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PRE 2010 DOCSCity of Fridley, Minn. BUIOLDING PERMIT N° C5021,) Date: --� Z;U4Owner: Builder Address _ _ Address --- LO ATI OF BUILDING No... Street _._ Part j It _ _ r 06 Lot _ _ ._ Block - Addition or Sub-Divisio Corner Lot r __ Inside Lot Setback —6Sideyard _- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To 1 b Used n Depth Height . Sq. Ft...+e._.. Cu. Ft.- F _ Depth Height Sq. Ft. Cu.Ft. 4grecv of Construction Est. Cost � ""� To 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 m compliance with all provisions of ordinances of the city of Fridley. 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, Nnnesota 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 ardinanepa- NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for those items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name' ce m ili� Builder Ar, d Address Cvd kl, Address 36 IV LOCATION OF BUILDING No. -5-Z& Street _A rGr,�✓� Part of Lot Lot /� Block Addition or Subdivision �,, Corner Lot ,Inside Lot Setback Side -Yard /0 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: 4w 01�/ Front W)-' Depth Height Sq. Ft. 10A Cu. Ft. 14 v. / c" C/Front �'� Depth ` Height. Sq. Ft. Cu. Ft. Type of Construction A2, C Estimated Cost / C®O 0'�e 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 andruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. / , v /.6 o (A Schedule of Fee Costs can be found on the Reverse Side.) i �d ' Application for Power Piants and Heating, Cooling, Ventilation, Refrigeration and y Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII7470 "/ . Z2 GRAVITY WARM 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 5.00 $ Repairs & Alterations --up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or BOT 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 TOTAL .Addi1st 3 Fixtures x $1.50 $.— Additional tional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS i R$MARKS: See Fee Schedule $ TOTAL FEE $ 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 true and correct. Fridley, XBnn_ 195— Owner�` 195— Kind of Building Used as To be completed about 195— ®t� Estimated Cost, $ (� 00 ew.-A3uilding Permit No. m'.4 in, I DESCRIPTION OF WORN HEATING ffeb=NgMer, Warm Air—No- Trade Nam Size Nom Capacity. Sq. Ft. E.D. BTU H.P. Total Connected Loa Kind of Fue BURNER. — Trade Nam , Size Capacity Sq. Ft. E.D. Off' 1 - . H. -D" Alp 1001 Xenia Av. S. Minneapolis 16, Minn. Sign By oQW11 POST 1M-12-58 Business Phone qo v HEAT L SS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.uidH.eV.E, Construction No. G Windows I Doors Reference Out. Wall . Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— e Fl J I' :a , a Room l Length S a Widths ' Hei>zht II Y F11175,0,,/V Windows an Doors—Crackage and Area f Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. sem+• v Coef. Btu Infiltration Coef. Btu Infiltration Btu Glass .' •, Glass mp Net exp. wall' 121 . Exp. wall ;, Int. wall - 1 4 - Net exp. wall Int. wall Floor Int. wall Floor Floor Ceiling. :> Floor Floor Total B°tu. ;"Z sWz' . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 ie' Room I Length n Width Height `' Windows and Doors—Crackage and Area v' ^,A f Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq ft. t a ¢� v Coef. Btu Infiltration Infiltration Coef. Btu Glass Glass ' fS, Exp. wall c fir''y z V, Net exp. wall' 121 . Exp. wall Int. wall 1 4 - Ceiling Int. wall Floor Ceiling/ 3 et`f Total Btu. �a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Y FIA °I ., Room I Lenirth Width 'Lf Height `fit Windows and Doors—Crackage and Area v' ^,A �^ Width Height • No. of No. of pane of pane lighta Lineal ft. Area of crack sq. ft. a ¢� v Coef. Btu Infiltration Coef. Btu Infiltration Glass ' fS, Glass z V, Exp. wall <10 121 . Exp. wall Net exp. wall 1 4 - Int. wall Int. wall F Ceiling Ceiling/ 3 et`f Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Windows and 1 width H; No. of pane of µ MINNEAPOLIS. MINN. Insulation Kind How Applied Room Length ;' Width Height ors—Crackage and Area ht Lineal ft. Are lig a e( lights of crack eq ft: ,. Btu Infiltration IV,' Glass Exp. wall. ." Net exp. wall Int. wall Ceiling a' Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '' Fl.la ,�f Room I Lensrth ? �' Width 7" Height Windows and Doors—Crackage and Area �^ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a ¢� Coef. Btu Infiltration -117 177 Glass ' , Glass Exp. wall Vii,. 3I, RN»' 4-0 1 Exp. wall Net exp. wall / ' Int. wall Ceiling/ 3 et`f Floor Ceiling"< :> Total Btu. r r U Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Rmm I L.enath 0 Width ' '"HeisLht Windows and Doors—Crackage and Area Height No. of Lineal ft. Area No. of.pane tights of crack sQ ft. rWidth i., s> Coef. Btu Infiltration 177 3 l'"- ' , Glass 4-0 1 Exp. wall Net exp. wall` Int. wall Ceiling"< :> Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area r- I .1M ,:.s ♦ ;+ - s��' i�P�. `�.. _�� A,e� rcr�� ..a'"4 ... vu '. Ai �"" v f1j!'p: D56 400 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS MINK. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yo Yes—No 19____ 4 IFI $ r ,>' Room l Length . —/' Width I Height r° ` II Fl.l Room I 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. Coef. Btu Coef. Btu Infiltration Btu Infiltration Glass 2 Exp. wall '; Net exp. wall v Int. wall S, Int. wall Ceiling Floor " Total Btu: . Required sq. ft. E.D.R. or sq. ins. W.A.' Leader area Fl.l 0 e &,i, „ ,. Room I Length sr. 1 Width 1P,Height s' " Windows and Doors--Crackage and Area Width Height No. of Lineal t. Area No. of pane of pane lights of cra k Area ft. Width Height No. of •Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall 2 Glass '; a 0%o w Exp. wall 4 AT gw. F Net exp. wall `;, r S, Int. wall Ceiling - " rw Floor Total Btu. Required sq.. ft. E.D.R. or sq. ins. W.A. Leader area I ` 1:1.1 Room I Lenirth Width Height Windows and Doors—Crackage and, Area Width Height No. of Lineal t. Area No. of pane of pane lights of cra k Area 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 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 area F1.1 Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area of cane of pane lights oL crack sq. ft. 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 FI -1 Rmm 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 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 area City of Fridley, Hinm N° 8067 BUILDING PERMIT Date: June 29,65 Owner: Forrest D. Bundy Builder Forrest D. Bundy Address _ 576 Rice Creek Terrace Address Same LOCATION OF BUILDING No. 576 Street Rice Creek Terrace Part of Lot Lot 11 Block 3 Addition or Sub.Division Rice Creek Terrace., Plat 7 Corner Lot 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 Est, Cost __$7s500,00 To be Completed Storm Damage Repair 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 Band ffi comp nce with provisio� o ordinanttzs o the city of Fridley. i In consideration of the payment of a fee of $ permit is hereby granted Forest D's Beet 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, onshaII conform in all respects to the ordinances of Fridley, Minnesota location, itmay be ctio�al t any tirnem maintenance, any of the provisions of :saiand moving of d within the city limits and this ordinances. Allen Jensen Building motor NOTICE: Ub pont don no emw the eendmetion, mon for whdng, Plumbing, ga headn& Iowa or water. Be n to as the Building la "w- for eeperete pwoft for flare kens. s �� OWNER'S ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING �� _ Street Part of Lot -LOT . K ADDITXON, OR SUBDIVISION Corner Lot Inside LOT Setback Side -Yard -SEWER ELEVATION FOUNDATION ELEVATION, . Applicant attach to this form Two Certikicatni of Survey of Lot and proposed building location drawn on these Certificates, To be used as: DESCRIPTION OF BUILDING Front Depth height Sq. Ft. Cu. Ft. Front Depth. Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost___,.._L , p, To be completed She undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in .strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. e of Fee Costs can be found on the Reverse Side). Engineerin Sewer Water Parks Streets Maintenance MEMORANDUM TO: John G. Flora, Public Works Director PW90-380 FROM: Mark A. Winson, Asst. Public Works Director N*J DATE: September 28, 1990 SUBJECT: Drainage Behind 568, 572 and 576 Rice Creek Terrace On Wednesday, September 19, 1990, I met with Mrs. Betty Carlson (568 Rice Creek Terrace), Mr. & Mrs. Pete Pierce (572 Rice Creek Terrace) and Mr. and Mrs. Mark Bechtum (576 Rice Creek Terrace) regarding storm drainage along their rear property lines. There is a six (6) foot drainage and utility easement along the rear property lines as well as the adjoining properties for a total of a twelve (12) foot easement. There is a catch basin in the southwest corner of the Carlson's property, which is the outlet for a storm water in this area. The Pierce Is have had a continuing problem with a low spot at their southwest corner. During most rain storms and spring thaw, water stands in this low area and on a number of occasions, has flooded their storage shed which is approximately twelve (12) feet from the property lines. The ponding is caused by the flat slope through the rear yards of all these properties and that the grade is actually slightly higher in the Carlson's property than the low point at the Pierce's property. The problem is further compounded in that filling the low area to an elevation that would permit drainage would further flatten the slope across the Pierce property which would increase the already existent danger of water backing up into the Bechtum's walkout basement. I presented four (4) alternatives to rectify the ponding problem: 1. Fill low area in Pierce's yard in order for storm water to proceed down to the catch basin. This idea was rejected by Bechtum and Pierce as this would flatten the grade and increase the possibility of water backing up into the Bechtum's walkout which is very low in comparison to the catch basin. Page Two - PW90-380 2. Create a swale across a portion of the Pierce's yard and all of the Carlson I s yard in order to create a direct grade to the catch basin. The average depth of this swale would be 5 to 6 inches with a width of approximately three (3) feet. 3. Install a 6 -inch PVC storm drain in a shallow trench from the low point in the Pierce's yard to the catch basin on the Carlson property. The City would provide and install the pipe in shallow, narrow trench excavated by Pierce and Bechtum. 4. One (1) or more of the parties involved could petition the City to institute an improvement project, the cost of which would probably, but not necessarily, be assessed against the benefitting properties. The pro's and con's of each alternative were discussed. Alternate 1 was generally rejected due to the adverse affect on the Bechtum property. Alternate 2 was initially rejected by Mrs. Carlson due to the effect on her shrubs and lilacs in the easement. Alternate 3 appeared to be a good compromise except there is some question as to the effectiveness of the shallow drain line. I explained that Alternate 3 would drain the low area but would have little effect on the ponding during the spring thaw. Mr. Pierce indicated that if none of the first three (3) alternatives were done, he would be pressing the improvement project alternative. When I left the meeting, Mrs. Carlson was going to discuss the shallow drain pipe alternate with her husband and the engineers where she worked. On Tuesday, September 25, 1990, I met with Mr. & Mrs. Carlson to bring Mr. Carlson up to date on the previous meeting and to answer any questions they had. Based on my discussion with the Carlson Is, it appears that they would possibly go along with the swale alternative. They wanted to take some time to consider their stance on this problem. It should be noted that throughout the discussions, it was mentioned many times that the catch basin in the Carlson's back yard and in Rice Creek Terrace backup during heavy storms. At this point, I am awaiting on a response from the Carlson's as to which, if any, of the alternatives they would accept. MAW/ts FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 October 3, 1990 PW90-274 Mr. & Mrs. Gerald Carlson 568 Rice Creek Terrace Fridley, MN 55432 SUBJECT: Rear Yard Drainage Swale - 568, 572 and 576 Rice Creek Terrace Dear Mr. & Mrs. Carlson: From our phone conversation on October 1, 1990, it appears that you have agreed to the construction of a swale in the rear yard drainage and utility easement on your property in order to allow for better drainage from the properties to your east. The construction of the swale was one of the alternatives that I presented to you and your neighbors as a solution to the ponding problem the Pierce's are experiencing and to help lessen the danger of flooding to the Bechtum's lower level. The swale will start essentially in the Pierce's rear yard and extend to the catchbasin located in the southwest corner of your yard. It will be, on the average, 6 inches deep and 3 feet wide. The City engineering staff will stake the limits of the easement and provide stakes indicating the location and depth of the swale. When possible, I will visit the site to provide technical help to Mr. Pierce and Mr. Bechtum, who I understand will be doing the actual work. All the parties involved in this matter need to understand that the construction of this swale will help the drainage through the area during small rainfall events and provide some relief during the spring thaw. During heavy or prolonged rain events, there will still be temporary flooding in the easement as the main storm system reaches capacity. I hope I have outlined everyone's understanding of what is to take place. If not, please contact me. Sinceypely, QQ �� �. A�`"�— M k A. Winson, P.E. A sistant Public Works Director MAW/kn CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS -'-D1:Z(, Ci- CPf � 4 RATE SCHEDULE OWNER Al44-All f3id, f„tyt Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS s° Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COST PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial f4-R"C' � � �� (' AP/'� 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 work in strict accordance with the City Codes an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ ��� DATE z a &Lco MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO /T/ AS REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signe e TEL # REINSPECTION FEE $47.00/Hr "bi *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. 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 specifications 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 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 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 per current 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: /,;z 3, 7-0 Building BUILDING 7Received Inspections RESIDENTIAL APPLICATION y:763-572-3604 CITY OF FRIDLEY l: DATE �— I I —� ��Lf YOUR E-MAIL ADDRESS SITE ADDRESS S" � 7-�e✓l A1P THIS APPLICANT IS: ❑ OWNER XONTRACTOR PROPERTY OWNER/ I NAME: & of e4f' U-1 TENANT ADDRESS: 5- % (o /4 e -r 690,d 7-eA - CITY, CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: PHONE: 76-7 NAME: TWIN CITY HOME ROMPUM INC. STATE LICENSE # ADDRESS: PHONE SINGLE FAMILY/NEW ❑ TWO FAMILY/NEW CC ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK DESCRIBE WORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other TE!�Aim 5-5--,7 2. �(%�IATE Lft ftL IN 5M CITY STATE ZIP, ❑ ROOF DRAIN TILE I LSIDING OTHER ❑ SWIMMING POOL ❑ ADDITION ❑ REMODELING LENGTH WIDTH HEIGHT ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBM11: I . Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS 14es [NO LQCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 2 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL. JOB VALUATION $ i'COd® • &V 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $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 codea of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fa a pe . and work is not to start without a permit; that the work will be in accordance with the approved t plan in the case of all work w re and approval of plans. ,1 SIGNATURE OF APPLICANT PRINT NAME � 15' ,,v,",q,.," " DATE q-11-4 C4 $ $ 2. S'0 $ �C9 $ 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$20=$ $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 codea of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fa a pe . and work is not to start without a permit; that the work will be in accordance with the approved t plan in the case of all work w re and approval of plans. ,1 SIGNATURE OF APPLICANT PRINT NAME � 15' ,,v,",q,.," " DATE q-11-4 C4