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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3631 Date: ..�w ......�. �.. ....... Owner....................................... Builder A.- ............................ . Address...................................... Address ............................................. LOCATION BUILDING No. � txz .. ... Street ...If//.'. crf .. ....... Part of Lot ... ............... Lot ....Y...... Block ....E ............. Addition or Sub -Division ..�.��.. .... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ............... ........... DESCRIPTION OF BUILDING Tom;.%Uused: . .. .... ..... Front �?epth Q7�... Height /ft? Sq. Ft. / .... ........ ea Front a- 10.`V Depth XQ o Height F c�' Sq. Ft. 4 p.. Cw F�.�. `� 0.0 Type otruciion ............ Il>st. COZ16�1.®..iW ..... To be Completed .................... In consideration of the issuance to me of a permit to construct the building desribed 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. Y 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, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked, at any time upon violation of any of the provisions of said ordinances. /' .', ....... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. • . . A APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA I L; t' C' Owners Name Builder �, G!, • _�___..� Address Address LOCATION OF BUILDING No. Street _.Part of Lot Lot Block 1 Addition or Sub. Div. Comer.Lot Inside Lot Set Back Applicant attach to this form Certificate of Survey of Lot and proposed building.location. DESCRIPTION OF BUILDING To be used, as < �� Front _.19 i *..�._._ Depth Height 8 - 0 Sq. Ft. 1 a YL -41-w. Ft. Front 0-0 Depth Height e � Sq. Ft, Cu. Ft. .,......_.,. Type of Construction Estimated' Cost To be completed The undersigned hereby makes application for a permit for the work herein spepified, agreeing`to do all work in'strict accordance with.the City Ordiriande*s and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and oorroct. Date J 2 - Signature r�..a . + , &,X4. 01 .,. (A Schedule of Fee Costs can be found on the Reverse Side) .- MINDERFNGINEER.INCi CO.-gINCe ENGINEERS AND SURVEYORS LAND 'SURVEYING CIVIL & MUNICIPAL ENOINEERINO 6418-SGTN AVENUE N. MINNEAPOLIS 77, MINN. KE 7- SG3T IC 2 gpitn f $ cs �'i tt 410IF !i IN �"►�c `' ': O W f -/Q rsf,�y d Co . Z'114 SOILS TESTING LANO PLANNING Sc ale : / 6 0 e� Qj Iron • � . olV1 6 1- fr'o c o4 A 7—A WE HERE15Y CERTIFY THAT THIS 15 A TRUE AND CORRECT REPR•E5ENTATION OF A SURVEY OF T BOUNDARIES OF THE LAND ABOVE DESCRIBED AND. OF THE LOCATION OF ALL BUILDINGS, IF PAY, THEREON, AND LE ENCROACHMENTS, IF ANY, FROM OR ON sAly LANA. pE(Z ENGINEERING CO., INC. DATED TRIS DI+Y OF `�"� A•O.195 EN31NlEd9—$j ANO 5URVEYORS 6i s City of Fridley t Applicati®n far Plwnbing and Gas Pitting Permit Dept of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK / � '� Number, Kind and Location of Fixtures Location " PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ , O d Future Fixture Opening ................ O Z Z fUj�m O= x 1.00 N Catch Basin ............................ WATER HTR. $ Water Heater (Up to 200,000 BTU) ...... 1 / iii $-- F N 3� c� u� OG aT a3 �� p F N GAS ELEG rn Gas Range to 200,000 BTU .............. x 2.00 $ Rase 1st 2nd 3rd 4th Future Connection Openings Connected with New Fixture, Old Openings Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ , O d 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) ...... 1 / x - 2.00 $-- New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 272 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................................... TOTAL mm $ I 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 truce and correct. Fridley, Minn. 2- Owner Kind of Building 19— Used asm To be completed about ` Estimated Cost, $ G Old a uilding Permit No " fl –e At Business No . 'o s z AV ?'3 F, 2, Connection Permit No . ....................................................... Water Sewer 11 IM -8-58 Meter Deposit City of Fridley, Minn. BUH DING PERMIT Date: _ May 7, 1970 Owner: Howard Grivaa Builder The Pool Center Adams 261 Rice Creek Terrace Address 7701 E. River Road LOCATION OF BUILDING No. 261 Street Rice Creek Terrace — Part of Lot Lot ._._ 4 --- Block 1 Addition or Sub -Division Rice Creek Plaza So. Corner Lot w Inside Lot _ _ X Setback _ _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Swimming Pool Front ___ Depth Height Sq. Ft. 512 Cu, Ft. M N10639 Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction Swimming P001 Est Cost $3, 000. _ To be Completed May 30, 1970 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 abovesit forth alhd in cojnpWce with all provisions of ordinances of the city of Fridley. I � j JJ l O In consideration of the payment of a fee of $18.00 , permit is hereby granted to The Pool Center - to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and, moving of buil ' within the city limits and this permit may be revoked at any time upon violation of any of the provisions of se$d ordinances Building Inspector HANK MOHTCH NOTICE: This permit dose not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be are to as the Building inspector for separate permits for these items. May 7, 1970 City of Fridley Bldg, Inspection Division This is to certify that we will install a four -foot high fence with a self -latching gate around the swimming pool being installed on our property loo- ated at 261 Rice Creep Terrace. MEMO TO: Building Inspector MEMO FROM: Harvey J. McPhee MEMO DATE: May 7, 1970 RE: Plan Review of Pool for 4815 Rice Creek Terrace The plan will be approved subject to the following comments: 1.. The owner of the property shall provide a signed letter that a minimum of a four foot fence with a self -latching gate will be provided if yard not already so fenced. 2. No vacuum line shall be located within 30 ft. of a sewer line. 3. Any overhead electric lines should be at least 15-20 ft. from the pool. 4. Provide low voltage lighting if a light is provided. 5. Provide proper and adequate electric grounding of all electric apparatus. 6. Safety ledges within the pool are poor but will be accepted. 7. A four foot deck shall be provided around the pool. 8. Provide a main drain from the deep end. 9. Two inlets from the filter should be provided for this pool. 10. The turn -over shall be at least once every 12 hours. I would recommend that it approach 8-9 hours. 11. The skimmer shall be flush with the interior surface of the pool. 12. A fill pipe with the inlet six inches above the.edge of the pool or a vacuum breaker (permanent) on the hose bibb shall be provided. The fill spout, if used, shall be located to avoid accidents. 13. All equipment shall be N.S.F. approved. A.complete plan with pool details and a legend of specifications should be provided with each pooi. This is too difficult to try to review. HARVEY J, MCPHEE Public Health Sanitarian HJM/cc APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER I S . NAME:Iq lei aLa,4--BUILDER:�l Tp ADDRESS :�� /�(�� Q P / ADDRESS : / NO:. STREET: LOT BLOCK: ADDITION:_ CORNER LOT: INSIDE LOT: --SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Sum of Lot and proposed building location drawn on theee Certificates. DESCRIPTION OF BUILDING To Be Used As: I n)'nl Front Depth: P Height 6 C Square Feet:- � � Cubic Feet Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction _,i_Estimated Cost: -$ To Be Completed: 6 11,6 undersigned hereby makes application for a permit for the work herein specified, agreeing'to do all work in sttict 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: (See Reverse Side For Additional Information..,) PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Ti, Future Fixture Opening x $1.50 New Fixture Old Opening x $1.50 $ Catch Basin x $3,25 $ Water Heater (Up to 99,000 BTU) .. x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water Beater x $2.00 $, GAS FITTING FEES: WATER H". 1st 3 Fixtures ....... ... ...... .. x $200 ; e3 —x$.75 $ Gas Range to 199,000 BTU ............. _ x $5.00 $ 3 o iso t�3 t9 d t90 R M GAS ELEC. Base lot -- — 2nd 2nd 3rd — — - 4th Future Connection Openings Connected with 'k NOW Fixture. Old Openings I Sealer ❑ Cesspool ❑ PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $200 $ Future Fixture Opening x $1.50 New Fixture Old Opening x $1.50 $ Catch Basin x $3,25 $ Water Heater (Up to 99,000 BTU) .. x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water Beater x $2.00 $, GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... ... ...... .. x $200 ; Additional Fixtures ..... .............. —x$.75 $ Gas Range to 199,000 BTU ............. _ x $5.00 $ AIRS & ALTERATIONS—Refer to Code Description ............................. TOTAL FRE 8 , 61 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 - Owner Kind of Used as To be completed about^� Estimated Cost, $194r nL�— Old—New. Building Permit No.— _. Permit�To. `513,_ Signed By- - —° •l Business Phone ROU0 FINAL /rJ / 2 -7/ iAA17 LE ®�C9/�1� T IS A . 5131 Original Permit t®r PLUMBING AND GAS FITTMG O N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $ DESCRIPTION OF WORK Number, Rind and Location of F=tui res City of Fridley StoriesN O rA Z In 0 toW }} 2 5 3 O z U Z Z 6 or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date inspector. Final Inspection Date 42 IM—&49-d inspector. Location rl& / &� t %I- 9 „[a IL -A). . Kind of Building_. ✓�--� Used as To be Completed —�� ,19"20 Estimated Cost $ 0.00 Old- ew. Building Permit No. Inspector of Buildings. U .J z to Z WATER HTR. OAS ELEC. Q J U 2 7 6? m i- Q M 2 a R to F M O S O W (p J 9 LL p QQ 4 U m 6 0 r J i LL O C a a t9 K Basement ist 2nd t—A-� pt 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings. Permission is hereby granted to do the plumbing and gas fitting in the building described i tUe statement hereto attached, u n the express condition that the person to whom this permit is granted, and his agents, employees an workmen. in the nlumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date inspector. Final Inspection Date 42 IM—&49-d inspector. Location rl& / &� t %I- 9 „[a IL -A). . Kind of Building_. ✓�--� Used as To be Completed —�� ,19"20 Estimated Cost $ 0.00 Old- ew. Building Permit No. Inspector of Buildings. AmIkatim for Power Pkmft and H ng, Ventilations Roftigeration and Air Co Ing System and Devices PARTIAL RATE SCHEDULE tet• of Hide. Phone W -UM GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations—up to $300.00 Repairs & Alterations each add. $800.00 MECJL WARM AIB RATIC TOTAL ........... ..$10.00 $ 6.00 6.00 $ 3.00 $___ Furnace Shell & Duct Work to 120,000 BTU ........ $10.00 $.— each add. 60,000 BM ..................1. .. 3.00 ; Replacement of Furnace .... 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... 3.00 $ 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 $ — over 3 gal. per hour—See Fee Schedule OAS B (up to 1W.000 BTtT) over 199,000 RM See F ail® GAS FITTING NO RATE TOTAL 1st 3 Fixtures x$ 7.00 $ Additional Fixtures x .75 $ Gas Range to 199. x$ 500 $ FINAL, ,5-k / b - 2,5 ® A Fee sc TOTAL n City of Ridley: The undersigned hereby makes application for a permit for the work hereir 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 facts and representations stated in this application are true and correct. �/- Fridley, Mann_ �A/ 19 Owner Kind of Building — c Used as To be completed about Estimated Cost, Old—New. Building Permit No. Permit BU — TradeNames Size loco Capaclty Sq. Ft. ED.R BTU (REMARKS—OVER) s ft suerECT City of Fridley 69 eT� AT THE TOP OF THE TWINS BUILDING DERA AITt ' �j r'v 11 1 96______ COMMUNITY DEVELOPMENT DIV. r PR I SEC. i A ; r��,', CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY -_-• L d\ 612-571-3450 910415 9/18/98 JOB ADDRESS 261 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Rice Creek Plaza, So. Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Schoneman 55432 571-4632 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner. 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 ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (26SQ) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 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 $2,228.00 $1.11 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 TOT FEE 1___\ / 1 $78.09 S NATO E OF C T AybR OR AUTHORIZED AGENT (DATEi EN RO VA I D THIS IS R M—.GNA VOG -NSOF- ViT DATE TU NER IF OWNER BUIL ER DAT-I ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/98 SGhUat-7olc'-� Tel. # -S%/ MN LICENSE # 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 DECD AREA: Len OTHER: YS Construction Type: Driveway Curb Cut Width Needed: DATE: w - % DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground Ft. + 6 Ft = Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $�� (Fee Schedule on Back) Ft x $ = $ APPLICAN ArA — Tel. # 6-2 C c-1432- CITY -143L STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 2- �2-3 .001 of Permit Valuation (1/10th%) State Surcharge $ / l/ $.50/$1,000 Valuation SAC Charge $ $1000 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 - $ l STIPULATIONS: 3��'- 'ITYOF FRIDLEY INSPECTION DIMSION Effective Janua-ry i, 2003 K31 University Ave NE 'ridley, MN 55432 APPLICATION FOR 00WER PLANTS AND HEATING, COOLING. VENTILATION, 763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES AX (763) 571-1287 Y SCHt?D E JOB ADDRESSCIL OWNER– esidentia I ate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace$ BUILDING USED AS_.—t 30.00 $_____` (Side Vent - Fill Out Back) Sas Piping (Needed ESTIMATED COST PERMIT NO- � d with new furnace, $10.00 $ but not replacement);rZ¢ Cs- Sas Range BURNER ((``DESCRIPTION OF FURNACE AND OR R � r� kCcC.L $ 10.00 $ �i Sas Dryer $ 10.00 $�_ No, of Heating nits Circle One (Steam) (Ho ter) (warm Air) Trade Name �� Lo(O G--; � Size No. LN 'kir Conditioning - All SizesBTU $ 25.t)0 $ HP EDR Fuel 'total Connected Load 4I1 Others/Repairs & Alterations (LIST ON BACK) 1% Of Value of Appliance or Work Burner Trade Name Size No. BTU HP EDR omni ercia I/Industrial •25% of Value of Appliance or Work $ The undersigned hereby makes application fora permit for the work herein State Surcharge $ 50 specified agreeing to do all work in strict accordance with the City Codes ar rulings of the Building Division. and hereby declares that the facts TOTAL FEE $ all and representations stated In thi, application are true and correct. DATE 3 NIIYIU ALFEE FOR AG/ fim ImG/VEIIITIL/17tOH! FRIGERATION/AII11CQIyDITIONJf(,1 `uF"& a &Home HEATING CO umae„ PERMIT 1S S2y DO US THE 5.50 STATE SU�iCHARGE - Aire., MN-Sbaa Signe TEL # OSIM33.2M INSPECTION FEE $47.00/Hr FAX # r Conditioners can not be placed in a side yard without tten permission from adjoining property owner. Approved Rough-in Date' Final Date _ � /� /b3 �` �, - FILL OUT BACK SIDE FOR STACK VER IFICATIOI�ON REPLACEMENT FURNACE 3 N 0 0 0 0 ..o 0 CL CL 3uilding) �� BUILDING Permit No.: inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: )ATE IZ 2Z - e* YOUR E-MAIL ADDRESS ;ITE ADDRESS % I ` 1 �i ei GY HIS APPLICANT IS: ❑ OWNER NTRACTOR PROPERTY OWNER/ NAME: Pr4--r o i IC- fit' ADDREsIs.: zu 1 f��p TENANT PHONE: " L �2 �l -15r-11 — CONTRACTOR NAME: t5ya 6'r STATE LICENSE # S EXP DATE � ,6 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: �f�l`� /'. Cc, LLet- lwe - 5 . CITY &kJ/LT" _ STATE SS / WITH APPLICATION PHONE q 7- 1 0 FAX PROPERTY TYPE .GLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED WINDOWS 13BASEMENT FINISH 13ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: eWWVC- I SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS Yes ❑No LOC ON OF WINDOWS via 3. Energy Calculations OR FOR NEW OPEN.GS DESCRIBE SIZE OF .'13 -I— OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED Stere` 04-0-$ • NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATE : (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $_ f 0'5 . ®t' 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 $ (In t $ 9:0 $ S`DO $ 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) $1550 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 savable 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 pe 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 i h requs view and approval of plans. SIGNATURE OF APPLICANff �K � /LLd%J�DATE /1---2 12e Building MECHANICAL Permit No.: g4)1PL0q Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRWLEY Da 763-502-4977 FAX EFFECTIVE 1-1-08 DATE O YOUR E-/MAIL ADDRESS ^ SITE ADDRESS C r 4y THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ Nom: ' %Z ITY ,I ft I STATE�IP� TENANT ADDRESS: PHONE:`r/ A � — � 7 q " ® O CONTRACTOR COMPANY NAME:Ph ` JLCndo NOTE: SEPARATE CITY ..� CONTACT PERSON: LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS AND HVAC. / ADDRESS: G q D r/u/ w— CITY STATE ZIP SUBMIT COPY OF BOND PHONE FAX AND INSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) h �,/Ipp//� SIZE/BTU Q ! OBD Equipment Installed MFG: MODEL: IM& O MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _A/C _FII2EPLACE _AIR TO AIR EXCHANGEER $15 _FI REPLACE (WOOD) $35.00 ,(NEW GAS GRILL $10.00 $35.00 FURNACE $35.00 UNIT HTR $10.00 _BOILER _GAS LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _CHIMNEY _GAS WORK $10 00 _GAS PIPING $10.00 VENTILATOR $15.00 _DUCT ` RtJPE � 0 7JE ;"i O. IwR WOO Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ _ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $',j4&� State Surcharge = $ 50 MINIMUM $15.50 MINIMUM $15.50 Total = $ St THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I ac 1 ge 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 M' es to 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 or cc with the a Ian in the case of all work which requires review and approval of plans. 16ATE ZI 11g1 SIGNATURE OF APPLICANT PRINT NAME APPROVED BY DATE AE SI ATf T1 'SEP - E ARk RE UIRED FOP, UILDIN S"ELE�_ -: 1'di 11 ; VORi City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977