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PRE 2010 DOCSSUBJECT PER City of Fridley 16 2 7 6 AT THE TOP OF THE TWINS BUILDING PER _ r � R CEIPT N • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. :3 5_1 to e•� CITY HALL FRIDLEY 55432 NUMBER REV. _[ DATE PAGE OF APPROVED BY �._-�� ����� 612-571-3450 910-F15 7/2/81 JOB ADDRESS 6380 Starll.te Boulevard N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS. ZIP PHONE Aspenson Construction 6370 Starlite. Boulevard N.E. 574-9706 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SEP 5 ENGINEER MAIL ADDRESS 14 i� u T'N� l_ZIP� PHONE LICENSE NO. j'( 6 USE OF BUILDING �� S,.'�' Residential 7 CLASS OF WORK p NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Coftstruct a 40' x 26' Dwelling and a 20' x 261 Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side. yards. Provide City writi-L copy of verifying survey before capping. SEWER LOCATIAN (Approx. 8' Deep in Street) : 108' S. of M.H. (.Inv. 837.02) WYE ELEV: 836.20 TOP OF TOOTING: 839.20 Minimum WATER LOCATION: 17t S. of Sewer Service DRIVEWAY DEPRESSION ESCROW-: N/A WARM* Before dif ina.cats beet UW THE COY Of 1`NW.iYi DOWN IN"wawm TELEPHONE - EIECTMC - OU Etc. _ 1m ACCURACY of U.IWM tC011W4 00 REVATIC�!.;.. RE�UiRED� �Y LAW QAlt'l►' * WR *#0X VON rjgp ieS OWY ANrj TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. Wood 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 lO4O 52O 26a OOO 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 $48,600 $24.30 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $104.00 $425.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 26.00 $579.30 SIGNATu CONTRACT OR AUTHORIZED AGENT (bATE)l (ATE) WHEN PROPER V�ALI�DA�TED THIS IS YOUR PERMIT BLDG )NSP ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FO[; RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) • OWNER: AS � /I � BUILDER: ADDRESS: ADDRESS: T TEL NO: �°� — ! '� � TEL NO: Construction Location STRIiT NO: STREET: LOT: BLOCK:^ ADDITION. S ni ,G Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION f/ o ilc�l�S� Front: Depth: 0�_____ squame.Feet: Z� Cubic Feet: r . Qac Front: / Depth: a Height: l® Square-FeetCubic Feet: Height: �� r Type of Construction: To Be Completed: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $fDy Alt. A Alt. B SEE REVERSE SIDE OF SHEET 'dile undersigned hereby makes application for a permit for the t,nrk' 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 represen tz tiqns stated in this application axe true and correct. DATE: _ — SIGNATURE: Stipulations: law ' iSUI L1J11`1G t'LIi1'll I 1•t.:h :iCi�I:1�ULE' �N :;l°(:'!'IOl1 2. 7.'lJ 7n�:p�ector. of 13uildiruJr: ::hn).l, bcforcJ i.,;r;uNg permit:; for the erection of Way bUi.ldil-iff or :A.ruct:urc, or for any addition Lo atJy eriati.JJg btii1cliJuJ or structure, 6r for aDY alteration or repairs to •any exi-sting hui ldi,n<or structure, upon ap?plic:at•ioll thor..:for.e, require the payment by the app]. i cant: for. such p?ermi.t• of fee, to the arnount herein bel.at� set forth and in the manner herein i)rovided to -exit; 1.7131.1 CONS` RUC'.CION: SiJlgle pamil.y IloJnes and Garages; ,.4.00/1,000 cubic feat. . PLAN CHECK: 25 percerJt: of bui.lding permit fee. 1AZ E1'1nY llL•'PRE9S1O1•I: (Concrete Curb Streets Only) ' Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $13.50 Alternate II: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width'plus 6 feet x -$15T75 ..1 DDI T I OVAL I NEOR MAT I0t 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 shall the fee charged for any permit asset forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: 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. _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 occupied until a Certificate of Occupancy has been issued. r � I I v N.C. HOIUM AND ASSOCIATES, INC. ANT IepEYORS P.-0. BOX b3026 -COON RAPIDS, MINN. 58433 421-�8hIV �rtiR`f-I� FAQ;4 d fq ;aal lout TEEF410-NE ELECT PUG -6 E. '�,W PRY usbu � �a,a DAY g ye a 10CATION.S ¢� AND 'CL�TORMAWN h �1 37,0 d i�- ul F m .r f• w #(0370 SCALEaI°'��° ' , lack 4, "� 5486 - 213 J 3 1r ;Yit HILLS PLAT 3. � � —Q DE140 T 9 5 JRESN: 4*5 ItE�Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES A�R?VE DESCRIBED LAND, AND THE LOCATION OF ALL. BUILDINGS. THEREON., AMID ALL VISIBLE EN.,.' r,iRD1ENS, IF AMY, FROM OR ON SAID LAND. :3 77 3 YEYE1) BY ME THIs... R . ....DAY OF ..........!�� ...........................A.D. 19.... 81 .. ,. H.C. HOIUM AN AST S INC. v ........................ Minnesota Registration No ,. Z%. ..• .. .••........... ••� r �ft�"star l: o• AND 'CL�TORMAWN h �1 37,0 d i�- ul F m .r f• w #(0370 SCALEaI°'��° ' , lack 4, "� 5486 - 213 J 3 1r ;Yit HILLS PLAT 3. � � —Q DE140 T 9 5 JRESN: 4*5 ItE�Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES A�R?VE DESCRIBED LAND, AND THE LOCATION OF ALL. BUILDINGS. THEREON., AMID ALL VISIBLE EN.,.' r,iRD1ENS, IF AMY, FROM OR ON SAID LAND. :3 77 3 YEYE1) BY ME THIs... R . ....DAY OF ..........!�� ...........................A.D. 19.... 81 .. ,. H.C. HOIUM AN AST S INC. v ........................ Minnesota Registration No ,. Z%. ..• .. .••........... ••� r �ft�"star O" r \ 6 o P r oma // ' S. d �2c✓�,e e✓ACS 57 g3 , �22-O 25:'Xly 7,�X) OWNER: EXTERIOR ENVELOPE AVERAGE 1dU" COMPUTATION A -S A/X, &,J SITE ADDRESS: � �%® °� �% � �°� CONTRACTOR: ("� .S PFQJ 0 A DATE: ' v2 �� PHONE: �� DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA......., , 2. TOTAL ROOF/CEILING AREA /� sq f t x "U" 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor,,,,,,,, 97 sq ft a) Total wall window area: glazed...... /.�'.� sq ft x 'luta glazed .,,.,, sq ft x 11U" ffi b) Total door area ......... sq f t x "U"' c) Total sliding glass door area: glazed...... �� sq ft x "U" ,.,��, glazed...... sq ft x "U" ®®r d) Total fireplace wall area sq ft x "U'S e) Total wall framing area (Average lot)... ....... /a� sq ft x "U" f) Total net wall area above floor (Insulated).....:.. Z.2426L9 sq ft x Stu" 0.S q) Total rim Joist area...... //� sq ft .x 'tu10 ' Total foundation area (Exposed).......... sq ft h) Total foundation window area ............. e*1 sq ft x "U" 1) Total net foundation area above grade........ yy sq ft x °iU" , yZ 3. TOTAL a) thru 1) If item #3 is the same as, or less than item #l,,ou have met the intent of S.B.C. Section 600E (e) 2. 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceilinq area........ sq ft J) Total skyllaht area....... C9 sq ft x "U ® ('y Q Total roof/ceilinq framing area (Average 10%) ...... sq ft x fluff y 1) Total net Insulated roof/cell inq area....... sq ft x '°U11 ,n 4• TOTAL J) thru 1) If total of u4 is the same as, or less than P2. you have met the intent of S.B.C. Section W6 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items N1 and 02. C E R T I F I C A T I O N 1 hereby certify that I have calculated the "U" factors and "R" values herein and that the buildinq here described meets or exceeds the State of Minnesota Energy Conservation Act. Signature M CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer 11 C ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance RATE $ 5. OU $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE c ecLive rug. i, iyot Department of Buildings 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. Mn. °® , 19 OWNER RIND 0 USED A TO BE COMPLETED ABOUT ESTIMATED COST ROUGH INSP. Date FINAL INSP. 6 /® a rJ Date APPROVAL FOR PERMIT _;Vla MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE d+ a' s water 49 � 1 � m a w Heater 3 Q w w udf s lec ani U m m a�3 c� o Rang- 1st ilk `�. 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer 11 C ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance RATE $ 5. OU $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE c ecLive rug. i, iyot Department of Buildings 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. Mn. °® , 19 OWNER RIND 0 USED A TO BE COMPLETED ABOUT ESTIMATED COST ROUGH INSP. Date FINAL INSP. 6 /® a rJ Date APPROVAL FOR PERMIT _;Vla MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixture* $ a. m Future Fixtures $ 3.50 U Old Opening, New Fixture x m Water do m 9 44 S Blow off Basin $ 5.00 � •V Catch Basin $ a u5 w a w 5.00 Heater Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 u Gas Dryer % 10.00 $ g Back Flow Preventer Required. . . Yes (( )-No ( ) o W 5.00 0o� ALL OTHA(S AND/OR REPAIRS AND o� iri 3� w° v► $ u o� .8 3 S :50 c� s lec $ �i 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixture* $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer % 10.00 $ $ Back Flow Preventer Required. . . Yes (( )-No ( ) Type S 5.00 $ ALL OTHA(S AND/OR REPAIRS AND ALTERATIONS 1s of Value of Fixture or Appliance $ Rainspection Fns $ State Surcharge S :50 ($15.00) TOTAL FEE $ �i Effective Date May 1, 1988 Job Address 6 3,? fj ;,?,e ��✓ vl. Department of Buildings City of Fridley Tel. 1571-3450 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: Mn. 2'�-.;;;z 3 . 19 OWNER IWy'.� � KIND OF BUILDING ice` USED AS �� 4::5� TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** NO. RATE TOTAL Wj♦ Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type _ $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance An v -n State Surcharge $ .50 TOTAL FEE JOB ADDRESS�� The undersigned hereby makes application for a perm it for the work herein specified agreeing to do all work in strict accordance with the city codes v and rulings of the Building Division, and hereby declares that all the facts and -representations stated in this application are true and correct. 1998 Owner_ G C'�_ Building Used As__�sf�j//!/� Estimated Cost J?D PERMIT NO. c PLUMBING COMPANY MR. ROOTER OF ANOKA COUNTY 2 n usily ve. 11 SIGNED BY C ,� Ramse&MN 55303 421-6140 421 -6198 -FAX Approved By Rough—In Date Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJEtr P MIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 7962 f � `V ___��_ COMMUNITY DEVELOPMENT DIV. r : PROTECTIVE INSPECTION SEC. 1 � = 1 1 CITY HALL FRIDLEY 55432 %'j 612-571-3450 RECEIPT NO. / � f /r, Ll 4f/ 11 NUMBER 910-F15 REV DATE 9 24 98 PAGE OF APPROVED BY JOB ADDRESS 6380 Starlite Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leocadia Ecker 571-8867 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Murphy Bros. Bldg & Rem. 1613 93rd Ln NE Blaine 55449 780-3262 3416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IDK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Siding repair; ledger board on deck — Storm damage 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT 'BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $500 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH STATE R LOCAL LAW REGULATING CON- STRUCTION O HE PE ANC F CONSTRUCTION PERMIT FEE $21.00 SAC CHARGE Fire SC $.50 PLAN CHECK FEE TOT FEE Licen 5.0 7.00 NATURE OF CON. R O NOR12E0 AGENT IOATE, EN ROP LI D THIS r SIGNATURE OF OWNER„ F OWNER BUILDER, (DATE, BL IN, rIAtE SEP -24-1998 10:52 FROM CITE' OF FRIDLEY TO 7800550 P.01/02 INV -W " I 1 Effective 1/1/98 ADDN [ j CITY OF FRIMEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: U Y00 okmlc &VII lyg, Legal Description: r Owner Name & Address: kulakg, Tei. # �✓'/ - ���� Contractor: M011AC—, ,� � i/ �c � c �� mN ucENsE # Address: f l v1 ' = t L I � C , glIV IA41-1 �s Tel. # & -700 Attach to .this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale_ DESCRIPTION OF IlVIIPROVEN OW LIMG AREA: Length Width Height � Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECD AREA: Lengtia I Width Hgt/Ground Sq. Ft. OTHER: construction Type: Jdi ��i�r� Estimated Cost: $ I'vp �f/Ga ® r� �4G (Fee Schedule on Sack) Driveway Curb Cut Ww i�'eeded: Ft. + 6 Ft = Ft x $ _ $ DATE: qal ®� APPLICANT: / �� s" — i'�� Tei. # iia Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow ]Erosion Control $ e5D $ 5T $ $ 5 -or n CM USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. uA" or Alt. °B° Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer blain Charge $ Agreement Necessary [ I Not Necessary I ] TOTAL . STIPULATIONS: $ ' SUBJECT City of Fridley 28900 AT THE TOP OF THE TWINS' BUILDING PER I T Ir , 'Ve 1 R T � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY ----I CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 2/5/99 JOB ADDRESS 6380 Starlite Boulevard NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 4 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE L Ecker 6380 Starlite Boulevard NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Murphy Bros 1613 93 In NE, Blaine, MN 55449 780-3262 3416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION X] REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Repairs (Deck; Handrails; insulate venting) 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors in all sleeping rooms and on each level of the dwelling. Work done before the building permit was obtained. 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $3,245 $1.62 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE7,Te HARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• TRUCTION OR THE PERFORMANCE $87.25 SC $3.25 OF CONSTRUCTION PLAN CHECK F E 5� se SC 00 /ToTLFEE 97.12 SIGN T Lip E CON'RACTOR A AuiHORQEp AGENT i AiE� WH P VA D D THIS I$AAYOUR rrPER S-GNATURE OF OWNER,IF OWNER BUILDER, IDATE, eM -NSF' FATE 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY b ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Contractor: M6IMN LICENSE #(� Address: 167 g s_"� � allTel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: /LS— 5�� Estimated Cost: $ " �( b l �(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: IAPPLICANT: Permit Fee ire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Ft x $ _ $ CITY USE ONLY $ •;5__ Fee Schedule on Reverse Side Tel. # $ 3. �� .001 of Permit Valuation (1/10th%) $ �• �°' $.50/$1,000 Valuation $ $1000 per SAC Unit $ 45; Do $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: <-- ,�' '�D��- /-- ��- G �".©i•-1 15�"ems S 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 $25,001 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) 4 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. 01-97 04:37P BID SKEET Leocadia Ecker 6380 Starlite Blvd. N E Fridley. MN 55432 P.04 METMOR sv8 •�'C a Improper installation of rear atriam.door has caused damage to area below and adjacent to door. Support, brace and detach deck firnn the stmotura. Remove deck stringer, water damaged siding and any donuged stractmal wall materials. Replace rear deck stringer, with prsasure orated wood, all daaaaged wall material and damaged masonite sing. Paint new siding with a color of owners' choice and reattach deck to structure y� If other work is needed specify: IW92� s .�P b. - Using 30 year or batter caulkbu- seal all overlapping and end joints on atrium door aluminum trim so that water can not seep to lower wall arm. Using 30 year or better caulking, aeal all overlapping and end joints on all aluminum window and door trim. If other work is needed specify: Remove flaking paint fmm all masonito siding, prime all paint bare areas and repaint all masonite siding with a color of owners' choice. Likewise remove flaking paint firm all window and door trim not covered in aluminum, prime and repaint with is coW of owners' choice. If other work is needed qmc W. Zl AftttCiMd, S 400 -ft) d. Add handrails to front steps from sidewalk level and attached to wall near front door on both sides of steps according to code. If other work is needed specify: BUILD OR ��.00% a Scat arae around kitchen vent at the sheeUock ft= the attic using appropriate sealant. Seal Kitchen ventiion dud from the sheetrock to k roof deck and insulate with R-19 M HEALTH AND SAFETY s 9 q. on a Sever moisture problems in the interior of the saucturo have caused problems with door and window operation as well as aller83► problems. Install whole house ventilation system using air to air heat exchanger with ducting to 1 St floor bathroom, kitchex to the basement laundry and bathroom area. po TOTAL BID BID GOOD FOR 90 DAYS FROM -3 1114L ikCENTER FOR ENERGY AND ENVIRONMENT 100 North a Street, Suite 412A Minneapolis, MN 55403 Phone (612) 335-2651 Fax (612) 335-5888 AMENDMENT REQUEST CERTIFICATE Name of Grant Recipient Rehabilitation Grant Number Address of Grant Recipient Date of/Aidendmefit Request Describe clearly the additional work to be approved and additional costs to be incurred: 8-'-, aa 17t4naa (If more svace is necessary use back of Funds to be drawn from year Target area City Cost At---o'CU3 C'6Y Z44 Q�5D Total $_ _ A/v-ju/ &�V& ons c 'on Firm (please print) hereby agrees to make change as specified above. The above prices and specifications of the Amendment Request are hereby accepted. All work to be performed under same terms and conditions as specified in the original contract and in the Anoka County Contractor - Homeowner Warranty unless otherwise stipulated. Address of Grant Recipient Date �g D,&6 & Amendment Request Date NOTE: TO BE VALID THE REQUEST MUST BE APPROVED BY AN AUTHORED i REPRESENTATIVE OF THE FRIDLEY HOME IMPROVEMENT GRANT PROGRAM. Signature Fridley Representative Date 6071CDBGVegtcert.doc STATE OF MINNESOTA DEPARTMENT OF COMMERCE 133 East SeverAh SL SL Paul, MN 55101 (612) 296-6319 BUIMING CONTRACTOR ID#3416 139-22742 LICENSE CERTIFICATE NO- 231284 Q Department of Regulatory Services W Mirmeapoiis City Hall Phone 673-2080 LICENSE NO. 04287 BUILDING CONTRACTOR - CLASS A MURPHY BROS BUILDING A REMODELING CODE DESCRIPTION UNITS FEE 139 BLDG CONT CL A 7 185.00 311003 Mail to: MURPHY BROS BUILDING & REMODELING 2579 EASTMAN DRIVE NEW BRIGHTON MN 55112 License expires 12/01/98 Renew before 12/01/98 Em:}i:f2�]±i=i::;i: iiiii::�::i:::i>ii::i:::::�'r:i •�':i}iii:::: �::; .::.::.::•ii:O:Jii • O"artm.nt .f Regulator Was i BUII.DER MiiffJOJ?qSHY V CORPORATION Expirea: 03/31!1998 BUILDIIITG aE REMODELiN�i CO. JOHN D MURPHY Of 7 Hrs CE due by 3/31/98 David Long MURPHY BROS BLDG RMDLG CO 780.3M 2579 EASTMAN DR Fac 780-0550 Ppr. 680-0570 NEW BRIGHTON MN 5 5112-0000 .AdOmm.P&vfm•Dnb• •& t•Qnimit a • 6srtai.. Ca.�MAisrdOMw• . 1613 - 93ld Lacs N.E. • Bb", MN 55W 139-22742 LICENSE CERTIFICATE NO- 231284 Q Department of Regulatory Services W Mirmeapoiis City Hall Phone 673-2080 LICENSE NO. 04287 BUILDING CONTRACTOR - CLASS A MURPHY BROS BUILDING A REMODELING CODE DESCRIPTION UNITS FEE 139 BLDG CONT CL A 7 185.00 311003 Mail to: MURPHY BROS BUILDING & REMODELING 2579 EASTMAN DRIVE NEW BRIGHTON MN 55112 License expires 12/01/98 Renew before 12/01/98 Em:}i:f2�]±i=i::;i: iiiii::�::i:::i>ii::i:::::�'r:i •�':i}iii:::: �::; .::.::.::•ii:O:Jii • O"artm.nt .f Regulator Was i CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 May 17, 1999 Ms. L. Ecker 6380 Stadite Blvd. NE Fridley, MN 55432 Re: Final inspection at 6380 Starlite Blvd. NE Contractor: Air Mechanical, Inc. Dear Ms. Ecker: A mechanical permit was issued on May 8, 1998 for the property located at 6380 Starlite Blvd. NE for a new furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, tet/• er,�/ Bary Riesch Building Inspector il ae».al Ay « Z=M � - .. CMA m tem VOM «APFAor $ Wm «ate =1 a� : «e -11-Z1 ..�.f,� . SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT � N. R O • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. j PROTECTIVE ,•; CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 6/7/99 JOB ADDRESS 6380 Starlite Blvd. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leocadia Ecker 571-8867 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Restoration 6319 Hwy. 6502-1082 5267 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 O NEW ❑ ADDITION ❑ ALTERATION 8X REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with theState Building Code. OVERPAID $.13 ON THIS PERMIT — CREDIT ON NEXT PERMIT ISSUED. 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 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 1923 .96 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 $69.25 Fire SC $1.92 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR ORAUTHORIZE 0AGENT IDATEI 77-13 WHEN PROPERL ALIDATEO THIS IS YOUR PERMIT BLJOG INSP d gAtE S.GNATUREOFOWNERJFOWNER BUILDERI (DATE) 411 • AN NEW [ ADDN [ J ALTER [ ] ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Mldwg-e Address: (n � 1 q d 11A �na Effective 1/1/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 # BUILDING PERMIT APPLICATION Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF U"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: VY -Y) Construction Type: Estimated Cost: $ 193 cT.. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6. Ft = Ft x $ = $ DATE: P� �ra Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIO APPLICANT: CITY USE ONLY Tel. # $ Fee Schedule on Reverse Side $ 1, .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1050 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [' ] Not Necessary [ ] A ' ' ob 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 $25,001 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 Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: lu0 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 DatRIO'D AU Q 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-2010 Erosion Control $ DATE ^ D@RESS YOURE-MAIL Dff $ Fee Determined by Engineering Sewer Main Charge $ SITE ADDRESS 6 $ I Y, Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: EX ujaxcA 14y TENANT S ��/' W % ZIP S� A ADDRESS: / CITY STATER/ .3 PHONE: 4) CONTRACTOR NAME: OL SO SUBMIT A COPY OF ff STATE LICENSE # C3 EXP DATE YOUR STATE LICENSE ri / S q STATEMNZIP ss � 3 AND CERTIFICATE OF ADDRESS: CITY__Ft � INSURANCE PHONE .E 3 2_— FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK '.SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: __T:ff NEW HOME CONSTRUCTION ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 5 I'A e4 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, &TING ADDITIONS. & PORCHES SUBMIT: 'GVinyl OSoffit 1. Site Plan/Survey showing the existing structures 13 Aluminum ❑ Trim and proposed project. ❑ Other ❑ Feria 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA'FERIALS: jjTHE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ l��•� 0 Q OCCUPANCY TYPE Permit Fee $—�y� '�'® See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I Y, Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the 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 will be in accordance with the approved plan in the case of all work whit req ires review and approval of plans. /� 'n / /- SIGNATURE OF APPLICANT PRINT NAME S��12 G `e 4 4 '-DATE �� / G 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 I" $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 V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for V $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 V $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 1' $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