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PRE 2010 DOCSCity of Fridley SUBJECT PERMI 13016 AT THE TOP OF THE TWINS N P E R M I T r / COMMUNITY DEVELOPMENT DIV. BUIL ®I %!60'6 r r PROTECTIVE INSPECTION SEC. y CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/13/75 JOB ADDRESS 6312 Starl ite Blvd. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pine Tree Builders 8415 Center Drive 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 R NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 28' x 36' house with attached 24' x 24' garage 9 CHANGE OF USE FROM TO STIPULATIONS WATER: 10' South of Sewer Service R►� 1. Need certificate of survey. ` 'COW � NQS •� 2. Provide a verification survey after foundation is OGe in. 3. Provide a hard surface driveway. EPERAYE PERMITS REQUIRED FOR WIRIN HEATING, PLUMBING AND SIGN& SEWER: (APPROX. DEPTH OF 9') WYE ELEV. - 839.30 101' North of M.H. (Inv. 841.46) TOP OF FOOTING - 842.30(Min.) 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 ZO I SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1L188 20,156 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N WLG. UNITS 336 OFFSTREE ING 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 $40,000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .20.10 DOLS- NOT PRESUME TO GIVE THORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OV IONS OF ANY OTHER TE OR LOCAL LAW REGULATING CON- TRUC ION OR THE PE OF CONSTRUCTION. $48.07 325.00 R 7�ANE PLAN CHECK FEE TOTALFEE =3 0 $393.17 SIGNATURE OFCONTRACTORORAUTH ffDAGENT (DATE) WHEN PROPER VALIDATED HIS IS YOUR PERMIT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG. WSR DATE 1 *r r PI REE BUILDERS, 17745 BLUEBIRD ST. CEDAR, MINN. 53011 d INC. 0 e Qtr vE r .Aat €r a..8a4-c .,-. Sloe 4 114 AA . 3 Before ds tall lo: utilities TELEPHONE ELECTRJC-GAS- Etc. REQUIRED Y LAW . Y � ( y aVmom ,� .. ® v-.-----aAg — F RI®J001 e Qtr vE r . Y � ( y aVmom ,� 'r "' a AP?LICATION FOR RESIDENTIAL.,' ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS: ADDRESS:FS(, s N0:. 2->l L STREET: LOT: Y BLOCK: CORNER LOT: IN Applicant attach this form.Tc.o. Certificates of Survey ..of Lot and -proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: r r Front :_ Depth : Square Feet: AlCr Cubic. Feet: A Front: . f Depth: 2- r Height: Square Feet; Cubic Feet:' Type of Construction: w Estimated Cost: To Be Completed: The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all'work in stzict accordance with. the City of Fridley Ordinances and railings of the Department of Buildings, and hereby declares that all the facts and representa' tated in this application are true and correct. DATE: SIGNATURE (See Reverse Side For Additional Information.)' SC'vC� 0� m �v ald -- ,� •►, ► t, $so's4Z i 1 "five x A8C. -- -- — - OS-`h $ Zs 7 - ----- G o `ah z �c %', --- I °oOL L i i _ • - f AL - - - --- - �-, `i SIL o - - . `Ll A 1l -,� -- - - - 1.1 x ,o /,1�� d IZ S i' - �ftf< 7 vof.As Z e £ O LLQ O N r cc M LLQ L[f Q F- O N LU z z LU J 0 LL Q W H O z W z W Q F- LU z LU z W U U September 23, 1975 Pine Tree Builders, Inc. 8415 Center Drive Minneapolis, Mn. 55432 Re: Final Inspection at 6312 Starlite Boulevard N.E. Dear Sirs: A final inspection was made on September 19, 1975 of the above address. The following items were noted and must be completed before the construction can be finaled outp 1. Provide handrails on both the garage steps and the back door steps. 2. Provide handrail on stair leading upstairs. 3. Provide handrail on basement stairs. 4. Provide 42 inch cover on north wall of garage. 5. Provide a hard surface driveway with the proper curb depression. 6. Provide sod in the front and side yards. We will expect items #1 through #4 completed by October 10, 1975 and items # 5 and #6 to be completed by June 13, 1976. The electrical and plumbing contractors must also call in for their final inspections. If any problems arise that will prevent you from completing these items by the appointed dates, please contact us. Reinspections will be conducted on or about the appointed dates to determine compliance. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh CC: 6312 Starlite Boulevard N.E. /"� an,.+. ST'° o ''3 �y �!`' ,.. n� �' °-� . �. � I si c ` �,• .-`j �: Si.., "9..,.,x.3 j -''`•a n, . P'; .. xp � .r '� � �. .. A_. %....- ....� �..a, � y� pq . 3 wrY� •.l :.i .r..V� S'.+a: � ..a+.,,.s � b.,. .. ..e ..1 'G.:,o u,y .. ��w ...a-.av•y `tW. 4✓v+. s. •�a a ..: L�.: �.,t4..s ✓ridgy Q.e� �w�u4..:::aF� 4.�'�.tA j'Q t'„� jj;; .rn' y,;F �r..�.nn •p•^��'..'�4ty,,.yt W.,..1s Y,-. p,�r.;. � P''•ft^',•'-!,9s�a .. w`4„ia( l;{6Y:il.b "v:se:fEw:✓'�i.Y��� Yw� �iDCn:laii� lKatS'o� Eal'Ss"<i 4'i tisa;i�a4 PAIRTIAL RATE SCI ROEDUL GIU VITT Sk .R.D3 AM: Purace Shell & ?au l Work. Replacerrert of rurmce Repairs & Alterations ---up to $500.00 Repairs x'c Alterations each sdd. 5500.00 IMCEL W1p.1 x Alit Furnace Shell & Duct Work to I0,CW BTU mzth add. 60,M0 BTU . ......... T!?'?:lzM_=ent O? Flarnace & Alterzticns--•up to $500.00 zU;: .eirs & Alterations each add. $5M.G0 STF-AN? oz L -:OT VI&I'MR 'SY3=14 cL%?Z TO STALL ..... .. $IO.fbO $- 6.00 6.00 S 30U $ Furnace Shell & Lines --to 400 sq. ft. F.DR Stem Q10.00 $ Furnace Shell & Line ---to &40 sq. ft. EDR Hot Water 10.00 S. Each add 200 sq. h. EDR Steam NI $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BUB r"""tr. —to 3 gal. per hcur 6.00 S. • _„� over 3 gal. per hour --See Fee Schedule GIS F3Y rINER (up to 19.00- i BTU) x.83 $ Over lsla.000 Y"'I"€J Sia* real Sckq-dula CJL-* FITTING : �:EZ: 1.410 RATE TOTAL Ist 3 Fixtures X$ 200 $ L Additional Fl ures - •75 Gas Range to IM•= z3 3-G& $ _ State Surcharge L-'-5500 OL Srea SIC ~ . R City of r^r:dley: The undersigned hereby males application for a permit for the work hereir'- specified. agreeing to do all work in strict accordance with the City Orth=: ce and ruling of the Depai;mcnt of Buildings. and hereby declares that all tke facu and representations stated in this application are true and correct. Owner Kind of Used, as To be completed about. Estimated Ctut:, $ Old --New. Building Permit No. ___ PormitNo. �T�® HP—NTING or POWEit PLANTS -5 - Stt'esna„ NoWa Warm — od Trade Name - �" _ PITL* Wn_ Capacity.__-. Sq. Ft. E.D.R ' � S X.P Total Connected Load r`——ZI--�=-- lam of Fuel BURNM — Trvde Phase G y. Sia: Zda Capacity So, YL EZ.R S'a'ZT 1 95f':x Siraz DY > ma ` "—�/ t"A ...oV22b 3.L"J S 6.00 $ 6.00 $ 3.00 $ Furnace Shell & Lines --to 400 sq. ft. F.DR Stem Q10.00 $ Furnace Shell & Line ---to &40 sq. ft. EDR Hot Water 10.00 S. Each add 200 sq. h. EDR Steam NI $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BUB r"""tr. —to 3 gal. per hcur 6.00 S. • _„� over 3 gal. per hour --See Fee Schedule GIS F3Y rINER (up to 19.00- i BTU) x.83 $ Over lsla.000 Y"'I"€J Sia* real Sckq-dula CJL-* FITTING : �:EZ: 1.410 RATE TOTAL Ist 3 Fixtures X$ 200 $ L Additional Fl ures - •75 Gas Range to IM•= z3 3-G& $ _ State Surcharge L-'-5500 OL Srea SIC ~ . R City of r^r:dley: The undersigned hereby males application for a permit for the work hereir'- specified. agreeing to do all work in strict accordance with the City Orth=: ce and ruling of the Depai;mcnt of Buildings. and hereby declares that all tke facu and representations stated in this application are true and correct. Owner Kind of Used, as To be completed about. Estimated Ctut:, $ Old --New. Building Permit No. ___ PormitNo. �T�® HP—NTING or POWEit PLANTS -5 - Stt'esna„ NoWa Warm — od Trade Name - �" _ PITL* Wn_ Capacity.__-. Sq. Ft. E.D.R ' � S X.P Total Connected Load r`——ZI--�=-- lam of Fuel BURNM — Trvde Phase G y. Sia: Zda Capacity So, YL EZ.R S'a'ZT 1 95f':x Siraz DY > ma ` "—�/ t"A ...oV22b Application for plumbing and Gas FitEngPetmit .... . A,apt. of 13td-'-Z. Phone S=' DE9C$SPTION OF WORK • 'Lo�L 1(mmuee, Wnd a(ed 16--a4ienr of Fine . j Iy x0. RA?B TIOTAL . tHu WAY(*0 a?R, Number Fixtures ................ x S1.50 S -• •� Z 6 G N GM GM x$3.25 S Catch Basin ................... . k a,cr Beater 'Up to 99.0.00 BTU) • • • • — 'x $3.00 $ - New Crcund Run Old Bldg... • : • • • • -- x $3.�25 T�t� s..e•C:rc /&*o211CStC: ...... • .... • • � pS ice. x $2.00 - GAS nT•tlNC rUSI f x0. R;.T.E TOTAL Ist 3 Fixtures ........ • • • • • "• " (--- x 32.00 B3.t 1 . x $ .75 Gas P..::ye to 199.000 BTU .......... ----.– x $5.00 'S 1r $ X••r ii:-Ynzs, O:d Opoairrs Csssp" City of Fridley: Y The undersibncd hereby rrakes application for a perr.•.it far the. work here specified, a,';rCC:nb' t0 do as tcC:k is strict acco vance with the C. C`.C•.S.s�. and ruling of the Department cf Bu• e;ns, and hereby declszes L�i2t all L*.e. f: • and representations stated LZ this aprlica::on ere true srd correct T'dley, Dann z PARTIAL 99a SCHEDULE PLQMBIHG k1Xi'ti$E r�►'i>i;$: x0. RA?B TIOTAL . x.•2.CA S Number Fixtures ................ x S1.50 S -• ' ntu:e FZxtu:e Opening ............ :.ew Fixture O.d 0p0.nirg. X $1.50 S x$3.25 S Catch Basin ................... . k a,cr Beater 'Up to 99.0.00 BTU) • • • • — 'x $3.00 $ - New Crcund Run Old Bldg... • : • • • • -- x $3.�25 T�t� s..e•C:rc /&*o211CStC: ...... • .... • • � pS ice. x $2.00 - GAS nT•tlNC rUSI f x0. R;.T.E TOTAL Ist 3 Fixtures ........ • • • • • "• " (--- x 32.00 _ ,AdZiulonal r.xtures.....:......... . x $ .75 Gas P..::ye to 199.000 BTU .......... ----.– x $5.00 'S Owner ' Kind of Building Used as T4 be completed about •Estimated Cost, $ Old --New. Duilding Fermit N0.._.. --T – -- Signe By Businc:s Phune !o ��� I �/ ROUGH • • .50 State .s=-Ch=90 • TOTAI �`� �' SUBJECT PERMIT City of Fridley 1359'7 AT THE TOP OF THE TWINS PERMIT r i BUILDING REbQPT NO `u ------COMMUNITY DEVELOPMENT DIV. iq SCJ' r PROTECTIVE INSPECTION SEC. 1 . i NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 6/18/76 JOB ADDRESS 6312 Starlite Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 4 Sylvan hills Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE James Fischer 6312 Starlite Boulevard 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12" x 18" Shed in back Yard 9 CHANGE OF USE FROM TO STIPULATIONS PERM)-rS REQUIRED FOR Whit""', S EPERATE HEATING, PLUMBING AND SIGN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Woad 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 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, $SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $950.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $6.00 PLAN CHECK FEE TOTAL FEE $6.50 OF CONTRACTOR ORA HORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S1NATURE Q �i4 .SIGNATURE .LY LPA P BLDG N INSP� DATE E O OWN R(IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: ,req3 ,l / s"� 1j y' BUILDER: L, `S I -vim ADDRESS: 61312 1/-r Z,;Z,o 6 /,, � ADDRESS: NO:. / STREET • f,6 -1,L /, 7'61- A/, ,/ LOT: b� BLOCI.. /ADDITION : CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: (� eight: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: /� ,� Estimated Cost: $���. �r a 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: U � SIGNATURE: (See Reverse Side For Additional Information.) r City of Fridley SUBJECT 25229 AT THE TOP OF THE TWINS BUILDING PERMIT 'r ' R COMMUNITY DEVELOPMENT DIV.��� r PROTECTIVE INSPECTION SEC. NUMBER REV DATE 6/30/97 PAGE OF APPROVED By CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 JOB ADDRESS 6312 Starlite Boulevard NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Fisher 6312 Starlite Boulevard NE 571-5718 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION {j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (19 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 $1,567 $•78 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- $51.25 Fi STRUCTION OR THE PERFORMANCE F CONSTRUCTION. PLAN CHECK FEE Licens C $5 0 TO AL FEE $58.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN NOP VALID T//9, THIS IS YYOU�RP/E�RJ(MIT _BLJPFG INSP f DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (0 Legal Description: Owner Name & Address: Tel. # Contractor: t MN LICENSE # 0,60) D D-_7 7 Address: �' Tel. # (0 ` 44 r Attach to this application, a Certificate of Survey o the j n SS l 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: I&"-, idth Hgt/Ground Sq. Ft. OTHER: o��� Construction Type: Estimated Cost: $ f, IS67 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel: # ` p ry STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation,(1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ �S_.60 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ) TOTAL STIPULATIONS: BUILDING PERMIT FEE SCHELWIAl- `l'he Chief Building Official shall, before issuing permits for the erection of any building'.or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided ,to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2.000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1;000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000'Or fraction thereof, _to .and including $500,000 $500,001 to $1,000,000 .$2887.25 for the fust $500,000 plus $4:25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and. up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal .and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot. wide approach with 6 inch depth. - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the: time of application to allow for proper eview of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been construc'c:_i .."'!J he required hefore proccedin<g with the framing. City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Ph: 763-572-3604 FAX: 763-571-1287 Mechanical Residential Application City of Fridley See Back Side For Required Information Permit # Date ` V—D Site Address: 3 / . The applicant is: (cirice one)Owner Contractor Property Owner: Address: Al-Wrliln, City: .. State: - I✓ Zip: Phone: 3— ✓ Cell: Fax: Contractor Information Company Name: Contact Person: Address: City: State: Zip: Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacemen Alteration/Remodel Detailed Description of work: 9 fi Equipment Installed: MFG: Model: 411 'e" Size/BTU: �D MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 _A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ C�J� © ® (Total from above -Minimum fee $35.00) Surcharge $ 0.50 Total Due $ ��v.�hJ� Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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 case of all work which requires review and approval of plans. Signature of Applicant: Dater -- Approval Inspector Signature:1A LZ- Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS Z EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/]FGC 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 construction 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