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PRE 2010 DOCSI 40-1 pity of Fridley, Minn. 11.373 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMU Date:. April 11, 1972 owner: _Amber Construction, Inc. Bider Same Address 6070 Stinson Blvd, N.E.Address Same No. _020. Street _ S t• i n c nn$1,ud, . W. V. Part of Lot Lot _ _ _. 1. __ Block _._.._ _ Addition or Sub -Division Corner Lot __ __. __ Inside Lot _ _ X Setback 35' Sideyard 10' & M= Sewer Elevation _ _ Foundation Elevation _.._ TUTERIM To be Used as: House �.� Front 401 Depth 26' Height 20 t Sq. Ft. 1, 040 Cu..,Ft. 201, RQQ. Garage Front 22 _ Depth __9-6 Height _141 _ Sq. Ft. 72 Cu. Ft M9, 7 2g Type of Construction — Frame Est. Cost $26, 00.0. Q0_ -- To be Completed August 1 72 (20,323.00) Provide verification survey and hard surface drive. Sewer & Water Contractor will come in and get locations. In consideration of the issuance to me of a permit to co the building described above I agree t4 do the proposed work in accordance with the description abov f and in compliance / pons of ordinances of the city of Fridley. , v +v.+V Ya. G. 4.G YlAi 6u1141r.G In consideration of the payment of a fee of S 50100' permit is hereby granted to " Amber Construction, Inc. 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 ordinknces 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 anyeof the provisions of said ordinances. ag;��g or Clarence Belis e y NOTICE: This permit does not cover the construction, installation for whine, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. A APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM BUILDER: Ayr_m'erx- 11'5-7. ADDRESS: ADDRESS: - 0 NO:. STREET: 57 o,, LOT: BLOCK: ADDITION: Z- *-Z CORNER LOT: INSIDE LOT: L-� SETBACK: 5 SIDEYARD: z- 7--77 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: Aat4� Front: Depth: 2 Ce Height: Square Feet: . zo 47 0 Cubic Feet: "'I? LL-- Front: 2— Depth: Height: Square Feet;_ _5;ZX Cubic Feet: Type of Construction: Estimated Cost: $ ;2(,. U00 I o' To Be Completed: 7 z-- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fr ' idley 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: L SIGNATURE: (See Reverse Side For Additional Information.) 1% City of Fred!®y mdSm Dept. of Eldon Phone 560-34W DESCRIPTION OF WORK Number. Kind and Location of Fixtures Location - WATER ocatio g-gawa commmaon openingsI ware Now Fizftn, Old Openings Sewer Ceaspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 9 x $2.00 $ CC) Future Fixture Opening .. x $1.50 $ New Fixture Old Opening .... �� ¢ Catch Basin .. `Q 7 7a O O d P1 WATER MTB. GAS ELEC. Base = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... .. . .... ......... 4 $ • �? Additional Fixtures ..... .............. x $ .,M $ Gaa Range to 199,000 BTU ............... x $5.00 $ Ise, - 2nd —_ 3rd - — 4th - g-gawa commmaon openingsI ware Now Fizftn, Old Openings Sewer Ceaspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 9 x $2.00 $ CC) Future Fixture Opening .. x $1.50 $ New Fixture Old Opening .... x $1.50 $ Catch Basin .. x $3.25 $ Water Beater (Up to 99,000 BTU) .... _�_ x $3.00 $ 3"00 New Ground Run Old Bldg. x $325 $ Electric Water Heater = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... .. . .... ......... �— x $2.00 $ • �? Additional Fixtures ..... .............. x $ .,M $ Gaa Range to 199,000 BTU ............... x $5.00 $ REPAIRS R ALTERATIONS—Refer to Code Description .................................. .............$ TOTAL FEE ta s City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct - Fridley, Minn_ 5' ® / F 192-1-- Owner 9ZOwner 1)g Kind of Building IY Used as l') �_. L T To be completed about % Estimated Cost, $_ Old ff uilding Permit No.-- _ _. __Permit No. $� Signed _ Business Phone No_ ROUGH FIND . � Pewee PI=ft mW H S klieg® YeetilotiOeR Reft elive and Air Ceesl Onieg Systemn and Devices PARTIAL RATE SCHEDULE GRAVTI TY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $10.00 Replacement of Furnace . .. . ..... .. 6.00 IL - Repairs & Alterations—up to $300.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $—_- _- MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $ each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace .... 6.00 Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $300.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. _ Furnace Shell & Line,—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam So) Each add. 320 sq, ft. EDR Hot Water 3.00 $— OIL BURNER—to 3 gal. per hour 6.Q0 $ over 3 gal. per hour --See Fee Schedule GASB (up to 199,000 BTU) 8.00 $ over 199,000 BTU See Fes e GAS FITTING . NO RATE TOTAL 1st 3 Fixtures .. .... x$ 100 $ Additional Fixtures x .75 $ Gas Range to 199,000 a$ 8.00 $ AIR CONDMONWO a FAN HEATING SYSTEM Sae FES Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ROUGH (SURCHIARGE _.50) FIIQAL Dept. of Milos. Phor►e W -M 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 Ordit►ance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. r f �� �l Aidley, Minn_ G, ®r Owner Kind of Building . Used as _-___---_-- To be completed abou Estimated Cost, Old—New. Building Permit No. Permit No. 3 6 DEdCRIPTIOX OF WORK HEATING or POWER team, Hot Water, Wam Air—Nom Trade Name � Size Ne_ Z, Capacity— Sq. Ft. E.D.R BTU H.P. Total Connected L.oadXW of BURNER — Trade Name Size No Capacity Sq. Ft. ED 1a- BTU . (REMARKS -OVER) S1` tU Si N AIR CONDI?I®NI "IMEAPPOW, MINNfS( T13 r Business Dhow No - �� Building $ BUILDING 5v ;K5 See Back Page for Fee Schedule Permit No. - Inspcctions e RESIDENTIAL APPLICATION Fire Surcharge Received E, 763-572=3604 .001 times the total job valuation CITY OF FRIDLEY $e', Date Recd: " Z 170 Lr) 0— C- C�-S C�k /401, A( DATE YOUR E-MAIL ADDRESS - f0 j SITE ADDRESS d0 ZO —C tll Hyl Vil THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: oil � L 5'C, Erosion Control TENANT ADDRESS: 02- 0/,d CITY ! J- STATI? A&�� Park Fee PHONE: CONTRACTOR NAME: L-0 ' rs aa -y 0�3 $ STATE LICENSE # 2039'3?re '� EXP DATE 3 Total Due SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: �? 3 3 G e"I dy$ /Q °K CITY -S Y A STATFOWP=/O R WITH APPLICATION PHONE 16-9-/ — 29° 5-33-L FAX �S— ~ Z`T I —2.3I PROPERTY TYPE AS SINGLE FAMILY/NEW CONSTRUCTION SIZE 11 I ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT j' TYPIi ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS BASEMENT FINISH 13 ROOF 13 DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR AWREMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes [No LOCATION OF WINDOWS 3. Energy Calculations 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 1rj®00 OCCUPANCY TYPE Permit Fee $ ;F r See Back Page for Fee Schedule Plan Review $ e 65% of Building Permit Fee Fire Surcharge $ .0 .001 times the total job valuation Surcharge $e', _ & v .0005 x Permit Valuation Minimum $.50 License Surcharge $ S Z5y $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 pavable 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 foraermit and work ' not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor c require treview an approval of plans. SIGNATURE OF APPLIC PRINT NAME '7 DATE Z Ve,, } O L4 - I& re • -e - jor y &A -)G:.11 ._ ga-74 " c N S l om 6KTS;aP- Pi.? )/5 -S1iamer d �41 :7y l %+�p,.s / J `' e 7" l �019,�j &/�011cl k ec, c) s00--, ; °� �r �N ,rl- 5- w:/% cy j�ase r �► � e DQ ci Pi r Building MECHANICAL Permit No.7— Qd-_)7 9 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: J/ 7 DATE YOUR E-MAIL ADDRESS O G 4 L 9 A C 14 C U S G O. IE r SITE ADDRESS CQ ® q® S l' 1 N cS 0 n/ a L V O THIS APPLICANT IS: VOWNER ❑CONTRACTOR PROPERTY NAME: 0 O M Q (+L G A C I-1 ADDRESS: & 0a O S T/ rV S ®n/ CITY P R l J L l:. a/ STATE M N ZIP S- S Y 3 DL OWNER/ TENANT PHONE: Q&''i• S?_Q�• '3'7SF� CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE &SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 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) Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 EGAS DRYER $10.00 _,POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 PIPING $10.00 ,��VENTILATOR $15.00 _GAS tib 4 .. RE Permit Fee $ Number of fixtures $10 00 x $10 00 Num @ _ $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ <� State Surcharge = $ - .50 ,\ Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of#t-a ork which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME g�ydL�J a•I DATE �' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Permit No.6-7- t0090 Building PLUMBING Inspections RESIDENTIAL APPLICATION Received By: DK 763-572-3604 CITY OF FRIDLEY Date Recd: C7 DATE YOUR E-MAIL ADDRESS Q c3 G1, L 4 QCl-4 P O S &C) . NET SITE ADDRESS C® C?.°Z C? S j-1 N S a1V 1 i1_148 N L THIS APPLICANT IS: DOWNER ❑CONTRACTOR PROPERTY NAME: Off" G4LaQC14 OWNER/ ADDRESS: 60 S?I1VSQr4 (.31v.6 n/v CITY l L L \ STATE f11F'&1PS_S 3g_ TENANT PHONE: `�� 3 S ?� • 3 s CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE SINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW 0 REPLACEMENT DETAILED DESCRIPTION OF WORK 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 NVMBER OF EACH BELOW) 0 BATH SINK/LAV DRAINS / SHOWER _ WATER PIPING _FLOOR _BATHTUB _ GAS PIPING ax.Dctrt uCENsE) SWIMMING POOL _ WATER SOFTNER ($35) SINK ]E WATER CLOSET BACKFLOW PREY. ($15) _ CLOTHES WASHER _ KITCHEN _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ = $ 50 TOTAL DUE $ State Surcharge Total = $ '= THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case oaii-v rk which requires review and approval of plans. SIGNATURE OF APPLICANT �� PRINT NAME do 4 4� DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 t• MECHANICAL PermitNo.:,� Building Received By: Inspections RESIDENTIAL APPLICATION Date AUX 7.63-572-3604 CITY OF FRIDLEY YOUR E-MAIL ADDRESS Q QP, U 5 DATE SITE ADDRESS Co U A ri THIS APPLICANT IS: OWNER DCOI.ITRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: NAME: tl ADDRESS: ® ® SS o ry�yeme' CITY_STATE IfGIB�ZIP COMPANY NAME. CONTACT PERSON: STATE LICENSE W EXP DATE Com, STATE ZIP ADDRESS: PHONE FAX SINGLE FAMILY D TWO FAMILY ❑ TOWNHOUSE D NEw KREPLACEMENT ❑ ALTERATION/REMODEI. DETAILED DESCRIPTION OF WORK E PER MS 16B.665 the permit fee is a minimum of5.0 r 5°eo X u� total cost tures. $�� �hou d reflect only the0, whichever is r, for the co t of labor ) improvement, installation or replacement of a residential = Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05I, TOTAL FOR PROJECTS WHERE LABOR EXCEEDS 5540' FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IND NUMBER OF EACH BELOW) MODEL: 2ftp*1 U C9 0 SIZEBTU O D o O T O Equipment Installed MFG: (� R --T � MODEL: N d4 tea A PQ STZFJBTU ': Z .f _ MODEL: SMEBTU MFG: FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 ,A/C $25.00 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL 0.0.00 AIR TO AIR EXCHANGEER $15 RFURNACE $35.00 _GAS HENIT HTR $10.00 BOILER $35.00 GAS DRYER $10.00 _POOL HEATER 15.DD _CHIMNEY LINER $10.00 GAS PIPING $10.00 VENTILATOR $15 00 si bi3CT WORK $10.00— H _ 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 t I conformance with the ordinances and codes of the City of kFridle is not a d with rt without Minnesota perm; th t the work Coll be in accordanced this is not a permit but only an application for a permit and Coo approved plan in the case o all Coo hich req ' es review and approval of plans. DA S- y -v7 SIGNATURE OF APPLICANT PRINT NAME � =''0 (? City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977 Number of fixtures @ $1Q.00 x $10.00 = $ Permit Fee$r.50Number of fixtures @ $15.00 x $15.00 = $Surcharge $Number $ of fixtures @ $25.00 x $25.00 = $TOTAL x $35.00 = $ DUE Number of fixtures @ $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 t I conformance with the ordinances and codes of the City of kFridle is not a d with rt without Minnesota perm; th t the work Coll be in accordanced this is not a permit but only an application for a permit and Coo approved plan in the case o all Coo hich req ' es review and approval of plans. DA S- y -v7 SIGNATURE OF APPLICANT PRINT NAME � =''0 (? City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel TMC Chapter 7 with MN Amendments b. Natural Gas or propane;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 IFGC Chapter 5 with MN Amendments b. Fuel other than gas TMC 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 TMC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be n$ed for combustion and make up awi . calculations BUildmi g $ BI 110I)ING Permit No.:,!2CD-170� Inspections $ RESIDENTIAL APPL1 ATION Received BiU 763-572=3604 $ CITY OF FRIDLEY I � Date 01: L 0 200 DATE YOUR E-MAIL ADDRESS ig 'D - SITE ADDRESS N ALVP $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR SAC Charge PROPERTY OWNER/ NAME: O V4 $1675 per SAC Unit (Plans to MWCC for determination) TENANT ADDRESS: tp O O S T 1 rnr.Son! CITY FVZ O,L Ems/ STAT0t%cziP SJ,/3;Z ft + 6 ft = ft x $21 =$ PHONE: 9 (9 3 — .S -D a — 31) „55* $ CONTRACTOR NAME: doyAC t4ovn - +nro-iL7"-I I Park Fee STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE S ( FAX $ PROPERTY TYPE MSINGLE F Y/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE AADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH E3 ROOF RAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ WMMIING POOL TYPE OF WORK: ❑ NEW MADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ALtlZ W n� a&4� j94 f 3 ` 0 Ret -1 /M-0/701 SIZE OF IMPROVEMENT 3 POPS I/ ENGT i _ 'Wiii -I HEIGHT8' Fr ROOFING Y _ NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING ❑ Vinyl ❑So$t ����5 L FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Other ❑ Trim` ❑ Fascia RJ i� 1. Site Plan/Survey showing the existing structures and proposed project \P2���� WINDOWS L10 13 OC4 CAU 2. Two sets of construction plans IN EXISTING OPENINGS XYes ❑No LOCATIOIJCIF 0 ® f_ ` 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF � W 1 A)V S6 (,J " OPENING CHANGES &GF,�t/j?'�MI, TYPE OF WINDOW TO BE INSTALL. �� NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Penaut Fee $ 4__'5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ '50,60 .001 times the total job valuation Surcharge $ ig 'D - .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ - , 75- Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which reqwes review and approval of plans. 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N-In Ole a WIN I J, rX, HOME tj eep. -r y w r ­,1�7 ; . . 7 —1. 1 �;a.' _IR:• .i'' ,,. �ti• �� L'�3n •• i �•'� 1 ua; r.� �J.r :r1: ,5. � I!1 1- ,til •' _ i •-.. _ IL 1-p4. lot To, 0 moot 0.14 ,r v 'T Was AS •-04'• ONO .0y -L krit; volgid m, pr td, ­jO ASK4L, JAW x my 0"Alb, 071 Ru 1, •.'1'``•.y - -Vd6 IJXF�;j :!Frw t% Building $ BUILDING See Back Page for Fee Schedule Permit No.: InSp C ianS RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 .001 times the total job valuation CITY OF FRIDLEY $ Date a: 07 DATE7 ® YOUR E-MAIL ADDRESS be. asc-4(0 mi y4po . SITE ADDRESS D / O Z.® S'Dr "-Ceaij gi-'(-4 SAC Charge THIS APPLICANT IS: ❑ OWNER I CONTRACTOR $1675 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: 00k7 1= LA)z YEA TENANT ADDRESS:_ 60 CITY 141;-.41t >,, STATFI,al ` ` Z PHONE: 70— _57 ?Z— 3 7S� Park Fee CONTRACTOR NAME: I q , Fee Determined by Engineering STATE LICENSE # Z®3 S—� EXP DATE o SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 333 /®-? CITY ,V X STATE�hfiXIP WITH APPLICATION PHONE ga-l- '/Z r -S"32 / FAX Make checks payable to: City of Fridley Attach Stipulations PROPERTY TYPE OSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE )RADDIfION ❑ GARAGEISHED ❑ WINDOWS 0 BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW 0 ADDITION ❑ MAINTENANCOREPAIR 131 REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH % WIDTH HEIGHT a Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes OND LOCATION OF WINDOWS 3. Energy Calculations 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: TOTAL JOB VALUATION $ (USING THE ®U�.B�C E OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ /0 O .001 times the total job valuation Surcharge $ 5 -,OD .0005 x Permit Valuation Minimum $.50 License Surcharge $ rj UD $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 fi = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( } Total Due $ 3/9.6& Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work'4ftchlre uir s r vie d approval f plans. SIGNATURE OF APPLICANT PRINT NAME DATE 6r® Page 2 - Building Residential Application BUILDING PERNIIT 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 1s` $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 $39125 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 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 1- $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 Tfraction 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 V7 LIP w