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PRE 2010 DOCSCity of Fridley AT THE TOP OF THE TWIN$ �V ------� COMMUNITY DEVELOPMENT DIV. ! t MOTECTIV% 1X4ftCY*N 9W CITY HALL FlUM19Y 0601t �.j 413'600~3400 53-8),,-S-915-51 $UD ECT PLUMBING PERMIT APPLICATION JOD aaaress 8160 N. E. Ruth Circle UP-ner Address Phone Robert Burris 786-2881 Contractor Address Phone MINNEGASCO 733 MARQUETTE AVENUE Kind of Building Use.,, MINN. Ff'ame Res. Completion Date Estimatedost 11 -lb -73 10.00 n Plumbing Fixture Rates: NO. RATE TOTAL TIJ i Number Fixtures x $2.00 Future Fixtures x $1.50 aasvol New Fixture -Old Open. x $1.50 'lddr I i I O! Catch Bastn x $3.25 , Water Heater -99,000 BTU x $3.00 !i Ground Run 01d Bldg. x $3.25 saa, •enatval I Elec. Water Heater x2 0 $ ' 0 SNt8V9 baa: Gas Fitting Fees: a 0 c VNIVao I I I I to t ;3 c "�� I a 1st 3 Fixtures x $2.00 ts i ®w u0 I sa3e►a,g I I I Additional Fixturesx$ .75j V 40,44+ Gas Range -199,000 BTU 1 x $5.00 5.00 AV P® SAYA'1 NgrM! I I I I I .r Repairs & Alterations See sNN,sI I I I I Description: Code sN,Br■l II I I State Surcharge '(aspf��"6'o6�arge `® .50 I I I I TOTAL FEE $ 5.50 senl NirB I I I strN,an !The undersigned hereby makes application for a permit l I I I I for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling aajrM I of the Department of Buildings, and hereby declare that all°the facts and representations stated in this application are true and correct. . 4''OtA� CZ, - - 'Signature z GAS"0 Date 3- >2t-?� City of Fridley SUBJECT PER 12092 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP • COMMUNITY DEVELOPMENT DIV. L 1 PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/11/73 � JOB ADDRESS 8160 Ruth Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Bourdeaux's Spring Brook Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Frank Basilvak 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Castle Homes, Inc. 7613 Central Avenue N.E., Fridley 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Dwelling 7 CLASS OF WORK ® NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 40' x 24' Dwelling and 22' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide a verifying survey before capping. SAC charge of $275.00 paid. SEWER LOCATION: 73' S. of Manhole WATER LOCATION: 10.2' North of Sewer Service TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 1.1.04 23,270 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. 10.05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $20,107.16 $ 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- $44.00 $275.00 STAR THE PERFO NCE OF CONST CTION. PLAN CHECK FEE TOTAL FEE Z/_/2- $322.05 6SIGr RE OFr ONTRACTOR OR AUTHORIZED AGENT(DATE) 4'rATED THIS IS YOUR PERMIT lzyp BLDG. "NSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) .(DATE) 23 1 SG Cl �V �4)yg g�e —�� !® /� G°F ®TS G 5,!T- %6 l?�1�0,-0)11 .) k 0 0/4 APPLICATION FOR RESIDENTIAL, ALTERATION1 OR ADDITION BUILDING PERMIT CITY OF FRIDLEYe MINNESOTA S XM: Z�VIA Atk BUILDER.- 0,d67-),- 1_1_dA4%-,S -77A/e-- ADDRESS: ADMRSS.- %a I -od jjeA17-iA ( A— Ahz– NO;. STR=-.; U)T; 13I.00KI 10113 A3 o v e AuS S1?)1/4---j j31-® ® CAR= LOT: ?es I==SETBACK; PIDEYARD-. C# 2:2 A"j-jv,=t gttach Ve thU fv=_&o Certificates of SurvU of Lot and proposed %"jAtj34 location ArWR on tbese Certificates. IYESCRIPTION OF BUILDING To Be, Me" As F=A M f Z Y o v yvm*;.4 0 Depth eight: M Ct 0 W Al square Feet; f &.04 Cubic Ir"t; t;ArA9r__ -irmt'. 2Z ' —Depth; 2 -Z Height,:—_ Square Feet; Cubic Feet: We of Conetructi'Ons rRt M Estimiated, cost: $ 0,0 To Be "totedi 2 .3. The vad=vigne4 hereby as application for.a permit for the work herein #peajfj,e4,, agreeing to do all work in stttct accordance with the City of 1*141,ay OWUxances =4 zutftv 0 Oe Department Pf BuWtngs, a" hereby doolax" dall the facts and representations stated is this application axe true stud correct, ? 61r,.XATUR (Ogg RCVW#e tilde For Addft4onal InforMatioq.) C®?ie.'� for Power and H ug. denndi as � laftsaid Air CORditioeing Sptem and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RA'Z'E TOTAL Furnace SheU & Duct Work .... I ........... . $10.00 $ Replacement of Furnace . ..... .. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ _.— Repairs & Alterations each add. $800.00 3.00 $—_--- MECiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 each add. 60,000 BTU ............... . .... .. 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 13.00Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6,00 $-- _over over 3 gal. per hour—See Fee Schedule GASB (up to 199,000 BTU) 5.00 s —00 ower 199,000 BTU See Fee Schedule GAS FITTING NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 X$ 500 $ AIR C01WITI01IIdING PAR HEATING SYSTEM VEX LATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL L�- i (SURCHARGE $_.50) Dept. of s dg& Phone 960-3480 City of Frldley: 0 The undersigned hereby makes application for a permit for the work :hereir 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. nidley, Minn 19 Owner Kind of Building Used as To be completed about Estimated Cost, Permit No. Permit No. / Capacity Sq. FL E.D.R BTU Nw. (REMARKS -OVER) HEAT LOSS CALCULATIONS 37 $er7% COND ONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H. V. E. Guide Reference 19 Construction No. Insulation Windows t Doors Obt. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No ' FI. I /�,` (r Room Length f� Width / Height FI. /oto Room Length �� Width Height` Windows and Doors—Crackage and Area Windows and Doors—Crackage Width Height No. ofpane of pane 16 � Z'_ and Area No. of Lineal ft. Area lights of crack sq. ft. -23 J Width Height No. of Lineal ft. Area No. of pane of pan�e/ lights of crack sq, ft. �� T Z- Coef B Coef Btu Infiltration sj Infiltration Glass Glass / Exp. wall �� o�� Exp. wall Net exp. waII % Q Net exp. wall �Q J Int. wall Int. wall Ceiling/ ' 15 Ceiling ® `/ �� /�% ��77 a� e/ -e Floor Floor 17 /s76 Total Btu. 9 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width Height FI.�® Room 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. l Q Windows and Doors—Crackage and Area Lineal ft. Area of crack sq, ft. Width Height No. of NO of paqe of pa lights e Coef Btu jCoefj Btu Infiltration Infiltration / 4) Glass dei Glass �2® Exp. wa I I Exp. wa I I Net exp. wal I j ® Net exp. wal I Int. wall. Int. wall. Ceiling 7 /O 410 Ceiling 7 ;ze Floor 7Floor af'Q Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leade area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI , ,0 Room Length Width ` Height F . Room Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq, ft. NO Width Height No. of Lineal ft. Area of pane of pane lights of�cgrack sq. ft Coef Btu Coef Btu Infiltration 0 �9 Infiltration Q Glasso� Glass t' o Exp. wale Exp. wall Net exp. wall Net exp. wall Int. wall ot Int. wall Ceiling r / �� /�} Q Ceiling _ Floor Floor i Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area DESCRIPTION OF WORK Number. Kind and Location of Fixtures Y _ s $�a ll Base IMEMEN, �I PARTIAL RATE SCHEDULE NITER N GAS LEC. Sewer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ .7 x$2.00 $ ILAIN 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 $ 3.00 New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .......... . . . . a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................ —Xa00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ................ x $5.00 $ REPAIRS & ALTERATION8—Refer to Code Description .......................... , .................« . $ TOTAL FRE $_ 50 4e> cl, 0 v City of Fridley: The .undersigned hereby snakes application for a permit for they work herei specified, agreeing to do all work in strict accordance with the City Or imance and roiling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn e / 19-23 Owner r at S .41 4 m Kind of Building _ Y' C9 trn e Used as Cl) P. To be completed about - Z-3 Estimated Cost, $_� 7� Old ew Building Permit No. Permit No. Signed By ` - - Business Phone No ROUGH MYNNEGASCO 53-84-5-915.51 City of Fridlay Appliceian for PIUMbing CMd GC5 NNx11F-emit - Dept. of Bldg*. Phone 360-3480 . DESCRIPTION O: WORX oca 8160 N. F. Ruth Street Number. Kind and Looe -Ken of Fixtures 1' �$ r •E< ? t� • ► � i$ M �; r Z D r � r 0'u � O� ,! � 3 U < v U as (Nj S U V o N WATER MTM. GASnEc Water Heater fUp to 99,000 BTU).. • • 'te $ New Ground Run Old Bldg.......:. x ".25 $ Electric Water Heater .....:........ a $2.00 $ AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......... ...... x $2.00 Additional Fixtures ............... x $ .75 $ Gas Range to 149.000 BTU ........... x $5.00 $ Ir 3 t 1GasG'll Futuro Conaocd.-n Opoaings sever`"•`� New Fixture. Old O'ganin - Cccspool 0 PARTIAL RATE SCHEDULE : MSING FIXTURE RATES: . NO. RATE TOTAL Number Fixtures ................ _x$2.00 $„_.__. Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.......... x $1.50 Catch Basin. . x $3.25 $ Water Heater fUp to 99,000 BTU).. • • x $3.00 $ New Ground Run Old Bldg.......:. x ".25 $ Electric Water Heater .....:........ a $2.00 $ AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......... ...... x $2.00 Additional Fixtures ............... x $ .75 $ Gas Range to 149.000 BTU ........... x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the- work herel specified, a;reetng to do all work in strict accordance with the Citi 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, Minn 5-8-75 Ig, Owner Gary E. Johnson , Kind.of Building Frame Used as Res. To be completed about 5-15-75 Estimated Cost, $ 10®00 Old--afm Building Permit No. Permit No. Cy Signed BY Mtn�„•",,t•rnrnn -- - Business Phone No - ROUGTJ FINAL -A - /2 - 7 6 - XPAIRS 8E ALTERATIONS—Ref•s to Code .50 State Surcharge -Description . ......... , ,Install Gas. Grill « ... 5.00 7YOTAL FEE S I 5.5o ,G � -A,, SuP.cliarge �®� - SUBJECT PVR 0. City of Fridley 19581 AT THE TOP OF THE TWINS BUILDING PERMIT _ IPT ` ____ COMMUNITY DEVELOPMENT DIV. L INSPECTION SEC. r PROTECTVE CITY HALL FRIDLEY 55432 NUMBER REV: DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/6/88 JOB ADDRESS 8160 Ruth Circle N.E. 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR. TBLOCK 1 4 Bourdeaux's. Spring Brook Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Burris 8160 Ruth Circle N.E. 786-2884 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis Lane, plymouth, MN 55447 5530020 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,995 $1.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- PERF STRUC R TH ANCE OF CONSTRUCTION. $54.00 r� PL N CHECKFEE TOTALFEE $55.50 SIGNATUR OF CONTRACTO AUTHORIZE AGENT (DATE) WHEN PROPERLY V DATED THIS IS YOUR P RMIT 4OA411�2 SIGNATURE OF OWNER) IF OWNER BUILDER) (DATE) - DG WSP I- NMEMW I ADDN I I ALTER I I Obnstruction Address Legal Description:_ Owner Name & Address Contractor:X174 Address: City of Fridley R-1 AND R-2 Building Permit Application e- - Effective 5/1/88 Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LESCRIPTION OF II�'ROVEi��TP LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DEXX AREA: Length Width Hgt/Ground Corner Lot I I Inside Lot I I Ft. Yd Setback Type of Construction: 50/ 57C/ f Approx. Completion Date: Sg. Ft. Sg. Ft. Sg. Pt. Side Yard Setbacks 0 8,� Estimated Cost: L�� Alt. A ' Alt. B Proposed Driveway Width If New Opening Is Desired: 8 8 Width + 6" See Back Page <!�/ DATE:ArlLI Tel. CITY USE �CNLY Permit Flee State Surcharge 8 SAC Charge 8 Driveway Escrow 8 Park Pee 8 Sewer !lain Charge 8 TOTAL 8 S s STIPULATIONS: Free Schedule on Reverse Side 8.50/$1,000 Valuation 8550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary I I Not Necessary I ] To whom it may concern; I, Mr. L. Russell, agree to allow Mr. Robert Circle to install a new driveway on his south of 8160 F I ix d . L. Russel 8140 Ruth Cir le Fridley, MN 11/07/90 Building PLUMBING Permit No.: Ov Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY qf%cMiG 16 007 DATE _ - V OUR E-MAIL ADD SS SITE ADDRESS Al - THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: I ITY STA 'ZI d` TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE )INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 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 ) 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) _ BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING. _ —BATHTUB —GAS PIPING (tiv-Jr) POOL _ WATER SOFTNER ($35) —SWIMMING —CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ 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 f a permit and w rk is not to start without a permit; that the work be in accordance with the will approved plan in the case of all wor hich requires r and ap r al of pla z SIGNATURE OF APPLICANT R N E `�" s C1 DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No. • � l c I Inspectigns RESIDENTIAL APPLICATION Receiiv��e��d°° 763-572-3604 ��}By: k `� 200 CITY OF FRIDLEY Date'Pte` 763-502-4977 FAX EFFECTIVE 1-1-09 DATE YOUR E-MAIL ADDRESS �� C9>14 STCZ-4 ®�3 SITE ADDRESS V 1 6 0 (2--l-J S'V- THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME:w�;�(.,� �t0� TENANT ADDRESS: `�1 ��° 5 ._ CITY STATE'VN4J ZIP PHONE: �3 '-7 2N- - \)3A CONTRACTOR NAME:`° SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS:®�� eS SEN CITYI a��T STATEN a ZIP.. INSURANCE PHONE FAX PROPERTY TYPE INGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 'MQPECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION INTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: V 1 e4i0\-1-a QCkrr•C Mr'N" SIZE OF IMPROVEMENT V2 LENGTH ®-1-! WIDTH ' H IGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 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— -- - -- - — ❑ Vinyl Vinyl - - - -— --- -- — - ❑Soffit _ ADDITIONS. & PORCHES SUBMIT: E3 ufn 13 Trim 1. Site Plan/Survey showing the existing structures E3 Other ❑ Fascia 2. and proposed project. 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: (U� E 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 1 0 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 $ 1 .u41 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) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv 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 on site; that the work will be in ac ordance with the approved plan in the case of all work wh' h requires review and approval of plans. �} SIGNATURE OF APPLICANT PRINT NAME DATE ire -VQL C - r4\ S, ARIPROVED PLANS SEC R106.3.1 LOT 1, BLOCV 3 BOURDEAUX"S SPRING Rwoov ADDITIOW.. ANOVA COUNTY "A.61 Vicat This is a true .and "frect representation of a survey of the boundaries of the land above described and of the location of all buildings, if any thereen, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage, It is undersfood'ond agreed �o mona��++ts hav been toted for the purpose of establishing lot lines or boundary corners. Dated this, /. day offl�fA. 6. 19 SU-BURBAN ENGINEERING, INC. Engin7rs v ors