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PRE 2010 DOCSCite ®f Fridley, Minn. BUILDING PERMIT N9 5223 Date:'.` Owner: Builder -—�- I Address Address LOCA � ON,,C7 UIL NG No... Street " ': r Pari off, t Block Addition or Sub-Division-'l— Comer Lot Inside Lot _. i Setback -- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING sed To v� '' • FrontDepth Height Sq. Ft. Cu. F r 40 .._._....._.. �ronir, Depth ei ht _ Sq. Ft. Cu. Ft. `� --__ Type of Construction Est. Cost TO be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_"'�T., 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, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sura to see the Building Inspector for separate permits for these_ items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, M[NNESOTA Address Address ,-7- �-4---(.--- f LOCATION OF BUILDING 9 d . ---) — A No. of Lot Lot r. Block Addition or Subdivision,4'&M" 14-dge �irf:r� ra Corner Lot Inside Lot Setback J��`r,o ` Side -Yard 10 �- o ' SEWER ELEVATION FOUNDATION ELEVATION Applicant attach.to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Sq. Ft. I/ ft Cu. Ft. Front Depth Height Sq. Ft. Gu. Ft. Type of Construction 4--L . Estimated Cost ® o a,. oar To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Z— l - l SIGNATURE TS?de. (A Schedule of Fee Costs can be found on the Reverse BUIIDING PERMIT FEE SCHEDUIE Section 2. The Inspector of Buildings shell, before issuing any permit for the erection of any building or structure, or for any addition to any existing build- ing or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the M=er herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical, contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper Surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. Application for Power Pkmts and: Heating. Cooiaeg, Ventilation, R Neration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-7 0 i Zd li GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ .each add. 60,000 BTU ........................ Replacement of Furnace ............................. Repairs & Alterations up to $500.00 ... ............ Repairs & Alterations each add. $500.00 .............. . RATE TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ _ 0.00 $ 5.00 $ 2.50 $ ,STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam, ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour ................. ...... 5.00 $ over 3 gal, per hour—See Fee Schedule f GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ v GAS FITTING FEES: NO RATE TOTAL lst. 3 Fixtures x $1.50 $ t" I", Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ IFAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM _ ,ALTERATIONS & REPAIRS TOTAL F 1 $ v ROUGH FINAL 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 � Pral t. Frid)ey, �- ✓l� �� 18 owner (40-1A Kind of Building Used as To be completed about a[) EstimatedCost, $ Guilding Permit No. Permit No. / DESCRIPTION OF WORK HEATING , Warm Air—No- Trade Name p Size N a Z -/o Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Loa Kind of Fuel ) � O BURNER — Trade Nam ' atee/ Size No-� 4 7 'i49 Capacity. Sq. Ft. E.D.1v-0D- BTU D� CEO. SED WI K 01-1-AM-Colqu. 1001 Xenia env. S. Minneapolis 16, Minn. Signed W254 611 By 2M 7-59 Business Phone N r_ (REMARKS -OVER) HEAT LOSS CALCULATION SUMAM SHEET Owner or CI Contractor L� f� eM16 r e ,�J�� Address b Heat Loss Total B.T.U..e2 Infiltration Total B.T.U. Less 1/2 infiltration 'j�B.T.U. X factor (Input (Output Tota 2 e �Y/x 1.56 1.25 Type of Warm Air System: Gravity Forced Air v Type of Fuel Gas Oil Coal % Furnace Size No. % �-- �� B.T.U. (Input ` (Output No. of Copies By Date HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Village of Bloomington Weatherstrips A.S.0 ide . e E Construction No. Insulation Gu Windows I Doors Reference Out. Wall Int. Wall Ceiling RoofFloor Kind How Applied es - ems_ =fin 19_ Fj_ F1.1 Room Length Width - Height FI.I �7-c ,y Room I Length /�� Width yl Height?' Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area JCoef.j Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq.ft. �' s Glass - Net exp. wall Exp. wall i-C� .3b Exp. wall' Int. wall Exp. wall Net exp. wall Int. wall Ceiling` d ,P 'tea Net exp. wall Int. wall Ceilings 9� 41�6 2 Ceiling _t'Y Floor Floor ii11,17, Windows and Doors—Crackage and Area fi��ff JCoef.j Btu Infiltration `� / � A , �-/ Glass -Y A0 -1 .610 Exp. wall ^� Infiltration �' s Glass - Net exp. wall Exp. wall i-C� .3b Exp. wall' Int. wall Exp. wall Net exp. wall Int. wall Ceiling` d ,P 'tea Net exp. wall Int. wall Ceilings 9� 41�6 2 Ceiling _t'Y Floor Floor ii11,17, Int. wall Total Btu. Int. wall n 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling F11Room I Length Width /co Heiaht 9 Windows and Doors—Crackage and Area fi��ff Width Height No. of' Lineal 1t. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft.' Ar"Noo. of pane of pane lights of crack sq. ft. -,10 13 A/F 3 / Coef. Btu Infiltration Infiltration Glass Infiltration �' s Glass ®� Exp. wall i-C� .3b Exp. wall' �,� 0 Exp. wall Net exp. wall Int. wall Ceiling` d ,P 'tea Net exp. wall Int. wall r--/ 9� 41�6 2 Ceiling _t'Y Floor ii11,17, Total Btu. I /, -, * "7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I L.enath ✓.s ,�1_ _ Width9',_ Height V Windows and Doors--Crackage and Area fi��ff Width Height No. of' Lineal 1t. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. -,10 13 A/F 3 / Coef. Coef. Btu Infiltration Glass Infiltration �® a ®� Exp. wall i-C� .3b c / o® Exp. wall Net exp. wall Int. wall Ceiling` d ,P 'tea r--/ 9� 1 76�1® Floor <� 2 Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area S.D. 218 Windows and Doors, ---trackage and Area fi��ff Width Height No. of' Lineal 1t. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. -,10 13 A/F 3 / Coef. Btu Infiltration' Infiltration Infiltration � c f & � A' Glass Glass .3b �® / o® Exp. wall Exp. wall 2 X F r--/ Net exp. wall Net exp. wall <� 2 Int. wall Int. wall Int. wall Ceilinge��`� Ceiling 9 8 /co Floor Floor Total Btu. r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area L^I I _ A. - n_ 0__s 1 r _.L a ® RFf:. &L e U—:—Lb 47 Windows and Doors—Crackage and Area B� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �® a �� Coe£ Btu Infiltration Infiltration Glass 3 Y J ,� Exp. wall 2 X F r--/ Net exp. wall <� 2 Int. wall Int. wall Ceiling 9 8 /co cb Floor Total -Btu. 1cJ 117' Required sq. ft. EaD.R. or sq. ins. W.A. Leader area ® F1_I O If Room I Length / c,- WidthHeiaht 6 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 4 d Coef. Btu Infiltration 3 Y Exp. wall Net exp. wall Int. wall Ceilings Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Village of Bloomington Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es . es 9— : i I ''FV a :, Room Length ja Width Z2-. k. Height II Fl.l Room I Lenath Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane Of pane lights of crack sq. ft. Width Height No. of Lineal ft. Are$, No. of pane of pane lights of crack sq. fka� a 4 Coef. Btu Infiltration Glass 1Coef.1 Btu Infiltration Net exp. wall Int. wall Ceiling 1,111 / Glass Floor I�,� Fzp. wallXf - Net exp. wall Int. wait r�M. .Ceiling / �- 4 Floor Total Btu. 1 7 d` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A; Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane Hr pane tights of crack so. ft. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area B.D. 218 Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghta of crack sq. ft. Coe Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E,D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Windows and Doors—Crackage and Area Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures q G7 c RATE TOTAL c '^ w `c' x $1.50 w �z 00 �a 00 • R • N WATER HTR. GAS ELEC. Base $� New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... $� x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 1st / 2nd 3rd 4th • Future Coaaection Openings New Fixture, Old Openings Connected with Sewer � Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NOr RATE TOTAL Number Fixtures ...................... `c' 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 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL k—x $1.50 $ � ® — x .50 $ x 2.00 $ Description .................$ ............................. TOTAL FEE Dept. of Bldgs. Phone SII 4-7470 v 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 Bull din s, hereby declares that all the fact and representations stated in this applic 'on true and correct. - Fridley,-MinnCom/ 19—/ r Owner's Kind of Building Used as To be completed about Estimated: Cost, $ / Old New uilding Permit No ROUGH L ®l 1• — FINAL 42 2M. Business Phone No. G�✓�� City ®f Fridley, Minns WELDING PEPMT N® 6774 Date: -� Owner: Builder Address Address PF OILPJkNG No. Street Part Lot Addition or Sub - Corner Lot Inside Lot Setback Sideyard Sewer Elevation Fo tion Elevation DESCRIPTION OF BUILDING To as: la Front I _ Depth Height/0 Sq. Ft. Cu. Ft. Fro t Depth Height 0 el Sq. Ft. —. Cu. Ft. Type of Construction Est. _ y--_ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth compliance with all provisions of ordinaaces of the city of Fridley. / � In consideration of the payment of a fee of $ 'I -� , 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time uponviola any of the provisions of said ordinances. � � "IA Building Inspector NOTICE: This perm h does not cover the construction, Wandlon for whb& phunbing, gas hes8ng, sewer or water. Be sore to as the Building Inspector for separate permits for these hos. rf e�a � APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LO ON 0 BUILDING No.j_g Str part of Lot Lot Block Addition or Subdivisio Corn/r 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 ed -Ws Front. Depth height Sq. Ft., Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Constructun� 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. _SIGNATURE .� (Schedule of Fee Costs can be found on the Reverse Sade). C BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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: 2.1. For any such permit for the erection of any fire -proof building, other than a garages warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. 1740USES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addittan., for aimilar occupancy, to any existing building or for each such btd.lding or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00.. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the foo.chargod for any permit as set forth in Section 2 be less than $4_00. F . 53-84-S-915.51 W 62�L3 City of Fridley SUDJEGT AT THE TOP 0' THE TWINS r tW ----- COMMVNITY DEVELOPMENT MV, PLUMBING PERMIT APPLICATION PROTECTIVE INIfECTI01+ MPT, l p '•�_� t CM HAIL MOL;T ®MR 419-600-34" INUMM Inay. IhATff I 6dGe rM - XAMN..Cn ss 6324 Starlite Blvd NE Don a R. Ledin aaress Phone Same Contractor Address Pone Minnegasco nuette Kind of Buildin UseRes. Fume Completion Date Estimated Cost 615/71 10.00 Ij Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 r W nI i I r I! Future Fixtures x $1.50 �OSYD! b01 I I I • I New Fixture -Old Open. x $1.50 ® i Catch Basin x $ 3.25 eve I j Water Heater -99,000 BTU x $3.00 i I Ground Run Old Bldg. x $3.25 Btia; •AANtral � ! ' I �I j Elec. Water Heater x $2.00 w 8Nt8VB ( I I� yQ Gas FittingFees: -- ! ,Q O SNtVl10 I ;3 •� 'Op W 1st 3 Fixtures x $2.00 p I saaMoHs! ! ! ! ( Additional Fixtures x $ .75 '1NnOd! 6iyG3 wMiNG Gas Range -199,000 BTU 1 x $5.00 5.00 CIA q SAVal HSVM! ! ! ,.., I Repairs & Alterations See i Description: Code I BNIBVB I 1 IState Surcharge .50 j Class 'A' Surcharge ,50o ( ! I TOTAL FEE $ 5.50 H.r6! I B,rNtan ! !The undersigned hereby makes application for a permit ! ! ! I 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 declare that all'the facts and representations stated in this application are true and correct. st Signature Date ell i f F o CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL ` RATE TOTAL Furnace Shell and Duct Work, �® Burner (Also replacement furnace) $ 20.00 $ Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 18 of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL ` 1% of Value of Appliance or Work $ State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp. 129 --3 ® — P40 Date Approval for Permit 0,4L MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE i *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and.correct. Fridley, Minn. ��, 19zc OWNER /�/d• �, 69 �� ra' r s®l KIND OF BUILDING USED AS -Z= 5 TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT No. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Trade NameSize No. � e®�keg Capacity Sq. Ft. EDR STU HP Total Connected Wadzr, �c Kind of Fuel I BURNER - Trade Name Size No. Capacity Sq. Ft. EDR STU HP Company P✓��Ica��3 O ®s` G cap Signed By Tel. No. Fill out back side for stack verification on replacement furnaces TA1'Q*?f�r;�;D H A11 I NE, T,=, c �r-zi -r i t�r-,,S i rtlC �c } 4 SEl�;t.�tIr�G THE:. TWIN CIl1.�� :�IrdL:L 1^moi:t HEAT LOSS CAL.;..J'JLf i I ON r l]h; LEL' T rd . ; ' <'} '"i f�^'LIE HT BLVD., } r MAIN LENGTH 4.3 WIDTH 25 i-IEIGHT 8 WINDOWS & DOORS •- c;•�;,�,cl-:::f-?c�E~ ��r�I�?�r=•,��E�:}�_._______.»__.�__________________.«.. I=lFI'rDTH HEIGHT NO. LIN FT AREA NO. F'AN>E PANE L I CAHTS CI;ACI.!:: Std E=T .J .fins -" S 61.4 2 T.' I„} - 1 -'6 BO ii 19 w » 20 I kirI L F r;t=•�- :E ONA a a p n a a 8^ i» OEF!-*- BTU . y -3, ice•: n F�'T n a p n a n n n28'(). GLASSnpppnanaaanp,.nwppppan4na4nttaa4 t:; 56 ;I. :�.«"�. 50 10635 EXPWALL n 4 4 w a a N 4 a v p a A a 4 n a p N tt a p A 4 a a N 1316 NET E!:F' WALL . a a v a n n n n n a w a n n n n a a n a n a n n 875..-. 1::« �, ;. =� BELOW�G R A E) E u u u n n u {« E u A n A n u n a u u 4„} 5� y.;�;�9 .t 4 u u tt a u CEILING j• } .. a n w 4 a.aaaa4va p p A a p u n n n u 4 p u 4 4 i 1r:}%w-.1 15•i' � 16125 FLOORN a a w a A w u 4 u a w N a N v w n A n w A tt a a n a a a n p Ei VENTILATION—._ 0 wnw_NANpp44nwpa TOTAL BTU. u A N n a a __ N w 4 w a n p w a n a w N w N� :%'��' a 4: —-�_________�, �;f.?CE_rilEi'�IT LEr,�rTl-I �•^ Ik'I�,- �,i4 �, _.._____.. ____»...______--- _ ._�. i;•�:ti�.Il:�Ctl''!�� '& DOORS'--' r.::F�;,��wF�::s=�'.��•E �AND_.___.._».._____...�___—_--_____..__.._.._____..__.._._.._ AREA WID TH HEIGHT NO. LIN F=T AREA r4F= I L-TF«;A T I Otey t:} '-BOE=”' F BT I J 136 R. FTI p w u N w a u N 4 a JJ a tt a p a n C} 0 SLS-i•«_S na.Aaap.. n a n A a n p A n 4 n w 4 4 N n 4 4 w p p �»? i ", EXP WAL..L. wattAuuaau,.unnnaauaaanA r?_Lnuuwnnavttnnnnn4wnun« BE±L'_U GR(—:DE. n A a A n n N 4 A A a a w. a N a n a w w n 1. ()tPic�t 5 5-41-40 CEILING...Unn......Npttpa4aa44an44naw t �_} FLOOR. Aw4n4NnnAawaw4ttaawnawattnaaa4nA L�:?:'�� -.m -=y �JEr�TILtTIt;+�•Innnaaw 0 0 -�� Aan.AAnnp a nanA T0TAL BTUa4Anaaaaa 4aw44a4awawAawaN.wawaaNaawNwa4wn4NApw,nw 8665 ..I«?DT. -',iL -9`Y t OF' ALL i-iCOMS r F='? OOF~''• `� w N a p w w p 4 w w o p w u p 11 n .J N v N v v w u u 4 v a u a p u 4 p A 4 a n ivry:4 1 9 ,J 9 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-2656EATING ANDAIRCONDMONING CO 612/772-2449 "Serving The Titin Cities Since 1930' ORSAT TEST RECORD ADDRESS -f3jUQ CITY=� OCCUPANTf�c c - L & �� OWNER DATE HTG. INST. NSTALLED BY GAS LINE BY TYPE OF HEAT: GA FA_,HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESI N CONVERSION MAKE ,`�I, MAKE OF BURNER MODEL�,� MODEL SERIAL_ _ e&o 13,r MAX. BTU RATING INPUT®- MAKE OF FURNACE CONTROLS MODEL B®� THERMOSTAT /-&---- HEAT PLUG l � VENT SIZE VALVE fle a PgS4 e -S KIND OF LINER Vev---l't, SIZE../,_ NONE LIMIT -U-) DRAFT HOOD REGULATOR LIMIT SETTING CHIMNEY CONSTRUCTION 13 K6e�.�� . FAN SETTING DRAFT �&,N- TEST TAG PILOT TYPE LIGHTING .INST. PILOT MAKE PILOT MQDEL 47 PILOT TIMINGS C'e��.� PRESSURE 4 J-�PERCENT CO2 DATE TESTED INPUT CFH 6 PERCENT 02 7 e STACK TEMP.2 ZI-5-�PERCENT CO C NAME OF TESTER, 127-1 Z47 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes) 2. Is free from rust or deterioration Yes ) 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported Yes.,( 5. Meets all current Code requirements for size and total BTU connected Yes NA 6. Has Total heating BTU's of All other BTU's TOTAL Remarks STAttDTO HEATING AND AIR CONDITIONING 413 V -7T LAKE STREET Company N+f d, : _ '.. _; MN 55408 1 L_. F' ONt 624-2656 Signed By Z- - Date 0 No ( ) No ( ) No No ( ) No ( ) SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/6/95 JOB ADDRESS 6324 Starlite Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna Ledin 6324 Starlite Blvd NE 571-3749 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 l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 $1,500 .75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $48.50 Fire SC $1.50 PLAN CHECK FEE TOTAL FEE 0.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHENPROPERVEALIIIDJATED THIS IS YOUR �JPERMIT S,GNATURE OF OWNER OF OWNER BUILDERI I ATEI EId G INSP GATE NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application *:-i Construction Address: L f 12 �/ //- Legal Description: Owner Name & Address: NomL ,` N Tel. Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Cz c, PZ,4 _ Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks' Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Q _ _ �-APPLICANT: , _ Tel. # '7 I • 73'-7 K 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 $ $850 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 ( ] TOTAL $ �� STIPULATIONS: _ _ BUILDING PERMIT FEE SCHEDULE The 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 $25,01 to $50,000 $349.75 for fust $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 first $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 review 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 constructed will be required before proceeding with the framing. Building Inspections 763-572-3( SITE ADDRESS - THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERIVIIT TYPE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY ■• =�reel1IN .ff •' i Permit No.. Received By: Date Rec'd: MINN ft MN 55408 STATE LICENSE � 2- 24- — ADDRESS: STATE ZIP PHONE FAX •'SINGLE FAMILY ❑ TWO FAMILY TYPE OF WORK: I❑ NEW DETAILED DESCRIPTION OF WORK ZMA ❑ TOWNHOUSE ❑ ALTERATION/REMODEL PER MS 16B.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 $58, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL. NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: d SIZE/BTU cz:_rMFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 AS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 —VENTILATOR $15.00 Permit Fee $ Number of 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 7— x $35.00 = $ State Surcharge = $ 50 Total = $ --z C <t 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 applica 'on for a d work is not to start without a permit; that the work will be in accordynce wPi the approved plan m the cas whi uir review and approval of +1T �/Yl ATE SIGNATURE OF APPLI City of Fridley- Building ridley 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 "N REQUIRED FOR NEW/EXISTING HOMES ..i:., 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) & 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 Building Inspections 763-572-3604 DATE / SITE ADDRESS —10 THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE MECHANICAL RESIDENTIAL APPLICATION CI.TY OF FRIDLEY D OWNER CONTRACTOR NAME: Yl di ADDRESS: �P PHONE: P 1� COMPANY NAME: STANDARD CONTACT PERS i1'1FiL 111�410 STATE LICENSE # PHONE FAX %'SINGLE FAMILY D TWO FAMILY TYPE OF WORK: I 0 NEW PLACEMENT DETAILED DESCRIPTION OF WORK 1 4 MN 5540 24 — D TOWNHOUSE ❑ ALTERATION/REMODEL 0 Permit No.. Received By: Date Rec'd: 9 A 0 PER MS 16B.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) MODEL: SIZE✓BTU Equipment Installed MFG: MODEL: SIZE/BTU MFG: MFG: MODEL: SIZE/BTU C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 BOILER $35.00 _FURNACE $35.00 POOL HEATER $3500 LINER $10.00 GAS DRYER $10.00 —VENTILATOR $15.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 _ Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00-7— x$25.00 = $ -OC 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 permi&- d work is not to start without a permit; that the work will be in accordance with the approved plan in the case all k hich r . uires eview and approval of o—MSIGNATURE OF APPLI ATE 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 HOMES/ADDITIONSEXISTING HOME F1 MAKE-UP AIR REQUIRED FOR NEW/EXISTIN . HOMES 'ra . 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&UGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances TGC Chapter 5 with MN Amendments b. Fuel other than gas 1MC 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 Building BUILDING Permit No.06�WO I Inspections RESIDENTIAL APPLICATI®N Received By: 763-572-3604 CITY OF FRIDLEY Dat dAUG 7 20 8 763-502-4977 FAX EFFECTIVE I-1-08 DATE �. �� YOUR E-MAIL ADDRESS �� SITE ADDRE S ✓ d THIS APPLICANT IS: ❑ OWNER CONTRACTOR` PROPERTY OWNER/ NAME: �p �®� �� G /� STATE AIWIP =rc2 TENANT ADDRESS: $Ss1 % (moi PHONE: CONTRACTOR NAME: d y�� ADDRESS: 1& C' .' G CITY �' 6 STATE&VIP ®� SUBMIT A COPY OF PHONE 76-5 _ ��' "��/ FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE i !E! PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ErROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY MOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES ®� ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: Ag -DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl , ® Aoffit ❑ Trim 6i ADDITIONS & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures ❑ Aluminum czp and proposed project. ❑ Other AFascia 2. 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: b (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ �. '�o See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ LQ. .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ �� $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 $ 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 on site; that the work wil�accordan pr an in the case of all work which requ�view and =5ele-- of plans. SIGNATURE OF APPLPRINT NAME 4�4rv%,s DATE !'< APPROVED BY _ DATE Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1" $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1st $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for ls` $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977