Loading...
PRE 2010 DOCScity, of Fridley, Minn, 117. J 6431 University. Avve.N.E., Minneapolis, Minn. 55432 BUHDING PERMIT Date: October 4,, 1972 Owner: Mr. & Mrs. D. Ripley Builder Harstad-Todd Construction Address ____ _ Address _ 2525 Harding Street N.E- No. 6240__._, Street Stinson Boulevard Part of Lot Part of Lot 7 Lot __.. Block _ ��__ r _ Addition or Sub -Division Au d _,Sub jk22_ Corner Lot Inside Lot Setback Sideyard Sewer Elevation ^ _ — Foundation Elevation _.... To be Used as: Dwelling _._ Front 318" Depth 38'4" Height 20 Sq. Ft. 1110 Cu, Ft. Garage_ - _.__.. Front 22' Depth 24' Height 10' Sq. yL 585' Cu. Ft. 5850' Type of Construction ._ W.Qod Frame Est. Cost . _$21- 259..77 To be Completed Mar _h - 1973 Stipulations: Provide a verifying survey before capping. Provide a hard surface driveway. Plat to be recorded by January 3, 1973. Living room joists 12 inches on center. Paid $401.25 for escrow for special assessments on October 4, 1972. Rec. #63182. In consideration of the issuance to me of a permit to construct the building described above, I agree tp the proposed work in accordance with the description aboves M complianc� with all ons ordinances of the city of Fridley. // r /j Z7 In consideration of the payment of a fee of $--69--00 - permit is hereby granted to Harstad Todd rnrs tr 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. e OP T.ARF.XCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. as sure to we the Building inspector for separate permits for these items. -BUILDING PERMIT FSE SCHEDULE SECTION 2. The Inspector of 4uildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildiAs or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the appiict for such permit of fees to the mount herein below set forth and in the manner herein provided to•wit; s UII]FOX4 BUILDING CORNr Type 1, 2 & 4 - $2,15 for each one thousand cubic ,feet, pr 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, WSht of Owe roof surface of the main gable of a pitched roof, irs or alterations to an existing strueture, the fee shall be at the rate of $3,00 per each five h�md:red dollars (WO.00)'or,.fraction thereof in the cost of all proposed work, In so cwe shall the fee cbarW for arty- permit as set fob in Section 2 be love than $5.00, VRRIFICAYION OF FOUNDATION Nims ft=its for construetl.on will be issued a 'miuiuim of 24 hours from the a of Applications to allow for proper review of the proposed structure and of the construction site. . A CertifW Sizvey of the laty the locatUm of the foundation, owe it has be= ronstawteda will be required before proceeding with the framixg„ CERTIFICATE OF OCCUPANCY Application for a Oerti:ficate of, Occupancy shall be made ten (10) days prior to the use or occupancy of mW talluctsare for which'a building permit has been issued; and said structure shall, not be used or occupLed until a Certificate _ of Occupmey has been issued, ,� j APPLICATION FOR REWENTIAL. ALTERATIOND OR ADDITION BUILDINC PERMIT CITY Of FRIDLEY, MINN9SOTA OWMIS xm: BUILDERS ADMESS: AD SS: S S -SV We Ste; LOT; I—PLOCKi ADIjTIOYit CORM LOT: TX -SUR Lm; ETBACKs §IDEYARD: AM -jvoat gt"th t* tb_U fom_&o Certificates of Survey of Lot and proposed IM114fto lWation drWR on tile" Certificates, DESCRIPTION OF BUILDING To Be WqW As �� j „� � 31 - S' ne��h; 3 �' - Li �te�t�t�t: �.o U Square Feet; x Cubic Vvev; ') Depth; Pth Height Square J?40et Cubic Feet: Tyfe of Constructions Estimated Cost: $ ..o 'To Se "lotedl 7 3 The undarsigned hereby =*as application for, a pendt for the work herein specift4KI, agreeing to do all work in stftct accordance with the Ctty of M41vv Ox44mmces 4n4 zuUnp 0 Oe Devartmertt of Buildings, jWd hereby 400jar" all the facts and representations stated in tl�js application axe true ax4 correct, 61C.NATURE; (&m Rev We For Additional lufomation.) Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 t� Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ 41 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 n GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TR,T„AL 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 See Fee Schedule g TOTAL FEE $ Dept. of Bldgs. Phone d - City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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, Owner C Kind of Buildi-o Used as Pi 19 Z �— To be completed about Estimated Cost, $ '' // O —Ne uilding Permit No. Permit No. S 7� DESCRIPTION OF WORK HEATING or PO PLANTS—,Steam, Hot Wa " ,�WarmA"iro Trade Name _ Size No Capacity Bea 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 I BTU H.P. ROUGH CQft042 FINAL (REMARKS -OVER) Business Phone Weatherstrips, Windows IDoors _ Yes—No es-- jFI.(F HEAT LOSS CALCULATIONS %.j.n.r.r.. Construction No. '' , / Insulation Guide Reference 1-0­ut--`Wa­H71`n- Wall I Cel'linu I Roof I Floor Kind How 19..: Lenath /2J Width /- Height Windows and Doors,--Craekage and Area Width Height No. of Llneatt . Area No. of pane of pane li Ate of crack sq. ft. 31 6' P-0— Coef. Btu Infiltration 391 -1 / 3 36 Glass rP, 157 1 a� Exp. wall 2 a 3 Exp. wap Net exp. wall ,� Exp. wall T'd in -32, Int. wall ® Ceiling al9fi Floor �® ® IAC -1alai 13tu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area !s' i . o --_I r -- _.t. . & nr..r.L Windows a i A'Doors--Crackage and Area Width Height No. of Lineal ft. Area No. orvane pane lights of crack sq. ft. ssof Ot P-0— -Coef.1 Btu Infiltration 1 13,? -1 / 3 36 Glass rP, 157 1 6&0 Exp. wall y9 ® z 3 3 Exp. wap Net exp. wall ,� Exp. wall T'd • / �� Int. wall ® Ceiling/p al9fi Floor 71 ® IAC 1 otal Btu. I Y/ 912-11" Required sq. ft. E.D.R. or sq. ins. WA. Leader area I F1 Room I Length Width . xr Height Windows and Doors—Crackage and Area Width Height No or Lineal ft. Area No. Of pane of pane lights of crack sq. tt. 3 /4cS ? Iz o-2, Ze lCoAl Btu Infiltration Infiltration 10 / 3 36 Glass d3 1P®� Exp. wap -2- h -2-19 3 Exp. wap Net exp. wall ,� Exp. wall T'd • / �� Int. wap ® Ceiling Int. wap Floor Ceiling ralai tstu. 5-6 ye I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area V•FI.I, s,.,t Room I Leath -k0 Widd. AV- i•I A, Windows and Doors—Crackage and Area Width Height No. of Lineal It. Area No* of pane or Paas lights of crack Area ft. P 2 a y Iz o-2, Ze Coef. Btu Infiltration g..3 V 3 2 Glass r2 �p 3 Exp. wap ' Ap Exp. wall T'd Net exp. wap ® 177 101, Int. wap Ceiling X j© Floor ,�' ®7 X '379-,9,0 I alai tstu. / Required sq. ft. E.D.R. or sq. its. W.A. Leader area I 11 1 I F1.1 ` 1. ! L-- Room I Length Z 3 Width a 4/ Height Windows and Doors,-Craokii and Area width Height No. of Lineal ft. I Aree. No. of pane of pane lights of crack sq. tt. s— - Coef. Btu Mtration g..3 47 3 2 Glass -T 7 13v 3 Exp. wap ' Ap Exp. wall T'd Net exp. wall Int. wap ® �� Ceding Floor ®a j© Total Btu. Required sq. ft. D.R. or sq. ins. WA: Leader area " 1 G- n--- t r ---L — RCJ.1_ Irl_G_l. Windows and Doors,--Crackage and Area Width Height _ No. at Lineal ft. Area No. of pans of pane lights of crack sq, it. Coef. Btu Infiltration infiltration 3e 3 2 Glass T -V 5 Ty Exp. wall ' Ap Exp. wall T'd Net,exp. wap 4,f 3 d® Int. wall Ceiling ®a j© Floor X Total Btu. 16-1-6 Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl. R7-7 Room I Unath > /_ Width // Height Windows and Doors—Craekage and Area Width Height No. of Lineal ft. Area No. of pane o`f®Pane tights of crack ca. ft. Coef.1 Btu Infiltration infiltration JF Y Glaze Glace 5 3 Exp. wall 7-.3 ' Ap Exp. wall T'd Net exp. wallpN 16 f d® Int. wap Ceiling rz/ Floor 1 otal tltu. 2=�e P— 7 Required sq. ft. E.D.R or sq. ins. W.A. Leader area —+ R FI.I Room I L.englh f P Width /-, Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Na of pane of pan* lights of crack ft. Coef.F Btu infiltration Glace Exp. wall T'd Net exp. wapint.wapCeiling rz/ x Floor A otal otu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arra AY OF FRIDLEY40 Application for Installation of Water and Sewer Service This form to be completed before a tap is made to any existing water or sewer line. I Lot Ae.: / 7. Block ................ ..... . . Addition A.�.J-4 . .... Address .... ...... . .. . ... .................. . . . ........ ....... . .... . .. . . Owner Plumber .. .......... (this por W -n Of form to be completed 7yerson requesting tap) CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST 17ROPERTY Sewer Connection fee *Street patch — Water Connection fee Meter deposit Materials used *Street patch — * Where applicable V The above applies for all regular residential size services IF LATERAL ASSESSMENTS HAVE BEEN LEVIED AGAINST THE PROPERTY, THERE WILL BE NO CHARGES OTHER THAN CONNECTION PERMITS AND METER DEPOSIT The City will furnish materials for water service and the plumber will bill the City for sewer, not to exceed $3.00 a foot or a maximum of $60.00. ASSESSMENTS TO BE LEVIED Water Lateral Credit for material Total assessment Sewer Lateral Credit for material Total assessment ------------------------- Clerk's signature ... a!g, I hereby authorize the above tap ist copy—Public Works Director wf,-Public ' $....._............... - ---------------- $ --------------- $ ------------ ----- -- 60.00 PC SUBJECT _ NO. City of Fridley 23631 AT THE TOP OF THE TWINS BUILDING PERMI r RECEIP • _ COMMUNITY DEVELOPMENT DIV. rr PROTECTIVE INSPECTION SEC. r ; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/15/95 JOB ADDRESS 6240 Stinson Boulevard NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 7 1 Auditor's Sub. #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chin Choy 6240 Stinson Blvd NE 571-7826 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. REnslows Decks/Gazebos 1746 E Co Rd B Maplewood. MN 773-9707 8209 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 ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 13' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Before digging call for all utility locations 454.0002 REQUIRED 01f LAW SEPARATE PERMITS REQUIRED aR ,n,,4•• I AlhiD SCGNS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 WHETH SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,729 6 DOES NOT ESUME TO GIVE AUT ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY ER ST OR LOCAL LAW REGULATING CON- STRU I ORT P FORMA E OF CO UCTION$56.75e PLAN CHECK FEE TOTALFEE $59.34 HEN V LIDATED THIS IS YUR P RMIT IS-YS SIGNATURE F ONTR TOR OR AUTHORIZED GENT (DATE) SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI N TP DATE PC NEW II ADDN (( CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Effective 8/1/95 - Legal Description: — Owner Name & Address: C� -V Civ Tel. # Contractor: ��s o►� 5 e c, z� // _ MN LICENSE # dT'� Address: Tel. # % �`7% 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 GARAGE AREA: Length Width Height DECK AREA: Length / _ Widths_ Hgt/Ground OTHER: Comer Lot (] Inside I±t [,] Ft. Yd Setback Type of Construction: A -`U b Approx. Completion Date: Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $� (Cost on Back) Driveway Curb Cut Width Needed: Ft.f + 6 Ft = Ft x $ _ $ DATE: �- 3 f" �S _ APPLICANT: �h ,, l s �y J Tel. # % -7 ��`7 U CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary [ ] TOTAL $e3 STIPULATIONS: I: 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. F - r ..,., b,- ,. ,• . �.,. .`t ,. .,�ly,.t i•,.... ... ,�.,,.�. ,.F�., ., r.`a,. .r�k,.�, .., .%''rte, .t�' ,... u>av�'i,. +.t ,, .i �•.. �, .. �t�k_. _.�.,M ... c. .�>t-..�{ dc!!Y';t�nw, .°'.� ,�>L. >,.i ... .':' a. .a ft3;:F^.a.�.,re.✓.. AMERo.f„>, 1 - -MatoA ansa A� -- 11 flat bench footing �Pay ; 4i,'44 ,� Qui Post tops onley on octagon. 8" anchor bolt —r - 5 A 0. 12'" 5166 Zx4 1x4 t 36° less then 4' space SUBJECT City of Fridley 24943 ' AT THE TOP OF THE TWINS BUILDING PERMIT r O. i �• COMMUNITY DEVELOPMENT DIV. ______ r I ti' PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY �'--1 CITY HALL FRIOLEY 55432 ' 612-571-3450 910-F15 4/3/97 JOB ADDRESS �Z L/64240 Stinson Boulevard NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 7 Auditor's Sub. #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chin Choy 6240 Stinson Boulevard NE 521-4786 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Netko Exteriors 7118 Riverdale Rd, M ls., MN 55430 566-3731 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Reroof House (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 8155 $.91 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 STATEPR LOCAL LAW REGULATING CON- $59.50 Fire SIC $1.82 STRU OR THE P RF RMAN F CONSTRUCTION. PLAN CHECK FEE Lic e S $5.00 TOTAL FEE $67.23 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIEN PERLY Vj LIDATED THIS IS YO R PE I BLDG NSP �/ r)ATf- SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R 1 AND R-2 � 4l, l , BUILDING PERMIT APPLICATION '1 ConstructionAddress: % C12 5 rx�-Ow--" (/-- Legal Legal Description: Owner Name & Address: G'_ Tel. # "S Contractor: �✓�� %�'!' �����/� /�� MN LICENSE � Address: Tel. # �"-� G -✓ 2�/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF FYIPROVElVIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height o. Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ?2 /f2, Construction Type: /��` Estimated Cost: $ (Fee Schedule .on Back) 1/S. Driveway. Curb Cut Width. Needed: Ft. + 6 Ft = Ft.x DATE: ZIAPPLICANT Tel. Tel. #� G TOTAL s_41,23 tv STIPULATIONS: CITY USE ONLY Permit Fee $ 5q, Fee Schedule on Reverse Side Fire Surcharge $ z- .001 of Permit Valuation (1/10th%) State Surcharge $ s $.50/$1;000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ .] TOTAL s_41,23 tv 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 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for fust $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for fust $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 $1()0,-000 001 to $500,000 $88.25: forUf rst $100,000 plus $5.00 for; each additional $1,000 or fractionthereof,..to. and including $500,000 $500,001 to $1,000,000 $2887 25 for the first $500,000 p1us.,$4 25 for each additional $1,000 or fraction hereof, to and includi ig `$1,0;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: 4` 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 minimtyia.; of 241ours 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 BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE i '� Z- r7 % YOUR E-MAIL ADDRESS SITE ADDRESS 6.2?16 97AA IJ 1�1� THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: (0240 E)TIw-ov Is LVID- N -6 -'CITY ZRVt46—STATE {"ZIP SS Z PHONE: �76 2 – S-) / — 7 9 z6 CONTRACTOR NAME:-Th.amwg Lufaef 43 la1 wuQaw5 STATE LICENSE # �U3SaD% EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 90 f iro d 4 S 4 � Seyf1, CITY fes+ ieO- OO STATENJZIP <-"15 WITH APPLICATION PHONE &q4 -a (01 -BS -FS- FAX S 651 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED MWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR )ZIISREMODELING 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. 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 k6cs ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 16— 6— OPENING 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 $ _ JJ � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due 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 uavable 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 w i requires revie d approval of plans. SIGNATURE OF APPLICANT PRINT NAME '11" DATE 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 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 V $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 From: unknown Page: 1/1 Date: 6/18/2009 9:50:15 AM Building MECHANICAL Permit NO.: U t Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date J U 763-502-4977 FAX EFFECTIVE 2-19-0 DATE '+Y E`MA1L RBSS SITE ADDRESS �� THIS APPLICANT 18; O OWNER ne&TRACTOR PROPERTY NAME: OWNER/ TENANT ADDRFSSS., 1 r , —STATnaDIPMb PHONE: I CONTRACTOR COMPANY NAME: SUDMIT A COPY OF CONTACT PERSON: Li YOUR STATE LICENSE WITH STATE LICE # pE�yXP©DATE y� ADDRESS: > IC.-.. CITY STAT�� HIP APPLICATION .- pHONE� C� �I "�% �r •� FAX O PERMIT TYPE IYSINGLE FAMILY I] TWO FAMILY D TOWNHOUSE TYPE OF WORKS 1 0 NEW u REPLACEMENT la ALTERATION/REMODEL DF'fAILE1,SCRIPTIO OF WU '(' d -c� FEES ARE BASED ON $10.00 PER FIXTUR EXC�T VJi ED. FIXTURES: D AT�.E,�^T�tOT NUMBIR OF EACH BEtA 3W) Equ0nant Installed MFG. ► NW- SIZEl8TU +!d�E� MODEL: MFG -tilt t�y7C Vi ` J MODEL; 4JIQ� SIZWBTU MFG: MODEL: SIZE/BTU v A/C S25.00 _,,,FIREPLACE (GAS) $15.00 GAS RANGFJOVENI $10.00 _.•,,AIR TO AIR EXCHANGEER $15_FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 __BOR.ER $35.00 S2; RNACE $35.00 CTAS UNIT HTR $10.00 _„Cia1MNEY LINER $10.00 OAS DRYER $10.00 POOL H HATER $35.00 DUCr WORK $10.00 GAS PIPING $10.00 —POOL Number of fixtures @ $10.00 x $10.00 = $� Number of fixtures @ $15.00 _X$15.00 -$ Number of fixtures Q $25.00 _ x $25.00 = $ Number offixtures (g $35,00 _.x $3$.00 = $ State Surcharge (MINIMUM ]FEE WOO) Told 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 i ces and codes of the City of Fridley and with the Minnesota Construction Codes, that f understand this is not a permit but only atRa porn' d work is not to start without a permit, that the work will be in accordance with the approved plan in the ich iew val of pl s. SIGNATURE QFAPPLIC T AME r_ PLEASE NOTE: SEPARATE E§jML7ftkRf, REU1RED FOR BUILUIN(3, ELECTRICAL AND MECHANICAL WORK `j City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, h N 55432 763-572-3604 FAX: 763-502-4977 19