Loading...
PRE 2010 DOCSCity of Fridley Application for Plambing and Gas Fitting Pemdt Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location ��� ' �j NO. RATE TOTAL Cn OZ Wu°i 6zO x w 0 z Z • • WATER HTR. GAS ELEC. ELE $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ 00 x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Base Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd _ 3rd 4th • Future Connection Openings Connected with Connected E] New Fixture, Old Openings Cesspool [:] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ �• 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 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $— 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, Minn Ce -1 / '4': � '4 Owner Kind of Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. Signed By Business Phone No A? ROUGH FINAL 4a 2M 7-59 SUBJECT PERMI N City of Fridley �-32� ? 1. AT THE TOP OF THE TWINS BUILDING PERMIT r RECE 16 `y COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC.`' CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-560-3450 910-F15 110/27/75 JOB ADDRESS 1464 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roy DeMars Jr. 1464 Mississippi Street N.E. 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. 6 USE OF BUILDING Regi deni-i al 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK In' 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway SEPERATE PERMITS REQUIRED FOR W14.6, HEATING, PLUMBING ANN SIGN& TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame ZONING SO. 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 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 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. PLAN CHECK FEE TOTAL FEE $18.64 GNA URE OF COJTRACT ORPUTHORIZEDAGENT (DATE) AHEN P ATED THIS IS YOUR PERMIT rPj� BLDG INSP DATE SIGN J EOF OWNS IIFOWNER BUILDERI (DATE) •APPLICATION FOR RESI'DE'NTIAL., ALTL'RA1'IO1V, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 01MER' S NAME: EMI Del Mjo, ,� &_ BUILDER : -ADDRESS: I�%%�5/��/C ADDRESS: 1 �%.n � �' NO: STREET: i LOT: BLOCK: / r ADDITION: CORNER LOT: INSIDE LOT: SETBACK:_ SIDEYARD:X . s Applicant attach to this fora. Tvio Certificates. if Survey.of L-ot and. proposed • ' building location drawn on these Certificates. E DESCRIPTION OF BUILDING ` To Be Used As: • Front: Depth: 30 Height: . - Square Feet : !g%VC) Cubic .Feet 8y®Q Front:' Depth: Height: Square Feet; Cubic Feet: • Type• of Construction: �...�f1"Jn i�/yr�` Estimated Cost: $ Z ��.'0 To Be Completed: L/ -k The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fiidley 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:A o , Iq�� SIGNATURE: . (See Pleverse Side For Additional Information,)' 17 woo— Iqii v"y Z 17 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY 1tiAILM AIR: RATE TOTAL F`srnace' Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ NIECHAXICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 7.00 $ Replacement of Furnace Repairs & Alrerations-up to $500.00 7.00 $��� Repairs & Alterations each add. $500.00 4.00 $ STEk.\1 OR HOT WATER SYST01: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ Q • da (over 199,999 BTJ 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 FAX HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS - i ALTERATION'S $ REPAIRS > State Surcharge ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT TOTAL FEE REINSPECTION FEE ($10.00) MINI.W.4 FEE FOR ANY HEATING PERMIT IS $7.50 $ 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, Minn. �Z- OWNER KIND OF USED AS TO BE COMPLETED ABOUT O P> ESTIMATED COST[, O OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLAN//TJfS, Steam, Hot Wate Warm Ai No. Trade NamO a�il//� Size No. rQZ .61 0-D Capacity Sq. Ft. EDR BTU HP Total Connected Load �� Kind of Fuel BURNER - Trade Name Size No. capacity Sq. Ft. EDR BTU P Company Signed By Tel. No. `�eLo� ' `� 7 3 P� r QysG•,/ City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERM I T P 15 3 5 4 rp � `y------ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 jREjC:E�IPT N0. � NUMBER 910-F15 REV. DATE 7-25-79 PAGE OF APPROVED BY JOB ADDRESS 1464 Mj_ 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Spring Valley Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Roy DeMars Jr. 1464 Mississippi St. NE 574-9736 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 51 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12 X 14 Screened Porch. 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. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 Rl 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 $700.00 .50 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. PLAN CHECK FEE TOTAL FEE SIGN OF CONTRACTOR O AUTHO )ZED AGENT (DATE) WHE PROPERL LI A E HIS IS YOUR PERMIT .off aa ` BLDG INSP OATS SIGN TUR F NERII OW ER BUILD RI IDATF,:. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: 2� /� L ) �a s T-�I, ADDRESS: /Cs %rjrSSlSSI�'�) TEL NO: Sr% 9CQtu Vsto BUILDER : ADDRESS: TEL NO: Construction Location STREET NO: f ? %_V_ STREET: / Y ! 10>S 1 S S l E P I S /` • r-kj C-_ - LOT: 3 BLOCK: / ADDITION: �J2( rli Corner Lot: Inside Lot: 2 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 Front: 12-- Depth: Height: Squane Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: 00 Type of Construction: On fl B^ P_ A KA'z Estimated Cost: $ Tb 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 a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: 7 , a5 SIGNATURE: Stipulations: 3 s a • - _ I r t �`f 14 . 1 '.I .. .L r1. 1 _' al 3 „� 1' :t 3 vF "k _ -r ,:, �. .._..� ..:-... - _ -. _ter ... _ ! - -.. ... ,.,.. .. a ... A. _ . _ ., #.. f' } '� ... I. _ -- - . _ _ P 3F, MY i • - y _ _ 'II `. -, ,,� ,f 3 %.FS N� v b P - ;j - F _ n - - a . _ k a k ,1. �' - I. N R y c x _. . -. .- .' '' - _ - .'. .... __' - ... s ; . I. _ 11 I .- Ill Ill Ill _ III __ .. .a. .,:. _ _ , {r t _� ry �{ t 'f t ,r 4 - sem" f •.ri x 1 t �k �-- � n r _ 2y �,t-. _ ,p -t Y, - F .: . . - �I. S 4 ^� 1 - _ -- .. I _. F" - N tJ v .- l - l - _ ��. _-. _ a- •- 4 f _ T S ✓ • v L _ .. -. .. .-� .: _.. .. ._ .. v. I .; .. .. . . .., .. - r y :. :. _: -.. '• - . _ i ' rtF .. . '•j a t c •t �1 ,^ i` g w - - 7:�% _ f k - -- I j y� ' _ .x rte..• j f, _ ..yr �.-..^>y _ 1 'x * R ! •� 3 i a r 5, r . - - ` - , _ x . ,.- .. .: .. ,, '" -.. - - ? ! - - .. Sr4 1 JI l t:. 4 r 4 f City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT P 16 2 r Y_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i --_- A ���'�;•� CITY HALL FRIDLEY 55432 s J \ 612-571-3450 R �U( NUMBER 910-F15 REV. DATE 7/15/81 PAGE OF APPROVED BY 108 ADDRESS 1464 Mississippi St.N.E. 1 LEGAL LOT NO. BLOCK T RACT OR ADDITION SEE ATTACHED DESCR. 3 1 Spring Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rov H. Demars Jr. 1464 Mississippi St. N.E. FricUey 55432 574-9736 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Ptesidential 7 CLASS OF WORK ❑ NEW C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK AuX 41 n 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. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,730.00 .87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE -PERFORMANCE OF CONSTRUCTION. $12.00 PLAN CHECK FEE TOTALFEE 3 15 87 SIC TU OF CONT ACT OR'THC RIZE GENT (DATE) WHE PROPERL V L A E HIS IS YOUR PERMIT C INSP DATE SiGNATPEO OWNER 0 OWNER BUILDERI IDATEI m her CITY OF FRIDLEY • APPLICATION FOR RESIDENTIAL. BUILDING PERfrITS • (flea, Alterations, Additions„ or Repairs) • OWNER: 12o� I a �a��BUILDER: ADDRESS: lq(o tI I'h ADDRESS: TEL NO: GV -9 TEL NO: Construction Location STREET NO: STREET: /ZL��vas/0,O/ , LOT: 3 BLOCK: �_ ADDITION: 1J Corner Lot: Inside Lot: ai 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 Front: Depth:_q Height: Square. Feet: Cubic Feet: Front: Depth: Height. Square- Feet: Cubic Feet: _ Type of Construction: T ���-._ _ _ Estimated Cost: $ _ _ 9b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the 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 4ee%true__a-4oV-cqrrect. DATE -115W SIGNATURE : CA41,=ZfAE� �T Stipulations: SUBJECT City of Fridley 20411 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 IL""'jk. NUMBER REV. DATE PAGE OF APPROVED BY , 612-571-3450 910-F15 6/6/90 JOB ADDRESS 1464 Mississippi Street NE, 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roy DeMars Jr. 1464 Misstss4ppi Street N.E. 574-9736 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24e x 16a U -ring Area Addition and a 7r, x 6.1' Rear Entrance; Reside trunt. and cLuu Overhang 9 CHANGEOFUSEFROM TO Fire alar a. required on both. levels of dwelling. See notations STIPULATI���� on plan, Before digging cad W On all new roofs," tear -offs end replacement roofs. all utility lamom State Code require t> at 2 layers of 15 Ib. felt, .A002 : mopped together. 'WInstall to a point 24 inches RE'tUIRED BY LAIC up from exterior *ail 'line, ar tlib use of other ePProved ufderlayment I ierhbr�ne. tEPARATE PtRMIT$',#EQUkD FOR WIRING, HEATfNG, PLU106ING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $25,650 $12,83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $258, 50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $271.33 SIG ATU EOFCOI4TRjAj0 ORA/UyTt! RIZEDAGENT (DAT[E/I.�/¢/� WHEN PROPERLY ^LIDATED THIS IS YOUR PERMIT {•6 DATE BLDG INSP DFA iGNA E bP OWNER IIF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/90 ADDN D<] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Z44 Legal Description: e 07 3 g C OaL e r r- C, O P L(� Owner Name & Address: &��.1��'Ylr ;( s2, Tel. Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIW OF MMPROVEMM rota exxw,,\) % LTVnV. AREA: Length a Width Height�5� Sq. Ft. GMUM AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. it. OTR: Corner Lot [ ] Inside Lot L<4 Ft. Yd Setback Side ]lard Setbacks Type of Construction: Estimated Cost: Approx. Cmpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: (r/�� �G APPLICANT: Tel. # 6'� 74-q/--f:Z' 4 Permit Fee o State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE CINLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 1 STIPULATIONS: Fwa 4t o-ao 5 Effective May 1, 1990. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL now Fixtures _� >1 m Future Fixtures q $ 3.50 u Old Opening, New Fixture x w $ Water v sy .ei Blow Off Basin a $ 5.00 F .Ci m a $ 5.00 m A w on' w $ Hydraulic Valve Heater $ 5.00 S Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Not Water Heater $ 5.00 $ Gas Range g 10.00 $ Ll W5q $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) 8 6 t�q�q 5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS d It of Value of Fixture or Appliance S A State Surcharge a� b yyA PS.— y� TOTAL FEE g O Elec Y�1U Im. IY as V let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer V) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL now Fixtures _� $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Not Water Heater $ 5.00 $ Gas Range g 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance S State Surcharge S .50 Roinspection Fee $ PS.— ($15.00) TOTAL FEE g Job Address AP1554- Department of Buildings City of Fridley Tel. 0571-3450 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. 19�� OWNER TIot•7 KIND OF BUILDING WnLtf:! USED AS �� K-)C-,zkL_F TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company Signed By Tel. No. FINAL INSP. Date(k�— APPROVAL FOR PERMIT */) e !1INIt1UM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE S.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEbTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with now furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations 1• of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date _ Final Insp. —Zl - U / _J _.L_. Date Approval for Permit �"/) i( MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 - PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission fres adjoining neighbor. Job Address A(L 1- f L/2<s/}'/3/ s-7, Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 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 truuuey and correct. Lam, Fridley, Minn. _- ! . 19gr) OWNER KIND OF BUILDINGCf'�' USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Rot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU RP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. Fill out back side for stack verification on replacement furnaces 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 connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to unroF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 3, 1990 Roy, Jr., and Lynn DeMars 1464 Mississippi Street N.E. Fridley, MN 55432 RE: Property at 1464 Mississippi Street N.E. Dear Mr. and Mrs. DeMars: On July 1, 1990, the City of Fridley began a new program called Systematic Code Enforcement. This program is designed to provide fair and equitable code enforcement, improve the City's appearance, and maintain property values by creating a more attractive suburban environment. Under this program, all properties in the City will be inspected approximately once each year to ensure that they are in compliance with the Fridley City Code. A recent inspection of your property revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the Code: 1. Discontinue outside storage of tank located along the west side of the garage. Your prompt attention in correcting this problem would help us in our effort to improve the City. A reinspection will be conducted on or about December 20, 1990, at which time compliance is anticipated. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-1050 SUBJECT PE City of Fridley 21016 ' AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. �• _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Y5 r i NUMBER REV, DAZ PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 20/91 JOB ADDRESS 1464 Mississippi St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roy DeMars 1464 Mississippi Street NE 574-9736 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW XO ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 161 and a 12t x 141 Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, WAIR 2 1 G Before digging call for all utility SEPARATE P'ERAI1T5 REQUIRED FOP WIRING, J-JEATINC2, PLUMBJNG AND SIGNS. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 SUM $2 5CQ $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 KINKH Fire SC $2.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 57. 75 RIZEDAGENT IDATEI S1 ATU EOF�NER WHE PROPE LY D E HI IS U�RI/PERMIT DG INSP DATE SIGNAT E OF O�NRLDERI. IDATEI NEVI M ADM [ ] A= V} IA931 Description. R-1 AND R-2 Building Permit Application Effective 1,/2/91 owner Name A Address: 111. t.1991tractor: S 111. # Attach to this application, a Oertificate of Survey of the lot, with the proposed rx istruction drawn on it to scale. EM 1I19 PIQ9 OF 3MIEVHMM LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: lmxjth Width Height Sq. Ft. M= AREA: Lerygth L.:LftjV� Width Hgt/Grow d � Sq. Ft. Gbrner Int [ ] Inside Int Y\ Ft. Yd Setback Side Yard Setbacks 7Ype of Oonstnuction: 'bEstimated Dost: Approx. Ocupletion Date: 15erVT 40-7 / Proposed Driveway Width If New opening Is Desired: Ft. $ S Width + 6' See Back Page DM: 00— q —9 % APPIZOW: RA=1 Tel Permit Fee Fire Suzcharge Mate Surcharge MM 4 EAC Charge $ Driveway Escrow $ Park Fee $ SI'IPCMATIMS: It!,"—AM• �� Fee mile an Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Agreement Necessary [ ] Not Necessary [ ] d i �c SUBJECT PS160� City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. • ......' COMMUNITY DEVELOPMENT DIV. 1 fr PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/6/93 JOB ADDRESS 1464 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roy DeMars, Jr. 1464 Mississippi Street NE 574-9736 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 Ck ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221 x 281 Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS VAR #93--25 approved 9/28/93 with the following stipulations; The maximum height of the addition shall be 14 feet; The addition shall be architecturally consistent with the existing garage; The petitioner may not conduct a home occupation from the accessory structure in accordance with Section 205.03.34 of the Zoning Code; and The petitioner shall not repair automobiles, other than his own, within the accessory structure. Provide a hard surface driveway. WAN it Before digging call for all utility locations 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $9,856 $4.93 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 117.00 Fire SC $9.86 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $131.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHE 0 Y VALIDATED THIS IS YOUR PERMIT /I_ " -� D S DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6�i� !?�iSS/SSi✓�/J� Si �' Legal Description: Z-07-3 /hoc / Pre p n Owner Name & Address:� , t7 � � /� � Tel. # Contractor: gnLo.� L --, 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 11"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length 2 Width 2� Height /©r Sq. Ft. 69/4om DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ PIno Approx. Completion Date: 3 Fq, v (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ WATE: APPLICANT: MY USE ONLY Permit Fee $ tf �, -® Fee Schedule on Reverse Side Fire Surcharge $ �, 96 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 13 STIPULATIONS: G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612)571-3450 • FAX (613) 571-1287 R5 zi y N3 •• t • ACTION TART NOTICE September 29, 1993 Roy DeMars 1464 Mississippi Street N.E. Fridley, MN 55432 Dear Mr. DeMars: On September 28, 1993, the Fridley Appeals Commission officially approved your request for a variance, VAR ##93-25, to increase the maximum floor area of an accessory structure from 1,000 square feet to 1,456 square feet, and to increase the maximum square footage of all accessory structures on a property from 1,400 square feet to .1, 456 square feet, to allow the expansion of an existing garage on Lot 3, Block 1, Spring valley Addition, the same -being 1464 Mississippi Street N.E., with the following stipulations: 1. The maximum height of the addition shall be 14 feet. 2. The addition shall be architect lly consistent with the existing garage. 3. The petitioner may not conduct a home occupation from the accessory structure in accordance with Section 205.03.34 of the Zoning code. 4. The petitioner shall not repair automobiles, other than his own, within the accessory structure. Please review and sign the Action Taken Letter below and submit one copy to the Planning Department by October 12, 1993. You have one year from the date of the Appeals Commission action to initiate construction. If you cannot begin construction in time, you must submit a letter requesting an extension at least three (3) weeks prior to the expiration date. If you have any questions regarding the above action or the need for an extension, please call the Planning Department at 571-3450. Sin rel r7 MichMcPherson Planning Assistant MP1:1 s Concur with Action Taken C.17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1297 ACTION TART NOTICE September 29, 1993 Roy DeMars 1464 Mississippi Street N.E. Fridley, MN 55432 Dear Mr. Debars: On September 28, 1993, the Fridley Appeals Cmm.ission officially approved your request for a variance, VAR #93-25, to increase the maximum floor area of an accessory structure from 1,000 square feet to 1,456 square feet, and to increase the maxim.un square footage of all accessory structures on a property from 1,400 square feet to 1, 456 square feet, to allow the expansion of an existing garage on Lot 3, Block 1, Spring Valley Addition, the same being 1464 Mississippi Street N.E., with the following stipulations: 1. The maximum. height of the addition shall be 14 feet. 2. The addition shall be architecturally consistent with the existing garage. 3. The petitioner may not conduct a home occupation from the accessory structure in accordance with Section 205.03.34 of the Zoning Code. 4. The petitioner shall not repair automobiles, other than his own, within the accessory structure. Please review and sign the Action Taken Letter below and submit one copy to the Planning Department by October 12, 1993. You have one year from the date of the Appeals Conmtiission action to initiate construction. If you cannot begin construction in time, you must submit a letter requesting an extension at least three (3) weeks prior to the expiration date. If you have any questions regarding the above action or the need for an extension, please call the Planning Department at 571-3450. Sin rely, Michele McPherson Planning Assistant MM:ls Concur with Action Taken' CITY OF FRIDLEY INSPECTION DIV. Effective On January 1;1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 512-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - Alt Sizes All Others/Repalrs & Alterations (LIST ON BACK) 196 of Value of Appliance or Work Commercial/industrial 1% of Value of Appliance or Work Rate TOTAL $ 20.00 $C20 ryo $10.00 $ 10.00 $10.00 $10.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATIONIAIR 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 —J Y11 (_ /gS l Ee ( 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 Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. -0 ,49W OWNER BUILDING USED AS -7- , ESTIMATED COST 20 V PERMIT NO. No, of Heating Units_,, Circle One (Steam) (Hot Water) (Warm Aird Trade NameSize No. BTUpi Q_oo `aping --HP EDR Fuel •T Total Connected Load Burner Trade Name"` Size No. BTU HP -EDR HEATING COMPANY 0-k-00-2- MINIMUM -k -00 -2 - Signed By� _ Tel No. SZ2 7-5� If Approved By F Rough -In Date Final Date / FiLL OUT BACK SIDE 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 ( ) S. 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 Signed By Date Building BUILDING Permit No.: ,007,--51 N17 Inspections RESIDENTIAL APPLICATION Received By: AQ 763-5723604 AM&9) L 2 6 2007 CITY OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS 4 -.3 G, B Oef� k S ®, f -J t THIS APPLICANT IS: PCOWNER []CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: 6 CITY ® U ^� STAb�91 IP ` PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY -STATE—ZIP— TATEZIPWITH WITHAPPLICATION Pg NE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE /is rJ 67 SINGLE CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED OVaNDOWs ❑ BASEMENT FINISH GOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SVID&V NG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ OUSE ONLY 0 NUMBER OF SQUARES RMOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ATTACHED GARAGE 1. Existing Floor Plan2. Proposed Boor 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 Z. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WIlVDDWS 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 $ 4 -JI -3,00 OCCUPANCY TYPE_ Permit Fee $ M, ;35 See Back Page for Fee Schedule Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Curt Escrow Erosion Control Park Fee Sewer Main Charge Total Due 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 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 PERMITNOT 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; that the work will be in accordance with the approved plan in the case of all workc r review and approval of plans. SIGNATURE OF APPLICANTPRINT NAME 0%�'`��?{ DATE ���'�