Loading...
PRE 2010 DOCSCity ®f Fridley, SA711�7 I- LOCATIO _F,_B I Q1 G No. 41VStreet Part t .. $_A A� Lot __ Block __-___� ddition or Sub -Division �•- �..7 Corner Lot _ Inside Lot lk_� Setback - ideyard Sewer Elevation Foundation Elevation J DESCRIPTION OF BUILDING T U Front -�--�- 'Depth .... Height Sq. Ft. Cin. Ft ° Front L2& Depth Height Sq. Ft. Ca. Ft. Type of &ntruction Fast. Cost .% 2__-7__T. be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in coce with a'll 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, Minnesota regarding location, construction, alteration, maintenance and moving of buildings within the city limits and this permit may be revoked at anytuupon tion o any of the provisions of said ordinances. � Building Inspector NOTICE. 'This permit does not cover the constreation, hnftWon for wMh& phmbins, Bas hedhi& sewer or water. Be sere to see the BOA* Inspector for separate permhs for these hems, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESSOWNE. r' I S =4 fiUILDER i. _D �.. LOCATION OF BUILDING No. Street 1 Part of Lot Lot Block0.0/ addition or Subdivision, #� Corner Lot Inside Lot .Setback, Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: G �� Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. —CU. Ft. Type, of Construction Estimated Cost 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 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. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK r Number, Kind and Location of Fixtures Location Z 4/-!Y 4 !—Z&- PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x 12�^ ®� Y Z ,��i o d K N 8 Z N Z_ O , �U' $ W U' �U' Z Z O f R • N WATER HTR. GAS ELEC. Base 2.00 $ �� U New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. 1st 2.00 $ 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool El❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 ®� Future Fixture Opening .............:.. - % x 1.20 $® New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... .................. .. x 3.25 $ Water Heater (Up to 200,000 BTU) ......---/x 2.00 $ �� U New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ U 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 .^Z, Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No ROUGH FINAL 42 '2M Business Phone 195 City of Fridley 53-84-5-915.51 AppBo n for Plumbbg and On Dept. of Bldgs. Phone NO -3480 - DESCRIPTION OF WORK 144 N. E. Sattlelite Lane Number. Kind and Location of Fixtures Lmftea PARTIAL RATE SCHEDULE PLUMMBING 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 (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 ; Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ................ x $5.00 $ REPAIRS S ALTERATIONS—Refar to Code City of Fridley: The .undersigned hereby makes application for a permit for the- vmrk herei specified, agreeing to do all work in strict accordance with the Cita Ordinance and ruling of the Department of Buildingk and hereby declares that alb the tact and representations stated in this application are true and correct. Fridley. Minn 10-13-72 19, Owner Alf Robert Lee Kind of Building Frame Used as Res, To be completed about 10-20-72 Estimated Cost, $ 10.00 XMK-New. Building Permit No. per Signed. By MINNEGASCO ----- _ Business Phone No ROUGH i Install Incinerator 5,00 Description ............................:.................$ TOTAL FILE $ 5.00 �� . (SURCHARGE $ _.50) le • e N WAFER. MFR. GAS ELM Base In 3ta Ll In e a r 1st 2nd 3rd 44th • Future connection Openings + blew Fixture. Old Opsaings Connected with Sawn compool PARTIAL RATE SCHEDULE PLUMMBING 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 (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 ; Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ................ x $5.00 $ REPAIRS S ALTERATIONS—Refar to Code City of Fridley: The .undersigned hereby makes application for a permit for the- vmrk herei specified, agreeing to do all work in strict accordance with the Cita Ordinance and ruling of the Department of Buildingk and hereby declares that alb the tact and representations stated in this application are true and correct. Fridley. Minn 10-13-72 19, Owner Alf Robert Lee Kind of Building Frame Used as Res, To be completed about 10-20-72 Estimated Cost, $ 10.00 XMK-New. Building Permit No. per Signed. By MINNEGASCO ----- _ Business Phone No ROUGH i Install Incinerator 5,00 Description ............................:.................$ TOTAL FILE $ 5.00 �� . (SURCHARGE $ _.50) OCTOBER 16, 1-0-74 IMM. RCE' SSAT LEE ROSCERT LEE & ASSOCIATES 144 SATELLITE LANE FRIDLEYt MN 55421 DEAR MR. LEE; 89114G THAT I HAVE NOT RECEIVED A REPLY FROM YOU REGARDING "TW LETTERS I SENT WE FIND IT NECESSARY TO SEND A COPY OF A LETTER WHICH WE RECg-:IVED FROM THE CITY OF FRIDLEY DATED OCTOBER 9s 1974® 1 WANT TO LET YOU KNOW NOW9 PSR. LEEp THAT I AM NOT THE ONE TO PAY FOR .ANY LEVELINIG OF THESE9 IN THE FIRST PL ACE= I NEVER WANTED ANY DEBRIS BROUGHT INq ONLY CLEAN FILLo WHICH YOU TOLD ME'THEYWERE HAULING QWAY FROM THC- SOTr---,, ANC) I AUTHORIZED THAT THE CLEAN FILL WOULD BE OK TO DUMP IN THE LOWER AREASo To my SURPRISE. vrdEN I VISITED THE SITE A FEW WEEKS AFTERS THE CONCRETE AND BITUMINOUS MATERIALS HAD BEEN DUMPED IN AN AREA THAT IS ABSOLUTELY NOT'. ACCEPTABLE BY LES., As PER THE LETTER APPARANTLYo-THE CITY OF FRIDLEY WILL ACCEPT IT IF IT IS LEVELEDOFF9 BUT IT IS NOT ACCEPTABLE TO USV AND BEING THAT.YOU AUT14ORIZED TO BRING IN MATERIALS THAT WE DID HOT WANT IN THIS ,ARREA, WE WILL HOLD YOU RESPONS113LE FQR THE Rr--74OVAL, TO THE CITY OF FRIDLEV'S APPROVAL, AND ALSO THE PROPERTY OWNERS IN THE AREA. Y SUGGESTION IS THAT YOU TAKE tMAEDIATE ACTION REGARDING THI-Sp-AND THAT THIS IS TAKEN CARE OF BY YOU AT YOUR OWN EXPENSE DY,0CTOF-ERl22-,-AS SPECIFIED ON THE COPY OF THE LETTER. IF THIS IS NOT POSSIBLEp WE WILL FING IT NECESSARY TO TAKE OTHER ACTIONS. YOUR PROMPT ACTION IS - A MUST. SINCE RELY o 11 EnliCK LAVI;14E PRESIDENT t -,-L: rc CC" CLYDa V. MORAVETZ -0 THERE ALSO PlIGHT DE -5 OTHER CLAIMS WE WILL MAKE AT A LATER' DATE ON YOUp na4NG YOU HAVS NOT SOLD ANY LOTSV 31WCE-YOU MADE Goof) LOTS 114TO DUMPING GROUNDS. IF I WANTED THIS LOW AREA FOR DUMPING - WE COULD HAVE STARTED IN 1952. AT THE BEGINNING OF THIS PROJECT WE WERE VERY MUCH CONCERNED TO HAVE ENOUGH FILL FOR THE LOWER AREAS AND THE WHOL13 AREA WAS LAID OUT ACCORD li*G TO THE FILL AVAILASLEV AND WE STILL HAVE ENOUGH FILL AVAILABLE 'FOIR THE LOWER AREAS WHERE WE MEED SOMEE FILL. i� From the desk of NASIM QURESIII CITY MANACER'S OFFICE DATE: Mav 25. SUBJECT: 144 Sat 1 Driv etreet Not Draining, Complaint by Mayor Nee N Irl MEMORANDUM #DS -418 Please look into this situation and see how the drainage can be. remedied. Thank you for your assistance. NMQ/ms 6/1/77 - The above was due to a watermain break. The concrete curbing was lost; but the situation is temporary in nature. We hope to have the street repaired by July ist after the patching and crack sealing is completed, with the sealcoating and overlay of streets. DS/jm 7/7/77•- Concrete curbing completed. DS/jm NFO SUBJECT PE�O. City of Fridley 19609 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. J 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY j 612-571-3450 910-F15 7/26/88 7;GE / JOB ADDRESS 144 Satellite Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Robert Strom 144 Satellite Lane N.E. 571-7969 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION X1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof dwelling. (25 Squares) 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,250 $ .50 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. $31.00 PLAN CHECK FEE TOTALFEE $31.50 SIGNATURE OF CON CTO R AUTHORIZED AGENT (DATE) AGNURE 'WHEN PROPS LY I ATED THIS I$ YO Up PER IT/ d/J A��DLLA/•T'E�IJ G/ OF OW NER II F OWNER BUILDER) (DATE) BLDG INSP NEW I AMN I ALTER I Oonstruction Address: 14171 Legal Description:_ -Q City of Fridley R-1 AMID R-2 Building Permit Application EFfective 5/1/88 Owner Name & Address: Tel. # Contractor: — Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. 0> DESCRIPTION OF INPROVEMM r�rvrrr nRFA Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: leggth Width Hgt/Ground Std. Ft. OTHER:. ODrner Lot I I Inside Lot II ] Ft. Yd Setback Side Yard Setbacks Type of Oonstructicn: imated Cost: S_ �f f) �✓ Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: �� APPLICANT : 2&� Jes- Tel. # CITY USE OILY Permit Flee $ � � - 00 Flee Scheele on Reverse Side State Surcharge $ -50 $.50/$1,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. RA" or Alt. "B" Above Park Free $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I I Not Necessary I l TOTAL $ �- SC) Y 0 suedEcr PER City of Fridley "'- ""7 3388 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. i L L r PROTECTIVE INSPECTION SEC. / ?C�—o CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APP OVEO BY 612-571-3450 910-F15 5/22/95 / / JOB ADDRESS 144 SATELLITE LANE NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Savre 144 Satellite Lane NE 574-0771 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION q, ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 11�� 8 DESCRIBE WORK Finish storage room (not to be considered living area) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Basement room =0 construction was started before a building permit was applied for. Wall completion does not have treated bottom plates and the windows do not meet the living area light area requirement of the building code. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUM 13ING AND S1Gi !Se TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 $800 $'50 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 E OR LOCAL LAW REGULATING CON- $21.00 Fire SC $.80 RU TION OR THE PERFO MANC OF CONSTRUCTION /) (� �- PLAN CHECK FEE TOTAL FEE �/"`���d � ' $22.30 IGNATUREOFCON TRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY V LIDATED THIS IS YOUR PERMIT BLD INSP D TE SIGNAT IREOF OWNEROF OWNERBUILDERI IDATEI 0 NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: °Gi� SQ e //®.�-c 411 - Legal Description: Owner Name & Address: r +.� �� C�'; fW GJc ll, ��=� Tel. # Contractor:— MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # 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- / US - Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 1,41"V,n i111K- _ Estimated Cost: Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: �+ 6 Ft = ----I�t x $ DATE: APPLICA Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ r CITY USE ONLY Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] -1014 A) N6AI ' �j6,f'� %vcloxl ��C lzwaf SUBJECT P City of Fridley 2 5 6 4 01), AT THE TOP OF THE TWINS BUILDING PERMIT NO. __ COMMUNITY DEVELOPMENT DIV. r *r ------ PROTECTIVE INSPECTION SEC. 7(,) Ll '6 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED 8V ��--- ,'' 612-571-3450 910-F15 10/27/97 JOB ADDRESS 144 Satellite Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Savre 144 Satellite Lane NE 574-0771 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW ADDITION 0 ALTERATION 0 REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Construct a 16' x 14' Deck 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 0.1r Before digging call for all utility locations 454.0002 SEPARATE PERMITS REQUIRED FOR REQUIRED BY LAW WIRING? HEATING, PLUMBING AND SIGN, 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,009 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROV SIGNSODF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UC ON R THE PERFO OF CONSTRUCTION. $74.75 Fire SC $2.01 PLAN CHECK FEE TO AL FEE If $.77.76 ATURE OF CONTRACTOR OR DAGENT IDATEI -72 WR ENVALIDA7D THIS IS fY/OI�UR PERMIT Cy/� + //( f-/ NATURE OF OWNER U WNER BUILDER) DATE) P B G )NSDATE NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION. ConstructionAddress: 141 f S � �%, Legal Descriptior��fi Owner Name &Address: Jctmt-s S qyr- Tel. # �--Q"7%l Contractor: MN LICENSE # S - IK -(y 3 - Address: --LOW Address:_LO7 ��q 41 j` �Zr Tel. # -O 7% Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVE112ENT LIVING AREA: `�,ength Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. /� � DECK AREA: Length -! �— Width %1 Hgt/Ground,2P 6" Sq. Ft. OTHER: Construction Type: Estimated Cost: $;, (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: APPLICANT: J f Tela#��� TOTAL >TIPULATIONS: $ ') 7. 2 CITY USE ONLY Permit Fee $ 1S Fee Schedule on Reverse Side 7 -ire Surcharge $ c>?,'I .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 j ] TOTAL >TIPULATIONS: $ ') 7. 2 Lond Planning 6873-Highrnoy ;65 N.E. Land Surveying MinneoPo/s 32, Soils Testing ENGINEERING, INC. Minnesola Crvr/ & Municipal Awl 4 6066 Enpeermy Engineers Sur veyon5 certificate of survey For o. �,.;��a Nil -or r ti VI � / hexrby cerhPy that Ibis is a lrue and wrmcl represenfofran v� a swvey eIht bnvndor/es 4('flre 060pr 06cri6ad /and, and ,�rh /aa &17 o/'oll bui/dings , hreon , andell risible ax nadimeals , i! y. FV" or an said land. As surveyed by me flus h aby A.D.194. SUB URBAN ENGINEERING, INC. i2 L'Taeers fr 5urre ors r� { r ti VI � / hexrby cerhPy that Ibis is a lrue and wrmcl represenfofran v� a swvey eIht bnvndor/es 4('flre 060pr 06cri6ad /and, and ,�rh /aa &17 o/'oll bui/dings , hreon , andell risible ax nadimeals , i! y. FV" or an said land. As surveyed by me flus h aby A.D.194. SUB URBAN ENGINEERING, INC. i2 L'Taeers fr 5urre ors M C.� M CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO RE INSTAI IM nN r:ArN m nno Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO, RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** _L Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 (Ca•� $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance ; State Surcharge $ ,50 TOTAL FEE $�(�� JOB ADDRESS ( LA `A SQ -�� I t �� ��• The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. L l 1190 Owner Building Used Estimated Cost / ') 5C) PERMIT NO. PLUMBING COMPANY RA4'1•a�4 ,r SIGNED BY �;;�TEL N0. —9 Approved By LL_ Rough—In Date Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING a'" PERMIT %2 91 0 RtCEWT • COMMUNITY DEVELOPMENT DIV. _ ----- . r � PROTECTIVE INSPECTION SEC. 7 � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/12/99 f' JOB ADDRESS 144 Satellite Lane NE 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Savre 144 Satellite Lane NE 574-0772 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO S J Anderson Construction 299 17 Ave NW New Bri hton MN 55112 865-3545 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20062802 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (21 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. TYP OOF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 1 HEREBY CERTIFY THAT 1 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 $1,799 $.90 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 ST OR LOCAL LAW REGULATING CON- $56.75 Fire SC $1 TRUCTION R 7HE PERFORM OF ONSTRUCTION .80 PLAN CHECK FEE TOTAL E'E Licens $5.0 4.45 SiGN4r EOFCON'RACTO O AUT RiZEDAGENT ,DATE, EN OP ALIDAT HIS IS Y R PERMIT "0,10 92 r ' 8 D iNSP - ! PATE S,GNATURE OF OWNER,.F OWNER BUILDER, #DATE, NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: Effective 1/1/99 ego Owner Name & Address: 2e Tel.# ,:L7z Contractor: �e*4-7 i MN LICENSE # aD0 �d a Address: Z;7U, Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF F"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/We, Ground Sq. Ft. OTHER: ! %, -� / �"✓� ' O a 0 Construction Type: 1%� �� r 10 Estimated Cost: $ qa?, i (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent —Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ *Air Con` ' ionin — All Sizes $ 25.00 o yl All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or;Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 1998 JOBADDRESS i y N Sat bl l l �P_ Lyi kLs-. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. U - 2?) Gs , OWNER BUILDING USED AS 6�wwA l YA ESTIMATED COST PERMIT NO. 13 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR BLAINE HTG. A; C ELECT., INC. HEATIN55304 MP 13562 CENTRAL MR11 AVE. N.E. Signed Tel No. ®15�-1�Z0� Approve B Rough—In Date Final Dat 1 pp Y 9 FILL OUT BACK SIDE FOR STAPK VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHEWNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) Z. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No' ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: �-" I g Q,- tlI� l !-L- lNbP1=_('_"T!(35N DIV, Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 - � MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash �� Fl :... a rYx,y' > -:x,. x w-xx xxz k � r Floor x. zxx� AUto. % > Gas WaterFlealer Stories< Urinal :..._"; Shower = r Tra DrainI:'` Y„k „`�.; _ . � rY M� Washer : Range Gas FIpr Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $10-00 Old Opening, New Fixture $10A0 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 'dater Treating Appliance $35.00 $35.00 Water Heater -Electric $35.00 Water Heater - Gas- $35.00 Gas Range" $10.00 Gas Dryer" $10.00 Back Flow Preventer required )Yes } Pio Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTALFEE JOB ADDRESS 144 Satellite Lane Ne, The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: 3/14/05 OWNER Jim Savre SUILDING USED AS Residence ESTIMATED COST $1,533.00 PERMIT NO 20 PLUMBING COMPANY SIGNED BY Katie Renner TEL NO. 763-286-5283 Approved By � .50 Rough -In Date Final Date $35.50 ....••.y•.�V r L."1911 0 1a71 7a u ®r ale Vii- L;V51 $ OF TI♦E IMpR®�tlWI�iENT W�iICHEVER IS +GREATER ON WORK LESS THAN 300 DOMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6,A. "PROVIDE COMMON VENT INFO ON BACK SIDE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 144 SATELLITE LN NE PIN : 143024320002 LEGAL DESC : SYLVAN HILLS PLAT 3 : LOT 4 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ALTERATION VALUATION # WATER TRMT APPLIANCES APPLICANT E H RENNER & SONS INC 15688 JARVIS ST NW ELK RIVER, MN 55330 (763) 427-6100 OWNER SAVRE JAMES R & BETH A 144 SATELLITE LN NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp I PERMIT NO.: 2005-00311 DATE ISSUED: 03/15/2005 WATER TREATMENT APPLIANCE 35.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 43730 �iEFARAIE FEKMITS KEQU1KED FOR WORK 01 -HER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT NO.: 2005-00311 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 03/15/2005 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 144 SATELLITE LN NE PERMIT APPLICANT: PIN 143024320002 E H RENNER & SONS INC LEGAL DESC SYLVAN HILLS PLAT 3 15688 JARVIS ST NW LOT 4 BLOCK 1 ELK RIVER, MN 55330 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ALTERATION BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE INSPECTION COMMENTS: DATE INSPECTOR IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 AD6 P? --0/ 2 3 / Water and Sewer Permit Application ❑ New Connection ❑ Existing Date: —2 1 q G 7 Job Address: VD JUL - 9 2007 ,--fqUtility Line Repair/Relocation ❑Water and Sewer Connection Z, /V N Name of Applicant (Plumber): M f , k O U �,� Name of Property Owner: Ci Q C5 + dcx, Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Fee: Relocation: State Surcharge: , 5-6 SAC Charge: Special Assessment Fee: Total: $ 4(),S(2) Applicant Signature: A Al 4j Inspector approval: Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for ate /Sewer Lina Re air $40 Special Assessments See Finance Cost of Water Meter See Utility Billing SAC Charge $1675 State Surcharge $ .50 Water Tap See Engineering City of Fridley 6431 University Ave NE RECT J U L 2 6 2007 Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 Water and Sewer ❑ New Connection ❑ Existing Date: �a Permit A'cation "til-ity Line Repair/Relocation ❑Water and Sewer Connection Job Address: I { -2 6 e -r 9- 1- t.1 7 LN N I�1 D LE S 2— Name Name of Applicant (Plumber): M P, R 01 G K ID LU m b t N G Name of Property Owner: Mk • i2 "f A -N fir' 4 d U 2 A Existing Structure Permit # Permit Type: Sewer Fee: t ;� Water Fee: l��— P I'��i c.Q_ GQ,� e�ji C l� Q�c'�•-� Meter Fee: -1 Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $ Applicant Signature; Inspector approval: Water Meter Repair - Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Fin Cost of Water Meter See Utility Billing SAC Charge $ State Surchar e $ .50 Water Tap See En ' eerin /93 1 V'Is' Building ° ° BUILDING Permit Fee Permit No.: Q q Inspections See Back Page for Fee Schedule RESIDENTIAL APPLICATION $ Received By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY 40, UO Dat • JU04A200 763-502-4977 FAX $ 3..00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ EFFECTIVE 1-1-08 $5.00 (State Licensed Residential Contractors) SAC Charge $ DATE ©� YOUR E-MAIL ADDRESS $ SITE ADDRESS 1964r�3 THIS APPLICANT IS: D OWNER CONTRACTOR PROPERTY OWNER/ NAME: v $ TENANT ADDRESS: h L CITY STAT&O1101 ZIP --IPHONE: $ 7.3 3 -S543 Total Due NAME: VF260 CONTRACTOR ADDRESS: CITY sTATPL4 ZIPSb/ SUBMIT A COPY OF PHONEFAX YOUR STATE LICENSE STATE LICENSE # `% 3 EXP DATE PROPERTY TYPE YSSINGLE FAMILY N SIZE ❑ TWO FAMII.Y/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED OWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWP&AING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 811AINTI NANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ' — Yb Cy` SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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 ❑ TrimL' 1. Site Plan/Survey showing the existing structures 13 Other 13 Fascia . and proposed project. ! 2. Two sets of construction plans WINDOWS s ❑No LOCATION OF OPENIINI'-d 3. Energy Calculations OEXISTING OR FOR NEW OPENING -DESCRIBE SIZE OF S OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ Lo, DCO . ° ° OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 40, UO .001 times the total job valuation Surcharge $ 3..00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ S'. DD $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1,6 VF260 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 inforrr>atio 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 Minneso nstruction Codes; that understand this is not a permit but only an application for a t and work is not to start without a permit on site; that the work will be in acro with the approved in case of all work which requires ew an approval o SIGNATURE OF APPLICANT PRINT NAME G/ DATE a� APPROVED BY 61 DATE i Building BUILDING Permit No.: 16-0 13v Inspections RESIDENTIAL APPLICATION 'Received By: 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX - .. a �--Hfia DATE 0 SITS ADDRESS i THIS APPLICANT IS: PROPERTY OWNER/ TENANT YOUR E-MAIL ADDRESS CONTRACTOR ADDRESS- 41 . YOUR STATE LICENSE S7CAT�{�zrn SUBMIT A COPY NSE mom � -y-• 10 4 FAX '%St STATE LICENSE # , EXP DATE PROPERTY TYPE GLE FAMI YMEW CONSTRUCTION SIZE 0 TWO FAMILYMM CONSTRUCTION STORM PERMIT 0 BST FINISH O ROOF 0 DECK O SIDING TYPE OF WORK. O NEW HOME CONSTRUCTION 0 ADDITION 0 MAINTENANCEIMPAIR D REMODELING DESCRIBE WORK BEING DONE: S ( S SIZE OF BeROVEMENT LENGTH WIDTH OR OFING 0 HOUSE ONLY NUMBER OF SQUARES D HOUSE & GARAGE GARAGES 0 ATTACHED GARAGE PROPOSED SIZE: 0 DETACHED GARAGE PROPOSED HEIGHT: ING 'n7'1 OSofft Aluminum 0 Trim 0 Other O Fascia MTNDOWS IN EXISTING OPENINGS Oyes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED OBER OF SOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF �I n, A ,(kMG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATIONS 661 ' p (� I .,..,,*• Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due O DRAIN TILE 0 OTHER BASEMENT REMODELING SUBMIT L Existing Floor Plan 2. Proposed floor plan 3. List of stntaW:al members to be used FOR NEW CONSTRUCTION INCLUDING DECKS ADDITIONS & PORCHES SUBMIT 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations TYPE See Back Page for Fee Schedule $ 65% of Building Permit Fee $ IQ 0 .001 times the total job valuation $ 19,60 .0005 x Permit Valuation Minimum $.50 $ C 6 -$5.00 (State Licensed Residential Contactors) $ $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 ( ) $ _q , ®,S— Make checks pffWl .to: City of Fridley Attach THIS IS AN APPLICATION FORA 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 b imresota 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 accordance with Gro ap d plan in the case of all work which requires review and approval ofpla . SIGNATURE OF APPLI PRINT NAME_ ��( ��� DATE .0 -6, /`(