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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERMIT No 52240 Date: Owner: _ _ Builder Address Address L® T ®N" UIL G M No. _. .. Street" Part of _. Lot Block — Addition or Sub -Division _ = Corner Lot __ _ Inside Lot Setback _ S deyard ..._ _. Sewer Elevation _ _ _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth Height Sq.: Ft.: Cu. Ft. 1 _ .1:._. _ n _ Depth fight Sq. Ft.—Cu. Ft. Type of Construction Est. Cost "°'_�o 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 $ _"""�` , 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. .. 1 Building Inspector NOTICE: This permit does not cover the '° construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner's NameBuilder : �9-- � Address Address �r s' �{.,, =-� ,;_ ii Q LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or SubdivisionZE-� o„r3 Corner Lot Inside Lot i/ Setback 2a_` 6 " Side -Yard l = d 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. / 6-o 2 Cu. Ft. Front Depth Height Sq. Ft. Gu. Ft. Type of ConstructionEstimated Cost% Q 0 0, O d To be Completed e 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 1- f — SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side. 7 °� . BUIIDING PERMIT FEE SCHEDUIE 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 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 manner 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. 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 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. 01� City of Fridley Application for PI=Wing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Ng RATE TOTAL Number Fixtures ....... .............. x $1.50 $ ,fie Future Fixture Opening ................ x 1.20 $� New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ / ✓ 2.00 Water Heater (Up to 200,000 BTU) ...... x $ Q�vZ pW .1 V` Z Z R 6 N WATER HTR. GAS ELEG x $1.50 Z. $_ �T-e Additional Fixtures .................... x .50 $ C� QQZ U < C�Y od rn Base lst 1 f l 2nd _ 3rd 4th :J --]En Future Coanectlon Openings Connected wlth Sewer Ej * New Fixture, Old Openings Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Ng RATE TOTAL Number Fixtures ....... .............. x $1.50 $ ,fie Future Fixture Opening ................ x 1.20 $� New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ / ✓ 2.00 Water Heater (Up to 200,000 BTU) ...... x $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO® RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Z. $_ �T-e Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $� to r Dept. of Bldgs. Pho SII 4-747 City of Fridley: The undersigned hereby makes application for a permit for the work herel specified, agreeing to do all work in stric ccordance with the City Ordinance and ruling of the Department of Buil s, hereby declares that all the facl and representations stated in this appli ation are true and c ect. Fridley, 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ 7 9--v—c' ` �� Old ew: uilding Permit No 3 Business Phone No --4 ROUGH_ FINAL 1 ._._ -QW42 21% X Application for Power Plants and.: Heating, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE D GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ y . each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace §.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $vx" Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ ,FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ _ 5 ALTERATIONS & REPAIRS TOTAL FFE ROUGH FINAL Dept. of Bldgs. Phone SU. N 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 —C Used as To be completed about Estimated Cost, $�� ESM ,Building Permit No. Permit Permit No. XGZ® r DESCRIPTION OF WORN 19 — (REMARKS -OVER) HEATINGor P E,Fat-mer, Warm Air—No Trade Nam � —Size No Capacity Sq. Ft. E D.R n ��-% BTU H.P. 2 Total Connected Loa ✓ Kind of Fue BURNER —Trade N . J Siz No_/V.7 `le) Capacity Sq. Ft. E.D ``TU H GEO. unetuaric HTG. P AIR -CO D. CQ ®�1 1001 Xenia Av. S. Minneapolis 16, Minn. Signe <z 2M 7-59 Business Phone N (REMARKS -OVER) D -S6 79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A. Guide .E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— Fl.1 JK.._. ,� L Room I Length - J, "' Width �`' �— Height 11 e F1.1 ' F � ,, "Z) Room I Length Windows and Doors—Crackage and Area `° Width Height No. of Lineal f . Area No.. of pane ofpane lights of crack sq. ft. S 141)" Glass Si? 5. r Exp. wall' Coef.1 Coef. Btu Infiltration Net exp. wall Int. wall Glass , Glass P r ` Glass71 :, 7! 7 u` Exp. wall e, , . . , Exp. wall ..' rr' x .F,z Net exp. wall Total Btu.'" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall Int. wall a FIA : Room I Length C:;e Width Z Height Ceiling rs Ceiling Floors, Floor Ceiling' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Af Fl.� - A�Room ( Length ' Width +' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. `' p Coef.1 Btu Infiltration `° WidthHeight No. of Lineal ft. Area No.of pane of pane lights of crack sq. ft. . Glass Si? 5. r Exp. wall' Coef.1 Btu Infiltration Infiltration Net exp. wall Int. wall Glass , Glass P r ` Ceiling :, 7! 7 u` Exp. wall tri: Floor Exp. wall°' Net exp. wall Total Btu.'" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area "' a FIA : Room I Length C:;e Width Z Height Floor" Windows and Doors—Crackage and Area WidthHeight No. of Lineal ft. Area No.of pane of pane lights of crack sq. ft. Coef. Coef.1 Btu Infiltration Infiltration n A' Glass , Glass P r ` Glass :, 7! 7 u` Exp. wall tri: /01, .W ..: Exp. wall°' Net exp. wall "' ° , Int. wall J '7`' Floor" Ceiling s Floor Ceiling' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 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. Coef. Coef. Btu Infiltration n A' Glass j7 a Glass P r ` Glass :, 7! 7 u` Exp. wall /01, .W ..: Exp. wall°' Net exp. wall "' Net exp. wall Int. wall J '7`' Floor" Int. wall s Floor, ----1775' 1+, Ceiling' Floor ° 7 ^� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl_I , ; a Room I Length Width Height MR" Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef. Btu Infiltration _ n A' Glass j7 a Glass P r ` r r' :, 7! 7 u` Exp. wall Net exp. wall' Net exp. wall "' m' Int. wall Floor" Ceiling s Floor, ----1775' 1+, Total Btu. =1 r*'tV Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1-1 �A_ 1 RrMM I i.enath aR' ""Width A r Height 7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane Of pan. lighta of crack sq. ft. Coef. Btu . Infiltration n A' Glass P r ` Exp. wall Net exp. wall' Int. wall Ceiling Floor" Total Btu. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn.. 6 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: September 1, 1971 Owner: __ Ro er A. Johnson Bider same Address 6336 Starlite Blvd. Address same LOCATION OF BUILDING No. __ 6336 Street u Starlite Blvd. part of Lot Lot ___ 6-__ Block 4 Addition or Sub -Division — Sylvan Hills Corner Lot ____. Inside Lot _ Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: Garage Type of Construction DESCRIPTION OF BUILDING Front 16' Depth 26' Height 10' Sq, Ft. 416 Cu. Ft 4160 Front . Depth Height . Sq. Ft. Cu. Ft. Est. Cost $1,822.08 To be Completed � y�g� Stipulation: Maintain 5 Ft. between eaves of house ¢to garage .Set slab elevation to drain down driveway. Provide a hard surface drive. .In consideration of the issuance to me of a permit to co the b% cribed above, i agree to do the proposed work in accordance with the description above se fo and co ance with all provisions of ordinances of the city of Fridley. , „ _ .91 State In consideration of the payment of a fee of $_L'-5_0_, permit is hereby granted to Roger A. Johnson to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in aII Wank done In, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings the city limits and this permit may be revoked at any time upon violation of any of the provisions of said e 4Ca ence e e NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sore to see the Building Inspector for separate permits for these items. F, APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA L OWNER'S BUILDER: ADDRESS: L", A D DPM 8 No:.�L STREET: � ZZAK�z L� 0- LOT: 4 BLOCK: //- ADDITION: jy/"Z- CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: f Front: Depth: Height: Square Feet: Cubic Feet: Fronts Depth Height; Square Feet; Cubic Feet: Type of Construction: Estimated Cost:'$ To Be Completed; The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in ot*ict 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: J Sima"RE n 4'. (See Reverse Side For Additional Information.) A A c�' BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - y1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average, height of the roof surface of the main gable of a pitched roof. 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. In no case shah, the fee charged for any permit as set forth in Section 2 be less than $5.00. VIRIFICATION OF FOUNDATION MOTE: Permits for construction will be issued a minimum of 24 hours from the tim of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupLed until a Certificate of Occupancy has been issued. 4 011 SUBJECT A PERMI City of Fridley o 1 g g g g AT THE TOP OF THE TWINS BUILDING PERMIT REC . 1 • ___ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE % 7 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAF3E OF APPROVED BY L 612-571-3450 910-F15 4/23/87 JOB ADDRESS 6336 Starlite Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 4 Sylvan Bills Plat 3 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dennis Johnson 6336 Starlite Boulevard N,E• 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Panelcraft Inc, 3118 Snelling South, Mpls „ MLS 55406 721-6628 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 12 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a,lumi.num trim 9 CHANGE OF USE FROM TO STIPULATIONS N SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE•OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1300 $.65 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. 1 $22,00 PLAN CHECK FEE TOTALFEE $22.65 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI w WHEN PROPERLY �w BLDG INSP VA DATED THIS IS YOUR PERMIT OAT SIGNATURE OF OWNER IIF OWNER BUILDER] IDATEI 011 NEW [ ] City of Fridley ADDN. [ ] �R-1 AND R-2 ALTER. Building Permit Application Construction Address Legal Description: Owner Name & Address: Contractor Address: LIVING AREA: nAvAftr 6AFE. DECK AREA: OTHER: r .j Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Effective 4/1/86 Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:°��,�� i«/1� Estimated Cost: $ /11�3 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation A DATE: APPLICANT: Tel #%�� C TY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] f -�'®6 ig- q . eq loa 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.0.0 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. SUBJECT P City of Fridley 2 734 AT THE TOP OF THE TWINS BUILDING PERMIT r • ___ _ COMMUNITY DEVELOPMENT DIV.J e INSPECTION SEC. 7 ^ j PROTECTIVE 1 . , NUMBER REV 112/9/98 DATE vAGE OF APPROVED BY CITY HALL FRIDLEV $5432 612-571-3450 910415 JOB ADDRESS 6336 Starlite Boulevard 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 1 Sylvan Hills, Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Johnson 571-3936 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE.NO Peak Roofing 11506 S Oakvale Minnetonka 55305 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 D NEW 0 ADDITION O ALTERATION RK REPAIR 0 MOVE O REMOVE B DESCRIBE WORK Reroof house and garage (20 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 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 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 ISE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1714 .86 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 PERFORMANC OF CONSTRUCTION $56.75 Fire SC $1.71 ' l PLAN CHECK FEE TOTAL FEE / X�_ SIGNATURE OF CO ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY A IOATED THIS IS YOUR PERMIT S,GNATURE OF OWNEROF OWNER BUILDERt IDATEI B G INSP - 01TE NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddre; Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Owner Name & Address: ; �� .�.� �, l ��,�n �,„� Tel. # Contractor: ��<�� , � MN LICENSE # 'Zo�� 3a-�--_ 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. OTHER:a.c� Construction Type: V-,e-Leq Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /�-Z-ZZ APPLICANT: = Tel. # 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 $ $1000 per SAC Unit License Surcharge $ 0 0 $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 feesto 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 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 763-572-3604 DATE � SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF ERIDLEY YOUR E-MAIL ADDRESS ❑ OWNER `® WONTRACTOR Permit No. Received Bye Date Rec'd STATE LICENSE # 651-;Jb0-"1:S14u EXP DATE CITY STATE ZIP ADDRESS: PHONE - FAX °SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE 0 NEW IWREPLACEMENT DETAILED DESCRIPTION OF WORK 5% of the total , for the PER MS 16B.665 the permit fee is a residential in m um of $15.00 ofixture, excluding theofixtUreso (SThissh uld reflect ont up t-0, whichever is ly thercost of labor ) improvement, installation or replacement 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) SHOWER — WATER PIPING _ BATH SINK/LAV FLOOR DRAINS —SHOWER POOL _,WATER SOFTNER ($35) _BATHTUB •—GAS PIPING �oCtrYUCEn's1;� —� WATER CLOSET —BACKFLOW PREV. ($15) _ CLOTHES WASHER — KITCHEN SINK WATER HEATER ($35) FOR IRRIGATION DISHWASHER —LAUNDRY TRAY — WATER METER —OTHER 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 s is conformance with the ordinances and codes of the City okFridle is not to startand lwithout Minnesotath the erm; tha ��'o Construction �al be in ac rdan e with derstand lthe not a permit but only an application for a permit approved plan in the case of all wor hich ire eview and approval of plans. �, DATE e �� " PRINT NAME �C p Y S- Y Y SIGNATUREOF APPLICANT y City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NN 55432 763-572-3604 FAX: 763-502-4977 s Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ Number of fixtures @ $15.00 x $15.00 = $ Surchar e$ 50 Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE 4, 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 s is conformance with the ordinances and codes of the City okFridle is not to startand lwithout Minnesotath the erm; tha ��'o Construction �al be in ac rdan e with derstand lthe not a permit but only an application for a permit approved plan in the case of all wor hich ire eview and approval of plans. �, DATE e �� " PRINT NAME �C p Y S- Y Y SIGNATUREOF APPLICANT y City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NN 55432 763-572-3604 FAX: 763-502-4977