz) REINSPECTION FEE ($10.00) ,.Job Address Department of Buildings City of Fridley Tel. #571-3450 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 Fridley, Mn. / / S/ 0 KIND OF BUILDING USED AS ��"%i e�� Cp �( , TO BE COMPLETED ABOUT ESTIMATED COST OLD f'NEW�BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. VD 3 ROUGH INSP. Date FINAL INSP. Fr- t 17- ? 7 Date APPROVAL FOR PERMIT , Ak MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTO each add. SO, = BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEMI OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) $10.00 $ 10.00 $ $10.00 s/0.00 S GAS FITTING FEES: / 1st 3 Fixtures x $ 3.00 $ ®® Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00, $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. del - Date / -Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ESTIMATED COST OLD-amu ILDING PERMIT NO. PERMIT NO. ! C DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. RATE TOTAL Job Address�� $12.00 $ 7.00 $ 7,00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. 19-177 OWNER $12.00 $ KIND OF BUILDING 4.00 $ / 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ $10.00 s/0.00 S GAS FITTING FEES: / 1st 3 Fixtures x $ 3.00 $ ®® Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00, $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. del - Date / -Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ESTIMATED COST OLD-amu ILDING PERMIT NO. PERMIT NO. ! C DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. �kaCdx�' t�1,fi r j 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE (612)571.3450 t 19, 1977 -�i-.scun Construction 9050 Collins Drive N.W. Anoka, Mn. 55303 Re: Final Inspection at 5638 Matterhorn Drive N.E. Dear Sirs: An inspection on August 19, 1977 of the above address noted that the following items must be completed before the construction can be finaled out; I. Provide house numbers on structure by September 3, 1977. 2. Provide sod in the front and side yards by October 3, 1977. 3. Provide a hard surface driveway by September 3, 1977. 4. Provide circular stair tread retainer which limits tread run to 6 inches minimum.by September 3, 1977. 5. Provide retaining wall along south side of property by September We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, PON HOLDEN Building Inspector RH/mh 29, 1977. i sueJEcr PER NO . City of Fridley V 15 5j66 AT THE TOP OF THE TWINS BUILDING PERMIT r � EIPT N COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11 19/79 JOB ADDRESS 5638 Matterho Drive N.E. 1 LEGAL LOT NO. BLOCK i TRACTOR ADDITION SEE ATTACHED DESCR. 4 4 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Rodkewich_ 5638 Matterhorn Drive N.E. 571-9654 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Village 3p18 - 49;1 Street W. 926-2771 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILAIDDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW E ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 1 ' Screen Porch. Addition I 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATIE PERMITS REQUIRED FOR WIRING, HEATING PLUMBING AND SIGN& WARNING Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECT ICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OFI WORK WILL BE COMPLIED $4,000 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOTP UME TO GIVE AUTHORITY TO, VIOLATE OR CANCEL THE PEANY OTHER STATE OR LOCAL LAW REGULATING CON- PERMIT FEE SAC CHARGE PROVISION OF O E P FOFLMANCE OF CONSiTRUCTION. ,I $24.00 NONE PLAN CHECK FEE TOTAL FEE $ 6.00 $32.00 SIGNATURE NTRACTOR AUTHORIZEDA NT IDATEI WHEN PROPERIA VALIDATED THIS IS YOUR PERMIT BLDG )NSP 0 E I SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI i OWNER: ADDRESS TEL NO: CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) BUILDER:��- ADDRESS: 1`/ 9 TEL NO: `�� X77 Constructic STREET NO: �� STREET: !� LOT: BLOCK: Location ADDITION : ��%N�� x -c_ CW QG_c-� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION e=P 0Front: r Depth: f-2 Height: Pfb1,T-1 0 Squane. Feet:—'/L3 2 Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ �® To Be Completed: / / % Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for pe' agreeing to do all work in strict accordanc with rulings of the Department of Buildings, an hererepresentat' ns sated in this applicatio ae r DATE: JL �` �;.. SIGNATURE: Stipulations: = a qod P. C_ &.ad Toe Loo .oa r� it for the work herein specified, he City of Fridley Ordinances and decl es that all the facts and o ect a sueJEcr PERMIT NO. City of Fridley 2,33 � 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT _ COMMUNITY DEVELOPMENT DIV. tr r ; PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 %.j __J NUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910-F15 5/11/95 JOB ADDRESS 5638 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. [� 4 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M. Rodewich 5638 Matterhorn Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing Inc 16475 45 Ave N, Plymouth MN 55446 557-8678 3999 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 6 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. If 2nd layer, it can be 2nd but not 3rd. 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 SQ. 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 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 $4,200 $2.10 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. $72.00 Fire SC $4.20 PLAN CHECK FEE TOTALFEE License SC $5.00 $83.30 SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENT (DATE) PAOOPERL ALI DATED THIS IS YOUR PERMIT L!�jNSP)ATE _ SIGNATURE OF OWNER0F OWNER BUILDER) IDATEI NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 j7 S Building Permit Application Construction Address: (��`� 1 i.orr !n Legal Description: Owner Name & Address: -I - . Tel,.:#- - — �'�.–�e` �.. MN LICENSE # � �qq Contractor: Address: L(-7 S �f U- %� � �"� ` 7. - K fVL 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: - Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ qt cl 0 Q (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 5 S47--�k_Zg Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,00 Valuation $850 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 [ SUBJECT City of Fridley 6 6 5 AT THE TOP OF THE TWINS BUILDING PERMIT (r7311 a: ------COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. 1 . � I ----\ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ,'' 612-571-3450 910-F15 3/7/01 JOB ADDRESS 5638 Matterhorn Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Rodkewich 5638 Matterhorn Drive NE 763-571-9654 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 763-502-4777 20130983 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 O ALTERATION l] REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 11 full frame windows and 1 patio door within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN BO 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 SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $14,843 $7.42 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- Fir SC $14.84 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $251.25 PLAN CHECK FEE TOT FEE Lice SC $5.0 278.51 SIGNATURE OF CONTPACTOA OR AUTHORIZED AGENT IDATEi THIS 6,roup/IPERVTT H Pq0 VALID "fib S•GNATUREOFOWNEROFOWNER BUILDER. iDATE) BOG INSP r)ArE NEW[ J Effective 5/10/99 ADDN [ l CITY OF FRIDLEY ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:3 mg,}inp c,N '1t 1 u�9 Legal Description: Owner Name & Address: t %YA K,fW;cam ct Tel. #-f(s3 •S*fI.91o54 Contractor:; RENEWAL BY ANDERSEN MN LICENSE # 350 -73RD AVE. NE Address: FRIDLEY, MN 55432 Tel. # -4(03(fa-H) 502-4777 LICENSE #20130983 Df Survey of the --.VII' on it to scale. DESCRIEPTION 01FUVIP-ROVEMIENT . LIVING AREA: Length Width height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: w 11 J'^I , u�c, +ring 6PAX 'rr . Construction Type: e Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Rt -W-0-0\ APPLICANT: a�c�.n.G. Tel. # 9 S a • 3y s •took CITY USE ONLY Permit Fee $ aS 1 aS Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ '}• 4? $.50/$1,000 Valuation SAC Charge $ $1050 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: i'� /��G ,�`,X�� 12/��--fir �.rli•�e� Effective January 1, 2003 4. 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 FAX (763) 571-1287 RATE SCHEDULE 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) 1% of Value of Appliance or Work Commercial/Industrial 1.251yo of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ 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. $ .50 $ 50 �o% JOB ADDRESS�`� ✓f'L�i �k'/� �+' OWNER 'Mille- ROCI •lL LUt` da BUILDING USED AS N(?51d911CP-- ESTIMATED COST '%dO-U(� PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_I Circle One (Steam) (Hot Water) ( arm Air Trade Name Co r ri 2' Size No: ��{� Sgt ��/atl BTU g0100 HP EDR Fuel �AKif , 6-14 Total Connected Load Burner Trade Nam BTU HP Size No ED 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE q--1 9-Z)3 CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed FAX # 763-757-6701 Approved By)S— Rough -In Date Final Date Y524 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When nlar-Ann,an axieting furanm, the undersigned.hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes x) No and is securely supported and firestopped where required. ( ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (x) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and l Central Furnace Venting Tables foracturees specifications. fan oes include AGA-GAMA Category Yes (x) No ( ) assisted and natural draft appliances. Thefina r- hi-ichnn air is sized and installed to meet the current codes Yes No ( ) and manufacturer's specifications. When required to insitaII a DAW cnmh ,ctin air_ it will be sized and installed Yes No( ) to most the current codes and manufacturer's specifications. VVhen iastaWnwa = venting sustam, 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 YesT) No ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes (X) No ( ) separately as per current codes. pioancp- T ,nand Sazaicnmmnn Vent and VePctnr Infnrmatinn Appliance #1 Type ,��.rv�/ ' BTU Input �' F n Assist or N Appliance #2 Type 4 Z&d K� 2 BTU Input 3. �e� Fan ssisted o Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type / H– Vent Height U Diameter � inches Appliance #1 Vent Connector Height �._ft Length ft Diameter Type e� ft Length _j—/ft Diameter :_in Type Appliance #2 Vent Connector Height ___Z_ ft #3 Vent Connector Height ft Length ft Diameter in Type 9 �•�� HEATING CO: CenterPoint Energy Mrnnof,Q6ee 13562 Central Ave NE, Anoka, MN 55304 Signed By: �_� Date: Building BUILDING Permit No.: - 7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE S-7- y -7 YOUR E-MAIL ADDRESS SITE ADDRESS S/ 3F / / �T��/nc�d'✓1 Oi— . THIS APPLICANT IS: ❑ OWNER NTRACTOR PROPERTY OWNER/ NAME: TENANTADDRESS: 3f5 /��.��r®.-v+ I��. CTTY .^.' STATE—ZIP PHONE: CONTRACTOR NAME: STATE LICENSE # Z�- / EXP DATE 3'O8 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: �/`1 �5� �GS� i �� _ CITY --Z%: STATEAWZiP�� WITH APPLICATION PHONE - - FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITIONGARAGEISHED WINDOWS E3OOF ❑ DRAIN TILE ❑ BASEMENT FINISH 11R ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 4NEW ❑ ADDITION ANCE/REPAIR 13 REMODELING DESCRIBE WORK BEIM //+ll+ DONE: -eft^ s rc i^ -- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. proposed floor plan 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 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 1 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 3, Sze .001 times the total job valuation Surcharge $ 1„ - .0005 x Permit Valuation Minimum $.50 License Surcharge $ ��j-, (J� $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 $ 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 acknowledg that the information above is complete and accurate; that the work will be in conformance with the ordinances an cod of the Ci ridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application pe it and wo of to start without a permit; that the work will be in accordance with the approved plan in the case of all w whi . es re pproval of plans. SIGNATURE OF APPLIC PRINT N4414!�;Opl Zk/2- DATE '9- 7-07