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PRE 2010 DOCSCity of Fridley, Minn. 6431 University Ave. N.E., Minneapolis, Minn 555432 BU"ING PE . A owner: - Bert Wilne Builder. - S. E. Temnlin Construction Address _ - 461 - 67t -h Avenue _NAL _ Address 6184 Stinson Boulevard LOCATION OF BUILDING No. _?11»....Street_ Rice Creek Terrace N.E. Part of Lot Lot ___ 9 __ _ Block ___ 1 _-____._ Addition or Sub-Division,.._Rice Creek Plaza South Addn. Corner Lot _.__.._..__.._ __ Inside Lot —_.X Setback 15 1 Sideyard 101 & 106 $Jj9 ijElevation ______....$33. 59 _ _ Pj)t6> 464cati/]WsfQnl -—M -09L. (Approx.) , Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 50' Depth 26' . Height 13/4 Sq. F, 1600 CU. Ft. Tuck Under Garage--- Front —2 1 Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost $2.$„402. To be Completed Aug. 1972 - Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. WATER LOCATION: 10' S.W. of Sewer Service SEWER LOCATION: 96' N.E. of Manhole In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. k described above, I agree to do oplianpe7` all provisions of In consideration of the payment of a fee of $-59...Q0______, permit is hereby granted to S. E. Temgl in to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas boating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. ae. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME: BUILDER. - ADDRESS: -i�� 6,.��°`a �' ADDRESS: NO • . ';�[/ i STREET: a LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT:/ ----SETBACK: L SIDEYARD-'zQ -'+ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Be Used As: 1 Front: Depth: Height: r Square Feet: 0 Cubic Feet• Front • Dep'th • ht Hei ` g Square Feet; Cubic Feet: Type of Construction: _ r-- Estimated Cost:$ a� -0-5.0o To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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: SIGNATURE • '� `a— (See everse Side For Additional Information.) qe Gaa. f CITY OF FRIDLEY RICE CREEK PLAZA SOUTH BERT WILM 461 - 67TH AVENUE, N.E. FRIDLEY, MINNESOTA 55432 dE� GR 5� ,moi tp o� % , 2 -o cr / 7►LM AsSU/•IE EL6' VIQTION Os'/dO.D �°�'�$ � � � r/ � . A7 00-0/NT W/ O DEuorss /.ecu f%oevurn�,ur -2 DRSCRIPTION: Lot 9, Block 1, Rice Creek Plaza South, Fridley, Minnesota. I hereby certify that this survey was made under my direct supervision and that I am' a duly authorized Registered Land Surveyor under the laws of the State of Minnesota. William S. Loye, R.L.S. Minn. Reg. No. 6787 'ihea. ; May 1. 1972 r p AO C -37 0 Cow v Furnace Shell & Duct work to 100,000 BTU each add. 50,000 BTU *R=places e. t of Furnace Re:airs & Alterations -up to $500.00 repairs & Alterations each add. $500,00 STEAM OR HOT S,-'ATER 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 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 $ -7'e- 4,00 $ Fridley, Minn. OWNER pert Tli lm $12.00 4.00 CITY 04 FRIDLEY 7. PP $ fi•RA APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY S1AIM AIR: RAT& TOTAL Job Address 211 Rice Creek. Terrace Furnace Shell & Duct work * $17,00 $ R.e?lace .ant of Furnace 7,00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Bi4ti Ings Repairs & Alterations each add. $500,00 4.00 $ City of Fridley Tel. #x571-3450 24ECHANICAL WARM AIR: Furnace Shell & Duct work to 100,000 BTU each add. 50,000 BTU *R=places e. t of Furnace Re:airs & Alterations -up to $500.00 repairs & Alterations each add. $500,00 STEAM OR HOT S,-'ATER 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 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 $ -7'e- 4,00 $ Fridley, Minn. OWNER pert Tli lm $12.00 4.00 $ 7. PP $ fi•RA }A•qA s GAS BURNER- from 100,000 BTU to 3.g9,gq$ RTR S}P.•qq $, {over 199,999 BTU see Fee S.T%eq!4;Fj S GAS FITTING FEES: 1st 3 Fixtures x $ A:qA $ A33itional Fixtures It S I:qA S Gas Range to 199,q BTU x g10;00 Lennox AIR CON°DITIONING HS9-411 3 ton � ��•�� FAX HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS 4 REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INS?. REINSPECTION FEE Date ($10.00) FINAL IINS?. Date APPRO-VAL FOR PM4IT , YZ%L`-;m FEE FOR My HEATING PERMT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form PNP OF BUILDING Frame PEP pS Dwg . TP PE PQNP;LETP 4�QTIT FsT}??PR cgsT QED - �W �NT��{'T� �'FF•"?�T NQ. P�R'd�T N0. � e.L OFSORT?TTOIj OF FPF_jACE/FURnR A T�HG Ri FONF $ T�TSr $kP4Mq #TRS P141:ert Wads} Air- No. Trade Name Size No. capacity Sq. Ft. FDR BTU HP Total Connected Load 33,851 Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Mill City Heating Co. Signed By r�-y Tel. No. 559-&0 0 COOLING LOAD SHEET DEPARTMENT OF INSPECTIONS - 220 GRAIN EXCHANGE MINNEAPOLIS. MINNESbTA 55415 • i Job Name . ( � Address �4I ! ( B� fx a ►+ Room: Width Length Height Time: A. M. M Design Conditions: Outside: Dry Bulb ; Wet Bulb Inside: Dry Bulb Wet Bulb Wall Color: Dark ❑; Light ❑; Medium Y. Roof: DarkA Light ❑; Medium ❑. Windows: Shades Awnings ❑; Bare ❑. - NO. - ITEM DIMENSIONS AREA SO. FT. K D SENSIBLE HEAT LATENT HEAT 1. CONDUCTION HEAT GAINS Exterior wall, gross s• •• s•ss •••• 2. Exterior glass q 7 3 Exterior wall, net 4. Partitions, net 5. Floor 6. Ceiling or roof o 7. EXCESS SOLAR GAINS WALLS (direction faced) g g 8. ssss 9. ssss 10. Roof 4 •tii 11. GLASS (direction faced) A, 01 .3 ssss 12. c.� e �B ss•• 13. 14. Skylights ssss 15. BODY HEAT GAINS Sensible No. of people x 225 16. Latent (quiet) No. of people x 175 0 17. Latent (active) No. of people x 450 18. EQUIPMENT HEAT GAINS Electric lights Watts x 3.4 , d •«•• 19. Electric motors (total H.PJ. x 2545 x Power Factor 20. Other electrical equipment � i - o, 21. Gas burning equipment C. F. H x 1000 22. Miscellaneous heat gains -S 3 n ®x (T 01? 23. Miscellaneous heat gains 24. TOTAL HEAT GAIN (SENSIBLE) u 25. TOTAL HEAT , GAIN ( LATENT) "" 26. Sensible heat ratio= Item 24 x 100 = x 100 = % Item 24 + Item 25 27. Temperature of air supply Dry bulb, Wet bulb 28. Total air supply=Item 24 1.1. [room d.b. - Item 21 d.b.] HEAT LOAD OF VENTILATING AIR 29. No. of people x C.F.M. per person= C.F.M. Outside Air. 30. Item 29 x B.T.U. oer C.F.M.= P.T.U. per hour 31. Total cooline load = Item 24 + Item 25 + Item B.T.U. hour Item 31 Tons 32. Tonnage equivalent of cooling load= 12000 12000 A I 1 9ca0 - fair Power Plants OW Hsahlff% C4ang. Yantilatiae. Rs iStratioe and Air Conditioning Stens and Dsrvicas PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 ; Replacement of Furnace .... 6.00 : Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 S.04___ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTT ........ ..$10.00 $ / _ O each add. 60,000 RM .................... .. 3.00 i Replacement of Furnace ... &00 Repairs & Alterations,—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &W $ STEAM or HOT WAFER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 $_-- - Each add. 320 sq. ft. EDR Piot Water 3.00 $ OIL BURNER—to 3 gal, per hour 6,00 $ over 3 gal. per hour—See Fee Schedule OAS BUR=R (up to M,000 BTU) &00 over 199,000 BTU See Fee schedule GAS FITTING NO RAPE TOTAL 1st 3 Fixtures .. ... x$ 100 $ d Additional Fixtures x .75 $ Gas Range to 109,000 x$ 500 $ AIR C01WM0NMQ FAN HEATING ZY87M Sm Fes schadwo VENTILATING SYS $ ALTERATIONS & REPAIRS TOTAL ROU00 I�i ISURCF�ARGE $_,,502 FINAL fes' �d`-' • :'1 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 ar true and correct. Fr ey, c 18 2ezj Owner n4 Kind of Building Used as _ ___ ._ To be completed about Estimated Cost, +� 01 New. Building Permit No. Permit No. d l77NG or POWER Not Water,aria Air No Trade Name size No_ Capacity . Ft. E.D.R BTU X.P. Total Connected Load Kind of Pine r BUR — Trade Nam@ size No Capacity Sq. flet. Emit BTS Mr. (REMARKS -OYER) � Power and smg, re�'tati0®s Re�e�tio® and 7 r Air CON010ning s and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: BATE TOTAL Furnace Shell & Duct Work .. $10.00 $ Replacement of Furnace 600 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $—___ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ... .. ..$10.00 $L— each add. 60,000 BTU .................... .. 3.00 ; Replacement of Furnace .. .... too $ Repairs & Alterations—up to $500.00 &00 $ Repairs & Alterations each add. $500.00 .... &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal, per hour 6.00 5 _ over 3 gal. per hour—See Fee Schedule GAS BUR (up to ,000 BTU) &00 over 199,000 BTU see Fee Schedule GAS FITTING 140 RATE TOTAL/ 1st 3 Fixtures .. . x$ 200 $ Additional Fixtures x .75 $ Gas Range to 199,000 x$ 5.00 $ — AIR CONDITIONING TAX HEATING SYSTZN VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL `% - 2 y a_ Sea F � $ TOTALpEEa 1 i G o Dept. of Bldge. Phoebe 580-3480 211 Rice Creek Terrace 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 ce: 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. 11Qinn_ Owner �XXX#OeXXXXONK Sam Templin Kind of Building Frame Used as --- - - 9 • - To be completed about Estimated Cost, Old--NewX Building Permit No, Permit No. HEATING or POWER team, Hot Water, Warm AW No__]L_ Trade Name__ gar Siwe No GS 1 1' 0 — 2 B Capacity sq. rL F,D,g 125, 000 BTU Hy Total Connected Load- 72,600 Kind of Fuel Nat . Gas BURNER — Trade xame size No capadty Sq. Ft. E.D.R BTG Zp. (SURCHARGE `s® (REMARKS -OYER) siR M.11 Cit y Heating Co, By Business phone xo 544-1501 -- - I Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. rackage and Area Tot4tu. A ILM.�U'p i ws and 1:i. G, and Area I Infiltration Cjm Esp. wall Net exp. wall ME MAT LOSS 6ALCULATIONS DEPAR NT OF INSPECTION Weatherstrips,Guide L. Construction No. V Imulation WindowsDoors J Reference Out. Wall Int. Wall I Ceding I Roof -1 Floor Kind Kind How ApplirJ---� 19— I /9"oom I Length;(/ Width- glmhj I engJ ::--Wight idth He IV - Windows and Pdors—Crackage and Area Windows an"oors--Crackage and Area Width of p Nc,. :Vldth H No. f r pane at ane No. of Ushots Line& IL Area 0. of C a -Ate -- - I Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. rackage and Area Tot4tu. A ILM.�U'p i ws and 1:i. G, and Area I Infiltration Cjm Esp. wall Net exp. wall ME WAWIA ►/ Windows Doors Reference out. Wall I Int. Wall I Ceiling Roof I Floor 11. Kind How Applia Infiltration Glass Exp. wall Net exp. wall Int. wall I'A ffm I I MA ��, � mj sq. ft. E.D.R. or sq. ins. W.A. Leader F1.1 Room I Length Width r Windows and Doors---Crackage and Area Width Helght No. of Lineal ft. Area Ida. of Dane of Dane llghis of crack sq. ft. Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. R sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. hm. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area No. / ass Glass Gl Exp. wall Net exp. wall Infiltration Glass Int. wall Net exp. wall _ Int. wall Ceilinc=�-! Total Btu. _ Required sq. ft. E.D.I. or sq. ins. W.A. Leader area Floor Windows and Doors—Crackage and Area Total Btu. Width No. of pane Jftuigm)-sq. ft .D.R. or sq. ms. W.A. ad ', �jfeXm I Length Win ws an rs B Crackage and Area Width Height No. of Lineal tt. NO. Of= r.. IiBhts Of CPBCk e Infiltration Glass Exp. wall Net exp. wall Int. wall I'A ffm I I MA ��, � mj sq. ft. E.D.R. or sq. ins. W.A. Leader F1.1 Room I Length Width r Windows and Doors---Crackage and Area Width Helght No. of Lineal ft. Area Ida. of Dane of Dane llghis of crack sq. ft. Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. R sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. hm. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane llghto of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall _ Int. wall Ceiling Floor Total Btu. _ Required sq. ft. E.D.I. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width No. of pane Height No. of Lineal ft. Area of pane lights of crack eq. ft. – Coes. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Requind q, ft. LDA w ajo im L &r area silty Of Fridley Applicaffm for Numbbig Mld G= 111100" Pam* Dept. of Bldgs. Phone 960-3490 - DESCRIPTION and and L Oti WORE Number, kind ®cation of Fixtures Location rp V 1y sg < Q�j 7 e e WATER W". P N GAS ELIC. 2nd 3rd 4th -Future connection Openings Connected with * New Fixtum. Old Openings Sower l Q PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL t�� Number Fixtures ................ ..L—. x $200 $'--Plf�' SLS Future Fixture Opening ............ x $1.50 $-1 New Fixture Old Opening.. . o ...... . x $1.50 $ City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated In this application are true and correct Fridley, Owner J Find of Building Used as To be completed abouty —17-Y-&1&Aj 9� 21 O Estimated Cost, $ Old ew. Building Permit No. Permit N By l/,i�i4�/t �� ✓/Yi?�dr- r��alJ Business Phone No Catch Basin ..................... x $3.25 $ Water Heater (Up to 99.000 BTU) .... x $300 $ j as New Ground Rua Old Bldg......... x$3.25 $ ROUGH Electric Water Heater .............. z $2.00 $ iIFTAL GAS FITTING FEE$: NO. RATE TOTAL 1st 3 Fixtures .................. x $2.00 $ -2 20- Additional 0 Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........................ ...:....... .... — . S TOTAL FEE $�' SUBJECT PER City ®f Fridley _ 20796 AT THE TOP OF THE TWINS BUILDING PERMIT r? IPT NO. L'___-_ COMMUNITY DEVELOPMENT DIV. e, � ! OWN �.CL_ PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY ----1 � CITY HALL FRIDLEY 55432 �----A-If I.J 612-571-3450 910-F15 4J30J91 , � JOB ADDRESS 211 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Rice Creek Plaza South. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Agnes Wilm 211 Rice Creek Terrace NE 571-2145 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Ave NE, Fridley 55432 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (19 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be. 2nd layer but not 3rd, 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 $988 $150 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- i$$25.00 Fire SC $.99 STRUCTI R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $26.49 SIGNATURE OF CONTRALTOITOR AUTHORIZED AGENT ID TEI WHE ED THIS IS YOI PERMIT BLDG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER$ (DATE$ NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Legal Description: //,,, Owner Name & Address: i7`�// 11141M Tel. Contractor: Tel . # 79% n�3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. L1VIM AREA: length Width Height Sq. Ft. GARAM AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Granud Sq. Ft. OAR: 1P®- <X 1A Aa `0.044" �/.`s%Li r//ar � IAI&,Qe I % Sl Corner lot [ ] Inside Lot [ ] Type of Construction: Approx. Ccupletion Date: Ft. Yd Setback Side Yana Setbacks Estimated Cost: $ Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page 12 DA!IE: 2 APPLICANT:LTel.. # Permit Fee $ J'S -'00 Fine Surcharge $ '99 State Surcharge $ "5-0 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main (urge $ TOTAL $ '� 4 "t/ 9 STIPUTATIMS: CITY USE ONLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ ] - - SuBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 i 6 i / 70� � t COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE NUMBER REV OATS PAGE OF APVROVEO By CITY HALL FRIDLEY 5.5432 'j L 612-571-3450 910415 4/12/99 JOB ADDRESS 211 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 1 Rice Creek Plaza 5outh Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Peter Kovak 211 Rice Creek Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin Cit- Roofing 2301 Woodbridge St STE 202, Roseville, MN 636-9640 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55113 20020943 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE O 8 DESCRIBE WORK Reroof House & Garage 25 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAO VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FY 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 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 $1.36 WITH WHETHER ECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $2,720 DOES NOT P S ME I UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF OTHER ATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.72 STRUCTION OR H ERFO ANCE OF CONSTRUCTION PLAN CHECK FEE OTAL F Lic s $5.00 83.83 5 i- 00FCO OR OR AUTHORIZE0AGE NT MATES W N PR ERL DATEDT IS YOUlif PERMIT 99 _ V 1, e SLOG 14SP oATE S,GNAYURE OF OWNERdF OWNER BUILDER1 JOATEi 1 NEW ADDN ALTER -ConstructionAddre Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 cj( 1-k — - � Owner Name & Address: Pe__jz�e r- Tel. Contractor: e MN LICENSE # 6 e Address: Zr,�l Tel.#5- 436 Attach to this application, a Certificate of Survey of the lot, with the. proposed construction drawn on it to scale. LIVING AREA: Length GARAGE. AREA::. :Length DECK -AREA: Length, OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground _ Sq. Ft. s4 Construction Type:Estimated Cost: C, t;? -e Schedule M Driveway Curb Cut"Width Needed: Ft..+ 6 Ft =_Ft.x $ ; DATE: APPLICANT: Tel.4 CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ ';7 . .001. of Permit Valuation (1110th%) ...State Surcharge $.50/$1,000 Valuation Charge $1050 per SAC Unit License Surcharge z061 $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 -Agreement Necessary e �Sewer�Main,Ch4rge,,-'.!i$; Not Necessary C/7 TOTAL . STIPULATIONS: Ck C5 SUBJECT IT NO. City of Fridley 2370 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ♦V ___- _ - INSPECTION SEC. 6' r � PROTECTIVE NUMBER REv DATE PAGE O: APPROVED BY CITY HALL FRIDLEY 55432 j L 612-571-3450 910415 12/27/01 JOB ADDRESS 211 Rice Creek Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oEscR. 9 1 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peter/Monica Kouach 211 Rice Creek Terrace NE 763-574-9246 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Dr Lino Lakes MLN 55014 651-784-2646 1748 a 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 0 NEW 0 ADDITION 0 ALTERATION ❑ REPAIR 0 MOVE O REMOVE X 8 DESCRIBE WORK Soffit/Fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. 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 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 $3,500 $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 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $97.25. Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F E OTAL FEE Lice e C $ $107.50 SIGNATURE OF CONTRACTOR OR AUTMORIZEO AGENT IDATEI WH P LY V LI ATED THIS IS YOUR P MIT SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI LOG-NSO Dai NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal • •n Owner Name & Address:i LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/99 Tel. MN LICENSE # , f 5 0�L I Tel. # (,j Attach to this application, a Certificate of Survey of the , lot, with the proposed construction drawn on it to scale. DESCRIPTION OF.IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type:,) `t' Estimated Cost: $ 00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 00,L_APPLICANT: Tel. #6 51- 7 N'JW CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $'E0 .001 of Permit Valuation (1/10th%) State Surcharge $ 7 h� $.501$1,000' Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $b DC) $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 $-.,..' o... STIPULATIONS: • .r '11TY OF FRIDLEY INSPECTION D1ViSI0N Effective On January 1, 2000 A31 University Ave NE -ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ona RATE SCHEDULE �r �' � OWNER_ N(� � i- ,f`iL�i(i08 o-yac h- tesidential Rate TOTAL N Furnace Shell and Duct Work, Burner - 30.00 G�GO BUILDING USED AS�,'� Also Replacement Furnace $ $ ESTIMATED COS PERMIT NO (Sick Vent - Fill Out Sack) - Gas Piping (Needed with new furnace, $ 10.00 Gas $ � but not replacement) DIESCRIPTIAN OF FU,,, RNACE AND 22 SURNER Gas Range $ 10.00 No. of Heatin 'units --L— Circle One (Stearn) (Hot Water) arm Air Gas Dryer $ 0.00 $ Trade Name Size No. BTU iZ(JAIa=? HP _ EDR 'Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Dame _.Size No - 1% of Value of Appliance or Work BTU _ HP EDR ;ornmercial/Induistrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all worts in strict accordance with the City Codes an State Surcharge S .50 rulings of the Building Division, and hereby declares that all the facts and _ � representations stated in this application are true and correct. 0 TOTAL FEE DATE RINIM!Jfd FEE FOR ANY-iEAT1i ICOOLING/YENTILA lahl HEATlN I� ll A ION R-CQND17 21-00 SUS THE $.60 STATE SURCHARGE Sign TEL # 1SL(Ab)-- :EINSPECTION FEE $47.00/Hr h Air Conditioners can not be placed in a side yard without Approved By -2L.- Rough -In Date F61 Dat rritten permission from adjoining property owner. FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE N m N ZO ' d -IUMI COMMON VENT VENT CONNECTOR AND CC? BUS l VERIFICATI®N When Y-eplacing an existingfurance the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where rewired. Yes P)'No ( ) The venting system is plastkJPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes f -j'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 -LAMA Category l Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (.,�No { ) The existing co buRpon air is sized and installed to meet the current codes and manufacturer's specifications. Yes vf No ( } When required to install a new coMbuAb:on air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ONo { ) When Installing 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 ACA LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes VJ'No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has beery removed from the common vent and vented separately as per current codes. Yes *15'No ( ) Aonliance °l'yM and Sine/ mmon Vent and Yent Contractor lnfonnation Appliance #1 TypeA Ylc�n 13TU input 2L41M Fan Assisted or Nat Appliance #2 Type STUU Input Faro Assisted or Not Appliance #3 Type STU Input Fan Assisted or Nat Total Appliances Total Btu Input , Common Vent Type Vent Height Diame�er inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height It Length It Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter __ _ _ in Type d LTrE TIONS: Descrltte P��1 ��1(��1 U I )h1 HEATING Signed By: ZO/Z0'd S09858L 01 A31aINA d0 A11O WOJj 8S:ZS 0002-SZ-nON J SUBJECT REffMIT NO. City of Fridley('�l 2 6 7 6" AT THE TOP OF THE TWINS BUILDING PERMIT r • _ COMMUNITY DEVELOPMENT DIV. E PROTECTIVE INSPECTION SEC. 1 ; E 1 CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY ----ilk" ,'J 612-571-3450 910-Ft5 6/10/02 JOB ADDRESS 211 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 9 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peter Kovach 211 Rice Creek Terrace NE 763-574-9246 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Cities Home Improvement 640 Mendelssohn Ave N, Golden Valley, MN 55427 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-591-0332 20076414 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION Ka REPAIR ❑ MOVE 11 ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage. 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ` NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WHETM THE GRANTING $7,190 $3.59 0 HEREIN OR NOT. OF A PERMIT DOES NGTI RESUME EiA'3THORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROjl�IONS OF HER STATE OR LOCAL LAW REGULATING CON- $153.25 Fir SC $7.19 SbAUCTION OR T ERFORMANCE CONS UCTION PLAN CHECK FEE TO L FEE r License $5. $169.03 SIGNATURE OF CON -AA OR OR AUTHORIZED AGENT IOATEI ENROP Y VALID T THIS IS Y UR 004, d - %P�E-RMIT 01— S-GNATURE OF OWNER dF OWNER BUILDER, ,DATE& - V BLD ,NSF' - T,AT J NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: CA -,,4 / ,4,-�� Legal Description: Owner Name & Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Width Hgt/Ground Sq. Ft Construction Type: Estimated Cost: $ r%/ 10, 16 Driveway Curb Cut Width Needed: t = x $ —=$ DATE: 4-10- 6 2 APPLI NT: Tel. # -74 a - Call (763) 572-3604 for Permit l=ees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by'Engineedng Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 169.n3 STIPULATIONS: ;ITY OF FRIDLEY INSPECTION DIV, 431 University Ave NE ridley. MN 55432 763) 572-3604. FAX (763) 571-1287 i Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARKNUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR teinspedon Fee $50.00IHr %> %LL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fbdure or Appliance SIGNED BY $ Approved By r v State Surcharrge $ -50 !, MMMUM FEE FOA TEL No_ .RS RougtMn Date Final Date _- TOTAL FEE s- OF THE IMPROVEMENT WHICHEVER IS GR EATEIt ON WORK LESS THAN $M A n :OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ""PROVIDE COMMON VENT INFO ON BACK SDE 'LUMBING FIXTURE RATES NO. RATE TOTAL JOB ADDRESS few Fixtures $10.00 The undersigned hereby nukes application far a perm6t forth work herein Ad Opening. New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes :eer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts :low Off Basin $10.00 and representations stated in this application are true and correct. :atch Basin $10.00 Cain Water Leader $10.00 DATE: zo ;umplReceiving Tank $10.00 r Vater Treating Appliance _ $35.00 OWNER T�f� 1 Vater Heater -Electric $35.00 Vlater Heater - Gag" $35-00 BIJILDING USED AS A'/%24 Sas Range" $110.00 ;as Dryer— $10.00 _ ESTNATED COST.� � PERMIT NO. lack Flaw Preventer Required { )Yes {) No Type $15.00 PLUMBING teinspedon Fee $50.00IHr %> %LL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fbdure or Appliance SIGNED BY $ Approved By r v State Surcharrge $ -50 !, MMMUM FEE FOA TEL No_ .RS RougtMn Date Final Date _- TOTAL FEE s- OF THE IMPROVEMENT WHICHEVER IS GR EATEIt ON WORK LESS THAN $M A n :OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ""PROVIDE COMMON VENT INFO ON BACK SDE Buil ing BUILDING Permit No. Inspections RESIDENTIAL APPLICATION Received By: �_ 763-572-3604 CITY OF FRIDLEY D 11 G 763-502-4977 FAX EFFECTIVE 1-1-08 e -k DATE YOUR E-MAIL ADDRESS SITE ADDRESS I / OeA SZ r THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: r tri ADDRESS: Zt /2a C�� /L��- CITY ✓% STATE r�"LIP TENANT /Te, PHONE: l Z-- f� NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE k EXP DATE PROPERTY TYPErOCBWASEMENT LE FAMILY/NEW CONSTRUCTION SIZE FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ITION ❑ GARAGE/SHED ❑ WINDOWS FINISH ❑ ROOF ❑ DRAIN TILE K ❑SIDING ❑OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: e -P 1�5c— - fit® SIZE OF IMPROVEMENT LENGTH Z WIDTH HEIGHT %-a SQ FT Y / ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (�S THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 1 e �/ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes- that 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with a pro ed plan in the case of all work which requires review and app val of plans. SIGNATURE OF APPLICANT �' PRINT NAME t � A. DATE / �� APPROVED BY DATE