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PRE 2010 DOCSCity of Fridley, Mim. N® 101.07 BUILDING PERMIT Date: Feb. 19, 1969 Owner: , Xgryia Van Veuren Builder Amber Const. Address Address 5 9 AJ Benjamin St. N. E. LOCATION OF BUILDING No. 6136 _Street — Stinson Blvd. part of Lot Lot 5 ___ – Block 1 Addition or Sub -Division . Cochran's Addn. Corner Lot Inside Lot x Setback 35' _._ Sideyard _ 10' 12' Sewer Elevation 921.67 924.67 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 32�04Depth 441 Height 20' Sq. Ft. Cu. Ft. Garage Front 24' Depth 22' Height 10, Sq. Ft. u Cu. Ft. Type of Construction Ffame Est. Cast _ $24, 000 To be Completed SEWER LOCATION 36' North of Manhole WATER LOCATION - 8' East of Property Line In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set and in complianceall p ovisions of ordinances of the city of Fridley. $100.00 c Sewer Connection Charge In consideration of the payment of a fee of $ 44.00 , permit is hereby granted to Anter Const, Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Official Muhich NOTICE: Tilt peentt does not cover the construction, i of Batton for wiring, phemhing, gas heating, rower or wafer. Be etre to we the Building Inspector for separate permits for them items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, 14INNESOTA OWffA IS NAME fl, ---BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NO. --e STREET LOT S' BLOCK 1 ADDITION OR SUBDIVISION (� •--• C � °^-" COILYM LOT INSIDE LOT r/ SETBACF 3 SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: , Front G9 Depth Heights f Square feet Cubic Feet,' Front Depth 5 X HeightIV Square feet &_ Cubic Feet 2 Type of Construction l Estimated Cost ev®.�-� To Be Completed _ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and i.,dresertations stated in this application are true and correct. Costs can be found on 10 s?_ F_�C' the Reverse r I:1 1 i•'.h'�� al :111;1 SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for sny addition to any existing structure or building, 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 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical c.ontents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 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. NSSSD Connection Charges based on location - Area 1 or 2. e' City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORE (0 / � � w Number, Kind and Location of Fixtures Location G7 NO. RATE TOTAL Number Fixtures ...................... — x $2.00 �_ Future Fixture Opening ................ x $1.50 Y Zai New Fixture Old Opening .............. K Z rn aa Z W O < .. x $3.25 W jO� a Z �p • F • N WATER HTR. GAS ELEG Electric Water Heater s $2.00 $ �� NO. RATE TOTAL in� x $2.00 C� Additional Fixtures .................... x $ .75 U Gas Range to 199,000 BTU .............. �•� �d Base ist 2nd 3rd 4th • Future Connection Openings Con -ted with Sewer a New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... — x $2.00 $ e4 Dc Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... .................. .. x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ Z -V'D New Ground Run Old Bldg . ............ x $3.26 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ ° t'® Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE e) Z5 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 facl and representations stated in this application are true and correct. Fridley, �Minn Owner Kind of Building 'Used as To be completed about Estimated Cost, $ Old ew uilding Permit No —T< Q -7 Permit No. 416 1 Signe 4e, By Business Phone No- iijry a ® Z) ROUGH FINAL -2 L2 - -7 d2 0 Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and a Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 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 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 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 ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL e+ See Fee Schedule $ TOTAL FEE $ y City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building Used as ®� oil To be completed about Estimated Cost, $ 4/�' Old-F-�lev�. Building Permit No. 104 � � � Permit No. 4�6 �� DESCRIPTION OF WORK HEATING or PO TS—Steam, Hot Water, arm Air o� Trade Namur-7� Size No Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load_ _ Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R Imo. BTU H.P. AIR 8419 uP !"D►170NI _ Signed_ ...- jG 17 offs, By 04�42 Business Phone No (REMARKS -OVER) Original Permit f®r PTUMBING AND GAS FITTING ermit N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for g,P� $ ,, , inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCRW71ON OF WORK Number, Kind and Location of Fixtures w ?� Wn WATER HTR. City of Fridley 0 x U Y Z X z z3 O U Stories O M a a o o 1- z O Z J C o Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted o — to do the plumbing and gas fitting in the building described ig the statement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection m- Inspector. `-42 aM.—ids-v FFA Location e i a 6 ` .Kind of Building Used as r To be Completed , 19_ Estimated Cost Old New. Building Permit No. ! DY 01 Inspector of Buildings. ai U U O F m GI �i H O W U m K J 4 Q d GAS ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted o — to do the plumbing and gas fitting in the building described ig the statement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection m- Inspector. `-42 aM.—ids-v FFA Location e i a 6 ` .Kind of Building Used as r To be Completed , 19_ Estimated Cost Old New. Building Permit No. ! DY 01 Inspector of Buildings. Originals • PERMIT for Power Plants and eating, Cool- in.g1 Ventilation® Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of 0 Heating Plants `9 to b installe ltered—repaired Make Size ; Oil fired—,- Coal fired—, Gas fired x ; Gas Authorization No. Remarks Approved O Final Inspection Date '19— /ice f� A� -3 S_ -00 Permit � N? 4425 Fee $ 1') ' " Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.,2?&,,,,-) a 19� Owner ' Location ✓�,-�% Kind of Builth How Occupied �- Work to be Commenced To be Completed ,19_ Estimated Cost, , Inspector 11 Old -New, Building Permit No. /0. d Q @7 Permission is hereby granted to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom 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 mentioned shall conform in all respects 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 speci f' tions set forth in the approved application for this ermit on file in the office of the Inspector of Buildings. y , Inspector of Buildings 4z 2M 11-67 V CITY OF FRIDLEY INSPECTION DIVISION ,--)o ( Effective On January 1, 200( 6431 University Ave NE f � �J i)SP' Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES/mss 1�i RATE SCHEDULE JOB ADDRESS OWNER®a D Y) Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS P(,y[Lf;t Yu 5 Also Replacement Furnace $ 30.00 $ o a (Side Vent - Fill Out Back) ESTIMATED COST �DO e PERMIT NO.1,4111 Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. ^ BTU HP EDR *Air Conditioning All Sizes u $ 25.00 $ ;2g',00 Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1 Jo of Value of Appliance or Work $ BTU^ — HP EDR Commercial/Industrial ivsy Ale t4ell_ 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and ,. TOTAL FEE representations stated in this application are true and correct. $ �5 • `�� DATE _ _ZZ —® / MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO LIU tot / 514ee:r M -Q- (- REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 // PLUS THE $.50 STATE SURCHARGE Signed TEL # 7 3- -X l 9 e! REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -in Date Final Dat written permission from adjoining property owner. L� 4( G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Chris & Andrea Cagle 6136 Stinson Blvd NE Fridley, MN 55432 Re: Final Inspection at 6136 Stinson Blvd NE Contractor: River City Sheet Metal Dear Chris & Andrea Cagle: A mechanical permit was issued on June 25, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DA Inspector DJ/mh sueiEti ` PERMIT NO. 71 City of Fridley 32593 AT THE TOP OF THE TWINS B U I L D I N G P E R BVI I T Ir 16. RECEIPT NO. _COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 09- PROTECTIVE 1 CITY HALL FRIDLEY 55432 I'' NUMBER REV DATE PAGE OF APPROVED BY J�1. 612-571-3450 910-F15 5/14/02 JOB ADDRESS 6136 Stinson Boulevard NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Cochran's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mitchell Clover 6136 Stinson Blvd NE 763-427-6443 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 $2,465 $1.23 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- $83.25 Fire SC $2.47 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE •C 86.95 OR OR AUTHORIZED AGENT ATEA AMEU, VALI DTNIS IS YOUR P%E'Ml GNATURE O�OW NERiG OWNER BWLDER, Ei ' —810 NSP 1, - Ud TE NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� l -5,6 Legal Description: Owner Name & Address: Tel. # 743 Contractor. I ay, r MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: f� d 6v Construction Type: ?��/ 1!}fy' -11,-'e7 !rte Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: / O`?/ APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by*Engineedng Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 266 , �� STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by. the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,01 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. New Houses Only Building BUILDING 1 1 Permit No.: �a . Inspections, $ RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:' o ®� DATE YOU T -MAIL ADDRESS SITE ADDRES (D S a 1 THIS APPLICANT IS: WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: (yt TENANT ADDRESS: C c✓L-e CITY STATE_ZIP PHONE: (0 S CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: ' CITY STATE—ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE 'NGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ,HDECK ❑ SIDING ❑ OTHER f ❑ SWIMMING POOL TYPE OF WORK: NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT Id LENGTH WIDTH HEIGHT . S . Ft. ROOFING ❑ HOUSE ONLY 19LO4-, NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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 $ 6? <y (p o 429 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ $ 1 1 $ ( Cl $ sq See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev 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; that the work will be in accordance with the approved plan in the case of all work whic a uir s tew and roval of plans. SIGNATURE OF APPLICANT PRINT NAME at t'N C"IdJ DATE (� A a Page 2 - Building Residential Application BUILDING PERIVHT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1"` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 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 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 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: 763-5024977 I SITE PLAN (SCALE: 1/16 "=if -o") I - 24' STREET CURB "� (Ion 9 V BLDG VI I i J • llxw�M ! A 6 U— t- oo it • llxw�M ! A U— t- F- I- IV/+ / 1uv\J r--ttrfv ' r l � ��•�.lQ'w '��1��1�7�\�01�1 f 11% la Alto PC) 151415,E fC90T/TUC. jr3QVnA j -"f UQ. I Fn, 5s0F- Ut(E `���eevr� ��ashint M- 0;�A �ati►n�€c�'o��/ 1 Dr% FL4t6h,PI Lks F- OD I`-_ l 0,A, -r5" r Q �`�o ► Ste` f -t 2x O Pr�ssL f +► Building MECHANICAL Permit No.: 1 Inspections RESIDENTIAL APPLICATION Received sy 763-572-3604 CITY OF FRIDLEY Dalffdap 2Q 20O 763-502-4977 FAX EFFECTIVE 2-19-09 DATE9/301 10 YOUR E-MAIL ADDRESS SITE ADDRESS - -��/ THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAME: ADDRESS: &/ 23,Z.p '�)7 ASD.7y 12 D L -U,6 CITY 2l L. `- STATE 1A{ ZIP�S y- 3 Z. OWNER/ TENANT PHONE: 7(0-3 Sb2 `79(0_ CONTRACTOR COMPANY NAME: k �'S 1 O E T(�a 67 CONTACT PERSON: �l GAG � SUBMIT A COPY OF YOUR STATE STATE LICENSE # '-C)S 17Q 60 EXP DATE LICENSE WITH //j� ADDRESS: Z7t�v t L a k (ZJtt.W �A,� CITY 126GFVLL-L4S- —STATE _ZIP S " /I APPLICATION PHONE Le i 1p 7-T.,7> J d L/ y FAX PERMIT TYPE -I SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: PHEW 0 REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK I A,; -'C',-(_ FEEs ARE BASED ON $10:0u`PERFIXruRE, EXCEPT WHERE;NoT,,ED,FIXTURES: (INDICATE TOTAL NUMBER OF EACfI BE :0'M < PROVID&HEAT LOSS CALC'S PER MANUAL J'2006 ASHRAE RANDBOOK... Equipment Installed MFG: Edd? -LULU MODEL: ]g'%� SIZEBTU73 Lik" �dDO MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _�A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _FIREPLACE BOELER $35.00 $35.00 _GAS UNIT HTR $10.00 _FURNACE CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 - _GAS DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 r f a r r i h E � R t rd THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for tlding 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 wh' d appfoval of plans. SIGNATURE OF APPLICANT RMT AME �G ��<<}�� DATE 6 o �Q APPROVAL INSPECTORS SIGNATU DATE Hill j 1W N City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 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 MN Rule 1346 Sec. 501 3. Venting - Gas aliances IFGC.Chapter 5.with .MN Amendments r bhel, other ,than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule. 1322, Sec. N1104.4.13 5. Ventilation. a. _ Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building $ cri BUILDING Plan Review Permit No.. Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: U 763-572-3604 $ , —7 IS— CITY OF FRIDLEY License Surcharge Date Rec'd: KD - 763 -502-4977 FAX SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 8-19-09 Erosion Control $ DATE Ig LCI C) YOUR E-MAIL ADDRESS 4oy )SG1nq 1 ►'` C ao I , Goyim r� SITE ADDRESS $ THIS APPLICANT IS: ❑ OWNER XONTRACTOR $ ® PROPERTY OWNER/ NAME: C,h rIS l CAa ).2 ADDRESS: to 1 '� CP -':hV1SQyt CITY F7C' t Cl " STATEMA% ZIP 5" QZ TENANT PHONE: CONTRACTOR NAME: Gre_-7 ✓i Scvl SUBMIT A COPY OF STATE LICENS # 'L©�'J�� - f EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF pp� �TATE ADDRESS: ���� 17�r1,art � CITY flNZIP S'343 L INSURANCE PHONE -763 S -7Z i9 O FAX PROPERTY TYPE `kI SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ILWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR JR REMODELING tt DESCRIBE WORK BEING DONE: 1cgC.Q 2X�ISilrwl �1f%d­JS &4 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ 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: SWING 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. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS iNYes ❑No LOCATION OF WINDOWSL FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF rf off- ±awo-(- S+r —T - V0'_'+ MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & 5; d 2 2 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS - ALL ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ j S00 SING THE 1997 U.B.0 FEE SCHEDULE)OCCUPANCY TYPE Permit Fee $ cri See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ , —7 IS— .0005 x Permit Valuation Minimum $.50 License Surcharge $-j „� $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ® Make checks savable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT _PRINT NAME 9Cll DATE 10/12109 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 V $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 18` $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