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PRE 2010 DOCSU� 441® - City of Fridley, Ylbm. 9 912 BURDING PERMIT Date: August 30 1968 Owner: Gere A. Beiger Builder JOHN ra _ MCNE.TT. Address 1461 Rice Creek Road Address 9330 Syndicatg LOCATION OF BUILDING No. 6150-56 Street Star Lane .—-- part of Lot Lot 15 _ _ Block 1 Addition or Sub -Division . _ _ Y19an Bills Corner Lot ^ Inside Lot — Setback Sideyard _ Sewer Elevation 838.45 841.45 Top of Footing DESCRIPTION OF BUILDING To be Used as: Double Bungalow Front 36' Depth _28' Height ._ 28'Sq. Ft _1 QQ.B._ Cu. Ft 2.8,224 Garage Front 251 Depth _ 22' Height 10' Sq. Ft -55-- Cu. Ft _ 55.-0 Type of Construction Frame Est. Cost u $32, 000 be Completed WATER LOCATION - Service on Star Lane- Approx. 113' West of hydrant SEWER LOCATION - Service on the rear - 75' Southwest of Manhole 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 compliance with all provisions of ordinances of the city of Fridley. $150.00 Sewer Connectidd Charge In consideration of the payment of a fee of $__64 100 permit is hereby granted to John G. McNeil 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 anworkmen, in all work done in, fc ound and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, nesota regardingltion,construction, alteration, mithin thty limits and this permit may be revoked at any tune upon violation of any of the provisions of said ordinances. Official Building Breher NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be am to no the Building Inspector for separate permits for these item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEB Is NAME_&AL,;-�. ADDRESS 1�1,61 — - i ADDRESS- LCCAT-ION OF BUI1J)IYC1 NO LOT BLOCK Ar I ADDITION OR SUBDIVISION S' COR -NM LOT INSIDE LOT SETBACK. S IDETfARD SEWER ELEVATION TOP OF !-.'OCTIhTG. Applicant attach to this form. Two Certificates of Survey of Lot and proposed building location drain, on these Certificates. DESCRIP21ON al' BUILDING To Be Used As: �17 Front Depth 2—' Heigh Square feet 1061 Cubic Feet (31 A C, P4 Front Jar Depth Height Square feet Feet Type of Construction FeA!.ng Estimated Cost -1 Z'o 0 0 • 0, a 7 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. DATE SIG -NATURE VV -- e- ZZ (Schedule of Fee Costs can be fouAd on the Reverse Side.) 10/9/01 Q ` V I / 1 ��' , a Owner of �T V �' �� agreeto allow Jeff Harris owner o6roperty 6160 / 6164 star lane to install blacktop driveway adjacent to my lot line. Jeff Harris agrees to install 4 -foot chain link fence adjacent to my lot line along the length of his garage on the West Side of his property. Driveway is not to exceed 9 feet in width along garage area. /17 Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR over 199,000 BTU See Fee Schedule / 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 . .................... 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 /. 4// GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH Dept. of Bldge. Phone 860-3450 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. Owner Kind of Building�l9/P`��-y�l� Used as �!2�'/' To be completed about�''� Estimated Cost, $�• Old Building Permit No. Permit No. 7 DESCRIPTION OF WORK HEATING or POWETt PLANTS—Steam, Hot Water,aarmarm Air -No Trade Name �' Size No ��✓�/'• Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load's `® Kind of Fue '4f BURNER —Trade Name Alp��` �'��' Size No --1-11,110 Capacity Sq. Ft. EDR ,o BTU H.P. FINAL (REMARK OVER) RAY N. WELTER HEATING CO. Signe 46 ByWWbdffAML1R 7. MIN MEO®TA <a Business Phone No I OA - City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK „ Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Z! ,T� F Future Fixture Opening ................ Q� Z Z O ,SWxy �j` New Fixture Old Opening .............. u! yZ » Catch Basin ............................ WATER HTR. x $3.25 $�� Water Heater (Up to 99,000 BTU) ...... 3 x $3.00 �F New Ground Run Old Bldg. ......... ;� QZp $ "� �' o S< 3 0 4Z o Qi o 0 R N GAS ELEC 1st 3 Fixtures .......................... � x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Base - 1st �2- 2nd c� _ 3rd 4th • Future Connection Openings Connected with I Sewer e New Fixture, Old Openings Cesspool - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ .:u 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 a $2.00 $ GAS FITTING FEES: RATE o /TOTAL �J� 1st 3 Fixtures .......................... � x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................$ O� TOTAL FEE $� 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 tru and correct. Fridley, Minn 19-f La r � - Owner ✓�' -z s o .0 . Kind of Building�– Used as To be completed about Estimated Cost, $ �� d 6 e'- Old—New. Building Permit No �� Permit No. hC�� Signed By Business Phone No ROUGH pQ,� FINAL d2 CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1997 6431 University A" NE Fridley, MN 5432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VM11LATION, 572-3504 REFRIGERATION AND AIR {CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Srell arkl Duct Work, Burner -- Also Replacement Furr'am (Side Vent — Fill Out Back] Gm Piping (hleededwith new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All C' IthersiRepaire. &Ateratione PSTCN BXK) 1% of Value of Appliance or Work CvrnmerciallindustrlaT 1.25° of Value of Appliance a Work State Svroharge MTAL FEE MINIMUM FEE FOR ANY HEATINC dMOLIN61VIENTILATION REFRiC3ERATIOWAIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00ft r+ *Air Conditioners can not be placed in a side yard without written permission from adjoining propedy owner. sumer Trade Name Si2e No, BTU HP EDR HEATING CDMPANY_�"� n _�L' Signed By Z�� Tel No. �1 % (0 gCll Approved ByRough—In Date Final Date t' � dFILL OUT BACK S1t7E OR STACK VEF119CATION ON REPLACEMENT FURNACE JOB ADDRESS � � 5—C) The undersigned hereby makes application for a permit for the work herein Rete TOTAL spec"d agaeing to do ail wo* in str%t accordance With the City Lades. and rulings of the Building DiVlslon, and hereby declares that all the facts and 3!•00 representations stated in this applicatloh are true and co rrect S I `1 1988 OWNER $10.00 $ BUILDING USED AS $10,00 $ c� v -- ESTIMATED COST i6—D PERMITNG. ,3 , 7 $ 25.00 $ e , Pg$CPIPTIGN OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Stearn) (Hol Water) (Warm At* Trade Name Size No. BTU HP EDR $ Fuel. Total Connected Load State Svroharge MTAL FEE MINIMUM FEE FOR ANY HEATINC dMOLIN61VIENTILATION REFRiC3ERATIOWAIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00ft r+ *Air Conditioners can not be placed in a side yard without written permission from adjoining propedy owner. sumer Trade Name Si2e No, BTU HP EDR HEATING CDMPANY_�"� n _�L' Signed By Z�� Tel No. �1 % (0 gCll Approved ByRough—In Date Final Date t' � dFILL OUT BACK S1t7E OR STACK VEF119CATION ON REPLACEMENT FURNACE City of Fridley SUBJECT a3��il 6 3 ', AT THE TOP OF THE TWINS BUILDING PERMIT REC O. �• _ COMMUNITY DEVELOPMENT DIV. 4Y r PROTECTIVE INSPECTION SEC. 1 = I CITY HALL FRIDLEY 55432 �'""" NUMBER REV GATE PAGE OF APPROVED BY- 763-571-3450 910-F15 6/24/03 JOB ADDRESS 6150 Star Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rene & Michelle Bijold 6150 Star Lane NE 763-502-1560 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 8 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 17'4" x171 Two Story Addition to Building ®e ° 9 CHANGE OF USE FROM TO ® n0meowmr-ho. T® STIPULATIONS See notations on plan. Separate permit required to build deck and to convert deck to porch. PARATEWARNINU SER MITA RED F®�® Bef®ra digging call for all Utility locations 4540002 SAS REQUI E Y LA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $40,000 $20.00 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. $542.75 Fire SC $40.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $602.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEl NEN PROPERLY VALIDATED THIS IS V UR PE MI 9l iNSp FIAT S-GNATURE OF OWNERoF OWNER BUILDER, iDATEi n NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Name & Address: L— ' " " Tel. # �� ' 500— ISO 6 Contractor. IN LICENSE # Address: tF 3 % �4'� /�l_v/Lr ��/� Tel. # VAA Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height ® Sq. Ft 3/ i GARAGE AREA: Length .-mss Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: kys / Construction Type• - a Estimated Cost: $� ®t9 f7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = �Ft x $ DATE: APPLICANT: 4C 4e—v i r' ®� Tel. # 713-b- �O/� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $1 Fee Schedule on Reverse Side Fire Surcharge $ ,&i .001 of Permit Valuation (1/10th%) State Surcharge $ b�:> $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. T" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ .%� \ Y� Y RAYMOND A rytASCN A I: �� 691 I IDAHO AVE. N a LOT SURVEYS COM 1410 BROOKLYN PARK• MINN N.• GERALD T. Coy" ,a :. 100 RRUNSW�CK AYf LAND ,URVF:YORS G:il CFN VAI t LN MINN WS OF STATS OF 1[INl1ESOTA SSOISTSSSD VETOES LA OF MINNEAPOLIS 88A ' LICENSED DY OSDINANCS OF CITY 5.13 9922. 1,917Idalul Ave. N. U. �linn�wNa 5;12A i1111OYAQ11 �;UM8INING vtORE THAN JO YEARS OF NCI:SAI. .6urbeporg Certif icatt h ETROPOLITAN AREA PERIEtICE IN THE ;)A,MCRGIAI• iQPC'C. CIA` GRAPHICAL .. _.. f CIi.Y Lopi PLATTING Inv • #457 purvey for: F.B.122--30 t JOHN NICNEIL X18 "k SCALE: 1" = 3 .......... .'io, • •DENOTL IRON "DENOTES WOOD I'+•'� i'� � ,�. Iw All \ T �v- . "I �— �/ _•�1 - _ .. ail •a•� h �NV- - - - .1 ;;`tL:Yhti h •l• jacL to e•;,®rn:nt'e of record,if onTO (�/J� Lot 1 , lil �. v,c 1, SuBjECTP ITN City of Fridley 33725 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV.�� r PROTECTIVE INSPECTION SEC. 1 . � ER REV GATE PAGE or APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 r910415 7/21/03 JOB ADDRESS 6150 Star Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rene Bijold, 6150 Star Lane NE, Fridley, MN 55432 763-502-1560 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same as above 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 ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct 3 -season porch. 9 CHANGE OF USE FROM TO STIPULATIONS See notations on pians. WARNING Before digging call fov all utility locations 454.0002 SEPARATE PERNTS _1PRIO . I-VAF REU,UIRED FOR: PLUUMBINd ANDS G TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $7,368.00 $3.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE �Q R CANCEL THE PERMIT FEE SAC CMA E PROVISI F ANY OTHER OR LOCAL LA ttiULATING CON- $153.25 Fire $7.36 ST TION OR E P� f0 AN OF CONST 10 76;Z v e PLAN CHECK FEE TOTA FEE 16 9 SIGNATURE OF CONTRACTOR A HORtZED AGENT tOATE. EN ROP VALIOAT IS IS YOU FERMI BLO & -NSP TE S,GNATURE OF OWNER OF OWNER BUILDERI iDATE, NEW [ ] CITY OF FRIDLEY Effective 1/1/2 o3-- ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-36 4 X09) s ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 71-12!Oaii' BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: C— Tel. # Contractor: ®� MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. l 191,6 OTHER: JAV Construction Type:Estimated Cost: $ 3 3 =✓3Z7t- P Driveway Curb ut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: e oel!�!, Tel. # Call (763) 572-3604 for Permit Fees if mailing in applicaion. Fax to 763.5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �2 3 E Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $1275 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 [ ] Building w Inspections 763-572-3604 DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEINC BUILDING �YPermit No. RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY Date Rec'd: t E-MAIL ADDRESS 3e - OWNER ❑CONTRACTOR t /ate S rr CITY Erf d STATI MP �sy3Z So- STATE LICENSE # EXP DATE ADDRESS: CITY_ PHONE FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS .41 BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL SIZE OF IMPROVEMENT ❑ NEW ❑ MAINTENANCE/REPAIR NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGH : SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ADDITION ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS K NUMBER OF WINDC S K, ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF"I (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY ATE ZIP HEIGHT Sq. 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 SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations AND MATERIALS: Permit Fee $ q '1, QS a See Back Page for Fee Schedule Plan Review $ (93 a9 1 65% of Building Permit Fee Fire Surcharge $ 3. SIC) 001 times the total job valuation Surcharge $ ®'�° 0005 x Permit Valuation Minimum $.50 License Surcharge $ / $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ R + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 0 g , '►1 Make checks payable to: City of Fridley Attach Stipulations 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; that the work will be in accordance with the approved plan in the case of all work whi wires review and approval of plans. SIGNATURE OF APPLIC P PRINTNAME Permit No.6 Building MECHANICAL Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up fixtFres. YOUR E-MAIL ADDRESS 1 Awl DATE1 ��+ Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor a2w SIT E ADDRESS FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU SIZE/BTU THIS APPLICANT IS, �IAWNER OCONTR.ACTO GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 PROPERTY OWNER/ NAME; _BOILER $35.00 FURNACE $35.00 LINER $10.00 GAS DRYER $10.00 - CITY STATE zip TENANT ADDRESS: — Z c) PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX 0 SINGLE FAMILY TWO FAMILY 0 TOWNHOUSE PERMT TYPE 0 NEW 0 REPLACEMENT IKALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK cx�s PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up fixtFres. to $500.00, whichever is greater, for the (This should reflect only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor a2w 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) Equipment Installed MFG: MODEL: SIZE/BTU SIZE/BTU MFG: MODEL: MFG: MODEL: SIZE/BTU (GAS) $15.00 . A/C $25.00 __FIREPLACE GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 WOOD) $35.00 AIR TO AIR EXCHANGEER $15 (WOOD) HTR $10.00 _BOILER $35.00 FURNACE $35.00 LINER $10.00 GAS DRYER $10.00 _GAS E POOL HE$35.00 HE VENTILATOR $1500 _CHIMNEY DUCT WORK $10.00 _GAS PIPING $10.00 _ u Permit Fee $15° -Gid ber Numof fixtures @$10-00 x $10.00 = $ Surcharge $ •50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 for a permit 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 VArk which requires review and approval of plans,. (� f l (✓�� L awn 5 �/�%P/i ��l DATE 4 SIGNATURE OF APPLICANT PRINT NAME City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or propaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new constr action IMC 1346-0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Buildinc, Inspections i. XT DATk__ Srr.EAM,RM5._ Tws u9LV-kNf Is, OWNS TENAUNT From: Fax Page: 4/4 Date: 5/912006 8:58:40 AM 5/9/2006 8:52 AM FROM: Fax TO: 763-502-4977 PAGE: 004 OF 004 PLUM BLNIG RESIDENTIAL APPLICATION Rocelved By: CITY OF FR.-DLFY :jD0"r'. Re YOM E -W& ADM= 02 StMM.nA.COPYOF k -K -F VAJ t STATR_—Z2 YOU Limm. Wrni FAX' L9. bkyl.", - ;' L.4. : -: PER MS 16B.665 the Pm13rgais a minimum of $15.00 aft4e tatAl "up to -S-500,04, whichrmu 69=tef,fffthe knprovewmit' !Ut Uafim OT mplammmr Ora r0WwvWAhn=, eXtIU&&&e fWWtSL MiS ShMIJ ;�OaCt only tl�eon of6b*r) Lbb4m cost m8u S500 -S :4 , Laba wo berwIM SSW 10.S500 d3 ,, R FCPRj*0JWTS %7WS 1AWA EXCEMS SSW, PM.A.0 SA_,,,M M., Stt.j* ppA Frf nTpZ ErCgpp %' TM, fDr=ft nh1ff>1CATS3`0T,0d, F-I&CH B=W� WIA4TU. "M TH TrOF SwK&ALV m RATHTUR _V.d(KM I Z numm POM V'WATEk CLJDM — WAIMP, $Ornm 0:5S) MCKPLOW Pkp-V. (.115.) -V=S= _;,AUSMRYTRAY —WAM* WATFA (W MIGATKYN —WATMMEM —.OTM fee. @ S) 5M S Nmbwr CE. Toni IMIR THIS TSAN APXJCATV-4 KA A PUMT-Wf VALID WM PROCMM City of -Fridley - Building Inspections Department 6431 Univasity Avtntie X4 Ffi&y, NN 5543' 163-572-3604 FAX; 763-502-4977