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City of Fridley, Minn. BUILDING PERMIT Date: A. �2/.... ell Owner: Builder Address ______ Address LOOATIO OF UILDING No. _ Street _.. _ ___._ Part t Lot-" _—Block _� _._. � Addition or Sub -Division . Corner Lot '' Inside Lot _ _ Setback _ Sideyard Sewer Elevation _ __ Foundation Elevation DESCRIPTION OF BUILDING To, Use s: ,+* J Depth a& (t— Height Sq. Ft., DepthHneight lop Sq. Ft. Cu. Ft.1..,C..4 *v Type of Construction _ Est. ,�,6V0To 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. i 12 In consideration of the payment of a fee of $ permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alterationmaintenance, repair and moving of buildings within the city limits and this permit may be. revoked at any time upon violation of any of the provisions of said ordinances. " ..a A . , NOTICE: This permit does not cover the construction, installation for wiring; plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. .QW4 APPLICATION FOR BUILDING PPS CITY OF FRIDLEY, MINNESOTA Owner's Name;Build®r, Address v '���� Address S -0.2 - No. o..z- No. Street Lot Block Corner Lot Inside LOCATION OF BUILDING of Lot Addition or Subdivision,4�2my!/ �✓_ © S Lot Setback 15r / Side -Yard 4a 1 d A1� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 4Frontepth / Height Sq. Ft. irk G 3 Cu. Ft. at:Z! 2 Front --r-a Depth Z� Height l/ .., ...,. Sq. Ft. Cu. Ft.v5G Z„2l Type of Constructionzafd� Estimated Cost O 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 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. DATE ��0 SIGNATURE �s (A Schedule of Fee Costs can be found on the Reve a Side.) 0 Apphccttion for Power Plants and. Hoofing, CA�Iflg, Ventilation,.�@�TI�iQtIA�I and Air Conditioning Systems and Devices 10 b PARTIAL RATE SCHEDULE Dept. ofBldgs. Phone SII. 4-747o. GRAVITY WARD 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ... _................... 2.00 $ Replacement of Furnace §.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 T 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ............ x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM s $ ALTERATIONS & REPAIRS TOTAL FFE n tROUGH i 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. Tl i 19 — Owner 60 Kind of Building Used as'° To be completed about iU Estimated Cost, $ 9uilding Permit No. cad ' Permit No. DESCRIPTION OF WORK HEATING , Warm Air—No— Trade Nam :� " -� Size LI No4® zoo Capacity Sq. Ft. E.D.RI2��`� BTU • H.P. Total Connected Load—��� , a Kind of Fuel -' BURNER —Trade Name r te Size No � IdA_6 Capacity Sq. Ft. E.D. IVa EC 1 & Ala-COND. CH.P. CEO. 1001 Xenia Av. S. � ® Minneapolis 16, Minn. Si"PA Byev y.< .Q�42 2M 7-59 Business Phone No (REMARKS -OVER) yy HEAT LOSS CALCULATIONS 40e –Socr 40 DEPARTMENT OF BUILDINGS ly MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Guide Reference Construction No. Coef. Btu Coef. Btu Insulation Windows Doors I–(�Ve19_ Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied es r2 o- �® Exp. wall F1.1 I)i , Room I Length M, 0y Width ,.,Height 1V II Fl.I -0Room Length Width Height Windows and Doors—Crackage and Area , 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. —7— Coef. Btu Coef. Btu Infiltration Infiltration Glass ' Glass sy 17 Glass' �® Exp. wall Exp. wall ' Net exp. wall 131 y 1 117Y Int. wall Floor - Ceiling Int. wall Int. wall Floor Ceiling Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area %/ Fl.1 /('�m ,i4 zr ,R Room i Length ie Width / Heiaht Windows and 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 sq. ft. —7— Coef. Btu Infiltration Coef. Btu Infiltration Glass ` –49 sy 17 Glass' Glass Net exp. wall Exp. wall ' Exp. wall Ceiling 6 lk° Net exp. wall Floor - Int. wall Int. wall Ceiling Ceiling Floor Floor Total'Btu. I to Y46– Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a F1.1 4nve4 Room ILength 4/ Width ®9. Heiaht Cl Windows and 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 sq. ft. —7— Coef. Btu Infiltration Coef. 6' Glass ` –49 Exp. wall Glass Net exp. wall Int. wall -- Exp. wall Ceiling 6 lk° ( - Floor - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area ✓ 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. —7— Coef.Btu Infiltration Coef. Btu Infiltration Aa Exp. wall s Glass Net exp. wall e oo Exp. wall m 1,14 s' Net exp. wall - v Int. wall Ceiling Floor Total Stu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 121 —7— Coef.Btu Infiltration �> y Glass cel Exp. wall s Net exp. wall Int. wall Ceiling�� 1,14 s' Floor , Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area YF1.1 :.PArn Room I Length /J, Width Heiaht . Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. —7— Coef.1 Btu Infiltration Glass' Exp. wall Net exp. wall Int. wall Ceiling 1,14 26 1 2,92 d Floor , Total Btu. 1 4-119061- ', Required sq, ft. E.D.R. or sq. ins. W.A. Leader area I --YOU, _ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling I RoofFloor Kind How. Applied Rnnm I I -Pnoth ®fo Melth i-=-.;, Hriaht V II Fl I Rnnm I Lenath Width Height Windows and oors—Crackage and Area o Width Height No. of Lineal f . Area No. of pane off pane lights offcrack sq. ft. '30 Coef. Btu Infiltration Coef. Btu Infiltration Exp, wall Net exp. wall 3, Glass Ceiling - Floor Exp. wall ° ;} a Net exp. wall Int. wall Ceiling A= ,� 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. 9 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 Haight No. of Lineal ft. Area No. of pane of pane Ilghts of crack I sq. ft. Btu Infiltration Glass Exp. wall Net exp, wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9 Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling - Floor Total Btu. Required sq. h. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. 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 Fl.l 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 a a a City of Fridley Application for Plumbing and Gas Fitting Perndt DESCRIPTION OF WORK Number, Kind and Location of Fixtures y NO. RATE 7 Number Fixtures ...................... x $1.50 $—,/ U �+ o�U' $ Qj�z Q�z oz $ c� �U' 4a NU' ? z (�9 O • F s N WATER HTR. GA5 ELEC. Base ' 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 .................... 1st $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th Future Connection Openings New Fixture, Old Openings I Connected with Sewer El Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $—,/ U 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 $ Dept. of Bldgs. Phone SII °4.7470 Locatio �e �� $/4�"` City of Fridley: The undersigned hereby makes application for a permit for the work hereil 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 facl and representations stated in this application are true and correct. ZFridley, Minn & 19—b r Owner Kind of Building Used as To be completed about ` Estimated Cost, $ Old— Building Permit No `�`rPermitNo. L Signed—� By9 Business Phone No ROUGH FINAL 42 2M. City of Fridley, 16inn.. BUILDING PERMIT Date: ,Tune 8, 1967 Owner: Hudlick Builder Address 5502 Regis Trail Address J-//.19, X9 9300 A. N. C. Blacktop Co. 1308 Main St. N. E. LOCATION OF BUILDING No. 5502 street Regis 2MYN Trail part of Lot Lot 9 Block 3 Addition or Sub -Division — Parkview Oaks 1st Corner Lot w Inside Lot Setback ___ Sideyard Sewer Elevation _______ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front _ _ Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction placktap Drive Est Cost _... $210.00 __ To be Completed July 5, 1967 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, ¢et forth and in compliance with ail provisions of ordinances of the city of Fridley. ,let,_ In consideration of the payment of a fee of $ 5.0 , permit is hereby granted to A. B • C. placktop Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinSa within the city limits and this permit may be revoked at any time upon violation of any of the provisions of s d ordinances. SCE BELISLE Building Igor NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, saver or water. Be care to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME /���f BUILDER _ ADDRESS �S®�}' —��/S ��/a/G ADDRESS (Schedule of Fee Costs can be found on the Reverse Side). LOCATION OF BUILDING NO. 0 STREET � � /S �'�' jG PART OF LOT LOT Gj BLOCK ADDITION OR SUBDIVISIONQ0_,,j4,j, l CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCRIPTION OF BUILDING _. Front Sq. Ft. Front Depth Height Cu. Ft. Depth Height_ Sq. Ft. Cu. Ft. Type of Construction G VE(J Estimated Cost To Be Completed 'TctL u --5—i / � 6 1 The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �/E �¢ /���f SIGNATURE _ (Schedule of Fee Costs can be found on the Reverse Side). 01 SUBJECT P • City of Fridley 2114 3 AT THE TOP OF THE TWINS ? BUILDING PERMIT RECEIPT NO. : � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/7/91 JOB ADDRESS 5502 Regis Trail NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Parkview Oaks lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Hudrlik 5502 Regis: Trail NE 574-0022 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pleasant View Construction 8310 Pleasant View Drj Mounds 'View 55112 784-0328 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 161' x 28t' Addition; an 18" x 121 DeckF and interior alterations 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, 'Rear yard ("north.) setback variance approved to 10 feet by Appeals Co=iss on on 8/6:/91, WAsEi�aa� Before digging call for 911 utility locations 454-0002 REQUIRED BY LAW r 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 $70,000. $35,00 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- $5Q4.50 Fire SC $70.00 T ION O THEPERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � $609,50 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ` IGNATUREOFC iR RORA ORIZ DA EN IOA I - _ k � BLDG )NSP MATE SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEt 01 -NEW [ ] Effective 1/1/91 ADDN CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: `� 0 � C t S t1 1 c_� N �E t p L Legal Description: Owner Name pA Address: -Rt C h R e'- 17)" V p e- L ) � -2Tel. # 5 7 - U© Contractor: JUI _ �� S1 � G ,����SCF n � U t� c.2) �On S� . Tel. # 7� 0 3 Address: S3072eaSG h t V cet Y. nfJ✓i� 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 (o r Width`b Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ADD �-j o (0 Estimated Cost: $ O. 0 0 () . 0 0 Approx. Completion Date: (00 - but) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1 R APPLIC 114 Permit Fee $ R5 q. 4 Fire Surcharge $ 00 State Surcharge $ SAC Charge 3 Driveway Escrow 3 Park Fee 3 Sewer Main Charge 3 Tel. #7f�4 0�52-ff Fee Schedule on Reverse Side .001 of Permit Valuation (1/101h%) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J TOTAL $ 47. .e (AS, �� ��`� ,�►�•� _361- 91 SCTt c)ftai tee, P-PPf f�.' Bar- -i� ka 'CL All, cs, �� o 1✓ O.J' _e V rb y D -e QVP r1f)-go b� ,s7jh,5 '5 �p � � 0(l ids —lf"Im7soc� X � I WDW7*IAL Mgmm s env LOTs TOPOORAPNIC MAPPING N SCALE 30' BLOCK 1, PARKY w ms TasT KOD C. E. COULTER LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED Of ORDINANCE OF CITY OF NINNEAPOLIS 3300 LYNOALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4.0370 S uR�IC�` �Or ARVm � - C & SON, �b't. Om -mar's a matah-atr 0 s Drainage b kjw0y iwie meht 1.S1 3s �61 7W Cr W - f L-0 `� O W v, O 1L' _ �s 40 1,i N j�l-ta' 164" LOQ" �LGWNWZQ 7T. o is, • ;LATTING FART/ SHRVEYs LAKROSORE JYOICLAL ti wV.� q REGIS � ANE I hereby certify that the above is a true and correct plat of a survey of: Lot Nine (9), Block Three (3), PARKVIEW OAKS FIRST ADDITION, Anoka County, Minnesota. As surveyed by me this 17th day of February 1961 A. D. S igned Minnesota Registration No. 2584 t BLOCK 1, PARKY w ms TasT KOD C. E. COULTER LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED Of ORDINANCE OF CITY OF NINNEAPOLIS 3300 LYNOALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4.0370 S uR�IC�` �Or ARVm � - C & SON, �b't. Om -mar's a matah-atr 0 s Drainage b kjw0y iwie meht 1.S1 3s �61 7W Cr W - f L-0 `� O W v, O 1L' _ �s 40 1,i N j�l-ta' 164" LOQ" �LGWNWZQ 7T. o is, • ;LATTING FART/ SHRVEYs LAKROSORE JYOICLAL ti wV.� q REGIS � ANE I hereby certify that the above is a true and correct plat of a survey of: Lot Nine (9), Block Three (3), PARKVIEW OAKS FIRST ADDITION, Anoka County, Minnesota. As surveyed by me this 17th day of February 1961 A. D. S igned Minnesota Registration No. 2584 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Lifective Uate January 1, 1991 Job Addre::s 5502 Reg!EL- Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 representationb, stated in this application are true and correct. OWNER Pleasantview Builders KIND OF BUILDING S.F. Frame USED AS Residence TO BE COMPLETED ABOUT ESTIMATED COST Ij 0'. �-7 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ? '/ 2 L Now Fixtures ``� a $ 7.00 - aa. a s u Old Opening, New Fixture x v Water $ 5.00 - a a Blow Oft Basin S 7.00 - $ w a a n Rain Water Leader a w Sump/Receiving Tank Heater $ ROUGH It75P. Water Treating Appliance $ 10.00 - $ Date Water Heater - Electric $ 7.00 - $ Water Heater - Gas $ 10.00 - $ FINAL INSP. 31�s Gas Range $ 10.00 - $ ate Gas Dryer O O A Back Flow Preventer Required ( ) Yes ( a C a �4i O S 5.00 - 8 V m a a m m .0 a u D o� w 7� cw a w uai<s° REINSPECTION FEE $30.00 7� i VEL 1 lst 2 1 2 1 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer I•) - Now Fixture, Old Opening Mater RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Lifective Uate January 1, 1991 Job Addre::s 5502 Reg!EL- Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 representationb, stated in this application are true and correct. OWNER Pleasantview Builders KIND OF BUILDING S.F. Frame USED AS Residence TO BE COMPLETED ABOUT ESTIMATED COST Ij 0'. �-7 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ? '/ 2 L Now Fixtures ``� $ 7.00 - $ T Richfield Plumbing Co. Company Old Opening, New Fixture S 4.00 - $ Beer Dispenser $ 5.00 - S Signed Dy Blow Oft Basin S 7.00 - $ Tel. NO- 869-7517 Catch Basin S 7.00 - $ Rain Water Leader S 7.00 - $ Sump/Receiving Tank $ 7.00 a $ ROUGH It75P. Water Treating Appliance $ 10.00 - $ Date Water Heater - Electric $ 7.00 - $ Water Heater - Gas $ 10.00 - $ FINAL INSP. 31�s Gas Range $ 10.00 - $ ate Gas Dryer $ 10.00 - $ Back Flow Preventer Required ( ) Yes ( ) No APilk&JAL V014 PEFMIT Type S 5.00 - $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value Of Fixture or Appliance ,L �� S7 MINIMUM FIE FOR PONY PLU?t51';C;/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE State Surcharge 5 .SO REINSPECTION FEE $30.00 TOTAL VEL 5t S CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEKTIAL Furnace Shell and,Duct Work, Burner (Also replacbmant furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) RATE TOTAL Job Address 5a A �� $ Y0.00 $old. Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 $ 10.00 $ /,/)a All Others/Repairs and Alterations 1• of Value of Appliance or work COMMERCIAL/INDUSTRIAL 10 of Value of Appliance or Work REINSPECTION FEE $30.00. Rough Insp. ate Final Insp.�� /� Dat Approval for Permit $ 10.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 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. , , ( _ 19 KIND OF BUILDING TO BE C014PLETED ABOUT DESCRIPTION OF FURNACE/BURNER / HEATING or POWER PLANTS, Steam, Hot NaterWa=Ai NO. �T Trade Name S '� 6v9�y _ Size No. �4oi. e94 Capacity SSqq.®�F/t. EDR BTU ® rr Total Connected Load ® %�� Kind of Puel BURNER - Trade Name / & Size No. Capacity Sq. Ft. EDR Comp Sign Tel. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces - c, 11,2A01 'v CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (;ill*' No ( ) 2. Is free from rust or deterioration Yes (Vf No ( ) 3. Has no foreign objects lodged within Yes (0' No ( ) 4. Is securely supported Yes (k -K No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (4111**" No ( ) 6. Ha.s Total heating BTU's of Z&_ All other BTU's TOTAL %`� L-12 41�— Rema rk s n,a HEAT LOSS CALMLATIONS DEPARTMENT OF INSPECTION Weatherstrips:d Construction No. -- Gut e y�.,. Referace Out. Wall JIULWall I Ceiling IRoof Floor Rnnm I Ilnvlh Width Height II Fl.I Win ws and Doors--Crackage and Area WWO ILAUBM Ne. WidthHeight at pane of Vane Ne. of Llnwl ft. Area Ilgnte or crack 110. ft. ��. .94000, Area sq. 1,L T-ZA A& tv (� O 1k'7-!2 Exp. wall Coef. Btu Infiltration A9O P Coef. Btu i Infiltration Class / 9 Glass Exp, wall Glass Exp. wall Exp. wall Net ezp. wall 'IVet e --p. wall - Int. wall Ceiling Ceiling Floor _�-F➢twr 1101,111 6fu. Required sq. ft. ED.R. or sq. ins. WA. Leader area FI.I 160m 1 Length Width Height 'Windows and Doors- Crackage and Area WWO ILAUBM Width Height No. of No0 of pane of pans lights Llaeal 1,t. AT" of crack p. fL IPI e .94000, Area sq. 1,L T-ZA A& / Glass a Exp. wall Coef. Btu Infiltration Int. wall Cmf. Btu Infiltration • Class / 9 Glass Exp, wall Exp. wall Net ezp. wall Int. wall Ceiling _�-F➢twr Total Btu. Required sq. ft. DR or sq. ins. WA Lader gra ft. WWO ILAUBM wmtr. nctgnt Windows and Doors—trackage and Area Width Height Ne. of iteral fl. No. et pan. of Vane lights of Crack Area sq. 1,L T-ZA A& / Glass a Exp. wall Net exp. wall Int. wall Cmf. Btu Infiltration • Floor / 9 Glass Exp, wall (G net exp. wall Int. wall Floor .��,�F s 1 &V Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leafier area Z%0/� S59WI . 1� MINNFAPOLIS. MM. Insulation Kind How AmIW Room I Unttth Width Height Windows and Doom—trackage and Area w` Width Height No. of mewl tL Atta No. Opens of Vane lights of erect 614- 119. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling FlooT • Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area FI.1 Room I Length Width Height Windows and Doors-Xrackage and Area Width Haight No. of Lfeoal 1,t. Ana No. of pans of Vans ughte of er"k eq. 1,L Coed Btu Iafiltratioo Glass Ev. wall Net exp. wall int. wall Ceiling • Floor Total Btu. Required aq. k E.DR or aq. iis. WA Leader area F]. ' Room 1 linath Width Relent Windows and Doom-0&ckage and Area Width Height Iia of Umoal IL Are No. ar pas of Dane ugbla of crack sq - f< Coed Btu Iafilt:ation Glass Exp. wall Net ezp. wall Int. WAD Ceiling Floor 2��IITotal btu. Required sq. h. E.D.R. or sq. ins. W.A. Lader area 4 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �-��,1 -7-4! L R&1TE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated In this application are true and correct. (Side Vent — Fill Out Back) '$10.00 _ -- t h 1 99 6 Gas Piping (Needed with new furnace) $ ��� /44 &9 k ( C_ OWNER C ,�7 Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Unit % Circle One (Steam) (Hot Water) (Warm Air) Trade Name A I,' C=Z— 0 Size No. Commercial/Industrial BTU "? 7 9=2 HP EDR 1.25% of Value of Appliance or Work $ Fuel "' Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEES BTU HP EDR HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNdENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed Bya r Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE IAR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIIYINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) 'Remarks: List ALTERATIONS Being Done: s a n HEATING CO: Signed By: Date: ww _ • e: SUBJECT RMI City of Fridley 2 4 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��� 1 � I 666 NUMBER REV DATE PAGE OF APPROVED BY --'"1 CITY HALL FRIDLEY 55432 I.J 612-571-3450 910-F15 8/8/96 JOB ADDRESS 5502 Regis Trail NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Parkview Oaks 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dick Hudrlik 5502 Regis Trail NE 574-0022 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jansick Inc 6480 Squire Drive NE, Fridley, MN 55432 574-9679 8618 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 q ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct two decks 13' x 7'9" and 20'3" x 16' 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 1 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 $3,501 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87.25 Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE �i �4 �l -9� License SC $5.00 $97.50 SIGNAT OF CONTRACTOR ORAUTHORIZED AGENT (DATEI WHEN PROPERLY/LIDA BLO INSP THIS IS YOUR MIT DATE SIGNATURE OF OWNER IF OWNER BUILDER) (DATE) e: NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Ara -'45, Legal Description: Effective 3/1/96 r Owner Name & Address: D i ck (4udr (l 1, Tel. # 5-7el ODa A Contractor: a 105i c% - IVC- - 51'e 4- MN LICENSE # �� Address: 6-91dre %?� i F�ial (,�( Tel. # 79 LIVING AREA: GARAGE AREA: DECK AREA: a d ea5 OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IIVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length /3' Width 7�% Hgt/Ground Sq. Ft. -dewo' 3 x . V-30 —y�F lid If 3���� vre K7 Comer Lot "ide Lot [ ] Ft. Yd Setback Side Yard Setbacks � 3, 101, V3 Type of Construction: Estimated Cost: $ (p O D Approx. Completion Dater (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -�� —q!p APPLICANT: 1�, - Tel. # TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee $ �- �`� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ,. $.50/$1,000 Valuation SAC Charge $ $900 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: IS, t 7 jl�� �,l C0 j PJ )7 1 Zk E. COULTER Pt FA^M W*VtYi LAND SURVEYOR L"**"o]tx ptgGj&j&ftfU V?JOEOR LAW$ f3f &T'fATIC OF LIC44020 PT'*wtlJ)tAmcff Ow CrrY 4CW fdlPlN4APW 16 D A L F AVE. S 0. MINNEAP0LI5 S. WKN TAYLOR 4-0370 I",49X A T f3 -J IAI_ Ij IS, t 7 jl�� �,l C0 j PJ )7 1 Zk 3ITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 1 wr S b�'� e? APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTAI 1 Fn nN FACH FI MR Effective On Jan 1, 2000 � �- � a .CQ � RATE TOTAL � �Q i , • • x �• � � � �R ilii.[ i� Old Opening, New Fixture $ 4.00 x �® $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 .and repr and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 HUDRLIK, RICHARD 5502 REGIS TRAIL NORTHEAST / 20pj Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 (763)574-0022 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas'* $10.00 Building Used As AS6ID40J Cel Gas Range*" Gas Dryer** $10.00 $10.00 oa lox– Estimated Cost PERMIT NO. 0 Back Flow Preventer Required ( )Yes () No ,tte� Type $15.00 PLUMBING COMPANY 0&�'}t4M / 2.,t)AJ4 C PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ 54NIF 4"S &431-512— St 31- 12—New New.Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 .and repr and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 HUDRLIK, RICHARD 5502 REGIS TRAIL NORTHEAST / 20pj Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 (763)574-0022 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas'* $10.00 Building Used As AS6ID40J Cel Gas Range*" Gas Dryer** $10.00 $10.00 oa lox– Estimated Cost PERMIT NO. 0 Back Flow Preventer Required ( )Yes () No ,tte� Type $15.00 PLUMBING COMPANY 0&�'}t4M / 2.,t)AJ4 C Reinspection Fee $47.00/Hr SIGNED BY. TEL NO.%04_'�aTj ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance W �Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE IF ANY PLUMBIN [IT IS $20.00 TOTAL FEE $M.510 PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (} No ( ) The venting; system is plastic/PVC and meets all current codes and manufacturer spec cations :including sizing, length, number of elbows and termination. Yes ( ).No(. ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When Installina a new venting system, 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 Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance.;has been -removed from the common vent and vented separately as`percurrent codes. Yes( ) No ( Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat' Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO. Signed By: Date: I C[iYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 February 21, 2003 Mr. Richard Hudrlik 5502 Regis Trail NE Fridley, MN 55432 Re: Final Inspection at 5502 Regis Trail NE Contractor: Norblom Plumbing Co Dear Mr. Hudrlik: A plumbing permit was issued on July 31, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building BUILDING Permit No.: I i Inspections RESIDENTIAL APPLICATION Received By: M q k 763-572-3604 CITY OF FRIDLEY Date : PST 7 200 DATE �r YOUR E-MAIL ADDRESS SITE ADDRESS jd� ®® THIS APPLICANT IS: ❑ WNER RdOCTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: ! CITY STATE "i1P. 4,-- PHONE: �13 ",%Aa�- CONTRACTOR NAME: STATE LICENSE # EXP DATE D SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: Q �"` Ik 161 ITY & Q ®!t STATE ZIP WITH APPLICATION PHONE 91 115- l & FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE -.-TA SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 3to WHOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 11 ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: 11 DETACHED GARAGE 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. &PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. 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 19,7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �( S-- c OCCUPANCY TYPE remit Fee $ t See Back Page for Fee Schedule Review $ 65% of Building Permit Fee Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due .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 PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re uires review and approval of plans. g SIGNATURE OF APPLICANT PRINT NAME_ f i� _'�� ✓% DATE