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PRE 2010 DOCS
5� Coity ®f Fridley, Minn. . !0771, BUILDING PERMIT Date: August 3, 1970 Owner: John C. Yuhas Builder .Richad Miller Hom p Address Address 1700 Sil-yer-Lake Road, New Brighton LOCATION OF BUILDING No. 6130 StreetStinson Boulevard — Part of Lot Lot _ _ _6 --__ Block 1 Addition or Sub -Division ..— C ocbXap' a Add it3.an Corner Lot , Inside Lot — X Setback __ _. 3 5-' --_ Sideyard 10' & 5" Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front 42' Depth 22' Height 20' Sq. Ft. 982' Cu. Ft aaragtm Front 19' Depth 2' _ Height _ _ 141_ Sq. Ft. 4181 Cu. Ft. 4.$0 Type of Construction F3ame Fist. Cost _$33,.0.0 _ ...... To be Completed No?Y._ 304—U70 BEFORE SEWER AND WATER PERMIT'S ARE ISSUED, PLEASE CHECK WITH ENGINEERING Verify Basement MGM Location with Survey before proceeding with framing. 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 seMfoin mpliance with adl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of - 44. 09 , permit is hereby granted to Rices' grd Mill.0r Homes 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, to all work done in, around and upon satd 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 ordinance& i i` CLARENCE BELISL NOTICE: This permit does not corer the construction, hntellation for wiring, plumbing, gas heating, rawer or water. Be so to see the Building Inspector for separate permits for them ho m I APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Z/ OWNER'S OWNER`S NAME 2A-4 C' BUILDER: I e A lzm1 r Aw es ADDRESS: ADDRESS :--�-0o NO:. 494W, STREET:_ 6/u c LOT: BLOCK: / ADDITION: �,, �, �„ � � A104 CORNER LOT: INSIDE LOT:SETBACK: S5- SIDEYARD: Ora S 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: 2 as Front: V2 Depth: 2 Height: 0 Square Feet: Cubic Feet:Af W0 6W,'-2)9 Front: /9 Depth: Height: t Square Feet; s Cubic Feet: Type of Construction: dram Estimated Cost:_ $ -:!5'3, 0 0 To Be Completed: Aj .3 d 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 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. .,, n DATE:* ,Tu /�! 70, / �'! ?0 SIGNATURE: (See Reverse Side For Additional Information.) 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 - $1.85 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 shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot,.showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE.OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. } ��E (ATE R �o, u > UTILITY EASE NI NY 0 4 o { 90 10 iQON -,WtWf IEN1 PI.AUQ fAc, T L I N1* Ec,,.�3;T 3�, 0.24 (FRIP .EY EAST cOPP(��,RATE;Llf, ITS F4 EPFB* C:rRI IF'Y 'TFiAT TN15 15 A 'TF US AND CCRRE(77 REPf'kUSENTATICN :s uPw OF THE B('11) JDA��lE OF LOT U 9LOCK CNIF )COU RAW'S ADDITION TC?: TFiir CITY GF FR.ID L "Y M I N NE LSCUTA AND C:GF' TH P LOCA710N OF `A L L ;. :8U1LD1 N( TfiE,RECN, IF AN`r'> Ac.t� ALL .�IS1B L -E EI�i(R:)ACF�IvIENT$,Ir ANY,FROM°. oR 0 5A1D LAND. 5L)RV1"iLD P t'AF' Pp, Ut'JDEP,MAY DIRECr5UPFPVI5jCN FEBRI.-ARY i 196(x.. �4 I y 7 R\ C . P,D. C. Hfr'L.4� cv �E C t TL R.E D EnrJD st.'P \j P/1�R , 4: q EXCAVA-�I O N DATA R E h. Nin . 3 6 Z: 6rp - 2 , ®14 W.0 LEVEIL,; 14 o i 1"RLNr-H W. a.: 6 -ro' Zt Original � PERMIT for Power lints and Heating, Coo ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of f Heating Plan"A taa Q - 1A to 1,f itilled ltered—repaired Make�� C-� � ivt- k"'K� - -- , Size �d U_% // ; Oil fired ; Coal fired ; Gas fired ; Gas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector S73 Permit N� - 4799 Fee $ 14.06 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. Owner Location 61 -YO STi Ak6,J B el ® Kind of Building_ � How Occupied Ad F LL I A)eb Work to be Commenced—, 19— To be Completed 01 ,19,90 Estimated Cost, $ QaD, 0.0 0 - !E)Building Permit No. 0 Permission is hereby granted t to install—erect—use the material and devices described in the above statement. This permit is granted upon the expres condition that thelperson twhom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein m niioned shall conform in all res ects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications s forth in the approved application for this permit on file in the office of the Inspector of Buildings. e Inspector of Buildings Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and s Air Conditioning Systems and Devices • �2 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 ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 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 $-5-00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING Westinghouse SIU -22 2 ton 18000 FAN HEATING SYSTEM 800 CFM See Fee Schedule VENTILATING SYSTEM 229000 BT $ ALTERATIONS & REPAIRS TOTAL FEE $ 32.50 ROUGH FINAL � �-7� Dept. of Bldgs. Phone SU 4-7470 Location 6130 Stinson Blvd. • No E o 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. Fridley, Minn. Sept • 10 1970 , 19 _ Owner Richard Miller Homes Kind of Building Frame Used as Residential To be completed about 9/30/70 Estimated Cost, $ 920000 Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1 Trade Name Westinghouse Size No FGUB®110 Capacity Sq. Ft. E.D.R 1100000 BTUH,p Total Connected Load 40 9125 Kind of Fuel Gas BURNER — Trade Name Westinghouse Size No FLUB -110 Capacity Sq. Ft. E.D.R 110,000 BTU H.P (REMARKS -OVER) FRED VUS Si C . Signed PRIMA By Or - 767 St. Louis Park, Afinnesot 55426 m.dMo. 42 Business Phone No 8.00 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $-5-00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING Westinghouse SIU -22 2 ton 18000 FAN HEATING SYSTEM 800 CFM See Fee Schedule VENTILATING SYSTEM 229000 BT $ ALTERATIONS & REPAIRS TOTAL FEE $ 32.50 ROUGH FINAL � �-7� Dept. of Bldgs. Phone SU 4-7470 Location 6130 Stinson Blvd. • No E o 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. Fridley, Minn. Sept • 10 1970 , 19 _ Owner Richard Miller Homes Kind of Building Frame Used as Residential To be completed about 9/30/70 Estimated Cost, $ 920000 Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1 Trade Name Westinghouse Size No FGUB®110 Capacity Sq. Ft. E.D.R 1100000 BTUH,p Total Connected Load 40 9125 Kind of Fuel Gas BURNER — Trade Name Westinghouse Size No FLUB -110 Capacity Sq. Ft. E.D.R 110,000 BTU H.P (REMARKS -OVER) FRED VUS Si C . Signed PRIMA By Or - 767 St. Louis Park, Afinnesot 55426 m.dMo. 42 Business Phone No i + e i + y �'i �c • 7,..m " LEE F m Pim n1. vJ �ML m EL s Ec a Eeaf� s 110. CL �i n3 a�� t, a Wcf®t asi>ci G3C € E T^© GY veo lfgbw BY ba Y4. ra®. a4 mco f>Y moo IP�Eaao I tom^ ti &J. EL p 5f • r EEL".}�'' awe -1 �� e A 49PJL CA, Oa . wash 9 lat. mu 4 Ceiling Flfxasr ' A `dotal Btu. � . b. EDa��J. e. N 7A. Le adar lama Required eq. ft. EAM" or aq. ins. VIA baear mega encl &noV, iafdom and r—Crachav and Am {}qi� iu3 a ®Y f f. taaxa E m c4 "� 03 �:_� ffl�'-�'flf� cU B�S.^.ii q. Y@. pan ®Q@t no. o Lineal la etc..3..3 (&' n6� ®Y Asn® !Ig&a4s or CsBL`i3'�. YL lie d a-, ft EDD ca fes. im VA Uzdar area U=!= . ra -se and Area 8fi8 � .tt :4C, p oe�� YI. sem r•^, eP : r� fEfi$o oY ercacfz, tt. ALwAy area lrlt8eatfo�'_ZZY21, • La0t1 f� ggggA Fees elp. wail Icbt. WmlD Ceiling Floor' Total Bau. 6' Required eq. ft. LDR or eq. i®S. VALaa3P area d iridozm f'3YPsd Dpor&—Crachaua and Ama Idt plp t Edo. o � rasa Q s�2 no. or paoo or DZBG fights 02 ora+ u Ca.. Btu Yflu Infiltration cj-mea FZP. wall Net cup. wall � Int. wall Ceiling floor TOO Btu. Required 8q. ft. EDD ®r fly. i m. W.A. 97-8h-416051 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING. AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE A PLUMBING FIXTURE RATES: NO. RATE C Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Water o ao+ . 4 Eo x $5.00 $ b b t0 A N r4 41H a w 9 Heater $7.00 $ New Ground Run Old Building x {o,{, $ Electric Water Heater S.Co�+ $5.00 $ GAS FITTING FEES: iWW x $3.00 $ Additional Fixtures x Q .oa L X01 fOJ� G N •ri a O S N 1j N W ` W U) v a to c� ai 3 4 w uci w c`� M¢ 0o as lec 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (;) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ !� Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x. $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($10.00) Job Address 6130 Stinson Blvd, 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. 6-25-79 , 19 OWNER RE`I°ZE' R KIND OF BUILDING frarne USED AS res, TO BE COMPLETED ABOUT 7-2-79 ESTIMATED COST 40000 OLD - NEW BUILDING PERMIT NO. c / , PER14IT NO. Company Signed By MlNNEGASCO Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 01 SUBJECT P 0. City of Fridley® 19211 AT THE TOP OF THE TWINS BUILDING PERMIT(- ERMIT RECE -------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.91 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE /4 11go) PAGE OF APPROVED By •-_.� 1 612-571-3450 910-F15 9/30/870 JOB ADDRESS 6130 Stinson Blvd N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 Cochran's. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Retzer 6130 Stinson Blvd N.E. 574-9559 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Metropolitan.improvement 711 West Lake Street 827-6697 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 'XQ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 12' Three Season Porch. Addition 9 CHANGE QF USE FROM TO STIPULATIONS See notations on plans WD St PFFml I 5 -fore digging call local utilities �� TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAS 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,900 $2.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $56•.50 STR,UCTI N R THE PERFORMANCE OF CONSTRUCTION. � / PLAN CHECK FEE TOTALFEE $73.56 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) �.. WHEPROP R A 0 ED THIS IS OUR PERMIT --A I DG INSP DATE SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: on 16�((/P � VIIXM Owner Name & Address: A Ik 3 I_;��' �� Tel. # -5%`Y-S f Contractor • '"n<-�f-4 , of Tel. # Address: �211 f..J LA -k i S 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 GARAGE AREA: Length Width DECK AREA: Length Width Cz OTHER: Y ,jqo i 1W43.20 + Cgi,3% Q0204 Corner Lot [ ] Inside Lot [ �® F ack Type of Construction: Approx. Completion Date: Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. QV0 .d Side Yard Setback Estimated Cost: $ p S1900-00 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: Z 3 -Y / APPLICANT : � � Tel . # �� —�0 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ S4 'Tu Fee Schedule on Reverse Side $ . d� 25% of Building Permit Fee $ �. $.50/$1,000 Valuation $ $ 525 per SAC Unit $ `® Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] SS®u 7-0 a c0— 32. S�► VO 4a q. vu S76 .� 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. $2,001.00 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. 0 is V OL; � tv� o. H rl J a s J J � d u � 3 a D 101 land Planning suu%L�l 6825 Highway No. 6S N. E. Land Surveying • • /+ Minneapolis Soils Testing 1L� Minn; 35432 Civil Engineering % Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Lode 612 Certificate of Survey for V,)tCN/s1-,;'O MkLLC�Z HOMCS � �se,r`1a�c.s iron c-ntsnym�.��` C I 141,E 3�'. t ls 111 I ,^q ..r Ib p _0 0-0 I 0 TS 0 I - .9� I r t I 14-1,® — t4 I hereby certify that this is a true and correct representation of a survey of the boundaries of the above ' described land, and of the location of all buildings, thereon, and all visible encroachments, if .any, from or on ' said land. As surveyed by me this ",'day ofjau�r,_ A.D. 19i Q. SUBURBAN ENGINEERING, INC. 0 "' Engineers yerprs J by�a"rt.,- A1_ _ r _ abs A. -I 3uilding BUILDING Permit No. nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: -7 )ATE (� d ? YOUR E-MAIL ADDRESS ITE ADDRESS 6/30 "HIS APPLICANT IS: ❑ OWNER � ONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: Cc' , CITY r `[� --T STATE�LZn' y L/3 Z - TENANT PHONE: 7G -`-S S-0 ?10 7 Z - CONTRACTOR NAME: �v✓�S ,% - Al co, STATE LICENSE # I ► EXP DATE V5/0 l B .S G � CITY ecr '(Y,fiC STATE i ZII' SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION ADDRESS: PHONE > G Cl Z V 5 Cl -7 Z -- FAX 3 C/ / z i s -i PROPERTY TYPE ❑ SINGLE FAIVELY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING PTR ❑ SWIMMING POOL ([ TYPE OF WORK: ❑ NEW ❑ ADDITION ANCEJREPAIR ❑ REMODELING DESCRIBE WORK BEIN DONE: 3IZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY \UMBER OF SQUARES �� OUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan .GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan ?ROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: u ❑ Trim I. Site Plan/Survey showing the existing structures rminum Ocher ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations N EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS JR 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 N1A'1'16RIA ,S: (USING THE 1997 U.B.0 F%ICC=ANCY ULE) TOTAL JOB VALUATION $ --- TYPE Permit Fee"' d See B ck Page for Fee Schedule Plan Review $ -�7--> 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge// do $ .001 x Permit Valuation (1/10%) License Surcharges $ . dC-) $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due _ - Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which regi)ires review and approval of plans. SIGNATURE OF APPLICANT�j ' f ` i PRINT NAME 14:5,'1'' � �dTj DATE b ---�'=Y,. �- 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 15' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1- $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1- $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for l- $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1 000,000 $1,000,001 and up $5,608.75 for the 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 W